3/2 blood work-testosterone equilibrium

Rhino 2.0

Member
Finally got the testosterone equilibrium test done before making the final decision to start TRT or not. Shows my total test is high and free t is normal. SHBG is high and my % free test is 1.87. Would you start TRT with these numbers ? Just to let you know I am currently supplementing with DHEA and DIM and I was also taking taking 12.5 mg of clomid for a couple weeks. My last dose of clomid was a week prior to this test though so I don’t know if that had any effect on my numbers or not.
 

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Well your Free T percentage is low, I can tell you my symptoms don't go away until I hit a Free T percentage of 2.5%.

Remember Free T is calculated and below the normal 2-3 percent. TRT will decrease SHBG and clomid increase it.
 
That’s funny that my free t percentage is low given my free t is near the top end of the lab range.

That why I don't trust it, I like to have Free T direct and Total T and SHBG so I can compare rather than have one or the other.

It just doesn't make sense to have Free T on the higher end and below 2%.
 
It just doesn't make sense to have Free T on the higher end and below 2%.
spot on right...a guy can be at the lab range and still below a % of Free T that is an acceptable therapeutic level. If in this instance there was no Free T lab measurement and you only saw 1.87% if would almost universally be proclaimed as "low".
 
spot on right...a guy can be at the lab range and still below a % of Free T that is an acceptable therapeutic level. If in this instance there was no Free T lab measurement and you only saw 1.87% if would almost universally be proclaimed as "low".
That why I don't trust it, I like to have Free T direct and Total T and SHBG so I can compare rather than have one or the other.

It just doesn't make sense to have Free T on the higher end and below 2%.
Would it be better to go off my actual free t level or my % free ?
 

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This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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