Chronically High SHBG, Low Free Test (Not on TRT Yet )

Pharma TRT
1

I am hoping someone can shed some light on my current situation:

40 year old male, 5’10, 180 lbs

Symptoms: Low energy, zero libido, poor recovery from exercise, fatigue

Lifestyle: Don’t drink, don’t smoke, eat 40% carbs, 30% fat and 30% protein and 3000-4000 calories a day depending on energy expenditure on given day. Lift weights 3 times a week, cardio approx 8 hours a week. Sleep hygiene is good and no sleep apnea.

After having low T symptoms for the last 2 years and always getting good total T numbers around 20 nmol/l (ref 10-35) I went to the states (live in canada) to pay for a free testosterone test. Results were:

Total test : 596 ng/dl (ref 250-897)

Free test: 45.8 pg/ml (ref 46-224)

SHBG: 67 (ref 10-50 nmol/l)

I spent the next 4 weeks trying the following: Boron 9mg a day, increase carbs and calories, reduce exersize, stinging nettle root. I retested and had the exact same results

All other blood markers are normal (TSH, T3 and T4, lipid, liver, LH and FSH, A1C)

The only other issue is I for some reason have high BP, and was just diagnosed with WPW, waiting on cardiologist referral. I should be the poster boy for low bp

I have a trt clinic ready to script me as I know that exogenous test will lower SHBG, but want to make sure I have not missed anything. I have spoken to one doc who says technically she cannot script me as Canada only looks at total, and one doc at the trt clinic that says it’s the answer.

Any ideas ?

2

Good thread for your to review so I don’t have to type it all again:

ttps://www.excelmale.com/forum/threads/does-trt-reverse-improve-sexual-symptoms-for-most-men-with-high-range-shbg-lower-free-t.25253/post-223684

put an h on the front of the characters above.

3

In case you need this too:

4

To the inexperienced these look normal, but if you drop the SHBG to 20, the Total T would drop to 300 or below and the Free T would come up a little.

The truth is your body isn’t making much T at all.

There is a connection between high blood pressure and low-T, because testosterone has cardiovascular benefits.

5

Would the total T drop if the SHBG dropped though? Or would Free T just raise ?
I paid for an endo privately (Canada) and he basically just told me I want steroids and free T doesn’t matter. Incredible disparaging.

6

I’m on the same boat as you. we have also had symptoms of low t for 3 years. only my t is almost 800 and the shbg ranges from 45 to 65. I already have a prescription for testosterone but no hcg? I’m 24 years old, the doctor wants to prescribe hcg only for unlock. do you have an erection problem?

7

Erections are pretty average, and zero libido.

8

I would seek treatment from someone else. I can give you some recommendations for doctors, Dr. Lawrence D. Komer Burlington, Ontario, runs a private clinic, very good doctor and Dr. Adam Millar at Mount Sinai Hospital in Ontario.

9

Unfortunately I tried to reach both those doctors, but neither of them are taking on new patients.

10

They are probably swamped with dozens of patients running from the the healthcare system.

11

@skibum1981
In April 2018, I began a test of Danazol daily to lower SHBG. As of July 2022, I am still taking Danazol daily and my SHBG is still low. Before Danazol, it topped out at 120.

Search online (danazol and SHBG). Get your doctor to prescribe for one month, 50mg daily (although I started at 100). Then after 30 days, take a SHBG and T test. It worked or it didn’t. Simple, and doesn’t need 500 posts discussing its efficacy.