What TRT/HRT protocol does your dr have you on currently? Do you have anything prescribed for joint pain? Dr ever check your DHEA?
For joints - go OTC - cissus , glucosamine , copper wear , voo doo wrap exercises and smart training. I mean I'm 48 friggin years young , hours and hours daily mArtial art and combat training since age 5 , later in life the military. I work full time and since 12 or 13 weights. That can take a toll on the body, but as much as the world at large out down hgh aas use and bodybuilding - they can be the fountain of youth if you don't go overboard . I fortunately eat clean by choice - never liked junk snak time as a child was chicken eggs steak- my mom had to lock the freezer ( of course I taught self to pick locks ) I also hate taste of alchohol so that helped me . I been through my share of injuries surgery but exercise can heal .
Also most feudal combat , not only emphasized killing quickly , no sport. They also contained a curriculum of healing as part of the lifestyle - shiatsu like methods, reiki, chi gong etc. chi gong is very similiar to yoga in which emphasizes the energy meridians in the body through movement , breathing , dynamic and static postures , herbs and acupuncture . When you get proficient you can actually feel the magnetic energy building to heal the joints.