4.9 on that scale is absolutely normal, imho. By patience I mean giving his body time to find it's new normal value. He's already effectively restarted and more stimulation does not automatically mean a higher (permanent) downstream value. To me, if anything, it appears his testicals need time to catch up. But to be fair we'd need to see E2, SHBG and FT to really assess it.
All that said, SERMS won't hurt. The question is are more necessary at this point.





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