A 52-year-old man presents due to fatigue, decreased libido, and decreased muscle strength; the latter of which he has n

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A 52-year-old man presents due to fatigue, decreased libido, anddecreased muscle strength; the latter of which he has noticedduring weightlifting exercises at his gym. He reports that hissymptoms were first noticeable several months ago, but haveworsened over the past couple of months. Based upon his own Googleresearch and what he has seen on TV, he is interested intestosterone therapy to treat his self-diagnosis of ‘low T’. He hasa six-year history of hypertension for which he takes Micardis-HCT(telmisartan-HCTZ) and atenolol; he also takes a dailymultivitamin. His height is 6’-1” and weight is 255 lbs. (BMI =33.6 kg/m2). Vitals include blood pressure, 140/65 mmHg; pulse, 62/min; and SaO297%. He does not smoke anddrinks 5-10 alcoholic drinks on weekends.
Which of the following should be included as part of yourdifferential work-up?
Group of answer choices
Sarcopenia
Hypogonadotropic hypogonadism
Hypergonadotropic hypogonadosim
Hypergonadotropic hypergonadism
Hyperprolactinemia
Thyroid disease
Cushing’s syndrome
Adrenal cortical deficiency
Medication side effect
Obesity sleep apnea