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Body metabolism disbalance. N lot of other  factors  such as stress, anxiety,  low or poor  sleep.

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Consult endocrinologist for better evaluation. Btw investigation are CBC, TSH, LH, FSH, GH, IGF-1, prolactin , repeat testosterone. Sample should be taken in morning. Start vitB12 supplement for longer period

Do the following, 1. B12 tablets (methacobalamin) daily for long term. 2. Blood tests : KFT, CBP, Immunoglobulins, TSH, ACTH, FSH, LH, GH, IGF-1, Cortisol, Prolactin and HbA1C 3. Ultrasound testes 4. Depending on the blood results - MRI scan of Pituitary 5. Monitor your weight and blood pressure 6. Wait for tests before any replacement with testosterone All the best. WWW.JGSR-HEALTH-EDUCATION.IN

B12 is borderline , take b12 supplements for 3 weeks , its will be improve.for testosterone you need to improve your lifestyle modifications and dietary habits mostly.

Your values: • Vitamin B12 = 231 pg/mL → Low-normal / borderline deficient • Testosterone = 165 ng/dL → Clearly low for a 39-year-old male Let’s interpret properly.

Hello, Your B12 (231) is borderline low and testosterone (165 ng/dl) is clearly low for your age. Causes can include poor diet, gut absorption problems, chronic stress, obesity, sleep issues, hormonal imbalance, or thyroid problems. Since you also have anxiety and digestion issues, this needs proper evaluation — not just supplements. Next steps: • Repeat early morning testosterone • Check LH, FSH, prolactin, thyroid profile • Evaluate gut health and diet This requires detailed assessment of your reports and symptoms together. I strongly recommend a proper consultation so we can identify the exact cause and plan targeted treatment.

Avoid fried and spicy food Water intake more Kindly do connect and consult

Please consult

Need few more details for further evaluation. Kindly consult

You have  slighty low vit  b12 levels,  very low testosterone. Take tab neurobion forte one daily for 4 weeks. Take testosterone injections. Consult a gen surgeon physically to exclude any local testes problem.

Get becosule once a day for a month

Need a few more details please consult for further evaluation and treatment

Do consult

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Inflammation

Dietary advise and guidance please consult.