I am starting 50mg of danazol. I underst and it increases my free testosterone. I am wondering if it will decrease my total testosterone?
What are the rest of the details of your regimen? Doses and levels of T, E, SHBG?
It shouldn't lower your total testosterone unless you are not on TRT (in which case you shouldn't take danazol).
Only if you are not on TRT.Wouldn't danazol lower total testosterone because shbg increases the half life of testosterone? So , if we reduce shbg then it should reduce total testosterone and increase free testosterone. ?? Sex hormone-binding globulin regulation of androgen bioactivity in vivo: validation of the free hormone hypothesis
Only if you are not on TRT.
Danazol provides no quality of life benefit even if your free T increases.
However, the current better understanding of SHBG shows that reduction in free testosterone with higher SHBG is considerably less pronounced than previously believed. You can confirm this by comparing the Vermeulen calculation to the new Tru-T method. For example, the Vermeulen method says that someone with total testosterone of 700 ng/dL and SHBG of 30 nMol/L experiences a reduction in free T of 36% when SHBG is doubled. However, the Tru-T method reveals that the reduction is actually only 15%.What I was talking about is how if your shbg is elevated it will elevate total testosterone as well because it increases the half life of testosterone , while at the same time binding up a person usable free unbound testosterone. This is a big issue, as some guys may have normal levels of testosterone but at the same time their shbg may be super high Sex hormone-binding globulin regulation of androgen bioactivity in vivo: validation of the free hormone hypothesis
However, the current better understanding of SHBG shows that reduction in free testosterone with higher SHBG is considerably less pronounced than previously believed. You can confirm this by comparing the Vermeulen calculation to the new Tru-T method. For example, the Vermeulen method says that someone with total testosterone of 700 ng/dL and SHBG of 30 nMol/L experiences a reduction in free T of 36% when SHBG is doubled. However, the Tru-T method reveals that the reduction is actually only 15%.
Because the HPTA essentially regulates free testosterone, we could turn this concept around and say that stimulation of excess testosterone production by higher SHBG is less pronounced than previously believed.
To support this you would need to test free testosterone via equilibrium dialysis, considered the gold standard. But the research in support of Tru-T shows much better correlation between equilibrium dialysis and Tru-T than between equilibrium dialysis and Vermeulen. Check out this post by @madman.I think the Tru-T method is not accurate at all . I can tell you by reducing my shbg from 65 plus down to 30 it was a big difference. not just a little. I have heard this from other guys too. I think we like to put everyone in a box and give them one size fits all and that is just wrong. It is not just shbg, but also thyroid binding globulin changes with that. There has been studies on this topic that do point to the fact that guys with elevated shbg often do have symptoms of low t
Is the LC/MS part measuring total testosterone, which is then used to calculate free testosterone?I will soon be selling free testosterone by liquid chromatography/mass spectrometry
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Is the LC/MS part measuring total testosterone, which is then used to calculate free testosterone?
If you look at the test description it says:Calculate Free Testosterone with TruT by FPT
:D About TruT Current problems with accurate free testosterone determination Current methods for measuring free testosterone (fT) are technically challenging and not accurate. The widely used direct immunoassay and tracer analog techniques for measuring fT have been shown to be inaccurate...www.excelmale.com
He has been selling that test on discountedlabs for years.Is the LC/MS part measuring total testosterone, which is then used to calculate free testosterone?
Nope.If you look at the test description it says:
MethodologyChromatography/Mass Spectrometry • Calculation (CALC) • Immunochemiluminescence Assay (ICMA)
This is not one of the traditional free T calculations. I suspect LC/MS is used for total testosterone and then ICMA and a calculation are used to determine free testosterone. Is this equivalent to the—inaccurate—direct immunoassay? Maybe someone in the know can clarify this. @madman?
Such a match would be unusually fortuitous, because even with great correlation, comparing different methods almost always requires scaling and offsets. What's the reference range of your test? Is it a particular LabCorp or Quest test number?I have tested free testosterone with equilibrium dialysis and actually nebido calculator was the closest every time the tru t shit was not even close.
However, the current better understanding of SHBG shows that reduction in free testosterone with higher SHBG is considerably less pronounced than previously believed. You can confirm this by comparing the Vermeulen calculation to the new Tru-T method. For example, the Vermeulen method says that someone with total testosterone of 700 ng/dL and SHBG of 30 nMol/L experiences a reduction in free T of 36% when SHBG is doubled. However, the Tru-T method reveals that the reduction is actually only 15%.
Because the HPTA essentially regulates free testosterone, we could turn this concept around and say that stimulation of excess testosterone production by higher SHBG is less pronounced than previously believed.
If you look at the test description it says:
MethodologyChromatography/Mass Spectrometry • Calculation (CALC) • Immunochemiluminescence Assay (ICMA)
This is not one of the traditional free T calculations. I suspect LC/MS is used for total testosterone and then ICMA and a calculation are used to determine free testosterone. Is this equivalent to the—inaccurate—direct immunoassay? Maybe someone in the know can clarify this. @madman?
Such a match would be unusually fortuitous, because even with great correlation, comparing different methods almost always requires scaling and offsets. What's the reference range of your test? Is it a particular LabCorp or Quest test number?