If I have a genetic reason that causes me to convert testosterone to dihydrotestosterone (DHT) and estrone, how is that monitored and managed?

We follow blood levels of your estrone and DHT, before and after treatment, and then periodically. If they are elevated, we treat with medications and/or herbal supplements to decrease DHT and Estrone. DHT is lowered by using Saw Palmetto, or the medications Avodart, Propecia or Proscar. We treat too much estrone with the supplement DIM or the drug Arimidex.