Free Testosterone Quantification is the precise laboratory measurement of the unbound, biologically active fraction of total testosterone circulating in the serum, excluding testosterone bound to Sex Hormone-Binding Globulin (SHBG) or albumin. Accurate quantification is clinically essential because only this free fraction can readily diffuse into tissues to exert its anabolic and androgenic effects. Low free T, even with normal total T, indicates functional hypogonadism.
Origin
This measurement technique evolved from older assays that only measured total testosterone, recognizing that protein binding significantly limits hormonal bioavailability. ‘Quantification’ speaks to the analytical rigor required for accurate mass determination.
Mechanism
Measurement often employs equilibrium dialysis or validated immunoassay methods that selectively isolate or calculate the unbound hormone concentration. This analysis directly reflects the amount of testosterone immediately available for receptor interaction at peripheral sites. Clinical decisions regarding testosterone replacement therapy are frequently based on these free or bioavailable levels rather than total levels alone.
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