I completely agree! I had to start out with the TRT clinic because the first two docs I saw wanted to put me on antidepressants. They are perfectly fine with giving them out like candy, but scared $%!tle$$ to prescribe T because their peers might accuse them of being pushers. they have good reason too, just read some of the chatter on this forum about guys who what to throw off labs and fake symptoms to get a script for T. I'm not being judgmental, it's just that these conflicting uses of T make it that much more difficult for those who need it for medically legitimate purposes to get the treatment they so desperately need.
OK, I'll climb off my soap box now.
Getting back to the core question, there are few reasons a guy will need a DHT derivative for TRT. I happen to be one of the exceptions with genetically high SHBG, but I've resigned myself to the fact that expecting the medical community to treat a genetic condition that only affects 10% of men with an anabolic hormone that has a history of abuse is asking too much of them. I will treat the condition myself through alternative channels.
Other than high SHBG, I really can't think of any other condition where a DHT derivative (or any other synthetic androgenic hormone for that matter) might be beneficial to TRT. I'd be sincerely interested in knowing if there is another medically necessary use of the drugs in a TRT protocol.





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