axl617, @KSman recommends deep investigation with lab work to find underlying causes that may lead upto low T like thyroid or pituitary problems, use of 5 alpha reductase inhibitors or low cholesterol or Vit D etc. Therefore merely treating hypogonadism with TRT or SERM’s is not enough to achieve lasting results, you need to get to the root cause if possible. (If possible because it’s not always obvious and easy to get right away, and many docs don’t take pain in going there. You got to be proactive and take it in your hands.)
Like he also suggested in your other thread
I see that you’re suffering from low T since 2013 and you’re about to start SERM therapy under doctor’s supervision. Had you started on it?