I have now seen 2 Endos and both have said that DHT can be produced by both 5AR type I and type II. Maybe this is why people have high levels of DHT? Maybe after quitting the balance between type 1 and 2 is completely disrupted causing us to have too much of one and not enough of the other? I have read on this site that Fin inhibits type II which is the only type that can create neurosteroids. I don’t know if they can be made in the body any other way. I also don’t think everyone on this site has a problem with 5AR but I’m convinced it is for the majority of people who are suffering from long term metal problems yet have normal/close to normal hormonal profiles. Both my Endos said I had nothing wrong with either my adrenals or my hormones. When I asked about 5AR the one had no clue and the other said “You have to prove there is a problem with 5AR before we can look into it.” In other words, they know very little about 5AR, even less about testing it, and most likely ZERO about how to treat it.
As for sleep, yes I have had a very difficult time. Only in the past 2 months have I been able to get better, deeper sleep at night. For the first 6 months it took about 2-3 hours for me to fall asleep each night and I would only get about 4 - 5 hours of rest. I had terrible twitching in my muscles and my mind would race all the time. Now it seems I only have the odd muscle twitch and a light buzzing feeling in my body but I can usually fall asleep within 30 mins of laying down and not get up for about 8 hours. Sleep is definitely key for recovery. I recommend getting to bed by 10 pm each night and getting at least 8 to 9 hours of sleep (difficult cause us guys want to stay up and watch sports, etc.).