A Cry for Help (with Bloodwork)

Hi guys, I have browsed these forums a bit recently and decided to join. I am a Low SHBG guy and honestly, it’s taken me about 15 years of still trying to figure my issues out. I have made a little progress, but I’m not there yet.

I’ll give a short outline of the symptoms I will detail here:

  • Hair loss - bald head, I am losing my beard hair now too.

  • Gyno at puberty - surgically removed

  • Feeling tired all the time, depressed

  • Very minor benefit from TRT. Never saw any results on legitimate steroid cycles

  • Subclinical hypothyroid symptoms that don’t respond to thyroid treatment - thyroid utilization issue

At puberty (before working out), I was overweight and developed gyno. I had a very soft, bloated physique. Around 18 or 19 years old (3 years after starting to workout), I had bulked up to about 235 pounds (though I was fat too) and I started to lose my hair. I had gone completely bald by about 23 or so. These seem to be common symptoms among the low SHBG crowd.

I am 31 years old, been lifting since I was 15. I have two personal training certifications and with 16 years of experience, obviously, I know a thing or two about lifting. From a young age, I can tell that I had issues progressing much more slowly than a lot of my peers. Today I am in decent shape, but honestly, I look a lot better on the outside than I feel on the inside. I’m 5’11, at about 220 pounds with probably 12-14% bodyfat. I get a lot of compliments at the gym, but honestly I just tell them that after lifting for 16 years with no breaks…it’s really not a big deal where I’m at (I truly believe this).

About a year ago I got on TRT, in the beginning, I felt a little better and I put on some lean muscle. Eventually, I just started to feel like my old self again. Tired all the time, depressed, frustrated, etc. I feel like I should be getting a lot more out of the T, and that’s my main issue for searching for an answer.

TRT was not my first experience with anabolics. I tried using steroids when I was younger and never got any results whatsoever. Legitimacy isn’t an issue, as I had even converted my own Fina back in the day and followed the steps to a T. I had even tried otc Superdrol without any results! I mean, if you don’t feel anything from that…what would actually elicit a response?

I searched all over the Internet trying to find answers for why I wasn’t responding to steroids, including joining a couple forums that flamed me viciously for making those claims (back then the research or discussion was nonexistent - so these people thought I was full of shit…it was their ignorance after all).

Today, while doing extensive testing while on TRT - at least I have some answers. It seems like when my Estrogen is high - my SHBG tanks. According to my research, this contradicts most of the studies that show that SHBG is positively correlated with E2. According to most sources - the higher your E2, the higher your estrogen will be.

Also, I started taking natural desiccated thyroid. I have subclinical hypothyroid, and this was my attempt to fix Hypothyroid symptoms and raise SHBG…as thyroid and E2 are known to stimulate the production of SHBG also.

I figured I found my cure, unfortunately, I was wrong. I feel no difference on thyroid medications…and my Free T3 levels double the top of the range. In other words, I have a very high free t3 yet still hypothyroid. While I haven’t tested TBG, thyroid binding globulin, I suspect that it is low.

Consider this - I am well-aware that sex-hormone binding globulin has been grossly underestimated in its effects. The traditional thought is that it binds to testosterone and deactivates it. More recent studies have proven that it transports testosterone into cells and helps activate it. There are also studies that show that when a person has very low SHBG, their bodies deactivate and metabolize testosterone much more quickly - this leads to low SHBG guys having a lower total T level than other men on the same dose of testosterone. I myself take 200mgs of Test Cyp a week, yet I could never break a level of 1000.

Given that SHBG has so much to do with the transport and activation of testosterone, wouldn’t TBG, another protein created by the liver, have similar effects with T3? Consider this, my total T3 level is not very high, but my free T3 level is off the charts. My body is handling testosterone similarly. Which leads me to believe that my TBG level is low and my body is mishandling the thyroid medication as well. It seems like these very high ‘free’ levels are seen as an attack on the body and dealt with swiftly by deactivating the hormones. I don’t respond to testosterone (or any steroids) and I don’t respond to thyroid hormones.

My next avenue is to start focusing on my liver. Both sex-hormone binding globulin and thyroid binding globulin are proteins created by the liver. I’ve seen some research that states that excess estrogen (last time I checked mine was at 96 with a range of 10-50) can contribute to liver disease. I had an ultrasound done on my liver about a year and a half ago and the doctor said I have a mild fatty liver going on. I don’t drink alcohol, but I do consume a lot of diet soda. The doctor recommended that I cut that out. I’ll be honest, I cut out diet soda for a while and didn’t feel different so I said screw it and went back to it.

I do want to learn more about liver function and SHBG, TBG production though. It seems like some people have had luck with liver restoration products? Can anyone comment on this? Can the low SHBG guys chime in on this? My goal is no different than anyone else, I just want to look good, feel good, and get results from steroids. I want to have the energy that a 31-year-old male should have.

Bloodwork:

Screenshot%20(46)

Nowhere do I see what your TRT protocol, super low SHBG guys should be injecting everyday do to the secretion of testosterone into the urine. You are hyperthyroid, being hyperthyroid has symptoms of its own. You have to play your SHBG where it is, sometimes low SHBG is just genetic so stop wasting your time on raising SHBG.

Instead adjust your TRT protocol around your SHBG level. Your IGF-1 is low, so the mother of all hormones is low and slowing anabolic action. Peptides (ipamorelin) can raise IGF-1 and growth hormone safely. As a comparison my IGF-1 at 46 years old is 151.

never seen such low HDL

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200mg test cyp broken into two injections of 100mg each
when the bloods were done I was only doing .25mg arimidex every 3rd day but since the BW I had increased it now I’m at 2mg a week.
My SHBG was higher in March when my estrogen was in check. So I know this can come back up.

I’m going to comment on this more soon. Your primary focus needs to be your lipids. You have absolute trash cholesterol. Dump the AI completely for now. Your free t3 is also ludicrously high. Btw you’re correct. Shbg doesn’t bind and deactivate anything. It’s a transport mechanism that fluctuates daily. When you hear guys say shit like “I’m a high shbg guy” it’s not real. The levels of that particular guy change drastically over 24 hours depending on a huge amount of factors.

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You just blew the whole theory of how TRT works over on ExMale.

rayge I have no advice I just hope you can get this figured out. I’m rooting for you.
Your discription of what you are living with sounds horrible

Plasma steroid-binding proteins: primary gatekeepers of steroid hormone action

I have others I can send tomorrow.

I have seen studies that show that SHBG plays a role in transport into the cell and utilization. I’ll post them here tomorrow.

Aside from that disagreement, I am all ears. Also, when my estrogen was lower and I was taking more arimidex, my cholesterol looked a lot better and my SHBG was like 20 or so. I dont think ditching the anti E is a good idea right now as I think the crazy estrogen is probably causing the issue.

Also, the estrogen is so high that its causing me to have soft erections, very weak orgasms, and trouble getting it up over all. I’m in a relationship, shes not happy about it but she’s patient.

Thanks man, I appreciate that.

So that kind of implies that free testosterone is irrelevant? How would you treat a guy whose total testosterone and SHBG are both consistently above range and free T always bottom of range who has low T symptoms? (assuming no other identifiable causes of the symptoms).

I’m agreeing with you about shbg - not disagreeing. People thing shbg seems to be an eliminator of testosterone. I’m agreeing it’s a transport protein.

I’m a transport protein.

There was no point in me posting this whatsoever

@rayge I didn’t read your entire post, I will later but I looked at your bloods, are you JUST using test currently (are you using an AI, or an oral anabolic with your trt protocal), a HDL cholesterol of 7 is garbage, thats like … Atherosclerosis city passing along the small town of ischemic heart disease which one will reside due to spending all their time in atherosclerosis city.

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:lol:

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I actually just finished up a round of Superdrol to see if I can get any response out of it…not a damn thing. I am not sure if it’s real or not, but I guess judging by my piss-poor lipid profile that it is real huh?

I started doing cardio last week and I’m doing it 4-5x a week now and I’ll be getting liver/cholesterol supplements today but absolutely I am out of breath and feel like shit all the time now.

I understand you agree with me on that aspect but I think you’re writing off the other aspects of low shbg.

When it is low, your testosterone levels never rise very high due to it being metabolized much faster.

An HDL level of 7 indicates it’s real… It may be underdosed, but that HDL level is superdrolly low

Not underdosed even…like I said I just dont respond. I had it up to 30mgs so I guess that did it huh? Will my cholesterol recover in a couple weeks here now that the SD is gone? I did notice that my breathing got significantly worse in the last couple weeks.

That’s not true in real life because shbg has extreme variability in circulating amounts. I’ve seen it vary over 300% in patients within three days on labs.

There are quite a few threads on people with low SHBG and the funny part is a high amount of them had pubertal gyno and hair loss etc.
Maybe the shbg is a symptom of something bigger going on but I think it definitely plays a role.

LowER levels of SHBG is correlated with insulin resistance, maybe get glucose tolerance and insulin sensitivity checked? Low SHBG is also associated with the USE OF ANDROGENS with high binding affinity to SHBG (cough superdrol cough cough). If the cholesterol is caused by the s-drol which is most likely is, then give it a month or two and it should normalize. How’s blood pressure.

The only thing I can think of relating low SHBG to hair loss is increased free testosterone = free dihydrotestosterone. However ask physiolojik, he’s far more knowledgable than I am. I had pubertal gyno when I was like 9-10, never bothered me that much, just painful lumps