Bioavailable testosterone is associated with symptoms of depression in adult men

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Mean testosterone, sex hormone-binding globulin, and luteinizing hormone levels were significantly higher in the depressive symptom group than in the non-depressed group. The mean calculated free serum testosterone level and free testosterone index (FTI) were significantly lower in the depressive symptom group than in the non-depressed group. Additionally, the mean FTI was significantly negatively correlated with the Beck Depression Inventory scale score in the multiple linear regression model (95% confidence interval: −3.274 to −0.406).

Calculated free serum testosterone (cFT) was quantified using Vermeulen’s formula and calculated as follows: free testosterone (nmol/L) = −a + √b)/c/10−9, with a=SHBG (nmol/L)−total testosterone (nmol/L) + 23.43, b = a2 + (4 × 23.43 × testosterone [nmol/L]), and c = 2 × 23.43 × 109.32 The free testosterone index (FTI) was defined as testosterone (nmol/L)/SHBG (nmol/L) and the testosterone secreting index (TSI) as testosterone (nmol/L)/LH (IU/L).
 
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Beyond Testosterone Book by Nelson Vergel

Previous research provided evidence that testosterone treatment is effective in reducing depressive symptoms in hypogonadal or middle-aged men up to age 60 years.This meta-analysis provides important new evidence that testosterone treatment may also be effective and efficacious for eugonadal and older men when higher testosterone dosages are administered.
 
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