42 y/o - Normal T / Low-ish FreeT / Very High SHBG / High LH - is TRT right for me?

[coolzoey11]

I'm 42 yrs old and the last 4 years my energy, strength, and stamina have plummeted. I am generally an athletic/slender guy but my midsection has increased a lot, and I have become very sluggish. My sex drive isn't great so I thought I might take a stab at this TRT stuff…


Here is link to my blood results (https://imgur.com/a/JddUb)

Testosterone, Serum 649 ng/mL
Free Testosterone(Direct) 9.8 pg/mL
DHEA-Sulfate - 126 TSH - 1.880 ug/dL
Luteinizing Hormone(LH) - 14.4 mIU/mL
Prostate Specific Ag, Serum - 0.3 ng/mL
Estradiol, Sensitive - 16.4 pg/mL
Sex Horm Binding Glob, Serum - 90.6 nmol/L


649/ 9.8 seems pretty average. My thyroid and liver are in good health. I don't drink and eat pretty healthy BUT my SHBG is a skyrocket 90.6. So I know my T is being sponged up and not utilized – hence why I might be having symptoms of low T?


Looking for some guidance. I have my initial consult w/ Defy in a few weeks. I hope they can help. But w/ 649 Total Test am i wasting time and money?

Thanks for the help!

 

[Vince]

Personally I think you're total testosterone is too high to start trt. There are ways you can lower your shbg, I know three of them, have a good levels of vitamin D3, supplementing with zinc, I like Jarrow zinc balance and getting good levels of magnesium.

1 Mineral for Everything: Magnesium
https://www.excelmale.com/forum/showthread.php?2992-1-Mineral-for-Everything-Magnesium

 

[Rhino 2.0]

Give stinging nettle a try it can lower SHBG along with vitamin D. I also have high SHBG and stinging nettle has helped me.

 

[coolzoey11]

Thanks for the help. I have been trying to lower SHBG w/ Boron/Magnesium. But these are within normal range?

Free Testosterone: 6.60 ng/dL = 1.02 %
Bioavilable Testosterone: 165 ng/dL = 25.4 %

 

[Systemlord]

Your testicles are damaged as indicated by high LH that's almost double the range, testes are on their way out. Better freeze sperm now before it's too late! SHBG is out of control, not the most sticky SHBG around but nonetheless is killing your FT and you E2 levels. I've seen better TSH scores, perhaps a closer look at thyroid hormones, mainly fT3, rT3. Supplement iodine and selenium might be in order.

SHBG+TT= FT 6.77 ng/dL = 1.04 %, 2-3% is considered normal.

Terrible!

 

[coolzoey11]

Terrible is right, something is up.

Thanks for the advice. Thankfully - I've had my kids already. Done w/ that. My thyroid numbers have always been good but maybe need to take closer look..