unreal makes some very good points and seems to be really knowledgeable with anabolic/androgenic compounds based on some of his posts here. enackers asked a good question as well, are you on a keto diet? Your cholesterol in general seems high which, as unreal mentioned could be problematic with Anavar.
I didn’t know Anavar was prescribed for high SHBG but I’m not terribly suprised that it is. It has proven to be fairly safe in some studies I came across regarding HIV patients (as mentioned) and for Wasting Syndrome.
As unreal stated, it’s not really liver toxic even though it’s an oral 17α-alkylated steroid. Since it’s already 5α-reduced, it convert to Estrogen like Testosterone will either.
You said you were most concerned with losing your hair. Does anyone in your family have Male Pattern Baldness? High DHT (which you lab ranges indicate) and DHT related steroids like Anavar are unlikely to make you go bald in such a short period of use unless you’re already losing hair or are genetically predisposed by family history.
If there isn’t another way to lower your SHBG (which is pretty damn high) before considering taking a prescription route, you might want to try Anavar before looking at TRT as an option. Most guys hormones seem to bounce back from some pretty heavy long steroid cycles at such a young age…a few don’t and end up on TRT, however, the guys who have cycled often and for a good portion of there lives usually do end up on TRT.
I’m no expert by any means but I would think a single short period of time on Anavar might not be an incredibly difficult thing to come back from.
If Anavar did some how end up flattening your hormones permanently at your age, then TRT would be the next step regardless.
If your labs don’t come back with increasingly lowering SHBG over the next year and you decide to go the pharmaceutical route. Try the Anavar if given the option between that and TRT. TRT is a life long commitment and it requires time, money, and patience to get right.