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Help needed on balancing my hormones
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<blockquote data-quote="Cataceous" data-source="post: 220736" data-attributes="member: 38109"><p>That's Labcorp's direct immunoassay free T test, which cannot be trusted. If your SHBG is still ~82 nMol/L then this lower total testosterone does imply free testosterone is further into the gray zone. But it's still somewhat borderline, which means there's a chance that lifestyle modifications could raise testosterone more into the normal range. Rather than supplements, I would focus on diet, sleep and exercise. With diet you can try to reduce the amount of red meat you eat, and use more whole or minimally-processed foods, including vegetables. Avoid products with added oils and sweeteners. Exercise should be regular, but in moderation.</p><p></p><p>Because your testosterone isn't low enough to be considered a blatant threat to your health, the decision to resume exogenous testosterone must be based on your symptoms—you should be pretty confident they are testosterone-related. The good thing about testosterone nasal gel is that it's far less of a commitment. If you don't like it or it doesn't help then you can just stop it without worrying about needing a couple months or more to again start making your own testosterone. Also, if the nasal gel doesn't help then you may need to consider other causes for your difficulties.</p><p></p><p>Regarding your progesterone, what is the reference range for that figure of 0.7 ng/mL? If it's Labcorp's range of 0.0-0.5 then I'm wondering if progesterone is a little high while estradiol is a little on the low side relative to testosterone. Below-normal estrogenic activity could be contributing to your issues.</p><p></p><p></p><p>That's an odd claim. Can you produce a reference? My thought is that SHBG is probably inversely correlated with free testosterone because androgens in general reduce SHBG production. But there are many other factors that also affect the level of SHBG.</p></blockquote><p></p>
[QUOTE="Cataceous, post: 220736, member: 38109"] That's Labcorp's direct immunoassay free T test, which cannot be trusted. If your SHBG is still ~82 nMol/L then this lower total testosterone does imply free testosterone is further into the gray zone. But it's still somewhat borderline, which means there's a chance that lifestyle modifications could raise testosterone more into the normal range. Rather than supplements, I would focus on diet, sleep and exercise. With diet you can try to reduce the amount of red meat you eat, and use more whole or minimally-processed foods, including vegetables. Avoid products with added oils and sweeteners. Exercise should be regular, but in moderation. Because your testosterone isn't low enough to be considered a blatant threat to your health, the decision to resume exogenous testosterone must be based on your symptoms—you should be pretty confident they are testosterone-related. The good thing about testosterone nasal gel is that it's far less of a commitment. If you don't like it or it doesn't help then you can just stop it without worrying about needing a couple months or more to again start making your own testosterone. Also, if the nasal gel doesn't help then you may need to consider other causes for your difficulties. Regarding your progesterone, what is the reference range for that figure of 0.7 ng/mL? If it's Labcorp's range of 0.0-0.5 then I'm wondering if progesterone is a little high while estradiol is a little on the low side relative to testosterone. Below-normal estrogenic activity could be contributing to your issues. That's an odd claim. Can you produce a reference? My thought is that SHBG is probably inversely correlated with free testosterone because androgens in general reduce SHBG production. But there are many other factors that also affect the level of SHBG. [/QUOTE]
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