Sex Hormone-Binding Globulin

SHBG controls your hormones’ party; it decides how much testosterone and estrogen can hit the dance floor.

📋 About This Biomarker

Think of Sex Hormone Binding Globulin (SHBG) as the bouncer at the club of your body’s hormone scene. It binds to sex hormones, mainly testosterone and estrogen, which determines how much of these hormones are free to act in your body. This protein helps regulate hormone levels, ensuring they’re not too high to cause chaos or too low to leave you feeling flat. It’s essential for maintaining hormonal balance, affecting everything from your mood and energy levels to your reproductive health.

🎯 Why We Test This

Knowing your SHBG levels is like having an insight into how your hormonal bouncer is managing the party. It’s crucial for understanding how many of your hormones are available to your tissues. If you’re dealing with symptoms like fatigue, unexpected weight changes, or issues with muscle tone, checking SHBG can help pinpoint if these are due to hormonal imbalances. It’s especially important in diagnosing conditions like polycystic ovary syndrome (PCOS), erectile dysfunction, or thyroid disorders.

⚠️ What Affects It

Factors like age, sex, liver health, body weight, and hormonal therapies greatly influence SHBG levels. Other elements include your diet, physical activity, alcohol intake, and certain medications like steroids or hormonal contraceptives, which can also have significant impacts.

📈 How to Improve

Managing SHBG levels involves dietary and lifestyle changes - think of it as training your hormonal bouncer. High fiber diets, adequate protein intake, and maintaining a healthy weight can help modulate SHBG levels. For high SHBG, consider reviewing any thyroid issues or liver health, while low SHBG might benefit from reducing excess fat and managing insulin levels.

📊 Understanding Your Results (nmol/L)

Low (< 14 nmol/L)
Low SHBG can leave the door wide open for hormones to cause havoc, particularly with too much active testosterone or estrogen. This might result in symptoms such as oily skin, irritability, or in more severe cases, hormonal disorders. Increasing SHBG naturally through dietary changes, such as incorporating more protein and possibly discussing medical interventions, can help regain balance.
Optimal (14 - 95 nmol/L)
If your SHBG levels are in the normal range, it means the balance between free and bound hormones is just right - neither too loose nor too tight. This balance is ideal for maintaining good health, supporting regular moods, proper growth, and healthy sexual and reproductive function. When SHBG levels are nearing the upper threshold, it’s a heads-up that your hormone regulation might be becoming too restrictive. This can start to impact your energy levels and sexual health, and it might be a good idea to investigate further with your doctor to prevent any further increase. Levels on the lower edge might mean the bouncer is letting too many hormones loose, which can lead to symptoms like acne, rapid hair growth, or mood swings. It’s wise to monitor these levels closely and consider lifestyle adjustments or discuss potential hormonal treatments with your healthcare provider.
High (> 95 nmol/L)
High SHBG can be like having an overzealous bouncer - too strict, and not enough hormones get to have fun. This can lead to lower available testosterone and estrogen, potentially resulting in reduced sex drive, depression, and in women, irregular menstrual cycles. High levels might indicate an underlying issue like liver disease, hyperthyroidism, or eating disorders.
Also known as: SHBG re-std., Sex Hormone Binding Globulin