Calculated Free Testosterone
Androgens and Male Reproductive Endocrinology
Calculated Free Testosterone
Calculated free testosterone estimates the unbound pool from measured inputs and a binding model.
Production, transport and local action. Androgen action depends on central gonadotropin drive, gonadal production, binding proteins and tissue-specific metabolism. Conversion to DHT or estradiol changes the local signal. Receptor expression and cofactors determine how exposure becomes a response in each organ.
A distinction that matters. Errors in total testosterone, SHBG, albumin or assumptions propagate into the estimate.
Interpreting androgen status. Symptoms, repeated appropriately timed measurements and relevant LH, FSH and SHBG results help distinguish endocrine patterns. A transient exercise-associated change does not predict hypertrophy. Exogenous androgen exposure can suppress endogenous regulation and fertility despite high circulating concentrations.
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