Just wanted to thank you Vikram for providing so much high quality content. Russel and you are fabulous. Currently in WA and if you ever expanded over here I would absolutely support your efforts 👌👍
I had a hair transplant on my crown , in Bangkok where I live. They also did some on the front of my hair. I've been taking Finastride before hand and after. I've also had PRP treatment recently.
Indeed Apart From Maintaining the Exsisting hair its also imperative for Donor grafts Which are Harvested from the Un Safe Donar hair Zone n Transplanted on the Scalp specially in FUE cases where U have to explore 5 Times Bigger Area for Same No of Grafts what U can get by FUT from a 1.5 cm Strip from the Central Safe Donor Zone
Do you recommend taking fin before a HT. If so, for how long before the HT? Also, won't taking fin before a HT make it harder for a surgeon to differentiate between the DHT resistant follicles vs the artificially pumped up follicles?
That’s a wrong information and as Dr I’m sure my colleagues haven’t mentioned such a thing, the half life of the drug is 5.5-6.5 hrs after taking the drug pharmacologically you can’t have I more that 2 days maximally so that’s not right , and the second comment that says it’s because of daily production of 5alppha reductase is wrong too , because if it had a half life of 28days which doesn’t , in spite of daily production( which itself is true ) would block the enzyme
I been on finasteride for a year at 3 times a week, I noticed decent results...nothing amazing, I recently switched to daily which is more like 5 times a week since I don't always feel like taking it, which might be why they recommend daily, but all I noticed was that I'm hornier if at all, but not less horny, and ejaculate is less thick, I do wish I took this stuff much earlier, like 10 years ago, but I first never even knew about it, then as I did there was fear mongering, but after using it, I like it...no issues
I have question, does the side effect of finasteride will ever go away ? or should i change it to once a week or even change it to saw palmetto, PSO and the natural route perhaps ? i start about August 2021 and the last idk about 2-3 week (November 2021), i became zombie, no kidding, i got a brain fog, anhedonia, sleepy and tension on head (like headache but mild and persistent), the dosage is 1.25 mg 3x a week yet i still suffer side effect that make me barely functioning, my mental not exactly stable but under finasteride it stabilized (more like i have no emotion at all) Happy to discus this :)
Hey doc, can u please tell about whether to apply topical minoxidil and finestride solution on the temporal area? Are the hair on the temporal side of the scalp resistant to DHT as well?
Great video! Do you prescribe topical dutasteride (which has a heavier molecular weight and so it stays where it needs to work without the worries of topical finasteride which goes systemic)? Many thanks in advance!
@@vaishali8451 well this seems to be gathering pace with Dr's such as Dr Patrick Mwamba, Dr Jerry Wong, et all in topical form. In anecdotal evidence it appears to operate on both DHT receptors (as opposed to finasteride which blocks only one) and has a higher efficacy in preventing blocking the 5AR enzyme. Topical finasteride appears to become systemic when topically applied as it enters the blood stream due to it's lighter molecular weight. Whereas topical dutasteride has a heavier molecular weight which slows it down considerably from penetrating deeper into the blood stream. This results in topical dutasteride remaining in the hair shaft where it belongs and has a more localized effect which is a far more desirable result from a topical solution. Theoretically this should therefore increase 5ar inhibition while leading to less 5ar side effects as it doesn't enter the blood stream.
Hello Doctor! Thank you for this video! So I had a HT 6 days ago and I never took Finasteride. My question are: When can I start? How much do I have to take initially? And should I increase the dosage?
dr. jaya, do a person who may transplanted his hair for maximum graffs to cover his thinning crown, vertex, hairline and temporal still need finasteride in order to safeguard his other natives hair?
Hi there, thanks for your insightful videos. Would you say it is sufficient to only have regaine minoxidil 5% after a transplant without finastaride? I am 34 and Norwood 3. Thank you
Can you please address what is going on with Propecia. Merck has stopped production, shit down the website, and new evidence is being found about unreleased harmful findings. What does this mean for Finasteride? Has this caused you any concern prescribing it?
Dr. Vikram how are you? i'm suffering from hair loss in donor area could you do a video about that please because l couldn't find a useful video to help me with my issue, Thank you
Good Morning. Ive got a question. Will finasteride go bad if i store it in low temperature or little below zero? thank you for answer and have a good day.
I have a question i cant seem to find an answer on. I see finasteride states not to be handled by women that are pregnant or could potentialy get pregnent and to wear a condom.. however. If my partner is on contraseption e.g the pill. Can i still habe sexual intercourse without wearing a condom?
Hi Dr Jayaprakash. I have recently found your channel, the Hair Loss Show and what a game changer! So many of my unknowns have been answered. So grateful. One question I have, since creatine can speed up the MPB process (so I have avoided it for many years), can finasteride cancel out the these effects? Is it safe to take them together? Thanks so much.
I've heard creatine (pre/post workout) and even ashwagandha increase testosterone/DHT, so if I'm taking finasteride to help block DHT, would it be best that I not use creatine or ashwagandha (300mg daily)?
Can you please talk about Redensyl? Comparison with Minoxidil and whether both Redensyl and Minoxidil can be used together (one in morning and the other in evening)?
Hey doc. I hope you can help me out or anyone really? So i started fin April 2020. And thing got amazing and the hair was at its best state in a while. Then July 2021 i decided to stop putting minoxidil on my temples and reduce dose of fin from 4 times a week to 3. By September 2021 i had noticed the quality of my hair got worse. I got my regular brand and returned back up to 4 times a week and minoxidil once a day and about 1 week and a half in my hair started falling out. Idk if this is anything you have experienced in your practice with any patient before. Could 1 day change in frequency affect hair soo much of is fin not working anymore?
So why not just get enough grafts transplanted to cover the entire top of the head. Chances are if your prone to balding it’s gonna get worse so I’d say just cover the entire top of your head with donor follicles and not have to worry about saving your original follicles because clearly their already affected by dht or ya wouldn’t need a transplant in the first place. Using finasteride has serious side effects such as erectile dysfunction and depression and no one’s trying to go through that. The whole point of a hair transplant is to not have to worry about taking daily medications such as minoxidil and finasteride without hair loss.
Hi Dr, What is your opinion on using a low dosage of oral finasteride (0.5 mg three times a week) With a 0.5%/0.1% topical finasteride twice a day. Seeing as I have experienced side effects on 1mg oral three times a week, with no topical. Thanks
Hell I recently started taking dutasteride about 4 months ago and ever since starting on it I have still continued to shed I was wondering how long does it take for the medication to stabilize in my body It’s really depressing waiting around for results and it seems like my hair is getting worse.
Hello , Please concern my post. I have done hair transplant from turky before 9 months. From the 5th severe hair fall started again, But my clinic advisor told me that its temporary it will stop. and hair will regrow. but it did not stop. Its been 9 months, My hairs are like just hanging When i wash them or pust fingers in them , Like everytime more than 50 hairs are in my finger, and in one day i can't even explain. please please suggest me something what should i do , my head looks again white and hairs are falling out. I started using minoxidil spray and xpecia tablet from 3rd month after transplantation. and using them untill now. like Minoxidil give me much more dandruff and i feel like minoxidil makes my hairfall so terrible. what should i do
I’m struggling to find very many before and after photo of hair transplants you both have performed. Not much of social media or really on the websites. Are you able to start posting more before and after with the timeline and total graft count. For example 2500 graft 10 months post operation Performed by doctor Thanks
Two different compound if you dont deal with the androgen part then you can actually experience some loss, usually finasteride is to keep your hair and minoxidil is to grow bald spots or thining areas
Hello doctor, I have a question. I have been using minoxidil for 6 months twice a day and saw good results. However, I’m thinking of switching to once a day instead of twice a day, will that affect my results and lead to loss of hair ? Thank you
I read finesteride cause sex problems, difficult ejaculation, no erection,this sounds bad to me only to benefit for hair.I think every 3 months a PRP session is all one needs after hair transplant.
Dr. Akrabah and Dr. Nutsack are my favorite doctors, great video.
Just wanted to thank you Vikram for providing so much high quality content. Russel and you are fabulous. Currently in WA and if you ever expanded over here I would absolutely support your efforts 👌👍
I had a hair transplant on my crown , in Bangkok where I live. They also did some on the front of my hair. I've been taking Finastride before hand and after. I've also had PRP treatment recently.
Did it all help ?
How much was the PRP treatment?
Prp did nothing for me. Had at least six sessions.
Indeed Apart From Maintaining the Exsisting hair its also imperative for Donor grafts Which are Harvested from the Un Safe Donar hair Zone n Transplanted on the Scalp specially in FUE cases where U have to explore 5 Times Bigger Area for Same No of Grafts what U can get by FUT from a 1.5 cm Strip from the Central Safe Donor Zone
Do you recommend taking fin before a HT. If so, for how long before the HT? Also, won't taking fin before a HT make it harder for a surgeon to differentiate between the DHT resistant follicles vs the artificially pumped up follicles?
I love the show. But if the intro just simply states exactly what the title already says, then why don't you leave it out?
After 40 days of hair transplant should we use minoxidil 5 percent and finasteride 0.1 percent as a topical
You once mentioned a single dose of fin blockades DHT for 28 days. If this is the case, why isn't one dose every 28 days effective?
Would love to know this as well
Because there are new 5AR enzymes being produced all the time, if you only took it once a month then these will build up
@@jacktriggs6465 thanks for the answer👍
That’s a wrong information and as Dr I’m sure my colleagues haven’t mentioned such a thing, the half life of the drug is 5.5-6.5 hrs after taking the drug pharmacologically you can’t have I more that 2 days maximally so that’s not right , and the second comment that says it’s because of daily production of 5alppha reductase is wrong too , because if it had a half life of 28days which doesn’t , in spite of daily production( which itself is true ) would block the enzyme
@@jacktriggs6465 that’s not true
I been on finasteride for a year at 3 times a week, I noticed decent results...nothing amazing, I recently switched to daily which is more like 5 times a week since I don't always feel like taking it, which might be why they recommend daily, but all I noticed was that I'm hornier if at all, but not less horny, and ejaculate is less thick, I do wish I took this stuff much earlier, like 10 years ago, but I first never even knew about it, then as I did there was fear mongering, but after using it, I like it...no issues
So basically what you are saying is finasteride doesn't have ill effect on sexual life, Rather finasteride has good effect on sexual life. Right mate?
@@abirchakraborty2445 yea..
@@_baller okay that's great man.
did you do hairtransplant?
@@abirchakraborty2445 have you tried it ?
Please Do a Video on Procapil and Anagain
Can we take 3MG per week after hair transplant as well ???
I have question, does the side effect of finasteride will ever go away ? or should i change it to once a week or even change it to saw palmetto, PSO and the natural route perhaps ?
i start about August 2021 and the last idk about 2-3 week (November 2021), i became zombie, no kidding, i got a brain fog, anhedonia, sleepy and tension on head (like headache but mild and persistent), the dosage is 1.25 mg 3x a week yet i still suffer side effect that make me barely functioning, my mental not exactly stable but under finasteride it stabilized (more like i have no emotion at all)
Happy to discus this :)
Hey doc, can u please tell about whether to apply topical minoxidil and finestride solution on the temporal area? Are the hair on the temporal side of the scalp resistant to DHT as well?
I did read studies that Creatine does raise DHT, within normal levels but does raise it, so as we all thought Creatine induces hair loss...
Where did the other doctor go ?
Knudsen manages his different clinics in different parts auf Australia.
He might be enjoying lot of girls and money😋😋😋
Great video! Do you prescribe topical dutasteride (which has a heavier molecular weight and so it stays where it needs to work without the worries of topical finasteride which goes systemic)? Many thanks in advance!
Dr Vikram .. please share your thoughts on Dutasteride
@@vaishali8451 well this seems to be gathering pace with Dr's such as Dr Patrick Mwamba, Dr Jerry Wong, et all in topical form. In anecdotal evidence it appears to operate on both DHT receptors (as opposed to finasteride which blocks only one) and has a higher efficacy in preventing blocking the 5AR enzyme. Topical finasteride appears to become systemic when topically applied as it enters the blood stream due to it's lighter molecular weight. Whereas topical dutasteride has a heavier molecular weight which slows it down considerably from penetrating deeper into the blood stream. This results in topical dutasteride remaining in the hair shaft where it belongs and has a more localized effect which is a far more desirable result from a topical solution. Theoretically this should therefore increase 5ar inhibition while leading to less 5ar side effects as it doesn't enter the blood stream.
@@oncall21 it does not block any receptors (androgen receptors) dutasteride works on both types of 5ar enzymes
Hello Doctor! Thank you for this video! So I had a HT 6 days ago and I never took Finasteride. My question are: When can I start? How much do I have to take initially? And should I increase the dosage?
Nice explanation
But dht does attack the transplanted hair
dr. jaya, do a person who may transplanted his hair for maximum graffs to cover his thinning crown, vertex, hairline and temporal still need finasteride in order to safeguard his other natives hair?
How good and safe is 'Keeps' really?
I saw it sponsored by some big UA-camrs...
great
what can do if cannot/do not use Finasteride post-hair transplant. What I can do ?
Hi there, thanks for your insightful videos. Would you say it is sufficient to only have regaine minoxidil 5% after a transplant without finastaride? I am 34 and Norwood 3. Thank you
I have the exact same question! Did you find any solution?
You should do a video on topical minoxidil for beard growth
Can you please address what is going on with Propecia. Merck has stopped production, shit down the website, and new evidence is being found about unreleased harmful findings. What does this mean for Finasteride? Has this caused you any concern prescribing it?
what about minodixile or regain? instead of finasteride?
Dr. Vikram how are you? i'm suffering from hair loss in donor area could you do a video about that please because l couldn't find a useful video to help me with my issue, Thank you
Where is dr russel knudsen tho?
Good Morning. Ive got a question. Will finasteride go bad if i store it in low temperature or little below zero? thank you for answer and have a good day.
No
Where's Knudsen?
Knudsen manages his different clinics in different parts auf Australia.
@@martinm.1967 Ok...he's done in the past while also appearing in the show. It'd be sad if they got divorced as they made such a great team
@@SuperDodoe Might be due to COVID-19 restrictions. Back when the first C19 wave happened, they decided to isolate themselves...
@@martinm.1967 I thought the same until reading the new info for the videos which leave out any mention of Knudsen and his businesses
I have a question i cant seem to find an answer on. I see finasteride states not to be handled by women that are pregnant or could potentialy get pregnent and to wear a condom.. however. If my partner is on contraseption e.g the pill. Can i still habe sexual intercourse without wearing a condom?
Hi Dr Jayaprakash. I have recently found your channel, the Hair Loss Show and what a game changer! So many of my unknowns have been answered. So grateful.
One question I have, since creatine can speed up the MPB process (so I have avoided it for many years), can finasteride cancel out the these effects? Is it safe to take them together?
Thanks so much.
Interesting question for many people
I've heard creatine (pre/post workout) and even ashwagandha increase testosterone/DHT, so if I'm taking finasteride to help block DHT, would it be best that I not use creatine or ashwagandha (300mg daily)?
Dear Dr Vikram Wd U Suggest Same 3 Tabs a day Finasteride Even in Post Op Case Thanks Pl Reply my Earlier Query Too Thanx Dr Zahid
Did u get a reply ?
Can you please talk about Redensyl? Comparison with Minoxidil and whether both Redensyl and Minoxidil can be used together (one in morning and the other in evening)?
Sir i got skin elergy after using fanistride
Hey doc. I hope you can help me out or anyone really? So i started fin April 2020. And thing got amazing and the hair was at its best state in a while. Then July 2021 i decided to stop putting minoxidil on my temples and reduce dose of fin from 4 times a week to 3. By September 2021 i had noticed the quality of my hair got worse. I got my regular brand and returned back up to 4 times a week and minoxidil once a day and about 1 week and a half in my hair started falling out. Idk if this is anything you have experienced in your practice with any patient before. Could 1 day change in frequency affect hair soo much of is fin not working anymore?
So why not just get enough grafts transplanted to cover the entire top of the head. Chances are if your prone to balding it’s gonna get worse so I’d say just cover the entire top of your head with donor follicles and not have to worry about saving your original follicles because clearly their already affected by dht or ya wouldn’t need a transplant in the first place. Using finasteride has serious side effects such as erectile dysfunction and depression and no one’s trying to go through that. The whole point of a hair transplant is to not have to worry about taking daily medications such as minoxidil and finasteride without hair loss.
Hi Dr,
What is your opinion on using a low dosage of oral finasteride (0.5 mg three times a week)
With a 0.5%/0.1% topical finasteride twice a day.
Seeing as I have experienced side effects on 1mg oral three times a week, with no topical.
Thanks
@@berkkargn1080 i have been in topical fin for 3 months .. no sides so far . Before that i was on oral fin 1 mg daily and it gave me sides
@@barsaforever2009 how's the result of topical finasteride does it work
@@SS-hj4sf stoped it while ago .. after my 4 th months i developed some sides affects. In addition it didn’t give me any improvement
Hell I recently started taking dutasteride about 4 months ago and ever since starting on it I have still continued to shed I was wondering how long does it take for the medication to stabilize in my body It’s really depressing waiting around for results and it seems like my hair is getting worse.
Should I continue to wait for results or switch to finasteride
Buddy go for finasteride, it's proven it works.
Can fin grow back hair on the crown?
provided you have miniature hairs on the crown that can enlarge. If all you have is bare skin you won't grow anything new on it
Potentially yes.
Hello , Please concern my post. I have done hair transplant from turky before 9 months. From the 5th severe hair fall started again, But my clinic advisor told me that its temporary it will stop. and hair will regrow. but it did not stop. Its been 9 months, My hairs are like just hanging When i wash them or pust fingers in them , Like everytime more than 50 hairs are in my finger, and in one day i can't even explain. please please suggest me something what should i do , my head looks again white and hairs are falling out. I started using minoxidil spray and xpecia tablet from 3rd month after transplantation. and using them untill now. like Minoxidil give me much more dandruff and i feel like minoxidil makes my hairfall so terrible. what should i do
Use ketoconazole 2 percentage shampoo
I’m struggling to find very many before and after photo of hair transplants you both have performed.
Not much of social media or really on the websites.
Are you able to start posting more before and after with the timeline and total graft count.
For example
2500 graft
10 months post operation
Performed by doctor
Thanks
this doctor is useless, he doesn't even reply to ppl asking genuine questions
3 mos taking i dont have any result of finasteride
It can take anywhere from six months to a year to see results.
can i opt for minoxidil instead of finasteride after hair transplant?
Yes you can just talk to your doctor
Two different compound if you dont deal with the androgen part then you can actually experience some loss, usually finasteride is to keep your hair and minoxidil is to grow bald spots or thining areas
Hello doctor, I have a question. I have been using minoxidil for 6 months twice a day and saw good results. However, I’m thinking of switching to once a day instead of twice a day, will that affect my results and lead to loss of hair ?
Thank you
Watch their episode about minoxidil. 1ml per day is enough.
I read finesteride cause sex problems, difficult ejaculation, no erection,this sounds bad to me only to benefit for hair.I think every 3 months a PRP session is all one needs after hair transplant.
I took it for 5 years but don’t feel as horny these days - I’m
40 but all my bloods are fine
So if finasteride gave me horrible side effects, there’s really no hope huh.
Depends how you tried it, did you use 0.75,0.50,0.25???
Did you recover ?