TRT blood tests

What it the purpose of Sex Hormone Binding Globulin (SHBG) ?

Jun 17

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My question might be a basic one, but what is the purpose of Sex Hormone Binding Globulin (SHBG)? In general terms I appreciate that SHBG binds to Total Testosterone (along with Albumin) to give us Free Testosteron. My question is not about...

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Why Men’s Fertility Is Declining: The Truth About Testosterone

Jun 13

In an insightful interview from the "Dr. Gabrielle Lyon" YouTube channel, Dr. Larry Lipshultz, a renowned expert in male reproductive health, discusses the alarming global decline in male fertility, attributing it to factors such as obesity...

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High Estradiol in Men on TRT: What to Do

Jun 11

Briefing Document: Estradiol in Men on TRT Source: Excerpts from "High Estradiol in Men on TRT: What to Do" by Nelson Viegel (excelmale.com) 1. The Role and Importance of Estradiol in Men Core Idea: Estradiol, often misconstrued as a solely...

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Diagrams: Accurate Androgen and Estrogen Measurement in Human Serum and Plasma

Jun 06

* Probably the most challenging forms to quantify, due to their relatively low concentrations are the so called free forms. The free forms of all the hormones (shown in Figs. 1–3) are the hormones not bound to proteins, or conjugated to other...

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Estradiol: The "Other" Male Hormone

May 31

Download slides (from my book "Beyond Testosterone"): Estradiol in Men Slides Estradiol in Men: The Stigma In the 2014 film The Other Woman, Cameron Diaz, Leslie Mann, and Kate Upton, portray three jilted females who discover they are...

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Managing the Testosterone-to-Estradiol Ratio in Men on TRT

May 29

Managing the Testosterone-to-Estradiol Ratio in Men on TRT Introduction Testosterone replacement therapy (TRT) in hypogonadal men often leads to an increase in estradiol (E2) levels due to the aromatization of testosterone. This alters the...

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427-Page Illustrated Book: Beyond Testosterone

May 27

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I am very pleased to announce that I finally finished my full color 427-page booK: The Table of Contents of "Beyond Testosterone" is meticulously organized into detailed sections, each addressing key aspects of testosterone therapy...

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The TRT Guide from ExcelMale.com

May 17

Understanding the Symptoms, Diagnosis, and Treatment of Hypogonadism in Men Hypogonadism, a condition characterized by low testosterone levels, can significantly impact a man's quality of life. ExcelMale.com offers a comprehensive guide to help...

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What Every Man Needs to Know | Testosterone 101

May 17

Testosterone is a key hormone for men's health, but what happens when levels drop? In this episode, Dr. Alex Tatem and KG break down everything you need to know about testosterone—what it is, signs of deficiency, when to get tested, and the best...

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Regular testosterone test overestimates hypogonadism in men compared to the LC-MS/MS assay

May 12

* IA compared to LC-MS/MS in hypogonadal men overestimates significantly both the prevalence of biochemical Hy and TRT compensation both for TT and cfT. These results highlight the role of LC-MS/MS and SHBG assessments in every day clinical...

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How to Lower High Hematocrit Caused by Testosterone Replacement Therapy (TRT)

Apr 30

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High Hematocrit Caused by Testosterone Replacement Therapy By Nelson Vergel, B.S.Ch.E., M.B.A. High hematocrit occurs when there is an excessive production of red blood cells. High hematocrit can cause the blood to become very viscous or...

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Changes in Blood Cells May Explain Why Some Older Men Had Cardiovascular Issues Using Androgel in the TRAVERSE Trial

Apr 25

Background: Please read this previous article: https://www.excelmale.com/threads/heart-palpitations-and-afib-in-older-men-on-testosterone-signals-from-traverse.28247/ New Data...