Not a doctor but maybe just talkin about the real deep seated thoughts with you best pal would help.
Welcome to the MedHelp forum!
Some common low testosterone symptoms are decrease in sex drive, ejaculation problems, shrinking testicle, fatigue, loss of body hair, difficulty gaining or maintaining muscle, depression, and loss of strength. With therapy there will be improvement in all these parameters with time.
The cause of low testosterone has to be found out and treated. The various causes include side effects of drugs, testicular dysfunction, and raised adrenal hormone cortisol. Problems such as chronic illness (mumps in childhood which damaged testis), aging (not in your case), starvation, head injury, surgeries in testicular area, cancers, infections, and alcoholism are also among the causes of low testosterone levels. Chronic use of steroids can cause a decrease in testosterone level. Please consult an endocrine specialist and an urologist. You can also increase the testosterone level by taking more of meat, salmon fish, yellow, red and green fruits and vegetables (of course this does not substitute hormone replacement shots, which anyways you will need to take).
The dose of testosterone is adjusted as per need. At times it is started weekly and then maintained monthly. In your age group the hormone level should be 300-1080 ng/dL, so 219 is not too low. Hence monthly shots may suffice. Take care!
I know this is going to sound strange but my husband is also prediabetic with low testosterone and he was diagnosed with lyme disease. Do you have any other symptoms like muscle pain, difficulty sleeping, fatigue, memory problems, or anything that you think is just from being overweight or getting older? Do you have low vit. D? My son has this condition as well and he also has lyme disease. My son has put on a lot of weight because of lyme disease. It can mess up how your metabolism works along with your digestion, thyroid, blood sugar, nervous system and much more. You can check out my journal pages and see what we have been treated for. Good Luck