Thanks bunny,
Sofia's results are interesting, her Total T (testosterone is low end) and estrogen on the upper end of male levels of estrogen (or low end female), certainly comparable with post-menopausal women who derive almost all of their estrogen from adipose(fat tissue) and aromatase (via stored estrogen) in fat tissue.
SHBG (sex hormone binding globulin) which is released from the liver is the wild card for NBE/Hrt. Think of this protein as the one that gobbles (globulin) most of the hormones that travel to target tissues. Now this protein doesn't like to share, but.....we must insist that it does, or plays nice, I'll tell you why in minute. There's another protein called " albumin " this likes to be " all - in " (albumin- too corny?, lol....it's what came to mind) that does like to share, and in targets tissues (breasts are one such example). Now freeing up the bound hormones in SHBG will float more free hormones (by displacing) SHBG, in other words.......kicking them out of SHBG so they can interact with target tissues. Leptin ( a hormone) displaces SHBG, other things can too, but leptin has the most potential (in my opinion) it's also a " second messenger " which means its an intercellular mediator that promotes DNA synthesis, (more boob growth).
I used to believe that higher SHBG meant more free hormones in the blood, welp....I was ww---wrong

yup, I admit defeat on that one lmao, and it happens. Here's the thing, the higher SHBG the lower the free hormones are available, and vice versa for increased free hormones. Free hormones (or also known as sex-steroids) are the active parts in SHBG, and albumin is a carrier protein of water, fatty acids, (other things too) and yes homones (in the free form), higher albumin isn't necessarily a good thing, could be indicative of vitamin A poisoning, if your always thirsty ( dehydration ) look into elevated albumin. There's another protein called corticosteroid binding globulin -CBG though it isn't strong enough to be concerned about at this point.
I'll have to give some real time data by way of blood test results to explain further what exactly I mean about how SHBG is the wild card, as soon as possible.