In this study [source], isoflavones such as those found in soy, were administered to healthy Japanese males to lower DHT levels. While the isoflavones succeeded in lowering DHT, they also lowered serum testosterone. That is because the two share a causative realtionship. This would imply that any dietary influence that lowers DHT concentrations, would also be lowering serum testosterone.
While I agree with the rest of what you said, I don't think this is true. See for example this study: Soy protein isolate reduces DHT in healthy young men.
Soy protein isolate and testosterone
Halfway through the experiment, testosterone levels were slightly lower in the low-isoflavone diet (19.8 nmol/L) than the high-isoflavone diet (22.0 nmol/L) and the milk protein diet (22.1 nmol/L). At the end of the experiment, there was no statistically significant difference between testosterone levels. Levels of free testosterone were similar during all three diets.
Soy protein isolate and DHT
Serum dihydrotestosterone (DHT) and was decreased by the low-isoflavone diet (1952 pmol/L) and the high-isoflavone diet (1962 pmol/L) compared to the milk protein diet (2155 pmol/L) at the end of the experiment. The ratio of DHT to testosterone was also decreased.
So there are ways to change DHT/T ratio through diet. Basically anything that acts as a 5-alpha-reductase inhibitor would do this. Furthermore, even when both DHT and T increase/decrease, the rate at which they do may not be the same (see for example this). In most cases an increase in testosterone probably means an increase in DHT and a decrease in testosterone means a reduction in DHT, but not always.
I found this interesting: High protein diets, at least in some studies, appear to inhibit the production of 5-alpha-reductase.
The Effects of Diet on Testosterone Part 1: Calories and Protein
http://www.thinkmusc...don/diet-01.htm"A high protein diet has been shown to inhibit 5-alpha-reductase which may result in a reduction of the conversion of testosterone to DHT, a more potent form of testosterone, which has been implicated in prostate enlargement.
Conversely a low protein, high carbohydrate diet stimulates 5-alpha-reductase."
http://www.nourishin...ement_diet.html"I was recently told by my doctor that a high protein diet (ie. Tuna, Milk, etc.) could reduce my acne because it helps inhibit the 5-alpha reductase enzyme which converts testosterone to the potent and harmful DHT."
http://answers.googl...dview?id=201874Value of high-protein diet is clearer than drawbacks
http://www.nature.co...ll/439266b.htmlI realize these aren't great sources, but I don't have time today to troll through the medical literature. Perhaps someone would like to provide some clarification on the link between high-protein diets and DHT. I also saw a study where women with PCOS, 5-alpha-reductase was linked to insulin stimulation.
http://www.biolrepro...ngAbstracts/563I would be curious to see if that has any relevance to the Dr's recommendation in the Google Answers link listed above. If 5-alpha-reductase is linked to insulin activity, it would explain why acne occurrence is higher in cultures where processed carbohydrates are consumed more frequently.
http://www.drbriffa....ctive-for-acne/For the Okinawans, it might be a combination of low caloric intake, high isoflavones, activity level, and low glycemic load that reduces their sex hormone linked cancers.
Edited by Skotkonung, 10 August 2009 - 07:26 PM.