UNLOCK BIOAVAILABLE TESTOSTERONE: The SHBG Factor - A Comprehensive Guide!
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- čas přidán 1. 07. 2024
- 🔍 Attention Men!
Feeling drained, lazy, and frustrated? Dr.J is here to guide you through a crucial yet overlooked aspect of testosterone optimization - lowering SHBG (Sex Hormone Binding Globulin). In this in-depth guide, discover why managing SHBG might be more important than just focusing on total testosterone levels. Let's dive in!
⚠️ Intro:
Dr. J highlights the common struggles men face with vitality loss and emphasizes the need for informed decisions in men's health.
🔍 Understanding SHBG:
Breaks down SHBG (Sex Hormone Binding Globulin), a liver-produced protein that binds to testosterone, making it less available for your body to use.
Emphasizes the importance of testing bioavailable and free testosterone levels alongside SHBG for effective clinical decisions.
🎯 SHBG & Testosterone Relationship:
Explains how high SHBG levels can trap testosterone, rendering it useless and leading to symptoms of low testosterone.
Stresses the significance of focusing on bioavailable testosterone for improved sexual function, energy, and overall well-being.
🍽️ Dietary Tweaks for Lower SHBG:
Recommends evidence-based lifestyle changes, including watching carbohydrate intake, intermittent fasting, and maintaining a healthy fat balance.
Advises on avoiding excessive alcohol consumption for SHBG optimization.
🏋️ Lifestyle Changes:
Highlights the impact of adequate sleep and regular exercise on maintaining healthy hormone levels, including SHBG.
Discusses the detrimental effects of chronic stress on hormones and overall health.
🔬 Conditions Affecting SHBG:
Describes conditions that increase or decrease SHBG levels, providing a comprehensive understanding.
Stresses the importance of personalized approaches based on individual needs.
💊 Supplements & Nutraceuticals:
Explores supplements such as Zinc and Boron for their potential to lower SHBG and enhance testosterone effects.
Introduces herbs like Tongkat Ali, Fenugreek, and Nettle Root, focusing on their reputation for influencing SHBG levels.
🚨 Caution & Consultation:
Emphasizes the need to consult with experienced healthcare practitioners before considering supplements.
Encourages personalized approaches for individual needs and diverse responses to supplements.
🌟 Conclusion:
Dr. J motivates men on their journey to optimal health, providing essential data for informed decision-making.
Acknowledges the challenges in regaining vitality but assures men that tools and information are available for proactive self-advocacy.
🔐 Unlock Your Potential:
Don't overlook the role of SHBG in your quest to optimize testosterone and overall health. Lowering SHBG could be the key to unlocking your body's full potential and reclaiming the vitality you deserve. Keep being awesome, gentlemen!
👊 Stay Informed, Stay Proactive! Subscribe for more expert insights from Dr. J. #TestosteroneOptimization #SHBGFactor #Men'sHealthJourney
---
Dr. Jason Marr, BScH, COC, ND
Naturopathic Doctor, Performance & Productivity Coach
Vancouver, BC, Canada
evokelife.co
#testosterone #trt #burnout #performance #productivity #menshealth #shbg #erectiledysfunction #libido #muscle #anxiety #motivation #healthspan #lifespan #longevity #productivitycoach #productivityhabits #productivitytips #productivityhacks #productivity #lowT #testosteronebooster #testosteronereplacementtherapy
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Great video doc!! This is definitely an issue I see in the fitness community everyone worrying about getting big but lowering the use of their T
No doubt! Tell me about your work!?
Thank you, Dr. J. This is gold!🔥💪
It's a pleasure!!
Such a great video, so confident and clearly knowledgeable. Excited to try some of these tips out to lower SHBG and improve libido/ED
Thanks for the high five - glad it's hitting a chord for you!!
Quality content man. Thanks!
Thanks for the shout out!
Great show 👏
Doing my best, thanks!! Let me know if there are topics you'd like to hear about.
Thanks for posting. Great content. I am sure this page will grow a lot once more people are exposed to it
Much appreciated!! Let me know if there are additional topics you'd be interested in hearing about!
Great input
Thank you for watching! What else can I talk about that would be helpful to you on this channel?
Very informative. I stumble on your video looking for SHBG. I'm a subscriber now. Ok one thing that always comes back in most of the videos I watch is" talk to your doctor before doing anything". Fact is when you have no family doctor, in Quebec, they put you on a waiting list and if you have no severe condition it will be anywhere between 3 to 7 years before you get one. And still that dictor might be a 100 kms away from your home. So what do we do? Trials and evaluate the response by the body reactions, simple as that. I auto-evaluate everything I do and watch as many video as I can to educate myself. Thanks a lot. You're on my list now. I'm glad I speak more than one language.
Thanks for joining me!! As a licensed healthcare professional, it's important from my perspective that I encourage people to speak to an *experienced* HCP who knows how to use these tools and monitor you appropriately. In Quebec my understanding is that the options are certainly sparse, but continually looking for the right match has to be the goal. A biased suggestion is to seek out a Naturopathic Doctor. In Quebec there is no regulation for NDs, but the good ones will hold and maintain a license in a regulated jurisdiction (usually ON), so you can differentiate them from the less experienced and poorly trained "naturopaths" in Quebec who have had minimal training.
Hello! What brand of supplements do you recommend? I want to purchase high quality products. Thanks!
Wow thats really interesting. I'm going to order some nettle root, fenugreek and ashwagandha.
You have yourself a new subscriber, thankyou!
Much thanks! What else can I talk about that would be helpful for you?
Your Canadian and that counts for alot. The numbers you use are the same ones l would see when l get blood work done. Keep up the good Doc and thanks 👍p.s. My levels were "NOT DETECTED" So l am just starting therapy, just learning.
Thanks for the note! Ya it's frustrating and annoying that around the world there isn't a standard. Sounds like you're on the right track and that TRT is appropriate for you. Keep advocating for good monitoring.
Longjack has been shown to lower shbg and that is how it gives its effect. Stacking it with fenugreek is really a beautiful combo. Fenugreek can control increases in DHT, which I found can give a nice effect on mood.
Doc - thank you for this awesome content! Med free but total is low -278, Bioavail is 111 and free at 41.9. SHGB is 46 and Albumin 4.6. I train something almost every day and feel pretty good but just wondering what to interpret from my levels. Would love your opinion. 58 and been training for damn near 45 years, DL’s, KB’s Rucking, etc. thanks!
Units matter man, can you repost w units to be sure what we're looking at? I don't want to make assumptions and it's good for people around the world to see.
I know you mention that zinc may lower SHBG but wouldn't preventing conversion of testosterone to DHT be undesirable for some if they are looking to increase libido? I don't have male pattern baldness and my prostate is fine. I'd be curious to know your thoughts on this. Really enjoy your content thanks!
Hi Doc, appreciate your work. I was given a month-long course of antibiotics which, in my opinion, wrecked havoc on my body. It also kick-started an autoimmune disease that I have finally managed to take control of. Since then, I've been monitoring my bloods. I was wondering if you could give insight to how high prolactin & progesterone levels could affect overall vitality?
Most relevant: Elevated prolactin will shut down testicular production of testosterone.
Hi Doc, I hope your channel gets bigger, great info overall. Fellow 🇨🇦 I wanted to ask you. I’ve been on TRT (175mg/ week) for close to 2 years, but feeling awful lately. Bloodwork came back recently and Free t is sitting at 390 pmol/L(bottom of range), SHBG is at 59 nmol/L (top of range) and Estradiol was 107 pmol/L. Albumin and the rest of my blood markers look good though. I recently lowered my dose of test cyp to 140mg/ week to avoid having to use an AI to mange my estrogen. But I’m not sure this was the right decision, after learning that testosterone would in fact help Lower my SHBG.. what do you think?
The morning wood on Boron is no joke. Essential minerals has been a game changer.🎉
So useful video! Thank you doctor! What is the usual dosage of stinging nettle root extract?
#1: Consult an experienced and licensed practitioner before using herbs. Just because it's "natural" it does not mean it is always safe for you. #2: Definitely make sure it's root extract. #3: Ensure it's standardized in some manner, so you can be sure that what's on the label is in the product. #4: Good human clinical studies on nettle root are few. #5: 120mg is a common starting point, but I also increase this alongside other herbs and nutraceuticals.
Thank you for a detailed reply!@@drjmarr
Thanks for the Great video. My total testosterone is 640. SHBG 56,free 57,bioavailable 101. Would I benefit from Stinging nettle root and Fenugreek. Any other suggestions?
Hello,
What are your thoughts about donating blood to lower SHBG? I understand high iron could associated with this as well and this avenue may lower SHGB.
Thanks!
This is an awesome and fun question! So, yes, some studies show an (though barely statistically significant) association with ferritin (iron stores) and SHBG. This is likely due to ferritin being an acute phase reactant, increasing in the presence of inflammation: contributing to SHBG increases. So this what I call an "upstream" issue: if your ferritin levels are high due to hereditary hemachromatosis, then regular blood donations probably wouldn't be a bad option because you're managing an issue with a root cause we can't control well. But if we know WHY ferritin levels are high, we should be digging to find the cause of that, and addressing the issue upstream. So the question is: why is ferritin elevated?
Great content. I would adwise you to film more of you - youre upper body, so you also use your body language 💪But great channel youve got there.
Thanks for the tip!
My numbers are all messed up:
Aug 2022:
Free Testosterone 57pg/ml
Total Testosterone 487ng/dl
SHBG 75.2nmol/L
April 2023
Free Testosterone 65pg/ml
Total Testosterone 656ng/dl
SHBG 91 nmol/L off the scale
I just turned 51 . Pretty much lost all hair on legs, facial hair thinning and not much hair left in armpits. I really don’t notice loss of hair on my head.
Energy, Ambition and Motivation is low along with low mood. I don’t want to do TRT after things read and heard. I would like to try and go the natural route.
I really need help as to where I should start to remedy these issues.
Thank You For Any Advice in advance.
Hey do you have a video for steroids for people that have had a severe physical trauma, for example my core muscle ripped and i wasnt walking for years, im still experiencing lots of pain and i read a study that your hormone levels change with a severe injury, im 28 years old and i am curious if TRT or an anabolic steroid at low dose could help? But im very hesitant because of everything you are talking about, there are a lot of risks if this isnt done properly
I don't have a video for that. But yes, that's a thing (injuries can be associated with hormonal issues). A good physical assessment for your injury is the first thing to get done - if it hasn't healed appropriately or inflammation hasn't cleared, that needs to be dealt with. Look into other options for speeding recovery like Cold Laser, while getting your bloodwork assessed.
I enjoyed your video. I had a test and my shbg is 58. Is it realistic to lower that to the mid 40 range through life style?
Depending on your diet and lifestyle, there is likely opportunity for some improvement. Is it impairing your Tf or BAT levels?
Why no mention of Proviron and dosing?
Because it's an anabolic steroid and not something I'd recommend to the overwhelming majority of men, certainly not as a first line therapy.
what would be a good starting point to dose nettle root at? thnx
prolactin lowering is huge as a man and feeling great. Schizandra p5p Ashwaganda macuna puriens.
as a man I try to lower Prolactin, Cortisol, bad estrogens.
I try to raise Testosterone, DHT, Good estrogens, oxytocin
Ran Schziandra but kept giving me acne. Ash is great but can cause depression after awhile due to cortisol lowering effect. Haven't tried Mucuna is that good?
Have you heard about the effects on testosterone with Shilajit?
Hi, I have the following situation:
Total testosterone: 38.4 H (nmol/L) - (reference interval 8.64 - 29)
SHBG: 83 H (nmol/L) - (reference interval 18.3 - 54.1)
Free Testosterone, concentration: 0.468 (nmol/L) - (reference interval 0.091 - 0.579)
Free Testosterone, share: 1.22 L (%) - (reference interval 1.59 - 2.95)
Bioavailable Testosterone: 31.8 L (%) - (reference interval 37.3 - 69.1)
I shown the results to endocrinologist in my hometown, he said that everything is good, that I should do nothing about that (but he left this feeling that he didn't know much about sex hormones). He just said "free t. is lower because of high SHBG. I can give you testosterone therapy" (but I don't feel like I need one, yet). On the other side, it is hard to find endocrinologist in Croatia specialized in sex hormones (even if you find you wait for 5-6 months).
Don't have any erectile problems, but my libido is a way lover (I'm a 32 y.o., having good diet and working out regularly, didn't suffer from any serious disease).
I wouldn't like to play a doctor, but do you have any suggestion what should be the next steps for me to do.
Thanks.
Processes that are related to increasing your SHBG are likely contributing your symptoms as much as your suboptimal f:t ratio - that's the question you should be focusing on. 83nmol/L is quite high for your age, need to find out why. Unfortunately most doctors don't have that inquisitive drive - why is this process going on??
Hi@@drjmarr thanks your replay. Really appreciated. Do you have any suggestion what next exams / blood tests I should be doing?
I am a 42 years old man, working out 4 times a week, eating healthy, hypothyroidism treated with t3 and t4, 590 ng/dl average testosterone levels, 25 pg/ml estradiol average levels. Also liver, lipid, Iron and glycemic profiles in range. The shbg levels have been in 60 nmol/l average for the past 5 years that I started blood testing due to no libido and ed. I have tried with trusted brands of boron and tongkat Ali with no success. Can a microprolactinoma treated with cabergoline be the root cause of high shbg levels? Thanks in advance
I am not familiar enough with cabergoline to say with certainty; however, prolactin inhibits LH, which would likely lead to lower T levels. Cabergoline is a dopamine agonist, theoretically it should mitigate that effect.
what about increasing SHBG?while on AAS?
I had my tests done in 2014. The doc said my body runs on overdrive.
What he meant was everything was high.
High Total Testosterone
High DHT
High SHBG
Bio available testosterone in 2014 = 0.3% !
Doc advised HIIT , saunas, cold plunges , diatery changes.
I tested recently in 2024.
Everything still high but Bio available now at 1.13%
Still bit to go reach 3%.
I started boron. I can feel it works but well measure in August again...
On the right track! The focus has to be lowering SHBG!
Everywhere else says high carbs and NOT Intermittent fasting is how you lower SHBG. Now I'm confused 😕
Long term Zinc intake will lower Copper or even cause a deficiency . A low Copper situation will lead to Iron overload or Disregulation, Anemia and stop the manufacture of Collagen, ATP and other various health issues , high iron will then raise SHBG and cause low Testosterone symptoms. Long term zinc leads to low libido, weakness, fatigue and effect sexual function long term...be advised that a balanced mineral formula which contains bith zinc and Copper is best . Zinc and minerals should not be taken daily, off and on gives best effect ...
This is why if prescribing oral zinc supplementation, most HCPs will ensure copper status and or include 1mg for every 15-30mg of zinc.
@@drjmarr yes , I think every zinc supplement should contain Copper
how do you know if you are sleeping enough?
i dont use alarms but sometimes i think i dont sleep enough
Oooh great question. I'm a fan of using devices like Oura ring and Whoop band to track HRV and sleep staging. Looking for at least 1.5hrs of REM sleep and at least 1hr of deep sleep is a general sleep target.
Bind it for Long enough to heal your body. Its not meant to be unbound all the time...A season for everything.
Not sure what you're trying to say here??
bingo - chronic low SHBG is terrible for you and causes many metabolic issues.
Do you have a reference study that shows the correlation between low carb and lowering SHBG? Every published study that I have reviewed indicates the opposite and just want to make sure I'm not missing something.
Most studies I've seen show no statistical significance. (Eg. C Longcope et al. J Clin Endocrinol Metab. 2000 Jan.) And I'll also point out that a carb is not a carb is not a carb. Quality matters. So I'm realizing when some of you are saying low-carb, we may not always be talking about the same kind of diet. Also see my comments above on low carb often being calorie-deficient. Here's an old, small n study associating high carb with high shbg: K E Anderson et al. Life Sci. 1987.
@@drjmarr Got it - thank you for the quick reply!
@questlive2338 so what's your conclusion please? To lower SHBG eat more carbs, right?
@@contrarian717 Most of the recent puiblished studies available have shown higher glycemic load equaled lower circulating SHBG. Basically as insulin goes up SHBG goes down. Most of the findings suggest more studies need to be conducted to verify though. Personally I would suggest to follow a well balanced whole food diet with about 40% of calories from carbs.
Now, what is an objective low level of SHBG?
My total is 800 but my Free is 8 how can I get my free test up ?
I've been saying this for a while that tribulus is really noticeable for me great for libido and drive
I love Tribulus! Over the years it's become harder to maintain a consistent quality source and it's becoming quite expensive due to it becoming more sparsely available (at high quality).
NAC (N-Acetyl Cysteine) can help decrease shbg?
As an antioxidant and substrate leading to glutathione production and improved liver function or at least protection, NAC might be expected to have favourable (lowering) effect on SHBG. But you need to start figuring out why SHBG is high instead of just reactively lowering it, IMO.
Hi Doctor thank you for the detailed video. Hope you can help. Working out twice a week , eating healthy, ok sleep pattern but I have low energy , bit moody , sex once or twice a week only
slow weight loss , slow recovery. I want higher testosterone but don't want to do TRT. Was thinking of taking enclomiphene citrate or HCG? Please advise
Recent blood test:
Male
1.75m
83kg (still some fat around the waist)
19% body fat
33 years old
2.9 U/I FSH
3.2 U/I LH
Prolactin 169 miU/I
Testosterone 10.80nmol/l
SHBG 29.60 nmol/I
Free test 0.217 nmol/I
Oestradiol 45.9 pmol/I
Albumin 46.8 g/I
Bioavailable Testosterone 5.54 nmol/l
I have been taking fenugreek 400mg(20:1 ratio) Equal to 8000mg powder form x2 per day. Only increased lubido and i feel maybe increased prostate size as started noticing not fully releasing urine.
Get your prostate examined, and probably worth testing DHT. Make sure someone trained licensed and experienced is working with you on this.
@@drjmarrDear Dr, thank you for your reply. You are right I have symptoms of either high or low DHT because I was examined with Benign prostatic hyperplasia slight enlarged prostate year or 2 ago and started losing beard hair (spots with no hair and turn grey hair) which looks like alopecia. I also suffered with completely emptying my bladder which is probably due to the prostate. I think this all happened during COVID19 time. Thank you
@@WatchWithMeCZcams thanks for sharing!
Do you ever run someone’s total testosterone higher than 1100 just so their free T can be above 12 (this being if their SHBG is elevated) and second did you ever lower someone’s dose due to having a high free T 21< even though their total was below 1100.I know some places like to “run” free T 25 to 30 range for men. Again this is considered Supra-physiological so curious of your take on it. Sorry for the questions
No. The problem isn't low testosteorne. It's high SHBG. Further firing up T production likely leads to negative consequences and just ignores the problem (high SHBG) and the mechanisms that led to that elevation. Find the root causes and address them.
@@drjmarr
Thank you for getting back to me. And that makes sense.
I am still trying to find a video to tell me what is considered a good bioavailable testosterone level. I have my lab results, and it shows my level to be 332 with the usual range being 50-190. What does that mean? Is 332 too high (bad) or super healthy?
czcams.com/video/KD-h4Cr0PlA/video.htmlsi=9HEeC2WP8KOg3x4c
Proviron ( mesterolone ) is very effective in the treatment of low Testosterone and is legal and available here in the UK . 28 tablets of 25mg is around £ 25
Really tough for me to get behind anabolic steroids as a reasonable option for the large majority of men. Just because something is legal that doesn't mean it's safe.
Increasing dht levels may help to decrease shbg?
Well SHBG binds DHT too... There aren't a lot of studies that look at this yet though. If SHBG is "used up" binding DHT, theoretically, initially, there may be more testosterone left unbound. But, it would depend on the context. If SHBG levels are high due to another underlying issue or mechanism, the body like counters by simply driving SHBG up. Increasing DHT purposefully in men is a bad idea in my opinion anyways.
Hello, I make some research on Internet. I didn't find anything about the relation between boron and breast cancer.
A simple google search will elucidate concern for boron as a potential estrogen agonist - It's the reason why companies in Canada that include boron in bone/osteoporosis formulae require a warning about estrogen sensitive cancers.
It's a risk for People sensitive to estrogen. It's not a general risk if you don't take a high dose
@@WillyGabriel-rg9sm you're generalizing. Boron isn't good or bad. The point is that it CAN potentially dangerous in the wrong person.
My shbg is dangerously low. I am on 200mg of trt and all my clinic tells me to do is do cardio and lower body fat. But my body fat is low already.
Lowering carbs will RAISE SHBG levels. Look at keto/carnivore adherents and check their SHBG. Fasting will also RAISE SHBG, not lower it, as SHBG responds to changes in insulin. I would question everything proposed in this video
It's the caloric deficit that is the strongest factor to raising SHBG in carb reduction - this is why keto and carnivore diets in the short term, will have positive benefit to free T. This is also why, if done improperly (not achieving caloric adequacy), IF can raise SHBG too. You're not wrong, you just have to consider the context of the individual.
That’s why most people on fasting or carnivore complains about low libido 😂😂😂😂
@swoops41 You're absolutely right! 👍🏻
Zinc is useful for men but must be balanced with Copper, or better taken in a balanced mineral formula...
Fasting raises human growth hormone
Do we really want to lower Shbg or reduce the binding? Shbg is necessary to reserve test availability. Nettle root and boron with ZMA are cheap and great at this. I'm 63 and can absolutely experience the difference when I stay off it to long. Yes, cycle it so they remain effective. Basically, when the month bottle is empty, take a couple weeks off the hit it again.
To maximize bioavailable T, absolutely you want to keep SHBG at reasonable levels. I've talked about my dislike for boron in other videos on this channel, but I do like nettle root (it has to be the root) for lowering SHBG.
Al subir mucho la testosterona libre con la ortiga, eso no causaría una supresión del eje hormonal? Lo mismo que le sucede a los culturistas cuando tienen mucha testosterona se cierra su eje,,, que opinas tu?
@@drjmarrla raiz de ortiga al subir mucho la testosterona libre, no te cierra el eje hormonal? Osea el cerebro al detectar que hay mucha testosterona no detiene el eje?
Would stinging nettle root “extract” be okay?
Yes. "Standardized extracts" are ideal because you're more likely to be getting the same quality product every time.
Hi doc Tyson Smith here not my wife Sarah lol.
Thanks if you respond!!!
Please help with an extremely desperate question.
I am desperate for answers to massive strenghth and muscle mass loss over only a month in a half time.
I can literally barley do my job anymore. If I man up to get something challenging or heavy moved and done I get light headed weird sorta racing heart chest like feeling and worst... this really fatigued heavy like feeling in my shoulders & arms & biceps feel extremely heavy then I get very tired and gased out like I need to lay down & sleep.
Albumin: 4.6
SHBG: 38
Testosterone Free: 51.0
Bio Available: 108
Total Testosterone: 440
Thoughts?
While I can't give medical advice without you being a patient, if you can re-post with units I'll try to point you in the right direction!
@@drjmarr I fully understand that. Yes, certainly I will post units. Thank you for your help and time!!!
Albamin: 4.6 g/dL
SHBG: 38 nmol/L
Testosterone Free: 51.5 pg/mL
Testosterone Bioavaliable: 108.1 ng/dL
Testosterone, Total, LC/MS/MS:
440 ng/dL
I had my blood test taken total testerterone an bio available testererone
19.5 nmol/l range 8.9- 28.8
Bio available test was 9.0 nmol/l range is 3.9 -11.2
I take zinc, magnesium an vitamin d3 .. omega 3
An I use to cycle boron for 2-3 weeks then get off it ab repeat
I also had Ashwagandha I use to do
I have test supplement with Ashwagandha an tongkat ali but turned off from longjack
How old are you sir?
@@drjmarr 44 years old now.. but look feel much younger
@@justineandserenalove to hear it!
@@drjmarr is that good result? Atleast bio available is..
🤔 *I was searching for something that could increase my Free T, I was running around 70 pg/mL* I took Tongkat for a year then tested I hit 122 pg/mL, possibly a fluke. I felt very strong I was closing coc #2 17-20 times but attitude went bad also felt heart palpitations by month 2-3. I don't know if this was caused by RBC's increased.
What time of day were your T levels tested? And, what was your SHBG?
@@drjmarr I always test when I first wake up, I did not test my SHBG. But over the years these were my results. Blood Testosterone tests I would test 12pm.
Age 17 225-230lbs 6'3 18% bf 1993 "Doctor put me on Cyproheptadine" which helped weight gain. Was 130'slbs prior 3-4 years prior.
212 Total Testosterone 2006 age 30 Prompted by doctor to try TRT gel. All lifts were still good and did not reflect low T. Grip strength in 200's lbs.
183 Total Testosterone 2006 TRT Gel prescribed for 2 months my levels went down. Got off Gel and focused on diet and training. Roughly 235-240lbs 18% bf.
=========WASHOUT========= 9 years
122 pg/ml 2015, "TRT GEL 2 months" Did not like the feeling at all boosted anxiety also palpitations.
7519 ng/dL Total Testosterone must have had error by ZRT Labs.
=========WASHOUT========= 5 years
493 ng/dL Total Testosterone 1/2020
75 pg/ml 5/2020 "TRT Gel low dose 13 days"
69 pg/ml 12/2020, "DHEA" too many days spaced apart once every week.
66 pg/ml 2/12/2020, TRT Gel 2 weeks variable doses 5mg per day up to 15mg per day
66 pg/ml 2/19/2020, "TRT Gel 3rd week"
Off all TRT gel and washed out, did not like
=========WASHOUT========10+ months
40 pg/ml 1/2021 "felt very off", no supps Also different testing facility. Maybe error.
84 pg/ml 7/12/2021 10mg DHEA 4x per week, 20mg DHEA put levels at 16.8 ng/ml. "On TRT it put my DHEA levels at in 1.8 ng/ml." within 13 days.
=========WASHOUT========= 1 month
Only TONGKAT Ali for 7-8 months weekdays on weekends off.
79 pg/ml 12/02/2022 "Tongkat 7 months but off 10 days for test". 7 months I felt really good on Tongkat better than TRT Gel. DHEA level 2.59 pg/ml
122 pg/ml 12/21/2022 "Tongkat 400mg for 9 days and within 12 hrs of consumption then tested". 6'3 1/4 240lbs 18.1%bf
i took boron after a low free t test. A month later and no change at all on my free t.
As much as am not much of a fan of boron in this kind of situation, I will also say that one month is not enough time between T evaluations - give it 3mos at least, when using nutraceuticals.
Boron wont make a change. D aspartic acid , dhea 25 to 100mg a day and DIM will get you there
First you deal with aromatization into estrogen, once you battle that you then have to worry about shbg. Sucks
if you cycle boron its pretty safe the increase in estrogen comes from using it too long
So if that's the case, you're not boron deficient, you're using it as a drug.
I tried fenugreek, and after an hour, I got so queasy and was throwing up. I currently take ashwagandha with no issues. Any suggestions?
Did you take them with food?
@@drjmarr yes
Ashwhaganda is awful awful for the liver. I had 32 enzymes in June of 2023. Took Ashwaghanda all summer into Sept. Oct had a test. 82 enzymes. Dont do it. It damages liver. All day
Try a different fenugreek and take it after food. Dont take a lot. One pill will do
@@scottp6761 Ashwagandha is one of the safest herbs in the repertory. But, like any medicine, if you use it inappropriately or get shitty quality (this especially happens in the US where regulation on nutraceuticals is near non-existent), it can do harm in the wrong context. This is why you don't take shit without talking to someone who knows what they're doing.
Hello and thanks for the video.
I took blood sample to check my t-levels and here are the results:
Total T: 32 nmol/l
SHBG: 89,9 nmol/l
Free T: 3,2 nmol/l
Both my total test and SHBG are over the normal limit.
Free T is low, but not under the limit.
Should I visit endocrinologist?
I’ve lost my libido and feel like shit .
How old are you? Those SHBG levels are definitely not ideal. Yes I'd suggest you find a practitioner to investigate and discuss options!
@@drjmarr hello, and thanks for answer!!
I am 37 years old, workout 4 times a week and weigh 90 kg.
@@steinarmathisen3015 suerte amigo has encontrado ayuda para tu problema
is there anyway to fix hypogonadism in twenties
high total T
low free T
high SHBG
high Prolactin
high estrogen
TRT therapy w estrogen blocker and HCG injections
D aspartic acid as well.
so this would enlarge features like bone structure (skull, shoulders,) and also what about penile development? @@scottp6761
Depends on the underlying mechanisms. There's a lot to unravel with this one. Are you working with a doctor you're getting answers from?
Winstrol crushes shbg!
Sure, if you wanna use anabolic steroids to fuck up your cardiovascular disease risk.
@@drjmarr my kind of doc getting straight to the point
It also shrinks your balls and stops natural test production
Sex was seasonal for the Paleolithic just as it is for a lot of mammals fruit and carbs were seasonal...
I don't get what you're trying to say here.
no carbs and fasting can lead to increased shgb among people who are on the lower body mass.
Yeah that's called starvation, and cachexia.
what about proviron?
One of the ways mesterolone works to provide short term, weak androgenic effects is to competitively bind SHBG so that more testosterone is left free/bioavailable. But this is an example of bad medicine in my opinion - instead of asking the question “why is SHBG elevated”, you’re treating the symptoms, not the reasons symptoms are there. In this case, mesterolone won’t decrease SHBG - it will lower the impact of SHBG on testosterone, and then the body typically compensates by producing more SHBG. It’s also an illicit substance.
Intermittent fasting raise shbg and keto what are you talking about????
I'm not sure. What are YOU talking about?
@giannisgiannaros489 You are absolutely right 👍🏻 taking high carbs lowers SHBG and not the other way around, he indeed has no idea what he is talking about! 🤦🏻♂️
@@daviddavid1057 thanks brother!!
@@daviddavid1057 either of you guys want to respond to my explanation above, or do you guys just like to pretend like you actually know what you're talking about?
@@drjmarr That's the difference, we know what we are talking about but apparently you don't, but it's okay, you can always continue learning even if you are already a Doctor! Have a nice day Doc! 😉👍🏻
What are you even talking about doctor ?
I'm talking about beer pong. What are you talking about?
@drjmarr I'm just joking doc I'm helping you with the algorithm 🤣.
I'm enjoying your channel keep up the good work
@@paulwhiting8089 Hahaha I love it.
If this dude is a real doctor he's gotta be one of the worst ones
🧙🪄
With the Advent of agriculture you see a population boom meaning more readily available carbs... Meaning more readily available TESTOSTERONE for men of the past...
??? Can you elaborate?
Do your homework better next time Doc, because this is not good at all!👎🏻
I'm sorry my 15 years of experience doesn't meet your confirmation bias. Did you want to actually discuss my explanation above, or just act like a 19 year old gym bro?
@@drjmarr It may take you another 15 years to get where i am now in endocrinology!!! So talk less and learn more about endocrinology i would say, you really need that Doc!!! 😉
@@daviddavid1057 let's actually have a discussion then, because I explained in an earlier comment that carb reduction without caloric adequacy is the issue here. Can you comment on this, and let's actually do something useful? Or, you can keep hammering this comment thread.
How many carbs a day to lower SHBG mine is very high and been on Keto?
@@johnnick2512 Of course it will be high if you are on keto, and it will stay high if you stay on keto, as for carbs between 120-150 grams per day is optimal and your SHBG will gradually drop with time! Good luck 👍🏻