Blood Testing

Total Testosterone

Total Testosterone is the total amount of testosterone in your blood (free plus testosterone bound to SHBG and albumin), measured as part of a hormone panel. Total Testosterone levels help assess androgen status across sexes and life stages. Low results can be associated with androgen deficiency or hypogonadism, pituitary or gonadal dysfunction, obesity, or insulin resistance, while higher results may suggest androgen excess such as PCOS in women. This matters for fatigue, libido, mood, muscle strength, bone health, and exercise recovery. A Total Testosterone blood test is best interpreted with SHBG, calculated free testosterone, LH/FSH and oestradiol to clarify the underlying driver.

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What is Total Testosterone?

A testosterone blood test measures total testosterone, which includes free testosterone and testosterone bound to albumin and SHBG, providing an overview of overall testosterone availability in the body in nmol/L.

Why does it matter for long-term health and wellbeing?

Total testosterone supports physical strength, bone integrity, energy balance, libido, mental focus, and healthy ageing, making it a valuable marker for monitoring performance and resilience across life stages.

What’s an optimal level of Total Testosterone?

For females, the typical laboratory reference range is 0.5–3.2 nmol/L, with an optimal range often considered around 1.5–3.2 nmol/L.

For males, the laboratory reference range is approximately 11–40 nmol/L, with levels above around 12 nmol/L commonly viewed as supportive of optimal function, depending on individual context.

What influences Total Testosterone levels?

Levels are influenced by age, body composition, physical activity, sleep quality, stress, alcohol intake, nutrition, insulin sensitivity, supplements, and timing of testing. In men, levels follow a daily rhythm and are best measured in the early morning, while in women timing within the menstrual cycle can affect results.

What does it mean if Total Testosterone is outside the optimal range?

Values outside the optimal range may indicate that lifestyle, recovery, or metabolic factors are placing extra demand on the body. These insights can help guide adjustments to training, nutrition, sleep, or stress management to better support balance and performance.

How can I support healthy Total Testosterone levels?

Supporting healthy levels often involves quality sleep, balanced nutrition, regular resistance and aerobic exercise, stress management, moderated alcohol intake, and a healthy body composition. Using an at home testosterone test makes it easier to track trends over time and see how these lifestyle choices influence results.

This information is provided for general health and wellness purposes only and does not replace medical advice.

References

  1. Grossmann, M., & Matsumoto, A. M. (2017). A perspective on middle-aged and older men with functional hypogonadism: Focus on holistic management. Journal of Clinical Endocrinology & Metabolism, 102(3), 1067–1075.
  2. Yeap, B. B., Grossmann, M., McLachlan, R. I., Conway, A. J., Handelsman, D. J., & Wittert, G. A. (2016). Endocrine Society of Australia position statement on male hypogonadism (Part 1): Assessment. Medical Journal of Australia, 205(4), 173–178.
  3. Perry-Keene, D. (2014). Low testosterone in men. Australian Prescriber, 37(4), 124–127.
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Red Blood Cell (RBC) Count
Haemoglobin
Haematocrit
Mean Cell Volume (MCV)
Mean Cell Haemoglobin (MCH)
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Red Cell Distribution Width (RDW)
Platelet Count
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Key blood indicators like hemoglobin, inflammation, and oxygen transport for overall health.
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Assesses cardiovascular health through cholesterol, lipids, and heart-related risk markers.
Cortisol
Dehydroepiandrosterone Sulfate (DHEA-S)
Free Thyroxine (T4)
Free Triiodothyronine (T3)
Thyroid stimulating hormone (TSH)
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Hormone balance

Evaluates hormone levels that impact energy, sleep, mood, and metabolism.
White Blood Cell (WBC) Count
Neutrophils
Lymphocytes
Monocytes
Eosinophils
Basophils
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Immune system

Measures immune activity and inflammatory responses to assess body defenses.
High-Sensitivity C-Reactive Protein (hs-CRP)
1 marker

Inflammation status

Tracks signs of chronic or acute inflammation that may affect long-term disease risk.
Bicarbonate
Chloride
Creatinine
Potassium
Sodium
Urea
Uric acid
Anion Gap
Estimated Glomerular Filtration Rate (EGFR)
9 markers

Kidney function

Assesses kidney health through creatinine and other markers of blood filtration.
Alanine Aminotransferase
Albumin
Alkaline Phosphatase
Aspartate aminotransferase (AST)
Bilirubin
Gamma-glutamyl Transferase (GGT)
Globulin
Total Protein
8 markers

Liver health

Measures liver enzymes and proteins responsible for detoxification and metabolic health.
Fasting Glucose
Fasting Insulin
Haemoglobin A1c (HbA1c) IFCC mmol/m
Haemoglobin A1c (HbA1c) NGSP/DCCT %
HOMA-IR score
5 markers

Metabolic health

Evaluates energy processing with glucose, HbA1c, insulin, and related biomarkers.
Magnesium
1 marker

Vitamins & minerals

Analyzes essential nutrients that support immunity, energy, and overall wellbeing.
Creatine Kinase
1 marker

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Assesses biomarkers related to muscle performance, function, and recovery.
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Biological age

A reflection of how your body is aging at the cellular level, linked to age risks and longevity.
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