question from a user
While fully understanding that everyone is different AND you treat symptoms mostly rather than chase numbers, are there treatment tricks and methods that ya’ll use to increase free T while maintaining existing total T? I recall an old Peter Attia episode where he said something like two different patients may have a total T which differs by 500+ yet they still have the same free T. I believe he said that some guys need a total T of 1500 just to get their free T into a reasonable range. Have you encountered this as well?
AlphaMD's Answer
Yes, this does occur. Some men have much higher SHBG, which acts like a sponge and soaks up the total T, leaving a low amount of free T.
Men with normal TT can still have hypogonadism for this reason.
Lowering SHBG can be accomplished (to a point) through multiple lifestyle changes. Adding things like vitamin D, boron, magnesium, zinc, and fish oil all help. So does avoiding alcohol.
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