With high SHBG you have a lot of non-bioavailable SHBG+T that inflates TT and TT thus overstates your T status. You need FT and/or Bio-T to see whats going on. And high E2 opposes the effects of what FT you have and you are loosing FT also to FT–>E2.
When on clomid your LH/FSH either did not increase or your testes are unable to respond. Primary or secondary hypogonadism. When on a SERM, one can test LH/FSH to see what is going on.
SERMs can lead to high E2. Were labs soon after stopping SERMs?
High E2 increases SHBG. So there is something normal in that.
Your T levels are not so high and high E2 then suggests impaired liver clearance of E2. That can be a liver condition or a drug/substance that interferes with E2 clearance. List all medications,supplements and ?weed?
You can try hCG, may preserve testes even if they do not work well.
FSH may be a better indicator of your LH status than LH itself. High E2 is HPTA repressive. You will need to lower E2 with anastrozole if E2 is really that way and not an SERM artifact.
Also read the HPTA restart sticky for general knowledge re the things been discussed here.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys - need more info about you
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.
KSman is simply a regular member on this site. Nothing more other than highly active.
I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.
The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.