What if it is low-T?

I had blood work done last month; no diabetes, thyroid ok, no anemia, but I don't see where my testosterone level was tested, so I assume it wasn't.

I guess I can make another appointment with the doctor and ask about this. However I've read that testosterone treatment can worsen sleep apnea, so I would be really screwed.

Last night's AHI: 1.8

I feel: wired and unrefreshed.

Anyone?

I don't think we are qualified to determine if your problem is low T. I don't think Low T is part of a normal physical exam. If you do get tested your doctor will determine if treatment is needed. I have never heard an association of OSA with low T.

There is more to sleep apnea treatment than a low AHI. The most important thing is how rested you feel. Why not post some sleepyhead data and see if anything jumps out at the more experienced people here?

I guess you are trying to differentiate between being rested and having energy? It's just another blood test so if you get it done and it comes back normal then that will be one more thing you can cross off you list.

Whats your age? if its over 40 you will have naturally lower t, just get it checked out, most insurance companies will pay for the test and Test replacement therapy

And what if it is not?
Generally, overt low-T symptoms are needed to authorize a test.
Otherwise, it is probably something else.
Maybe something easier and safer to treat.
Stick to your guns, but keep an open mind.

Low T, diabetes, OSA, anemia, what do i win?

Noctuary wrote:I had blood work done last month; no diabetes, thyroid ok, no anemia, but I don't see where my testosterone level was tested, so I assume it wasn't.

I guess I can make another appointment with the doctor and ask about this. However I've read that testosterone treatment can worsen sleep apnea, so I would be really screwed.

Last night's AHI: 1.8

I feel: wired and unrefreshed.

The physical symptoms of low testosterone are pretty well documented and available online. If you have those symptoms, in spite of being treated for sleep apnea, it is a good idea to get tested. Sleep apnea patients seem to have a higher rate of hypogonadism as compared to other cohorts. The test for total T will usually also look at vitamin D, and possibly other hormones. It takes two tests demonstrating T levels well below normal to qualify for hormone replacement therapy. Normal is considered to be between 270 and 1000 ng/dL, and some people qualify for treatment in the "low range" up to 350 ng/dL.

HRT can make UNTREATED sleep apnea worse requiring the use of CPAP. If you're already using CPAP then you should not notice any affect to existing therapy. Get tested. It's easy, relatively inexpensive and generally covered by insurance, however the cost without insurance discounts can be rather high. Testosterone is frequently abused and so testing and drug use is pretty closely scrutinized by insurance companies. Again, a medical need and diagnosis is the key to coverage.