Long story short, finally had an appointment with the Urologist. Super nice guy, younger.. seems willing to help.
I was on Androgel before, no real raise in Test levels.. been off for one year. Here are current labs:
Test : 203
SHBG: 11.2 (Low)
Doc wants me to try androgel this time with an AI (Arimedex) to see if that will do anything. Says he does not allow inejctions unless my wife was an RN. Says noone here locally really does. (WTF)
He also wanted me to take 1MG of Arimidex daily which is obviously WAYYYY too much. I'd probably only take .25 every other day or so and get levels rechecked in a month.
Really sucks I have no other local options. I feel terrible, muscle aches, tired, no sex drive.. ugh.