/jp/ - Otaku Culture

>>46956586
Very good post
Thank you doc for taking the time to write this
>Low free testosterone with normal total testosterone suggests a problem with the distribution of testosterone rather than the production of testosterone
I was kind of relieved when my total test came back normal, I was afraid by balls weren't working.
>this could be to increased amounts of plasma proteins (Albumin or SHBG or both) which bind testosterone which lowers free testosterone while keeping total testosterone normal
What might cause these plasma proteins to increase?
>if you have too much fat this could also be a potential reason.
Yes I've been skinnyfat most of the time but I've cut down a lot of weight in those past few months
>Do you mean you have female fat distribution (i.e. more fat around in the hips and thighs rather than in the abdome
Yes exactly
>If you have gynecomastia
Fortunately not
>you should get checked for LH, FSH and Estradiol levels.
It's on my mind, I've heard this elsewhere roo
>the cause-effect relationship is not really clear here, it is possible that the primary pathology is causing high estrogen levels and this then caused an increase in SHBG levels thereby decreasing free testosterone OR the primary pathology is causing increased SHBG levels and this then caused high estrogen levels by negative feedback mechanisms.
Complicates things
Feedback mechanisms are only cool in control systems
>ESPECIALLY if all these symptoms started recently and/or suddenly.
Actually no, they have been there all the time. I just happened to read a bit about anatomy, fat distribution and the like and started noticing things.
What kind of doctor should I see this for if need be? Endocrinologist?