The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
There are things that they can do to offset that, like taking hCG, human chorionic gonadotropin, which is just kind of a mimic for luteinizing hormone to stimulate the testes to continue to make testosterone. And some men will also-- or instead-- take FSH to stimulate the Sertoli cells to support spermatogenesis-- excuse me-- or both or some combination. Some people take clomiphene, Clomid.
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HCG depends on the dose. So, like you said, high doses suppresses. So, you to be normally fertile, you want LH and FSH going to the testicle. You want the water and the sunlight. You want the testosterone. If you've got the testosterone, but your FSH is, if you don't have any sunlight, you're not going to bloom. So, I usually add Clomid to HCG if the dose is above 1500 units three times a week because that's going to start suppressing the FSH and Clomid will keep it going and then your fertility is preserved.