They would have needed SHBG to do the calculation, and ideally albumin too. These days we need to consider which method is used for the calculation. In the past the Vermeulen method was the most common. But we should be switching over to the
TruT method, as it is better aligned with equilibrium dialysis results. A tip of the hat to
@madman for publicizing this.
I suspect your free T result is 8.6 ng/dL by the Vermeulen method. It's not super low, but we would start to see guys reporting low T symptoms when these numbers get below 10 or so.
I see you are still doing reruns on this?
You have been given solid advice on here from numerous members on the board regarding this!
OCT.13/2017
I am a 25 year old male with no medical issues. I am completely natural and not on any TRT or anything. For a couple years now I have been experiencing symptoms of low testosterone. The blood work I have is not anywhere saved on my computer so Im just going to type in my results.
Total Testosterone-687ng/dl (250-1100)
Free Testosterone-73.5pg/ml (46-224)
SHBG-40nmol/L (10-50)
Estradiol-36pg/ml (<or =39)
LH-2.9 (1.6-9.3)
FSH-4.3 (1.6-8.0)
TSH-1.39 (0.40-4.50)
T4 free-1.3 (0.8-1.8)
T3 total-72 (76-181) LOW
DHEA-484 (61-1636)
Vitamin D-32(30-100)
So my symptoms I have been having are partial ED, No morning wood, impossible to build muscle and strength even though I work out 5 days a week hard, can't burn any fat, no pumps in gym, libido is ok, no motivation. So by going by these labs does any thing seem off?? The doctors Ive been to keep telling me I'm normal but I keep on having symptoms. Any advice would be great.
*important note, when I take a natural test booster like D aspartic acid, I can really feel an improvement in the gym with strength and pump for a couple weeks then it wears off.
OCT.17/2017
My first test which was in Jan of 2017:
Total Testosterone:623ng/dl (250-1100)
Free Testosterone:73.5pg/ml (46-224)
Testosterone,Bioavailable:154.3 (110-575)
SHBG:40 (10-50)
Estradiol:36 (<or=39) Also had my estradiol measured at 30 before.
T3 total: 72 (76-181)
My test in August of 2017:
Total Testosterone: 730ng/dl (250-1100)
Free Testosterone: 77pg/ml (46-224)
SHBG: 47 (10-50)
Also I am not on any TRT and I'm 25 years old. Just trying to figure out why my free Testosterone seems a little low because I have a feeling that is what is causing my symptoms.
DEC19./2017
Defy Medical Blood Work-SHOCKED AT RESULTS!
JAN.15/2018
Free test and SHBG
You stated.....
"872 total test and 22.6 free test. Range I think was from 242-917 for total and 9.6-26.5 for free. SHBG was 71 with range from 10 -50ish I think"
AUG.10/2018
High SHBG
You stated.....
."Is rare for a younger guy to have high SHBG? My total testosterone is usually anywhere from 600-800 but my SHBG is always top of reference range or more . I’ve also tried everything possible to raise my free testosterone naturally but to no avail. Is testosterone therapy the only thing that fix high SHBG to free up more test? Also does anybody know if SARMS can lower SHBG?"
OCT.13/2018
Latest labs 10/13
Latest labs 10/13
You stated.....
Total testosterone-657 (264-916)
Free Testosterone (direct)-23.4 (9.3-26.5)
LH-5.8 (1.7-8.6)
FSH-3.6 (1.5-12.4)
Estradiol sensative-17.2 (8.0-35.0)
SHBG-53.5 (16-55.9)
It looks like I'm neither primary or secondary and I just have high SHBG. In my next consult I am going to ask to go on TRT. My total testosterone is good but with my SHBG being so high it is really lowering my free testosterone even though my free is at the top of range. Is direct free testosterone a reliable test? I have all the symptoms of low t but with those numbers would you consider TRT?
OCT.21/2018
HCG WHILE ON TRT
You stated.....
Oct 21, 2018
Thread starter
#1
I'm going to be starting TRT soon but I have a question about HCG. Is it needed right away? I am looking to preserve my fertility since I'm 26 years old while on TRT but I am not going to try have any kids any time soon. Is it possible I could start HCG when the times comes when I want to try to have a kid or do you need to use it all the time while on TRT? I also heard mixed stories about HCG making TRT better and worse. So I'm kind of cautious about trying HCG. Is there also still a slight chance that given my age I can somehow remain fertile while on TRT without taking HCG?
OCT.30/2018
TRT protocol
Finally you decided to take the plunge and
Defy prescribed you a trt protocol.....which you ended up bailing out on!
You stated.....
"How many mg is 200mg/ml of Test Cyp 0.38ml twice weekly? Sorry I never injected before and have no idea about the dosages. Does this protocol seem like it will work for a high shbg guy like me?"
NOV.7/2018
Low t clinics
You remember this thread clearly.....NO?
This is the explanation you gave as to why you decided to bail out on the
Defy protocol.
You stated "Long story short. I live with my parents and they freaked out when they seen the needles and testosterone mailed to me. I actually do not feel comfortable injecting myself like that and would rather have a doctor do it in person for me. I also do not feel comfortable injecting testosterone in my body that’s been shipped. I guess I will just sell to some gym rat that’s at my gym"
Not only did you bail out on
Defy treating you which is top of the line.....you than eventually decide to ask/get treated by a Low-T clinic!
DEC.22/2018
New blood work
You stated.....
Hi guys,
I just got some recent bloods taken for total t, free t, bio t, and shbg. Any comments our advice is appreciated. Not on TRT BTW.
Total testosterone- 517ng/dl (250-1100)
Free testosterone- 52.3pg/ml (46.0-224.0)
Bioavailable testosterone- 154.3ng/dl (110.0-575.0)
SHBG- 42 (10-50)
I finally was able to see that my free testosterone is much lower on this test with Quest Diagnostics then it is on the direct free
testosterone test with Lab corp.
I might be looking into starting TRT with a low t clinic around my area that accepts my insurance.
JAN.12/2019
Starting TRT soon with low t clinic
You stated.....yet when you were with
Defy one of the best you still persist to ask.....
Looking for opinions on what to start with?"
"I will be starting TRT with a men's clinic here soon in the next week or so. I don't know my protocol yet but I heard it is smart to just start with testosterone only. I want start with testosterone and hcg right away to preserve fertility since I'm 27 years old though. Looking for opinions on what to start with?"
FEB.1/2019
150mg testosterone enathate a week
Still persisting to ask as you stated.....
"Would a once weekly injection of 150mg testosterone enathate be enough for a High SHBG(50-70's) guy like me since it has a long half life of 8-9 days? or would twice a week at 75mg be better?"
