High testosterone and High ShBG with low sex drive.

Kaniel318 · Oct 28, 2019

Just got approved TRT because of my tricky SHBG.
Would love some advice on this subject.

Cataceous · Oct 28, 2019

Kaniel318 said:
Just got approved TRT because of my tricky SHBG.
Would love some advice on this subject.

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I don't think I'd do it with those numbers. When you calculate free testosterone with the Tru-T method you get 26 ng/dL, which is above mid-scale in the reference range of 16-31 ng/dL. Your free estradiol is a little on the low side, with a calculated value of about 0.4 pg/mL. The reference range is maybe 0.3-1.5 or so.

I'm sort of intrigued by the possibility of treating high SHBG with modest doses of ostarine, but you'd want to do it under guidance of an experienced practitioner, and recognize that it would still basically be an experimental therapy.

Vvs1 · Oct 28, 2019

Kaniel318 said:
Just got approved TRT because of my tricky SHBG.
Would love some advice on this subject.

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Our numbers are almost identical. I have an appointment next week to try to get Natesto, which is fertility preserving TRT. I'd suggest testing Reverse T3. I think its common with high shbg.

Apparently when you're young, all doctor logic goes out the window. Yesterday one told me he has prescribed TRT to patients, but told me my test results were just numbers on a paper and I should eat a vegan diet. Did he not use numbers on a paper to prescribe TRT before?

fifty · Oct 29, 2019

Prescribing you trt is a mistake. There are other options for sex drive.

Vince · Oct 29, 2019

I agree with the others, with testosterone 851, I wouldn't even consider trt. More thorough thyroid testing as fifty and vvs1 recommended, maybe the way to go.