For what it is worth, he provided me what they feel are the proper targets for certain hormones
Total T 700-900 and up to 1100 in some cases
Free T 20-25
DHEA-S 350-490 - He suggest I take 50mg in the morning on an empty stomach with my level of 171
Estradiol 20-30 - He suggested my level of 17 was just slightly low, but increasing my testosterone dosage and frequency along with some conversion from DHEA would help with that, but to monitor it appropriately.
SHBG 30-40 He agreed mine was low but felt it would adjust to amore normal range once I balance my other hormones
He suggested I take another look at thyroid hormones and get the Free T3, T4 into the upper 3rd of the normal range, TSH between 1.0-2.0 since Thyroid and Adrenals will also effect SHBG.
He suggested Saw Palmetto for my PSA. I'll have to research that a bit more.
Don't fool around with Saw Palmetto. You're playing Russian Roulette with that stuff. I would get the DHT, test, however. I'm living proof that you can have high DHT 74 (25-75ng/dl) & free DHT 7.16 (1.0-6.2pg/ml) while having a good PSA level 1.1. Even 1.7 is OK.
From what I understand (and there are studies to support this), transdermal DHEA allows for more benefits than encapsulated oral DHEA, as most of the DHEA benefits get processed out through the liver when ingested orally. Plus, it is converted to the Sulfate form of DHEA. I believe there could be a more anabolic, testosterone boosting effect with transdermal (as long as Estrogen conversion is monitored). I am at a poor DHEA-S level myself 144 mcg/dl, but I believe my body has a long way to go to recover naturally from adrenal stress and am planning to avoid supplementation until giving myself 3-6 months to improve it naturally.