22 years old, and I was in the exact same position as you. I spent the last 2 years with high SHBG just like you as well as low T symptoms. My total T was great, but my free testosterone was rock bottom and I felt horrible. I spent thousands of dollars on natural doctors, special diets, Chinese medicine, supplements, etc… Every doctor told me the same thing regarding SHBG: “It’s produced in your liver, sooo… you should take care of your liver”.
Whatever the fuck that means. Let’s face it, nobody knows what causes elevated SHBG for sure. I did MULTIPLE liver cleanses, ate a perfect diet, avoided SHBG raising drugs, took care of my thyroid, etc… My SHBG consistently remained between 55 and 70 like yours at the very top of the range.
Five weeks ago, I started TRT. All I can say is, I finally feel normal again. My hair has stopped falling out. My extreme fatigue has slowly subsided. My libido is returning (not anywhere near 100% yet, but it’s improving daily). My anxiety has been cut in half. My joints stopped hurting. My digestion is 10x better. My mental clarity is back. My mood is fantastic. Overall, my life is changing slowly for the better. TRT hasn’t made me feel like super man. It has just helped me to feel NORMAL again. Looking back to even just a few weeks ago, I can’t believe the cloud I’ve been living in for so long.
By all means, take care of any obvious issues like thyroid, mineral deficiencies, sleep, diet, etc… Do NOT waste your time trying to lower SHBG though. It will drain your wallet and waste your time. I’ve spent literally hundreds of hours researching SHBG and have continued to come up empty handed as have most guys on these health forums. It’s not well understood, and once it’s high, it rarely goes back down without introducing exogenous testosterone.
Testosterone will most likely be your only solution. If you have any questions feel free to hit me up.