Opinions on my Blood Work

Bubba_West

New Member
Hi all, 27M 200lbs 20%bf. Been experiencing 3/4ths of low T symptoms for the last two years. Finally got my bloodwork done and am heavily considering TRT. I would love any opinions on how my SHBG, Estrogen, total T and free T levels look and how they may be effected (or how yours was effected) on TRT and just a general outlook before I go reaching out. Thanks in advance.
 

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Your total T does look a bit low for a 27year old. But SHBG binds to Testosterone and makes it unavailable for androgenic purposes, since you have a low SHBG level your free T is actually ok. I'm not an expert, I'm just learning as I'm in a similar situation but the opposite way round (high total T, but high SHBG resulting in low free T). I'm getting a follow up test done to see where I'm at, maybe that would be a good idea for you too.
 
You have low-T and also have low estrogen. The ranges for estrogen include little boys and men, so a normal estrogen level for an adult male is 20>.

Low estrogen can cause osteoporosis. The problem getting a doctor to prescribe TRT is the doctors follow outdated guidelines which is <300.

Private clinics may be your only avenue for TRT. The low SHBG might be genetic if no other causes are found. Diabetes, thyroid disorders can supress the SHBG.

My SHBG went up on TRT because my diabetes, glucose are normal, therefore diabetes isn't supressing my SHBG.

Do you have an A1C or fasting glucose result?
 
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TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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