High SHBG - Should I Worry?

Last night there was a rerun of an Australian documentary about TRT, the Aesthetics crowd, and steroid vacations. If you’re Down Under (or use a suitable VPN) you can catch it on iView until 28th March.

The presenter, Sabour Bradley, went along to see an anti-aging doctor who is ten minutes walk from my flat. Despite having a TT of 16.7 nmol/L (480 ng/dL), the doctor was willing to prescribe Androgel and various peptides.

So TRT is available privately. Whether I want to go down that route is a different question.

My three readings to date are:

19th August

T: 18.5 nmol/L (= 534 ng/dL) (9.7 - 27.8)
SHBG: 67 nmol/L HIGH (17 - 56)
Free T (calculated): 231 pmol/L (= 6.7 ng/dL) (170 - 670)

7th December

T: 12.8 nmol/L (= 368 ng/dL) (9.9 - 27.8)
SHBG: 37 nmol/L (17 - 56)
Free T (calculated): 243 pmol/L (= 7.0 ng/dL) (170 - 670)

10th December

T: 16.1 nmol/L (= 464 ng/dL) (9.9 - 27.8)
SHBG: 35 nmol/L (17 - 56)
Free T (calculated): 339 pmol/L (= 9.8 ng/dL) (170 - 670)

As I mentioned elsewhere, calculated free T below around 6.5 ng/dL / 225 pmol/L is indicative of hypogonadism. Two of my drawers are at that level. So there is an argument for pursuing it. I’m just not sure how I feel about embarking on a life-long course of medication.

It looks like I’m going to finish a freelance gig this week, so the plan is to get more bloodwork done next week, and then figure things out from there.