Mens Health

    DHT Balance

    Healthy DHT metabolism for hair and prostate wellness.

    TL;DR

    DHT (dihydrotestosterone) balance matters for hair loss and prostate health. Saw palmetto modestly inhibits 5-alpha-reductase; it is much weaker than finasteride but better tolerated.

    Why It Matters

    DHT is produced from testosterone by 5-alpha-reductase and drives androgenetic hair loss and benign prostatic hyperplasia. Saw palmetto is the best-studied natural 5-alpha-reductase inhibitor: meta-analyses show modest improvement in urinary symptoms versus placebo, far weaker than finasteride. For hair loss, evidence is thinner but positive in small trials.

    How to Measure

    IPSS questionnaire monthly for prostate symptoms; standardized crown/vertex photos every 3 months for hair.

    Biomarkers

    Urinary symptom scores (IPSS)
    Hair shedding counts / standardized photos
    PSA (context, physician-interpreted)

    Optimization Protocol

    Saw palmetto 320 mg/day standardized extract (liposterolic 85–95%). Allow 3–6 months. For hair: combine with minoxidil for meaningful effect — monotherapy expectations should be modest.

    Lifestyle Levers

    • Weight management (adipose aromatization affects androgen balance)
    • Resistance training
    • Scalp care and gentle handling
    • Avoid anabolic steroid use (major DHT/hair driver)

    Supporting Supplements

    Supporting Research

    Frequently Asked Questions

    Typical Timeframe

    3–6 months for urinary or hair outcomes.

    Research Summary

    Studies5
    Supplements3

    My Notes

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    This information is for educational purposes only. Always consult a healthcare professional before starting any supplement regimen.