Sex hormone-binding globulin (SHBG)

Covers what SHBG is, how it binds testosterone and affects free vs. total T, and why it can influence symptoms even when labs look “normal.” Learn what drives SHBG up or down and how to interpret it alongside testosterone, estradiol, and other markers for better performance and TRT decision-making.

Start here

The essentials for sex hormone-binding globulin (shbg) — then explore the latest posts below.

Sex hormone binding globulin and testosterone in men: What your SHBG levels really mean

Sex hormone binding globulin and testosterone in men: What your SHBG levels really mean

Dr. Alexander Grant, MD, PhD avatar
Dr. Alexander Grant, MD, PhD: Urologist & Men's Health Advocate
Dec 09, 2025 · 13 min read

SHBG is a liver-made carrier protein that tightly binds roughly 70% of circulating testosterone, so higher SHBG can lower free (bioavailable) testosterone and cause “low T” symptoms even when total testosterone looks normal; adult men typically fall around 13.3–89.5 nmol/L. Understanding where your SHBG sits helps explain what your tissues can actually use—and why treatment ...

Special OfferLab panels included: $300/year free for all members