Synthetic-androgen epigenetic rescue hypothesis: upregulate alternative exhaust pathways to compensate for…
u/drwillpowers
r/PSSD2026-05-01T17:29:38Z
Dr Will Powers’ own statements and theorizing
Mentions treatments or doses — not guidance
Summary (paraphrased)
Answering the objection that some people were cured by TRT/anabolic-steroid courses — which his theory supposedly disallows — Powers theorizes that exposing the system to a potent synthetic androgen could epigenetically upregulate alternative metabolic-exhaust pathways enough to compensate for an inborn error such as missing glucuronidation: recovery via compensation. The trap, he warns, is that withdrawing the steroid leaves the upregulated enzymes in place without the substrate they were induced for — potentially creating testosterone-dependence afterward. He frames the therapeutic options as removing androgen "cars" or adding metabolic "lanes."
Key points (paraphrased)
- Synthetic-androgen epigenetic rescue hypothesis: upregulate alternative exhaust pathways to compensate for inborn errors.
- Withdrawal trap: induced enzymes remain without their substrate — possible TRT dependence.
- Reconciles steroid-cure reports with the model rather than dismissing them.
- "Remove cars or add lanes" framing of therapeutic options.
Why it’s in the corpus
A treatment-mechanism theory with a built-in caution — it explains steroid-cure reports inside the model while warning of the withdrawal trap. Important for the corpus's treatment-safety thread.
Context — the post Powers was replying toVerbatim third-party text, shown for context only — not Powers’ statement. Usernames removed.ShowHide
Powers' comment replies to [username removed], who objected that TRT/anabolic-steroid cures contradict his theory (which predicts temporary improvement then crash) and asked about HPTA-reboot success stories, in the PFS/PAS/PSSD Summit 2026 interview thread.
(Parent context recovered from the r.genit.al mirror on 2026-10-09; Powers' comment text itself is from John's user-provided export.)
Some fields on this page come from the release’s Markdown edition, which carries text the JSON edition omits.
