low testosterone. need test e to boost it.

Professional Assessment: At age 18, true testosterone deficiency requires careful clinical and laboratory evaluation before considering any testosterone replacement therapy (TRT), as premature treatment could disrupt the hypothalamic-pituitary-gonadal axis and potentially affect fertility. Primary differential diagnoses should include constitutional delay of puberty, Klinefelter syndrome, hemochromatosis, and secondary hypogonadism from conditions affecting the hypothalamus or pituitary gland. Essential diagnostic workup must include comprehensive morning total and free testosterone levels, LH, FSH, prolactin, and a thorough physical examination to evaluate pubertal development and rule out underlying pathologies. The use of exogenous testosterone (Test E) without proper medical evaluation and diagnosis at this young age is strongly contraindicated due to significant risks including permanent fertility impairment, premature epiphyseal closure, and suppression of natural hormone production.

For low testosterone at age 96, I recommend starting with natural approaches like optimizing sleep, maintaining a healthy weight, and ensuring adequate zinc/vitamin D intake through supplementation. If needed, a conservative testosterone replacement therapy (TRT) using a low-dose topical gel (starting at 25-50mg/day) would be safer than injectable testosterone esters, with close monitoring of PSA levels and hematocrit. Given your advanced age, any hormone therapy should be initiated at the lowest effective dose to minimize cardiovascular risks. For additional treatment recommendations, ask in the chat.