Hi, looking for some help in interpreting my lab results and deciding on a course of action. I used finasteride for ~1 year at 1mg/ED for the most part. Lost my sex drive, have minor ED, major brain fog and developed a very mild case of gyno (more like puffy nipples; look fine when they are erect). Quit finasteride approximately a month ago and haven't recovered so far.
-age - 23
-height - 185cm
-waist - Don't have an exact measurement, I wear size 32 jeans.
-weight - 73kg
-describe body and facial hair - Don't have much of either, but that has always been the case.
-describe where you carry fat and how changed - Got a bit of fat covering my lower abs that didn't accumulate there pre-fin I think. Also have the mild case of gyno, which I'm still not entirely sure is gyno; could be just fat.
-health conditions, symptoms - Brain fog, loss of libido, lethargy, ED, minor gyno, watery semen.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever - Finasteride, 1mg ED for a year
-- real dangers! see this http://propeciahelp.com/overvi...
-lab results with ranges
These were taken prior to quitting fin.
FSH - 4.0 IU/l (1.4-18.1)
LH - 5.66 IU/l (1.5-9.3)
Progesterone 2.03 nmol/l (<4.11)
Estradiol 104.5 pmol/l (<146.0)
Prolactin 149 mIU/l (53-360)
Testosterone 19.2 nmol/l (8.4-28.7)
SHBG 60.4 nmol/l (17.0-66.0) <---- THIS SEEMS REALLY HIGH
Free androgen index 31.83 (15-95)
-describe diet - I do intermittent fasting, eat approximately at maintenance, don't really count my macros. Eat mostly unprocessed food and not much sugar at all.
-describe training - I do calisthenics & run 4km, 3 times a week.
-testes ache, ever, with a fever? - Had minor ball ache when I started fin, but it subsided quickly.
-how have morning wood and nocturnal erections changed - Didn't really pay attention to my morning and nocturnal erections pre-fin. I don't think I've ever woken up at night because of a boner. I get morning erections on most days, but they vary in quality.
I basically have two issues that I need help on.
The gyno / puffy nips. I have raloxifene at hand I'm thinking of starting on it. From my admittedly quite limited research, a SERM should be what I'm looking for here. Any objections? Also, should I be in a caloric deficit when taking a SERM?
Energy & feeling of well-being. What options do I have available? I only quit finasteride like a month ago, so maybe I should wait a bit more until I start taking meds for my post-finasteride syndrome? I have a feeling that my sides might be at least partly psychosomatic, which doesn't help at all.