question from a user
If a guy has normal TT but high SHBG (thus low FT) is TRT the best option?
AlphaMD's Answer
Hypogonadism can be diagnosed with a low total testosterone and/or a low free testosterone. Technically, either scenario qualifies someone for TRT.
Logically speaking, someone with a normal TT and low free T due to elevated SHBG could potentially reverse hypogonadal symptoms by lowering SHBG through lifestyle changes and supplementation, thereby raising free T into the normal range.
Also, evaluating for other medical reasons for the high SHBG would often be warranted, like elevated insulin levels (pre-diabetes) or thyroid issues. We also see high SHBG in people who consume alcohol regularly or have low body fat percentage.
Related Questions
How bad is it to have naturally low SHBG when it comes to TRT treatment, is it more difficult to dial in and manage when you have low or high SHBG, an...
SHBG irreversibly binds to sex hormones (estrogen, DHT, androstenedione, and testosterone). On any given dose of TRT, the higher your SHBG, the less your free testosterone will be. The lower your SHBG... See Full Answer
What's the likelihood of someone with very low shbg getting good results on TRT?...
Very high. SHBG is just one factor to consider, but can be easily managed with an individualized treatment plan.... See Full Answer
Ready to get answers?
Ask your own question today.
Get $30 off your first month’s order
Enter your email address now to receive $30 off your first month’s cost, other discounts, and additional information about TRT.
Legal Disclaimer
This website is a repository of publicly available information and is not intended to form a physician-patient relationship with any individual. The content of this website is for informational purposes only. The information presented on this website is not intended to take the place of your personal physician's advice and is not intended to diagnose, treat, cure, or prevent any disease. Discuss this information with your own physician or healthcare provider to determine what is right for you. All information is intended for your general knowledge only and is not a substitute for medical advice or treatment for specific medical conditions. The information contained herein is presented in summary form only and intended to provide broad consumer understanding and knowledge. The information should not be considered complete and should not be used in place of a visit, phone or telemedicine call, consultation or advice of your physician or other healthcare provider. Only a qualified physician in your state can determine if you qualify for and should undertake treatment.