The Testosterone Partitioning Ratio is a calculated metric representing the proportion of total circulating testosterone that is unbound (free) or loosely bound to albumin, relative to the fraction tightly bound to Sex Hormone-Binding Globulin (SHBG). A favorable ratio indicates greater biological availability of testosterone for tissue action, which is more clinically relevant than total testosterone concentration alone. This ratio directly impacts androgenic effect.
Origin
This ratio is derived from endocrinology and clinical chemistry, combining measurements of total testosterone, SHBG, and sometimes albumin to estimate the biologically active fraction. Partitioning refers to how the hormone distributes itself between carrier proteins.
Mechanism
The ratio is dynamically regulated by SHBG concentration, which is heavily influenced by liver function, insulin status, and thyroid hormone levels. Higher SHBG binds more testosterone, lowering the ratio and functional availability, even if total production remains constant. Adjusting factors that influence SHBG synthesis is the primary mechanism for therapeutically altering this critical ratio.
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