Moment: Is Your 'Normal' Testosterone Actually Low? Ft. Dr. Abraham Morgentaler
In this episode, Dr. Rena Malik, MD hosts Dr. Abraham Morgantaler to explore the intricacies of diagnosing low testosterone. They discuss the importance of measuring free testosterone over total testosterone, the roles of sex hormone binding globulin (SHBG), and the potential misinterpretations of lab results. Dr. Morgantaler provides expert insights on optimal diagnostic techniques and common pitfalls, empowering listeners to better understand testosterone levels and their impact on health.
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In this episode, Dr. Rena Malik, MD hosts Dr. Abraham Morgantaler for an in-depth discussion on the diagnosis of low testosterone. They emphasize the importance of measuring free testosterone rather than relying solely on total testosterone due to its significant clinical relevance. Dr. Morgantaler explains the various forms in which testosterone circulates in the blood and the impact of sex hormone binding globulin (SHBG) on testosterone availability. They also address the common pitfalls in interpreting lab results, the role of other related hormones such as luteinizing hormone (LH), and the potential misguidance from reference ranges provided by laboratories.
00:00 Optimal diagnosis of low testosterone
01:30 Role of albumin and SHBG
02:54 Measuring free testosterone
06:14 Free testosterone vs. total testosterone
08:32 Additional relevant blood tests
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