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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
My endo says high SHBG is good. Thoughts?
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<blockquote data-quote="raginghormone" data-source="post: 77573" data-attributes="member: 16224"><p><span style="color: #333333">Hello, I'm new here but I've been lurking awhile. What my endo is saying contradicts a lot of knowledge on these forums. I recently had labs:</span></p><p></p><p><span style="color: #333333">- Testosterone, serum -- 860 ng/dL (348 - 1197)</span></p><p><span style="color: #333333">- Testosterone, % free -- 1.0% (1.5-3.2)</span></p><p><span style="color: #333333">- Testosterone, free -- 86 pg/dL (52 - 280)</span></p><p><span style="color: #333333">- SHBG -- 64.7 nmol/L (16.5 - 55.9)</span></p><p><span style="color: #333333">- T3, free -- 3.2 pg/mL (2.0 - 4.4)</span></p><p><span style="color: #333333">- T3, reverse -- 16.6 ng/dL (9.2 - 24.1)</span></p><p><span style="color: #333333">- T4, free -- 1.66 ng/dL (0.82 - 1.77)</span></p><p><span style="color: #333333">- DHEA-Sulfate, serum -- 105 ug/dL (33 - 416)</span></p><p><span style="color: #333333">- ACTH-ICMA -- 67 pg/mL (6 - 48)</span></p><p></p><p><span style="color: #333333">Testosterone (% free) is below range, SHBG is above range, ACTHA-ICMA is above range. I'm currently on 2 grains of natural dessicated thyroid for my Hashimoto's. I still suffer from lots of symptoms. Low libido, hair loss, dry skin, dry mouth, itchiness, puffy face, fatigue, muscle weakness, anxiety. It has gotten better ever since I started NDT about a year ago but I'm definitely not normal yet. I also donated a kidney 4 years ago which likely severed a vein to my left adrenal gland at the same time, thereby putting it out of commission. </span></p><p></p><p><span style="color: #333333">Reading my doctor's dictation, he had this to say:</span></p><p></p><p><span style="color: #333333">"His testosterone was 860, which is excellent. Free testosterone is also good at 86. SHBG is high at 64.7. It goes up with hyperthyroidism and is good to be high, rather than low."</span></p><p></p><p><span style="color: #333333">I definitely don't agree with his stance on SHBG. Furthermore, my percent free testosterone is low so I don't think my testosterone numbers are "excellent" at all. My theory is the high SHBG is driving up my total but binding to it before it can become free. </span></p><p><span style="color: #333333"></span></p><p><span style="color: #333333">What are your guys' thoughts? Should I be looking for another Endo? What do you recommend I do?</span></p><p><span style="color: #333333"></span></p><p><span style="color: #333333">Thanks in advance.</span></p></blockquote><p></p>
[QUOTE="raginghormone, post: 77573, member: 16224"] [COLOR=#333333][FONT=ProximaNovaLight]Hello, I'm new here but I've been lurking awhile. What my endo is saying contradicts a lot of knowledge on these forums. I recently had labs:[/FONT][/COLOR] [COLOR=#333333][FONT=ProximaNovaLight]- Testosterone, serum -- 860 ng/dL (348 - 1197)[/FONT][/COLOR] [COLOR=#333333][FONT=ProximaNovaLight]- Testosterone, % free -- 1.0% (1.5-3.2)[/FONT][/COLOR] [COLOR=#333333][FONT=ProximaNovaLight]- Testosterone, free -- 86 pg/dL (52 - 280)[/FONT][/COLOR] [COLOR=#333333][FONT=ProximaNovaLight]- SHBG -- 64.7 nmol/L (16.5 - 55.9)[/FONT][/COLOR] [COLOR=#333333][FONT=ProximaNovaLight]- T3, free -- 3.2 pg/mL (2.0 - 4.4)[/FONT][/COLOR] [COLOR=#333333][FONT=ProximaNovaLight]- T3, reverse -- 16.6 ng/dL (9.2 - 24.1)[/FONT][/COLOR] [COLOR=#333333][FONT=ProximaNovaLight]- T4, free -- 1.66 ng/dL (0.82 - 1.77)[/FONT][/COLOR] [COLOR=#333333][FONT=ProximaNovaLight]- DHEA-Sulfate, serum -- 105 ug/dL (33 - 416)[/FONT][/COLOR] [COLOR=#333333][FONT=ProximaNovaLight]- ACTH-ICMA -- 67 pg/mL (6 - 48)[/FONT][/COLOR] [COLOR=#333333][FONT=ProximaNovaLight]Testosterone (% free) is below range, SHBG is above range, ACTHA-ICMA is above range. I'm currently on 2 grains of natural dessicated thyroid for my Hashimoto's. I still suffer from lots of symptoms. Low libido, hair loss, dry skin, dry mouth, itchiness, puffy face, fatigue, muscle weakness, anxiety. It has gotten better ever since I started NDT about a year ago but I'm definitely not normal yet. I also donated a kidney 4 years ago which likely severed a vein to my left adrenal gland at the same time, thereby putting it out of commission. [/FONT][/COLOR] [COLOR=#333333][FONT=ProximaNovaLight]Reading my doctor's dictation, he had this to say:[/FONT][/COLOR] [COLOR=#333333][FONT=ProximaNovaLight]"His testosterone was 860, which is excellent. Free testosterone is also good at 86. SHBG is high at 64.7. It goes up with hyperthyroidism and is good to be high, rather than low."[/FONT][/COLOR] [COLOR=#333333][FONT=ProximaNovaLight]I definitely don't agree with his stance on SHBG. Furthermore, my percent free testosterone is low so I don't think my testosterone numbers are "excellent" at all. My theory is the high SHBG is driving up my total but binding to it before it can become free. What are your guys' thoughts? Should I be looking for another Endo? What do you recommend I do? Thanks in advance.[/FONT][/COLOR] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
My endo says high SHBG is good. Thoughts?
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