High SHBG TRT Roll Call

Pharma / TRT Testosterone Replacement
21

What reference range?

22

if I understand your question: nmol/L 19.3-76.4

Dr. Grant was good with my number.

23

Have a read of my log. I am classic high SHBG low free t as a result of the shbg despite healthy levels of total T.

I’m best on about 175mg a week

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24

Will do, thanks very much!!

25

My SHBG was 102 nmol/L, Testosterone 266, free testosterone 2ng/dl (9 -30). The female endo’s response was “Let’s wait and see if it comes right on its own”. I’m 50. I’ve started self-medicating with 125mg test e per week and will decide how to adjust my dosage after the next blood tests.

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26

I wonder what her response would be if you were her husband?

I saw a woman last week, zero libido. No testosterone. Her male gynecologist’s reaction was, “You’re 51.”

Reminds me of a book I read years ago. MalEpractice, How Doctors Mistreat Women

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27

Your labs sound like you’re the poster child for a TRT indication.

I would want to ask your endo how many patients in her clinical experience had below-range TT, sky high SHBG, barely registering free-T, and all that ended up “com[ing] right on its own.”

I probably waited too long to get on TRT because I didn’t want to be reliant upon a medicine for the rest of my life that I may not need, but then had zero luck getting my SHBG or free-T numbers to budge with dietary and lifestyle modifications.

And I had fairly normal TT and lower SHBG than you. At your free-T level you’ve got to be experiencing every symptom in the book.

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28

This is just a passive aggressive way of saying I don’t feel comfortable prescribing TRT. The doctors that say I don’t believe in hormones, same thing.

29

Yeah, I can basically go through the list of low test symptoms and tick most of them off.
My other option besides ugl was to wait 3-4 months to be retested and hope that the endo would treat me when the numbers hadn’t improved, but I didn’t have confidence this would happen, and didn’t want to feel like crap any longer.

30

She also said that I shouldn’t jump on TRT because I might want to have children. I told her that this wasn’t an issue and her reply was “Well, you’re still young!”
Age 50.

31

Added 12.5mg of Proviron to help with high SHBG. Probably going to have to raise it to 25mg, but giving it some time to see how I feel first.

32

Thank you for this post! I’m getting ready to start trt and have high shbg myself. This is good to know.

33

I wouldn’t assume that. a very small amount can lower SHBG. 12mg of Var lowers mine to single digits

34

I’m actually getting good results with 25mg right now, only concern is what it will do to my lipids. Will see in the next blood test.

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35

Blood results. Endo didn’t do anything except hormone tests, but results are pretty interesting. Taking on the morning of the day I do my injection, so trough measurement. Injecting once per week.

125mg test e
25mg proviron/day for 8 weeks.

Previous test 266 ng/dl Now 450ng/dl
Previous free test 78 pmol/L Now 252 pmol/L (194 - 489)
Previous SHBG 102 nmol/L Now 48 nmol/L (18 - 87)
Previous 17B Oestradiol 97 pmol/L Now 74 pmol/L (< 190)

Really surprised 125mg test e raised my test by so little, but SHBG now seems under control somewhat. Will try increasing test e to 175mg/week.

37

Fascinating. I’ve never heard of these. I tried Boron for SHBG when I was first starting out (I also didn’t jump onto T right away, but did so after about one year of natural supplement experimentation) – but it didn’t do anything. That said, the supplement I was taking was 3 mg (these are 75!). Just ordered some.

38

75mg Boron wow never seen such before…

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39

Incidentally, my SHBG was 102 nmol/L on 9mg boron/day, so it doesn’t work for everyone.

41

Are there any side effects taking that much boron daily?

43

I’m wondering if megadosing boron is a strategy that can be used long term. Recommendations I see say not to take more than 20mg/day.

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