Q. I am having low testosterone with high SHBG. Why?

Answered by
Dr. Shaikh Sadaf
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 22, 2019

Hello doctor,

I got bloodwork done for possible low T.

My SHBG is higher, out of the normal range, even though the rest of my blood work is very good to excellent. My doctor told me that this is uncommon. I am curious as to how concerned I should be about this?



Welcome to

I read your query and seen your lab reports. (attachment removed to protect patient identiy).

Your report does suggest some concerning things such as high creatinine and low GFR (glomerular filtration rate), which suggest kidney dysfunction and a high SHBG (sex hormone binding globulin).

Increased SHBG levels may be seen in liver disease. I did not find any problem in your reports, but only with the knowledge about your health issues and with a proper medical history, I can find out if there is any underlying cause prevailing.

Overactive thyroid: your thyroid test results are good and suggest a normal thyroid function.

Eating disorders: I need more history from you to rule it out.

Decreased sex hormone production in men: that aspect is good in the test results.

So clearly it narrows down to your kidney function test which might be a possible reason here. Do you have any family history of kidney problems? Any Diabetes? Any excessive alcohol consumption or any over the counter medication intake?

Answers to these questions could shed some light on the reason for high SHBG.

I hope this helps.

Thank you doctor,

1. No family history of kidney problems.

2. No diabetes.

3. Alcohol consumption has increased in the last few months. I have also been taking Tylenol Cold and Flu medicine (approximately 1.5 boxes past month). Approximately 20-25 drinks in a week. Mostly on weekends. Two to three drinks on a weekday. At times, I would take Tylenol Cold and Flu, sometimes in conjunction with alcohol, sometimes not in conjunction.

4. No eating disorders. I take approximately 180 gm of protein a day, and it varies by the day. This is an average. I do an intermittent fast. Do workout early in the morning (5 am) with a protein shake and a black coffee, both before and after the workout. Then for lunch and dinner, I have lean protein, a lot of veggies, and some fruits.

My blood pressure is 112/71 mmHg. I am muscular, lean, and very active. Supplements that I take are vitamin pack, high dose fish oil, creatine (5g a day), protein.



Welcome back to

Then your creatinine and low GFR are due to a high protein diet. I would strictly advise you to avoid such a high protein diet. Just avoid protein extras and eat what is available in a normal routine diet.

Your drink must be less than 14 units a week.

Increase the intake of water.

Repeat your tests in a month and see if your results improve.

A visit to a nephrologist might be beneficial.

I hope this helps.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Besides weight management, what can I do to improve my testosterone level?

.. reviewed your reports. Your free testosterone is on the lower side and lipids are not much abnormal. Your problem is excessive fat in the body that converts testosterone to estrogen. You also may have fatty liver causing low SHBG (sex hormone-...   Read full

I do not have any sexual desire. Is it due to low testosterone levels?

This could be the reason for poor libido in your case ...   Read full

I am having low testosterone with high SHBG. Why?

.. read your query and seen your lab reports. (attachment removed to protect patient identiy).Your report does suggest some concerning things such as high creatinine and low GFR (glomerular filtration rate), which suggest kidney dysfunction and a hig...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Dengue Fever: Common Questions Answered
Dengue fever is a self-limiting mosquito-borne viral illness that has taken a massive toll on public health. Read below ...  Read more»
Listeriosis - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Listeriosis is a bacterial infection, that can result in severe complications like meningitis, sepsis, and even death. R...  Read more»
Myositis - Types, Symptoms, Causes, Treatment, and Prognosis
The term "myositis" refers to a set of uncommon diseases. To know more about myositis, read the full article below.  Read more»

Ask your health query to a doctor online?

Ask an Endocrinologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.