Hormones system

Free Androgen Index

FAI

A calculated index of free androgen status — total testosterone divided by SHBG.

What is it

Free Androgen Index — in plain English.

The Free Androgen Index is calculated by dividing total testosterone (in nmol/L) by SHBG and multiplying by 100. It provides a simple proxy for androgen bioavailability.

Why it's measured

What FAI can reveal.

FAI has been used in clinical research, particularly in women's health and PCOS evaluation.

Reference range

Where most laboratories draw the standard line.

Standard laboratory reference

Men: 35 – 95 / Women: < 5 index

Reference ranges vary by laboratory. Your individual reference range will appear on your test report and should be interpreted by your physician in the context of your overall health profile.

What results may indicate

Higher vs. lower FAI — at a high level.

Elevated

In women, has been associated with PCOS and androgen excess in research literature.

Lower

May reflect reduced androgen bioavailability — clinical context required.

These associations are general. They are not a personal diagnosis or prediction. Discuss your individual results with your physician in the context of your full health profile.

When it's measured

When FAI is typically run.

Calculated from total testosterone and SHBG.

Related markers

Often measured alongside FAI.

Measured in

FAI is one of 160 biomarkers in the Apex Panel.

A complete look at your heart, hormones, metabolism, inflammation, and longevity systems — drawn at Quest or LabCorp, reviewed by a U.S.-licensed physician.

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160 biomarkers13 body systemsPhysician-reviewed
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This information is for general educational purposes only and is not medical advice. Lab results alone are not intended to diagnose, treat, or cure any condition and do not replace the advice of a healthcare provider. OPTML does not offer medical advice, a diagnosis, medical treatment, or any form of medical opinion.

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OPTML offers compounded semaglutide and tirzepatide, prescribed and overseen by U.S.-licensed physicians. Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. OPTML is not associated with, endorsed by, or affiliated with the manufacturers of FDA-approved branded weight-loss medications, and does not sell or supply those branded products. Anyone interested in an FDA-approved branded medication should consult a licensed healthcare provider or pharmacist. Individual results vary; no specific result is promised, and weight management requires ongoing medical guidance.

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