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question from a user

50 yr old insulin dependent diabetic here. Most recent lab results show Total T 614, Free T 55. The blood panel did not include SBHG. I just started TRT at 100mg/week. I have done some things which make me suspect my SBHG is high, like a keto diet and high intensity exercise, cycling. If my SBHG is high, what are the treatment options?

AlphaMD's Answer

Being insulin dependent, I can say for sure your SHBG is high. The easiest way to lower SHBG is to split your T dose into several smaller doses. Also, a high protein diet lowers SHBG. If you are keto, you can do a protein sparing ketosis inducing diet (remain low carb but replace most of your fats with protein). Zinc, boron, and vitamin D all lower SHBG as well.

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