32 y old in UK - blood-work and TRT/Clomid?

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MOT192

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Hi all - just came across this community - thankfully, as I am trying to interpret my latest bloodwork/quite a confusing appointment at a TRT clinic in UK. Figures are below:



FSH: 1.7 IU/L (range: 1.0 - 12.0)

LH: 0.8 IU/L (range: 0.6 - 12.1)

Oestradiol: 56.0 pmol/L (range: 40-161)

SHBG: 49.5 nmol/L (range: 14-72)

Total Testosterone: 24.47 nmol/L (equates to 706 ng/dl) (range: 8.3 - 30.2 nmol/L)

Free Test: 0.423 nmol/L , 1.73% (equates to 12.2 ng/dl)



TSH: 2.012 mIU/L (range: 0.35 - 4.94)



All other results came back in normal range - happy to provide other figures if useful.



Symptoms: very low libido, poor mood, irritability, significant fatigue, no facial hair



Doctor thought my high SHBG was killing my free test total and, given the other figures, that this low free T was the cause of my symptoms. He recommended Clomid (given it avoids the infertility side-effects of Nebido), but said it doesn't work with 50% of people. As a "back-up option", in the event that Clomid doesn't work for me, Dr suggested freezing my sperm and trying Nebido.



I am a relative newbie to this discussion, but would really appreciate the thoughts of others. Many thanks!
 
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