02/06/2026
Low T isn’t a hormone issue; it’s a metabolic one.
Most men are told testosterone is the problem.
It’s not.
Testosterone fails when metabolism, inflammation, and signaling break down.
If you only check total T, you are guessing.
These 7 labs tell the real story:
1.Free Testosterone
This is what your body can actually use. Total T without free T is meaningless.
2.SHBG
Controls how much testosterone is bound and unavailable. High SHBG, low performance.
3.Prolactin
Elevated levels suppress testosterone and crush libido, motivation, and drive.
4.hs-CRP
Inflammation blocks hormone signaling. You cannot optimize testosterone in an inflamed body.
5.Estrogens
Too high or too low both cause problems. Balance matters more than suppression.
6.DHT
The most potent androgen. Low DHT equals low confidence, poor strength, and flat energy.
7. FASTING Glucose and Insulin
Insulin resistance shuts down testosterone signaling long before diabetes shows up.
If these aren’t run, you are not being evaluated, you are being managed.
