Are my DHT levels too high?

MMarvel · Jul 6, 2021

Hey gents - I'm new to TRT and new to this forum. Glad to have found both. I've been on TRT for about 12 weeks now. I'm on 80mg T Cyp 2x week, plus 500iu hCG 3x week. Also take 0.25mg anastrozole 3x week. Just had my first post-TRT labs done last week, and I'm wondering how my DHT levels compare to others here. I'm definitely experiencing some anxiety, brain fog, and general malaise as of about 2 weeks ago. Wondering if DHT is a player. Here are some key stats from my labs below. Appreciate any feedback!

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Vince · Jul 6, 2021

MMarvel said:
Hey gents - I'm new to TRT and new to this forum. Glad to have found both. I've been on TRT for about 12 weeks now. I'm on 80mg T Cyp 2x week, plus 500iu hCG 3x week. Also take 0.25mg anastrozole 3x week. Just had my first post-TRT labs done last week, and I'm wondering how my DHT levels compare to others here. I'm definitely experiencing some anxiety, brain fog, and general malaise as of about 2 weeks ago. Wondering if DHT is a player. Here are some key stats from my labs below. Appreciate any feedback!

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Your DHT levels are slightly higher than mine. I definitely wouldn't be concerned about your DHT levels. My concern would be your estrogen levels, too low. I would drop the anastrozole. I bet you would feel a lot better.

Systemlord · Jul 6, 2021

High DHT isn't known to cause symptoms other than acne, the low estrogen is the cause of your anxiety and your Free T levels aren't high enough to fully benefit from TRT. I've seen guys go on TRT with these Free T levels.

Another benefit of TRT is increased hematocrit are yours is still on the bottom end.

Trip McNeely · Jul 7, 2021

DHT isn't your problem. There are guys on scrotal cream with levels five times what yours are. Your issue is likely that your free T is still suboptimal and you're oversuppressing estrogen. I'd bump the T dose up to 60mg 3x/week (the more frequent injections due to your low SHBG) and drop the anastrozole down to 2x/week, then retest in six weeks.