re: Bloodwork results: advice on my next steps?

Don't apologize for your "long" post, I know people bitch, but they need to stfu and just read. What needs to be said should be said. I'll never complain.

I think it's time for the T clinic as you say, or a better doctor. Sounds like you've found a "typical" pcp that does not give a shite about your goals here. Just rip that bandaid off and go find someone else.

I've only had my test checked twice, and I did so because I felt pretty much exactly like you describe. On August 2nd, 2022 mine was 339, and I wanted to re-check after 1 month just to verify and on September 8th, 2022 it was 273. I haven't gone back to get any further bloodwork done yet. I was doing this on my own, not through a doctor, but I wanted to know where I was and I found out.

The reason I'm bringing me up in a thread about you is to illustrate how stupid and meaningless your doctor's comment about your testosterone levels sound to me. As you can see, my T levels from 2022 are similar to yours now(I was 43 at that time), and I lifted about 3 days a week and (not trying to brag or flex on you) I'm stronger and probably have much more muscle than you, (but also much more fat, I'm 5'7" & 265lb, & at that time my 1RMs were 345BP, 510SQ, 420DL, 235OHP), so trust me, you can be muscular and strong and have lower T levels. You and I aren't the only ones in this boat. I got big and strong when I was young, you probably did too, doesn't mean you don't need to address your hormone levels when they are low, which they are, so you should go on a provider search as soon as possible.

Also, you're obviously already aware, but yes, there are other things like sleep, lose fat, improve diet, that should improve your T levels, but even if you did all of that you may still need something, and if not now, you eventually will...it seems.