I am writing because I am at a loss for what to do for low testosterone and the accompanying symptoms. I have written a background below and attached several recent lab tests.

==Current Stats==
• 31 year-old male
• 245lbs
• 6’1”
• Non-diabetic
• Non-smoker
• History of corticosteroid use for Psoriasis

==Background==
In 1998, I lacerated my scrotum while climbing a flagpole; I was fourteen. I was told that everything would heal as normal.

My wife and I had a son and a daughter. In 2005, I got a vasectomy because we didn’t want to have more children.

In 2011, I started experiencing the following symptoms over the course of a year:
• Weight gain
• Depression
• Fatigue
• Mental fog/forgetfulness
• Irritability

I went to my family doctor and a physical was performed. I was given anti-depressants and told I was likely depressed.

Eventually, my personal trainer at the time recommended that I get a hormone panel, so I ventured to the Low-T center in Colorado. There, I was told that my Total Testosterone was abnormally low (under 300) and was given HCG injections, which proved temporarily beneficial for my levels but only for several days at a time.

I relocated in 2013 to California and consulted with an endocrinologist who ran a battery of tests and concluded that I was not dealing with some secondary form of hypogonadism. In the end, he told me that I just needed to lose weight.

In the course of visiting my primary care doctor in 2014, she re-tested my testosterone levels and they were still under 300 ng/dL. She recommended I see another endocrinologist at the same office.

After seeing Dr. Kaye, I was placed on Clomaphine Citrate last year and have been taking it ever since. However, as recent tests show, my levels are not going up. Despite diet and exercise, I am unable to lose weight. I am still fatigued, on anti-depressants, and dealing with erratic emotions.

I have been following a low-carb, gluten-free diet (I’m a celiac, unfortunately) for the last 18 months. However, despite this and focus on other good habits (sleep, moderate exercise) I am not seeing change.

==Goal==
I would like to alleviate my concerns that I may be dealing with some primary testicular failure based on physical trauma. But, more importantly, I need to find a way to get to the bottom of this. It started in my late 20s and I don’t know what more I can do to raise my levels.