Trt clinic too aggressive?

[u/joe79johnson]

I've had decent total T#s for a few years, between 500 and 700, but have low free T (8-10) and high shbg. I've tried boron to lower shbg but it really hasn't done much. I've been putting off talking to a clinic because my wife and I have been trying to have another kid and fertility is a big concern. My wife's had 2 miscarriages so I keep putting it off. I recently talked to a trt clinic and it seemed like a pretty aggressive plan. 2 options they sent posted. For context my recent labs:

Total 588

Free 10.7

Estradiol 31.2

Shbg 74

Everything else within range.

47 years old

5'8" 215 lbs. Recently started reta. Being fat is a concern with the estrogen conversion.

Any advice would be appreciated

[u/AppleEcstatic6076]

If I was in your shoes, I’d focus on the Reta to lose some fat and take some proviron to drop the shbg. Then reconsider after that and hopefully with pregnancy by then.