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Finasteride Phobia and testosterone levels (In ENGLISH)
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- Опубліковано 18 кві 2020
- Does Finasteride phobia due to side effects of this drug trouble you and you unnecessarily get frequent testosterone tests done even when not mandatory.
To skip from one question to another in an easy manner click on the timeline here-
4:30 Do you think High Testosterone causes baldness ?
4:46 Do you feel Finasteride decreases Testosterone levels?
5:27 Does use of Finasteride decrease muscle mass?
6:24 Does use of Finasteride have steroidal effects?
6:50 Do you think Finasteride can cause permanent sexual side effects?
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#finasterideside #propecia #dutasteride #sideeffects
This is by far the best video I have ever seen on UA-cam pertaining to androgenic alopecia and the reasons and science behind it, I am supremely satisfied doc, please continue to make more videos to help us know more!
Thank you for your words of encouragement.
@@hairtransplantinindia @Darling Buds Clinic sir as you have explained in ur diagram that when testosterone levels increases by 15% and goes to brain/bone zone and increases Esterdio levels. I have taking finasteride 1mg/day for the past 10 months.
So what tests shall I go through so that If I am not getting any side effects/increase/decrease in anything which can be harmful? So that I can be free from.mental tension like of increased esterdio levels, effects on breast or any other thing. I just want to check If I am doing good without any major issues in my body as i m on Finasteride. Please name all the tests and I will get them done & show you the reports. Please help thanks.
Age: 30
Weight around 75kg
Thanks you for the kind words. Appreciated!
@@superbsuyash1466 You are doing fine. If you do not have a problem all is well. No need to check levels. Levels after starting Finasteride will not correlate with actual situation.
@@hairtransplantinindia Dr what is ur opinion on possibilty of existing pubertal gyno worsening when we take finasteride..are the risks higher?
I think with regards to testosterone, whilst being on finasteride, is that TOTAL testosterone will increase but FREE testosterone will decrease. The reason for why total testosterone increases was perfectly explained in this video, but the decrease in free testosterone is because the lack of DHT means that more testosterone will bind to SHBG, hence reducing the levels of free testosterone.
Thanks for your comment.
@@hairtransplantinindia Is there a way to raise Free testosterone?
@@hairtransplantinindia So if the above comment is correct. Finasteride will lower Free Testosterone and since we have less free testosterone it should decrease muscle mass or maybe decrease muscle building? Can you shed some light on muscle mass and finastride?
This is best and most informative video on the topic. He has good command on the subject.
I must has seen 100s of video but all my questions are answered here.
This should be top recommended on the topic.
Keep up the good work 👏
Today you have cleared my all myth and doubt about finasteride very well Sir...
Thanks for sharing such informative videos with us.
Thanks for watching, Sir.
Are u using still??
Excellent information, most of the male patients using finasteride have such doubts and all these have been explained in depth. This video answers all such doubts. Thanks sir 👍
Thanks Sir.
Finally the only great explanation that is technically enough to make an informed decision to use Fin. Thank you Doctor! 💥💥💥💥
Thanks for watching and also for the gracious appreciation.
Dont use finasteroide
DHT is there for a reason. It’s not just some troublesome hormone. Reduce it then, it just results in chemical castration with finasteride.
One the best propecia videos I have ever seen on UA-cam . Thank you for providing this essential and wise information for people who is concerned about potential hormone sides .
Thank you for being on the channel and for commenting. Much appreciated.
@@hairtransplantinindia it's not just a phobia it did effect me when I used it both topically and orally. My libido was completely gone and I tried it for months going off and on trying to see if it can work for me as I really wanted to try it. Had to get a hair transplant and even Dr told me to use it after hair transplant and I told him the side effects I was having. He told me use minoxidol topically only
I am a 53 year old man who has suffered from anxiety and depression ever since puberty. Got off my antidepressant 2 years prior to taking finasteride. That was a big mistake. Went through hell emotionally, and ended up stopping the drug. Thus losing a good amount of hair. I am back on finasteride and prozac, and seem to be doing well. Guys, it is possible to take the drug if you have emotional issues. You really have to monitor your mood, and continue taking your med/medications. Great video by the Dr. as always by the way. Working out also really helps, and also watching your diet and alcohol intake.
Thanks for sharing your valuable experience.
I’m glad I finally started finasteride a few weeks ago I wish I started it years ago but I got scared off by misinformation. I read the pamphlet and the vast majority of study participants had no adverse effects and almost all had significantly more hair than placebo. It also actually increased my testosterone level, not decreased it.
Thanks for sharing your experience with the community here. When it comes from an unbiased source it becomes very valuable.
Hi brother, may i know how it is going? I'm thinking of starting the dosing of finasteride.
@@hairtransplantinindia I guess I was the unlucky ones who had very bad side effects. Happy new year doc
Another useful video explaining clearly about finasteride and also the myth surrounding its side effects, crystal clear explanation sir, thanks a ton
Thanks for watching.
most scientific video i have seen about the topic. thank you for the video doc 🙏🏼
Glad you enjoyed it!
Undoubtedly, The best video i have seen on Finasteride.
Thank you for the kind words and for watching my video.
Thank you Dr for taking the time to reply to each comment
It's my pleasure
I love your video's. They're so educational!
Thanks for watching. I loveseeing your comments.
Thank you for the very extensive explanation. It answered what I was thinking
Glad it was helpful!
Thank you for a useful and clear explanation. I've been taking Finasteride for 12 years and although I think it has helped me retain most of my hair, I do still have worries that it may be causing side effects or damage to my body - I'm particularly concerned that as you explained, Finasteride increases Estragon/Estadiol levels, and this can lead to unwanted side effects like Gynecomastia. Is Gynecamastia common with Finasteride?
If it has not till now, and you are unaware of it, it is suiting you well. So do not worry. Trump has been taking it for 25 years and there is not a male in this world more virile than him. Or is there!
@@hairtransplantinindia funny about trumh 😂
love your work. very generous Dr
Thank you kindly!
No matter what you day doc...I personally know many people now who had got the side-effects of this drug and are still not able to fully recover even after quiting it
If counseling is not done properly and the 40% incidence of ED in age group 25-35 (same age as hair loss) is not kept in mind and wantom prescription of Finasteride happens, high cases of ED have been noted. They are irreversible not because Finasteride is such a bad drug, but because it has meerly unmasked existing hypogonadism/ED.
@@hairtransplantinindia does this mean that the people in the age of 25 to 35 should stay away from it and how can one know if the Ed happened is because of finax or it was preexisting . One would certainly blame finax only if they notice sudden changes after taking it.
@@abhinavtiwari4238 If your total testosterone level was normal and you do not suffer from hypogonadism and do not have major psychological psychosomatic issues, yes you can blame Finasteride for it. I never have had such a thing with my patients since i do a detailed assessment.
@@hairtransplantinindia Thank you doc . But what if someone doesn't want to take it at all then what is your protocol to handle such patients particularly grade 5 or above patients who is left with minimal preexisting hairs to preserve
@@abhinavtiwari4238 In such a case if baldness is not stable better embrace your baldness. If stable, you can give hair transplant a chance.
Thank you doctor for a VERY well explained video. Many of my lingering questions were answered. I'm not a novice on these topics at this point in my life but your diagram helped reinforce my understanding and helped me eliminate some confusion I've had with other conflicting videos and discussions I've had with others. So as I understand it, although Dutasteride increases scalp testosterone to something like %100, scalp testosterone really doesn't have much of an effect on hair loss since it's really about the binding affinity of DHT (which is 5x more influential on hair loss from what I understand) to the follicle? Even though testosterone is an androgen as well?
Yes you are right. And thank you for taking time out to watch my video.
Testosterone is very at binding with SHBG as well. Testosterone also affects hair, but instead of going totally bald, you'll grow very thinner hair in 50's because testosterone also affects hair on scalp but it is order of magnitudes less than the havoc DHT causes on your scalp from increasing scalp tightness to hairloss.
@@Tate525 Thanks for sharing
Most of the people who suffer severe Fin side effects are hypochondriacs, they are people who obsess on every little thing. With erectile dysfunction; they will take Fin - they then go to have sexual experience, think back to the Fin post they read on a forum; they panic, and that causes their erection to go down. They then blame Fin, and stop Fin - but now they have these thoughts in their mind and they still have ED - so they think "I have post-Fin syndrome" when it is all in their mind.
One guy who was complaining of severe Fin sides such as ED, later admitted the first time he ever took Fin literally 2 minutes later, he started having bad brain fog and heart palpatations. That's when we realized it was all in his head, as the Fin wouldn't even be absorbed after just 2 minutes. It was his mind panicking - he'd be the same if he took a sugar pill.
I fully agree with you. This has been my experience as well. With so many people petrified of Finasteride, I am planning a host of videos only on Finasteride si I can help them get over this myth.
@@hairtransplantinindia Yes! Please do this, it will sincerely help myself as well as others. The concern I have is not that Finasteride can cause side effects (since all drugs cause side effects) but that an FDA approved drug could cause permanent side effects. That is what I want debunked.
@@joshuat357 Sure.
Once again great informative video....love to see more videos in upcoming years
Thanks
DIM and Calcium D-Glucarate can lower the excess E2 hormones from Finasteride while increasing the "good estrogen" Estriol, also cutting out Xenoestrogens from products can help keep Estradiol lower.
Thanks for your comment. Also please mention the reference.
Thank you very much for this video doc, it is really nice that someone debunks finasterid myths on the scientific basis.
I have one question that really interests me about this topic. Namely, does adding arimidex to finasterid has “steriodical effect” on healthy male person? If yes, does in that case arimidex must be taken also on daily basis? (I am aware that is not responsible to advise use of arimidex for such purpose, at least not under endocrinologist supervision, but i would like to hear Your opinion just for orientation).
It is not a good thing to play with the hormonal milieu in your body by taking Finasteride and Arimidix. Te later has plenty of side effects on it's own. I do not use this drug for my patients.I would much rather ask him to stop Finasteride or alter his lifestyle.
I still am hesitant to continue as my personal anecdotal experiences of side effects cannot be sidelined for contradicting empirical evidence.
That is completely your choice. However, you have been informed about the drawbacks and it is now an informed choice!
as a paediatrician myself , I appreciate your dedication to your craft . One question i would like to ask to you ( I have even asked my senior consultant dermatologists) is that how far will dutasteride affect other dht depend follicles like beard hair? I have seen randomized albeit minor studies wherein the it has stated that it does affect minimally .
90% DHT is blocked by Dutasteridebut by Finasteride- 70%.
The latter does not affect beard growth therefore. However with Dutasteride I cannot say since it's been in vogue only past 5 years. We know so much about Finasteride since it is in use for 40 years. But since it does not bock all of DHT, the effect should be negligible.
Thanks you for the words of encouragement, Doctor!
Excellent breakdown and analysis
Glad you liked it! Thanks for watching.
Hi Doctor, great video filled with valuable information! Question, what are considered normal levels of testosterone & estrogen in males as a good candidate for finasteride use? What levels of testosterone considers too low and levels of estrogen too high to realize one is not an ideal candidate for use of finasteride? Thanks for any insight you have on this!🙏🏼
Thanks for watching. This video has so much more information about what you ask- ua-cam.com/video/xmj7uEWAvDc/v-deo.html
God bless you my dear bearded doctor friend
Thank you kindly
There are Two type of DHT
1) Scalp DHT
2) Serum DHT
Finesteride just block Serum DHT .
Which medicine will help to block Scalp DHT ?
Q2 .
Does microdosing like 0.2 mg or o.5mg of oral finesteride for long period of time is affective ?? And who is the best candidate for it ??
Q3 .
Please let us know how to stop the minioxidil and finesteride without affecting their results ??
hanks. All your queries have been covered in my Finasteride videos- it is a huge topic you have touched upon (a Pandora's Box) -
ua-cam.com/play/PL369T6qyYsuHhqymaMLTT6OMyUS_5pJv4.html
An extremely informative vide - It has explained my 'side sffects' to a tee!
Thanks for watching. Did you watch this one about Finasteride- ua-cam.com/video/cPWmhkYEiUw/v-deo.html
Very good explanation, thank you 👍
Thank you for watching my video
Well done video I appreciated you I just done my hair transplant DHI method still waiting to see the result and I've been taking finasteride 1mg
Best of luck!
@@hairtransplantinindia thankyou
Thank you one more time for an excellent video! So what range of testostrone to estrogen levels that are good or bad omen for finasteride sexual side effects? How about PSA (prostate specific antigens) levels, i heared they are important to monitor and how can you interpret the base level PSA before treatment?
PSA levels are an indicator of prostate function and a marker to screen prostatic tumors. This is affected when we take DHT blockers and hence the need to take these levels before starting on Finasteride. I do not start a patient on Finasteride unless his total testosterone level is more than 300 ng/dL. Below 500 level no more than 0.5 mg a day should be given. Testosterone levels are used in my practice to screen patients who will most likely have side effects with Finasteride.
I 100% had sexual side effects from finasteride. I had complete shut off of Libido, loss of morning erections and about a 70% loss of erections. I had hormone testing and my testosterone was extremely low. So were my LHT and FHT levels. I am 5'9 and weigh 130 lbs so I am by no means over weight. I stopped talking finasteride and started taking an estrogen blocker(clomid) for 3 months and only then did some of my libido and ability to have an erection come back. I am slightly concerned that the effects maybe permanent. I am not an anxious person nor am I a hypochondriac. There is something going on here that you may not be aware of.
You were improperly assessed before initiating Finasteride. You were not fit for starting this DHT blocker.
@@hairtransplantinindia and how would you adequately screen for finasteride use? You can’t. It should be taken of the market.
@@consciousreverie4696 Several videos dedicated to Finasteride counseling, selection and side effects. Also strategies to use minimal dosage to nullify likely side effects. The trouble is most people do not get counseling by experts before starting Finasteride.
@@consciousreverie4696 The truth is most people tolerate this drug very well. Those who do not should not touch it.
Finasteride is not for people whose Testosterone levels are in the lower range. Because their libido is highly dependent on their DHT level. When you are young in 20s then Finasteride is fine
Unfortunately there is still a very negative effect from finasteride: and it is decrease of DHEA hormone.
I've been using finasteride for two years and started to look much older. Because use of finasteride decreases production of your facial sebaceous glands. Because not only your dht goes low, but also your dhae go low.
You will suddenly feel the difference in the morning when you wake up your facial skin will be very dry. Every single day. And now I have black circles and my eyes.
As 1 doctor told me you will feel that you got old when your face in the morning wouldn't be oily anymore.
There are many finasteride forums were young guys over 20 years says that they are so happy that after starting taking finasteride their acne has gone.
Unfortunately, they have no idea what new problem they gonna face. 😔
More a side effect of being on these forums I think. But I do respect your point of view as well.
@@hairtransplantinindia is that all you can answer on my comment? 🤦♂️
Hello Doctor, I have heard that men with excessive body hair growth like thick back hair/shoulder hair chest hair etc have a much lower chance of side effects and a better response to finasteride treatment compared to men with very little body hair in your clinical experience is this true? have you noticed this observation in your patients? this observation was mentioned in a Japanese pilot study comparing efficacy of finasteride thank you
Ofcourse since men with more hair usually do not have low testosterone which is the cause of ED. Finasteride just tips the balance in these cases. We do not get total testosterone levels done and hence these are missed.
Thanks for the video sir. Just want to know Finastride pill with tropical solution or. Finastride pill with minoxdyl. Which one is good.
The latter.
Doctor , good content. Doctor you said it will increase the level of 15% testosterone by using finsteride that will be added to the third category which will increase estradiol , that is a female sex hormone which will give an impact to bone and brain in male. Which will impact in slight reduce in muscle and all( this is what I understood from your video). But what I didn't understand is muscle comes in other category of testosterone, until or unless finestride touches the testosterone that stimulates liver , muscle and fatcells. How the muscle is impacted? If the 15% increase in estradiol, what will be the impact in bone and brain?
Testosterone has no impact on muscle mass. It is a Myth that it does. This is reinforced when patients on Finasteride develop puffy breasts (gynecomastia, man boobs). People will then take more of the unnatural proteins for muscle mass building like Whey protein which in turn will cause more thinning and the cycle goes on and on...!
Estrogen is good for bones. I do not think increased Estrogen due to DHT blockers has any noticeable good effect on the brain. Even if it does, due to some reason patients occasionally complain of mood changes and foggy thought process. Patients only report side effects, and seldom do to come and tell how good the drug is!
This is purely by observation.
@@hairtransplantinindia thanks doctor for your reply and now I am clear about it 😊
Great talk doctor, thanks for your time. Do you recommend antiestrogenic meds while I’m using finasteride.
No I do not.
Hi doc, we had a consultation a few weeks back and something I’m still unsure of :
1- for those who wish to use TRT let’s assume 250mg per week of test- is finasteride effective ?
2- what dosage you recommend to keep hair loss at bay ? ( I’m on 1mg every other day )
3- does finas negatively affect that 250mg potency ?
Thanks
Finasteride does not negatively impact since it does not block all your DHT. I recommend the dosage you are on. But dosage of TRT/Finasteride has to be tailored specific to your situation.
Excellent video doctor, I’m curious to know your stance on topical finasteride + minoxidil (0.1% finasteride and 5% minoxidil)
Topical Finasteride does not reach the root of the problem.
@@hairtransplantinindia why? Can you explain it ?
@@rafasowicki7565 I have explained this in the video titled Dutasteride in detail.
Hello Sir,
Does 5 alpha reductase enzyme Inhabition by finasteride is irreversible and permanent even after stopping?
Does our body generate new 5 alpha reductase enzyme?
Thank you sir
This is an ongoing process. When you stop the medication, the inhibition too will stop.
Dear Dr. Bhatti, thank you for your videos. I am looking to get appropriate tests done before taking Finastride. After i get my results, i wish to book a consultation with you. Can you please let me know the specific biomarkers that I should get tested before taking Fenastride. Thank you.
Hi, only total testosterone is needed besides your BMI
Hi Doctor - Thanks for the great info. Will Finastride help in hair fall control that can happen due to consuming whey protein and going to gym?
This is individual. You will need to try and see for yourself.
Thank you for showing us the physiology of testosterone metabolism. There are some physicians discussing the benefit of lower finasteride dosage such as 1mg 3x per week, with the benefit of having enough DHT blocking at the follicle, but less side effect. I have yet to find any research to support this strategy as the original study was only done at 1mg 7x per week. Have you found any research that would point to this Lower dose of finasteride as a potential therapeutic option?
I have tried it. It works in those whose balding is stabilising. Not in a young man with strong family history and who is thinning at a young age.
I read a lot about finasteride and you are a knowledgeable doctor.
If you need a estrogen receptor, then I do think that Aromasin is better then Arimidex, since it is very easy to crash with Arimidex, just someting you should take into consideration.
I do have a question, if the paitent is obese, can the rise in estrogen from finisteride long term not cause low testosterone from the negative feedback on the hypothalamus?
Thank you for watching.
I have not tried Aromasin. Will discuss it with the local pharmacology professor. Yes you are correct about the negative feedback mechanism in obese patients. Obese individuals rarely tolerate Finasteride. I am quite hesitant in starting them on Finasteride.
I have a question sir... if a body has high tests level due to 5a inhibitors. Then possible it can be converted to estrogen which can further lead to gynaecomestia. How to prevent this? Sir
Yes true but its not usual.
Would taking something that blocks aromatase conversion/testosterone to estrogen be helpful to stave off the estrogen spike, that is more likely to cause side effects than lowered DHT?
Amazing is all I going to say 👏👏👏
Thanks
Hello Doctor, I have a question, please answer me. I am thinking about starting Finasteride 1mg a day. I am a high level karate player, and I am afraid if Finasteride will affect sports performance. You said it doesn-t affect muscle mass, but does it affect muscle explosion? I have red some things about it, and thus I am concerned. I already use minoxidil and had great results and no side effects. I am a lean individual with 6% body fat and I weight 72.5 kg and my height is 167cm. Thank you for your attention.
Please do not worry. It will not affect extreme strenuous training. Many of my patients taking this medication are athletes, body builders and adventure enthusiasts. Your body composition is ideal for Finasteride.
@@hairtransplantinindia thank you for your answer Doctor, greetings from Portugal!
Hello Doctor...Its very very Informative and extremely helpful. The point is "Ratio of Testosterone vs Estrogen"...Wow ....Doctor if i take finasteride and testosterone boosting foods simultaneously, will it be helpful..Please guide me
Thanks
Finasteride does not lower your testosterone.
Sir..It was a great informative one..following since long now..Would like to have your consultation..
Thanks. You can send pictures on mail drbhatti@darlingbuds.com
Don't worry fellas, I have been taking finasteride for 5 months now and intercourse performance is not affected, all you have to do is taking it without worries. However I started taking it in a period of coronavirus with lockdowns, deaths and restrictions in the world, these facts affected maybe my mood and desire for sex, so it is not finasteride's fault, but considering these circumstances when desire is there all "hydraulic" systems work.
Thanks for sharing a valuale nugget.
How about now any sides?
Hi thank you for your informative videos they are the best on the web, I have my testicular tubes tied would taking finasteride increases any negative prostate , libido side affects ? I’d like to add I have recently undergone a 2000 fue hair transplant a month ago and looking forward to the results I have been using minoxidil cream for years but am still seeing hair loss , many thanks.
Vasectomy is of no releance while taking Finasteride. There are no such side effects. Hair loss will continue even with oral Finastreide but will be much less after 3 months on it. Thanks for watching.
hello doc...a great video!! 🔥🔥
but what do you think about natural DHT blocker?? and can you make video about it
thank's doc 💪
Thanks!
Watch this: ua-cam.com/video/2ueR_IhE3H0/v-deo.html
which one do you think is the best saw palmeto or finasteride??? For dht blocker
@@sundaysans Saw Palmetto cannot be compared to Oral Finasteride. Saw Palmetto is nowhere near the efficacy of Finasteride.
Hey doc, I understand about the other effects, but my biggest fear is gyno as a side effect. How to eliminate this fear? Because here we can't argue that it's just psychological! And it can be life long too
Also in one of the comments you said PRP is just a gimmick in genetic or MPB. But there are lots of results online...?
Gynecomastia never happens if you are not overweight while on Finasteride. And you need to check testosterone levels before starting Finasteride. If low and estrogen high, please forget about taking Finasteride. I cannot say anything about clinics advertisements and the results they show. You need to figure that out yourself. I only provide information on the channel and am not pulling down other clinics or promoting my own.
But a 15% increase in testosterone levels sounds like A LOT.. what if one does not take the full dosage and instead do 0.5 mg three times a week - will it be significantly lower then?
The benefit will be lower as well.
Nice beard! It suits you :)
Now, I am just confused about the negative feedback loop that would increase the feminine hormones. Is it not still counter-productive and causing unwanted effects such as gynecomastia? Thanks!
Thanks.
Effects of increased estradiol don't happen in all. I would say if you are slim and mesimorphic in build, you are fine.
sir what if i dont have prostate enlargement or i take finestride 1mg does it gonna shrink my healthy or normal prostate ? or do finesteride cause genitals shrinkage ?? because some people claim it shrink their penis ?
It does not cause shrinkage. People who say this are uneducated about Finasteride and believe hearsay. A doctor will not advise it without telling side effects.
Thanks for all the infos Doc.
Could you explain a bit more about the perfect ratio of testosteron to estrogen?
Thanks a lot
The normal T:E2 testosterone (T)/estradiol (E2) ratio is 1.7 ± 0.12
Hello@@hairtransplantinindia my level of T is 2,71 ng/ml and E2 is 0,021 ng/ml, is it correct ratio ?
@@rafasowicki7565 The total testosterone level is low.Please see an andrologist/endocrinologist
Sir, my age is 30 and I have a genetic hair loss problem. For that I took finistride for 3 months around 4 years ago. And side effect of soft erection was seen. Dermatologist asked me to stop taking finistride and just use minoxidil with some oral multivitamins. That actually worked very well and until November 2019 it stopped my hairfall pretty much i.e. about 4-5 hairs per day.
But i don't know why in last 5 months my hairfall has increased significantly to around 50-100 hairs per day and my scalp is now very much visible. Inspite of my sexual sensitivity towards finistride another dermatologist adviced me to take topical solution of minoxidil + finistride but it hasn't worked even 1% in last 4 months and hairfall is increasing day by day.
Sir, please help and suggest me something.
Kindly share pictures at drbhatti@darlingbuds.com
I really don't understand how DHT that was present in my body right from my teenage years was just lying dormant in my body without thinning my hair till I reached 25 and moved to a different city. I see this effect on most of my friends. The ones who moved to a different city for work, have been diagnosed with miniaturization, MPB and started experiencing thinning after crossing 24 or 25.
Can you explain this? I assume Testosterone (& DHT) peaks during our teenage years and early twenties and yet I and most people I know did not lose any hair during this stage.
DHT alone does not cause balding!
DHT is present in everyone in equal measure after we reach puberty. But it causes androgenetic alopecia only in select few. These are the people who have the androgenetic alopecia (baldness) gene. When the gene will express itself is also encoded in it. In some it can happen as early as 17 years of age, while in others only after 50.
@@hairtransplantinindia ok, then the trick is to regulate all the factors in our control that expresses this gene during adulthood. Here is a Ted talk from a scientist where she talks about reverting and delaying gene expression: ua-cam.com/video/JTBg6hqeuTg/v-deo.html
Aging is not in our control but our lifestyle is. Knowing this it's trivial to assume giving finasteride for this problem is such a duct-tape solution. It's like using kerosene as a coolant for an overheated engine. It is bound to wreck the whole car.
If I have already been on finasteride for 2 months. Can I still get blood work done to see if things are going smoothly? Also I have noticed decrease muscle mass and vascularity even though I'm still excersising. Guessing from the finasteride aromatizing? Thank you doc. You are a grand help to everyone!
You will need to stop for 60 days.
@@hairtransplantinindia do you reccomended that I do that, then get blood work? Or should I just continue with my finasteride but microdosing every other day? Do you think the finasteride is causing decreased muscle mass? Thank you doctor
@@theheartofme2119 You need o stop and get test done after 60 days since you have symptoms.
@@hairtransplantinindia thank you doc, that's the only thing I've noticed. No Ed or others. Will I loose alot of ground with hair loss during the 2 months without finasteride? Also could I get blood work done now while on it and then stop for two months then another test for comparison?
@@theheartofme2119 how are you now man? Hope all is well
So because of taking Finasteride and this Increase of Testosterone by 15% with the Negative Cycle of the Female Hormone can it cause Gynecomastia (Male Breast Formation)
Yes but not in everyone.
Hello Sir.
Sir, as it mentioned that testosterone needs tobe converted into estrogen in the brain.
Sir, does testosterone also convert into dht in the brain? Does dht has any function in the brain?
Thank you sir.
Yes DHT has a function for the brain. Search my video Brain Fog with Finasteride
Thanks for a great video. I am 50 and I think I'm at my cognitive peak. I am considering finasteride. I'm a runner and I do heavy strength training. I am concerned with this claim - that ' the prevention of the synthesis of neurosteroids like allopregnanolone is caused by inhibiting 5 alpha reductase. ' In other words 5a reductase does more than just reduce DHT levels. So it could be that the disputes about whether testosterone or dht affects libido (or particular parts of mood) the most are complicated by the fact of 5a reductase levels affecting other neurotransmitters that affect mood. It's possible that dht or affected neurotransmitters affect the cns and focus in sports. Any thoughts? (the, reason I mention my cognitive peak is that with physical decline inevitable and mental decline following behind later hopefully, it's going to be difficult to know what might be going on).
Yes the hormone DHT is essential for cognitive well being and general health of synaptic pathways of the brain. However we are not blocking all of the DHT. Very few people report this problem but as in erectile dysfunction Finasteride tips the balance unmasking the effect in those who are vulnerable. This does not happen in the vast majority though. If this were to happen you can stop the drug.
What time of the day do you recommend testosterone and estrogen levels? I heard AM for test, but what about estro? And the ratio you mention, does it mean the ratio of them at the identical time?
Early morning is best time for these hormones
Can I stop finasteroid?
I m using 1 mg daily from last 8 years.
Also I m using minoxidil from last 10 years
Is the baldness stable?
Hello Sir
Does increase level of estradiol, can suppress LH and FSH secretion proportionally via negative feedback?
Thank you sir
Yes it can
Dr no me afecta tener relaciones sexuales muy seguidas tomando finasteride no me bajara la libido ni me causara dolor testicular gracias espero su respuesta Doctor
Why not to obsessive compulsive people ? I have OCD I took fin and experienced side effects
More common in this category
Hello Dr.,
I was prescribed oral finasteride(1mg) plus topical minoxidil(10%)+finasterid(0.1%) for my hairloss.
I took it for 4 days and i experienced body pain,weakness,dizziness,low libido,testicular sensation.
I was aware of the side effects and was anxious also in the course of taking that if any side-effects are revealed, i'll stop it.
I have stopped both the medication since then. Its been a week almost, my weakness and body pain has gone but the sensation and low libido is still present. Can you advise?
Test your total testosterone level at 8 AM
Which hormone is responsible for libido in men? Free T? Estrogen? Or dht?
The topic of libido is very complicated and a whole different field altogether. Free testosterone is mostly repsonsible for libido but a lot of men with normal testosterone levels have low libido. Both male and female hormones are implicated for libido across gender lines.
Thankyou Sir. I am having topical minoxidil 5% with finasteride of 0.1% . Do I have to use finasteride tablet of 1 mg as well or can i use both topical finasteride along with intake of tablet on daily basis. Will I be more prone to side effects?
Topical Finasteride does not help.
@@hairtransplantinindia Thankyou Sir
Love your videos!
I have a question about this:
Can an aromatase inhibitor help relielve the side effects of Finasterid in some cases? Thx
Yesand then it is fine- but effectivity of microdosing is side effects that develop due to excess estradiol will get alleviated. But taking an AI is a huge issue by itself. But people take microdoses though their effectivity is questionable. But it is your calling and that of your doctor.
@@hairtransplantinindia thank you doctor for your knowledge. Could you explain why taking an AI has huge issues? I would like to take Fin and I’m currently on trt and taking an AI. Thanks so much.
@@user-ql3xw4qx8v No issues if taken under medical supervision.
In my own experience, taking AI cause alot of issues. From pain in joints, overall feeling gloomy and lethargy. From what i have read, we tend to look at estradiol as something negative but this hormone plays alot of important roles in our bodies, including mood, energy, bone density etc. Shutting it off leads to more problems than benefits, but of course , this is all very dependant on each individual and any kind of drug use of this kind should be medically supervised.
Sir you mentioned excess testosterone get converted to estrogen by aromatization so when body builders take anabolic steroid there testosterone gets high massively why don’t they get fat or gynocomestia or loss muscle mass as they have testosterone in excess through aromatization ?
Their testosterone that is excessive also converts to estrogen but their body can handle this estrogen. Not the case with someone who is overweight, sedentary, has genetic propensity to developing gynecomastia and has low testosterone to start with.
Do u ever prescribed finestride to the patient in age between 23 to 35(bcaus of that ED side effect found in 30-40%).....and if a person between age of 23-35 find a sexual or ED side effect ...then if we stop taking finestride....Will this side effect will go gradually?
ED side effects is less than 1% in my practice. The percentage you have mentioned is the prevalence of ED in normal population in age group 25-35 age. These are not the right candidates for starting Finasteride. I never give them Finasteride.
@@hairtransplantinindia but sir...if some patient are taking 1mg finestride twice a week(which is debatable if this does will work properly or not)....and they are in age grp of 23-35...and they found ED side effect....so if they stop taking finestride...will this side effect fade away?...
@@chauhannadimkhan7051 What was their total testosterone level before starting. If they were otherwise healthy and had good libido earlier, the side effect will go away.
Sir after using finesteride my hair is falling more than usual like 3 to 5 folicles coming into my hand as soon as I rub my hand over my hair plz do reply me is it the nature of finax or I need to stop ..... ???
Will happen for 4 weeks.
@@hairtransplantinindia thank u so much for reply
Sir benifits of prp pe bhi video bnaooo
Surely I will make one soon since have plenty of time during this Covid Lockdown.
Hi doc, great professionality. I don't get just one thing since i'm italian and don't speak that much of english. So basically taking finasteride free testosterone in your body increases because of the drug inhibiting 5 alpha reductase. The increase of free testosterone leads to an increase of estrogens. My question is, can this increasing in estrogens be harmful to health? And can that more free testosterone increased by the drug work like doping? Like making you stronger and other
DHT is the active metabolite of testosterone. Muscle building is a function of DHT. Increased testosterone levels can be alarming in those who live a sedentary life and are overweight. In others I have not seen much of a problem. To avoid all this Dutasteride should be taken with utmost caution since it blocks almost 95% DHT which is a lot.
@@hairtransplantinindia thank you i didn't know dht is involved in muscle building, i thought it did just a small part and the big part of the job was of testosterone
Tell me how to treat stage 2 of AGA, my hairline is just slightly rececde from temple and i am just 22 and i am too much concerned so tell me how to diagnose it? Give me the best regime
Thanks for the Qs.
The hair along the hairline will not grow back. However if you send me pictures at drbhattI@darlingbuds.com I can give you a better appreciation.
Hair transplant, as you may know, is not done before 24 years age in NW 2 Scale patients.
I mailed pics to you sir
Sir, can I ask if I take 250 mg of testesterone per week for muscle mass ,will Finasteride steel be preventing my hair lost ? Please answer .and can I use Finasteride, with Placenta hair lotions with panthenol ? I'm 42 years.THANK YOU
Yes you can take both. In fact Finasteride by itself increases the levels of testosterone in the body since its principal action is to stop conversion of testosterone to the active metabolite DHT. However this rise does not translate into thinning since it is DHT that is responsible.
@@hairtransplantinindia thank you,and exactly that can I take both? Test. and Finasteride ?or Finasteride and placenta lotion?
I would also like to know if you can take 250mg test per week, and if finasteride will still work ? @Darling Buds Clinic
Hi there! Awesome video, thanks. I've just had blood work done before taking Fin, my total DHT is 0.71, so within normal range but on the low side, would I be of higher risk of side affects by taking Finasteride?
Thanks for the note. What is your BMI?
@@hairtransplantinindia my BMI is 26.9
@@adamritson661 Since you fall in the overweight category, if you exercise as much as would bring it down to 25 (which is not much of an effort for a young person like you) your DHT levels will surely improve. Once you have the weight under control, you can start to take Finasteride.
@@adamritson661 hii bro, can I know which blood test you had done. My lab technician is asking whether it is FREE DHT TEST or TOTAL DHT TEST.
Hi doc, thanks for taking the time to answer so many questions. I am 42 my testosterone is 310, I have taken 1 mg finasteride for 6 months now and my hair loss is much worse, do u think the finasteride dose is too high?
1 mg a day is not a high dose. Your hair loss would be much worse without Finasteride. Ask your doctor to consider you for once a week 0.5 mg Dutasteride.
@@hairtransplantinindia Thanks for the reply, with my testosterone being quite low do you think I should even be taking finasteride, and one last thing, is it ok to use DIM when taking finasteride? Thanks in advance.
OK thank you.
@@blahblahblah7880 Pleaes stop Finasteride if you think it is not for you. I can only recommend and give opinion which I have already. DIM has to be taken under medical supervision.
@@hairtransplantinindia thanks, I will definitely consider your advice.
Sir is there any harm in taking finasteride both in pill form and minoxidil with F ?
Age- Male 25
Weight-84kg
No harm since the local application will not work.
It has been a month and half since I have started taking minoxidil and fin but my hair has become super thin and fragile when ever I comb Im getting hairs effortlessly i'm scared to touch my hair isn't finasteride suppose to make hair strong rather than weak
First 3 months is distressing.
Thanks a lot for the comprehensive information, very accurate,
I would like your advice on taking topical finasteride instead of oral, does it act with same manner?
I'm 30 year old, I did a hair transplant in November 2020,
I should point out that I'm using oral finasteride for nearly 6 month now, I take 0.5 mg (I cut in half the 1mg tablet), at 1 week of using it I took a blood test to measure testosterone, it was 28/10/2020 : 11.85ng/ml
3 months later , 22/01/2021 : 11.38ng/ml
and the recent one 08/04/2021 : 9.76ng/ml => at this date I stopped using it for 1 week I stopped on 1 April
Is it normal this testosterone level decrease ?
Thanks in advance
Topical Finasteride is of no use since very low amounts cross the skin barrier.
Testosterone is increased after taking Finasteride and not decreased. Are you taking it on 3 days a week or daily?
@@hairtransplantinindia I'm taking it on 5 days a week
Hello Dr.
I am an Natural athlete who likes to do bodybuilding. as you mentioned in the video it is the estrogen which makes you feel more weak in the gym. How can I conquer these side effects. I am currently using finasteride since 3 months. I track my progress in the gym. So at first I felt weaker in the gym and when I compared mi lifts I could see that I indeed got weaker since I have taken finasteride. I also feel like since I have began to take Finasteride I have lost some of my aggression in the gym. Have you any recommendations on how to conquer these specific sides?
thank you doc!
You can reach out to me on whatsapp 8872238888 and we can do a Video call this week.
Hello from Oman, I'm 19 and have androgenic alopecia, I haven't lost a lot of hair but lost decent enough on the top part only decent enough that I can feel it and see it if I look closely, I visited the derma last week and he prescribed me minoxidil and some vitamins, biotin etc, I want to get finasteride, I'm 6'2 weigh 85 kg, do you think I shoud visit the derma again and ask for finasteride I had no problem with libido or gyno in my life do you think I should start finasteride?
The dermatologist might not have thought the hair loss was concerning enough to start you on Finasteride at this tender age.
@@hairtransplantinindia yeah but my hairfall is extreme I loose like 50-70 hair in the shower alone and a lot more through out the day I have told about this to my derma, do you think I shoud consult another dermatologist or stick with this regime?
@@mohammedazzan7529 Everyone loses 100 a dayand see the loss. The 100 that grow back (if you do not have androgenic alopecia) are seldom appreciated!
Hello doctor,
the patient is 43 years old and is already in a stable phase of hair loss, patient is currently on the Norwood scale 3 vertex.
What do you think about the therapy:
once a day (lotion 2ml)
17-a Estradiol 0.05% (alfatradiol)
+ minoxidil 5%
+cetirizin 1%
Would You change anything here?
Please for Your esteemed opinion.
Greetings from Croatia
Ante 🖐
Presuming it is a male patient, I would be at a loss to understand why Estradiol and Cetirizine have been recommended. I would recommend Tab Finasteride 1 mg on alternate days (since he is 43 now and baldness does not proceed fast at this age) alongwith 5% Minoxidil once at night and Tab Biotin 5 mg a day.
I would also get a hormonal profile done and get PSA test for prostatic tumors before initiating him on Finasteride..
@@hairtransplantinindia
Hello doctor,
the patient is a male person.
This therapy is determined by genetic testing.
Testing is performed from the literal mucosa (saliva from the patient's mouth). It is a personalized therapy just for that patient.
According to the test, a lotion with the ingredient 17-estradiol is recommended. It’s weird to me everyone uses finasteride or dutasteride.
I think the ingredient cetirizine is for inflammation.
Is it possible for me to send You a test result to Your mail to see what it looks like and tell me your opinion.
Best regards,
Ante
Drbhatti@darlingbuds.com
@@hairtransplantinindia
Hello doctor,
thank you for your answer.
I sent you an email with the finding of the genetic dna analyse of the test.
I ask for your esteemed opinion.
Best regards from Croatia
-Ante 🖐
Sure. Will reply tomorrow since its night time here in India now.
Hello doctor, What is the appropriate ratio of testosterone and estrogen to start on finasteride?
Testosterone: estrogen levels are not indicative of whether to start or not start Finasteride. It is more to rule out existing hypogonadism.
Sir i heard dht conversion takes place with help of enzyme 5 Alpha reductase .so while taking dht blockers like finasteride testosterone is converted estrogen with enzyme aromatase. So people with more amount of aromatase have chances of more side-effects right? I heard earlier that people with belly fat and high insulin levels have high aromatase enzymes in them and also have higher side-effects
Yes those with higher conversion to estrogen will have more side effects esp if sedentary.
sir
would you recommend a person who has slight Gynecomastia (Male Breast Formation) as his natural desposition , even before starting the finasteride therapy ? would that not enlarge / exaggerate the Gynecomastia even more ?
As i think if he has Gynecomastia as his natural body psychology EVEN before touching finasteride , in effect it means he has more ESTROGEN Dominance on his body . wouldn"t that increase the estrogen even more , even if he starts at a very Low Dose of 0.25 mg per day ?
Kindly share your knowledge in such a scenario , and would you still advice such patients to start oral finasteride ?
OR only 5 percent Minoxidyl remain their only weapon to combat hair loss .
He needs evaluation through tests. If he is overweight / obese, has hypogonadism, he is likely to have erectile dysfunction and increased gynecomastia after starting Finasteride. Finasteride is not advised in such cases.
Hello Doctor, I had recently started the finasteride course and consumed a total of 2.25mg last week..but after watching this video I have stopped taking it and plan to check my testosterone-estradiol levels beforehand. How many days will it take for my body to be finasteride free before taking the test?
30 days
Does this drug works well for u??
@@gangadharsatyanaga I am taking topical version of fin
Sir, Is topical Finasteride &minoxidil solution as effective as Oral Finasteride
Minoxidil cannot compare with Finasteride since it is not a DHT blocker. Amen! ;)
Can we dis continue finesteride to when looking side effects and is it true that if we dis-continue the medicine then side effects will gone forever???
Yes this is true if side effects are not due to hypogonadism or high level of pre exiting estradiol. You need to get a proper assessment before starting Oral Finasteride.
@@hairtransplantinindia thanks for the guidence 🙏🙏
Sir how can i contact you i need to discuss so much queries about my situation..if possible please guide me to the safe direction 🙏🙏
@@VishalYadav-vf9nb 8872238888
As per the physiology that you discussed here.Increasing estradiol level in the body may cause any side effects like gynecomastiga or any other problems?
Yes can cause feminisation- low libido, puffy breasts
@@hairtransplantinindia how can we overcome that?
@@harrissadik4607 Through exercise and dietary restraint for reducing body weight
what hormones testing and other lad tests need to be done before taking finasteride?
Free Testosterone and estradiol levels as baseline