Low T, high sex drive, low binding globulin

Questions regarding Test and Endo visit

43 year old male. I have low T (it’s 257) and I feel like shit. However, when I see the Endo she tells me that my testicles produce a healthy amount of T and that my liver isn’t producing enough binding globulin to put it in the blood for the testicles to see it and produce more. She says if I start T, I may feel better, but would have to be on it for life and this could crash my healthy functioning testicles. I have a healthy sex drive and always have. In the past I had a lot of energy, motivation, and normal mood. Now I’m always tired, distracted and don’t recover that well from the gym.

Not sure what to do as I still feel crappy and don’t have the energy to go to the gym and try to reduce the fatty liver cause I’m always tired. Any advice for situations like this?