Do these levels seem low?
I’m 37 years old
Yes.And the Zinc test won’t tell you much. You need to try a “Liquid Zinc Assay” test Google it) To know if your zinc levels are okay. That is gonna look woo-woo, but there’s an actual study demonstrating that it is actually more accurate than blood tests.
Yes, they do.
Your levels are not low, they are dreadfully low. These are disease state levels, there’s no doubt about it. By US measurements your TT is 250 ng/dL.
The locally weighted regression showed that total testosterone levels of 440 and 480 ng/dL were associated with increased Framingham CVD risk and an increased probability of increased hsCRP, respectively.
What could be the possible cause for this?
The doctors and endos are not very good in canada with this subject.
It usually doesn’t really matter the cause to be honest… the treatment is the same either way. TRT.
Rather than starting trt I would like to see how it could be possibly fixed.
Outside of a known trauma (car accident, horse kicking you) the cause usually remains unknown. Probably unknowable right now no matter where you are.
What type of protocol with my low SHBG?
My point is the cause is very rarely ever determined, and even when it is, there usually isn’t a way to “fix it” in the way you mean.
Perhaps someone else will have other advice
The usual recommendation for low SHBG is frequent injections, daily if possible
What about androgel or natesto
Last resort, only if there are no other options.
Androgel usually isn’t strong enough. HOWEVER, there are testosterone creams now that are much stronger, but you have to get them made at a compounding pharmacy. I don’t know how this works or if it’s even an option outside the US
What is your lifestyle, weight, bodyfat, diet, activity level?
The free and bioavailable on my tests seem to be mid range is that not ok?
I try to exercise 2 times a week.
I’m 5ft 9 153lbs I dont know my body fat I’m not overweight very very small belly.
T is at the low end of the normal range in that one. Usually people don’t feel very awesome there.
What does free T look like?