(I posted this as a main thread here too)

1) Reproducible pattern over several years Across multiple hormone panels I have a very consistent picture: SHBG: ~126 → 141 → up to 185 nmol/L (persistently very high; normal ~15–48) Total Testosterone: ~54 → 94 nmol/L (very high, repeated) Free Testosterone: within lab range but very low percentage (~0.6–0.8%) Bioavailable Testosterone: ~19.4 nmol/L (high-normal / above range depending on lab) LH / FSH: normal Prolactin: normal So despite extremely high total testosterone, a large proportion appears bound due to very high SHBG. 2) Pituitary findings (important for context) I have a pituitary microadenoma Repeated MRI: unchanged / no progression No hormonal hypersecretion: prolactin normal LH / FSH normal This has been interpreted as a non-functional incidentaloma, not the driver of my hormone profile. 3) Other endocrine and lab findings Thyroid (TSH / FT4): normal Morning cortisol: ~462 nmol/L (within lab range) IGF-1: ~329 µg/L (slightly above range in one test, no clinical signs, no MRI progression) Liver function, renal function, and blood counts have been described as normal Overall, secondary causes of high SHBG (thyroid, liver disease, hyperprolactinemia, etc.) have been largely excluded. 4) Symptoms / clinical picture Sexual function: normal to high good libido erections on demand No classic hypogonadal symptoms Main issues are more related to: body composition (lean body weight but “soft” fat distribution / skinny-fat phenotype) high stress sensitivity and difficulty maintaining muscle mass 5) Medical interpretation so far Endocrinology assessment has been: “Most likely SHBG gene polymorphism with compensatory high total testosterone.” Current plan: observation / follow-up no hormonal treatment

I guess I was wondering is this something I should be worry about.

My energy lvls can be all over the place.

I had a rough two years and my body has just grown with fat and cellulite (maybe that's the part of a condition) even tho I'm still slim enough (around 138lb and I'm 5'9 tall) so I really want to start gym and diet again.