Sex Hormone Binding Globulin [SHBG]

Re: Calling out the low SHBG guys

Most men with TT of > 1200 ng/dl will have serious estrogen issues. If E2 is still low with SHBG so low, then you have a larger issue at play and the SHBG that your body produces is CORRECT for your situation due to low aromatization.

Except ironically I don't have any side-effects, libido is sky high, and feel great every day, only one downside is that crossing a certain weight (plateau) becomes difficult, I have a lean/cut up build but have trouble gaining a lot of weight. Not to mistake, I do make gains, I just don't get massively big, and remain very lean/cut up which is very characteristic of low estrogen state.

I am on a high-protein diet (200-220 g per day) and always maintain 2800 + of calories.
 
Re: Calling out the low SHBG guys

Why look what we have here, a learned "research scientist" whom contorts, confabulates and misconstrues KNOWN SCIENCE to support his own views,
LMAO!

[:o)]
 
Re: Calling out the low SHBG guys

Why look what we have here, a learned "research scientist" whom contorts, confabulates and misconstrues KNOWN SCIENCE to support his own views,
LMAO!

[:o)]

...and Who would that be ??
We have warring MD's on here? News to me.
 
Re: Calling out the low SHBG guys

Yes. Please start a thread!

I am disappointed in that list. I do not see anything on that list that makes much sense other that CRP and DHEA-S, both of which I expect to come back either within the high end of the normal range or slightly elevated.

Be sure to ask him what ailments he is trying to uncover.

I received notification today through the post that I have been booked in for an abdominal and pelvic CT scan within the next 3 weeks...

That's a lot of XRAY's... What could they be looking for ? im aware that the CT will show up *all tissue* organs etc..
 
Re: Calling out the low SHBG guys

Hi,

Let me interrupt you, I'm also the one with low SHBG levels and I may have some insights ;)

Based on my latest research (and personal experiments) I 'm starting to draw some initial conclusions, that maybe there is indeed no direct casual link between low SHBG and problems with testosterone and TRP.

However I think that SHGB and TT/FT may correlate (strongly?) due another factors like COMT polymorphism (mutations), adrenal glands, and someway ATP production in mitochondria.

My thesis aren't based on tones of research in scientific facility, but more on analytical thinking and experimentation of the simple guy. I may be wrong but I would like to share my ideas. Maybe this can help or steer someone on the right track.

Some recent research indicates that COMT variations are involved with levels of prolactin and estrogen metabolism.

I will draw the hypothesis that due some type COMT alleles activity and consequent constantly lower levers of dopamine - > higher levels of prolactin are present. Higher prolactin level can cause lower shbg levels and weakened testosterone production / retention. High prolactin will also mess with estrogen and so on...

Above case is hard to be overcome with TRT, because external, additional testosterone will initially raise dopamine, but this increase will be defeated by constant COMT (over)activity. This is just vicious cycle...

There are also a few, another, additional complications, correlations and physiological connections, which I'm currently trying to understand...

Therefore currently I suggest that the main aim for SHBG lovers ;) is to control and keep healthy dopamine levels and the same counts for dopamine / norepinephrine ratio.

Because dopamine levels are dependent on many factors, for example adrenal gland conditions, testosterone and estrogen levels, mitochondrial processes etc. it is hard to find one silver bullet to cure them all ;)

Currently I'm researching on: CoQ10, ALCAR, Omega-3, green tea, acetylocholine and L-theanine which all looks promising.

If new ideas arise I will try to share them again.

Below some research as a start base:
Estrogen Deficient Male Mice Develop Compulsive Behavior

Rachel A. Hill
,
Kerry J. McInnes
,
Emily C.H. Gong
,
Margaret E.E. Jones
,
Evan R. Simpson
,
Wah Chin Boonemail address

Received 17 August 2005; received in revised form 20 January 2006; accepted 22 January 2006. published online 27 March 2006.

Abstract
Full Text
PDF
Images
References

Background

Aromatase converts androgen to estrogen. Thus, the aromatase knockout (ArKO) mouse is estrogen deficient. We investigated the compulsive behaviors of these animals and the protein levels of catechol–O–methyltransferase (COMT) in frontal cortex, hypothalamus and liver.
Methods

Grooming was analyzed during the 20-min period immediately following a water-mist spray. Running wheel activity over two consecutive nights and barbering were analyzed. COMT protein levels were measured by Western analysis.
Results

Six-month old male but not female ArKO mice develop compulsive behaviors such as excessive barbering, grooming and wheel-running. Excessive activities were reversed by 3 weeks of 17?-estradiol replacement. Interestingly, the presentation of compulsive behaviors is accompanied by concomitant decreases (p < .05) in hypothalamic COMT protein levels in male ArKO mice. These values returned to normal upon 17?-estradiol treatment. In contrast, hepatic and frontal cortex COMT levels were not affected by the estrogen status, indicating region- and tissue-specific regulation of COMT levels by estrogen. No differences in COMT levels were detectable between female animals of both genotypes.
Conclusions

This study describes the novel observation of a possible link between estrogen, COMT and development of compulsive behaviors in male animals which may have therapeutic implications in obsessive compulsive disorder (OCD) patients.
Biochem J. 1996 Dec 1;320 ( Pt 2):499-504.
Role of P2-purinergic receptors in rat Leydig cell steroidogenesis.
Foresta C, Rossato M, Nogara A, Gottardello F, Bordon P, Di Virgilio F.
Source

Università di Padova, Italy.
Abstract

The present study investigated the effects of extracellular ATP on the intracellular calcium ion concentration ([Ca2+]i) and testosterone production in isolated adult rat Leydig cells. This nucleotide caused an increase in [Ca2+]i, with a maximal effect at a concentration of 100 microM ATP, comprising a rapid initial spike followed by a long-lasting plateau. The first rapid spike was dependent on the release of Ca2+ from internal stores, since it also occurred in Ca(2+)-free medium and was abolished after depletion of internal stores with thapsigargin. The second, long-lasting, phase was dependent on the influx of Ca2+ from the extracellular medium. After 3 h of incubation, extracellular ATP stimulated testosterone secretion in a dose-dependent manner, with a maximal effect at 100 microM. Activation of steroidogenesis by ATP was fully dependent on the presence of Ca2+ in the external medium. Among different nucleotides, only ATP, adenosine 5'-[gamma-thio]triphosphate, UTP, benzoylbenzoic-ATP and 2-methylthio-ATP were effective in inducing both the rise in [Ca2+]i and testosterone secretion. These effects were blocked by preincubation of Leydig cells with oxidized ATP, an inhibitor of the P2Z-purinergic receptor subtype. These results show that rat Leydig cells possess P2-purinergic receptors whose activation triggers an increase in [Ca2+]i due to the release of Ca2+ from internal stores and Ca2+ influx from the external medium. The stimulatory effect of extracellular ATP on testosterone secretion seems to be coupled to the influx of Ca2+ from the external medium.
Catechol-O-methyl transferase - Wikipedia, the free encyclopedia
"The [COMT] Val158Met polymorphism

A functional single-nucleotide polymorphism (a common normal variant) of the gene for catechol-O-methyltransferase results in a valine to methionine mutation at position 158 (Val158Met) rs4680.[12] The Val variant catabolizes dopamine at up to four times the rate of its methionine counterpart.[13] However, the Met variant is overexpressed in the brain,[14] resulting in a 40% decrease in functional enzyme activity.[15] The lower rates of catabolisis for the Met allele results in higher synaptic dopamine levels following neurotransmitter release, ultimately increasing dopaminergic stimulation of the post-synaptic neuron. Given the preferential role of COMT in prefrontal dopamine degradation, the Val158Met polymorphism is thought to exert its effects on cognition by modulating dopamine signaling in the frontal lobes."
Molecular genetics support Gray’s personality
theory: the interaction of COMT and DRD2
polymorphisms predicts the behavioural
approach system
Martin Reuter1, Anja Schmitz1, Philip Corr2 and Juergen Hennig1
1 Centre of Psychobiology and Behavioral Medicine, Department of Psychology, University of Giessen, Germany
2 Department of Psychology, University of Wales Swansea, Swansea, UK
Abstract
The present study provides the first direct molecular genetics support for Gray’s Reinforcement
Sensitivity Theory (RST), which is one of the most influential biologically oriented personality theories. It
was investigated whether the DRD2 TaqIA and the COMT polymorphisms were related to the dimensions
of Gray’s personality theory, as measured by the Carver and White BIS/BAS scales. In a sample of 295
healthy subjects results revealed significant DRD2rCOMT interactions (i.e. epistasis) for the total BAS
scale (related to positive emotionality) and for the subscales Drive (D) and Fun Seeking (FS). High BAS
scores were observed if the catabolic enzyme activity and the D2 receptor density as indicated by the
two polymorphisms were in disequilibrium, i.e. in the presence of the Valx/A1x (low enzyme activity/
high receptor density) or the Val+/A1+ (high enzyme activity/low receptor density) alleles. In a random
subsample (n=48), it could be demonstrated that those allele combinations of COMT and DRD2
associated with high BAS scores also had significantly lower prolactin levels under resting conditions,
indicating high dopamine activity, compared to those allele combinations with low BAS scores. Furthermore,
two-way interactions of DRD2 TaqIArsmoking status and of the Met allele of COMTrsmoking
status on FS and Metrgender on BIS could be shown.
Received 23 January 2005; Reviewed 3 March 2005; Revised 7 March 2005; Accepted 14 March 2005
 
Re: Calling out the low SHBG guys

Btw:
mol nutr food res. 2013 oct 20. Doi: 10.1002/mnfr.201300304. [epub ahead of print]
oleic acid increases hepatic sex hormone binding globulin production in men.
Sáez-lópez c, soriguer f, hernandez c, rojo-martinez g, rubio-martín e, simó r, selva dm.
Source

diabetes and metabolism research unit, vall d'hebron research institute (vhir), universitat autònoma de barcelona, barcelona, spain; centro de investigación biomédica en red de diabetes y enfermedades metabólicas asociadas (ciberdem), isciii, barcelona, spain.
Abstract
scope:

Low circulating sex hormone-binding globulin (shbg) is an independent risk factor for cardiovascular disease. Mediterranean diet has been associated with a decreased risk of cardiovascular disease. We aimed to test the hypothesis that the increase of circulating mufa associated with olive oil consumption (primary fat source in mediterranean diet) increases shbg serum levels.
Methods and results:

A total of 315 men were included. In these patients, nutrition data and plasma samples for shbg assessment were obtained. In vitro studies to examine the effects of oleic and linoleic acid on shbg production using hepg2 cells were performed. We provided evidence that shbg serum levels were significantly higher in subjects using olive oil for cooking in comparison with subjects using sunflower oil. The shbg levels correlated positively with mufa (p < 0.001) and negatively with saturated fatty acids (p = 0.003). In the multiple regression analysis, mufa were independently associated with shbg levels and accounted for the 20.4% of shbg variance. In vitro studies revealed that oleoyl-coa increases shbg production by downregulating ppar-? levels in hepg2 cells.
Conclusion:

Olive oil consumption is associated with elevated shbg serum levels. Ppar-? downregulation induced by oleoyl-coa is an important underlying mechanism of such regulation.

© 2013 wiley-vch verlag gmbh & co. Kgaa, weinheim.
 
Re: Calling out the low SHBG guys

It makes sense, since the Mediterranean diet is rich in omega 3 and can be considered as an anti-inflammatory diet. I am now on an anti-inflammatory diet and i will test my SHBG after two months to make a comparison with my previous levels so i will report here whether only diet change can make a big difference.
 
Re: Calling out the low SHBG guys

Regarding libido - you not only need testosterone but also right levels of: DHT, estrogen, DHEA and dopamine etc - and probably also specific ratio between those components.

I'm 22 and have low SHBG (12nmol). Ive been on TRT (125mg sustanon per week) for 7 months now.

Pre trt I hadn't experienced *ANY* libido for around 4 years (since I was 18). I was Never horny and almost felt as if I had been castrated. For the first 2 or 3 months on TRT, I regained libido and would experince a tiny amount of what I would call being 'horny' - But this has dropped off as quick as it came and I am back to having little libido and NEVER being horny. It sucks.

For the record being on TRT has drastically improved my cognitive function and mood, but that is all.
 
Re: Calling out the low SHBG guys

What can be done for optimal neurotransmitter functioning , like is there a way that dopamine and serotonine can be deficient or not doing their job properly ?
 
Sex Hormone Binding Globulin And Corticosteroid Binding Globulin As Major Effectors Of Steroid Action

Highlights

• SHBG and CBG are expressed in various organs including liver, adrenals, pituitary, and brain.

• Steroid binding globulins can be incorporated and accumulated by various cell types.

• Fluorescent steroids can be used to monitor cellular internalization.

• Treating cells with SHBG antibody blocks this steroid uptake.

• Steroid binding globulins may have specific membrane receptors.



Caldwell JD, Jirikowski GF. Sex hormone binding globulin and corticosteroid binding globulin as major effectors of steroid action. Steroids. Sex hormone binding globulin and corticosteroid binding globulin as major effectors of steroid action

Contrary to the long-held postulate of steroid-hormone binding globulin action, these protein carriers of steroids are major players in steroid actions in the body. This manuscript will focus on our work with sex hormone binding globulin (SHBG) and corticosteroid binding globulin (CBG) and demonstrate how they are actively involved in the uptake, intracellular transport, and possibly release of steroids from cells. This manuscript will also discuss our own findings that the steroid estradiol is taken up into the cell, as demonstrated by uptake of fluorescence labeled estradiol into Chinese hamster ovary (CHO) cells, and into the cytoplasm where it may have multiple actions that do not seem to involve the cell nucleus. This manuscript will focus mainly on events in two compartments of the cell, the plasma membrane and the cytoplasm.
 
Re: Calling out the low SHBG guys

I received notification today through the post that I have been booked in for an abdominal and pelvic CT scan within the next 3 weeks...

That's a lot of XRAY's... What could they be looking for ? im aware that the CT will show up *all tissue* organs etc..

test = 9.7nmol (8.6-28.8)
shgb = 11 (17-45)
E2 = 256 (0-150)
lh & fsh = 6 (0-9)

(had 7 month TRT trial with initial positive effect, yet after 5 months symptoms returned and dr took me off for a full investigation into a possible 'primary' underlying issue...)

An update on my 'investigation' of above bloods, 22 years old. Ive had my CT scan and await results, I had an 'emergency' ultrasound on my testicles because apparently my full set of bloods came back and showed an elevated 'marker' for problems within the testicles.. they didn't divulge (have to wait for appointment with consultant) Good news testicles normal in ultrasound.

await bone density scan.

receptor sequence test for androgen insensitivity came back inconclusive, this had to be sent specially to Cambridge university at a cost of £3k (apparently) Lab has requested a re-draw of bloods to carry out a second set of tests.

continue to have daily brain fog, zero libido, no sexual desire, soft erections, poor orgasms, bad memory, terrible concentration, achey muscles, no life drive, no enjoyment in activities, don't want to socialize (cut myself away from friends for last 3 years)

Never any laughter, cant experience excitement, not happy, but not miserable or sad, feel 'baseline' or 'blank' .... no personality...

(is this depression?) I dont feel doom and gloom like the worlds going to end...
 
My goodness LXM your describing someone with essentially normal labs (excepting a couple inconclusive hormonal aberrations) and nonspecific signs and symptoms yet whose primary complaint is "brain fog".

I really feel sorry for patients with this complaint because they almost always have significant psychological problems (over/covert, diagnosed or not) which may or may not even be apparent to the patients themselves!


Moreover I've not had one patients in TWENTY YEARS of practice which said evaluation revealed a causation, when the labs AND physical exam are NORMAL or near normal.

Nope in every single case DOCS and patients alike, pursue some unnecessary wild goose chase in search of "answers".

These types of patients often "worry a lot" have a great deal of innate anxiety and seek the advice of the multitudes in search of an organic diagnosis.

More importantly for some patients with "brain fog" their inability to accept an organic causation makes me believe "brain fog" is one of several components noted in what is referred to as a "FACTIOUS DISORDER" in the DSM V.

Please have your doctors investigate the real cause of your "brain fog" incumbering psychosocial issues!

Jim
 
User lxm has TT that is in the bottom 1/20th of the normal lab range, with estradiol that is 170% of the highest normal lab value. Unless lxm is actually a female, these lab results do not suggest that his energy and sexual issues are due to a faulty way of thinking.
 
User LXM has a NORMAL TT level based on the lab test parameters used James, now that's a fact fella! It matters NOT how close it is to be outside that reference range exclusive of specific signs and symptoms that I eluded to in my post.

User LXM has a E-2 of 256 with the upper limit lab range of 256. Now I suppose you could surmise that test result is "abnormal" but then again that is NOT necessarily TRUE.

That's exactly why people like yourself should not be providing advise on medical matters of this nature IMO James.

But do tell what would be your next step in evaluating LXM given the information provided?

(Now PLEASE don't just out but make a stand for once and defend your position until fruition!)
 
This particular forum hinges on the premise that when a male has symptoms of low testosterone and demonstrates blood values of hormones that are towards the bottom of the lab's normal range, or estrogen towards the upper limits of a lab's normal range, the male is a candidate for TRT.

If you are one of the doctors that all men on this board complain about -- a doctor that ignores symptoms and insists that statistical ranges are the bottom line, then you are clearly on the wrong forum and wasting your "valuable" and "educated" professional time.

No one here will agree with you that E2 of 256 (0-150) is irrelevant, nor that a very low in-range TT has nothing to do with sexual dysfunction. Perhaps you are better suited for HealthBoards or a less progressive forum.
 
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Oh James please post my comment where I said an above normal E-2 was irrelevant or that a low range TT had NOTHING to do with sexual dysfunction, especially in a 22 year old CLOWN!

Perhaps you should read my post and LXMs posts three more times!

He has been on TRT without any sustained benefit, duh!

So come on now James provide this fella with some advice which has not already FAILED!!

How about you suggest an SHBG infusion, since it's obvious you don't know what to do for patients with medical complaints but offer bogus remedies based on your limited "experiences" on Meso!

Pathetic
 
His issue could have a number of causes.

My own situation is similar. Estrogen goes wild even with the smallest doses of testosterone due to an impairment of SHBG expression.

Like others with the same conundrum, I can only offer anecdotal advice related to what works and does not work for me and hope that it helps fellow sufferers.
 
Well James that's the problem with "your advice"! The suggestions you make are either not based is science, medical therapeutics, or on the data in front of you.

In LXMs case what is sorely missing is a synopsis of the data collated to date which should include the "WHY" certain studies were performed? What diagnosis were his docs pursuing and based on what data?

Like Androgen Resistance Syndrome: a genetic disorder which with RARE exceptions effects the onset of puberty and or sexual development BEFORE puberty.

My point if you would READ the post with an open mind rather than coming to the conclusion TRT is indicated, is that PSYCHOSOCIAL ISSUES ESPECIALLY ANXIETY/DEPRESSIVE DISORDERS OFTEN present in a manner with effects libido, energy, wakefulness etc, etc AND since TRT did not seem to offer any benefit the possibility a psychiatric ailment is CONTRIBUTARY increases dramatically. Now did I diagnose LXM with A/D disorder NOT!

(Oh incidentally I've seen close to 50 patients with "brain fog" and I'm still waiting for one to jump for joy and say "healed" after a TRT diagnosis and treatment, in spite of a depressed TT level, even if it's below the normal ranges)

WHY, because I DONT HAVE ENOUGH INFORMATION TO DO SO. Instead I offered this advice as a suggestion to DISCUSS WITH HIS DOCTOR!
 
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