then I'll do another blood work with total T, estradiol, shbg.
I'm curious to know if this high prolactin is somehow linked to the high shbg and cbg (cause or consequence).
Does it make sense to check thyroid hormones?
Hi all,
In the last few months, I started to experience issues getting strong wood, having a late ejaculation (or even not), and way less semen.
I did my blood test and voilà: (I'm not on TRT)
total T: 727ng/dL
shbg: 69nmol/L (lab normal range: from 18 to 54)
cbg: 55 mg/L (lab normal range...
How did you compute free T? Vermeulen formula would give a result that is more 9.8ng/dl with tt=560ng/dl and 17.4ng/dl with 895ng/dl.
I had quite big variations by having my blood work done after a good night of sleep or a bad night, or simply by going early to the lab or in the afternoon.
Cheers
This paper is pretty interesting. The thing that puzzles me a bit is that the samples are not the same for each approach (Eq. D, cFT-x, ..).
For cFT-Z, I understand since they didn't have access to the formula...
For the other ones, it's a bit obscure to me.
Thanks for your feedback!
I'm not at home, so I've not all the sources with me, and I should ask the dev. I remember that some studies addressing multiple cohorts were applying these types of calibration.
Below are two articles I found back that raise the fact that some immunoassays are biased...
Dear Excelmale members,
Recently, I've been working with the help of a friend (actually he did most of the work) on an Android software that helps in the computation of free T (contains Vermeulen, Mazer, Södergård, ...) and that generates reports that link the values obtained to the current...
According to the value at the 25th percentile, we see that nearly one quarter of the athlete are with low freet (0.225nmol/L being usually used at a limit)
On the other hand, I just saw that that athlete blood samples were not collected in the morning when T is peaking as in most protocols...
Several articles are showing that many athletes have an FT that is debatably low.
Such in this one:
http://dx.doi.org/10.1136/bjsports-2017-097792
https://pubmed.ncbi.nlm.nih.gov/29445518/
As an amateur marathoner (just about the 3hour for full-marathon), it seems that my endogenous FT...
Actually, it is maybe better to have a total T that low to have the right diagnostic. Here, in Europe, if the total T is above 400 ng/dL the MD will skip all other tests and say that it is fine.
Thanks @madman all this material! A lot to read!
IMHO, the FTZ/Trut-T has some strong disadvantages:
- it is proprietary
- it wasn't applied yet on big cohorts (did they try to apply on EMAS or FHS datasets?)
- it neglects the importance of transcotin (CBG)
What is your opinion on Mazer's...
Hi FunkOdyssey,
I fully agree with you, there is a lot of misunderstanding around SHBG. The sponge analogy is a very good one and shows SHBG from a totally different angle.
Nevertheless, I still think that this sponge consumes a small part of the T (small since the half-life of SHBG-bound-T is...
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