My blood test results showed Sex Hormone Bind Globulin of 179.7 (High) and Calc Free Testosterone of 2.1 (Low). Is this anything to be concerned about?My Testosterone was 399 (within Range)
Person's Gender: Male
Person's Age: 57
Hello from JA
I am Dr. Thomas, MD, board certified in internal medicine and integrative medicine, so I cover a lot of ground and can help you with your question. I will either give you an answer right away or have questions for you. Either way, use reply until you are ready to rate the answer
Hight SHBG can mean less bioavailable testosterone and other hormones.
IT can be increased from thyroid imbalance, liver disease, and decreased testosterone production as well as being overweight, bad diet and states of inflammation.
Effectively this can mean that your testosterone is lower than you expect.
The first step is to make sure the thyroid and liver are OK, move to ideal weight as indicated, and use an anti-inflammatory nutrient dense diet.
This diet can be found in the book Eat to Live by Dr. Joel Fuhrman.
Let me know if you have further questions.
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What about the Calcium Free Testosterone? Should I follow up with a specialist and what kind of specialist?
It is a better indication that your testosterone is on the low side.What you really need isfree testosteronetotalSHBGbio-available testosterone [a newer test].Then natural treatments first as I have suggested.Replacement only if unavoidable.Type of doc.One trained in hormone therapy and endocrinology.So an endocrinologist.OrA functional medicine MDwww.functionalmedicine.org.
Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc