
Originally Posted by
100%
A hyper-excreter's hormones hang around in serum in the bound state just fine, but as soon as the hormone is unbound, then the hormone will highly likely be metabolized by the liver on the next pass through the liver, and therefore isn't available for re-use for another purpose.
The fact that someone is a hyper-excreter can show up as:
a) someone with low serum levels of bioavailable hormones, and low urinary hormones
b) someone with low serum levels of bioavailable hormones, and medium levels of urinary hormones
c) someone with low serum levels of bioavailable hormones, and high levels of urinary hormones
From this we see that urinary hormone levels, on their own, are no indicator of a hyper-excreter.
However, the fact that someone has low serum levels of bioavailable hormones does not mean that hyper-excreter is the only explanation.
In fact the majority of males with low serum levels of bioavailable hormones is as a result of insufficient / slow production (normal aging) followed by normal (not fast) liver metabolism.
So it's actually difficult to determine whether someone with low serum levels of bioavailable hormones, is as a result of being a hyper-excreter.
The only acid test which determines whether someone is a hyper excreter, is via an injection of a small amount of radioactive hormone, followed by frequent urinary sampling to determine how quickly the hormone's metabolites appear in the urine.
But since no-one bothers with this test, all that ever happens is that hyper excreters have to take higher doses of hormones, and more frequently, and they must always test their bioavailable levels, or free levels, of any hormone - because their total levels are no indication of their free hormone levels.