This is the same in the UK. I was at 340ng/dl and my doctor says this is completely fine. I asked. Could I be considered for trt? She said. Until your 100+ng/dl then no chance.
Ordered test and pinned it. This was 7 years ago and never looked back. After a year my body transformed. Mental health improved. Energy levels were much better.
It's a joke how the health service doesn't recognise low testosterone. I've heard that our health service is dropping our testosterone reference range this year. Even lower now. I feel sorry for guys in the UK who's got low T and told. Yeh your fine
Problem with the whole system is...what's actually low for YOU? They have a range that's ridiculous for "good". (and hey...maybe they want more of us with low-T
)
Unless you started testing at 18 to get baselines, we're not sure what the individual's normal is. You can't do a huge range for the entire population then say "Oh...you can't do TRT unless you're at X" Well...that X for YOU may be 450. Your normal might need to be 900.
In the meantime, suffer on with crap sleep, hard time losing weight, low energy, etc. Med industry says you're fine.
I'm 48...looking at TRT myself. It was in the mid 400s before I started taking tongkat and a couple other natural things. Seems to have pushed things to the 600 range. Still "meh". Good chance that's still not an optimal range for me. Thankfully here in the States we have clinics just for that. It'll be out of pocket, but doc supervised with follow up testing and adjustments.