Bioidentical Hormone Replacement Therapy (BHRT): Know the Basics

Bioidentical Hormone Replacement Therapy (BHRT): Know the Basics

Testosterone is known for its regulatory functionalities in libido, bone density, fat management, muscle building, sustainability, sperm production, and the significant yielding of healthy red blood cells known as erythrocytes. This plays a critical role in the success of our body’s immunity. Our body tells us that testosterone levels need replenishing throughout our lives. Memory loss, increased fatigue, decreased sex drive and endurance, fat gain instead of muscle, and other symptoms tell us that our vital hormone testosterone declines.

New Vitality Centers (“NVC”) administers Bioidentical Hormone Replacement Therapy to counteract the body’s natural decline in testosterone production. New Vitality Centers uses the most efficient delivery method that enables the body to receive the testosterone in small time-released amounts, typically three times a year. NVC uses only the purest, all-natural, and highest quality hormones that provide the proper secretion and absorption of primary hormones such as Testosterone and Human-Growth-Hormone to make you physically, mentally, and spiritually fit. Most importantly, these are bio-identical, the same form your body produces. Injections of Synthetic testosterone are insufficient and less effective for proper bodily absorption. They are not adequately recognized as a primary hormone due to the synthetic chemical makeup of the compound. Synthetics are not well absorbed and produce inconsistent results. For the body to fully utilize any generated hormone, precise dosing is vital to releasing testosterone naturally. For example, if your body tells itself it needs to make testosterone, it will never secrete more than it needs. This is where synthetic products may influence the body’s ability to captivate the identification of the hormone, and leftover amounts will be wasted and can cause other serious problems.

How can you advance your testosterone therapy? It is essential to know your levels. Your levels are a combination of markers that allows the provider to treat you effectively, it is not a single number. It is also vital to use providers with the highest quality compounds to get the best benefits. At New Vitality Centers, we have adapted elevated technologies encompassing a sustained-release pellet form of BHRT, where 100% utilization of the bioidentical therapy is administered correctly in dosages that match your needs.

With top-of-the-line chemists, molecular compounds have been extensively studied, demonstrated, and identified adequately for proper utilization and bodily recognition of testosterone for the effective nourishment that our bodies need. New Vitality Centers have years of experience delivering organic, safe, and successful ingredients that naturally elevate and regulate your body’s testosterone consistently.

End Your Erectile Dysfunction

End Your Erectile Dysfunction

Although men can have Erectile Dysfunction (ED) at any age, it is more likely to be experienced after age 40. Reports show that over 52% of men experience some form of erectile dysfunction to some degree. The most common cause of ED is that as you age, the circulatory vessels supplying the genitals become convoluted and restricted through atherosclerosis, high low-density lipoprotein (bad cholesterol), hypertension, and many other factors that may influence the body’s ability to maintain healthy blood flow to these regions of the body to sustain beneficial homeostatic functionalities as human beings. The consequences of dealing with Erectile Dysfunction include stress, relationship tension, and declination in confidence from a personality and relationship perspective.

Some facilities use a treatment plan known as acoustic wave therapy, where oscillations are implemented that create rhythmic pulsations that activate the body’s inflammatory response system integrated with the central nervous system. Additionally, the acoustic wave does not adept nor reach the blood vessels within the genitalia region of interest, where blood flow is emphasized to cure patients successfully. The acoustic wave treatment can create a false positive of stimulatory capabilities and give a temporary placebo effect.

On the bright side, New Vitality Centers offers a thoroughly researched treatment plan that successfully treats patients restoring normal function in no time! It is called focused linear shockwave therapy. Focused linear shockwave therapy is proven to be 80% more effective in successfully catalyzing the blood-flow activation to the impacted region of interest to healthily sustain proper circulatory systems to the reproductive region that was initially the point of conflict. It builds new blood vessels that restore blood flow to the affected region. At New Vitality Centers, we have over 95% success with this treatment! This is called angiogenesis and it sends electrical impulses that are refracted through our cutting-edge technology. With these electrical stimulatory impulses, this molecular technique enables targeted pulses to the cellular biochemical membranes that require proper absorption and calculated measures by the central nervous system from the impulses sent to the target location for successful treatment. This alerts the body exactly where proper circulation should be emphasized and stimulates the creation and growing connections of new blood cells known as hemocytes in the body. The best time to seek treatment is in the early stages of mild erectile dysfunction. Focused linear wave therapy was first approved for diabetic patients to help to restore blood flow to toes, heels, and other regions that could require amputation.

Linear Wave Therapy for erectile dysfunction (ED) is a convenient treatment. It involves six 10-minute treatments within a 2–3-week period. Linear shockwave therapy is self-administered with complete privacy that allows for a pain-free experience with longer-lasting results.

Why is Testosterone Important for Men?

Do you know why testosterone is important in a man’s body?

Testosterone’s function is to build and maintain a healthy body.  Through gene expression, it elevates everything good in your body and lowers everything bad.  The question is:  what’s a normal testosterone level? Is your level low?  It’s certainly easy to check with a simple blood test.  Testosterone is “what makes men – men”.  It gives them their deep voices, facial, and body hair.  It helps them develop and maintain muscle mass.  As men age, at 30 years old, testosterone decreases by approximately 3 percent a year.  Testosterone levels and production of sperm gradually become lower.  As this happens, men experience physical and psychological symptoms that take the zest out of their life and well-being.  This is directly related to andropause and the symptoms are more gradual than when women experience menopause.  Unfortunately, these symptoms are negative low testosterone long term effects.  Because it can affect so many things, which is why it’s important to keep healthy testosterone levels for males.

Why deal with these symptoms when BHRT (Bio-identical Hormone Replacement Therapy) can bring you back into a natural balance of hormone levels and restore your quality of life and well-being? There are so many benefits of increased testosterone.

But what are signs of low testosterone?

10 SIGNS THAT YOU HAVE LOW TESTOSTERONE FOR MEN:

  • Adrenal Fatigue
  • Memory Loss
  • Decreased Strength
  • Loss of Muscle mass
  • Low Libido
  • Erectile Dysfunction
  • Weight Gain
  • Low Testosterone Fatigue and Difficulty Concentrating
  • Low Testosterone Headache
  • Moodiness and irritability

Why BHRT?

And what is BHRT? It is all natural and plant-based.  The hormones used are bioidentical to the hormones produced by the body.  They are comprised of the highest quality ingredients and do not contain any artificial components.  It is the most effective delivery method available allowing patients to receive a steady flow of hormones 24/7.  Patients receive a precise, personalized, optimal dosage of the hormones they need, exactly when they need them.  This avoids the rollercoaster of the high ups and downs.  Because of this, you don’t have to worry about bioidentical hormone replacement therapy side effects. A synthetic version of the male hormone testosterone and other synthetic hormones are more bothersome than the issue being treated as the body has more difficulty absorbing them.

A common myth is that it is all about the bedroom, it is not.  Although is can help with erectile dysfunction and low libido, there are many other reasons to optimize your testosterone and get back to your normal free testosterone level.

At your appointment with New Vitality Centers, your bioidentical hormone providers will review your labs and dose accordingly to your unique needs.  A variety of labs are drawn about a week in advance.  Although the actual TRT pellets procedure only takes a few minutes, your provider will review your overall health and concerns along with your labs.  A mild local anesthetic is applied, then the hormone pellets are inserted painlessly under the skin, typically in the hip area.  After the insertion, a steady, low dose of natural hormones flow directly into the blood stream whenever the body needs it. Most patients only have the procedure 3 times a year.  The easy procedure is one of the many benefits of testosterone pellets for males.

New Vitality Centers model for BHRT (Bio-identical Hormone Replacement Therapy) helps gain back the control of your life and overall well-being.  No need to search “bio identical hormone replacement therapy near me”.  Simply contact New Vitality Centers to take the first steps toward felling like yourself again!

Better Health with Testosterone Replacement Therapy

Get your mojo back with testosterone replacement therapy

As men age, testosterone production naturally decreases at the rate of 2 to 3 percent a year beginning at around age 30.  So, by they time a man reaches the age of 45, he has already lost 25 to 30 percent of his naturally produced testosterone.  It is natural and normal, but it does not mean that it is desirable.  In fact, it can be very frustrating.  Low testosterone can result in a variety of symptoms that can negatively impact the quality of life.  New Vitality Centers can help by providing testosterone replacement therapy (BHRT, Bio-identical Hormone Replacement Therapy) using methods that have been proven safe and effective against all kinds of symptoms including:

  • Memory loss and loss of focus
  • Fatigue and poor sleep quality
  • Low sex drive
  • Sexual dysfunction
  • Weight gain and increased belly fat
  • Depression
  • Irritability
  • Prostate problems
  • Osteoporosis
  • And more

Testosterone Replacement Therapy or BHRT, Bio-identical Hormone Replacement Therapy, achieves the sustained levels of testosterone that would be produced by normally functioning testicles.  This type of hormone replacement therapy is the only form that produces natural levels of hormones that men need.  These time released pellets release a small amount of testosterone every day.  Because the testosterone used is totally natural, it is ideal for men wanting the benefits of testosterone without the drawbacks of a synthetic.  Because the pellets are time released, there are no highs and lows or ups and downs experienced.  Testosterone replacement therapy helps to relieve symptoms of fatigue, lack of mental acuity, loss of libido, and difficulty achieving, or sustaining an erection.

Current medical research now defines a male equivalent to menopause and is referred to as andropause.  The difference is that men experience a more gradual decline in hormone levels.  Many men find themselves lacking sexual desire, gaining weight, losing muscle mass, feeling sluggish, depressed and irritable.  Yet, they believe they must endure these body and hormonal changes as a part of aging.  There is something you can do about it!

New Vitality Centers offers safe and easy testosterone replacement therapy and uses the most efficient delivery method.  BHRT, Bio-identical Hormone Replacement Therapy comes in the form of pellets that look like a grain or rice.  They are natural and organic and is not synthetic.  Your treatment plan will be customized for your unique body chemistry for maximum effectiveness and safety.

Why choose New Vitality Centers?  New Vitality Centers is an anti-aging medical clinic that uses natural products and services to help you achieve your goals.  Our providers have 30 years of experience in treating hormone deficiencies.  New Vitality Centers provides individualized treatments that include lab work prior to each pellet insertion.

The Danger of Low Testosterone

Low testosterone is very common in men over age 40 since men begin losing their testosterone at the rate of 2 to 3 percent per year beginning at age 30.  It is a normal part of aging.  It is noticed by symptoms and can be confirmed with blood work.  It is very important for men to understand the risks that can be faced with having low testosterone.  Testosterone plays a very important role in your body.  It is the body’s chemical messengers that make all of the organs function efficiently.  It is not just about the bedroom.  It is about overall health and wellness and disease prevention.  Low testosterone treatment is simple and it just means replacing lost testosterone and bring it back to youthful levels with all the resultant benefits.

 

Cardiac Risks

Men between the ages of 40 – 59 years have more cardia problems than the rest of the population.  Heart attacks become more common as they get closer to age 50.  There is a link between low testosterone and risk factors associated with cardiac disease.  Low testosterone is associated with cardiac risk factors including obesity, diabetes, therosclerosis, and hypertension.  Remember your heart is a muscle and one of the main functions of testosterone is to keep muscles strong and of normal size.  Maintaining a normal level of testosterone can increase levels of HDL cholesterol which is the “good” cholesterol that protects your heart.

Reduced Muscle Mass

Low testosterone causes a reduction in muscle mass and prevents muscles from proper maintenance and growth.  With low testosterone, men can work out and muscle development still fails no matter how hard the work out is.  It is very difficult to build muscle mass no matter how hard you work out.  This can be very frustrating to work so hard and not see results.

 

Risk of Type 2 Diabetes and Obesity

Low testosterone in men can contribute to Type 2 Diabetes and Metabolic Syndrome.  If low testosterone is left untreated, Type 2 Diabetes is more likely to develop.  If Type 2 Diabetes is left untreated, it can lead to very serious side effects that are very dangerous that include diabetic nephropathy, diabetic retinopathy, diabetic neuropathy.  When you have diabetes, sugars crystalize in the capillaries of your extremities like the feet and toes.  This causes lack of blood flow and can have serious harmful outcomes including surgical amputation.

Inflammation

Low testosterone exacerbates inflammation.  Inflammation is the root cause of many chronic diseases.  Inflammation also leads to a poor immune system, Alzheimer’s disease, heart disease, lupus, stroke, rheumatoid arthritis, and atherosclerosis which is too much fat in your capillaries and veins.

Anemia

Many studies in both men and women show that low testosterone can cause anemia.  In a study published in the Journal of Urology in April, 2016 revealed that testosterone treatment decreases the prevalence of anemia and metabolic syndrome.  Reversing anemia can be difficult which is why it is important to maintain healthy levels of testosterone throughout your life.

 

Some of the other side effects of Low Testosterone include: 

  • Muscle Weakness
  • Lack of Sex Drive and Libido
  • Loss of Memory and Focus
  • Mood Disorders
  • Depression
  • Increased belly fat
  • Poor sleep

 

Many people attribute these to “just getting older” and they think there’s nothing you can do about it.  Quite the contrary, maintaining proper levels of testosterone is easy with BHRT or Bio-identical Hormone Replacement Therapy.  This is a natural treatment unlike synthetic forms of testosterone.

 

 

Other services at New Vitality Centers:

  • BHRT – Bio-identical Hormone Replacement Therapy
  • PRP Microneedling Skin Treatments
  • PRP Hair Restoration
  • Medical Weight Loss
  • Erectile Dysfunction
  • Botox

What Every Man Needs to Know About – ANDROPAUSE

What Every Man Needs to Know About – ANDROPAUSE

 

What is Andropause?

As men approach middle age they experience a phenomenon similar to female menopause, called Andropause. Unlike women, me do not have a clear cut sign to mark this transition, such as the cessation of menstruation. Both menopause and andropause, however, are characterized by a drop in hormone levels. Estrogen in the female, testosterone in the male. Resulting bodily changes happen gradually in men and are accompanied by changes in attitude and mood, fatigue, a loss of energy, sex drive, weight gain, brain fog, and endurance.

Studies show that this decline in testosterone can actually put men at risk for other health problems such as heart disease, diabetes, obesity, and weak bones. Since all this happens at a time when many men begin to question their values, accomplishments, and direction in life, it’s often difficult to link the changes that are occurring to more than just external conditions.

Is Andropause a new phenomenon?

Yes and no. In fact, Andropause was first described in medical literature in the 1940’s. So it’s not really new. But, our ability to diagnose it properly is because tests for bio-available testosterone weren’t available until recently and many men were not aware. Andropause went through a long period of being underdiagnosed and undertreated. Now that men are living longer, there is heightened interest in Andropause, and this will help improve the way this important transition period is treated.

Another reason why Andropause has been underdiagnosed over the years is that symptoms can be vague and can vary a lot among individuals. Some men even find it difficult to admit that there’s a problem. Many just think they are getting older and there is nothing you can do about it.  Physicians didn’t always consider low testosterone levels as a possible cause; not many do because of the new studies.  Doctors often concluded that symptoms were related to other medical conditions such depression or were simply due to aging, and encouraged their patients to accept ‘the inevitable,’  ” I’m getting older and there’s nothing I can do about it”.  Fortunately, this situation has changed dramatically. New testing methods and an increased interest in men’s aging among medical researchers has focused so much attention on Andropause that major efforts are underway to quickly share emerging scientific information.

Whatever your age, as a man you need testosterone (woman do also but at a much lower level) to maintain energy and focus, to build lean muscle, to boost your sex drive, and to regulate your moods.  The onset of andropause and the drop in testosterone that goes with it can have a big impact on the quality of your personal and professional life.  When many men are interviewed, many say “I just don’t feel like myself anymore”

What causes Andropause?

Andropause gradually comes on as men age.  It is a natural part of aging because your glands slow down and stop producing adequate levels of testosterone.  Because of the decreased testosterone levels, thyroid and DHEA levels decrease.  On the other hand estrogen levels increase which is not such a good thing in men.

What are the symptoms of Andropause?

Here are the common symptoms of andropause:

  • Fatigue
  • Memory loss
  • Low sex drive
  • Sexual dysfunction
  • Weight gain (especially mid-section)
  • Depression
  • Irritability
  • Hair loss
  • Prostate problems
  • Osteoporosis

Can Andropause be treated?

Loss of testosterone is a normal part of aging and hopefully the stigma is going away.  It’s going to happen to every man as he gets older but that does not mean you have to accept it.  As long as you have a good provider that monitors blood levels, hormone levels can be safely and effectively restored through hormone therapy.  The most effective delivery system is through BHRT Bio-identical Hormone Replacement Therapy.  Most men see results in about 2-3 weeks.  It’s really simple.  It is times released pellets that deliver the right amount of testosterone everyday.  Most men get treatment every 4 – 6 months. It is important to have a healthy lifestyle as you age and this treatment as well as any other treatment goes hand in hand with a healthy diet, regular exercise, good sleep, and stress management.

If you would like to see if you are a candidate for BHRT, Bio-identical Hormone Replacement Therapy, give us a call for lab work and a consult with Dr. Trim.

 

New Vitality Centers

665 S. Kings Ave.

Brandon, FL  33511

(813) 436-0708

Newvitalitycenters.com

 

SkinPen Microneedling Is Having Amazing Results For Hair Loss

SkinPen Microneedling Is Having Amazing Results For Hair Loss

Hair loss in both men and women can be emotionally difficult to handle.  PRP, Platelet Rich Plasma is changing the game for restoring hair growth and giving hair a thicker appearance.  It is  an easy procedure that is done in the office with no downtime.  PRP, Platelet Rich Plasma promotes hair grown on dormant hair follicles.

Where does the PRP, Platelet Rich Plasma come from?

It is a simple blood draw from the patient.  The blood is spun and harvested to get the PRP which is  the clear portion of the blood.  That is the PRP!  Your own blood is used to get the PRP so there is no risk of rejection.  These cells are highly concentrated platelets that release growth factors.  These growth factors have been shown to stimulate new hair growth on dormant hair follicles.  They have also been shown to improve the health and texture of the existing hair.

How much downtime is involved?

There is virtually no downtime.  New Vitality Centers uses the only FDA approved medical grade microneedling device called the SkinPen.  After numbing cream is placed on the surface of the skin, tiny needles are used to penetrate the skin prior to using the PRP.  The PRP is then applied to the head.  It is recommended that it remains in place for 24 hours, but it does not mean you cannot go about your daily activities.

How long does each the treatment take?

Each treatment takes about an hour.  The first portion of the appointment is drawing the blood and obtaining your PRP.  The middle portion is the cleansing and numbing the treatment areas which takes about 20 minutes.  The final portion is the microneedling itself and applying the PRP.

How many treatments will I need?

Depending on your goals, most people get between 3 – 12 treatments; 3-6 being the most common.   Most treatments are 3 to 4 weeks apart.

When will I see results?

PRP, Platelet Rich Plasma is regenerative so it will continue to work months after treatment.  Although each patient is different usually you begin seeing results about 3 weeks you will notice improvement in hair texture, thickness in the hair shaft and regrowth of hair. It typically takes three to six months from your initial treatment to see measurable results.

Are there any contraindications to PRP?

Platelet Rich Plasma injections may not be appropriate for a patient who: Has blood or bleeding disorders, Is taking blood thinners, Is anemic, Is pregnant, Has a medical condition that could spread or worsen, such as active infection, metastatic disease or certain skin diseases.

What are the side effects of PRP treatment for thinning hair?

PRP is obtained directly from your own blood and this virtually eliminates the possibility of an allergic reaction. Like any treatment involving injections, there may be mild bleeding, small risk of bruising and or infection at the injection site. There may be some tenderness or swelling at the treatment site which can last three to five days.

If you are interested, call 813-436-0708 to schedule today!

 

New Vitality Centers

665 S. Kings Ave.

Brandon, FL  33511

(813) 436-0708

Newvitalitycenters.com

10 Things Every Man Needs to Know About Testosterone

10 Things Every Man Needs to Know about Testosterone

Women are not the only ones that need hormones.  Fluctuating hormones are most associated with women.  However, men experience this too but never think that the way they feel is because of hormones.

In fact, they go through the male equivalent of menopause.  This is called Andropause.  This is a subject that is not talked about enough.  We are not sure why whether it is embarrassment or the “tough guy” syndrome.  It should be discussed because it plays a huge role in how well you feel as you age.  The lack of conversation leaves many men in the dark about what their hormones are doing in their bodies.

Hormones affect the body in various ways, from energy and emotions to body composition.

  1. It causes hair loss. There is a strong link between testosterone and hair.  A drop in hormone levels can be responsible for hair loss.  It can cause hair to grow in new places too.  Male pattern baldness is often genetic.  But it can be start with low levels of testosterone.

 

  1. Testosterone does not make you aggressive. This idea is a myth.  The misconception is damaging.  This behavior is generally caused by other biological and social factors.

 

  1. Low testosterone can cause low libido. Testosterone is associated with sex drive however low testosterone can be responsible for a low libido and sex drive.  It can also cause many men to suffer from erectile dysfunction.  This s more common in older men but can occur at any age.  In fact, 1 in 4 men under age 40 seek treatment for erectile dysfunction.  Testosterone stimulates receptors in the brain which releases nitric oxide.  That causes a series of chemical reaction, which causes an erection.  Without adequate testosterone, this cannot occur.

 

  1. Men can develop breasts. Low testosterone triggers Gynecomastia in men.  We can see this often during puberty but for middle-aged men gynecomastia can be more persistent.  It is known to occur during andropause which is referred to as “male menopause” and is the result of low levels of estrogen.

 

  1. Men have hormone cycles. Men’s hormones fluctuate just like women on a daily and monthly basis.  It affects the biological processes, moods, and emotions just the same as they do in women.  Men can become stressed, grumpy, and irritable and it can change from one extreme to another.

 

  1. Low testosterone can cause fatigue. If you struggle to muster up enough energy to face your day even after a good night’s sleep, your hormones may be the reason.  Insomnia, irritability, and stress caused by low testosterone in men can contribute to fatigue.  This is worrisome and causes you to lose sleep which makes you feel even more tired.

 

  1. Excess estrogen can cause weight gain. Testosterone is “what makes men, men”.  It allows them to have their muscular physique which is why they have more lean muscle mass and a higher metabolism.  Hormone imbalance in men often means that testosterone drops while estrogen increases.  The result can be weight gain.  It can come out of no where even when you have not changed your diet or physical activity.

 

  1. Low testosterone can make you depressed. There is a strong link between low testosterone and depression.  Hormones dictate moods, and hormone imbalance can wreak havoc in your body and emotions.  If you find yourself down or feeling depressed it can be that you have low testosterone.  The most common symptoms include persistent fatigue, irritability, lack of motivation and drive, and a decrease in sex drive.

 

  1. Too much alcohol can lower testosterone. While alcohol can have benefits, too much can cause your testosterone levels to drip.  Regular over consumption of alcohol can contribute to low testosterone.  Therefore, men who suffer from alcoholism often have low levels of testosterone and above levels of estrogen.

 

  1. Hot flashes can occur in men. Hot flashes and night sweats are common symptoms of menopause.  It is quite common for men to experience them too.  This can happen when low testosterone levels trick the brain to think that your body is overheated.  This causes the blood vessels near the surface of the skin to widen which is when the sweating and flashes happen.

 

The effects of hormone imbalance in men can be difficult to deal with.  Fortunately, there is treatment available which is quite easy.  It can reduce and even eliminate these symptoms.  The process starts with an analysis of your levels with a simple blood test.  At New Vitality Centers, several levels are reviewed to determine the correct dosing.  The easiest and most convenient method of treatment is called BHRT or Bio-identical Hormone Replacement Therapy.  This is timed released pellets that delivers what your body needs on a daily basis.  Most patients have treatment 2 to 3 times a year.  The pellets are made with natural products – yams.  No, you cannot eat yams to increase your testosterone.  Throughout the treatment, the patient is monitored and evaluated to make sure that a perfect balance is restored.

New Vitality Centers

665 S. Kings Ave.

Brandon, FL  33511

(813) 436-0708

Newvitalitycenters.com

Low Testosterone Cause Signs and Symptoms of Aging

Low Testosterone Cause Signs and Symptoms of Aging

 

As you age, your testosterone level gradually declines.  Typically, when a man reaches age 30 the decline in testosterone is at 2-3 percent a year.  Testosterone replacement therapy can improve the signs and symptoms of low testosterone in men.  BHRT, Bio-identical Hormone Replacement Therapy is the most effective delivery method to your body.  It releases small amounts of testosterone into your body at consistent amounts so that your levels remain optimal.

Some signs and symptoms of low testosterone levels include:

Changes in sexual function.  This can include sexual desire, fewer spontaneous erections such as during sleep, and infertility.

Physical changes.  Physical changes can include increased body fat, reduced muscle tone/bulk, reduced strength, and decreased bone density.  Swollen or tender breasts and body hair loss are possible.  You can also have less energy, focus, and brain fog.

Emotional changes.  Low testosterone also contributes to decreased motivation and self-confidence.  You might also experience sadness or depression and have trouble remembering things.

Other factors that come into play are caused by other factors such as mediation side effects, obstructive sleep apnea, thyroid problems, diabetes, and depression.

A blood test is used to diagnose low testosterone levels.