newbie questions w/ some lab results

[fifty]

38 year old man. 200lbs ~15%bf w/ decent diet. Feeling tired all the time. Lots of sleep doesn't help. I started adding 5mg DHEA 2x/day and 10mg preg 1x/day with a slight benefit to energy levels.

I have been reading up on these forums as much as I can. Can anyone recommend what to do to get my Free T levels up? Am I a candidate for TRT or are my total T levels too high??? Thanks so much!

Total T 715 (range 348-1197)
Free T 8.0 (range 8.7-25.1)
LJ 5.0 (range 1.7-8.6)
FSH 3.5 (range 1.5-12.4)
DHT 56 (range 30-85)
DHEA-S 115.9 (range 102.6-416.3)
Estradiol 27.1 (range 7.6-42.6)
PSA 0.6 (range 0.0-4.0)
Vitamin D 44.8 (range 30.0-100.0)
SHBG 79.9 (range 16.5-55.9)

 

[madman]

38 year old man. 200lbs ~15%bf w/ decent diet. Feeling tired all the time. Lots of sleep doesn't help. I started adding 5mg DHEA 2x/day and 10mg preg 1x/day with a slight benefit to energy levels.

I have been reading up on these forums as much as I can. Can anyone recommend what to do to get my Free T levels up? Am I a candidate for TRT or are my total T levels too high??? Thanks so much!
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Your free t is very low due to your extremely high shbg even though you have a descent total.

Free t is what matters as it is the active fraction.

Definitely look into trt.....how is your thyroid?

 

[30005Gator]

Are you on a Keto or low carb diet? If so, stop and eat carbs. No carbs = high SHBG

 

[1Draw]

I would definitely ask for a full thyroid panel. Low thyroid and low testerone symptoms are identical. At a minimum test TSH, T4, Free T4, Free T3, T3 and Reverse T3. Lots of great information in the Thyroid section of ExcelMale.

 

[fifty]

Thanks for the advice guys!

I am not on a low carb/keto diet but I could probably add more carbs to breakfast.
Can't remember the last time I had a thyroid panel. I will definitely get that in the future.

 

[madman]

Are you on a Keto or low carb diet? If so, stop and eat carbs. No carbs = high SHBG

Many conditions can alter ones shbg but genetics plays a role as some are naturally high and others are low.

https://academic.oup.com/view-large/94946834

 

[madman]

Are you on a Keto or low carb diet? If so, stop and eat carbs. No carbs = high SHBG

As far as diet and shbg there are some studies showing that higher protein diets in older men can lower shbg and high fiber diets can increase shbg.



https://academic.oup.com/jcem/article/85/1/293/2854619