Is there a way to lower DHT without gaining weight?

Female
1

Hi,

32F here.. every time I’ve tried a DHT blocker like spiro or saw palmetto, my hair gets better, but I gain weight, lose muscle, and gain fat.

Is there a way to prevent conversion into DHT and not gain weight?

(I eat the same, exercise even more/- still gain on DHT blockers)

2

Consider trying topical treatments like topical finasteride, which might reduce DHT with fewer systemic side effects. You could also explore alternatives like low-dose oral therapies or adjusting current dosages.

It would also be worth checking thyroid function, iron, glucose or insulin markers, testosterone, SHBG, DHEA-S, and possible PCOS, and confirming any muscle loss with strength, measurements, or DEXA rather than a smart scale, since spironolactone related water changes can distort body fat readings.