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Truth be told some of the supposed benefits of TRT are improved sleep, improved moods, feeling more "whole" and being less Irritable. Is it low because I sleep like shit and Im stressed or do I sleep like shit and I'm always stressed because its low.
Edot: That answer seemed a bit flippant, Theres a bit of light at the end of those tunnels, in that my daughter gets more reasonable every day and we just sold our old place and moved into a tiny shitshow of a place to save money while the new one is built so hopefully in 12 months she might ne going to bed on time in her nice new bedroom. Works always going to be work though.
Maybe also schedule with a therapist/counselor for a couple weeks prior, establish a baseline, and have them help you to monitor your mental state while you take the meds.
It seems like you're very self aware, which is a blessing/curse I believe I share. It's important to me to keep some outside perspective that will "speak truth to power". My therapist won't lie to me, he won't put up with me lying to myself, and he knows me well enough to spot the bullshit.
If you like, think about it like any other medicine with psychoactive properties. My doctors monitor me for the side effects of antidepressants, mostly for manic episodes. I think it's a smart aspect of the whole plan.