Finasteride Phobia and testosterone levels (In ENGLISH)
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- Опубликовано: 18 апр 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 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 👏
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.
One the best propecia videos I have ever seen on RUclips . 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
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.
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.
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
Thank you for the very extensive explanation. It answered what I was thinking
Glad it was helpful!
Thank you Dr for taking the time to reply to each comment
It's my pleasure
This is by far the best video I have ever seen on RUclips 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 love your video's. They're so educational!
Thanks for watching. I loveseeing your comments.
Excellent breakdown and analysis
Glad you liked it! Thanks for watching.
love your work. very generous Dr
Thank you kindly!
Very good explanation, thank you 👍
Thank you for watching my video
Once again great informative video....love to see more videos in upcoming years
Thanks
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??
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.
An extremely informative vide - It has explained my 'side sffects' to a tee!
Thanks for watching. Did you watch this one about Finasteride- ruclips.net/video/cPWmhkYEiUw/видео.html
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?
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.
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.
DHT is there for a reason. It’s not just some troublesome hormone. Reduce it then, it just results in chemical castration with finasteride.
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!
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- ruclips.net/video/xmj7uEWAvDc/видео.html
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
Great talk doctor, thanks for your time. Do you recommend antiestrogenic meds while I’m using finasteride.
No I do not.
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
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 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 😂
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.
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
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 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.
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?
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.
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.
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.
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!
What are your thoughts on TRT with HcG along with finasteride? As long as blood profile stays solid is it ok in theory ?
Not tried. Don't think it has much additional benefits over Finasteride Dutasteride combo.
Amazing is all I going to say 👏👏👏
Thanks
God bless you my dear bearded doctor friend
Thank you kindly
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
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.
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.
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: ruclips.net/video/2ueR_IhE3H0/видео.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.
what hormones testing and other lad tests need to be done before taking finasteride?
Free Testosterone and estradiol levels as baseline
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.
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.
dr how can i consult u online becasue due to social distancing unable to come to ur clinic thanks alot sir
Please share pictures on drbhatti@darlingbuds.com
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
Hi Sir , Good day!
Curious to know where is your clinic located and do you have clinic in chennai?
We are a standalone clinic in Chandigarh since I do most of the procedure myself.
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.
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
Sir it's clear that raking finasteride doesn't leads to msucle loss but i want to ask if a person is working out after 1 month of transplant and taking finasteride side by side, will that person be able to put on muscle mass for the workout he's doing ?
Yes he will put on muscle normally. In fact Finasteride increases the level of testosterone in the body! So does exercise.
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!
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.
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.
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: ruclips.net/video/JTBg6hqeuTg/видео.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.
Sir if someone has gynocomestia thn what will u recommend to take instead of finesteroid
Everyone on Finasteride does not get gynecomastia. If you do have gynecomastia, I will first get hormonal profiling done and then see if Finasteride is to be exhibited or not.
Sir, Is topical Finasteride &minoxidil solution as effective as Oral Finasteride
Minoxidil cannot compare with Finasteride since it is not a DHT blocker. Amen! ;)
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.
I have a pain and sweeling in my right breast after I was on finasteride. So now I have completely stopped it so what are the options for me.
Pleaes go through- ruclips.net/p/PL369T6qyYsuHhqymaMLTT6OMyUS_5pJv4
Sir do u have the option of online consultation?. I am suffering from diffuse androgenetic alopecia.
9814531111 please send a message on whatsapp.
Can we micro dose to reduce the side effect chance? Eg. cutting one pill into 4 or 2 parts?
Yes you can and I have discussed this threadbare in this video I made: ruclips.net/video/xmj7uEWAvDc/видео.html
What if you take Finasteride and also take Aromatase inhibitors which will block all the extra test to aromatase?
Aromatase inhibitors are used alongwith Finasteride. It is the susceptibility to DHT which causes hair loss, not testosterone as such.
Hello Sir
Does increase level of estradiol, can suppress LH and FSH secretion proportionally via negative feedback?
Thank you sir
Yes it can
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.
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
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.
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
@Dr bhatti i just did my transplant and my surgeon is told me to start 1 mg finasteride but i am already having a supplement called tentex40 from himalaya brand it is Ayurwadik but the purpose is to boost testosterone so will this be a mess have testosterone booster and finasteride pls help😔
Im having the testosterone booster Tentex forte to build muscle no issues of sex or labido
Then if i develope some sort of ed, is problaby due to estradiol, so if i take arimedex then the situation can improve under that aspect?
Yes many people do. But only with a doctor's advice since Arimide is not a drug to be taken casually.
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
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.
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
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
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.
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.
Sir i am suffering from vitiligo and my hair are very thin at crown. Finasteride can worse the white patches
No it does not cause worsening of vitiligo patches.
Hello...sir main bodybuilding Karta hn kya main finasteride use kr Sakta hn mere body par tou koi asar nhe hoga please help me
Yes aap Finasteride use kar sakte ho. Lekin start karne se pehle yeh tests karwa lena-
Yes you can start after getting these baseline tests and get a consultation from a hair loss doctor-
1) Total Testosterone
2) Free Testosterone
3) Estrogen
4) DHT
5) Free Androgen Index
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.
Hi doc, is it possible that the lev of test befo taking finasteride was 24 nmol and after few months spike to 89 nmol?
Yes because Finastreide increases the testosterone level.
I only have bald areas/spots on specific areas left and right of crown and center, else everywhere the hair and shaft look absolute lush and healthy. Do I have to consider its because of high DHT around the scalp or whats the diagnosis? (((((((((((I did blood work some months back, D3, Iron, levels looks Normal, Thyroid level looks normal))) - 5 months old report, please help me with the approach to treat this thinning/visible bald spots.
Cannot say. Will need to see pictures.
Brilliant Dr.. Understood. How would one lower e2 levels while on finasteride?
Medically only. In the video the name of drug is mentioned
Thanks Dr. I ddnt even know that one can use and 5AR and AI together
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
Hi ,
I have used hair fall tablets six months due to that reason it's preventing my sexual life .
Is it continues entire life m or only few years ?
Do I need consult a doctor
That is a rae side effect. You can stop for 30 days every 3 months and see if the erectile dysfunction improves. If not, I will advise you stop Finasteride and hope for the best as far as your hair is concerned..
Hello Doctor.... I'm 21 years and currently on Norwood 2 and it is progressing rapidly what should I do....And how can I contact you?....
You can send me pictures at 8872238888
Hi doctor, can I take a testosterone/estradiol test after the first month of taking finasteride? Or it’s better to wait at least 3 months before taking a test? I read that the hormonal levels tend to stabilise after 3 months of taking the medication
You need to stop the medication for 30 days before you take the test if you expect a true status- for Finasteride alters your hormonal profile by 15%
ok, thank you very much for the help 🙏🏻
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.
I only have one question sir. I am on finasteride (1mg thrice a week) from past 1 year with zero side effects. Do I need to take any breaks (deliberately) even though there is no symptom of side effect in order to prevent the side effects from occuring at the first place ??
No breaks needed to be taken.
Did u get good results from finasteride nitin brother did finasteride cause shedding??
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
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
Very nice
Thanks
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!
My hair transplant 1st session done 15 days ago.. im am on hypothyroiesm med but tsh on controll can i take finasteride... and if yes what dose is sutable for me..
This is a question which would be best answered by the hair transplant surgeon who operated on you or the physician who prescribed thyroxine as they know your signs and symptoms. It is unethical to interfere with another doctor's treatment.
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.
Sir please suggest the blood test before starting finastride. I am from Pakistan
Pleas get these done-
1) Total Testosterone
2) Free Testosterone
3) Estrogen
4) DHT
5) Free Androgen Index
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