Lowering SHBG to Increase Free T -- Treatment Options?

[wellshii]

Did you read the link I put on my first post?
It was the dudes adrenals,so looks like we found the problem man.
You need to get your cortisol checked and have your adrenals checked.
Havnt had experience with this myself , but I'll link that thread again for reference,
Skyhigh SHBG Levels - WHY?! | Page 3 | All Things Male Forum

[bkb333]

Did you read the link I put on my first post?
It was the dudes adrenals,so looks like we found the problem man.
You need to get your cortisol checked and have your adrenals checked.
Havnt had experience with this myself , but I'll link that thread again for reference,

I skimmed this thread when you previously sent it, but just gave it a thorough read. Really interesting. Thank you for sharing! I would not be surprised if I found out my adrenals were f***ed as well. Possibly a low cortisol issue? I'm seeing two different endos in the coming weeks. What tests do you think I should ask for? Just 24-hour 4-point saliva test?

Based on my current understanding of thyroid/hormones, it seems TRT may not be the solution -- correct? It seems to me it would be kind of like putting a band-aid on a bullet wound (trying to fix high SHBG when that's actually a byproduct of a bigger issue).

[Youthful55guy]

I skimmed this thread when you previously sent it, but just gave it a thorough read. Really interesting. Thank you for sharing! I would not be surprised if I found out my adrenals were f***ed as well. Possibly a low cortisol issue? I'm seeing two different endos in the coming weeks. What tests do you think I should ask for? Just 24-hour 4-point saliva test?

Based on my current understanding of thyroid/hormones, it seems TRT may not be the solution -- correct? It seems to me it would be kind of like putting a band-aid on a bullet wound (trying to fix high SHBG when that's actually a byproduct of a bigger issue).

I agree that searching for a root cause before treating symptoms is always the best approach. Particularly in your extreme case. Those are very high SHBG levels. I read through that string that wellshii posted and did not get much out of it. A lot of guys with a lot of opinions. However, I do question whether the high DHEA and high SHBG are just serendipitous. Perhaps there is a common link to the adrenals. Keep us informed of your progress. I'm interested in seeing where you take this.