The only thing I can tell you for sure is, The higher my dose regardless of frequency, the worse I feel. Whenever I start going over 1000ng is literally feels like flu type symptoms. The only thing I know to do is, let my levels fall until I feel good again and pull labs like two days in a row. I really didn't want to have to go the topical route, but the fact is the best I ever felt in my life, not just including being on TRT was on A-gel 1.62. My insurance will now cover it, perhaps thats my best option.
IMO not every problem and everything one is dealing with is going to be connected to male hormones issues and thyroid issues,
Since you seem to have tried many ways to address this, I would do a Neurotransmitter Panel. If you look at what these Neurotransmitters do, they are intimately connected to mood, motivation,
[FONT="]irritable, difficulty concentrating, etc.
[/FONT][FONT="]This panel contains the following 9 neurotransmitters:[/FONT]
[TABLE="class: table-responsive"]
[TR]
[TD]Neurotransmitter
[/TD]
[TD]High levels in urine
[/TD]
[TD]Low levels in urine
[/TD]
[/TR]
[TR]
[TD]Serotonin is an inhibitory neurotransmitter and contributes to feelings of happiness and well-being
[/TD]
[TD]May contribute to anxiety, high blood pressure, irritability, and low libido
[/TD]
[TD]Associated with depression, worry, obsessive thoughts, carbohydrate cravings, PMS, difficulty with pain control, sleep disturbances, and IBS
[/TD]
[/TR]
[TR]
[TD]GABA functions as the brain's major inhibitory neurotransmitter
[/TD]
[TD]Associated with sluggish energy, feelings of sedation, and foggy thinking
[/TD]
[TD]Implicated in feeling stressed, overwhelmed and/or irritable, impulsivity, anxiety, ADHD, and seizure disorders
[/TD]
[/TR]
[TR]
[TD]Dopamine regulates the pleasure/reward pathway, memory, and motor control
[/TD]
[TD]May contribute to hyperactivity, anxiety and schizophrenia. May also be related to autism, mood swings, psychosis, and attention disorders
[/TD]
[TD]Associated with memory issues, loss of motor control, cravings, compulsions, loss of satisfaction, and addictive behaviors
[/TD]
[/TR]
[TR]
[TD]Norepinephrine (noradrenaline) Involved in a wide variety of actions including attention, focus, regulating heart rate, affecting blood flow, and suppressing inflammation
[/TD]
[TD]Linked to anxiety, stress, elevated blood pressure, and hyperactivity
[/TD]
[TD]Associated with lack of energy, focus, and motivation
[/TD]
[/TR]
[TR]
[TD]Epinephrine (Adrenaline) is heavily involved in the acute stress response and helps regulate muscle contraction, heart rate, glycogen breakdown, and blood pressure
[/TD]
[TD]Associated with ADHD, hyperactivity, anxiety, sleep issues, and acute stress response
[/TD]
[TD]Leads to difficulty concentrating, fatigue, depression, insufficient cortisol production, chronic stress, poor recovery from illness, and dizziness
[/TD]
[/TR]
[TR]
[TD]Glutamate functions as the brain's major excitatory neurotransmitter
[/TD]
[TD]Can cause excitotoxicity, a process that damages nerve cells through excessive stimulation. Associated with panic attacks, anxiety, difficulty concentrating, OCD, and depression
[/TD]
[TD]May result in agitation, memory loss, sleeplessness, low energy levels, and depression
[/TD]
[/TR]
[TR]
[TD]Glycine is inhibitory and plays a dual role as both a NT and an amino acid. Glycine improves sleep quality, calms aggression and serves as an anti-inflammatory agent
[/TD]
[TD]May be associated with compromised cognitive processing
[/TD]
[TD]May contribute to poor sleep, poor cognitive function and issues with memory
[/TD]
[/TR]
[TR]
[TD]Histamine is an excitatory neurotransmitter involved in the sleep/wake cycle and inflammatory response
[/TD]
[TD]May be associated with allergy-like symptoms, gastro-intestinal concerns and inflammation
[/TD]
[TD]May affect digestion and appetite control, learning, memory and mood and may result in drowsiness
[/TD]
[/TR]
[TR]
[TD]PEA (Phenylethlyamine) promotes energy, elevates mood, regulates attention and aggression, and serves as a biomarker for ADHD
[/TD]
[TD]May contribute to anxiety with very high levels having amphetamine-life effects. May be associated with higher cortisol levels
[/TD]
[TD]May be associated with ADHD, depression, Parkinson’s disease and bipolar disorder
[/TD]
[/TR]
[/TABLE]
[FONT="]
[/FONT]I took this table from the LEF (lifeextension), they list the panel at $150, I would get this if I were feeling as off as you describe. It might point to an imbalance.