I am no doctor and not giving medical advise. But I am older and do a lot of research on health related issues.
T levels start dropping in our 30s. Muscle atrophy starts in our 30s. Rhetorical questions, so no answers being sought here, and these are things I have learned as I have addressed similar health issues.
Are you over weight or obese? If yes, lose the weight first before starting T therapy. Do you lift weights? If not, you should, for many reasons, not just T levels. Weight lifting is the most important exercise aging men should have in their daily routine till their dying day. Are you on a good exercise program? If not, you should be, and I would get on that for at least 6 months before adding T into my body.
Are you on a healthy diet? Are you at 1 gram of protein for every pound of desired body weight daily? So if you should be at 180 pounds, are you eating 180 grams of protein daily? Do you know your BMI and your body fat percentage? If you don't, you should. Do you know what your daily caloric intake should be to maintain weight, or to lose weight? If not, you should.
Do you drink alcohol? Alcohol is a poison to our body, it is a toxin. Don't get me wrong, I love scotch rocks. But consuming alcohol is truly not a good thing to do for our bodies. I try to limit my intake to 2 days a month, but I would prefer a scotch rocks every night after work. Alcohol affects many of our bodily functions. I would quit drinking for 6 months before adding T into my routine.
Are you getting 8 cups of green vegetables in your diet every day? Spinach, broccoli, asparagus?
I'm medicare eligible age. I wish I would have started a healthier lifestyle when I was your age.
At under 40, I would focus on my health for 6 months, start evaluating the results, before taking T. But that's me. I won't take T therapy. It is not worth the risks, based upon what I know. I do use a number of supplements, creatine, leucine, and a few others, to help slow the affects of aging and muscle atrophy which is a naturally occurring process.
I take no meds and am on no prescriptions. I consider myself very fortunate.
I wish you the best of luck. Life can be difficult if we don't have our health.