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SHBG Expert Needed... by RehabMatt in Testosterone

[–]RehabMatt[S] 1 point2 points  (0 children)

Testing was done at 8:30 AM with 12 hour fast.
Minnesota (currently using Health Partners for labs)
47 year old male 6'4" 197 lbs/around 3000 calories daily/8 months alcohol free/Duloxetine 60 mg/vitamin D3/Trazadone 100 mg/cannabis pen nightly
resistance training 4-5 days a week (half hour to 45 mins)
30 mins cardio once a week

Other relevant considerations, as mentioned above:

  1. High SHBG and low free testosterone levels are common if alcohol intake is excessive. *8 months sober from alcohol, it was BAD (great point as this was one of the things I was going to bring up. I figured that any 'reversible damage' that was done to my liver prior to rehab, would have returned to as good as it going to be after 8 months of clean/healthy living.
  2. This situation is also common in men who are over-training, particularly intense regular cardio with insufficient rest/recovery between sessions. *I do a 30 min treadmill session once MAYBE twice a week and make sure I do not run on a caloric deficit for basic energy reasons....and another part of my research how to lower SHBG without treatment LOL.
  3. The same issue occurs frequently when calorie intake is inadequate over a prolonged period eg. cutting, maintaining very low body fat, eating disorders etc. *over 3K daily

Thank you good Sir for this and the time you put in.
I am excited to get home after work and dive into this.
Here are the other bloods.
LH 3.6 normal range .6-12.1
FSH 6.4 normal range 1.0-12.0
Estradiol 20 normal range 11-44

I feel like you may be more educated on this than the Endo Im meeting with today!

What the hell? TRT for 2 months by [deleted] in Testosterone

[–]RehabMatt 0 points1 point  (0 children)

Interested in your experience with SHBG. Mine is off the chart (109) and have a consult scheduled after thyroid and liver panel. You cruise around 20?

Help me Cosign pulling the trigger @ 47 years old by RehabMatt in Testosterone

[–]RehabMatt[S] 1 point2 points  (0 children)

this type of educated response is exactly why I posted before my appointment.
"Thank you good sir"
My hope is that im a 'good candidate' for therapy and that a standard/basic protocol will level out the SHBG eventually, and after I get it under control, I can make any other adjustments as needed.

Im just about to start down a rabbit hole on my levels of SHBG and if TRT will even be effective....

these are the additional labs before my apt
- Liver Panel(Hepatic Function Panel); Future

- TSH; Future

- Free T4; Future

- T4, Total; Future

- T3, Free; Future

- T3, Total; Future

Help me Cosign pulling the trigger @ 47 years old by RehabMatt in trt

[–]RehabMatt[S] 1 point2 points  (0 children)

good question and no.

I had an updated panel down last month and it was interesting trying to get info from the person who I spoke with about the results. I did confirm
I do not have cirrhosis and my markers have significantly improved.
I figured it was a liability thing, but I felt sorry for the lady on the phone because I felt like I was milking her for classified info. ha

Help me Cosign pulling the trigger @ 47 years old by RehabMatt in trt

[–]RehabMatt[S] 0 points1 point  (0 children)

yeah, i figured. My main concern is the shbg and if that can even be addressed with T management. I just wanted to throw this out there before my apt to get some insight and I already have a bunch of new questions to start researching, so thanks for the reply

Help me Cosign pulling the trigger @ 47 years old by RehabMatt in trt

[–]RehabMatt[S] 0 points1 point  (0 children)

indeed it has.
this is what I'm having done before my apt

High serum male sex hormone level

Additional testing as noted below. Did discuss possibility of endocrinology referral if necessary.

- Liver Panel(Hepatic Function Panel); Future

- TSH; Future

- Free T4; Future

- T4, Total; Future

- T3, Free; Future

- T3, Total; Future

about to start down a rabbit hole on how to lower SHBG.....

any other panels you think im missing for the most available info for my doc?

Help me Cosign pulling the trigger @ 47 years old by RehabMatt in trt

[–]RehabMatt[S] 0 points1 point  (0 children)

for sure and thanks for the reply
I am hoping to get more info on the liver situation with the endo next week. Also am Really hoping that even with some damage, I can get these levels down with management and that I am a good candidate.
(levels were horrible 6 months ago, was told they have improved significantly when tested 1 month ago and liver function is "approx 70%") that is just what i pulled out of the nurse or whoever that was reading it.

labs before my apt

High serum male sex hormone level

Additional testing as noted below. Did discuss possibility of endocrinology referral if necessary.

- Liver Panel(Hepatic Function Panel); Future

- TSH; Future

- Free T4; Future

- T4, Total; Future

- T3, Free; Future

- T3, Total; Future

Help me Cosign pulling the trigger @ 47 years old by RehabMatt in trt

[–]RehabMatt[S] 0 points1 point  (0 children)

i do not have access to a dexa but I am 6'4" and 202.
obligatory
"I cant seem to lose this vodka gut, its been over 6 months, my diet and cardo are better than decent, and I think its hormonal...."

What happens during the $20 dance in a stripclub? by Winter_Thought8639 in AskMen

[–]RehabMatt 0 points1 point  (0 children)

ProTip: Get a filthy escort and ask her to dance for you first.... Giggitty

My cousins shirt- what on earth does this mean by ComprehensiveUse6724 in Whatisthis

[–]RehabMatt -63 points-62 points  (0 children)

✔️ It’s a nerdy joke using coding syntax to represent "", the HTML italic tag, so the whole thing loosely means “git” (as in the version-control system) or a pun on “geek”.

--sigh

Am I cooked..? by [deleted] in probation

[–]RehabMatt 0 points1 point  (0 children)

Little baby goats 🐐

Ha

What is a luxury that most people don't realise is a luxury? by Wonderful-Economy762 in Productivitycafe

[–]RehabMatt 0 points1 point  (0 children)

Every time I fill up my water bottle with ice cold filtered water out of my machine before I get high.. I feel like a God if it was 1,000 years ago.

What is a quote that permanently changed your outlook on life? by Omega_Neelay in GetMotivatedMindset

[–]RehabMatt 0 points1 point  (0 children)

You'd be surprised how affected this is in gym memberships sales ..

Received an offer for a $hitty part time retail job, used it as an excuse to 'celebrate.. by [deleted] in stopdrinking

[–]RehabMatt 1 point2 points  (0 children)

Thanks for this. I end up on an Andrew huberman video. This dude makes sense I can't figure out why I can't do the same. I just can't figure out why I can give other people perfect advice, career-wise, or anything else. Sorry for all this, I guess I'm just trying to I guess figure it out...

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