Here is a place you can make some changes that may be quite helpful for your energy level and your general health. The advice of an HIV-knowledgeable nutritionist can be invaluable. Lean body mass is also linked to survival. Exercise is important for everyone, HIV-positive or not. For those of us with HIV, it may be even more crucial to our well-being.
Exercise can help maintain our lean body mass.
It is also associated with increased endorphins, which elevate our mood. Exercise may even help with some of the fat redistribution problems. You are well aware of what that feels like. And it is very treatable. You mention that your testosterone level has fallen from 700 on the intramuscular injections to 300 on the new gel preparations.