free testosterone

  1. S

    Boxer on TRT with persistent fatigue/brain fog - low-normal E2, mediocre free T, no gym battery

    I’ve searched this forum and several others trying to find a situation that matches mine, but I haven’t found anything that really lines up, so I’m posting here hoping someone sees something obvious that I’m missing. I’m a boxer with 15+ years of training. For the last 4 years I’ve been battling...
  2. madman

    When Low Testosterone Is Not Hypogonadism: A Case of Markedly Reduced SHBG in A Young Man

    I have been hammering this home on the forum over the years! Again the only way to know where your FT truly sits is to have it tested using the most accurate assay the gold standard Equilibrium Dialysis especially in cases of altered SHBG! * This case highlights a critical diagnostic pitfall...
  3. madman

    Low FT directly measured using Equilibrium Dialysis is associated with worse sexual function in community-dwelling men

    https://endo2026.endocrine.org/searchGlobal.asp Introduction The association between circulating testosterone (T) levels and male sexual function was found to be stronger for free T than for total T. However, most studies have relied on calculated free T rather than directly measured...
  4. madman

    Advanced Equilibrium Dialysis for Free Testosterone: A New Standard in HRT Testing

    48-Position Custom Deep Well Plate For In Vitro Equilibrium Dialysis at a 1:1 Sample to Buffer Volume Ratio * CDC scientists have developed a new design for a multi-well dialysis microplate for equilibrium dialysis. The unique design accommodates a 1:1 buffer to sample ratio and provides...
  5. Nelson Vergel

    Free Testosterone vs. Total Testosterone: Why Your Lab Results May Be Misleading You About Sexual Health

    Curated By Nelson Vergel | ExcelMale.com | Updated March 2026 Why Your 'Normal' Testosterone Number Might Be Failing You You went to your doctor feeling drained, your libido had flatlined, and morning erections were a distant memory. He ran a blood panel, looked at your testosterone level of...
  6. madman

    The Changing Landscape in the Assessment of Steroid Hormone concentrations: is it time to let them free? (CLASH-free)

    * With CLASH-free, we will improve the clinical applicability of free steroid hormone concentrations in patients with specific conditions by using state-of-the-art methods. * Formulas to estimate free steroid hormone concentrations are used instead, but their applicability in many clinical...
  7. madman

    Optimized state-of-the-art direct equilibrium dialysis for free testosterone analysis by LC-MS/MS: Achieving accurate measurements in hours

    * In cases where binding protein concentrations are altered, total testosterone is an unreliable measure of androgen status. Measuring FT can help evaluate androgen status in women and hypogonadal men with normal or borderline total testosterone and/or cases with altered binding proteins...
  8. madman

    Re-evaluating the role of Free Testosterone and SHBG

    We do it big here at Nelson's stomping ground! Dr. Leen Antonio (UZ Leuven)! She has collaborated with the heavyweights in the field Dr. Bhasin and Dr. Jasuja (Brigham and Women's Hospital)), Dr. Fiers and team (UZ Ghent) on research related to free testosterone.
  9. madman

    Optimized state-of-the-art direct equilibrium dialysis for free testosterone analysis by LC-MS/MS: Achieving accurate measurements in hours

    * Equilibrium dialysis (ED) is the preferred method for measuring FT, followed by ultrafiltration, but these methods are technically challenging and time-consuming. Calculation of FT from total testosterone and SHBG (with or without albumin) has limitations and may be inaccurate. There is a...
  10. C

    What affects free testosterone under TRT?

    I’ve covered this issue in many posts, but I thought it would be helpful to put more information in one thread and expand on the topic. TL;DR: Under TRT, free testosterone is proportional to the dose rate and inversely proportional to the metabolic clearance rate. The liver accounts for most of...
  11. madman

    Phase IIB: Development of TruT Algorithm for Commercialization in Androgen Disorders

    Where it stands as of now. Summed up here! Dr. Bhasin and Dr. Jasuja Xyone therapeutics 2025! https://reporter.nih.gov/search/7ipyhoO_-UasRMpzZ56xvQ/project-details/10707198 ABSTRACT Background Measurement of free testosterone (T) concentrations is indicated in the diagnosis of...
  12. madman

    The Harmonization of Clinical Laboratory Results

    From raising the profile of laboratory medicine to advocating for the profession, Dr. Killeen shares the initiatives that he’s most excited to work on under the Association for Diagnostics & Laboratory Medicine’s (ADLM’s, formerly AACC’s) new strategic plan.
  13. madman

    Serum Free Testosterone: Precision LC-MS/MS for PCOS Diagnosis

    * A standardized ED method is recommended to effectively separate FT from the serum matrix. * With the rapid development of liquid chromatography-tandem mass spectrometry (LC-MS/MS), the ED separation combined with LC-MS/MS has become the “gold standard” for quantifying FT [4]. * Serum FT...
  14. madman

    ASSESSMENT OF MALE ANDROGEN STATUS: A SURVEY ON MEASUREMENT AND REPORTING OF TT, SHBG AND FT IN CLINICAL LABORATORIES ACROSS EUROPE

    ASSESSMENT OF MALE ANDROGEN STATUS: A SURVEY ON MEASUREMENT AND REPORTING OF TOTAL TESTOSTERONE, SEX HORMONE-BINDING GLOBULIN AND FREE TESTOSTERONE IN CLINICAL LABORATORIES ACROSS EUROPE N.Narinx, J. A. Nyamaah, K. David, V. Sommers, J. Walravens, T. Fiers, B. Lapauw, B. Decallonne, F...
  15. madman

    FDA Clearance for first state-of-the-art automated chemiluminescence-based immunoassay (ChLIA) test for free testosterone

    https://www.businesswire.com/news/home/20250109821344/en/ * The state-of-the-art assay is processed on the Company’s random-access iSYSTM or i10 TM instruments to deliver quick turnaround times and high-throughput testing with minimal technician training and expertise, while maintaining...
  16. N

    Test ok but free T is low

    Hi all. After four years on trt to hunt for a libido I came off cold turkey. 9 months off and test and lh and fsh have bounced back . Free t is still low. Would it be worth jumping back on trt low dose to try and up the free t . S shbg is high and have been taking boron so one of the reasons why...
  17. madman

    2024 Partnership for the Accurate Testing of Hormones (PATH) Annual Committee Meeting

    https://chronicdisease.org/2024-partnership-for-the-accurate-testing-of-hormones-path-annual-committee-meeting/ On April 25, 2024, the Division of Laboratory Sciences (DLS) Clinical Standardization Programs (CSP) team in the Clinical Chemistry Branch participated in the 2024 Partnership for...
  18. madman

    Use of calculated FT in men: advantages and limitations

    https://journals.lww.com/co-endocrinology/abstract/2024/12000/use_of_calculated_free_testosterone_in_men_.7.aspx INTRODUCTION Clinical practice guidelines on the diagnosis of male hypogonadism focus on clinical signs and symptoms of androgen deficiency, as well as biochemical assessment of...
  19. madman

    A Fast, Novel and Analytically Sensitive Clinical Research Method for the Analysis of Free Testosterone using UPLC-MS/MS

    Abstract Background The aim of this work was to develop an analytically sensitive, rapid clinical research method for the analysis of free testosterone in serum using a small sample volume. Laboratories have found this difficult, partly due to the inherent low concentrations (less than 3% of...
  20. madman

    SHBG gene polymorphisms and their effects on serum SHBG, total and free testosterone concentrations in men

    https://research.rug.nl/en/publications/novel-techniques-for-the-quantification-of-protein-biomarker-isof PDF (pp.176-199) INTRODUCTION Sex steroids are main drivers of sexual development and play a fundamental role in many physiological processes in both men and women [1,2]. As such...
  21. R

    Bloodwork - Considering TRT, Advice Truly Appreciated

    Hello all, I would really appreciate some advice from you experienced folks here on if my hormone levels could be contributing to my poor quality of life as they are low T-matching symptoms right now (depression, lack of drive, fatigue, ED and still hold good amount of fat on a good diet and...
  22. madman

    Age-stratified reference ranges for directly measured (ED LC-MS/MS) serum free testosterone in healthy men

    Just to be clear up any confusion this is Fiers camps data for mFT reference ranges not the harmonized reference range being worked on by the CDC. *Serum samples were analyzed from healthy men participating in the SIBLOS/SIBEX and EMAS studies, both population-based cohort studies * mFT...
  23. madman

    Quest Diagnostics - Testosterone, Free (Dialysis) and Total, MS

    Just to be clear! *FT (test code 36170) is calculated by equilibrium dialysis using a modified Vermeulen equation https://testdirectory.questdiagnostics.com/test/test-detail/36170/testosterone-free-dialysis-and-total-ms?cc=MASTER Quest Diagnostics offers the following measurements: TT...
  24. T

    Better with high free T or total T or both?

    Hi all. Was wondering which is more "important". Free testosterone or total. I had my annual bloodwork done required by my provider in November of last year. Total testosterone was 1100 ng/dl. Free test was 20.8 pg/mL. E2 was 34 pg/mL. SHBG was 36 nmol/L. I was injecting IM. I switched...
  25. jacb

    Free Testosterone targets for the best Libido

    In the Anabolic Doc’s Video (minute 1:50) he says that a Free Testosterone target of 155 pg/ml is optimum for Libido (“Trough value” – Ie Just before your next testosterone shot). FT - 155 pg/mL = FT - 16 ng/dl. Using the tru-t.org Free Testosterone Calculator and my last test SHBG and Albumin...
  26. madman

    Free steroid hormones in health and disease (FRESH-HD)

    https://research.kuleuven.be/portal/en/project/3M240091 Project summary In routine clinical practice, diagnosis and treatment of endocrine diseases rely mostly on total steroid hormone levels. However, these hormones typically bind to specific proteins and albumin in circulation, with...
  27. Seagal

    Bioavailable testosterone is associated with symptoms of depression in adult men

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7557700/ Results Mean testosterone, sex hormone-binding globulin, and luteinizing hormone levels were significantly higher in the depressive symptom group than in the non-depressed group. The mean calculated free serum testosterone level and free...
  28. S

    Injecting Testosterone lowers SHBH even after stopping TRT?

    So here's the results before starting TRT in 2022. SHBG was pretty high, and the doctor said that my free T was low and I needed TRT. I was on 200mg a week for about 6 months and didn't feel much difference, so I stopped. My total T was around 1400 and everything else was the same. I just got...
  29. madman

    A High-throughput Method for Accurate Measurement of FT in Serum using ED Coupled with ID-UHPLC-MS/MS

    Introduction Testosterone is the most abundant circulating androgen in both men and women. It is a biomarker for identifying androgen excess and deficiency, and to monitor their treatment. Measurement of the metabolically active form, free testosterone (FT), has been part of the clinical...
  30. madman

    Poor Clinical Utility of Free and BAT is Underscored by Overutilization

    Abstract Background Symptomatic androgen deficiency has an estimate prevalence of 2%–12% in males over 40 years of age and is associated with several comorbidities such as hypertension, obesity, dyslipidemia, metabolic syndrome, diabetes, and COPD. Diagnosis relies heavily on the measurement...
  31. madman

    CDC’s Clinical Standardization Programs

    High-quality disease biomarker tests are critical for the correct diagnosis and treatment of patients, accurate interpretation of research data, and effective use of research findings in health care. CDC’s Clinical Standardization Program (CDC CSP) assists researchers and laboratories with...
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