Man struggling with low testosterone symptoms

Low Testosterone Symptoms in Men: When to Get Tested in Utah Valley

Rachel Gunderson, NP · August 27, 2026

I hear some version of the same story often in my Provo clinic. A man in his late 30s or 40s comes in and says something like, "I just don't feel like myself anymore." He's tired, he's not motivated, he has lost interest in things he used to enjoy, his workouts aren't paying off the way they used to, and he's chalked it all up to getting older or being busy. Sometimes it is just a season of life. But often, when we run labs, we find low testosterone is playing a bigger role than he realized.

What Low T Actually Feels Like

Low testosterone doesn't usually show up as one dramatic symptom. It shows up as a pattern. Persistent fatigue that sleep doesn't fix. Reduced motivation or drive, at work and at home. Decreased muscle mass or strength, even in men who are still training. Low libido. Changes to erections. Mood changes, including irritability or a flatter emotional baseline. Brain fog that makes it harder to focus. And for a lot of men, stubborn weight gain or difficulty losing weight no matter what they change about their diet.

Individually, any one of these could be explained away. Together, they're a pattern I take seriously.

It's Not Just an Age Thing

I want to be clear about something: low testosterone isn't only a concern for men in their 50s and 60s. I see men in their late 30s and 40s in my Utah Valley practice with clinically low levels, often driven by chronic stress, poor sleep, inflammation, obesity, or underlying medical conditions rather than age alone. If you're a younger man reading this and thinking "that's not me," don't rule it out based on age. Rule it out based on labs.

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How We Test for It

Testing starts with a real conversation. I want to understand your symptoms, your history, and your goals before we ever draw blood. From there, we run comprehensive lab work that includes total testosterone, free testosterone, and related hormone markers. A single number rarely tells the whole story, which is why we look at the full picture rather than treating one lab value in isolation. To illustrate the importance of understanding your personal history and the need for comprehensive labs, I share the story of one of my 63 year old patients,

Craig's Story

“I went to my primary care provider and asked to have my testosterone tested. He checked my total testosterone, and it came back at 605. I was told very clearly that my testosterone was normal and that it wasn't the cause of my symptoms.

That was frustrating because I knew how I felt. I had done my research, the symptoms fit, but I had a lab result telling me everything was fine. So I accepted it and continued living with the symptoms.

My wife could see that I was still struggling. She was already a patient at the clinic and had been really happy with the way her hormones were being managed. Eventually, she encouraged me to make an appointment and get another opinion.

That appointment changed everything.

For the first time, I felt like someone really listened to the whole story instead of looking at one lab number. Rachel explained that total testosterone was only one piece of the picture and that we needed a more comprehensive hormone panel to understand how much testosterone was actually available for my body to use.”


What Treatment Can Look Like


If your labs and symptoms point to low testosterone, we talk through options together. That might include testosterone pellets, injections, or topical cream, depending on your lifestyle and preferences. Whatever we choose, treatment isn't something we start and forget about. We monitor testosterone levels, red blood cell counts, and other safety markers on an ongoing basis so your treatment stays both effective and safe.

Most men notice improvements in energy, mood, and libido within the first few weeks. Changes in muscle mass and body composition tend to build over six to twelve months.

If you're in Provo, Orem, Lehi, American Fork, Spanish Fork, or anywhere along the Wasatch Front and you've been feeling like a dimmer version of yourself, let's find out why. Call us at (801) 999-8356 to schedule an evaluation.

Interested in discovering if you have low T?

What Utah Valley Patients Ask about Low T (FAQs)

Rachel Gunderson, NP leads Integrative medical care at Avara medical  in Provo, UT focused on evidence-based treatment, modern diagnostics, and personalized plans for weight loss, hormones, and recovery.

About the Author: Rachel Gunderson, NP, AGACNP, NP

Dual Board-Certified Nurse Practitioner (AGACNP & Family Practice NP) · Founder, Avara Medical · Provo, Utah

Rachel spent more than a decade caring for patients in internal medicine, cardiology, intensive care, neurology, and oncology at Houston Methodist Hospital, and in internal medicine at Utah Valley Regional Medical Center. She founded Avara Medical to practice medicine the way she believes it should work — taking time to listen, running the right labs, and building a care plan around the patient rather than a checklist.

Her clinical focus includes hormone therapy and optimization, peptide therapy and regenerative protocols, medical weight loss including GLP-1 therapy, IV nutrient therapy, and integrative functional medicine.