Shbg A Modulator To Be Modulated
The ZRT Blog is an extensive resource for patients and health care providers searching for health and hormone testing information. Here, you can read about ZRTs cutting edge research, advances in testing, wellness advice, and health industry highlights. Posted by Dr. Allison Smith on Tuesday, 21 July 2015 SHBG, or Sex Hormone Binding Globulin, controls testosterone effect in both men and women by modulating changes in sex steroid levels. When SHBG goes up, free testosterone goes down. I like to think of SHBG as a sponge that soaks up androgens and to some degree estrogens as well. Since it binds so specifically and tightly to testosterone, it makes up part of the equation that equals androgen excess or androgen deficiency. Knowing how to manipulate SHBG can be a useful tool in a number of scenarios. Role: Bind to and carry testosterone (and less strongly E2 and DHT) through the blood stream to target tissues and to the liver for modification and removal from the body. This bond is very strong. The bound testosterone is not easily removed from the SHBG and is therefore considered inactive. Production Sites: Liver mostly, testes, brain Production Signals: Estradiol, triiodothyronine (T3) Aliases: ABP (androgen binding protein), SSBG (sex steroid binding globulin), TEBG (testosterone binding beta globulin), GBG (gonadal steroid binding globulin) Action: Controls clearance and bioavailability of testosterone Some drugs such as Spironolactone alter binding of androgens to the receptor sites on SHBG, therefore leading to increased clearance of testosterone and to the rise of estrogen and SHBG. Other medications can cause a sustained increase in prolactin levels that suppress testosterone and raise SHBG. Safe to say, most if not all oral drugs have some effect on the liver an Continue reading >>
What Is The Mechanism That Metformin Would Reduce Free Test Levels?
AnabolicMinds.com > Forum > Anti-Aging Discussion > Anabolics > IGF-1/GH > What is the mechanism that Metformin would reduce free test levels? What is the mechanism that Metformin would reduce free test levels? What is the mechanism that Metformin would reduce free test levels? Wonedering if someone could give me some insigt into how metformin xr 500 mg daily would affect my free test levels? I have read that metformin lowers free test levels or could potentially. I take HGH 1.5 IU per day before bedtime with the metformin (which I take at dinner). Also does anyone have any experience with metformin xr and facial water retention? Ever since I have started taking it I have actually managed to finally lose some weight which is nice and my appetite is down but my face has swelled up big time. Good question. I have wondered why metformin would lower test levels as well? I don't know, but if i'm not mistaken (which I very well could be) all of those studies were done on obese men, so I don't know if it would have the same result (lowered test) if metformin were used on healthy individuals. I know stupid pondering, but I would also like to know the mechanism to which glucophage lowers testosterone levels. From everything I've read it looks as though it does so through it's "significant" increase in SHBG. This is because of it's ability to lower the amont of insulin in the blood and insulin is known to decrease SHBG. But you're right these studies were done in obese individuals and not healthy people so it's tough. Metformin increases insulin sensitivity which would result in a smaller insulin spike/secretion. SHBG levels are inversely related to insulin levels so when you spike insulin levels you decrease SHBG secretion and increase Free testosterone amount and visa versa. Y Continue reading >>
Steps I Am Taking To Raise My Shbg.
3. tamoxifen 5mg 3X per week (also for other reasons) 5. Berberine (recently ordered this, will take 500mg 2X daily) The goal is to raise my SHBG from 14-15 range to 20-30 range. The hope is that by doing this I can tolerate testosterone injections much better. 3. tamoxifen 5mg 3X per week (also for other reasons) 5. Berberine (recently ordered this, will take 500mg 2X daily) The goal is to raise my SHBG from 14-15 range to 20-30 range. The hope is that by doing this I can tolerate testosterone injections much better. I take 2x850mg of Metformin per day (in the morning and before dinner) Curious about Berberine - allegedly some negative sides with Metformin from an anabolic receptor perspective (possibly only applicable to nattys?). Isn't taking both Berberine and Metformin overkill? It MIGHT be overkill but if overkill means it raises my SHBG then it's worth it. I'm not sure about my bodyfat % it's not too high but i have bit of fat over my stomach .... I may upp my cardio a bit too. It MIGHT be overkill but if overkill means it raises my SHBG then it's worth it. I'm not sure about my bodyfat % it's not too high but i have bit of fat over my stomach .... I may upp my cardio a bit too. The biggest factor in you feeling healthy, is to live healthy. I also had low SHBG (12nmol/L) and I know exactly why. No sugar coating necessary, I was worried about furthering my career after college and put my health to the side. I ate like shit, drinking alcohol and never did cardio for years after college. According to my BMI (25.3%), I was hovering on normal and overweight, nothing to worry about right? No, the truth was, I was slowly killing myself. The depression, low testosterone , fatty liver, low libido, low SHBG, etc. were signs that my body was not doing well. You want to fee Continue reading >>
Effect Of Long-term Treatment With Metformin Added To Hypocaloric Diet On Body Composition, Fat Distribution, And Androgen And Insulin Levels In Abdominally Obese Women With And Without The Polycystic Ovary Syndrome
The Journal of Clinical Endocrinology & Metabolism Effect of Long-Term Treatment with Metformin Added to Hypocaloric Diet on Body Composition, Fat Distribution, and Androgen and Insulin Levels in Abdominally Obese Women with and without the Polycystic Ovary Syndrome Endocrine Unit (R.P., A.G., D.B., V.V., L.G., D.C., S.F., A.M.M.-L.), Department of Internal Medicine and Gastroenterology, S. Orsola-Malpighi Hospital Search for other works by this author on: Endocrine Unit (R.P., A.G., D.B., V.V., L.G., D.C., S.F., A.M.M.-L.), Department of Internal Medicine and Gastroenterology, S. Orsola-Malpighi Hospital Search for other works by this author on: Endocrine Unit (R.P., A.G., D.B., V.V., L.G., D.C., S.F., A.M.M.-L.), Department of Internal Medicine and Gastroenterology, S. Orsola-Malpighi Hospital Search for other works by this author on: Endocrine Unit (R.P., A.G., D.B., V.V., L.G., D.C., S.F., A.M.M.-L.), Department of Internal Medicine and Gastroenterology, S. Orsola-Malpighi Hospital Search for other works by this author on: Endocrine Unit (R.P., A.G., D.B., V.V., L.G., D.C., S.F., A.M.M.-L.), Department of Internal Medicine and Gastroenterology, S. Orsola-Malpighi Hospital Search for other works by this author on: Endocrine Unit (R.P., A.G., D.B., V.V., L.G., D.C., S.F., A.M.M.-L.), Department of Internal Medicine and Gastroenterology, S. Orsola-Malpighi Hospital Search for other works by this author on: Endocrine Unit (R.P., A.G., D.B., V.V., L.G., D.C., S.F., A.M.M.-L.), Department of Internal Medicine and Gastroenterology, S. Orsola-Malpighi Hospital Search for other works by this author on: Department of Obstetric and Gynecology, Reproductive Endocrinology Center (G.E.C., M.F.), University of Bologna, 40138 Bologna, Italy Search for other works by this author on Continue reading >>
Effects Of Diet And Metformin Administration On Sex Hormone-binding Globulin, Androgens, And Insulin In Hirsute And Obese Women.
Effects of diet and metformin administration on sex hormone-binding globulin, androgens, and insulin in hirsute and obese women. Hospices Civils de Lyon, Laboratoire de la Clinique Endocrinologique, Hpital de l'Antiquaille, France. Evidence suggests that hyperinsulinemic insulin resistance may increase serum levels of ovarian androgens and reduce sex hormone-binding globulin (SHBG) levels in humans. The present study was conducted to assess the effect of administration of the biguanide metformin, a drug commonly used in the treatment of diabetes mellitus, on androgen and insulin levels in 24 hirsute patients. The patients selected for the study were obese, with a body mass index higher than 25 kg/m2 and high fasting insulin (> 90 pmol/L) and low SHBG levels (< 30 nmol/L). All patients were given a low calorie diet (1500 Cal/day) and randomized for either metformin administration at a dose of 850 mg or a placebo, twice daily for 4 months, in a double blind study. In the placebo group, diet resulted in a significant decrease in body mass index (30.8 +/- 1.0 vs. 32.7 +/- 1.5 kg/m2; P < 0.0001), fasting insulin (127 +/- 11 vs. 156 +/- 14 pmol/L; P < 0.01), non-SHBG-bound testosterone (0.19 +/- 0.02 vs. 0.28 +/- 0.03 nmol/L; P < 0.02), androstenedione (5.8 +/- 0.5 vs. 9.0 +/- 1.1 nmol/L; P < 0.03), and 3 alpha-diolglucuronide (8.6 +/- 1.1 vs. 11.7 +/- 1.9; P < 0.005) plasma concentrations and a significant increase in the glucose/insulin ratio (0.047 +/- 0.005 vs. 0.035 +/- 0.003; P < 0.001) and plasma concentrations of SHBG (26.0 +/- 3.3 vs. 19.1 +/- 1.9 nmol/L; P < 0.001) and dehydroepiandrosterone sulfate (8.7 +/- 1.5 vs. 8.4 +/- 1.3; P < 0.05). Beneficial effects of diet were not significantly different in the patients who were given metformin instead of placebo. These Continue reading >>
Metformin Induces A Prompt Decrease In Lh-stimulated Testosterone Response In Women With Pcos Independent Of Its Insulin-sensitizing Effects
Metformin induces a prompt decrease in LH-stimulated testosterone response in women with PCOS independent of its insulin-sensitizing effects Kurzthaler et al.; licensee BioMed Central Ltd.2014 The use of insulin-sensitizing drugs has been shown to improve both the reproductive and the metabolic aspects of PCOS. However, the mechanisms by which metformin exerts its effects in PCOS are still not completely understood. There is growing evidence of a direct effect of metformin on ovarian steroidogenesis, independent of its effects on insulin sensitivity. We evaluated the short-term effects of metformin compared to placebo on basal and LH- stimulated androgen secretion as well as on hormonal and metabolic parameters in 19 women with PCOS during a four-day randomized, double-blinded placebo-controlled clinical trial. In a three month follow-up evaluation, we investigated the longer-term therapeutic effects of metformin on ovulation, metabolic and endocrine parameters. Compared to placebo, 2days of metformin was associated with a borderline significant reduction in the free androgen index (FAI) (p = 0.05) and with a reduction in the serum concentration of LH-stimulated testosterone (T) (p = 0.03). Following three months of use, a decline in serum T was observed, independent of changes in weight, metabolic parameters, or insulin sensitivity. In women with PCOS, Metformin induces a prompt decrease in LH-stimulated T secretion after only several days of use. This action precedes the medications effects on insulin sensitivity or weight loss. PCOSInsulin-sensitizing drugsAndrogensTestosterone Polycystic ovary syndrome (PCOS) is characterized by elevated circulating androgen levels and/or clinical signs of hyperandrogenism, chronic oligo- or anovulation and the presence of polycyst Continue reading >>
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I don't actually have much of any E2 conversion. I had to stop Anastrozole entirely as a dose of 0.125 twice a week put my E2 at 5 on repeated ultra sensitive tests. I have tried the lower doses for several months and my energy went completely to sh*t. Since about all I get out of TRT is a good energy level, I went back to larger doses. If I cant have a decent libido or build any muscle, at least I can have my energy back. ERO - You have naturally low shbg, take a pretty good dose of test, and yet have very little E2 conversion? I'd think it'd be the opposite. Good that you got your energy I suppose. Hey Ero - I've seen you mention in a couple posts that your libido is lower than it was previous to TRT. Do you mean your desire or erection quality? Or both? Are you using HCG? Also, in this thread I see it recommend that HGH or other growth hormones/peptides can raise SHBG. In my expereince and also according to the study posted here HGH might lower SHBG: I think this was my case. I recently was on HGH 2iu per day for a month and my E2 exploded to 72 (from 30) on just my normal 45mg E03 cyp dose. I could feel the E2 surge and that's why I went and got tested. My SHBG came back at 17. I did not do a baseline of for this prior but will test again here in 2 or 3 weeks to see if it rebounded and my E2 dropped back to 30 where it was previously. Anyway - just some food for thought. I've seen some people say HGH can raise SHBG while others say it will tank it. Its seems there are studies that support both theories making it all the more confusing. I know now that I'll be very wary of using HGH again. Hey Ero - I've seen you mention in a couple posts that your libido is lower than it was previous to TRT. Do you mean your desire or erection quality? Or both? Are you using HCG? A Continue reading >>
Effect Of Metformin On Sex Steroid Levels In Postmenopausal Type 2 Diabetic Patients
Endocrine Abstracts (2015) 37 EP129 | DOI: 10.1530/endoabs.37.EP129 Effect of metformin on sex steroid levels in postmenopausal type 2 diabetic patients Ugur nltrk1, Filiz Bakar2, Yuksel rn1, Serpil Nebioglu2 & Ali Riza Uysal1 Author affiliations View ePoster Download ePoster 1Faculty of Medicine, Ankara University, Ankara, Turkey; 2Faculty of Pharmacy, Ankara University, Ankara, Turkey. Introduction: Metformin treatment was associated with decreased risk of various cancers including breast cancer. Exposure to sex steroid is related with increased risk of breast cancer. In this study, we aimed to evaluate the effect of metformin treatment on serum levels of sex steroids and sex hormone binding globulin (SHBG) in postmenopausal women with type 2 diabetes mellitus. Methods: Postmenopausal patients with newly diagnosed type 2 diabetes were recruited to the study. Before starting life-style modifications and metformin treatment anthropometric measurements were done and fasting blood samples were collected in order to evaluate insulin, glucose, HbA1c, serum levels of sex hormones, and SHBG. All of the basal tests were repeated for each subject at the end of 12 weeks. Results: At the end of 12 weeks, 36 patients completed the study and were included into analyses. Five of 36 patients did not use metformin due to gastrointestinal side effects or noncompliance with therapy. Remaining patients used at least 500 mg to maximum 2000 mg/day of metformin treatment. Mean body-weight and body fat mass, fasting insulin, HbA1c levels significantly decreased in patients who used metformin. Patients receiving metformin treatment also showed significant decrease in testosterone (28%), oestradiol (9%), and oestrone levels (11.5%), and significant increase in DHEAS (8.9%) and SHBG (4.5%) lev Continue reading >>
The Effects Of Metformin On Endogenous Androgens And Shbg In Women: A Systematic Review And Meta-analysis.
Generate a file for use with external citation management software. Clin Endocrinol (Oxf). 2009 May;70(5):661-70. doi: 10.1111/j.1365-2265.2008.03459.x. Epub 2008 Oct 21. The effects of metformin on endogenous androgens and SHBG in women: a systematic review and meta-analysis. Department of Epidemiology, Italian National Cancer Institute Regina Elena, Rome, Italy. Elevated circulating androgens are risk factors for several chronic, metabolic and reproductive disorders. Metformin is an insulin-sensitizing agent that may lower androgen levels. To evaluate the effects of metformin on endogenous androgens and SHBG levels in women, we conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) comparing metformin with placebo or no treatment. We used OVID to search MEDLINE, EMBASE and CENTRAL until March 2007. Two reviewers independently extracted data on methodological quality, participants, interventions and outcomes of interest. Our a priori primary outcome was post-treatment measurements. In a secondary analysis, we evaluated the difference between the pre- and post-treatment levels. We computed the weighted mean difference (WMD) as a measure of effect for each outcome using the DerSimonian-Laird random effects method. We used the I2 statistic to assess heterogeneity and explored its causes in subgroup analyses of features related to participants' characteristics and study design. Based on a regression model, we conducted sensitivity analyses by investigating the use of placebo as a predictor of effect size. Twenty RCTs fulfilled the inclusion criteria. Pooled WMDs in post-treatment levels between the metformin and control group were -0.31 nmol/l (95% CI -0.65 to 0.03) for total testosterone (TT), 0.10 pmol/l (95% CI -0.89 to 1.10) for free te Continue reading >>
- Quality of Life in Women with Gestational Diabetes Mellitus: A Systematic Review
- Effects of resveratrol on glucose control and insulin sensitivity in subjects with type 2 diabetes: systematic review and meta-analysis
- Effects of resveratrol on glucose control and insulin sensitivity in subjects with type 2 diabetes: systematic review and meta-analysis
The Effects Of Metformin On Endogenous Androgens And Shbg In Women: A Systematic Review And Meta-analysis
PubMed Health. A service of the National Library of Medicine, National Institutes of Health. Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-. Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. The effects of metformin on endogenous androgens and SHBG in women: a systematic review and meta-analysis M Barba, HJ Schunemann, F Sperati, EA Akl, F Musicco, G Guyatt, and P Muti. Link to full article: [ Journal publisher ] This review assessed whether metformin affected circulating androgens or sex hormone binding globulin levels in women. It found reasonable evidence that metformin induced changes in these surrogate markers in women with or at risk of polycystic ovarian syndrome . The conclusions were well supported by the evidence presented and are likely to be reliable. To evaluate the effects of metformin compared to placebo or no treatment on endogenous androgen levels and sex hormone binding globulin (SHBG) levels in women. MEDLINE (from 1966), EMBASE (from 1980) and Cochrane Central Register of Controlled Trials were searched up to March 2007. Search terms were not provided, but were available from the review authors. No language restrictions were applied. PubMed s related articles feature was used to identify further papers. Reference lists of included studies were screened. Randomised controlled trials ( RCTs ) of metformin compared with placebo or no treatment in female patients of any age were included. Metformin could be given alone or in combination with other drugs or lifestyle modifications so long as the co - interventions were the same in all groups. Reported co-interventions included oral contraceptives, flutamide , clomip Continue reading >>
- Quality of Life in Women with Gestational Diabetes Mellitus: A Systematic Review
- Effects of resveratrol on glucose control and insulin sensitivity in subjects with type 2 diabetes: systematic review and meta-analysis
- Effects of resveratrol on glucose control and insulin sensitivity in subjects with type 2 diabetes: systematic review and meta-analysis
Avoid The Metformin Bandwagon
From diabetes to cancer, berberine matches - or beats - this patent medicine every time! As many know, metformin is the number one prescription medication for type-2 diabetes. The patent for the name-brand of this patent medicine, Glucophage®, expired years ago and as a result generic-brand competition (metformin) brought this patent medicine’s price down so that it’s relatively inexpensive, especially when compared with nearly any other medication still covered by a patent. Mainstream medical research has found other uses for this un-natural molecule, including (but not limited to) lipid, blood pressure, and insulin resistance lowering effects, anti-cancer effects, improvement of polycystic ovarian syndrome, combatting Alzheimer’s disease, and extending life span in mice. Surprising guests on the metformin bandwagon Some proponents of natural therapies – including, surprisingly, two nationally and internationally circulated health magazines – have climbed on the metformin bandwagon, writing articles about the “health benefits” of metformin, and even advocating that otherwise healthy people take this patent medicine every day as a preventive. They admit that there are known side effects, but write that these are few, and that the benefits outweigh the risks. If there aren’t any natural treatment alternatives that are as effective, or more effective, than a patent medicine or other un-natural molecule – especially in serious or life-threatening situations – then the use of a patent medication of course makes sense. But when there are natural alternatives that work just as well or better, the rule is – and always should be – to “Copy Nature.” Human bodies are formed from the molecules of planet Earth, and powered by the energies of this planet Continue reading >>
Best T Book
Metformin is one of the new blockbuster wonder drugs that improves insulin sensitivity and lowers blood glucose levels. It is widely prescribed to the general population with diabetes and women with PCOS. And it is sometimes prescribed to those with prediabetes as well, although I do not know how common that is. Considering the virtual epidemic of diabetes (and PCOS), this drug can be a life saver for many people, which is especially nice considering it has a relatively mild side effect profile. Metformin also - and this is atypical for medications - may actually help with some of the "Holy Grails" of health: a) Both an animal and human study show that Metformin may extend life span. [1] b) Metformin lowers the risk of going from prediabetes to full-blown adult onset diabetes. [2] [Prediabetes is another health epidemic in our culture.] I'm not much of a pharmaceutically-oriented person, but I admit these are impressive results. And we have had a number of men on the Peak Testosterone Forum using Metformin with good results. That said, almost everything comes at a price and it looks like there may be a one with Metformin. There are now two studies out there that indicate that it may lower testosterone levels, or at least suppress natural rises in T at times: 1. Women with PCOS. Admittedly, everything is Opposite World with women in the area of hormones (and - I don't need to tell you - a lot of other things in life as well). Nevertheless, one recent study showed that in women with PCOS, Metformin led to a decrease in LH-stimulated testosterone. [3] Women with PCOS usually are insulin resistant and have visceral fat. Considering that men usually put on visceral fat first and a high percentage over about 35 are struggling with some insulin resistance, this is potentially Continue reading >>
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Shgb (sex Hormone Binding Globulin) And Pcos
Copyright 2018 Insulite Health. All rights reserved. SHGB (sex hormone binding globulin) and PCOS PCOS and SHGB (sex hormone-binding globulin) What is SHGB and how does it relate to PCOS? SHBG (sex hormone-binding globulin) is a protein that is generated mostly by the liver, along with smaller quantities produced in the brain, placenta, and uterus. SHBG binds sex hormones in the blood, means the hormones are carried around reducing the circulating levels of free hormones.3 When SHBG levels are low the level of free testosterone goes up. Women with PCOS often present with these types of levels. 3 Polycystic Ovarian Syndrome is one of the most common disorders found in women of child-bearing age. Although the definitive cause of this condition is not clearly known, insulin resistance is thought to play an important role in PCOS. 7 SHBG levels are reduced with insulin resistance and the test measuring sex hormone binding globulin has become an extremely good marker for insulin resistance and important diagnostic tool for PCOS.3 Insulin resistance is thought to reduce the livers production of SHBG while significantly increasing the production of andogens (male hormones) by the ovaries. 7 This double dose of hormones can often manifest itself as the numerous PCOS symptoms such as male pattern baldness, excessive hair growth, acne and menstrual irregularities because even a little increase in testosterone can create hormonal imbalance. Even if you have low SHBG levels and PCOS you can manage this condition with many effective treatments such as diet, regular exercise, medication and nutritional supplements. Studies Show Low SHGB is linked to Insulin Resistance Studies have shown that women with polycystic ovarian syndrome have low levels of sex hormone-binding globulin and t Continue reading >>
Hormone Panel Test Results...what To Do? Low Shbg
Recently ie last 3 months or so noticed rapid receding hairline. I was very concerned and so went to the Doctor (as my knuckles also started hurting) who carried out a full blood panel test with hormones included. Now apparently the concerns were: 1. Nuclear antibody test showed "slightly" higher level but the 2nd test showed it was alright 4. SHBG level was very low around 9 and free testosterone was very high around 180 or so. Apparently the estrogens panel(which he will chase up) was missing BUT all my other hormones were normal LH, FSH, TSH etc He was saying my sudden hairloss etc is probably from all that excess free testosterone floating around and unbinded to SHBG which is very very low. He will chase up the estrogens (cant remember if he had the progesterone levels) but he couldnt understand it...... He felt that I was undergoing an aggravated hairloss situation because of all the excess rather than genetic predisposition and IF WE CAN BRING THINGS UNDERCONTROL we can FIX it and reverse things. He did say a couple of factors would affect it such as insulin resistance, liver disease, major body trauma etc. Also said obesity can affect it and though I agree that im overweight he also said it cant affect it THAT much considering im only 28. Also said that since I have suddenly ie last 3 weeks changed to low carbs, high proteins, low cal and exercise that my SHBG should have in fact gone up. Can anyone please help and explain as to why this may be happening? I also agree low SHBG/high free test is the issue, as this is exactly what my blood tests revealed, and I have the same issue as the OP as in a rapidly receding hairline which seemed to come out of nowhere. The question is, how the hell do you raise SHBG? I know insulin is a factor but how much is diet/exercise Continue reading >>
Low Shbg: Insulin Resistance?
I'm quite positive I'm insulin resistant with an out of range low SHBG and I'm looking into metformin. TRT so far hasn't been anywhere near effective as I thought it'd be and I am realizing that it is most likely (hopefully) because of the low SHBG and insulin resistance. Last edited by CoastWatcher; 03-28-2016 at 12:56 PM. How low is your SHBG? Do you have any other labs to help shed light on the question (A1C, glucose)? How long, and what type, of TRT protocol are you administering? It is 'conventional wisdom' that guys with low SHBG are insulin resistant, but I have low SHBG and I am not, nor are many folks with low SHBG. Get tested before you assume. That and FWIW, I have been taking Metformin for a year now for life extension purposes and it has not helped my low SHBG nor my TRT one bit. Sorry, wish I had better news. It is an article of faith in some circles that low SHBG=insulin resistance. My own doctor has said she finds it to be an interesting marker that ought to be eliminated, but hardly the diagnostic key many hold it to be. Last edited by CoastWatcher; 03-28-2016 at 03:56 PM. How low is your SHBG? Do you have any other labs to help shed light on the question (A1C, glucose)? How long, and what type, of TRT protocol are you administering? Is there a reason you deleted me quoting Nelson? I know he had been interested in this issue and may have learned more knowledge on the question since. I forget the reference range for SHBG but My SHBG is about 6 or 7 from being in range(whatever the unit of measurement is). I also have an elevated fasting insulin level. I had below in range testosterone for over 2 years and grew quite intolerant of sugar even though I craved it. I consume almost no sugar now eating a largely ketogenic diet and my fasting levels are still Continue reading >>
