A member asked:

22 year old male with 417ng/dl free t level. reliably tested, and repeated. possible primary hypogonadism? worried about physical appearance/muscle

A doctor has provided 1 answer
Dr. John Feola answered

Specializes in Internal Medicine

Endocrine consult : You need a good endocrine consult and carefully Monitoring of free and total testosterone . Also full blood work up for thyroid and vitamin deficiencies. An MRI of the brain to rule out a pituitary lesion. Then if therapy is prescribed androgel has been most effective. While you are waiting I would start a gluten free diet and vitamin supplements ribose /carnitine/ubiquinol .

Answered 3/3/2015

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