High SHBG - Primary Hypgonadism?

Pharma TRT
1

Is it possible to have primary hypogonadism despite totalt testosterone being high, if SHBG (and LH) is elevated?

2

No. Primary indicates inability to produce testosterone via dysfunction in the testes. You would/could have high fsh/lh but little testosterone.

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3

You can have neither secondary or primary hypogonadism, have high SHBG, high LH, high Total T and low Free T.

If this is the case, don’t waste time trying to fix it naturally, it’s futile unless it’s as simple as a medication causing the high SHBG. The high SHBG could be caused by starvation (cutting), which can increase insulin sensitivity to the point which causes a substantial increase in SHBG, which is what happens when a diabetic improves fasting glucose levels.

In these cases, your body is producing a lot of testosterone, but the majority of it is being deactivated and therefore your body can’t use it. Some find this condition irreversible and require TRT for life.

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4

Do you think that when I have a high shbg limits of 50-65 with a high total testosterone I will experience an improvement in my symptoms? I will have more energy, better libido, better sleep and better erection? I’m 24 years

5

This question is impossible to answer with absolute certainty, there is no consensus at what point a person with experience low-T symptoms as there are too many variables, that being genes, CAG repeat lengths (long/short), current health problems and environmental factors.

6

HYPOgonadism is low TT

7

No. I think you’d benefit from having lower SHBG and normal TT

8

Is your question can a guy with high SHBG, high total testosterone and low testosterone symptoms benefit from taking testosterone?

If so, the answer is yes. I see this all the time. Had a new guy yesterday, total testosterone 1008 (250-1100) and free testosterone 52 (35-155). Miserable, going on three plus years. PCP finally agreed to test him (tested total testosterone only and then after putting him off for a couple years) and recommended psychotherapy. He’s going to be really pissed when he starts to feel good.