High Total T, High SHBG, Low Free T (natural)

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highshbg

New Member
28M, active - lift weights and do cardio, 13% body fat, natural

I've been experiencing low libido (lack of sexual thoughts, no morning erections) and a general tiredness where I feel like I can't get enough sleep for a few years now.

I asked my Dr for a testosterone test a few years back and came back in the 800s, so I dismissed the testosterone idea as a cause until recently when I paid out of pocket for a test.

Supplements
Vitamin D 10mcg, magnesium 270mg, zinc 30mg. Prior to the first test I was taking these several times per week, but after I started taking everything but vitamin d daily.

Diet
High protein (chicken, red meat, whey), moderate carb, moderate fat
No drugs, no alcohol


Test Date

Time

Total Testosterone (ng/dL)

Free Testosterone (ng/dL)

Free T ref range

SHBG (nmol/L)

E2 (sensitive)

Method

5/24/24

Afternoon fasted

813

8.8

4 - 25

88

not measured

Standard immunoassay

6/14/24

Morning fasted

1188

8.1

9.3 - 26.5

85

32

Standard immunoassay

6/27/24

Morning fasted

921

8.9

3.5 - 15.5

not measured

not measured

LC/MS Equilibrium Dialysis




Questions
Do you think the high shbg and potentially low free t could be the issue?

I see people say free t below 10 or under 2% of total is not ideal. But the reference ranges on these tests make me wonder if it's possible to compare the test values.

I got the equilibrium dialysis test from discountedlabs after seeing @Nelson Vergel recommend it. I'm happy to have this new result, but now I am wondering how their range is so much lower than everyone else's.

I will be talking with a Dr in about 10 days from a clinic mentioned on this forum, so I would appreciate any advice or thoughts this group has so I can go in informed.
 

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