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    When testosterone isn't enough - major fatigue and brain fog.

    I think we agree on more than we disagree: poor diet, environmental factors, social media, etc. are all factors in depression. Antidepressants aren't perfect but I wouldn't trash them on a whole. Meds helped give me the ability to address diet, exercise, sleep hygiene, etc. that I didn't have...
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    When testosterone isn't enough - major fatigue and brain fog.

    It's definitely a concern, and for sure it's frustrating for all parties involved. If you're passionate about the prescribing of antidepressants, I suggest calling your senator and house representative because I believe it will literally require an act of congress. From what I understand: 1)...
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    When testosterone isn't enough - major fatigue and brain fog.

    Reminded me of 2 times that I experienced something similar: 1) Are you taking generic Adderall XR? I ask because I noticed fatigue, anxiety, and a bunch of weird stuff when my pharmacy changed brands of generic Adderall XR due to a supply shortage. I didn't think there was a difference in...
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    When testosterone isn't enough - major fatigue and brain fog.

    Is it seasonal by any chance? I'm not a psychiatrist, but from my own MDD experience I'd recommend a PHQ-9 first. See if you're barking up the right tree. For depression meds, some people respond really well to serotonin meds like SSRI's (also the studies on serotonin agonists like psilocybin...
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    A New Frontier in Diagnosing Low Testosterone: The CAG Repeat Game-Changer

    https://www.aafp.org/pubs/afp/issues/2024/0600/testosterone-replacement-therapy-male-hypogonadism.html I emailed the author of the 2024 American Family Physician guidelines. I also CC'd the AAFP, the Endocrine Society, and the author of the 2017 AFP guidelines. He responded that he received my...
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    A New Frontier in Diagnosing Low Testosterone: The CAG Repeat Game-Changer

    As far as this stuff goes, we live in a really cool time. The price of Whole Genome Sequencing WGS is becoming more affordable. I came across this list for anyone that's interested. Average price I've found for 30X WGS is around $400-$500. https://arep.med.harvard.edu/gmc/genome_services.html...
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