Testosterone Okay, Other Values Puzzling: Opinions, Please

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If testosterone production remains the same as SHBG is increasing, you can't have the Free T unchanged.
You can and you do. The argument is simple: At steady state testosterone production is balanced by testosterone metabolism. Testosterone metabolism is proportional to free testosterone. Therefore free testosterone is proportional to testosterone production. Therefore unchanging production implies unchanging free testosterone—independent of SHBG. We've been discussing this issue for some years now; you've had ample opportunity to form coherent objections.
 
Update: PCP and Men's Health specialist in agreement that TRT is not indicated. Neither could offer an explanation for the elevated FSH & LH levels. It seems the next stop is an endocrinologist.
 
Update: PCP and Men's Health specialist in agreement that TRT is not indicated. Neither could offer an explanation for the elevated FSH & LH levels. It seems the next stop is an endocrinologist.
Most likely subclinical hypogonadism as article above discusses and @Cataceous pointed out. Will be interested to see what your Endo says. The ones I have discussed with would not treat until TT/fT drop further. Check out the info provided above so you can speak with your Endo in a reasonable educated fashion.
 
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Update: PCP and Men's Health specialist in agreement that TRT is not indicated. Neither could offer an explanation for the elevated FSH & LH levels. It seems the next stop is an endocrinologist.
Before I started TRT, I did read four books and seen a number of clinics and endocrinologist. it's good to educate yourself and know what you're getting into.
 

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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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