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Testosterone Deficiency is a diagnosis of exclusion. Look to address your lifestyle, nutrition and physical exercise; alongside addressing possible reversible causes, before committing to TRT. Testosterone is merely the foundation, TRT can be the catalyst for change. You need to earn your reward through effort, understanding that we are physical beings in a world full of psychological stress. The journey of a thousand miles starts with a single step... Dr Rob Stevens MBChB MRCGP DipFIPT