The total testosterone at 215 is low and free at 49, at the lower limit of reference range of normal. These are not exceedingly low to be worried about but would definitely require detailed evaluation for possible issues which may be primary i.e. located at the testis or secondary i.e. located at the pituitary. Near normal free levels are usually asymptomatic. While tiredness/ fatigue could be related to the hormonal levels, pituitary causes could occasionally present with field defects and not particularly blurry vision. Last I remember we were looking at micronutrient/ B12 deficiency as possible cause of the symptoms, which could have been responsible as well. Though I am not sure how well would androgel work symptomatically, it would still be recommended with compromised total level and further evaluation required for a possible secondary cause.
Hope the information is helpful.
What secondary issues could be going on?? And yes I am taking B12 with no results. My vision issues is blurry along with ghost images at times especially if I strain my eyes to much.. I have glasses that help but I feel even more off when I wear them.. I did take b12 shots for 5 days and towards the end of 5 days I did start to feel good again but then it went away when I wasnt getting b12 everyday so I dont know I feel like there is no hope for me.. I am really worried and I cant seem to find anyone who really cares in the medical field.. Urologist did sem to think my total being low had a lot to do with some things and he is looking for possible causes as to why its low I just havent heard back yet.