anyway, seeing a lot of questions pop up about dht cream, and it’s not always a straightforward thing like taking a pill. when someone asks me about it, here’s how i usually break down what needs thinking about. first, what’s teh actual goal for increasing dht? clinical decisions are for your prescriber, but understanding why you’re looking at dht instead of something else can really impact the conversation around the product itself.
it changes what questions i’d ask next about the specific formulation. then there’s the product itself. is this a compounded cream from a 503a? are you looking at a specific base?
transdermal absorption for hormones can be really different from, say, a subq injection. creams have a lot of variables - the vehicle, the concentration, the stability - and that all plays into how much actually gets to where it needs to go, and how much just sits on the skin or gets metabolized locally. this is where the gap between what a compounded product is and what patients expect is huge, imo. application matters too.
where are you applying it, and how often? consistency is key, but so is understanding the beyond-use date. dht isn’t usually the most stable thing in an unpreserved cream base for months on end. if it’s not being made fresh and stored right, you could be rubbing on inactive product, and then you’re just wondering why it’s not doing what you expect.
i can’t tell you if ur dose is right or if your labs look okay, but i can tell you that the logistics of the cream itself are often overlooked. the stability and delivery mechanism are half the battle.