I found a case where a member had “normal” free T, highTotal T and High SHBG. This members lab work never included a direct or ED measured Free T. Instead it only included a “calculated” free T measurement. He was confused why he was experiencing the symptoms he felt… Well I think it safe to say his Free T was not normal and was over estimated. Think about the difference we can make on this subject if we encourage all to stop relying on calculated Free T… there must be many more instances of people who still have no symptom relief thinking their free T is optimal or normal on their protocols only to have lower Free T than they think.
Here is an excerpt below from the thread…
"From my understanding, total T levels are good and so is the % of Free T. What worries me is the high SHBG reading. Wondering if such a high reading is possible due to over training/stresses such as extended sauna use/dehydration etc or there might be a deeper underlying issue.
All the reading I’ve done suggests that high SHBG leads to low free T. What is confusing me is the fact that my Free T result seems to be normal"
For all of you struggling to find balance and symptom relief after some time on a protocol… Please have your Free T measured by Equilibrium Dialysis. Chances are if you have “calculated Free T” values only, you are lower than you think. For an accurate diagnosis of hypogonadism and judgement of how a protocol is going. Directly measured is the gold standard. Pass the word on