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Dr. Rick, MD
Dr. Rick, MD, Board Certified MD
Category: Medical
Satisfied Customers: 11272
Experience:  20+ years as a doctor. Internal Medicine Internship in NYC
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Hello,I recently visited my doctor with a history of approx.

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I recently visited my doctor with a history of approx. 3 months of fatigue. I am a 23 year old male with an unremarkable medical history.

She did some blood work which showed normal FBC, iron studies and thyroid function, with a slightly elevated phosphate but otherwise normal biochem. inflammatory markers were all normal as was folate, B12 and vitamin D.

My question relates to my testosterone level, which was 10.7 nmol/L (LH was normal at 3 IU/L).

About a month ago I noticed a small lump on my left testicle which was found on ultrasound to be a small cyst in one of the tunica's. Both testes showed normal echo texture and vascularity. Volume was approx. 16 ml bilaterally.

I guess what I really want to know is if there could be some link between the testosterone level, which seems low for someone my age, and my fatigue.
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While that is a possibility I would not rush to blame your fatigue on the testosterone lab result as many, many other issues could be causing it.

I would suggest you have a more complete workup and evaluation if simple things like sleeping more, eating well and exercising regularly do not improve things.

Does this make sense to you?

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Thanks in advance,

Dr. Rick MD FACS
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