What’s a “Normal” Testosterone Level and How to Measure Your T

The problem is that there hasn’t been much standardization in hormone testing, particularly regarding T levels. Different labs use different methods (and measurements), which has only created confusion among consumers and even family doctors about what testosterone level results even mean.

Hopefully, the current state of confusion will soon change. The Center for Disease Control here in the U.S. started a project in 2010 to get labs to agree on standard hormone testing procedures. It’s slowly gaining ground, but not every lab has signed on.

I also learned that the bottom range of what’s considered “normal” by many doctors is actually woefully underestimated. Doctors are telling men who come to them with symptoms of low testosterone, “Well, you’re barely within normal range, but it’s still normal, so… you’re fine!

Total and Free Testosterone Levels

Before we begin, I want to reiterate the fact that there are three different types of testosterone floating in your body: free testosterone, SHBG-bound testosterone, and albumin-bound testosterone. When you get tested, there are two tests you can get: total testosterone and free testosterone.

Total testosterone is the total amount of T floating in your blood at the time of the test: free, SHBG-bound, and albumin-bound combined. Total testosterone is typically measured in ng/dl, or nanograms per decilitre.

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