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You can press the gas GHRH/ghrelin all you want somatostatin is the handbrake

High stress, high cortisol high somatostatin tone muted GH pulse

Chronic 5-alpha inhibition meds topicals may be an under discussed factor

Poor sleep keeps somatostatin elevated and blunts the response

Beard growth body hair and confidence often track with DHT more than T

Insulin spikes indirectly reinforce the inhibitory environment

Many healthy men unknowingly suppress DHT with hair protocols

Overtraining keeps the nervous system in a state that favors inhibition

DHT is a key androgen in the brain not just the prostate

Poor 5-alpha reductase activity can blunt androgen effect even with good labs

If baseline GH pulsatility is low, secretagogues have little to amplify

Finasteride side effects line up with low DHT symptom patterns

Circadian disruption shifts the GH somatostatin balance the wrong way

Alcohol before bed elevates somatostatin tone overnight

Maybe the real question isn’t low testosterone but low DHT