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Clomid doesn't appear to be working for you.  At that dose, I would expect your LH to be above 10.  Your estrogen and shbg are probably now through the roof which is part of the reason you don't feel good.


I believe the answer for you is back to TRT with a modified dosing schedule.  I would start relatively low maybe 50mg twice per week or something similar.  Adjust from there.  That should get your T levels way above what they are now and keep hematocrit under what it was at 200mg/wk.


Remember sleep apnea can also raise hematocrit.  You can mess around with things like SnoreLab app, pulse oximetry, breathe right strips, mutesnoring, etc.  Many people jump from nothing to CPAP but there are lots of potential solutions in between.


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