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It sounds like this doctor may be a little better than the first, but an estrogen blocker once weekly isn't ideal. The half life of the estrogen blocker is shorter than 7 days, it's this reason no one takes an AI once weekly, twice weekly is prefered otherwise your estrogen in the first half of the week will be different than the second half. Clomid has zero chance of working in the hands of a doctor that doesn't have a clue, sure hope you're not taking Clomid 50mg every day or every other day.


Are you on thyroid treatment? Reason I ask is because your thyroid hormones are low, T4 is exceeding low. Free T3 and Free T4 aren't optimal and may be in hypothyroidism territory which would more than explain your low SHBG. Your thyroid just isn't pumping out enough total thyroid hormones (T4) and is why Free T3 and Free T4 are both on the low end.


Most doctors do not understand the thyroid as they should, often failing to take action. There are lots of people out there with hypothyroidism who are scripted SSRIs instead of doctors addressing thyroid issues, low thyroid hormones can absolutely cause depression and anxiety. Low testosterone can also cause depression, a double whammy it you're unfortunate to have both low thyroid and low testosterone.


A doctors inaction can have many reasons, one the insurance company has rules regarding the cutoff point where they will pay for treatment and will not take action until you're so low you can barely function  and doctor states that you're within normal ranges (you're fine) or second inexperienced doctors who have a poor understanding of hypothyroidism.


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