Low SHBG. Confused

Pharma TRT
1

Took the blood test mid afternoon.

TESTOSTERONE 913 NG/DL 300-1080
MAIN
SEX HORM BIND GLOBULIN 15.7 L NMOL/L 16.5-55.9
MAIN
ESTRADIOL 24.4 PG/ML <=60.7

         Note: Values in the range of 17-25 PG/ML may demonstrate                    increased imprecision.  Clinical correlation is                    recommended.
     
MAIN

PSA, TOTAL 1.09 NG/ML <=4.00

       NOTE: Methodology is Roche Cobas Electrochemiluminescence
       Immunoassay traceable to WHO reference standard 96/760.	MAIN

CBC W/AUTO DIFF WITH PLATELETS
WBC 6.4 K/UL 3.5-10.0 MAIN
RBC 5.77 H M/UL 4.30-5.70 MAIN
HEMOGLOBIN 16.0 G/DL 13.5-17.0 MAIN
HEMATOCRIT 46.7 % 38.0-50.0 MAIN
MCV 80.9 fL 80.0-99.0 MAIN
MCH 27.7 PG 25.0-34.0 MAIN
MCHC 34.3 G/DL 31.0-36.0 MAIN
RDW 14.3 % 11.5-15.0 MAIN
NEUTROPHILS 41.9 % 40.0-75.0 MAIN
LYMPHOCYTES 45.5 H % 20.0-45.0 MAIN
MONOCYTES 10.0 % 4.0-12.0 MAIN
EOSINOPHILS 2.3 % 0.0-7.0 MAIN
BASOPHILS 0.3 % 0.0-2.0 MAIN
PLATELET COUNT 250
K/UL 130-400 MAIN
COMPREHENSIVE METABOLIC PANEL
GLUCOSE 73 MG/DL 70-99 MAIN
BUN 11 MG/DL 6-20 MAIN
CREATININE 1.02 MG/DL 0.80-1.40 MAIN
eGFR AFRICAN AMER. 109 ML/MIN/1.73>60 MAIN
eGFR NON-AFRICAN AMER. 94 ML/MIN/1.73>60 MAIN
CALC BUN/CREAT 11 RATIO 6-28 MAIN
SODIUM 139 MEQ/L 133-146 MAIN
POTASSIUM 4.2 MEQ/L 3.5-5.4 MAIN
CHLORIDE 103 MEQ/L 95-107 MAIN
CARBON DIOXIDE 24 MEQ/L 19-31 MAIN
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CALCIUM 8.9 MG/DL 8.5-10.5 MAIN
PROTEIN, TOTAL 7.8 G/DL 6.1-8.3 MAIN
ALBUMIN 4.5 G/DL 3.5-5.2 MAIN
CALC GLOBULIN 3.3 G/DL 1.9-3.7 MAIN
CALC A/G RATIO 1.4 RATIO 1.0-2.6 MAIN
BILIRUBIN, TOTAL 0.4 MG/DL <=1.2 MAIN
ALKALINE PHOSPHATASE 82 U/L 40-117 MAIN
AST 17 U/L 9-50 MAIN
ALT 18 U/L 5-50 MAIN

Page 2 of 2

2

What’s the question?

3

My SHBG levels are out of range. Is this okay? and does this effect libido?

4

I assume you are on testosterone. It is fine and it will increase libido.

5

Having lower SHBG usually will net you a higher Free T level when compared to someone with high SHBG and sometimes excessively high levels can affect libido negatively in some people. If this occurs simply lower the dosage.

6

Are you having any symptoms/issues? SHBG varies from individual to individual. At the extreme ends it does affect the balance of Free T to Total T. I don’t see any Free or Bioavailable T labs, so it’s difficult to comment.