Why does test gel increase DHT instead of total T? Frustrating. This is happening to me, and I was wondering if there's anything to change it, like supp'ing evening primrose or something that blocks DHT. Also, does the gel application site matter?
I know I could get T shots, but it's a last resort for me because I don't want to shut down completely. Going to try HCG first. Thanks.
Before addressing the first part of your question, whether you use test gel or injections, you are going to shut down completely. hCG will mimic LH and keep your testes up to form, but even then your LH is suppressed. So suppressed even becomes a relative concept.
My understanding is that creams/gels convert at a higher rate to DHT because they interact with 5AR in the skin. If you apply it to the skin of your genitals (scrotum, specifically), I understand you will get an even higher conversion to DHT. But AFAIK, other parts of the body should be equally good in that regard.
The only other question becomes "how much" insofar as quantity of gel. It is believed that the smaller the area, the less interaction with 5 AR and the less the conversion to DHT. Therefore, if you find yourself needing larger quantities of test (say 100 mg od), you would want to get a 10% preparation, which would mean 1 ml cream to rub in.
If you had to use, say, Androgel for same, you would need two satchels or 10 ml of gel. Lots more exposure to the skin (and 5AR) with that much gel.
Finasteride is a 5AR inhibitor, will decrease DHT, but many view it as an incredibly unsafe drug.