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       #Post#: 594--------------------------------------------------
       Free Testosterone and SHBG
       By: guest5 Date: June 3, 2019, 12:15 pm
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       Some researchers believe that free testosterone is the only
       testosterone that really counts, since it is the testosterone
       ready and able to actually "work" on your tissues. And there is
       a lot of truth to this. The reason is that about two thirds of
       non-free, or bound testosterone is actually chemically bonded to
       a protein called Sex Hormone-Binding Globulin (SHBG) and about
       1/3 to a protein called albumin.  Therefore, according to one
       school of thought, only a small percentage (about 2 percent) is
       actually free to supercharge our brains, blood, muscles, sex
       lives and all the other things we associate with testosterone.
       Well, kind of.
       It turns out that the testosterone bound to albumin is actually
       only bonded loosely and is readily available to do work on your
       tissues.  In fact, researchers have come up with the following
       formula:
       Bioavailable Testosterone = Albumin-Bonded Testosterone + Free
       Testosterone
       And they point out that it is really bioavailable testosterone
       that is the true free testosterone.  Furthermore, still other
       experts counter that total testosterone is really the better
       number, because it acts as reserve or bank to build from.
       Well, I will leave that debate for the men in white, but, in the
       meantime, it's best to realize that free testosterone is an
       incredibly important number for men to monitor and maintain.
       So what then controls your free testosterone?  It turns out that
       your level of albumin is relatively fixed with minimal
       fluctuation in most men.  However, SHBG can vary widely and lab
       results clearly show that as SHBG goes up, the percentage of
       free testosterone as a percentage of total goes down and, as
       SHBG goes down, the percentage of free testosterone goes up.
       Thus, it is SHBG that has tremendous control over free
       testosterone.
       Normal aging, as many of us know all too painfully, leads to
       substantial drops in androgens such as testosterone and a
       corresponding rise in SHBG.  Think how ugly this is:  decreasing
       testosterone leads to increasing SHBG which leads to decreased
       free testosterone.  And, practically speaking, low free
       testosterone levels will yield low testosterone symptoms just as
       surely as low total testosterone will.
       There are also many other reasons for low and high SHBG,
       including liver dysfunction, estradiol levels, thyroid function
       and much more.  I cover these in my links on Low SHBG and High
       SHBG.
       So how do you know if your free testosterone is low?  It starts
       with a simple test from your doctor.  You sometimes have to ask
       for this, as some doctors just stick with total testosterone.
       Generally, free testosterone is given as a percentage of total
       testosterone, the typically acceptable range according to the
       lab listed as 1.5%-2.5%.
       NOTE:  Men on HRT (Hormone Replacement Therarpy or testosterone
       therapy) will often have an elevated free testosterone
       percentage, because HRT tends to lower SHBG. Also, some men have
       low SHBG even before starting HRT. These men often have great
       difficulty with achieving successful results from testosterone
       therapy for reasons that are not totally understood.
       Let me give you 10 Natural Ways to Lower SHBG and Raise Free
       Testosterone:
       1) Testosterone and Lowering Estradiol.  On this page, I'll show
       some ways to uniquely raise free testosterone levels.  However,
       the most straightforward way to raise free testosterone levels
       is by raising total testosterone levels. In general, as you
       raise total testosterone, free testosterone tends to rise with
       it.  I have already created a page with 40+ Ways to Raise
       Testosterone Naturally.  Again, though, on this page we'll look
       at some ways to raise your percentage of free testosterone (out
       of total testosterone).
       Similarly, if you can lower your estradiol levels, you can
       generally get a boost in total and free testosterone.  Research
       shows that normal aging as well as an increase in adipose -
       that's a nice way of saying fat - tissue leads to ever
       increasing levels of the estrogens. And here's the key:
       increasing estrogen leads to increasing SHBG, which will lower
       your free testosterone as a percentage of your total.  Please
       read the important link on How to Control Estrogen.
       2) Protein-to-Carbohydrate Ratio. The protein/carbohydrate ratio
       has an interesting effect on free testosterone and SHBG. Several
       studies have shown that increasing carbs versus protein boosts
       total testosterone. However, before you start pounding granola
       bars, one study found that increasing the protein/carb ratio not
       only increased total testosterone but also SHBG. [4] This means
       that free testosterone may not have been increased significantly
       because of SHBG's opposing effects. (Increasing the protein to
       carbohydrate ratio also increased cortisol).
       3) DHEA.  Researchers examined untrained young and middle males
       and found that giving them 50 mg of DHEA daily raised their free
       testosterone significantly.  They also noted that normally HIIT
       substantially lowers testosterone, but with the DHEA no such
       decrease in free testosterone at least occurred.  [7] There are
       warnings out there that DHEA can increase estradiol
       disproportionately, but I have seen no actual research evidence
       of this.  The real concern with DHEA is more brain-related. Ray
       Peat, in particular, has noted:
       "One study has found that the only hormone abnormality in a
       group of Alzheimer's patients' brains was an excess of DHEA. In
       cell culture, DHEA can cause changes in glial cells resembling
       those seen in the aging brain. These observations suggest that
       DHEA should be used with caution. Supplements of pregnenolone
       and thyroid seem to be the safest way to optimize DHEA
       production."  In spite of this, DHEA seems to be widely used in
       the alternative and anti-aging communities.  Do your own
       research and talk to your doc is all I can say.
       CAUTION:  Low SHBG men should not lower their SHBG further.
       4) Medications and Alcohol.  If you have high SHBG and low free
       testosterone, one of the first checks you should do is looking
       at any prescriptions that you have:  many medications can effect
       SHBG.  Remember that SHBG is made in the liver and most
       medications effect the liver.  Common drugs that often raise
       SHBG are sedatives, antihypertensives, tranquilizers as well as
       alcohol.
       5) Stinging Nettle. Another way to lower SHBG is through an herb
       called Stinging Nettle.  Stringing Nettle is widely prescribed
       in Europe for BPH ( Benign Prostate Hypertrophy). Several
       studies have documented Stinging Nettle's SHBG-lowering powers
       [2] and, so far, Stinging Nettle has an excellent safety
       profile.  However, its side effect profile is worth mentioning:
       Stinging Nettle also blocks the action of the enzyme that
       converts testosterone to DHT.  Some would argue that this is
       good since DHT is associated with things like hair loss and
       prostate problems.  However, sometimes, in sensitive
       individuals, side effects include erectile dysfunction and a
       decreased amount of semen. Plus, DHT is a critical androgen for
       males and very important to libido and so Stinging Nettle is
       questionable in my opinion because of it. I should point out
       that there are no studies, as far as I know, that actually show
       Stinging Nettle increasing free testosterone:  more research
       needs to be done.
       6) Tongkat Ali (LJ 100).  One study of a specific extract (LJ
       100) of Tongkat Ali found that "SHBG decreased 66%, and the Free
       Testosterone Index escalated 73%." [9][10] I have seen claims
       that LJ100 is the only extract that it standardized for a high
       percentage of eurypeptides, the ingredient responsible for the
       above.  CAUTION:  Tongkat Ali can raise IGF-1 and should be
       monitored in those 40+ in my opinion:  you do not want to be too
       high in this hormone, as it is associated with prostate and
       other cancers.  (Being too low has been identified with
       increased cancer risk.)
       7) Boron. This supplement produced a significant drop in SHBG in
       a recent study, which lead to a 28% increase and 39% drop in
       free testosterone and total estradiol, respectively. [6] This is
       a nice change in the testosterone-to-estradiol and should help a
       guy feel significantly better. See my link on Boron and
       Testosterone for more details.
       8) Insulin Resistance.  Insulin resistance will lower your SHBG
       [1] and, therefore, in the short term probably raise free
       testosterone. So let's all get insulin resistant and live
       happily ever after, right?  Wrong!  Insulin resistance is a
       death warrant.  (Read this link on Metabolic Syndrome for more
       details.)
       9) Sugar and Corn Syrup.  These bad boys can lower SHBG.
       Unfortunately, these can lead to insulin resistance,
       inflammation, advanced glycation end products and many other
       nasty things. How does it do all this? Researchers have
       discovered that sugar will also lower SHBG, because it increases
       fat synthesis in the liver, which in turn shuts off the gene
       involved in SHBG synthesis. Bottom line:  stay away from sugar
       and corn syrup even though in the short term they may raise your
       free testosterone.
       10) Vitamin D.  Vitamin D was found in a 2009 study of about
       2,300 adult males to lower SHBG and increase both free and total
       testosterone. [3]
       11) Magnesium.  Research shows that magnesium can bind to SHBG
       and give a man a little higher bioavailable and free
       testosterone.  I doubt this is a big effect, but it's cheap and
       easy to try.  See my page on Testosterone and Magnesium for more
       details.
  HTML https://www.peaktestosterone.com/Free_Testosterone_SHBG.aspx
       #Post#: 707--------------------------------------------------
       Re: Free Testosterone and SHBG
       By: RAD Date: June 3, 2019, 10:54 pm
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       Good info there as someone whos running my own trt (docs are
       fcukin useless) this is really useful thanks
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