Excellent synopsis of available "STUDIES" DOC!
JIM
JIM
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Excellent synopsis of available "STUDIES" DOC!
JIM
Bottom line:
If you have normal TT, and subnormal (1/2 normal) SHBG, you will have twice the FT (4% of TT) of a normal male. Not disputed.
With twice the FT, you will have twice the E2. With twice the FT, you will have twice the rate of excretion. Not disputed.
This, for many men, especially young men, is a problem. The only consistent anomaly in cases of non-response to TRT (mood/libido) is when the body doesn't change expression of SHBG from the low-T to the normal-T state. The main complaint is a low to absent libido that can not be stabilized. Evidenced by countless anecdotes from males in the under 25 age group who fail to respond positively to TRT.
Studies show SHBG to have more responsibility than a simple inhibitor, but rather a both facilitator (SHBG-T entry into cell) and a signaling hormone itself (SHBG-R.) Not disputed.
Studies show SHBG to have indepenat action on glucose metabolism. Not disputed.
Low SHBG is a marker for multiple states of disease. Not disputed.
SHBG lowers when androgen levels are too high, to increase the rate of excretion. Not disputed.
SHBG increases in response to exercise. In healthy males, TT increases proportionality. Not disputed.
It is mind-blowing to hear doctors who would agree that any OTHER component of the endocrine system must be balanced, and point to normal ranges, age-appropriate ranges and "ideal" ranges ....
... and then excuse the primary transport and mediator of free to bound ratio, metabolism and excretion from being important!
SHBG has an average range and an ideal range (in proportion to other hormones) just like cortisol, testosterone, estrogen, prolactin or any other hormone discussed on this board.
We consider any obvious deficiency or excess to be a potential contributor to SD.
"Common sense" is what your sorely lacking, Clown!
For instance the "not disputed" proclamations you listed earlier, which are truly laughable suppositions!
Yet if you had more than TWO communicating neurons, of brain stem origin, my point would seem trifle yet obvious!
Absolute GARBAGE anyone can concoct with TWO functioning neurons. No more no less!
Many of us with low SHBG can't tell the difference between a 100mg shot of testosterone and a shot of plain sterile oil.