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As a generalization, I've found urologists more up-to-date on the benefits of TRT when compared to endos and GP's. If LH and FSH are low, clomid may be worth a go. I strongly agree with the post suggesting you include SHBG in the testing. I wonder if there are a few other things they will test and therefore want you fasting. It's possible they heard 'testosterone should always be tested in the morning, when it's at its highest' and assume that must mean fasting is necessary.