Derek isn't even in the same ballpark as Dr. Gary, Derek is just some muscle meat head youtuber just spitting out random generic stuff and Peter Attia is a phony fraud
I have total respect for Gary’s opinions and videos, thank you Gary, for helping patients worldwide to get sound medical advice. Dr Garsing Wong Diplomate of ABHRS
Very informative video as always! Im 28M, Iv been using Fin and Minoxidil for 5 months now (Plus Mesotherapy), thought for long time before getting into Fin. NO side effects so far, but also no improvements neither unfirtunately. In fact, Iv been loosing more hair since I started with the treatment. Doc said it was unusual as shedding occurs on the first month. If you are thinking on starting Fin, I´ll say to go for it, if any bad side effects presents, you can only quit
I believe Saw Palmetto kept me in the game. I like Finasteride but I just don’t know what’s going inside my cells. So I stop if I see loss maybe use topical. What I find amazing since 1989 when minoxidil came out you would think 35 years later we find the real root of this problem.
Ho Dr Linkov. Am a huge fan, subscribed to your channel and watch many of the vids esp on hair. So am sorry if this is slightly unrelated to this particular video post, but I've always wanted your take or a short video on hair masks and your professional thoughts on them, maybe even references to studies. Just a thought. Many thanks. Henry Mog
Hi, you mentioned that you have prescribed 2.5mg of dutasteride before, and that the standard dose is 0.5mg. Have you ever prescribed a dose in between 0.5-2.5mg? I haven’t heard of this before but was just curious in case I wanted to slightly increase my dutasteride dose (which right now is 0.5mg daily).
I find it somewhat humorous and ironic that the people in the video said that LLLT is 2nd tier to the medical drugs and the first ad that comes up after the video ends is Dr Dray promoting LLLT iRestore lol
Can you please do an age progression with Shaun Robinson? She’s 62 years old and looks 30. I need to see you do a Black woman because she looks beyond amazing.
What's your view on oral minox affecting collagen synthesis or possibly even causing accelerated facial aging? I'm not sure whether there's any truth to this but I've seen such comments
sat and listened to the whole video- great upload. I was on fin, but recently went to adovart- no significant sides yet. maybe some libido loss?..maybe?...but either way I'm bummed I cant take minox. Both the foam and the liquid made me get some weird swelling lizard skin around my forehead and ears, cheeks etc. Too scared to try the oral version. Have you had patients allergic to the topical but not the oral?
I have been using finasteride and minoxidil for 1 yr and 1 month, and the results are amazing. No side effects from either medications, and I cannot tell you how happy I am with the results. For those who are undecisive please do your research and do not wait to start just do it you wont regret it, like me.
Do you think the side effects are underreported? E.g. gyneocomastia, people probably wouldn’t know how to report this in the trails etc or may just attribute this to other stuff
Do you think the side effects of finasteride are actually from other aspects in their life habits? Smoking, drinking, poor diet, no exercise, existing mental health conditions, etc?
@@andrewfischer6533 if anything, Gyno would be the clearest side effect to report. All the other mental stuff are the ones that are difficult to be judged objectively. I haven't had mental issues, just libido that doesn't push me to jerk it everyday anymore which i don't personally find harmful.
@@andrewfischer6533 yes they are underreported.. nearly everybody i know who took finasteride experianced some sorts of side effects at some time.. mostly mild ones but that doesnt matter.. and people in general forget what it means for your Organs to be on a drug from young age on. every drug has side effects
Derek isn't even in the same ballpark as Dr. Gary, Derek is just some muscle meat head youtuber just spitting out random generic stuff and Peter Attia is a phony fraud
I’ve been taking oral Minoxidil 2.5 mg tabs and oral Finasteride 1 mg tabs for a couple of years now and have gotten decent results. However, a couple of friends have been using a spray combo version of Minoxidil 7% and Finasteride 0.3% and there is a pretty significant difference in only 6 months. I am going to stop taking the orals and try the spray. However, there are two more additional ingredients in this spray - Ketoconazole 2.2% and Biotin 0.2%. Do you use these two ingredients in your practice? And if so, have your patients seen good results with these two added ingredients?
MD here. Yes it does. I had to drop back to my previous dose of 1.25mg daily because I developed exercise intolerance. Within 48 hours, I was able to complete my usual run once more.
Well luckily we DHT causes heart problems, so a 5-alpha reductase inhibitor like finasteride and or dutasteride will help your heart health by a lot (reference 15:20). I think people should start talking more about the positive effects that reducing DHT has on the body.
@@crapdevil1772 I never said finasteride itself helps with heart problems, I said lower DHT of the type 1,2,3 seems to lower the risk of having heart problems. Here is one study: Cardiovascular Safety and Possible Benefit of a 5-Alpha Reductase Inhibitor among Benign Prostatic Hyperplasia Patients, A Nationally Representative Cohort of Korean Men There are also other studies done on mice, showing higher DHT causes problems to the heart. Now its not very well documented in terms of studies on humans, but the few that do touch on it does seem to indicate that being lower on the reference range of DHT, helps lower the possibility of heart issues. I can attest to this I was on 2.5mg of oral minoxidil for 6.5 months and had heart issues most of the time. So then I swapped from finasteride 1mg to dutasteride 0.5mg everyday once I was almost done with OM, I then ended up going back on oral minoxidil 3 months~ after stopping it but at 5mg and I had no issues what so ever. (And heart disease runs in my family) (I know this is an anecdotal but I've heard stories saying similar things) (Also I was on topical minoxidil before any 5-AR medications, and had really bad shortness of breath and heart palpitations like really bad it was scary, I had to stop after 2 months~)
@@crapdevil1772 My first reply was auto deleted, so just google "DHT effect on the heart". There is also mice studies that say high DHT isnt good for there heartr. Just look into it.
I'm actually curious about how the DHT blocking works in terms of genetic programming. If the hair is programmed to fall, usually around early 20 to 30, but it's being blocked by finasteride so it wouldn't fall. But what if say you're older than that now and you stop finasteride, chances are your hair is less sensitive to DHT at that point right? Meaning you defended against most of the danger in hair loss (depending on your gene programming) regardless of you using finasteride or not at that point. Those hairs that you blocked DHT from wouldn't all just fall out all at once?
@drgarylinkov Hmm I was under the impression if say you're 40, where your hair loss is a lot less aggressive or even stopped perhaps, the hair you kept with finasteride would also have stopped being affected by DHT due to your gene. Is there a definitive answer to that? I couldn't find any studies regarding this issue. Maybe you could add your experience In a video about someone who stopped using finasteride for whatever reason they may have.
In 8 days, I'm going to undergo a combined PRP+exosomes treatment for hair thinning on the scalp, now that I'm 40 I'm told it's more likely to work steadily (since I'm not going to give up my topical DHT gel for PE that's been giving me results in few months)
3 weeks onto my hairloss journey. Finasteride 1mg ,minoxidil 2.5 mg, sallalmetto 200mg a p7 nutrient mix. All put into one capsule. Also using some hair shampoo conditioner and serum from Korea. So far so good. doctor hopeful I will gain alot of regrowth and only require minimum hairs to be transplanted at the front.
I've been on minoxidil 5mg bid for 2 years but am on a diuretic for hypertension which has some protection from edema. If I go more than 10mg per day i get some tachycardia . I did not like the topical minoxidil yuk
I am using Hairy Pill (Australian Product and with 10mg Minoxidil and .75mg Finasteride ) for almost 3 years but the truth is its not what it says, the growth is there but not as thick they say, so I am confused by the facts this guys says. Now I am going for a Hair transplant.
I've been on finasteride since 2017 or 18 I think, and just over a year ago I started to take dutasteride. It seems my hair is a bit thicker now than last year. I'm wondering since the half-life of dutasteride is so much longer than fin, can I get away with taking dutasteride only every other day or even every 3rd day for the same effect? Is it worth considering taking finasteride one day and dutasteride the other day or does that really not accomplish anything more than just dut? also just had a smaller hair transplant, 1400 grafts, and I've also started to take saw palmetto and pumpkin seed oil. Not sure if I should ask doctor for oral minoxodil. Isnt that a blood pressure medicine? Loniten?
Don't take my advice serious since I'm not a doc, but I've seen many people taking the dutasteride pill once a week, while taking .5mg or 1mg fin every day. It seemed to work, since the half life of dutasteride was over 15 days anyway
@@erik370even when using topical minoxidil for my beard, I got palpitations a few times, I can only imagine what would happen if I took highly concentrated oral minoxidil
I had a hair transplant at a reputable Clinic and the doctor told me only to take 5mg oral Minoxidil. I am a Norwood 6/7 and 37 years old. Do you think a dht inhibitor is not necesary and thats why the doctor didn’t prescribe it? I saw he does sometimes with other patients but a lot of times only 5mg OM. Do you think it is because of age and Norwood 7 that it is not necesary? Thanks in advance!
Would be awesome if you could do a lengthy discussion with MPMD Derek, and also Haircafe (Kevin Mann). For the record, post-puberty, DHT is a trash hormone and to the extent that we do get side-effects from fin/dut, they're mild, they go away after continued and/or discontinued use, and the side-effects aren't actually caused by fin/dut, or by DHT suppression per se, but rather, by temporary imbalance between estrogen to testosterone ratio. After a while, this estrogen to androgen ratio imbalance normalizes and the side-effects disappear. Post-finasteride syndrome is just anti-male agenda propaganda, and basically all males should be taking 5ARIs, at least if they have self-respect and self-preservation instincts. Post puberty, DHT only makes you into an old man, because that's basically what DHT is: DHT contributes to making you an adult male, when you're a prepubescent boy, during puberty. After puberty, when DHT is no longer needed because DHT has no valid use after puberty, and continued DHT production will make you into an old man if you don't shut off this redundant trash hormone. All you get from DHT post-puberty: androgenic alopecia (hair loss), enlarged prostate (BPH), prostate cancer, acne, heart attacks and stroke, decreased skin quality (because of course DHT is detrimental to your skin as well), like wrinkles and such. DHT is basically the old man hormone. DHT, not testosterone, is why men don't live as long as women.
You mentioned that topical finasteride can have similar systemic levels as oral form. Is this the same for topical/oral minoxidil? I've been hesitant to start oral minoxidil because of its effects on the heart. But if I'm systemically absorbing similar dosages topically, then i would rather just start the pill form of it. im way more consistent with the pills. Does it all come down to molecule size?
Does the oral form of minoxidil cause more body hair growth as well? topical minoxidil does not increase hair growth on my body, but im worried that oral might
Hi Doc, I myself need to start saving my hair from further recession. As I've learned so far by your videos (they're great, by the way), only fin + minoxidil make sense, the rest of possible treatments are pretty much 1%. Does it make sense to add aromatase inhibitor along with fin & minoxidil? My understanding is that T, being too high, is being "transformed" into estrogen from which the sexual side effects are coming from & aromatase inhibitor would minimize these - let me know your thoughts. Thanks!
Dr. Linkov, do you have a video about how to get a prescription for finasteride in the U.S? I have decided to take the plunge and I have just minimal hairloss, but want to be proactive. My PCP recommended Minoxidil but I want Finasteride. Should I go through a different avenue to get a prescription?
I think any type of drug even if it’s 1 mg over years got to cause other side effects. No matter how we look at it we are finding medication will cause other problem. I was on fin for 2 years I seen hair growth but I stop and I haven’t lost what I gain and it over a year. I also used minoxidil for over 32 years and stopped about 6 months and still haven’t lost what I gain. I still have more hair today than I did at 26yrs old and today I’m 61.
And then some people get side effects only near the beginning they started using it. I always thought that if you're 2-3 years+ free of sides, your chance is even lower to develop any.
@ I used topical minoxidil started 1989 with 2% and than used 5%. I used both foam and liquid. I used it once a day. It really help me maintained what I had. I did take saw palmetto. My goal was not to go bald and it definitely did that. I started finasteride and saw more growth. I decided to stop just to see what happens. I did notice my man hood wasn’t getting hard as I used too. Now not sure if turning 61 has anything to do with that. That was reason to see if that comes back. I’m only using Copper Peptides just watching if I start losing my gains. Right now it’s prevent any hair loss. I do use derma roll once a week.
@ronaldweber5719 lol you started with me. And really you should have gotten botox. Your face looks like a railway map...but none of that stuff will help you get a bigger dik so 🤷, waste as much money as you need to.😂
asking an unrecoverable bald guy like Attia about finasteride is an illegal move, he missed the train and wants more men to miss the same train, thus gives the wrong advice, I've been using finasteride for over 3 years, very satisfied, minimal sides, hair is still on point with minimal loss
oral minoxidil sides are way more serious than finasteride. Also, its not dose dependent ( idiosyncratic), which means that if youre genetically unfortunate you could develop heart related issues regardless of the dose. I don't understand why dermatologists recommended oral minoxidil without consulting a cardiologist.
If someone had heart issues due to either lifestyle factors or genetics, I would say that those issues of concern would have manifested before someone started losing hair.
@erik370 ask your doctor/dermatologist. There's an increased risk to everything these days but what I'm saying is that the risk doesn't warrant cardiologist/specialists consultation. By all means, if it makes you feel safe, then spend the extra money. There's a reason they start you at low doses and monitor things. Ask chatgpt but start with "science backed," then ask your question.
@@jalcantar619 dermatologists aren't trained like cardiologist. Minoxidil affects the heart, so you need an expert opinion on it ( dermatologists aren't experts on that field). Research tells us about the idiosyncratic effects of minoxidil. Also I doubt dermatologists monitor heart health while on the drug, so a lot of cases aren't reported. Scientific literature tells us about the dangers of minoxidil.
I just disapprove that this Derek person, in my opinion, incentivises anabolic steroid usage. I find it crazy that some men use steroids and want to keep their hair.
If you have really bad hair loss at a young age like I'm 24 and a Norwood 5. I did recently have a transplant but it's still very thin on the sides and back. Would dutasteride be better for me than finasteride?
@МаксимК-я4ы I live in the US. I've been on finasteride for about a year now but I started losing my hair when I was 14 so I'm thinking I need to be on the strongest medication possible
@@Tar0245 yeah, I started losing at 13, I understand, you gotta throw the kitchen sink in there. I'm from Russia, the use of Finasteride to treat baldness is off label here, and it's usually not prescribed. You can get topical Finasteride and minoxidil, but that's it. Forget even thinking about Dutasteride or topical anti androgens. Needless to say I'm still losing hair, even while on treatment. Strict regulations on drugs do that. So watch out for Kennedy Jr, he advocates for this exact thing.
even when you are on fin/dut + min, over time as you age you will lose ground. Stem cells and dna die, can't avoid aging of your body parts, our bodies are decomposing every minute of every day as we march toward our inevitable fate - death.
I've been taking finasteride (1mg) for over a decade..I still have my hair...and the only side effect is reduced semen volume. ...and that doens't bother me.
He commented on it in his previous video on Finasteride. If I remember correctly the incidence of cancer was roughly the same in placebo group. Don't quote me on that go watch that video
Doctor, you're much in contradiction.... first you say you've "never seen patients with finasteride side effects in my clinical practice", then you say in other multiple parts of video "... but when they come with sexual side effects (noticeable even within a month, cit.), then we just lower the dose...." ... so which one is it?...
Bald US presidents: john adams, martin van buren, john tyler, grover cleveland, dwight eisenhower, gerald ford..... anyway, being bald sucks...finasteride forever
Bad timing with this, and why it's not a good idea to chase internet marketing traffic. Peter Attia has just posted a new video about PFS. On your own last video about fina all the informative comments got deleted when you reuploaded. There is a big mismatch in what people are saying on this topic.
Dr. you should hook up with Gin Amber for microneedling products. I've been using them and it does work. I followed one of your videos on microneedling .
i can testify to the fact that as a mtf trans woman that i got crazy results from my regimen of estrogen, progesterone, oral minoxidil and dustasteride. i didn’t need a testosterone blocker like spirolactone. of course that all comes with breast and shrinking genitals. a plus for me but not for cis men- sorry!
I mean obviously someone who has devoted his life "fixing" people's hair will promote taking drugs, especially when he has his own brand. I don't trust anyone who has financial benefit when promoting or giving advice!
@@TwistedLullabies Offering a man to lose his erection , so that he can keep his hair is not a fair trade in my opinion. I think this is worse mentally than losing your hair. For these people it´s all about money, they don´t care if you are happy or healthy. They are using our weaknesses to earn cash nothing more.
@@ivangechev4243 It doesn't fix hair, it defends against baldness progression and it does work. Losing erection seem very rare, you just get less libido. The degree of libido isn't the same for everyone either, I don't feel I want to keep jerking everyday anymore but that's been beneficial for me. What did it do to you? How long did you take it?
It certainly indicates a need for further confirmation on your part. Luckily for you, there is overwhelming scientific evidence that these drugs work as discussed in this video. You can find many, many confirmatory studies on PubMed for example.
I really like seeing your empathy when it comes to how cosmetic appearance can have a huge impact on someone life. This fact is often undermined
Thanks!
True, this society is all about youth and appearance.
@@jeffreybaier5312youth and attractiveness is valued in all societies, it's biological
I thought we were about to witness the collab of the century 🥹🥹
Derek isn't even in the same ballpark as Dr. Gary, Derek is just some muscle meat head youtuber just spitting out random generic stuff and Peter Attia is a phony fraud
I have total respect for Gary’s opinions and videos, thank you Gary, for helping patients worldwide to get sound medical advice. Dr Garsing Wong Diplomate of ABHRS
Switched from finasteride to Dutasteride and it cleared up my oily scalp I’ve always dealt with.
Linkov is the 🐐
Very informative video as always! Im 28M, Iv been using Fin and Minoxidil for 5 months now (Plus Mesotherapy), thought for long time before getting into Fin. NO side effects so far, but also no improvements neither unfirtunately. In fact, Iv been loosing more hair since I started with the treatment. Doc said it was unusual as shedding occurs on the first month. If you are thinking on starting Fin, I´ll say to go for it, if any bad side effects presents, you can only quit
hey Doc, have you gone in detail in some video about the shedding period on Finasteride and how it works?
I believe Saw Palmetto kept me in the game. I like Finasteride but I just don’t know what’s going inside my cells. So I stop if I see loss maybe use topical. What I find amazing since 1989 when minoxidil came out you would think 35 years later we find the real root of this problem.
Ho Dr Linkov. Am a huge fan, subscribed to your channel and watch many of the vids esp on hair. So am sorry if this is slightly unrelated to this particular video post, but I've always wanted your take or a short video on hair masks and your professional thoughts on them, maybe even references to studies. Just a thought. Many thanks. Henry Mog
Hi, you mentioned that you have prescribed 2.5mg of dutasteride before, and that the standard dose is 0.5mg. Have you ever prescribed a dose in between 0.5-2.5mg? I haven’t heard of this before but was just curious in case I wanted to slightly increase my dutasteride dose (which right now is 0.5mg daily).
I've recently come across a study on how ashwagandha could reduce hair loss as a dht inhibitor. Any thoughts ?
I find it somewhat humorous and ironic that the people in the video said that LLLT is 2nd tier to the medical drugs and the first ad that comes up after the video ends is Dr Dray promoting LLLT iRestore lol
lol oh TH-cam
Can you please do an age progression with Shaun Robinson? She’s 62 years old and looks 30. I need to see you do a Black woman because she looks beyond amazing.
Really good and informative Video"
What's your view on oral minox affecting collagen synthesis or possibly even causing accelerated facial aging? I'm not sure whether there's any truth to this but I've seen such comments
ive wondered this
I have seen a lot of anecdotal evidence of people saying they look aged after oral minox
gary when you are going to do a axl rose plastic surgery analysis ? plsss we need it
sat and listened to the whole video- great upload. I was on fin, but recently went to adovart- no significant sides yet. maybe some libido loss?..maybe?...but either way I'm bummed I cant take minox. Both the foam and the liquid made me get some weird swelling lizard skin around my forehead and ears, cheeks etc. Too scared to try the oral version. Have you had patients allergic to the topical but not the oral?
What’s the lowest dose anyone has managed to halt mild diffuse thinning? I’m trying .25mg twice a week an it seems to be helping
I have been using finasteride and minoxidil for 1 yr and 1 month, and the results are amazing. No side effects from either medications, and I cannot tell you how happy I am with the results. For those who are undecisive please do your research and do not wait to start just do it you wont regret it, like me.
Oral Minoxidil can make the heart larger (not good)
He's talking about Ashton Kutcher.
He took Avodart for 10 years
lol he's not talking about ashton. That dude does not have the highest IQ on the planet. He's talking about Rick Rosner
How is kutcher currently treating his hairloss?
This was the video I was hoping to see
Hej doctor, can I start taking creatine after 2 month of hair transplant? Thanks
Do you think the side effects are underreported? E.g. gyneocomastia, people probably wouldn’t know how to report this in the trails etc or may just attribute this to other stuff
Do you think the side effects of finasteride are actually from other aspects in their life habits? Smoking, drinking, poor diet, no exercise, existing mental health conditions, etc?
@@andrewfischer6533 if anything, Gyno would be the clearest side effect to report. All the other mental stuff are the ones that are difficult to be judged objectively. I haven't had mental issues, just libido that doesn't push me to jerk it everyday anymore which i don't personally find harmful.
@@andrewfischer6533 yes they are underreported.. nearly everybody i know who took finasteride experianced some sorts of side effects at some time.. mostly mild ones but that doesnt matter.. and people in general forget what it means for your Organs to be on a drug from young age on. every drug has side effects
@@FatTofu-pu2liyou’re stupid as hell if you actually believe that lol
Definitely do a collab with MPMD!!! That would be an epic collab
It MUST Happen! 💯
Derek isn't even in the same ballpark as Dr. Gary, Derek is just some muscle meat head youtuber just spitting out random generic stuff and Peter Attia is a phony fraud
Thanks for the video. 😊
Dr. Do you sell 2.5mg Dutasteride on your site?
If you haven’t already, consider doing a plastic surgery analysis on John Mullaney. Apparently, he grew a new jaw??? 🤔🤔🤔
I’ve been taking oral Minoxidil 2.5 mg tabs and oral Finasteride 1 mg tabs for a couple of years now and have gotten decent results. However, a couple of friends have been using a spray combo version of Minoxidil 7% and Finasteride 0.3% and there is a pretty significant difference in only 6 months. I am going to stop taking the orals and try the spray. However, there are two more additional ingredients in this spray - Ketoconazole 2.2% and Biotin 0.2%. Do you use these two ingredients in your practice? And if so, have your patients seen good results with these two added ingredients?
Does oral minoxidil at 2.5mg also decrease a bit blood pressure? As a side effect. Thanks
MD here. Yes it does. I had to drop back to my previous dose of 1.25mg daily because I developed exercise intolerance. Within 48 hours, I was able to complete my usual run once more.
@ronaldweber5719 do you also use oral fin?
Well luckily we DHT causes heart problems, so a 5-alpha reductase inhibitor like finasteride and or dutasteride will help your heart health by a lot (reference 15:20). I think people should start talking more about the positive effects that reducing DHT has on the body.
Link me a study of hearth benefits of finasteride
thats absolute bs...
@@crapdevil1772 I never said finasteride itself helps with heart problems, I said lower DHT of the type 1,2,3 seems to lower the risk of having heart problems.
Here is one study: Cardiovascular Safety and Possible Benefit of a 5-Alpha Reductase Inhibitor among Benign Prostatic Hyperplasia Patients, A Nationally Representative Cohort of Korean Men
There are also other studies done on mice, showing higher DHT causes problems to the heart.
Now its not very well documented in terms of studies on humans, but the few that do touch on it does seem to indicate that being lower on the reference range of DHT, helps lower the possibility of heart issues.
I can attest to this I was on 2.5mg of oral minoxidil for 6.5 months and had heart issues most of the time. So then I swapped from finasteride 1mg to dutasteride 0.5mg everyday once I was almost done with OM, I then ended up going back on oral minoxidil 3 months~ after stopping it but at 5mg and I had no issues what so ever.
(And heart disease runs in my family)
(I know this is an anecdotal but I've heard stories saying similar things)
(Also I was on topical minoxidil before any 5-AR medications, and had really bad shortness of breath and heart palpitations like really bad it was scary, I had to stop after 2 months~)
@@crapdevil1772 My first reply was auto deleted, so just google "DHT effect on the heart". There is also mice studies that say high DHT isnt good for there heartr. Just look into it.
ApoB also is a causal risk factor on heart disease
I'm actually curious about how the DHT blocking works in terms of genetic programming. If the hair is programmed to fall, usually around early 20 to 30, but it's being blocked by finasteride so it wouldn't fall. But what if say you're older than that now and you stop finasteride, chances are your hair is less sensitive to DHT at that point right? Meaning you defended against most of the danger in hair loss (depending on your gene programming) regardless of you using finasteride or not at that point. Those hairs that you blocked DHT from wouldn't all just fall out all at once?
Not all at once, but yes they would eventually fall most likely.
@drgarylinkov Hmm I was under the impression if say you're 40, where your hair loss is a lot less aggressive or even stopped perhaps, the hair you kept with finasteride would also have stopped being affected by DHT due to your gene. Is there a definitive answer to that?
I couldn't find any studies regarding this issue. Maybe you could add your experience In a video about someone who stopped using finasteride for whatever reason they may have.
In 8 days, I'm going to undergo a combined PRP+exosomes treatment for hair thinning on the scalp, now that I'm 40 I'm told it's more likely to work steadily (since I'm not going to give up my topical DHT gel for PE that's been giving me results in few months)
Where are you doing this?
@beaglesnlove580 aesthetics clinic in Rome
@soniadetert1733 I will!
3 weeks onto my hairloss journey. Finasteride 1mg ,minoxidil 2.5 mg, sallalmetto 200mg a p7 nutrient mix. All put into one capsule. Also using some hair shampoo conditioner and serum from Korea. So far so good. doctor hopeful I will gain alot of regrowth and only require minimum hairs to be transplanted at the front.
where can I can legally get it in the EU? xD
I've been on minoxidil 5mg bid for 2 years but am on a diuretic for hypertension which has some protection from edema. If I go more than 10mg per day i get some tachycardia . I did not like the topical minoxidil yuk
Hi doc. I have a question, is microneedling useful when doing Oral minox or not?
Do you think they will bann Finasteride and Dutasteride in the EU?
They wont it’s just for review
I am using Hairy Pill (Australian Product and with 10mg Minoxidil and .75mg Finasteride ) for almost 3 years but the truth is its not what it says, the growth is there but not as thick they say, so I am confused by the facts this guys says. Now I am going for a Hair transplant.
Gary can you please do a vid on all of Lindsay Lohan’s procedures??? She looks fab and we need answers plz
I've been on finasteride since 2017 or 18 I think, and just over a year ago I started to take dutasteride. It seems my hair is a bit thicker now than last year. I'm wondering since the half-life of dutasteride is so much longer than fin, can I get away with taking dutasteride only every other day or even every 3rd day for the same effect?
Is it worth considering taking finasteride one day and dutasteride the other day or does that really not accomplish anything more than just dut?
also just had a smaller hair transplant, 1400 grafts, and I've also started to take saw palmetto and pumpkin seed oil. Not sure if I should ask doctor for oral minoxodil. Isnt that a blood pressure medicine? Loniten?
Don't take my advice serious since I'm not a doc, but I've seen many people taking the dutasteride pill once a week, while taking .5mg or 1mg fin every day. It seemed to work, since the half life of dutasteride was over 15 days anyway
I'm still very concerned about the side effects of oral minox ... Heart health is not something to take lightly
True! Topical is way safer. Don't understand this love for oral min
@@erik370well its much easier to just take a pill
@@erik370even when using topical minoxidil for my beard, I got palpitations a few times, I can only imagine what would happen if I took highly concentrated oral minoxidil
Can you make a 0.5mg finasteride pill?
Hey doc do u have dutasteride on ur website.
I had a hair transplant at a reputable Clinic and the doctor told me only to take 5mg oral Minoxidil. I am a Norwood 6/7 and 37 years old. Do you think a dht inhibitor is not necesary and thats why the doctor didn’t prescribe it? I saw he does sometimes with other patients but a lot of times only 5mg OM. Do you think it is because of age and Norwood 7 that it is not necesary? Thanks in advance!
Would be awesome if you could do a lengthy discussion with MPMD Derek, and also Haircafe (Kevin Mann). For the record, post-puberty, DHT is a trash hormone and to the extent that we do get side-effects from fin/dut, they're mild, they go away after continued and/or discontinued use, and the side-effects aren't actually caused by fin/dut, or by DHT suppression per se, but rather, by temporary imbalance between estrogen to testosterone ratio. After a while, this estrogen to androgen ratio imbalance normalizes and the side-effects disappear. Post-finasteride syndrome is just anti-male agenda propaganda, and basically all males should be taking 5ARIs, at least if they have self-respect and self-preservation instincts. Post puberty, DHT only makes you into an old man, because that's basically what DHT is: DHT contributes to making you an adult male, when you're a prepubescent boy, during puberty. After puberty, when DHT is no longer needed because DHT has no valid use after puberty, and continued DHT production will make you into an old man if you don't shut off this redundant trash hormone. All you get from DHT post-puberty: androgenic alopecia (hair loss), enlarged prostate (BPH), prostate cancer, acne, heart attacks and stroke, decreased skin quality (because of course DHT is detrimental to your skin as well), like wrinkles and such. DHT is basically the old man hormone. DHT, not testosterone, is why men don't live as long as women.
@@EliasAlucard absolute bs, stop spread misinformation.. wow.. somebody Got brainwashed here
You mentioned that topical finasteride can have similar systemic levels as oral form. Is this the same for topical/oral minoxidil? I've been hesitant to start oral minoxidil because of its effects on the heart. But if I'm systemically absorbing similar dosages topically, then i would rather just start the pill form of it. im way more consistent with the pills. Does it all come down to molecule size?
Does the oral form of minoxidil cause more body hair growth as well? topical minoxidil does not increase hair growth on my body, but im worried that oral might
Concise and well spoken 👍 would love to see a collab between you and Derek
@Dr Linkov: Dwight D Eisenhower was both bald and president
Ron Jeremy had a full head of hair.
@ so does Ronald McDonald
@@MrTekunOlam And Captain Kangaroo
@ 😂😂
Can confirm progesterone makes hair "pregnancy" thick and stopping might be a dramatic shedding effect...
Hi Doc, I myself need to start saving my hair from further recession.
As I've learned so far by your videos (they're great, by the way), only fin + minoxidil make sense, the rest of possible treatments are pretty much 1%.
Does it make sense to add aromatase inhibitor along with fin & minoxidil?
My understanding is that T, being too high, is being "transformed" into estrogen from which the sexual side effects are coming from & aromatase inhibitor would minimize these - let me know your thoughts. Thanks!
Is it important to get your sperm frozen before starting finasteride full time? can finasteride affect fertility permanently after stopping?
Dr. Linkov, do you have a video about how to get a prescription for finasteride in the U.S? I have decided to take the plunge and I have just minimal hairloss, but want to be proactive. My PCP recommended Minoxidil but I want Finasteride. Should I go through a different avenue to get a prescription?
He has a prescription for this on his feel
Confident website
I think any type of drug even if it’s 1 mg over years got to cause other side effects. No matter how we look at it we are finding medication will cause other problem. I was on fin for 2 years I seen hair growth but I stop and I haven’t lost what I gain and it over a year. I also used minoxidil for over 32 years and stopped about 6 months and still haven’t lost what I gain. I still have more hair today than I did at 26yrs old and today I’m 61.
And then some people get side effects only near the beginning they started using it. I always thought that if you're 2-3 years+ free of sides, your chance is even lower to develop any.
I just started GHK-CU have you any data if it grows hair. Since I been using it my hair more healthy than using minoxidil.
@@bluereef9530 What was your dose of minoxidil? Oral or topical? Also, as a side effect, did you end up growing additional hair on your face or body?
@ I used topical minoxidil started 1989 with 2% and than used 5%. I used both foam and liquid. I used it once a day. It really help me maintained what I had. I did take saw palmetto. My goal was not to go bald and it definitely did that. I started finasteride and saw more growth. I decided to stop just to see what happens. I did notice my man hood wasn’t getting hard as I used too. Now not sure if turning 61 has anything to do with that. That was reason to see if that comes back. I’m only using Copper Peptides just watching if I start losing my gains. Right now it’s prevent any hair loss. I do use derma roll once a week.
@19:54 , does that mean that after the age of 35 the hair loss is slowing down or?
Do a vid on matt gaets plastic surgery
I went bald and never looked back. Now having hair feels like a nightmare
I bet those grapes were sour anyway.
@ronaldweber5719 probably at first but it's better to shave it yourself than to be in denial and look like the guy in your profile pic💀
@@conradaster3764 weak, very weak. But thanks for the reminder to update my pic after my awesome hair transplant!
@@conradaster3764😂
@ronaldweber5719 lol you started with me. And really you should have gotten botox. Your face looks like a railway map...but none of that stuff will help you get a bigger dik so 🤷, waste as much money as you need to.😂
Doc be like "I guide people to the treasure I can't possess"
asking an unrecoverable bald guy like Attia about finasteride is an illegal move, he missed the train and wants more men to miss the same train, thus gives the wrong advice, I've been using finasteride for over 3 years, very satisfied, minimal sides, hair is still on point with minimal loss
oral minoxidil sides are way more serious than finasteride. Also, its not dose dependent ( idiosyncratic), which means that if youre genetically unfortunate you could develop heart related issues regardless of the dose. I don't understand why dermatologists recommended oral minoxidil without consulting a cardiologist.
If someone had heart issues due to either lifestyle factors or genetics, I would say that those issues of concern would have manifested before someone started losing hair.
@jalcantar619 the risk of cardiac problems is greater when taking the drug.
@erik370 ask your doctor/dermatologist. There's an increased risk to everything these days but what I'm saying is that the risk doesn't warrant cardiologist/specialists consultation. By all means, if it makes you feel safe, then spend the extra money. There's a reason they start you at low doses and monitor things.
Ask chatgpt but start with "science backed," then ask your question.
@@jalcantar619 dermatologists aren't trained like cardiologist. Minoxidil affects the heart, so you need an expert opinion on it ( dermatologists aren't experts on that field). Research tells us about the idiosyncratic effects of minoxidil. Also I doubt dermatologists monitor heart health while on the drug, so a lot of cases aren't reported. Scientific literature tells us about the dangers of minoxidil.
@@jalcantar619 I can't link sources unfortunately but chat gpt isn't a reliable source
I love Troye Sivan❤
Would finasteride come up in a random drug test ?
It's not part of any commonly used drug screen panel.
I just disapprove that this Derek person, in my opinion, incentivises anabolic steroid usage. I find it crazy that some men use steroids and want to keep their hair.
Creatine supplements increase DHT.
If you have really bad hair loss at a young age like I'm 24 and a Norwood 5. I did recently have a transplant but it's still very thin on the sides and back. Would dutasteride be better for me than finasteride?
Yes, obviously. But it depends on the country you are from, in my country it's hard to find dutasteride at all.
@МаксимК-я4ы I live in the US. I've been on finasteride for about a year now but I started losing my hair when I was 14 so I'm thinking I need to be on the strongest medication possible
@@Tar0245 yeah, I started losing at 13, I understand, you gotta throw the kitchen sink in there. I'm from Russia, the use of Finasteride to treat baldness is off label here, and it's usually not prescribed. You can get topical Finasteride and minoxidil, but that's it. Forget even thinking about Dutasteride or topical anti androgens. Needless to say I'm still losing hair, even while on treatment. Strict regulations on drugs do that. So watch out for Kennedy Jr, he advocates for this exact thing.
even when you are on fin/dut + min, over time as you age you will lose ground. Stem cells and dna die, can't avoid aging of your body parts, our bodies are decomposing every minute of every day as we march toward our inevitable fate - death.
Glad you're back, you disappeared for awhile. People need you and your advice. That way, they won't be taken advantage of. Thanks.
can oral minoxidil cause sexual side effects?
Yeah, I had it from topical minoxidil
I've been taking finasteride (1mg) for over a decade..I still have my hair...and the only side effect is reduced semen volume. ...and that doens't bother me.
Please comment on Finasteride causing male breast cancer and prostate cancer.
He commented on it in his previous video on Finasteride. If I remember correctly the incidence of cancer was roughly the same in placebo group. Don't quote me on that go watch that video
Do you think that MrBeast has had buccal fat removed? In the past he's looked rather cheeky, but now not so much.
Doctor, you're much in contradiction.... first you say you've "never seen patients with finasteride side effects in my clinical practice", then you say in other multiple parts of video "... but when they come with sexual side effects (noticeable even within a month, cit.), then we just lower the dose...." ... so which one is it?...
Bald US presidents: john adams, martin van buren, john tyler, grover cleveland, dwight eisenhower, gerald ford..... anyway, being bald sucks...finasteride forever
Bad timing with this, and why it's not a good idea to chase internet marketing traffic. Peter Attia has just posted a new video about PFS. On your own last video about fina all the informative comments got deleted when you reuploaded. There is a big mismatch in what people are saying on this topic.
They should put finasteride in the tap water.. Women can drink bottled water.
Dr. you should hook up with Gin Amber for microneedling products. I've been using them and it does work. I followed one of your videos on microneedling .
i can testify to the fact that as a mtf trans woman that i got crazy results from my regimen of estrogen, progesterone, oral minoxidil and dustasteride. i didn’t need a testosterone blocker like spirolactone. of course that all comes with breast and shrinking genitals. a plus for me but not for cis men- sorry!
I mean obviously someone who has devoted his life "fixing" people's hair will promote taking drugs, especially when he has his own brand. I don't trust anyone who has financial benefit when promoting or giving advice!
They're the only ways to combat hairloss
@@TwistedLullabies Offering a man to lose his erection , so that he can keep his hair is not a fair trade in my opinion. I think this is worse mentally than losing your hair. For these people it´s all about money, they don´t care if you are happy or healthy. They are using our weaknesses to earn cash nothing more.
@ivangechev4243 You can't use your dick if you're bald
@@ivangechev4243 It doesn't fix hair, it defends against baldness progression and it does work. Losing erection seem very rare, you just get less libido. The degree of libido isn't the same for everyone either, I don't feel I want to keep jerking everyday anymore but that's been beneficial for me.
What did it do to you? How long did you take it?
It certainly indicates a need for further confirmation on your part. Luckily for you, there is overwhelming scientific evidence that these drugs work as discussed in this video. You can find many, many confirmatory studies on PubMed for example.
I keep asking doctors how come there are no bald homeless men and none have an answer.
I dm’d you on Instagram Doctor. I desperately need your help and advice. Please :(