Free Testosterone vs Total Testosterone: What SHBG Actually Means On Your Labs

Josh Holyfield
March 30, 2026
47 seconds

In this short video, we explore the crucial difference between free testosterone and total testosterone, emphasizing the significance of SHBG, or sex hormone-binding globulin, in your lab results. Free testosterone is the biologically active form that directly impacts various bodily functions, while total testosterone includes both the free and bound forms. Understanding these terms is essential for interpreting hormone levels accurately.

The video illustrates how SHBG can affect your free testosterone levels by binding to testosterone and thereby influencing the amount that is available for the body's use. High SHBG levels can lead to lower free testosterone levels, which may result in symptoms of testosterone deficiency even if total testosterone appears normal. It’s important to consider both measures for a complete understanding of hormonal health. The presenters also highlight how lifestyle factors and other health conditions can influence SHBG levels and overall testosterone balance.1. The difference between free testosterone and total testosterone.

  1. Significance of SHBG in lab results.
  2. Impact of SHBG on free testosterone availability.
  3. Symptoms of testosterone deficiency with normal total testosterone.
  4. Lifestyle factors influencing SHBG levels.

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