High SHGB and High a.m Testosterone with intermittent use of Nolvadex

[northern2020]

Greetings first time posting.

Great forum, any input appreciated.

45 year old healthy male, 4 kids

training since 12 years old, intermittent use of testosterone for training since age 35 - no more than 500mgs x 8-12 weeks 4 times over 8 years.

Recently off Testosterone as of June 2018 and but have been using Nolvadex 10-20 mgs x 3 days per week since June.

Want to start TRT

First bloodwork assessed prior to TRT eval/MD Sept 12-18

Testosterone, am 38.5 (normal range 10.3-29.5 nmol/L)

Free Testosterone 286.6 (normal 175-700 pmol/L)

SHBG 130 (normal 6-65 nmol/L)

Testosterone/SHBG = .30 (.20-1.00)

have not informed my MD of intermittent testosterone use, but wants a scan of my adrenals for a tumor, and I know this is not the case.

Question is - the nolvadex having is reducing E2, LH kinks in, has to pump more testosterone out to convert to E2 via aromatase.

I would like to start TRT - will I be declined with these labs?



Cheers

 

[JPB]

Most likely declined

 

[Vince]

I would be concerned about your high levels of shbg.

What causes high sex hormone binding globulin in men?

• Elevated estradiol levels from conversion of testosterone
• Hyperthyroidism
• Aging
• Extreme weight loss in anorexia nervosa
• Certain medications as the Dilantin (a phenytoin)
• Liver cirrhosis
• Cigarette smoking
• Any compromise of liver detoxification such as alcohol abuse, certain meds, heavy metals etc. can decrease liver capacity to excrete excess estrogens from the body.
• Testicular cancer

SHBG is Critical to Your Health | Natural Bio Health