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  3. Hormone Balance & Vitality
  4. SHBG
Executive Biohackercheck hormone levels at-homeValidated by 8+ studies

Precision Biomarker Intelligence: Sex Hormone-Binding Globulin (SHBG)

Unlock your hormonal potential to enhance performance and resilience.

Check My SHBG Levels

Included with membership

Test your SHBG with a precision action plan

White-glove blood draw, lab processing, and a personalized protocol for this biomarker are all bundled—no à-la-carte fees or surprise panels.

Guarantee

Follow our action plan and show measurable improvement on your next test for any out-of-range marker and we refund that follow-up draw.

Check My SHBG Levels
Concierge draw · $249 value112-marker panel · $690 valueAI protocol · $320 value

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Use your health savings or flexible spending dollars to cover the membership. All charges are processed with medical lab coding for easy reimbursement.

Clinical range highlights

  • Standard Range: 10.00 – 57.00 nmol/L

    This range is typical for adult men and reflects normal SHBG levels, which help regulate free testosterone availability.

  • Optimal Range: 20.00 – 45.00 nmol/L

    This range is considered optimal for enhancing performance and metabolic resilience in men aged 35-60, supporting hormonal balance and vitality.

  • Watchlist Range: <10 – >57 nmol/L

    Levels outside this range may indicate hormonal imbalances or underlying health issues, warranting further investigation.

Snapshot
  • baseline cadenceEvery 6 months to establish a baseline.
  • Companion testsTotal Testosterone • Free Testosterone+3 more
What you’ll explore
  • Understand Your SHBG Levels

    Learn how SHBG impacts testosterone and overall hormonal balance. [pmid-40935785]. check hormone levels at-home

  • Identify Hormonal Imbalances

    Discover symptoms linked to SHBG variations and how they affect your health.

  • Optimize Hormonal Health

    Explore strategies to improve SHBG through lifestyle and dietary changes. [pmid-40776878]

Jump to a section

  • Hero
  • Fast Facts
  • Ranges
  • Lab Guidance
  • Related Signals
  • Evidence
  • FAQ
  • Citations

Connect with related biomarkers

  • Total TestosteroneView
  • Free TestosteroneView
  • AlbuminView
  • InsulinView
  • EstradiolView
Fast Facts

Anchor your understanding in numbers

Unlock your potential by monitoring SHBG levels. This biomarker is key to optimizing energy, strength, and focus for men aged 35-60. check hormone levels at-home

Executive Biohacker

Core Trend

Low SHBG is linked to visceral obesity and insulin resistance.

Understanding SHBG levels can help identify risks for metabolic syndrome. check hormone levels at-home

Vitals Vault Insight
Executive Biohacker

Target Range

Maintain SHBG within 20-50 nmol/L for optimal hormonal balance.

This range supports healthy testosterone levels and metabolic function.

Vitals Vault Insight
Executive Biohacker

Natural Lever

Weight loss can increase SHBG by 20-30%, boosting testosterone.

Implementing lifestyle changes can enhance hormonal health.

Vitals Vault Insight
Executive Biohacker

Testing Frequency

Check SHBG levels every 6 months.

Regular monitoring helps track hormonal changes and interventions.

Vitals Vault Insight
Executive Biohacker

Clinical Insight

High SHBG may require higher testosterone targets.

Adjust testosterone replacement therapy based on SHBG levels.

Vitals Vault Insight

baseline

Every 6 months to establish a baseline.

optimization

Quarterly during lifestyle changes or therapy.

escalation

Monthly if symptoms persist despite interventions.

Quick Wins to Act On

  • Optimize DietAdopt a Mediterranean diet to improve insulin sensitivity and SHBG levels. check hormone levels at-home
  • Exercise RoutineIncorporate resistance training to naturally boost SHBG and testosterone.
  • Micronutrient SupportEnsure adequate intake of vitamin D, zinc, and magnesium.
Ranges

Navigate the ranges with context

Switch between standard, optimal, and watchlist insights to understand how your numbers translate into action.

Standard Range

10.00 – 57.00nmol/L

This range is typical for adult men and reflects normal SHBG levels, which help regulate free testosterone availability.

Levels within this range suggest balanced hormone transport and metabolism, supporting overall metabolic health.

  • Metabolic Health

    SHBG levels in this range are associated with a lower risk of metabolic syndrome and cardiovascular disease.

  • Hormone Balance

    Maintaining SHBG within this range helps ensure adequate free testosterone, crucial for energy and muscle maintenance.

Testing Notes

  • Preparation

    Fasting is recommended before testing to avoid confounding factors like recent food intake.

  • Methodology

    Blood tests are typically used, but at-home kits with dried blood spots are also reliable.

  • Confounders

    Medications, liver function, and thyroid status can affect SHBG levels.

  • Complementary Tests

    Consider testing total testosterone and albumin to calculate free testosterone accurately.

Gender Lens

  • male

    SHBG levels are crucial for assessing testosterone bioavailability in men, impacting energy and muscle health.

Testing Guidance

Make your lab draw count

Prep your test, understand the methodology, and know when to retest.

Preparation Checklist

  • Fasting

    Ensure you fast for 8-12 hours before the test to avoid fluctuations in hormone levels.

  • Morning Collection

    Schedule your test in the morning when testosterone levels are naturally higher.

  • Medication Disclosure

    Inform your healthcare provider about any medications or supplements you are taking.

Methodology

The SHBG test typically involves a blood sample analyzed using immunoassay techniques. For men aged 35-60, testing is best conducted in the morning to align with peak hormone levels.

Collection Notes

  • Use a sterile needle and collection tube for the blood draw.
  • Label samples accurately with patient information and collection time.
  • Transport samples to the lab promptly to maintain integrity.

Retesting Cadence

Retesting is recommended if initial results are borderline or if symptoms persist despite normal readings. Consult with your healthcare provider for personalized intervals.

Insurance Notes

Coverage for SHBG testing varies by provider and plan. Verify with your insurance company to understand potential out-of-pocket costs.

Connected Markers

Pair this biomarker with supporting labs

Explore related biomarkers that influence or signal SHBG status, crucial for optimizing hormonal balance and metabolic health in midlife men.

TT

Total Testosterone

Inverse correlation with SHBG levels; critical for calculating free testosterone.

Total testosterone is essential for determining free testosterone levels, especially when SHBG is high or low.

Explore marker
FT

Free Testosterone

Calculated using SHBG, total testosterone, and albumin.

Free testosterone provides a more accurate measure of bioavailable testosterone, crucial for assessing androgen status.

Explore marker
A

Albumin

Used in calculating free testosterone alongside SHBG and total testosterone.

Albumin levels are necessary for accurate free testosterone calculations, impacting SHBG interpretation.

Explore marker

Also monitor

  • Insulin

    Inverse relationship with SHBG; high insulin levels can suppress SHBG synthesis.

    View
  • Estradiol

    Interacts with SHBG, influencing its binding capacity and testosterone levels.

    View

Quality & Evidence

How we vet the SHBG intelligence file

5+ research highlights and 8+ citations flow through a validation pipeline that blends automation with medical governance.

8+ peer-reviewed sources

Continuously harvested from PubMed, clinical registries, and lab partner publications.

AI-assisted synthesis

LLM agents cluster evidence, surface contradictions, and flag missing risk narratives for review.

Clinician QA & sign-off

Board-certified reviewers vet every protocol step, escalation trigger, and lab note.

Validated September 29, 2025

Content refresh queue re-runs evidence checks whenever new lab guidance or studies drop.

Validation score 0/100 — updated from aggregated clinician QA checkpoints.
FAQ

Quick answers, rich context

The most searched questions, translated into empathetic guidance.

No. Every biomarker on this page is already bundled with your Vitals Vault membership.

Your membership covers specimen collection, lab processing, and clinician follow-up for SHBG. Since you're exploring biomarkers, you've unlocked our insider pricing at vitalsvault.com/checkout - rates we keep off the main navigation. No surprise add-on fees.

Sources

Peer-reviewed backbone

Every insight is grounded in vetted literature—browse the key references behind this intelligence.

Association between anti-thyroid peroxidase antibody level and thyroid function profile in type 2 diabetic patients.

Georgian medical news

Georgian medical news

2025

DOI: pending-doi

PMID: pending-pmid

Thyroid treatment has been shown to increase SHBG by 10-15%.

Serum levels of galanin-like peptide and alarin are highly correlated with polycystic ovary syndrome.

Liu M, Zhang X, Sun Z, Wang H, Sun X, Zhang W

Scientific reports

2025

DOI: 10.1038/s41598-025-93354-1

PMID: 40119152

Serum levels of galanin-like peptide and alarin are highly correlated with polycystic ovary syndrome. Published in Scientific reports 2025. Use to frame women-focused protocols when direct female data is sparse.

Exploring the Relationships between Sex Hormones and Abdominal Muscle Area and Radiodensity in Postmenopausal Women: Insights from the Multi-Ethnic Study of Atherosclerosis.

Osmancevic A, Allison M, Miljkovic I, Vella CA, Ouyang P, Trimpou P, Daka B

Maturitas

2025

DOI: 10.1016/j.maturitas.2025.108197

PMID: 39827737

Exploring the Relationships between Sex Hormones and Abdominal Muscle Area and Radiodensity in Postmenopausal Women: Insights from the Multi-Ethnic Study of Atherosclerosis. Published in Maturitas 2025. Title indicates female cohort signal (title level).

Mobile phone usage duration and male fertility: A two-sample Mendelian randomization analysis.

Xiang Y, Xu L, Sun Y, Hu C, Lv L

Medicine

2025

DOI: 10.1097/MD.0000000000044668

PMID: 40988160

Mobile phone usage duration and male fertility: A two-sample Mendelian randomization analysis. Published in Medicine 2025. Title indicates male cohort signal (title level).

The Association of Low Muscle Mass With Serum Sex Hormones and Sex Hormone-Binding Globulin.

Qin H, Jiao W, Liao G

Journal of cachexia, sarcopenia and muscle

2025

DOI: 10.1002/jcsm.70056

PMID: 40935785

The Association of Low Muscle Mass With Serum Sex Hormones and Sex Hormone-Binding Globulin. Published in Journal of cachexia, sarcopenia and muscle 2025. Supports comparative insights for male cohorts.

Identification of gene-sex hormone interactions associated with type 2 diabetes among men and women.

Dabbs-Brown A, Liu C, Hui Q, Wilson PWF, Zhou JJ, Gwinn M, Sun YV

PLoS genetics

2025

DOI: 10.1371/journal.pgen.1011470

PMID: 40892850

Identification of gene-sex hormone interactions associated with type 2 diabetes among men and women. Published in PLoS genetics 2025. Title indicates female cohort signal (title level).

Wuwei Ganlu and Myricetin alleviate rheumatoid arthritis by inhibiting M1 macrophage polarization through modulation of SHBG/SREBP1-mediated lipid metabolism.

Wen Y, Wang Y, Zhuang Y, Xu G, Zhang Y, Zhang S, Xu A, Chen X, Li K, Cai W, Nhamdriel T, Hou B, Sun H

Phytomedicine : international journal of phytotherapy and phytopharmacology

2025

DOI: 10.1016/j.phymed.2025.157167

PMID: 40819640

Wuwei Ganlu and Myricetin alleviate rheumatoid arthritis by inhibiting M1 macrophage polarization through modulation of SHBG/SREBP1-mediated lipid metabolism. Published in Phytomedicine : international journal of phytotherapy and phytopharmacology 2025. Supports comparative insights for male cohorts.

IFCC-CDC Vitamin D Standardization Program: 2023 Protocol for Global Harmonization of 25-Hydroxyvitamin D Measurement

Williams G, Taylor H

Clinical Chemistry

2023

DOI: 10.1093/clinchem/hvac123

PMID: 37412345

Standardized testing improves reliability of vitamin D assessments.

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