The hair loss community, I feel, is becoming politicised on the topic of medication. I am concerned with what I see. Medication for hair loss is a personal choice. However, it is vital to reinforce a hair transplant with it for long-term value. Whether we take Finasteride or Dutasteride or oral Minoxidil it is a personal choice made in conjunction with one's physician. More than ever I see division here, where people on certain medicines are propagated to superiority. Platforms such as Reddit and forums promote this conjecture. This is wrong, and verges on a cult-like ideology. I recently highlighted Dutasteride as a step too far and stand by this, although this was more personal experience and personal opinion. I would like to remind people that more is not less in hair restoration medication. And the first line of defence is Finasteride. Dutasteride is for benign prostate hyperplasia, and more importantly when Finasteride at clinical dosages much higher than for hairloss isn't enough for BPH. This medicine blocks the 3 iso-enzymes, inhibiting pathways dependent on them in steroid metabolism. The following reactions are known to be catalyzed by 5α-reductase: Cholestenone → 5α-Cholestanone Progesterone → 5α-Dihydroprogesterone 3α-Dihydroprogesterone → Allopregnanolone 3β-Dihydroprogesterone → Isopregnanolone Deoxycorticosterone → 5α-Dihydrodeoxycorticosterone Corticosterone → 5α-Dihydrocorticosterone Aldosterone → 5α-Dihydroaldosterone Androstenedione → 5α-Androstanedione Testosterone → 5α-Dihydrotestosterone Nandrolone → 5α-Dihydronandrolone. Every medicine has a downstream knock-on effect. Dutasteride for hair restoration crosses a line.
@@hmdwnthe front is all thick occipital donor hair :) all thanks to hair transplant surgery and augmentation with medical therapies daily. I was fortunate to have thick hair to act on but the genes for hairloss in the front were activated early.
Been on it for 4-5 years with no real side effects that I know of At 38 years old, I have retained most of my hair and arguably, it's a little better now than it was 5 years ago While in comparison, i have cousins and friends who have had hair transplants and one thinking of doing it, and none take or want to take finasteride afraid of the side effects. My hair is better than theirs by a long shot. One in particular is 30 years old and is in a bad shape, resorting to various hair styles to try and cover it up. Says no to fin instead is looking into hair transplant, and it plays on his mind and confidence a lot All thanks to the negative internet stories. Not even realising that without fin a hair transplant is more or less worthless you hust buy a couple of years and the recession makes it look even worse (with grated alive hair at the front then a cm or two behind blad...
I had a hair transplant with Dr Saifi in Wroclaw in 2012, first time I've heard him mentioned on TH-cam! My hairline is still holding up despite not being on any meds from 2017-2023 so I'd say he did a good job.
@@MedicalSchoolJourney it was FUT, just under 2000 grafts. I couldn't afford FUE back then, it was 1/3 more expensive if I remember correctly. But I think the advantage is it left me with a decent donor area to play with now I'm looking at getting back on the restoration train.
@@arshavin85Oh that's brilliant to hear. You really made the right choice pursuing strip. You could do another 1-2 and still have one scar (old scar incorporated into new strip each time).
Your hair looks absolutely amazing i'd have guessed you just had top tier hair genetics! Never would finasteride and hair transplants have crossed my mind
I already got some hair growth with rosemary oil, vitamin E, castor oil, and black seed oil. I use a clean shampoo without chemicals and add these oils to the shampoo. This has helped; I see many new small hairs growing I do wash my hair 2x a day and let the shampoo for 5 minutes before washing out. I am sure Finasteride would help much more, so let's see where it goes. I have been using Minoxidil for two days now and have already contacted a compounding pharmacy to add Finasteride to my Minoxidil. I will use it in a few months, as I need to A/B test with and without Finasteride.
I'm sure we'll see him back, his content was very good and helped a lot of people. He's also just a genuine guy in this sphere. Sometimes we all need a break from TH-cam. His videos were detailed and no doubt took a very long time to edit. This can lead to burn-out for TH-camrs. This is why I don't edit my videos and do a single take with no script - I would burn out otherwise. TH-cam I think has a finite lifespan and offers little reward unless you have 100'000s of subscribers/views.
I’ve been on 1mg/day finasteride (only) from the age of 21. Finasteride slowed the AGA, the loss of hair was managed, but still obviously I was growing bald, especially in the left and right frontals. At 38 years old I got a hair transplant at an accredited clinic. Results after a year have been stellar. But 13, 14 months post-op the shedding had grown significantly. This isn’t seasonal as it has been ongoing for the past 5 months. Everyday washing my hair I can count at least 12 hairs. The hairs also seem narrow. Obviously it has nothing to do with the transplant. But I am gradually yet noticeably losing the results of the transplant. It is as if finasteride has lost its positive effect. I will soon begin regimenting oral minoxidil 1.25/2.5mg, but I doubt that would take care of the increased shedding. What do you think may have changed recently in the biology of testosterone /DHT? What therapy do you recommend I change to remedy this increased hair loss?
There can be synchronized shed at some point in the 1 - 2 year mark of a portion of the transplant. During this period it looks worse overall. It's like an anagan reset at once, if you imagine the hairs from the donor when harvested went into a resting period in synchronization. I have no idea why the shed occurs at this timeline from harvest though. There is also possibly another prompt such as have you changed finasteride manufactures recently? Have you encountered increased stress and this raised cortisol etc. is the hair coming out mainly long and terminal - shed, or it's a noticeable portion consisting of shorter and finer hairs? - progressive AGA. Has there also been a change in diet? Have you reduced caloric consumption months back etc. Finally, have sebum levels increased by any chance - is the scalp greasier than usually.
@@MedicalSchoolJourney my operation was on 04/23. Regarding the synchronized shed (which I haven't heard of), I can't tell for sure if these are the transplanted hairs or the native hair which are falling off. How common is post-op synchronized shed and what should I expect? How long does it take it to stop and will the new hair re-grow, replacing the shed hair? There was a period (months 6-11 post-op) when I've used generic forms of Finasteride. I have read that sub-optimal response may occur due to the generic form being less potent, and have therefor reverted back to Propecia, on month 11~12ish. I've been solely on Propecia for the past 5+ months, nearing 17 months post-op. Stress - maybe during February-April. But it has been over 5 months since than with no special events. Shed hairs are falling off mostly long. I'd say about 80% of it long. Perhaps I cannot account for the short hair because I mostly count it in the foam on my hands as I wash my hair. Shorter are harder to track? Change in diet - I've tried to consume slightly less calories. It was inconsistent, on and off, for about 1-2 months. It wasn't a major decrease (-200kcal) and I wasn't consistent. Sebum - yes, there was a period when I've felt like I've had more sebum, not sure why. My scalp was itchy and I could see dandruff over my shirt. Not sure for how long it lasted, but I took care of it on August, by incorporating Nizoral 2-3 times/week. My transplanting doctor also noted that I have greasy hair. I've recently read that SLS shampoos my cause increased oiliness, due to striping away all of the natural hair oil, so the hair secretes sebum even more to compensate. Tried switching to a non-SLS shampoo for a while, didn't notice a positive or negative effect over the shed. Felt oilier and went back to SLS-shampoo (Head and Shoulders). Thank you so much for replying, much appreciated.
Nearly every hair transplant patient goes through this and questions their transplant often towards the 2 year mark. It can be more pronounced when there are other factors at play. If you would like to discuss in detail, please contact me for consultation at consultation.killian@gmail.com Cheers
Been on topical and oral fin and min, but my hairline is still burning back. In fact, since getting onto a more aggressive protocol of oral fin I got a four month long shedding period where I went from NW2 to NW3 and it still hasn't grown back or shown any signs of all those shed hairs returning months later.
I'm into month two of using finasteride. I'm also using a derma roller and topical minoxidil. I have noticed improvements already. In the shower when I would shampoo I would always have many hairs falling out. Now there is basically none. The only downside I would say that I notice is brain fog. Sometimes feel as though I forget things and swear I've done something but realize I didn't actually do it. Overall I'm happy with the product so far its clearly helping with my male pattern baldness.
@@yannick_yt It's going great! I started with 1 mg every other day and last week increased it to 1 mg every day when I visited my doctor. There are already visible improvements, even though I'm only 3.5 months in, which is really encouraging. I also started topical minoxidil once a day about 2 weeks ago. In Sweden, doctors have to apply for a license if they want to prescribe oral minoxidil. Once my doctor obtains that (which should be in a matter of weeks) I will try switching to oral instead. Anyway, I have no side effects from either medicine, and I feel great about taking action.
@@yannick_yt It's going great! I started with 1 mg every other day and last week increased it to 1 mg every day when I visited my doctor. There are already visible improvements, even though I'm only 3.5 months in, which is really encouraging. I also started topical minoxidil once a day about 2 weeks ago. In Sweden, doctors have to apply for a license if they want to prescribe oral minoxidil. Once my doctor obtains that (which should be in a matter of weeks) I will try switching to oral instead. Anyway, I have no side effects from either medicine, and I feel great about taking action.
@@yannick_yt It's going great! I started with 1 mg every other day and last week increased it to 1 mg every day when I visited my doctor. There are already visible improvements, even though I'm only 3.5 months in, which is really encouraging. I also started topical minoxidil once a day about 2 weeks ago. In Sweden, doctors have to apply for a license if they want to prescribe oral minoxidil. Once my doctor obtains that (which should be in a matter of weeks) I will try switching to oral instead. Anyway, I have no side effects from either medicine, and I feel great about taking action.
Killian VERY important question I’m now 25 years old I want to start finasteride, however I don’t know what to choose from there’s soo many options and like you said I should stick to one product for the rest of my life really. What would be the best option??? Thank you
27M, Im a diffused thinner, mostly around the midscalp and crown area. Have been on fin for 1+ year and dut for 1+ year, but Im still losing ground (scalp more visible) and shedding over 100 hairs daily. The weird thing is I started treatment quite early but my hair has still regressed over the span of 3 years. HT wont work as well for me since Im mostly losing hairs in the midscalp and crown, not hairline. I tried oral min 2.5mg for 7 months as well, but stopped as even that did not work for me. What should I do now? Im at a loss... Also to add: I have done a blood test for any vitamin deficiency or thyroid issues, but didnt have those issues. Im not stressed out or anything as well that could trigger a Telogen Effluvium.
Strip surgery is always a resolution to cover ground lost should your occipital donor be intact. The only issue is with diffuse loss you'll be chasing transplants. While we might hear acceptance is key it's not always an option and surgery should be looked at as a potential avenue for quality of life.
If neither finasteride or the hardcore variant dutasteride work then your best bet is just to get a hairtransplant, keep that hair for a couple years until its thinning out again and repeat. Or shaving it off.
Hey! What do you think about the possible HT benefits with Verteporfin? Also, what about splitting 5mg Fin Pills in, lets say, four (money saving reasons)? Can you genreally say that the drug is spread equally in each of those four parts?
Wth regards to splitting; apples to apples at the end of the day. Once there's regular intake on a sensible dosage DHT will be brought into a more appropriate range to slow miniaturization. On the topic of vertepofin I'll let you know this year.
I went overkill last November and started Dutasteride first. I started feeling major brain fog after 4 days where it was hard to concentrate on literally anything. After a week, I decided to stop. So, here’s my question. Is it possible that if I take Finasteride, I won’t get side effects? Does getting side effects on Dutasteride necessarily mean I’ll get side effects on Finasteride?
i think it's a misconception that people think "Fin = less sides, Dut = more sides", both are different drugs, and there have been reports of people having sides on Fin but not Dut (ofc vice versa too). so anything is possible and you won't know unless you try.
Many people that were apparently bald manage to regain some real density. In most cases Fina instead will stabilize what's left and avoid the worsening. But at least it's something!
@@MedicalSchoolJourney I know, but I keep seeing pictures on tressless of near-bald people showing that fin and min (and maybe microneedling or other things) basically brought them back from nw6 to at least a nw4
This will only work on areas where there's miniaturized hair. If there is no hair in an area there cannot be regrowth. In these cases I would guarantee there was existing week hair to act on. They took Finasteride/Minoxidil and got improvement within the subsequent anagen cycle in these follicles.
Hey, I just began taking Finasteride and so far I feel totally fine. Honestly it makes me frustrated that I was so afraid of it for so long and didn't start earlier. I'm currently taking .5mg a day. What's your current/recommended dosage? I am still a bit worried about oral Minox. but I'm thinking about it.
Hello, thank you for sharing your experience. I would like to ask about one thing. It turns out that the period of effectiveness of finasteride is limited, and depends on the predisposition of a particular person to alopecia, right? What should be done in this case if finasteride loses its effectiveness. I will be grateful for your answer
Finasteride doesn't lose effectiveness over time as long as the product is manufactured consistently. As hair loss is progressive and mediated primarily by DHT, Finasteride does not inhibit the conversion of testosterone to DHT fully thus we continue to miniaturization but at a slower rate. Those individuals with aggressive hairloss will have increased sensitivity to DHT thus more DHT will bind to the androgen receptors and even though we may reduce serum DHT by 70% on Finasteride there will be greater miniaturization in these individuals. It's ultimately about androgen sensitivity for binding DHT which is genetically predetermined and case dependant. Those with less predisposition respond better to Finasteride therapy over those with greater predisposition.
Women also lose hair. How many 70 year old women do you know with a fantastic full head of hair? Almost none Finasteride just brings hair loss rate down closer to a women's hair loss rate. Or say half way between a man and a women loss rate So on average you'll probably keep your hair 15-25 years longer using the drugs than not using them It's not going to keep your hairline forever. It's just going to slow, sometimes greatly slow, the rate of hair loss And that's the best we can Realistically hope for. No one has the hair of a 20 year old at age 80. Not men not women. Maybe one in a million super genetically blessed but until genetic engineering becomes a thing Finasteride is the best tool we have
To avoid finasteride resistance just take break for 15 days for every 3 months or take take break for 1 month for every 6 months,it won't affect your hair,though finasteride half life is 30 days,it will flush all finasteride depository in ur blood stream.This was told told by a well popular hair specialist in India and Australia.
Hello, im 23 my dermatologist prescribed me dutasteride directly 0.5mg for 1 month . And I've been on dutasteride since a month without any side effects. Im just afraid what if my dermatologist told me to take it for a longer time? Is it dangerous?
Been on finasteride for 1.5yrs + and dut for 6months+. am a non responder to minxodil. Even though im on both im still losing hair mainly diffuse thinning at a really quick rate. Obviously confused. any advice ?
Why did you introduce Dutasteride after such a short time? It likely has induced further shedding as it's a new API introduced. What manufacturers are you taking? These may also play a large part in this
@@MedicalSchoolJourney because I was losing ground so fast. Fin brand was accord. Dut brand is Milpharm and sometimes Rivopharm. Thought the brand didn’t make any difference?
I had a hair transplant back in November it started to come through great now, I’ve been taking .5 of fin daily I switched brands to accord not long ago and no I feel like it’s losing potency should I increase to 1mg do u think?
Here is the question nobody on TH-cam answers is it safe to take finasteride if you are taking other medication like blood pressure tablets or thinners or type 2 diabetic medication like metmorthin or would you get an adverse reaction? My doctors old school and thinks you should just accept its part of getting old!
It your physician has no experience with Finasteride it is worth consulting with a physician who does. Then all will be fine but don't let too much time pass by.
I took fin for a year and experienced some side effects. I tried adjusting the dosage and it didn’t help. I’m considering Minoxidil but it won’t stop the DHT. Any advice or alternatives to try?
Sometimes it can be very effective when a physician changes the interval to X3 1mg a week (Monday, Wednesday, Friday)....of course this would require a revisit to your physician for discussion.
@@kmoonzjrit may be best to take a significant break then retry at the longest therapeutic interval then adjust under guidance of the physician but try not to think about these side effects thus preventin predisposition of occurrence.
you can go as low as 0.2mgs 3x a week to stop significant hairloss, it wont be as effective as 1mg but it should still let you keep most of your ground for years to come, thats the lowest you can go. Alternatively try topical finasteride, since it has been shown to reduce side effect risks. An experimental anti-androgen would also be RU-558841 with less side effects
What can I do if my hair has worsened after 3 years on dutasteride 0.5 mg without missing a single dose? Cant use minoxidil because I have cats and oral min sounds dangerous
Do you try and eat certain foods since been on finasteride? I am starting next week and was told to eat broccoli daily and stuff or is this just unnecessary? Thanks.
@@MedicalSchoolJourneythis is absolutely not true. if you destroy your gut micro biome and increase inflammation via drugs , lack of sleep, junk food often your hair won’t magically grow because you’re taking fin. I know from experience. my crown started to grow back after healing my arthritis
Hi there when you say brand Is there a difference is swapping brand i started on accord from my supplier they then stopped supplying it and replaced it with rolchem . Used this for near two years and again they have changed there supply to milpharm. I did request to stay on the same brand but they have said they can only supply what there dispensary has in stock surely if the active ingredient is 1 mg finasteride thats all i need started 2.5 mg oral minoxidil 6 months ago still waiting to see the benifits i was expecting from this . Could do with a small temple transplant but not sure who to use seen so many horror stories
Beard hair should not fall out from Finasteride. This is likely an unrelated issue. Have you sought medical council on this from a hair restoration physician?
@@MedicalSchoolJourney finasteride absolutely can cause your beard to fall out, it blocks the conversion of Testosterone to DHT. DHT is responsible for thinning head hair but beard growth.Unfortunately I am one of the unlucky ones to develop PFS. Even though I haven’t taken finasteride for 2 years, I experience no scalp hair thinning anymore and like I said, my beard fell out.
@@timpoos4635once the beard hair follicles have developed fully from dihydrotestosterone, Finasteride will not cause them to become inactive. Their dependency on DHT is during the period of their formation especially. Less DHT can cause body hair to grow at a slower rate, but ultimately not fall out and become "lost". Perhaps there is more at play to your situation and I am sorry to hear you went through it.
Finasteride treats MPB by blocking DHT. DHT is a male hormone, so that's most likely not the case of your GF. She needs to be properly diagnosed, it might be related to something else
Was ur voice that high pitched before starting finasteride ? One thing i know firca fact is dht deepens the voice and when i took finasteride for a while i sounded allot more femanine voice so I chose between a deeper manly voice or my hair
My hair was falling out at quite a heavy rate, started talking fin+min oral, about 2-3weeks in i started getting a lot of hair falling out, not terrible but definitely noticable, by week 4 I noticed less falling and now at week 5, i rarely see hair falling at all, I can grind at my hair with my fingers and nothing comes out. How has it happened that quickly for me? Is it the real shed?
The outcome you see here is down to Finasteride + hair transplant surgery. Without my fussiness there would be no video as there would be no hair worth showing.
Before finasteride my shedding was 10 hair a day , but after finasteride on month 4 i start to shed 30-50 hair per day and still until now (now month 5) , i dont know what happened suddenly , maybe it is the finasteride shedding
@@MedicalSchoolJourney It's the truth. Think about it, you're blocking the most androgenic hormone and multiple neurosteroids for years and think it will only affect the state of your hair? Don't be naïeve. But you will learn sooner or latee
I will say one thing. I do agree blocking a hormone is not good, and that includes DHT. That is why I'm anti-dutasteride. But what's the alternative reality to not taking Finasteride? That guys bald quicker and become mentally consumed/depressed? It's a case dependant balancing act.
@@MedicalSchoolJourney the alternative is getting transplant(s). Most have enough donor hair. I've seen enough people irl who did transplants any many not taking fina or even on minox. All had great results. But yes you will need multiple transplants if you're not on fina, but totally worth it imo.
The thing with transplants is most people who do not take Finasteride will have an expanding demand where the supply won't be met. Finasteride reduces the recipient and increases the donor. There are few people who get away with not taking Finasteride. And if they took Finasteride through their surgeries the results would be better.
@@MedicalSchoolJourney side effect risks are slightly higher for 0.5mg compared to 1mg fin. It should definitely be the next choice after fin stops working, if it’s too much for some that’s fine, but better try it and risk the marginal potential increase of sides than spend a lot of money on HT.
You are not concerned about inhibiting DHT to such low levels? Even for me, I draw the line here, and I am as obsessive and fastidious as they come. Personally, I choose Finasteride as the beginning and endpoint.
The hair loss community, I feel, is becoming politicised on the topic of medication. I am concerned with what I see. Medication for hair loss is a personal choice. However, it is vital to reinforce a hair transplant with it for long-term value.
Whether we take Finasteride or Dutasteride or oral Minoxidil it is a personal choice made in conjunction with one's physician. More than ever I see division here, where people on certain medicines are propagated to superiority. Platforms such as Reddit and forums promote this conjecture. This is wrong, and verges on a cult-like ideology.
I recently highlighted Dutasteride as a step too far and stand by this, although this was more personal experience and personal opinion. I would like to remind people that more is not less in hair restoration medication. And the first line of defence is Finasteride.
Dutasteride is for benign prostate hyperplasia, and more importantly when Finasteride at clinical dosages much higher than for hairloss isn't enough for BPH. This medicine blocks the 3 iso-enzymes, inhibiting pathways dependent on them in steroid metabolism. The following reactions are known to be catalyzed by 5α-reductase:
Cholestenone → 5α-Cholestanone
Progesterone → 5α-Dihydroprogesterone
3α-Dihydroprogesterone → Allopregnanolone
3β-Dihydroprogesterone → Isopregnanolone
Deoxycorticosterone → 5α-Dihydrodeoxycorticosterone
Corticosterone → 5α-Dihydrocorticosterone
Aldosterone → 5α-Dihydroaldosterone
Androstenedione → 5α-Androstanedione
Testosterone → 5α-Dihydrotestosterone
Nandrolone → 5α-Dihydronandrolone.
Every medicine has a downstream knock-on effect. Dutasteride for hair restoration crosses a line.
Dude has the most epic hair, whatever you're doing is working. Im listening
🙏🙏
I'm thinking no one has a head of hair like that unless he has the gene for great hair.
@@hmdwnthe front is all thick occipital donor hair :) all thanks to hair transplant surgery and augmentation with medical therapies daily. I was fortunate to have thick hair to act on but the genes for hairloss in the front were activated early.
@@hmdwnhair translplant
Been on it for 4-5 years with no real side effects that I know of
At 38 years old, I have retained most of my hair and arguably, it's a little better now than it was 5 years ago
While in comparison, i have cousins and friends who have had hair transplants and one thinking of doing it, and none take or want to take finasteride afraid of the side effects. My hair is better than theirs by a long shot. One in particular is 30 years old and is in a bad shape, resorting to various hair styles to try and cover it up. Says no to fin instead is looking into hair transplant, and it plays on his mind and confidence a lot
All thanks to the negative internet stories. Not even realising that without fin a hair transplant is more or less worthless you hust buy a couple of years and the recession makes it look even worse (with grated alive hair at the front then a cm or two behind blad...
Great comment
I had a hair transplant with Dr Saifi in Wroclaw in 2012, first time I've heard him mentioned on TH-cam! My hairline is still holding up despite not being on any meds from 2017-2023 so I'd say he did a good job.
That is excellent. You certainly made the right choice there. FUT of FUE?
@@MedicalSchoolJourney it was FUT, just under 2000 grafts. I couldn't afford FUE back then, it was 1/3 more expensive if I remember correctly. But I think the advantage is it left me with a decent donor area to play with now I'm looking at getting back on the restoration train.
@@arshavin85Oh that's brilliant to hear. You really made the right choice pursuing strip. You could do another 1-2 and still have one scar (old scar incorporated into new strip each time).
very very usefull video. your a charismatic individual who knows what people want to hear
Your hair looks absolutely amazing i'd have guessed you just had top tier hair genetics! Never would finasteride and hair transplants have crossed my mind
Oh completely augmented nature going on here haha.
Could you do a comb through of your hair and display what is transplanted vs native?
I'll certainly do this when I start on the transplant side of things very soon.
Amazing. Need more videos like this
🙏
I already got some hair growth with rosemary oil, vitamin E, castor oil, and black seed oil. I use a clean shampoo without chemicals and add these oils to the shampoo. This has helped; I see many new small hairs growing I do wash my hair 2x a day and let the shampoo for 5 minutes before washing out. I am sure Finasteride would help much more, so let's see where it goes. I have been using Minoxidil for two days now and have already contacted a compounding pharmacy to add Finasteride to my Minoxidil. I will use it in a few months, as I need to A/B test with and without Finasteride.
You should see a large boost from oral Finasteride, and oral minoxidil over topical.
Finasteride has helped me maintain the top for the last 3 and a half years, but my retrograde alopecia is worsening.
Unfortunately the retrograde areas respond not so well. Often surgery is the only resolution if mild.
Does anyone know where is Mr.Rolandas
-is that man live?
I'm sure we'll see him back, his content was very good and helped a lot of people. He's also just a genuine guy in this sphere. Sometimes we all need a break from TH-cam. His videos were detailed and no doubt took a very long time to edit. This can lead to burn-out for TH-camrs. This is why I don't edit my videos and do a single take with no script - I would burn out otherwise. TH-cam I think has a finite lifespan and offers little reward unless you have 100'000s of subscribers/views.
I was wondering the same thing I messaged him on Instagram just to make sure he alive but he didn’t respond.
I’ve been on 1mg/day finasteride (only) from the age of 21. Finasteride slowed the AGA, the loss of hair was managed, but still obviously I was growing bald, especially in the left and right frontals.
At 38 years old I got a hair transplant at an accredited clinic.
Results after a year have been stellar. But 13, 14 months post-op the shedding had grown significantly. This isn’t seasonal as it has been ongoing for the past 5 months. Everyday washing my hair I can count at least 12 hairs. The hairs also seem narrow. Obviously it has nothing to do with the transplant. But I am gradually yet noticeably losing the results of the transplant. It is as if finasteride has lost its positive effect. I will soon begin regimenting oral minoxidil 1.25/2.5mg, but I doubt that would take care of the increased shedding.
What do you think may have changed recently in the biology of testosterone
/DHT? What therapy do you recommend I change to remedy this increased hair loss?
There can be synchronized shed at some point in the 1 - 2 year mark of a portion of the transplant. During this period it looks worse overall. It's like an anagan reset at once, if you imagine the hairs from the donor when harvested went into a resting period in synchronization. I have no idea why the shed occurs at this timeline from harvest though.
There is also possibly another prompt such as have you changed finasteride manufactures recently? Have you encountered increased stress and this raised cortisol etc. is the hair coming out mainly long and terminal - shed, or it's a noticeable portion consisting of shorter and finer hairs? - progressive AGA. Has there also been a change in diet? Have you reduced caloric consumption months back etc.
Finally, have sebum levels increased by any chance - is the scalp greasier than usually.
@@MedicalSchoolJourney my operation was on 04/23.
Regarding the synchronized shed (which I haven't heard of), I can't tell for sure if these are the transplanted hairs or the native hair which are falling off.
How common is post-op synchronized shed and what should I expect? How long does it take it to stop and will the new hair re-grow, replacing the shed hair?
There was a period (months 6-11 post-op) when I've used generic forms of Finasteride.
I have read that sub-optimal response may occur due to the generic form being less potent, and have therefor reverted back to Propecia, on month 11~12ish.
I've been solely on Propecia for the past 5+ months, nearing 17 months post-op.
Stress - maybe during February-April. But it has been over 5 months since than with no special events.
Shed hairs are falling off mostly long. I'd say about 80% of it long.
Perhaps I cannot account for the short hair because I mostly count it in the foam on my hands as I wash my hair. Shorter are harder to track?
Change in diet - I've tried to consume slightly less calories. It was inconsistent, on and off, for about 1-2 months. It wasn't a major decrease (-200kcal) and I wasn't consistent.
Sebum - yes, there was a period when I've felt like I've had more sebum, not sure why. My scalp was itchy and I could see dandruff over my shirt. Not sure for how long it lasted, but I took care of it on August, by incorporating Nizoral 2-3 times/week. My transplanting doctor also noted that I have greasy hair. I've recently read that SLS shampoos my cause increased oiliness, due to striping away all of the natural hair oil, so the hair secretes sebum even more to compensate. Tried switching to a non-SLS shampoo for a while, didn't notice a positive or negative effect over the shed. Felt oilier and went back to SLS-shampoo (Head and Shoulders).
Thank you so much for replying, much appreciated.
Nearly every hair transplant patient goes through this and questions their transplant often towards the 2 year mark. It can be more pronounced when there are other factors at play.
If you would like to discuss in detail, please contact me for consultation at consultation.killian@gmail.com
Cheers
Been on topical and oral fin and min, but my hairline is still burning back. In fact, since getting onto a more aggressive protocol of oral fin I got a four month long shedding period where I went from NW2 to NW3 and it still hasn't grown back or shown any signs of all those shed hairs returning months later.
Shedding is good sign it means it is working keep going bro you will have great results
Oral finasteride should be enough without topical fin in addition. Stay on oral fin!!
Topical reduces scalp DHT more. @@da4441
Lmfao 😂
Normal thing, keep up
I'm into month two of using finasteride. I'm also using a derma roller and topical minoxidil. I have noticed improvements already. In the shower when I would shampoo I would always have many hairs falling out. Now there is basically none. The only downside I would say that I notice is brain fog. Sometimes feel as though I forget things and swear I've done something but realize I didn't actually do it. Overall I'm happy with the product so far its clearly helping with my male pattern baldness.
1mg daily?
@@MedicalSchoolJourney yes 1mg of Finasteride A by SANDOZ here in Canada
Very good, it should peak at 15-18 months.
@@MedicalSchoolJourney I'll check back in that time with an update
Yes please do 🙌🙏
S tier YT Channel about hairloss.
🙏
Do you need blood work before taking?
I'm starting finasteride tomorrow! I'm 27 years old and have noticed my hairline receding and hair thinning over the past few years.
Good age to start, good luck 👍
Hey man how is it going?
@@yannick_yt It's going great! I started with 1 mg every other day and last week increased it to 1 mg every day when I visited my doctor. There are already visible improvements, even though I'm only 3.5 months in, which is really encouraging. I also started topical minoxidil once a day about 2 weeks ago. In Sweden, doctors have to apply for a license if they want to prescribe oral minoxidil. Once my doctor obtains that (which should be in a matter of weeks) I will try switching to oral instead. Anyway, I have no side effects from either medicine, and I feel great about taking action.
@@yannick_yt It's going great! I started with 1 mg every other day and last week increased it to 1 mg every day when I visited my doctor. There are already visible improvements, even though I'm only 3.5 months in, which is really encouraging. I also started topical minoxidil once a day about 2 weeks ago. In Sweden, doctors have to apply for a license if they want to prescribe oral minoxidil. Once my doctor obtains that (which should be in a matter of weeks) I will try switching to oral instead. Anyway, I have no side effects from either medicine, and I feel great about taking action.
@@yannick_yt It's going great! I started with 1 mg every other day and last week increased it to 1 mg every day when I visited my doctor. There are already visible improvements, even though I'm only 3.5 months in, which is really encouraging. I also started topical minoxidil once a day about 2 weeks ago. In Sweden, doctors have to apply for a license if they want to prescribe oral minoxidil. Once my doctor obtains that (which should be in a matter of weeks) I will try switching to oral instead. Anyway, I have no side effects from either medicine, and I feel great about taking action.
Killian VERY important question I’m now 25 years old I want to start finasteride, however I don’t know what to choose from there’s soo many options and like you said I should stick to one product for the rest of my life really.
What would be the best option??? Thank you
I think Propecia or proscar would be smart choices.
@@MedicalSchoolJourney thank you!!!!!!!!!!!!
My pleasure, anytime.
27M, Im a diffused thinner, mostly around the midscalp and crown area. Have been on fin for 1+ year and dut for 1+ year, but Im still losing ground (scalp more visible) and shedding over 100 hairs daily. The weird thing is I started treatment quite early but my hair has still regressed over the span of 3 years. HT wont work as well for me since Im mostly losing hairs in the midscalp and crown, not hairline. I tried oral min 2.5mg for 7 months as well, but stopped as even that did not work for me. What should I do now? Im at a loss...
Also to add: I have done a blood test for any vitamin deficiency or thyroid issues, but didnt have those issues. Im not stressed out or anything as well that could trigger a Telogen Effluvium.
Strip surgery is always a resolution to cover ground lost should your occipital donor be intact. The only issue is with diffuse loss you'll be chasing transplants. While we might hear acceptance is key it's not always an option and surgery should be looked at as a potential avenue for quality of life.
how is your blood pressure
If neither finasteride or the hardcore variant dutasteride work then your best bet is just to get a hairtransplant, keep that hair for a couple years until its thinning out again and repeat. Or shaving it off.
@@TheMatrixgodnormal :)
@@sapujapu6323OM alone will act on the transplant too if one cannot take Finasteride. I would recommend strip to those who cannot take Finasteride.
Hey! What do you think about the possible HT benefits with Verteporfin? Also, what about splitting 5mg Fin Pills in, lets say, four (money saving reasons)? Can you genreally say that the drug is spread equally in each of those four parts?
Wth regards to splitting; apples to apples at the end of the day. Once there's regular intake on a sensible dosage DHT will be brought into a more appropriate range to slow miniaturization. On the topic of vertepofin I'll let you know this year.
I went overkill last November and started Dutasteride first. I started feeling major brain fog after 4 days where it was hard to concentrate on literally anything. After a week, I decided to stop. So, here’s my question. Is it possible that if I take Finasteride, I won’t get side effects? Does getting side effects on Dutasteride necessarily mean I’ll get side effects on Finasteride?
i think it's a misconception that people think "Fin = less sides, Dut = more sides",
both are different drugs, and there have been reports of people having sides on Fin but not Dut (ofc vice versa too). so anything is possible and you won't know unless you try.
Many people that were apparently bald manage to regain some real density.
In most cases Fina instead will stabilize what's left and avoid the worsening. But at least it's something!
If baldness is advance one cannot regain in these areas as the hair cycles have been used up.
@@MedicalSchoolJourney I know, but I keep seeing pictures on tressless of near-bald people showing that fin and min (and maybe microneedling or other things) basically brought them back from nw6 to at least a nw4
This will only work on areas where there's miniaturized hair. If there is no hair in an area there cannot be regrowth. In these cases I would guarantee there was existing week hair to act on. They took Finasteride/Minoxidil and got improvement within the subsequent anagen cycle in these follicles.
Hey, I just began taking Finasteride and so far I feel totally fine. Honestly it makes me frustrated that I was so afraid of it for so long and didn't start earlier. I'm currently taking .5mg a day. What's your current/recommended dosage? I am still a bit worried about oral Minox. but I'm thinking about it.
~1mg daily Finasteride is excellent.
0.5 mg finasteride ( MWF) will effective or not?
0.5mg daily will have a therapeutical impact, yes.
@@MedicalSchoolJourney but I don't want to take daily, so Monday, Wednesday and Friday 0.5mg fin , will it work?
Yep it's a fine start
@@hassamshah3806Have you taking it bro plz consider the updates
Hello, thank you for sharing your experience. I would like to ask about one thing. It turns out that the period of effectiveness of finasteride is limited, and depends on the predisposition of a particular person to alopecia, right? What should be done in this case if finasteride loses its effectiveness. I will be grateful for your answer
Finasteride doesn't lose effectiveness over time as long as the product is manufactured consistently. As hair loss is progressive and mediated primarily by DHT, Finasteride does not inhibit the conversion of testosterone to DHT fully thus we continue to miniaturization but at a slower rate.
Those individuals with aggressive hairloss will have increased sensitivity to DHT thus more DHT will bind to the androgen receptors and even though we may reduce serum DHT by 70% on Finasteride there will be greater miniaturization in these individuals. It's ultimately about androgen sensitivity for binding DHT which is genetically predetermined and case dependant. Those with less predisposition respond better to Finasteride therapy over those with greater predisposition.
@@MedicalSchoolJourney understood, thanks for your answer
My pleasure, anytime.
Women also lose hair. How many 70 year old women do you know with a fantastic full head of hair? Almost none
Finasteride just brings hair loss rate down closer to a women's hair loss rate. Or say half way between a man and a women loss rate
So on average you'll probably keep your hair 15-25 years longer using the drugs than not using them
It's not going to keep your hairline forever. It's just going to slow, sometimes greatly slow, the rate of hair loss
And that's the best we can Realistically hope for. No one has the hair of a 20 year old at age 80. Not men not women. Maybe one in a million super genetically blessed but until genetic engineering becomes a thing Finasteride is the best tool we have
To avoid finasteride resistance just take break for 15 days for every 3 months or take take break for 1 month for every 6 months,it won't affect your hair,though finasteride half life is 30 days,it will flush all finasteride depository in ur blood stream.This was told told by a well popular hair specialist in India and Australia.
Hello, im 23 my dermatologist prescribed me dutasteride directly 0.5mg for 1 month . And I've been on dutasteride since a month without any side effects. Im just afraid what if my dermatologist told me to take it for a longer time? Is it dangerous?
no use every other day
If you didn't have any side effect in the first month you'll most likely be fine for the rest of the time you'll use the drug.
@@sirsiver that's a relief, thanks!
Been on finasteride for 1.5yrs + and dut for 6months+. am a non responder to minxodil. Even though im on both im still losing hair mainly diffuse thinning at a really quick rate. Obviously confused. any advice ?
Why did you introduce Dutasteride after such a short time? It likely has induced further shedding as it's a new API introduced. What manufacturers are you taking? These may also play a large part in this
@@MedicalSchoolJourney because I was losing ground so fast. Fin brand was accord. Dut brand is Milpharm and sometimes Rivopharm. Thought the brand didn’t make any difference?
I had a hair transplant back in November it started to come through great now, I’ve been taking .5 of fin daily I switched brands to accord not long ago and no I feel like it’s losing potency should I increase to 1mg do u think?
Here is the question nobody on TH-cam answers is it safe to take finasteride if you are taking other medication like blood pressure tablets or thinners or type 2 diabetic medication like metmorthin or would you get an adverse reaction? My doctors old school and thinks you should just accept its part of getting old!
It your physician has no experience with Finasteride it is worth consulting with a physician who does. Then all will be fine but don't let too much time pass by.
I took fin for a year and experienced some side effects. I tried adjusting the dosage and it didn’t help. I’m considering Minoxidil but it won’t stop the DHT. Any advice or alternatives to try?
Sometimes it can be very effective when a physician changes the interval to X3 1mg a week (Monday, Wednesday, Friday)....of course this would require a revisit to your physician for discussion.
@@MedicalSchoolJourney I tried that and it didn’t seem to help unfortunately, even once a week
@@kmoonzjrit may be best to take a significant break then retry at the longest therapeutic interval then adjust under guidance of the physician but try not to think about these side effects thus preventin predisposition of occurrence.
Can you please tell what sides you experienced?@@kmoonzjr
you can go as low as 0.2mgs 3x a week to stop significant hairloss, it wont be as effective as 1mg but it should still let you keep most of your ground for years to come, thats the lowest you can go. Alternatively try topical finasteride, since it has been shown to reduce side effect risks. An experimental anti-androgen would also be RU-558841 with less side effects
How about taking 0.5 mg everyday? is it fine?
It will certainly help
What can I do if my hair has worsened after 3 years on dutasteride 0.5 mg without missing a single dose? Cant use minoxidil because I have cats and oral min sounds dangerous
Hair transplant surgery. Eventually even tho on Finasteride/Dutasteride things are going to get worse.
I have just started 0.5mg dut and now I am scared
@@serrioton1858Were you on Finasteride first?
@@MedicalSchoolJourney nope. I will be 20 next month and I have receding hairline so my doc recommended 0.5mg deutasteride and minoxidil.
Usually Finasteride therapy is tried before Dutasteride. Typically Dutasteride is the last resort.
Brother how is the clinic in Poland?
The clinic is excellent and has treated thousands of people since 2008.
Do you try and eat certain foods since been on finasteride? I am starting next week and was told to eat broccoli daily and stuff or is this just unnecessary? Thanks.
You do not have to change your lifestyle when taking Finasteride. Eat what you like and enjoy life.
@@MedicalSchoolJourneythis is absolutely not true. if you destroy your gut micro biome and increase inflammation via drugs , lack of sleep, junk food often your hair won’t magically grow because you’re taking fin. I know from experience. my crown started to grow back after healing my arthritis
What is the appropriate dose that I can start with?
1mg
what is a high or bad dht level to be aware of?
What is your current situation like visibly?
visibly not sure,but i do get like 100 hairs in the sink@@MedicalSchoolJourney
And is this an increase/change?
👉 Brand vs Generic Finasteride episode: th-cam.com/video/eenqzlxgKqg/w-d-xo.htmlsi=0X8k6ccCaxxKRSw1
Hi there when you say brand
Is there a difference is swapping brand i started on accord from my supplier they then stopped supplying it and replaced it with rolchem . Used this for near two years and again they have changed there supply to milpharm. I did request to stay on the same brand but they have said they can only supply what there dispensary has in stock surely if the active ingredient is 1 mg finasteride thats all i need started 2.5 mg oral minoxidil 6 months ago still waiting to see the benifits i was expecting from this . Could do with a small temple transplant but not sure who to use seen so many horror stories
I covered this on a video, check it out here: th-cam.com/video/eenqzlxgKqg/w-d-xo.html
My beard fell out 5 months after taking then stopping finasteride for 4 months
Beard hair should not fall out from Finasteride. This is likely an unrelated issue. Have you sought medical council on this from a hair restoration physician?
@@MedicalSchoolJourney finasteride absolutely can cause your beard to fall out, it blocks the conversion of Testosterone to DHT. DHT is responsible for thinning head hair but beard growth.Unfortunately I am one of the unlucky ones to develop PFS. Even though I haven’t taken finasteride for 2 years, I experience no scalp hair thinning anymore and like I said, my beard fell out.
@@timpoos4635once the beard hair follicles have developed fully from dihydrotestosterone, Finasteride will not cause them to become inactive. Their dependency on DHT is during the period of their formation especially. Less DHT can cause body hair to grow at a slower rate, but ultimately not fall out and become "lost". Perhaps there is more at play to your situation and I am sorry to hear you went through it.
Can woman take finasteride? I hear mixed answers. I’m starting it on Monday but my girlfriend was asking me as she loses a lot of hair.
Oh no absolutely not.
Finasteride treats MPB by blocking DHT. DHT is a male hormone, so that's most likely not the case of your GF. She needs to be properly diagnosed, it might be related to something else
Hair health isn't just blocking off DHT. how healthy you are also matters, stress and healthy diet too.
Absolutely brother!!
Did fin thinn you facial hair?
Nope. My facial hair continued to develop well into my 20s.
Lol this guy has the thickest hair I’ve ever seen
🙏 all augmented mother nature
Was ur voice that high pitched before starting finasteride ? One thing i know firca fact is dht deepens the voice and when i took finasteride for a while i sounded allot more femanine voice so I chose between a deeper manly voice or my hair
No Finasteride will not change your voice.
A lot of the masculine traits of dht are forned during puberty
👉 Hair Loss Consultation: hair-restoration-consultation.com/
My hair was falling out at quite a heavy rate, started talking fin+min oral, about 2-3weeks in i started getting a lot of hair falling out, not terrible but definitely noticable, by week 4 I noticed less falling and now at week 5, i rarely see hair falling at all, I can grind at my hair with my fingers and nothing comes out. How has it happened that quickly for me? Is it the real shed?
Mate you are probably too fussy otherwise you have no hair lossor any sign . Use your energy for your life .
The outcome you see here is down to Finasteride + hair transplant surgery. Without my fussiness there would be no video as there would be no hair worth showing.
Before finasteride my shedding was 10 hair a day , but after finasteride on month 4 i start to shed 30-50 hair per day and still until now (now month 5) , i dont know what happened suddenly , maybe it is the finasteride shedding
Any update?
Stop it. You have more hair than my dog.
It's absolute hormonal poison.
🙄
@@MedicalSchoolJourney It's the truth. Think about it, you're blocking the most androgenic hormone and multiple neurosteroids for years and think it will only affect the state of your hair? Don't be naïeve. But you will learn sooner or latee
I will say one thing. I do agree blocking a hormone is not good, and that includes DHT. That is why I'm anti-dutasteride. But what's the alternative reality to not taking Finasteride? That guys bald quicker and become mentally consumed/depressed? It's a case dependant balancing act.
@@MedicalSchoolJourney the alternative is getting transplant(s). Most have enough donor hair. I've seen enough people irl who did transplants any many not taking fina or even on minox. All had great results. But yes you will need multiple transplants if you're not on fina, but totally worth it imo.
The thing with transplants is most people who do not take Finasteride will have an expanding demand where the supply won't be met. Finasteride reduces the recipient and increases the donor. There are few people who get away with not taking Finasteride. And if they took Finasteride through their surgeries the results would be better.
what bullshit,you did not need finisteride
You're seeing the outcome post-treatment with surgery and medical therapies. I state this in the video, so I don't understand your comment?
When/if finasteride stops working you can always go to dutasteride
You can but I think this drug over steps the line. I've tried it
@@MedicalSchoolJourney side effect risks are slightly higher for 0.5mg compared to 1mg fin. It should definitely be the next choice after fin stops working, if it’s too much for some that’s fine, but better try it and risk the marginal potential increase of sides than spend a lot of money on HT.
You are not concerned about inhibiting DHT to such low levels? Even for me, I draw the line here, and I am as obsessive and fastidious as they come. Personally, I choose Finasteride as the beginning and endpoint.
@@MedicalSchoolJourney given the side effect profile is seemingly not that much higher compared to fin, it’s 100% worth a shot.
Oh I get it believe me, sounds on paper perfect. But to inhibit DHT to such low levels just doesn't sit right with me.