Although men with low levels typically have symptoms of low levels, symptoms do not always occur. It's hard to imagine a reading as low as your without strong symptoms, but we're all different. Still, that's quite a rare case. However, even without symptoms, prolonged testosterone that is left ignored can lead to many other complications down the road, not necessarily directly but as a strong contributing factor. Alzheimer's Disease has been significantly and directly related to prolonged low testosterone as has osteoporosis. Low levels can also contribute to diabetes and heart disease.

Dosing: 200mg every 4wks is not what any TRT physician would prescribe. When you inject, your levels will peak 48-72hrs after your injection. From there your levels will begin to fall. By day 6-8 post injection, you will need another injection in order to maintain stable levels. If not, your levels will continue to fall. In your case, you're going to experience a constant up and down, a dramatic one in your testosterone levels. I wouldn't be surprised if you came back and said you felt terrible after a few months.

Results: TRT is a slow process. You shouldn't notice anything in a few days. Anything that's noticed in a few days is almost always placebo. Some men do notice a bit more energy and sometimes stronger erections in the first few weeks. However, it normally takes 3-4 months for the benefits of treatment to really begin to show. This is of course assuming all aspects of TRT are being considered, specifically the balance between testosterone and estradiol. If both are not balanced, it does not matter what your testosterone levels are.