SHBG Dynamic Analysis involves the comprehensive evaluation of Sex Hormone Binding Globulin (SHBG) not merely as a static measurement but as a dynamic component influencing the bioavailability of sex steroids like testosterone and estradiol. This analysis seeks to understand factors that cause SHBG to fluctuate, thereby altering the free (biologically active) fraction of these critical hormones. Precise dynamic assessment is necessary because total hormone levels can be misleading without considering SHBG concentration and binding kinetics. We focus on the biologically available pool.
Origin
SHBG stands for Sex Hormone Binding Globulin, a glycoprotein produced primarily by the liver. ‘Dynamic analysis’ emphasizes examining its behavior over time or in response to stimuli, rather than a single snapshot. Its importance stems from its role as the primary transport regulator for sex steroids in circulation.
Mechanism
SHBG concentration is inversely correlated with insulin levels and positively correlated with thyroid hormone status and estrogenic load. The analysis mechanism involves calculating the free hormone fraction using validated formulas or direct assays, and then investigating upstream drivers like hepatic function or insulin resistance that dictate SHBG production. Modulation targets liver health and metabolic status to stabilize the transport mechanism, ensuring consistent free hormone delivery to target tissues.
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