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+ 40 Everything about DHT; Relation to the Brain , CNS, Strength and Blood Pressure

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I'd like to thank this forum and it's staff for counting on and enforcing the no- plagiarism policy, this is very beneficial for all members who may write or have written similar work, also in respect of the rules - I am posting the entire article in page, not just the link.

~I declare I am the rightful owner and publisher/writer of Area-1255 and this following article~

EXCLUSIVE : The What & The How of DHT (Dihydrotestosterone) in the Brain

Many bodybuilders and fitness enthusiasts are going to be thrilled to find out how exactly DHT works in the Brain. What does it do for us there ? Is it really responsible for libido, and if so, what other chemicals does it affect? This article aims to surpass and explain the general knowledge floating around on the Internet and on Forums. I am not a doctor, but I have compiled a nice bunch of references and studies to cite the foundation of this article. I also will explain briefly (an estimate) how someone would feel based on the relative changes due to DHT - discussed in this article.

First off, a basic explanation of DHT (Dihydrotestosterone); it is an androgen (male sex hormone), like Testosterone, which rather than promoting the growth of muscle mass directly (tissue-acting), it acts via intracellular (in the cell) mechanisms to increase strength and metabolism. DHT is not very anabolic, but it is Androgenic, and thus meaning, it promotes masculine characteristics (such as a deeper voice, and growth of facial hair, body hair etc) (1). DHT has a bad rap, since it has been claimed to cause an enlarged prostate, but if you follow the source, most of the studies saying this are linked to pharmaceutical promotion of their anti-prostate, anti-Male drug, Finasteride (Propecia) and Dustasteride(2) (3). DHT has also been claimed to cause your hair follicles to become thin, and your hair - subsequently falls out. No. Just No. DHT has been implicated as a factor at most, more studies show that more specifically it is Zinc deficiency AND genetics that provoke male pattern baldness (4)(5). Although Zinc deficiency causes the rise of DHT levels, it also causes increases in prolactin, and estrogen, thus the real problem here could have to do with either of those hormones. Just to clarify, Anti-ESTROGEN drugs have been used recently to treat prostate enlargement (BPH), and they are very successful, with less side-effects(6) (7) (8) (9). So if they were wrong about DHT causing prostate enlargement, maybe they were wrong about DHT and hair loss too.

DHT - HOW IT AFFECTS THE BRAIN - AND NERVOUS SYSTEM

But anyway, we got carried away. Let's go on to discuss DHT's effects in the Brain.
DHT has pronounced effects on neurochemistry (it affects neurotransmitters in the brain). DHT has been shown to increase circulating epinephrine levels (adrenaline), this can cause anxiety in predisposed individuals, however, most of the time, this is not the case, since DHT also increases GABA activity in the brain, which is relaxing (10) (11) (12). So in other words, DHT should promote A focused, calm burst of energy, which is what many users of DHT-based steroids, report as the "alpha-male" feeling (13) (14). Dihydrotestosterone increase central and nervous system energy production by increasing not just adrenaline, but cyclic AMP (15). This molecule increase thermogenesis (fat-burning and heat production)(16). Cyclic AMP facilitates the conversion of TSH thyroid hormone, to T4, a more potent thyroid hormone, thus, indirectly, DHT increases thyroid function (by increasing cyclic AMP) (17).

So seeing all this, DHT definitely acts as a nervous system stimulant, and a metabolic "probe", it also increases GABA. Second to this though, it could indirectly decrease serotonin or serotonin receptors; since DHT antagonizes estrogen activity, and estrogen helps maintain the expression of serotonin receptors in the brain(18) (19). This is also consistent with DHT being shown to stop estrogen induced prolactin release(20).
This is part of the reason behind using DHT Gel to treat gynecomasita. Clearly DHT has anti-depressant effects, since Finasteride causes depression (21) and also based on the above mentioned activity of DHT in the brain. It gives energy, it gives focus, it gives aggression.

DHT also improves spatial working memory(22), according to some studies, by altering NMDA-receptors(23) (namely increasing), and by improving Calcium-induced acetylcholine release & function in the hippocampus(24)(25); a very important area of the brain involved in memory formation and spatial (directional) memory.

DHT also decreases glutamate levels and excitory outputs through other mechanisms (26) (27) (28).

Finally, Dihydrotestosterone, or it's metabolite 3-alpha-Diol; downregulate alpha-adrenergic receptor distribution, leading to more inhibitory adrenergic (adrenaline influence)(29) (30) (31). For those who don't know, adrenaline can activate an 'alpha receptor' - which stimulates the nervous system, vasoconstricting blood vessels and arteries, raising blood pressure, or it can activate a beta-adrenergic receptor, generally vasodilating artieries, but yet, increasing heart contractile force. This all might just be another result or a reflection of what is mentioned above, that DHT increases epinephrine, GABA, and cyclic AMP. However, in a separate study, Testosterone (without specificity), had upregulated alpha-1-receptors to protect the heart against ischemia(32). Is this an effect of Testosterone or it's metabolites though. Likely, it doesn't matter, it was probably case coincidental, but may indicate that if blood pressure falls too low, Testosterone can increase it to maintain homeostasis.

In yet another study however, DHT has been shown to increase alpha-1-adrenergic expression, whereas Estrogen decreased the expression/density(33).
This again reflects the need for DHT and Estrogen to be kept in balance, as both promote vasodilation through different pathways, however, since Alpha-1-receptors are incredibly potent Vasoconstrictors, DHT + an OVERALL deficiency in nitric oxide may actually promote high blood pressure, especially in coordination with estrogen deficiency. Interestingly, Alpha-1-receptor activation may increase serotonin activity at the 5-HT1A receptor(34)(35), this is an auto-receptor that ironically seems to possess anxiolytic (serotonin-typical) effects. 5-HT1A activation has shown to help social anxiety disorder, but worsen anticipation anxieties(36)(37).
In another study, DHT/Androgens also facilitated serotonin 5-HT1A/1B agonist-decreases in aggression, which is controversial, although it appears that estrogen allows for intermale aggression by downregulating serotonin 5-HT1A/1B activity(38)(39). Thus DHT's only pro-aggressive propertly lies in it's adrenaline promoting effect, and not with serotonin.

So DHT via multiple pathways increases nervous system strength, DHT increases epinephrine levels, decreases prolactin (assuming you have enough dopamine production as well), increases GABA, may decrease serotonin and serotonin receptors. All-round this means DHT has positive effects on your chemistry and nerve cells. By reducing prolactin, and estrogen, and subsequently serotonin, and also regulating catecholamines, by this, DHT can definitely increase libido, and alleviate sexual anxiety in most individuals by increasing GABA. DHT is key to many of Testosterone's brain benefits. Keep in mind though, despite positive effects on brain chemistry, this still doesn't give an excuse to OD on aromatase inhibitors, likely, because you need a little bit of estrogen (not much at all), to promote nNOS (neuronal nitric oxide synthase) production. So DHT serves as a great compliment to a little bit of brain estradiol, and a great ratio of DHT to estrogen means optimal sex drive, stamina, charisma and general masculinity.

Let's summarize in Bullets Here.

-DHT regulates alpha and beta adrenergic receptors.
-DHT may increase alpha-1-receptor density.
-DHT may decrease glutamate activity and increases mGLU7 expression (which increases GABA release)
-DHT increases serotonin 5-HT1A receptor density by influencing A1-Adr.Receptors.
-DHT promotes serotonin 5-HT1A/1B activity and may reduce aggression in the presence of serotonin. Although this may easily be over ridden by the pro-adrenergic effects of DHT.
-DHT increases beta-endorphin release by ^ 5-HT1A receptor indirect activation.
-DHT facilitates the release of Epinephrine (adrenaline).
-DHT increases cyclic AMP.
-DHT blocks estrogen-induced prolactin release.
-DHT reduces serotonin and serotonin receptors by inhibiting estrogen influence in the Brain. (but mainly acting to oppose 5-HT2A,2C and 5-HT4 receptors)
-DHT increases GABA and GABA-A (neurosteroid-specific) receptor expression.
-DHT increases NMDA-receptors in the Hippocampus.
-DHT increases Ca3 (Calcium) evoked Acetylcholine Function(AcH release).
-DHT increases nervous system strength and regulates blood pressure.

hammerheart's picture

Bump! Sir, I have a question for ya.

I'm on TRT for low t and thyroid meds for hypothyroidism due to hashimoto.

Since being on TRT I've experience quite a long list of sides, both "central" and somatic.

These includes brain fog, moodiness, irritability, lethargy, drowsiness, bad fatigue, muscular weekness and softness, decreased stamina, etc.

By managing E2 with AIs, some of these only partly subsided (particularly the bitchiness lol), making TRT bearable, but didn't cut it.

What I have always "felt", is the TRT raising the need for thyroid hormones, ie. by upping dosage, the sides get less prominent.

As of lately, I have been pinning at DHT as the possible culprit. Let's follow this reasoning:

DHT is both a CNS stimulant (due to its adrenergic properties) AND a brain relaxer. It gets converted into 3-beta-diol, which is a potent GABA agonist. This will help restore balance between excitatory and inhibitory transmission.

However, thyroid hormones affects adrenergic function to great extent, so if an underlying dysfunction is present, is it possible that the overall balance will shift toward the inhibitory, thus causing the drowsiness, fatigue, and muscular weakness?

hammerheart's picture

Yep I pulled thyroid bloods a dozen times in the last two yrs, I have hypothyroidism due to hashimoto (endo diagnosis) , currently on 100 mcg T4 plus 25 T3. ACTH and cortisol are adequate, PRL is normal. I will eventually pull DHT to see where levels land at. I'm also looking into methylation to see I have problem there. I just cannot wrap my head around TRT worsening muscle tone and strenght, I cannot find a solution.

Dacky's picture

What's your trt dosage and frequency?

hammerheart's picture

TE, 75mg bi-weekly (150mg total). I've not tested yet on this protocol.

I've been on TRT for two years, first with gels, then Nebido, now TE.

Dacky's picture

Hmmm ok was just checking if there was a possible roller coaster effect happening but with that frequency should be fine and your levels will tell you if the dose is too high or two low. It's possible on the gels and nebido you did not have stable levels and the fluctuations here plus the knock on to Estro and DHT could have allowed your symptoms to develop. I'm not sure how long you've been on TE but perhaps if not long as time goes on and your estro remains controlled your symptoms may diminish. Good luck.

hammerheart's picture

Thanks!

It's been three months on TE. I have been on weekly, used AI due to E2 sides, then decided to lower dosage, split to 2/w, and avoid AI until next bw. I don't do well on AIs so I will probably reduce dosage further I test high on Estro.

Yes gels were the worst, I absorb them so FAST that even two daily applications proved useless, morning T was always < 100 ng/dl on gels.

Nebido was a great improvement but levels swayed too much across the 10 weeks interval. Lot of sides in the start (due to high E2) and low free t / crushed E2 in the end.

Makwa's picture

Ask your doc about the pellets. These seem to provide a stable flow of test over a several month period.

hammerheart's picture

N/A where I'm from.

Dacky's picture

Fella I am no trt expert but from what you've said you are yet to find the balance between dose, frequency and estro control. The fluctuations this environment creates could lead to many of you're symptoms. Find the equilibrium and I hope your issues resolve. Many who are on trt here will tell you I can take 6 month to a year and you've been all over the place with methods of administration, dosage, AI's. I'll leave it there and let those more knowledgable on trt chime in. Good luck.

hammerheart's picture

Well I have been six months on gel, more than a year on Nebido, and now a few months on TE - if protocol isn't on point, it will take just forever to adjust.

I wasn't expecting wonders from TRT, just not to feel worse.

Dacky's picture

Yes absolutely I hear you. So the past is the past. If you can get your test levels where they should be on trt and stable and your estro in range (not too high or too low for YOU) and maintain that for 6 months your symptoms MAY go away and you're set. My suggestion is this has to be your goal or try and come off and reboot your natty test production.

Getting your test levels where they should be and stable should be the easy part and twice weekly injections at the right dose should do this for you and then you will need to work with your endo on estro control. You mentioned you don't do well on AI. Can your elaborate? What have you tried? Dosage? For how long? What were your estro levels when on the AI? What were they before? Just trying to help fella. Perhaps you know all this and if so that's fine. All the best.

hammerheart's picture

My pre-TRT levels tT and fT were 150 ng/dl and 8 pg/ml, respectively. After two yrs of suppressive TRT, the boys are reduced to half the size, so duh I'm not sure how much T they would pull on a restart, not to mention the thyroid meds that would rapidly upregulate SHBG without exogenous T.

It's just not going to work, so I'm pretty much bound to TRT for life, I don't really stand a choice.

About E2, I admit I made a mess. I started with e5d 150 TE that gave me bad estro issues, just like the nebido shots I was used to. I didn't care to check so I straight jumped on low dose AI, aromosin 6.25 EOD, which took care of the bloating, dizzines, insomnia and irritability, but it did also negatively affect strenght and energy.

I pulled bloods about 4 weeks later, they revealed a through tT above assay sensitivity (>1350) which is obviously too much, and non-sensitive E2 of 33 pg/ml. Given the non-sensitive overestimate estradiol by 50-70% (there are multiple studies proving it), it is logic to assume it was a bit lower than ideal.

I was also low in Iron (currently supplementing) and hypothyroid again (introduced the T3 since) so you see my situation is a bit complicated as TRT and sex hormones comprise only a part of the picture.

Again, the goal is to maintain homeostasis, so I felt lowering dose and splitting it was the best thing to do, hence the 75mg bi-weekly. I'm not experiencing any estro side so I don't feel the need for AIs.

I'll run a massive blood check in Septembr for assess overall status, CBC, liver, lipids, sex hormones, thyroid, prolactin, and nutrition.

shawn0712's picture

Just a different perspective, but has your doc looked at your prolactin much? I've read, and felt the consequences of naturally low prolactin. And ranges vary per the individual. If you're on the somewhat low side, it could be the cause of your need for trt, and your lack of positive response.

hammerheart's picture

It was 15 ng/ml last year, I will check again next month just out of curiosity.

CBBurrr's picture

I'm not sure if you already use it, but you may want to ask your Dr about adding a little HCG to your TRT regimen. I just went a few weeks w/o hcg while I waited for an international order to arrive, while I felt OK without the HCG I felt fantastic after one little 250 iu shot of the stuff.

Its a complicated little hormone and does way more than just make e2 and keep your nuts big.
I see increased energy, strength, libido and improved mood.

hammerheart's picture

It stimulates pregnenolone synthesis, which acts as a dopamine releaser... yes it's an ought-to-do addiction, I must save my pair.

CBBurrr's picture

I didn't know all of that.... but I sure feel good with a little bit pinned once a week.

Dacky's picture

Sounds like you're all over it. You and your doc will get it figured out. Good luck mate.

CBBurrr's picture

great write up.

Where do we get DHT?
proviron I think, but what other compounds?

Carlos Danger's picture

a lot of folks just think it is Mast and Provi. But there's a bit more that are DHT derevitive. Winny like mentioned below, Var, Primo, Anadrol.

Geo's picture

This is excellent +1

bolt781's picture

Hell of a write up! Masteron is amongst my favorite 3. As I have "bic'd" it since the 90's no worries there what role dht plays on the hair follicles. In the midst of a hollowed cut I am bringing in mast at a low dose along with a low dose of test and deca. The added aggression for lifting along with the added anti-e properties should do the trick! Anyhow great read

strongman6969's picture

Very informative, great job. Ive read dht regenerates myelin sheath at a greater rate than test. Dht has many benefits to the body and maybe even equal of importance as testosterone.

killroy's picture

What is your take on DHT and its inhibitory effects on GH secretion and lowered IGF1 levels ?

killroy's picture

A year has gone by and I finally noticed this reply! Appreciate the detailed response ! +1

Daddy78's picture

Great info. Now i have answers for all my questions.

RickRock1086's picture

I'm never running a cycle without Masteron ever again. It is a MUST for me from my last cycle on

irongame427's picture

Great post +2

Dextermorganlv's picture

Great read bro, +1