First, I would see a new doctor. If the normal range is 241-827ng/dl (I believe that is correct) then who is he to tell you that you should only be in the 500 range?
He knows your active lifestyle and should try to get you into the upper tier. It’s not like he’ll go to jail for prescribing medication to get you into the upper side of “normal”.
Second, he won’t prescribe you any AI’s or help with any type of PCT. (I tried that as well). In his mind (and to the medical board and insurance companies) he should not be prescribing breast cancer (nolvadex) or female fertility medication (clomid) to a 32-year-old man who has no symptoms of breast cancer and has no chance of getting pregnant.
Regardless of the fact that it may have a dual purpose in blocking estrogen. As far as PCT goes, he won’t supply you with anything for that because he’s not viewing anything you are doing as a “cycle.” You are getting replacement therapy and won’t be coming off.
If it were me, and it was me a few weeks ago, I’d look into Anti-Aging clinics. Those doctors are well aware of the situation and know exactly what you’ll need as far as anti-estrogen, aromatase inhibitors, and will prescribe HCG as to keep most of your natural production of testosterone and keep the boys swinging low in the hammock.
Edit: Next time, also take the latest appointment of the day. Testosterone levels are generally higher in the morning. By going later in the day, you’ll show a lower level than if you were the 1st appointment.