Question about Free T and its relation to TRT.
- Thread starter Spunkey71
- Start date
Megatron28
Moderator
Free T is used when evaluating whether or not someone is hypogonadal if their Total Testosterone is considered to be "borderline".
Once someone is on TRT, it doesn't seem to be used much in the monitoring process. I suppose one could say it is too high if it is above the normal range, but I personally haven't noticed any problems when it is above normal. Unless of course you consider high libido a problem.
Once someone is on TRT, it doesn't seem to be used much in the monitoring process. I suppose one could say it is too high if it is above the normal range, but I personally haven't noticed any problems when it is above normal. Unless of course you consider high libido a problem.
Alpin
New member
Free T is used when evaluating whether or not someone is hypogonadal if their Total Testosterone is considered to be "borderline".
Once someone is on TRT, it doesn't seem to be used much in the monitoring process. I suppose one could say it is too high if it is above the normal range, but I personally haven't noticed any problems when it is above normal. Unless of course you consider high libido a problem.
Plenty Doc's won't even look at Free T for diagnosis of hypogonadism. Which is totally wrong.
I was border line low T.T. and my Free T would come back below range. Endos would be first to chime in there 2 cents saying it's not important in diagnosing Low T. Totally wrong. If it's low it's low.....
There's a reason for it being low.
Alpin
New member
To partly answer OP question...
I think Free T is bound to a different protein like Albumin. No doubt it will come back at a higher level on blood work if you are testing it being on TRT. I know this from myself.
Bio Available T is a more accurate diagnosis and is more commonly used by docs.
If SHBG is considered "high" or its elevated slightly it could lower circulating T even if T.T. is decent.
I think Free T is bound to a different protein like Albumin. No doubt it will come back at a higher level on blood work if you are testing it being on TRT. I know this from myself.
Bio Available T is a more accurate diagnosis and is more commonly used by docs.
If SHBG is considered "high" or its elevated slightly it could lower circulating T even if T.T. is decent.
Spunkey71
New member
Thanks everyone!
It is definitely time that I find a new doctor. My TT is at 560 but because my free T is at 18 he is not willing to increase my dosage because he said my free T is high enough and that they (TRT Clinic I go too) are more concerned about Free T than TT. He also said that my Sex Horm Binding Glob is low so this is the best I could expect. My Sex Horm Binding Glob is on the low side of the scale but still within range (17.5 - 16.5-55.9) so I am very confused.
It is definitely time that I find a new doctor. My TT is at 560 but because my free T is at 18 he is not willing to increase my dosage because he said my free T is high enough and that they (TRT Clinic I go too) are more concerned about Free T than TT. He also said that my Sex Horm Binding Glob is low so this is the best I could expect. My Sex Horm Binding Glob is on the low side of the scale but still within range (17.5 - 16.5-55.9) so I am very confused.
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