How to calculate SHBG from past labs (If possible)

[Lonestar71]

Morning Guys-

I was asked about my SHBG levels on a previous post. I cannot locate the test on my labs but was told there's a way to calculate it? Is this true? Labs attached.

CBC With Differential/Platelet

WBC 9.5 x10E3/uL 3.4 - 10.8 01

RBC 4.72 x10E6/uL 4.14 - 5.80 01

Hemoglobin 15.7 g/dL 12.6 - 17.7 01

Hematocrit 45.0 % 37.5 - 51.0 01

MCV 95 fL 79 - 97 01

MCH 33.3 High pg 26.6 - 33.0 01

MCHC 34.9 g/dL 31.5 - 35.7 01

RDW 13.3 % 12.3 - 15.4 01

Platelets 260 x10E3/uL 150 - 379 01

Neutrophils 66 % 01

Lymphs 23 % 01

Monocytes 7 % 01

Eos 4 % 01

Basos 0 % 01

Neutrophils (Absolute) 6.3 x10E3/uL 1.4 - 7.0 01

Lymphs (Absolute) 2.2 x10E3/uL 0.7 - 3.1 01

Monocytes(Absolute) 0.7 x10E3/uL 0.1 - 0.9 01

Eos (Absolute) 0.3 x10E3/uL 0.0 - 0.4 01

Baso (Absolute) 0.0 x10E3/uL 0.0 - 0.2 01

Immature Granulocytes 0 % 01

Immature Grans (Abs) 0.0 x10E3/uL 0.0 - 0.1 01



Comp. Metabolic Panel (14)

Glucose, Serum 79 mg/dL 65 - 99 01

BUN 17 mg/dL 6 - 24 01

Creatinine, Serum 0.92 mg/dL 0.76 - 1.27 01

eGFR If NonAfricn Am 100 mL/min/1.73 >59

eGFR If Africn Am 116 mL/min/1.73 >59








Specimen ID: 013-363-0659-0

DOB: 12/18/1971 Patient ID: Control ID: B0053385970 Date collected: 01/13/2017 0825 Local



TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB

BUN/Creatinine Ratio 18 9 - 20

Sodium, Serum 138 mmol/L 134 - 144 01

Potassium, Serum 4.5 mmol/L 3.5 - 5.2 01

Chloride, Serum 97 mmol/L 96 - 106 01

Carbon Dioxide, Total 21 mmol/L 18 - 29 01

Calcium, Serum 9.3 mg/dL 8.7 - 10.2 01

Protein, Total, Serum 6.9 g/dL 6.0 - 8.5 01

Albumin, Serum 4.4 g/dL 3.5 - 5.5 01

Globulin, Total 2.5 g/dL 1.5 - 4.5

A/G Ratio 1.8 1.1 - 2.5

Bilirubin, Total 0.6 mg/dL 0.0 - 1.2 01

Alkaline Phosphatase, S 63 IU/L 39 - 117 01

AST (SGOT) 27 IU/L 0 - 40 01

ALT (SGPT) 29 IU/L 0 - 44 01



Lipid Panel w/ Chol/HDL Ratio

Cholesterol, Total 248 High mg/dL 100 - 199 01

Triglycerides 98 mg/dL 0 - 149 01

HDL Cholesterol 38 Low mg/dL >39 01

VLDL Cholesterol Cal 20 mg/dL 5 - 40

LDL Cholesterol Calc 190 High mg/dL 0 - 99

T. Chol/HDL Ratio 6.5 High ratio units 0.0 - 5.0



Please Note: 01

T. Chol/HDL Ratio

Men Women

1/2 Avg.Risk 3.4 3.3

Avg.Risk 5.0 4.4

2X Avg.Risk 9.6 7.1

3X Avg.Risk 23.4 11.0



FSH and LH

LH 6.6 mIU/mL 1.7 - 8.6 01

FSH 3.4 mIU/mL 1.5 - 12.4 01



Testosterone, Free+Total LC/MS

Testosterone, Total, LC/MS 318.7 Low ng/dL 348.0 - 1197.0 02

Adult male reference interval is based on a population of lean males

up to 40 years old.

Disclaimer: 02

This test was developed and its performance characteristics

determined by LabCorp. It has not been cleared or approved

by the Food and Drug Administration.

Free Testosterone(Direct) 11.1 pg/mL 6.8 - 21.5 02



Dihydrotestosterone 29 Low ng/dL 03

Reference Range:



All Rights Reserved - Enterprise Report Version:



qWERtyUi Patient Report



Specimen ID: 013-363-0659-0

DOB: 12/18/1971 Patient ID: Control ID: B0053385970 Date collected: 01/13/2017 0825 Local



TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB

Adult Male: 30 - 85



Thyroxine (T4) Free, Direct, S

T4,Free(Direct) 2.03 High ng/dL 0.82 - 1.77 01



DHEA-Sulfate 472.9 High ug/dL 71.6 - 375.4 01



TSH 1.030 uIU/mL 0.450 - 4.500 01



Prostate-Specific Ag, Serum

Prostate Specific Ag, Serum 0.4 ng/mL 0.0 - 4.0 01

Roche ECLIA methodology.

According to the American Urological Association, Serum PSA should

decrease and remain at undetectable levels after radical

prostatectomy. The AUA defines biochemical recurrence as an initial

PSA value 0.2 ng/mL or greater followed by a subsequent confirmatory

PSA value 0.2 ng/mL or greater.

Values obtained with different assay methods or kits cannot be used

interchangeably. Results cannot be interpreted as absolute evidence

of the presence or absence of malignant disease.



Estradiol, Sensitive 12.3 pg/mL 8.0 - 35.0 02

 

[CoastWatcher]

You are mistaken. Free testosterone can be calculated, SHBG being one of the variables, but it is not possible to do what you suggest.

 

[Vince Carter]

You are mistaken. Free testosterone can be calculated, SHBG being one of the variables, but it is not possible to do what you suggest.

Correct ^^^^

 

[Lonestar71]

And again, thank you....So an actual SHBG test is the way to go? I'll hit up DL for the order. Do I fast prior to this test?

 

[Lonestar71]

Lastly, since I'm scheduling another draw, are there any other tests I should consider? I'm due for my fourth T injection on Thursday. Thanks

 

[Vince]

Lastly, since I'm scheduling another draw, are there any other tests I should consider? I'm due for my fourth T injection on Thursday. Thanks

I fast before all labs. Good thread on labs. https://www.excelmale.com/forum/sho...-After-Initiation-of-Testosterone-Replacement

 

[Lonestar71]

Thanks Vince. I just ordered the test. Hopefully I can get in there tomorrow morning.

 

[Lonestar71]

Results are in. I'm at 24.2. Please comment. Thanks

 

[CoastWatcher]

Results are in. I'm at 24.2. Please comment. Thanks

Please up the range - I'm sure you're "in range, but it gives points of reference. It's still on the low end of things. A typical protocol for such levels would feature injections at least twice a week.

 

[Lonestar71]

Ranges are 16.2-55.9

 

[Lonestar71]

So injecting T every 3.5 days will raise this value? Thanks.

 

[CoastWatcher]

So injecting T every 3.5 days will raise this value? Thanks.

Probably not. The goal is not to raise your SHBG, it's to work around it. Since SHBG tends to seek its own level, you and your doctor will determine if twice weekly/every other day (or, very rarely, daily injections) are the key to success. Most do just fine on an every 3.5 day schedule.

 

[Lonestar71]

So lower is better?

 

[CoastWatcher]

So lower is better?

A lower SHBG, such as yours, typically requires more frequent, smaller doses of testosterone to achieve therapeutic serum levels. Larger, single doses wind up clearing your system too quickly and potentially spiking your estradiol. In my case, I now inject 16mg every morning. My total testosterone sits at 1000.

It is unlikely that you'll be doing daily shots. Most men do just fine on an every 3.5 day schedule.

 

[ERO]

So lower is better?

Lower is definitely not better. Ask any of us with very low SHBG that makes our Test injections feel about as good as water. Google "low SHBG TRT"

Smaller, more frequent injections help some guys. Definitely try it and give it 4-5 weeks.