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The first week I took it I felt completely fine. The second week however, I experienced some ED, as well as less energy, but I chalked it up to not getting enough sleep or just overthinking it. 3rd week however was when I started seeing development of gyno and severe ED. This is ridiculous I only took it for 3 weeks.

I quit taking it right away, reported it took my doctor, who said it would go away on its own. 2 weeks later, I still feel the exact same effects, the gyno is still there, I have really bad ED, and really low energy all the time.

I literally only took it for 3 weeks, how do I have pfs already? Am I just fucked for life now, because of this? I honestly can’t live in this state in day to day life.

What am I supposed to do? The doctor I went to basically said, “Oh well, you’re fu***d” in his own words.

Honestly don;t want to continue living like this.

Sometimes it takes a few months for things to calm down and your sexual side effects to go away. Wait at least 3 months off of the drug. As far as breast lumps, that may not go away and you should see your family doctor about it if its doesn’t disappear. What your doctor told you is totally unprofessional and if he didn’t know what to do he should have sent you to someone who could help you. I hope that this posting gives you hope.

Although the literature suggests that there could be a link (as with most medications), a family member of mine uses Propranolol when he goes into meetings, before going into the public or for periods when he gets heavily stressed, and has not experienced hair loss. I think in such situations, this drug will not have a significant risk of hair loss.

Does eating red meat, chicken, pork, and milk accelerate hair loss? The reason I ask this, so many hormones are added into these products now-a-days and I wanted to know if it would increase testosterone levels and cause hair loss.

Thanks

There is no evidence that hormones from meat and milk will impact your hair loss.

Most of my patients have to retake their driver’s license pictures after their hair grows in.

https://pubmed.ncbi.nlm.nih.gov/10495374/

https://pubmed.ncbi.nlm.nih.gov/26636418/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4969473/

All three of these research papers discuss the impact on scalp and systemic DHT. Dutasteride reported a low incidence of sexual side effects 1.7% but although this number is thought to be low, if you subtract the placebo group from the sexual side effects group on finasteride it comes out about 2%.

Just wanted to ask you a question about dosage. Most drugs become more effective when the dosage is increased. I assume that’s why doctors start their patients off at a small dose and increase it if the patient isn’t responding to treatment.

However, I believe you’ve mentioned that increasing the dose of finisteride wouldn’t give better results. Wouldn’t that statement contradict the fact the as dose increases so does effectiveness? For example 5& minoxidil is more effective than 2%. So it would follow that a 5mg dose per day of finisteride would give better results than a 1mg dose.
Please correct me if I’m wrong.

Drugs are not always more effective with increase in dose. So your presumption is wrong. There may be a maximum effective dose and anything above that is a risk for unwanted side effects.

Propecia is finasteride in 1mg strength. It has been determined by studies that 1mg is just as effective as 5mg. Taking more will not improve its efficacy on treating androgenic alopecia. Increasing the dose will likely cause more side effects.

The hairline advancement surgery is limited by the tightness of your scalp and usually an inch is the limit for most people; however, a hairline lowering hair transplant does not have that limitation (see here: https://newhair.com/female-hairline-lowering/). Also, note that the corners in many of these women were receded, and when this happens, a hairline advancement surgery can’t address this like a hair transplant lowering surgery.

Hello from France Doctor. Firstly, I’d like to tell you that I appreciate your work ethic. I’ve been studying many topics since I start about AGA, hair transplant, medication etc, focusing on studies, facts, expertise and science, since I started suspecting a beginning of thinning. Your work was a great help and always a pleasure to read. I have a few questions mostly about medication, but here is my case. I’ve been diagnosed with aga today -what I suspected 4 month ago. It’s barely noticeable since I have very long hair (10 inches) and it’s the beginning, but I suspected it because I always paid a huge attention to my hair. There is : a 0.2 inch recession on temples, and subtle thinning / density loss on the top, especially on the mid scalp and following the hair-parting.

I plan to use the Liposomal Finasteride gel from Parati, already have a prescription after asking it from my doctor. I’ve read that you were also prescribing it to your patient. The doctor I consulted was really “expeditive” and unfortunately not really open to the dialogue. Here are the questions :

** – What would be the most efficient concentration for the gel ? ** I was about to order it at 0,1% because 1mL means 1mg, but i’ve also read some case using it at 1% or even 2,5%. I’m lost about this point since i will apply it all on the top and not only on a small zone, so quantity and concentration are important.

** – What is your opinion about the systemic absorption ? ** I know the liposomal formulation is made to avoid it as much as possible, I’ve read the absorption is “18 times less than oral finasteride” but I’m curious about precise serum/scalp DHT reduction. I couldn’t find studies about the liposomal formulation, only about that “P-3074” solution which uses a different vehicle.

– What is your opinion on the efficiency time of that gel ? Could it be efficient “forever”, considering its power on scalp DHT ? Can we count on it for like 10 years or more, like many oral finasteride user ? Would it be different for a diffuse pattern user ?

This is a lot of question, excuse me if it bothers you. I plan to do the things right, and will testify my case and experience with the gel in a few months.

Thanks a lot Doctor, and take care of you.

I generally recommend 0.1% Liposomal topical finasteride. In the past year, I have had two out of about 100 patient develop sexual side effects. If the gel works for you, you must stay on it for life otherwise you will lose all of the gains plus what you would have lost had you not taken it.