Derek (More Plates More Dates)

And if you find that there's a way that you could get there, like, for example, if you found out you were, like,

Adrenal insufficient, for example, like there are natural things that you could do on the women's side, like DHEA.

I'm sure at some point we would have ended up talking about not meaningfully impactful for men's testosterone levels because the majority is driven through intratesticular testosterone production.

But for women, because you only have such a amount, it's like, you know.

15 to 70 total, a significant chunk of that could be driven through DHEA mediated conversion.

And if that is the case and you're low DHEA via an assessment of the biomarker DHEAS, typically as a proxy,

sulfated dhea you may highly benefit from like a basic dhea oral supplement that's like you know uh easier to predict what's going to happen it's like an actual marker you can point to as deficient based on like a validated you know clinical biomarker and you know exactly what happens when like like there isn't a it could convert technically to different metabolites but in general women respond

favorably to an adequate dhea dose when warranted for testosterone conversion like i've seen pretty dramatic changes to the degree of women on combined oral contraceptives attenuating entirely the loss in testosterone production via the progestin and estrogen induced suppression through the dhea so like by that i mean starting off with like a 70 total t getting suppressed down to like

you know, 30 or something on your combined oral contraceptive, taking DHEA and getting back up to 70 while you're still on the combined oral contraceptive.

25 to 50 would be like what you see in the studies, but I would start lower for sure just to see how you respond because it is, again, an androgen.

And women, some of them respond pretty aggressively with acne flare-ups and androgenic side effects, and it should still be treated with the respect that it deserves because it's an androgen.

It will still mediate similar side effects.

Mm-hmm.

And some women don't respond favorably to it.

And like, you know, testosterone could be warranted depending on the person.

You just got to know like the dose is like really, really small.

And like, it's probably like a tiny little blip of cream or gel, like whatever you're using, it's probably going to be, just be like aware of, you know, and extremely cautious about like who you're deferring to for information on it.

Cause it's not something you want to mess with without like,

Knowing exactly where your dose should theoretically put you on like a reference range and like what that might yield in terms of symptom relief or like benefit quality of life via an array of people that are trusted in the like widespread community for this kind of stuff.

And you, you know, multiple opinions, not just like one guy who, you know, is a cowboy doc.