question from a user
Is there an upper limit on total T to be eligible? My total is high, but free is in lower reference range due to high SHBG.
AlphaMD's Answer
No, not truly.
There is a numeric range to be considered primary or secondary hypogonadal as a diagnosis, but for relative hypogonadism like you're describing it is far more subjective. In those cases they are best evaluated by the presence of symptoms, duration of symptoms, and if the symptoms improve with treatment. In cases where this ends up being a very high relative level, it may be the rare time that we recommend enclomiphene since your baseline production is already high & to overcome it via injections would require quite a high dose.
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