Poll: Cream vs Injection DHT Sides

For men who have tried both cream and injections, which produced worse hair loss and/or acne?

  • I experienced significantly worse hair loss and/or acne on cream.

    Votes: 3 50.0%
  • I experienced significantly worse hair loss and/or acne on injections.

    Votes: 0 0.0%
  • I did not experience a noticeable difference in hair loss and/or acne between cream and injections.

    Votes: 3 50.0%

  • Total voters
    6

FunkOdyssey

Seeker of Wisdom
I'm interested to hear from men that have tried both injections and cream when it comes to side effects commonly attributed to DHT, like acne and hair loss.

It is clear that serum DHT on cream is ridiculously elevated to many multiples of the normal range in almost everyone using it. However, some argue serum DHT does not reflect tissue levels of DHT, which are locally regulated. This idea is similar to the claim that serum E2 is relatively meaningless because it is a paracrine hormone in men. There is some evidence that tissues like the prostate and possibly even skin become saturated with a max level of DHT, so that increases of serum testosterone and DHT beyond a certain threshold has no further effect.

Do your real-life experiences support the tissue saturation / local regulation hypothesis or are DHT sides worse on cream? Hopefully respondents to this poll will have achieved similar free testosterone levels on injections and cream, otherwise responses may be confounded by the higher free T that seems typical of cream users. Let's try to keep that possibility in mind as we interpret the results.
 

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TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

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Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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