low sex drive, no energy, can't focus? it could be low t.

Low T occurs in most men as they age and often causes a combination of symptoms. These symptoms are typically divided into the following categories: Sexual, Energy & Sleep, Physical, Thought-Processing and Mood. The chart below describes what you may be experiencing in each of these categories and provides a comprehensive list of both medical and behavioral treatment options.

Low T Symptoms & Treatment CHart:

Click on any image or subject for more detailed info.

Sexual Symptoms

Decreased interest in sex, difficulty achieving / maintaining an erection

Energy &
Sleep

Low motivation, feeling sluggish, midday crash, daytime sleepiness

Physical /
Physique

Weight gain, difficulty putting on muscle with exercise

Thought Processing

Lack of focus, mental fog, difficulty concentrating, low productivity

Mood

Anxiety, depression

Sexual Symptoms

Low Libido

  • Decreased interest in sex/sexual activity

Medical Treatments

  • Testosterone Replacement Therapy
  • Dopimanergic medications (e.g.,buproprion)
  • Medications targeting low libido (e.g., PT-141)
  • Tadalafil 5mg (*secondary benefit)

Behavioral Treatments

  • Decrease masturbation frequency
  • Sex Therapy/Couples Therapist
  • Redefine/expand sexual activity
  • Explore use of sexual aids and toys

Erectile Dysfunction (ED)

  • Difficulty acheiving and maintaining an erection
  • Less rigid erection

Medical Treatments

  • Testosterone Replacement Therapy
  • PDE5 Inhibitors (e.g., Sildenafil)
  • Penile Injections with Autoinjector
  • Penile Prosthesis
  • Shockwave Therapy
  • Regenerative Cell Therapy
  • Constriction Bands & Vacuum Erection Devices (VEDs)
  • PT-141

Behavioral Treatments

  • Diet: a “heart healthy” diet
  • Exercise
  • Stress Management
  • Limit smoking & alcohol consumption
  • Explore non-intercouse sexual activities
  • Sex Therapy

Energy &
Sleep

Decreased energy

  • Low motivation
  • Midday crash or fatigue; daytime sleepiness
  • Feeling sluggish
  • Decreased interest in favorite activities

Medical Treatments

  • Testosterone Replacement Therapy
  • Buproprion
  • Stimulants (e.g., modafanil)
  • Treat Depression if present
  • Evaluate for Sleep Apnea- and manage if present

Behavioral Treatments

  • Exercise
  • Diet
  • Medications and/or Therapy
  • CPAP machine/ oral appliance

Sleep Issues

  • Poor sleep quality
  • Frequent nighttime waking
  • Difficulty falling sleep
  • Sleep apnea
  • Daytime sleepiness

Medical Treatments

  • Testosterone Replacement Therapy
  • Evaluation for sleep apnea/disorders
  • Magnesium, melatonin
  • Diphenyhydramamine (Benadyrl), doxylamine succinate
  • Anti-hypnotics: zolpidem (Ambien), zalepion (Sonata)
  • Orexin 2 inhibitors: trazadone
  • Gabapenitin

Behavioral Treatments

  • CPAP machine/ oral appliance
  • Creating a sleep routine/pattern
  • Stress Management
  • Stay active during the day/exercise
  • Avoid alcoholic beverages & caffeine in the afternoon
  • Avoid exercise close to bedtime
  • Avoid large meals before bedtime

Physical /
Physique

Weight Issues

  • Weight gain / difficulty losing weight
  • Difficulty putting on muscle with exercise
  • Excess belly fat
  • Poor recovery from workouts

Medical Treatments

  • Testosterone Replacement Therapy
  • Approved weight loss drugs (GLP1 agonists, phentermine)

Behavioral Treatments

  • Regular and consistent exercise
  • Dietition/Diet adjustments
  • Sleep
  • Stress Management
  • Therapy

Exercise

  • Inability to gain muscle
  • Loss of muscle mass
  • Poorer post-exercise recovery
  • Lower exercise endurance

Medical Treatments

  • Testosterone Replacement Therapy
  • Sermorelin, ipamorelin

Behavioral Treatments

  • Strength/resistance training to increase muscle mass
  • Recovery: rest days
  • Increase lean protein intake

Thought Processing

Lack of Focus / Mental Clarity

  • Inability to concentrate
  • Mental block/fog
  • Low productivity

Medical Treatments

  • Testosterone Replacement Therapy
  • Stimulants/Treat underlying ADHD
  • Bupropion

Behavioral Treatments

  • Limit screen time, especially before bed Screen for ADHD
  • Improve sleep habits
  • Avoid high-sugar meals/sugar spikes
  • Coping skills: use a daily planner/reminders

Mood

Mood changes

  • Anxiety
  • Depression

Medical Treatments

  • Testosterone Replacement Therapy
  • Anti-depressants (SSRIs, SNRIs, bupropion, other classes)
  • Anti-anxiety medications

Behavioral Treatments

  • Therapy
  • Sleep
  • Nutrition
  • Exercise

WHY SHOULD I CHOOSE MAZE?

At Maze, we perform a complete evaluation, including blood work, followed by the development of a customized treatment plan that we will create together, as a team. No matter how old or young you are, or how long you've been suffering with Low T symptoms, we can help you treat your condition, even if you've had unsuccessful results elsewhere.

IN A PATIENT’S OWN WORDS...

No Energy & No Libido...

I was having difficulty sleeping, had no energy and a low libido. I knew something was off so I visited my primary care doctor who diagnosed me with low testosterone. However the treatment plan he and another specialist provided did not give me the results I wanted.

A friend then referred me to Dr. Werner. He had a great experience so I figured I would give it a try. I was expecting Dr. Werner to simply prescribe some medication but my initial visit turned out to be so much more! I met with a team of professionals who did a comprehensive evaluation of me.

Now, I feel great, I’ve lost body fat and my relationship with my wife has greatly improved. I couldn’t be happier!

– P, 52, NY  –

Read more Testimonials Here!


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