Testosterone is the primary male sex hormone that is involved in many different functions in the body. This hormone is especially important for men as it plays a vital role in supporting libido, muscle mass and energy levels. But while most of this hormone is bound, there’s also an unbound, free version. So, what is free testosterone?
Free testosterone is the unbound, bioavailable type of testosterone found in the body.
This form of testosterone is not bound to any molecules, indicating that it’s readily available to be used by the body for various processes and functions.
This means that free T can easily enter cells and activate the receptors to deliver powerful benefits such as increased sex drive, improved muscle mass and lowered body fat.
However, note that free testosterone constitutes only around 2% of total testosterone that floats in the bloodstream (1).
But despite making up only a minuscule amount of total T, free testosterone is still considered to be a critical factor for determining androgen deficiency issues in men.
In fact, a 2014 study published in the Advances in Clinical Chemistry journal reveals that free T is an important measurement for diagnosing impaired testosterone production in men – hypogonadism (2).
What Does Free Testosterone Do?
Free testosterone is responsible for binding to testosterone receptors within the body’s cells, which enables free testosterone’s functionality, namely cell replication in the muscles and bones.
Additionally, free T plays a major role in the formation of secondary sexual characteristics in men, such as:
- Growth of body and facial hair
- Increased muscle strength and mass
- Enlargement of Adam’s apple
- Deepening of the voice
Since free testosterone is considered as the metabolically active fraction of testosterone, free T can be used as a diagnostic tool for certain male disorders.
More specifically, disorders like androgen deficiency in men – male hypogonadism, which stands for impaired testosterone production in the body.
Free testosterone levels can also be used to provide further information to your doctor if your total T turns out to be low, following a testosterone levels test.
What is the Difference Between Total Testosterone and Free Testosterone?
Total testosterone refers to the overall amount of testosterone in the bloodstream, while free testosterone stands for only the unbound (i.e. free) bioavailable type of testosterone.
Only about 2% of all testosterone in the body is free, while the rest 98% are bound.
It’s important to note that although free testosterone is part of the total testosterone in the body, its share of the overall amount is minuscule.
Total testosterone equals to 100% of all testosterone in the bloodstream, while free T makes up only 2% of this amount.
And when someone mentions testosterone levels, they’re most likely referring to the grand total of this hormone, not a specific type.
- Also read: Testosterone vs Free testosterone
In fact, there are 3 specific kinds of testosterone found in the human body that are summarized in 2 main categories:
Bioavailable vs Bound Testosterone
- Bioavailable testosterone: Free testosterone and albumin-bound testosterone
- Bound testosterone: Sex hormone-binding globulin-bound (SHBG) testosterone
Now, the SHBG-bound is self-explanatory as it’s the only form of the hormone that’s considered ‘bound’.
But albumin-bound T is actually considered bioavailable testosterone because the albumin protein has a lower affinity to testosterone.
Albumin-bound testosterone can still be used as a reserve supply by tissues, particularly when free T levels become low.
What are the Benefits of Free Testosterone?
The benefits of free testosterone are the same as the benefits associated with testosterone in general, such as:
- Increased sex drive and libido
- Improved muscle and bone mass
- Elevated mood and energy levels
- Decreased body fat
However, the testosterone-related benefits even stretch as far as mental health and mood.
A 2015 scientific review published in the Frontiers in Neuroscience concludes that testosterone can reduce anxiety and even act as an anti-depressant (3).
Moreover, studies show that testosterone plays a key role in regulating the secondary sex characteristics in men, namely anabolic effects, voice deepening and hair patterns (4).
But this hormone is also incredibly important for the mental health of men.
Research from 2020 reveals that testosterone is vital for supporting behavior, mood and the quality of life in men across all ages (5).
Even more intriguing is the fact that the same study also links low T levels with symptoms of depression.
All of this means that there are myriad benefits associated with free T (and testosterone in general), some even related to mental health and mood.
How Do You Raise Free Testosterone?
You raise your free testosterone levels the same way you would increase your total T levels, or more specifically by means of:
- Exercise with weights i.e. weightlifting (6)
- Lower stress and cortisol levels (7)
- Get enough quality and restful sleep (8)
- Avoid excessive alcohol consumption (9)
- Get direct exposure to sunlight or use a vitamin D supplement (10)
All of the methods mentioned above can be summarized by this – living a healthy lifestyle is vital for your overall well-being, not only for your hormones.
So do your best to minimize any risk factors such as drinking and smoking, without neglecting proven testosterone-boosting methods such as resistance training.
Free Testosterone Levels by Age Chart
Based on the reference ranges provided by the Methodist Pathology Center in Omaha, Nebraska, the male free testosterone levels by age chart looks like this:
- 14 to 15 years – 3 to 138 pg/mL
- 15 to 16 years – 38 to 173 pg/mL
- 18+ years (adults) – 47 to 244 pg/mL
However, your test might only reveal your total T levels.
How do you figure out how much free T’s coursing through your veins then?
A rough estimate would be to divide your total testosterone by 2% as that’s approximately how much free testosterone the average male has.
The percentage of free testosterone in adult males is around 1.6% to 2.9%.
But the most accurate reading will always be a specific blood test that includes free testosterone levels.
This way you will be able to see if you have normal testosterone levels as a whole and if your free T falls between the 1.6-2.9% of total T range.
What Causes Low Free Testosterone?
Low free testosterone is mainly caused by androgen deficiency – a state in which the body doesn’t have enough male sex hormones (e.g. testosterone) that are needed to maintain adequate health, according to a 2016 study published in The Journal of Clinical Endocrinology & Metabolism (11).
The same research also mentions that low T levels are a sign of androgen deficiency, even if total T appears normal.
Experts from the same study courtesy of The Journal of Clinical Endocrinology & Metabolism suggest that men with suspected low testosterone symptoms should get their free testosterone checked as an assessment tool.
This is recommended due to the fact that most tests only target total testosterone levels.
And even your total T falls within normal ranges, you could still be experiencing male hypogonadism symptoms, such as:
- Decreased energy
- Reduced muscle and bone mass
- Erectile dysfunction
- Gynecomastia (man boobs)
Although normal T and low free T are associated with androgen deficiency symptoms, middle-aged and elderly men seem to be particularly affected, according to that 2016 research mentioned earlier.
As a result, free T levels can be used as an early assessment of androgen deficiency, particularly in middle-aged or elderly and also obese men.
How Do You Treat Low Free Testosterone?
There are two methods for treating low free testosterone:
- Natural (lifestyle changes, supplements, vitamins etc.)
- Artificial (testosterone replacement therapy i.e. testosterone medication)
Please keep in mind that you can combine and use both methods simultaneously or you can decide to go with only one of the two techniques for dealing with low T.
In fact, you have to treat low free T the same way you’d treat low T in general.
1. The Natural Way
- Become physically active – Men who are physically active have a superior anabolic hormonal environment (more testosterone), as well as healthier semen production than sedentary folks (12)
- Reduce your stress – Stress and stressful situations lead to erratic variations in T levels in men (13)
- Get plenty of restful sleep – Not getting enough sleep leads to a reduction in T levels, with relevant studies showing that 1 week of restricted sleep results in a drop of 15% (14)
- Supplements – Vitamins and testosterone boosters can help, especially those containing vitamin Das it has been proven to increase free testosterone levels in men (15)
- Lose body fat – Obesity in men is directly related to lower T levels, as guys between 14-20 are reported to have roughly 50% less testosterone on average than their non-obese counterparts (16)
2. The Artificial Way
Testosterone replacement therapy (TRT) is an artificial method used for treating men who suffer from abnormally low levels of T.
This testosterone medicine is prescribed by a doctor who needs to first assess your low testosterone symptoms and signs decide if TRT is right for you.
And if your doctor thinks that natural solutions won’t be effective enough in your case, they can prescribe you one of the following types of TRT:
- Injections – A particular type of synthetic testosterone is injected every 7-14 days
- Skin patch – A small patch is applied to the skin every day (in the evening)
- Pellets – A pellet is implanted under the skin (typically somewhere around the buttocks or hips) that is then replaced every 3-6 months
- Gel – A topical gel is applied every day to the skin over the thighs, upper arms or shoulders
- Oral therapy – Either a capsule is consumed or a tablet is attached to the inner cheek or gum 2 times a day
However, it’s not all roses and rainbows as TRT carries certain health risks that are worth mentioning.
- Also read: Treat low testosterone naturally
A 2014 study published in the Indian Journal of Urology shows that testosterone replacement therapy has been linked to potential risks such as (17):
- Cardiovascular disease
- Prostate cancer
- Gynecomastia/breast cancer
This is why it’s crucial to always talk to your doctor and evaluate all the potential benefits and risks of TRT.
Is Free Testosterone Important?
Yes, free testosterone and testosterone, in general, is undoubtedly the most important hormone for men as it is responsible developing and supporting vital functions such as:
- Secondary sexual characteristics
- Spermatogenesis (the production of sperm in the testes)
Free testosterone is also important for diagnosing specific disorders such as androgen deficiency in men (a.k.a. male hypogonadism), according to a 2014 study by the Advances in Clinical Chemistry (18).
Last but not least, free testosterone is an integral part of maintaining a healthy hormonal balance in men.
Overall, free testosterone stands for testosterone that is not bound to any molecules, hence being ‘free’ and ‘unbound’.
Although it makes up only about 2% of total testosterone, free T still plays a part in supporting healthy total T levels in men.
Thus, it’s not surprising that researchers suggest using free T levels to assess signs of hypogonadism, even when the overall amount of T in the body is in the normal range.
And while you would increase your free testosterone the same way you’d boost your total testosterone, keeping an eye on your free T levels can be a good idea as a preventative measure.
Now, have you ever checked your free testosterone levels by doing a specific blood test?
Also, have you ever felt chronic fatigue, low libido, lack of motivation, weight gain or loss of muscle mass even if your total T levels appear normal?
Let us know by dropping a comment below!
I’ve been fascinated by natural male hormone optimization since 2016. And ever since I’ve been going through boatloads of different meta-analyses and scientific data associated with increasing testosterone levels naturally. Currently, I’m working on my Ph.D. dissertation titled ‘The Informed Choice of Dietary Supplements as a Problem of Health Literacy and Health Promotion”. Thus, in my collective work here you’ll find helpful tricks, natural remedies, detailed product reviews (including stuff I’ve personally tried)… and more!