Customized Dosing of Finasteride For Hair Loss

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  • Опубликовано: 3 апр 2020
  • In episode 35, Dr. Vikram Jayaprakash and Dr. Russell Knudsen discuss the issue of customized dosing of Finasteride. What is the theory behind it, and what elements need to be considered.
    Subscribe to the channel: / thehairlossshow
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    Dr. Vikram Jayaprakash
    Level 2, 148 Glenferrie Road,
    Malvern, Vic 3144, Australia
    0395761465 atlantismedical.com.au/
    IG: @atlantismedical.melbourne
    enquiries@atlantismedical.com.au
    Dr. Russell Knudsen
    knudsen.com.au/contact-locati...
    #finasteride

Комментарии • 1,6 тыс.

  • @David-no7zi
    @David-no7zi 4 года назад +382

    This is the most sensible, balanced discussion of Finasteride that I've ever seen. If I'd seen this 10 years ago maybe I'd have gotten over my fear of the drug and started taking it when I had more hair to save!

    • @TheHairLossShow
      @TheHairLossShow  4 года назад +35

      Thanks for the comment.

    • @anthippo91
      @anthippo91 3 года назад +2

      @Naveed Ahmed any sides so far ?

    • @TheDrizzykush
      @TheDrizzykush 3 года назад +67

      @Naveed Ahmed I took my first pill 3 hours ago, I’m nervous as hell haha. 25 with minimal hair loss but starting to recede, using rogaine 2x a day, and 3mg of finasteride a week. I swear to god if my dick breaks 😂😂

    • @TheDrizzykush
      @TheDrizzykush 3 года назад +7

      @Naveed Ahmed haha well everything seems normal except I did not wake up “happy” like I usually do. But it hasn’t been 24 hours, and that’s the only “negative” thing I can note, and I can’t even say that’s attributed to finasteride. Hope it all works out, within 3 months you’ll see some growth im sure of it!!

    • @TheDrizzykush
      @TheDrizzykush 3 года назад +7

      @Naveed Ahmed Well, I took my second dose, and everything has been normal, I don’t notice any side effects so far, but it’s still very early. Are you using topical minoxidil or oral?

  • @junaidmalick
    @junaidmalick 3 года назад +215

    Been using 3mg a week (taking 1 mg Monday Wednesday and Friday) for the last 6 months with no noticeable side effects and thrilled with the results. I have been contemplating taking finasteride for the last 10 years but would never have started this drug if it wasn't for your channel and professional advice with scientific evidence backing up what you were saying. Many many thanks. I'm sure there are millions of guys like me out there who haven't found you yet but would follow suit upon hearing this video. Keep up the outstanding work. Anyone else out there taking the same dose? Write you results below.......

    • @lucaa2524
      @lucaa2524 3 года назад +5

      Hey bud
      Good to know
      I've just started 1mg every other day
      Is it really effective? Means you're seeing any noticeable results with this dosage??

    • @raysaga975
      @raysaga975 3 года назад +4

      Did you experience any regrowth with just 3mg a week?

    • @simpslayer4793
      @simpslayer4793 3 года назад +3

      @@lucaa2524 update

    • @lucaa2524
      @lucaa2524 3 года назад +88

      @@simpslayer4793 hey
      It's been more than 3 months
      I took my first pill on 19th Jan 2021
      First I was taking just 1mg/ every other day but when I got confident about that I'm not having any kind of side effects and all so from mid Feb I started to take 1mg/everyday
      No side effects luckily 🙏
      No hair fall
      Volume and density of my hair increased significantly
      My meat is working better than ever 😂
      Overall I'm happy 🔥

    • @simpslayer4793
      @simpslayer4793 3 года назад +3

      @@lucaa2524 damn happy for you keep it up , wish you head full of hair !!!

  • @strauss7151
    @strauss7151 Год назад +34

    This channel is a gift to the fight against hair loss.

  • @JamesR23
    @JamesR23 4 года назад +185

    What an underrated channel. Surprised they don’t have tens of thousands of subscribers.

    • @TheHairLossShow
      @TheHairLossShow  4 года назад +39

      We'll get there hopefully...

    • @TheHairLossShow
      @TheHairLossShow  4 года назад +5

      @Praveen Kumar Thanks.

    • @TheAmanor123
      @TheAmanor123 4 года назад +1

      The Hair Loss Show I hope you dont 😅 it would mean there is no cure for this cancer

    • @TheJakeMarc
      @TheJakeMarc 3 года назад +2

      @@TheHairLossShow I'm confused. You guys kinda contradict yourself You said no need to take 7 mg a week and 3 mg a fine but then say it's probably not doing anything. Is taking 2 mg a week worth it or not? Bc that's the most my body can handle.

    • @steveaustin6608
      @steveaustin6608 3 года назад +2

      @@TheJakeMarc if there is a side effect...stick to minimum dose your body can handle, they already told the reason...

  • @T3AMAnimation
    @T3AMAnimation 4 года назад +101

    This channel is invaluable. Honestly I used to panic over potential sides after taking just 0.5mg everyday but 3mg a week is actually working really well for me. We need professionals like these guys in our lives. I had a consultation once and was given terrible advice. I was advised against finesteride and was recommended to start laser therapy and then a transplant in future, with no realistic explanation as to how to maintain existing hair. I’ve really learn a lot from these videos :) so thanks for your hard work!

    • @TheHairLossShow
      @TheHairLossShow  4 года назад +10

      Appreciate it.

    • @ohtebowah
      @ohtebowah 4 года назад

      i got recommended the same thing. Lazer and minoxidial and eventually pressured into a FUE transplant. I don't think Finasteride was even offered to me

    • @corvoattano4777
      @corvoattano4777 Год назад

      I got recommended PRP. Its just greedy derma people trying to line their own pockets. Actual treatment for male pattern baldness are cheap.
      Min + Fin + ketoconazcole. That's it

  • @pud354
    @pud354 4 года назад +252

    This is the best channel on RUclips IMO for advice on finasteride usage - two professionals covering all kinds of information about finasteride.
    Here at 10:10 they're even talking about the cost-saving finasteride dosing practise of splitting a 5mg proscar pill into quarters - Clearly these guys aren't affiliated with Merck if they're showing us how to dose finasteride on a budget (As well as the MWF weekly dosing routine they have previously recommended, which goes against the excessive daily Merck dosing recommendation) 🙂
    So much knowledge freely shared. Thank you! (I just wish I had started this medication half a decade earlier!)

    • @RoyalTube1Abid
      @RoyalTube1Abid 4 года назад +10

      Facts

    • @TheHairLossShow
      @TheHairLossShow  4 года назад +23

      Thanks. Appreciate it.

    • @kevinwilson3337
      @kevinwilson3337 4 года назад +1

      The Hair Loss Show can finesteride cure alopecia areatta ???

    • @TheHairLossShow
      @TheHairLossShow  4 года назад +7

      @@kevinwilson3337 No. Different cause and mechanism of action. AA generally resolves on its own. You can inject steroids into the lesion which has shown to be beneficial.

    • @omarsroya420
      @omarsroya420 4 года назад

      Do you know any good hair doctors in London I know that's not the correct term sorry

  • @sweetcalamares
    @sweetcalamares 3 года назад +15

    The REAL experts. This channel is a treasure.

  • @SurenFarrashbashi
    @SurenFarrashbashi 9 месяцев назад +3

    Literally the best video out there about finasteride dosage. BRAVO.

  • @ghostenergy
    @ghostenergy Год назад +3

    Great video! I totally agree with your approach and think a lot of people (specifically those experiencing side effects) needed to hear your fact based opinions on this. Thank you!

  • @apryanto-b7184
    @apryanto-b7184 4 года назад +9

    Thank you so much, truly generous from both of you Doc
    Feel greatful for this

  • @bopakbule
    @bopakbule 3 года назад +1

    Thank you for the infromation! i have one question remaining. Youre saying that the dose doesn't matter because at a certain point u will reach peak levels either way. Im already on 0.5MG of finasteride for about more than 2 years. it seems my baldness progression has stopped. however would there be any point for me to up the dose to 1MG after already being on it for such al long time? would it benefit my hairloss and would it effect any sides? or do you think its not gone make a difference at all?

  • @larrydeng36
    @larrydeng36 4 года назад +22

    You guys are great. Genuine and always looking to help others with specific information and logical opinions. I cant wait to recommend this channel to my future son when he is losing his hair. :)

  • @TheZamster101
    @TheZamster101 4 года назад +19

    This is hands down the best information on hair loss I have ever seen. Thank you so much. There is so much trash out there and so hard to gauge what is correct and what is misinformation. Love this.

  • @niksrushil
    @niksrushil 3 года назад +11

    Super duper content! Wow
    Statistics + Medicine + Extremely sound Framework -> Feels like 2 McKinsey consultants got into dermatology! :)

  • @alteredstate4320
    @alteredstate4320 Год назад

    This is the Best yt channel about hairloss. Thank you so much.

  • @mubafaw
    @mubafaw 3 года назад +1

    Very useful information clear, concise and pragmatic. Thanks!

  • @JuanCarlosLTO
    @JuanCarlosLTO 4 года назад +53

    This is my favorite hair loss channel. There’s a few good ones but this is the best I’ve seen.

    • @TheHairLossShow
      @TheHairLossShow  4 года назад +6

      Thanks. Appreciate it.

    • @trashbat7331
      @trashbat7331 3 года назад +6

      Kevin Mann's is one of the best and he's certainly the most knowledgable who does a lot of in depth research and tests out a lot of the newer treatments himself. He's obviously not a Doctor though.

    • @JuanCarlosLTO
      @JuanCarlosLTO 3 года назад +1

      @@trashbat7331 I’ll check him out. Thanks!

    • @abhishektripathi6031
      @abhishektripathi6031 3 года назад

      @@trashbat7331 he is not a doctor

    • @antoniodeleon7756
      @antoniodeleon7756 3 года назад +1

      Absolutely. Hair expert Drs.
      This channel deserves to blow up.

  • @SuperDodoe
    @SuperDodoe 4 года назад +14

    you two are Legends! thank you!

  • @willjosephcook
    @willjosephcook 3 года назад

    Thank you both so much. Such clarity and honesty.

  • @JorisGustavo
    @JorisGustavo 3 года назад

    Precious information! Thank you, doctors!

  • @user-pc1er8zy7c
    @user-pc1er8zy7c 4 года назад +25

    The video is basically the answer to the question I had yesterday, brilliant.

  • @mikeloveskimbo
    @mikeloveskimbo 4 года назад +21

    I really like these guys. Both very knowledgeable, likeable and are not trying to sell us anything (the opposite really )
    I've been on 1mg Fin for 2 years, started aged 48 and can honestly say my 2" crown bald patch is now only slightly noticeable and the over all density it thicker.
    No side effects for me but I reduced to 1mg every other day a few months ago and all seem good! Great channel!

    • @Olyrous
      @Olyrous Год назад +1

      That's great to hear. Please provide an update with regard to your dosage if you can. Thanks.

    • @adilmahmood2269
      @adilmahmood2269 Год назад +1

      Please provide an update

    • @mikeloveskimbo
      @mikeloveskimbo Год назад +2

      @@Olyrous Hi, Everything is going well. I have been on Fin now for just over 5 years.. I must say that I only used 1mg every other day for around 4 months and then I started cutting my tablets in half, 0.5 mg everyday the effect is still the same.
      If I hadn't taken action even as an older guy I am convinced I would have much less hair. My Finasterade are just generic

    • @mikeloveskimbo
      @mikeloveskimbo Год назад

      @@adilmahmood2269 Thanks mate, I've just put in a little update

    • @adilmahmood2269
      @adilmahmood2269 Год назад

      @@mikeloveskimbo Thanks alot Mike! :)

  • @joseangelgarcia2621
    @joseangelgarcia2621 3 года назад +2

    This guys are absolutely amazing! thanks! thanks! thanks!

  • @GenX_US_Marine
    @GenX_US_Marine 3 года назад

    This is a good informative hair loss channel. There is a lot of RUclips
    hair loss channels hosted by mouth breathers who have no idea what they
    are talking about.

  • @andresiteran
    @andresiteran 2 года назад +3

    Thank you so much for your dedication and service, it has been very helpful. Is there any study about the duration of the effect of finasteride in the hair follicle?

  • @user-vt3ig2bk4j
    @user-vt3ig2bk4j 4 года назад +16

    Just a litle comment on the logic of the response curve ("DHT inhibition curve"): In order to make sense, the dose [mg] has to be on the "x- axis". Only then the graph indicates, that an increase of the dose over 1 mg/ day results in no further effect of DHT inhibition. Nonetheless, amazing , unbiased explanations. You bring a lot of value to the lifes of many.

  • @gabber7081
    @gabber7081 2 года назад

    Thanks a lot for your videos!
    You are so helpful and divulgative!
    Lots of love from Italy!

  • @SSModi852
    @SSModi852 2 года назад

    Thanks. This is the most comprehensive video on finestride from practicality pov. Of course there could be a chemistry lesson but average user like me don't need it. Half life was just the right amount of depth of information needed.

  • @machietheapachie7214
    @machietheapachie7214 2 года назад +3

    That is the best explanation I've heard yet, fills me with confidence. Just wondering so, I'm in my 40s with a Norwood 1 and very mild diffuse thinning. Considering it took this long to get where it's at, I imagine it's fairly safe to presume I'm not particularly sensitive. As such, do you think it's feasible to take it until it thickens up again and then coast on that for a while until it becomes noticable again, and then repeat with fin?

  • @mrmrssongstories4975
    @mrmrssongstories4975 10 месяцев назад +5

    I can't give you guys credit enough and praise you enough for your shared knowledge. As a 32 year old male (starting to bald), who is about to start to taking the medicine, this information is worth so much. Thank you guys, alot

  • @ptb2008
    @ptb2008 7 месяцев назад

    EXCELLENT video gentlemen.

  • @setharyasuyash8637
    @setharyasuyash8637 2 года назад

    oh my god.
    this reminds me of my biochemistry and physiology classes. but, the explanation was beyond the word 'perfect'.

  • @heinzkeiter4947
    @heinzkeiter4947 4 года назад +5

    Can you make a video about the various treating method considering different ages and the aggressiveness of hair loss. I think by doing this a lot of people would be really satisfied and not longer comment your videos. (Keep up the good work, great Chanel)

    • @TheHairLossShow
      @TheHairLossShow  4 года назад +2

      We will be doing more patient demos. I think that is useful.

  • @rishabhrohit
    @rishabhrohit 3 года назад +19

    I wish I had access to these kinds of doctors.

  • @alessandroporcu4276
    @alessandroporcu4276 4 года назад +2

    I'm a new fan of yours! I enjoy your podcasts! I have a question (I will ask the same question to my doctor of course): I take drugs for my bipolar disease, I take valproate, olanzapine and a SSRI (elopram). There would be a connection if I add Finasteride as well or it could be safe? I know that in one of the first podcasts you mentioned that it doesn't cause problem if we are into other medications, but I wanted to be more specific. Thanks for your attention.

  • @ufcprophet40
    @ufcprophet40 2 года назад

    We find this info extremely useful . Thx Docs

  • @allenc4731
    @allenc4731 4 года назад +14

    Hi Dr. Vikram and Dr. Russell, recently I started to consider buying the 5mg Finasteride pills and cut them into quarters to take them 3 times a week as per your advice, I do have one concern about this practice though, do the pills get oxidized after they're cut and left untouched for a few days? This one really bothers me. Thanks so much!

    • @ordinaryguy815
      @ordinaryguy815 2 года назад +1

      No, it’s fine. put them in a tightly sealed jar together with a small satchet of silica gel.

  • @wyattberg798
    @wyattberg798 3 года назад +7

    Ive been using 3x a week since 19 Never had a problem, glad I saw your channel before going to my doc

    • @abecarranza7585
      @abecarranza7585 2 года назад

      So you've never had problems with erectile dysfunction or loss of libido? I am 43 and this will my doctor prescribed it for me. I am a bit nervous...

    • @felipematheus6518
      @felipematheus6518 2 года назад

      Monday Wednesday and Friday?

  • @Sam-Alexander
    @Sam-Alexander 4 года назад

    Great video lads

  • @TheSharkMohanty
    @TheSharkMohanty 4 года назад +2

    Informative. I appreciate and thank you for work. Also, I would request you to create a video on Dustasteride's dosage.

    • @beastieboy9286
      @beastieboy9286 4 года назад +1

      sarthak mohanty they normal just add that onto the 3x fin a week and 1 x 0.5mg dutasteride per week

  • @berktiryakiler
    @berktiryakiler 3 года назад +5

    Wow, great video! Thank you so much. So, do you recommend to take break of using Fin about 1 month(or weeks) during using it? Is that necessary to do in your opinion?

    • @fratini.
      @fratini. 2 года назад

      Hi there. The recommendation of taking a 1 month break is to reduce the possible side effects even further.
      The most common side effect is erectile dysfunction, and NOBODY wants that, am I right?

    • @cristiano-co1kz
      @cristiano-co1kz 2 года назад

      @@fratini. when can be useful to stop taking the drug? like 6 months ON and 1 OFF?

  • @MartiRoca
    @MartiRoca 3 года назад +7

    Amazing! Can do you do the same example for dutasteride? Ty! PD: and also for oral Minixidil? Keep doing this high quality informtive vids! :D

  • @Fox_is_Fox
    @Fox_is_Fox 2 года назад

    Very useful information! Thank you both :)

  • @AA-yl4wq
    @AA-yl4wq 2 года назад

    Fantastic advice, thank you!

  • @Digq22
    @Digq22 4 года назад +5

    Thanks for the content guys, quick question, What hair shampoos do you guys recommend?

  • @mokcanice3549
    @mokcanice3549 4 года назад +33

    Thank you for the great content. Any ways I can keep my DHT level in bloodstream relatively high while having DHT level low enough in the follicles to reduce hair loss? Is this the concept that makes 3x/week having fewer side effects than 7x/week?

    • @TheAcadianGuy
      @TheAcadianGuy 3 года назад

      yes

    • @TheAcadianGuy
      @TheAcadianGuy 3 года назад +1

      it is to either minimise or eliminate potential side effect.

  • @hamakhoshnaw4391
    @hamakhoshnaw4391 4 года назад

    Thanks, very useful information

  • @andyman1032
    @andyman1032 3 года назад

    thank you both so much truly honest professional advise

    • @heinuchung8680
      @heinuchung8680 3 года назад

      Wouldn’t be effective have to build up then maintain

  • @petersage3098
    @petersage3098 4 года назад +30

    At 3:10 Dr Vikram J. was almost ready to write the Testosterone to DHT reaction. 😂 Love you both btw!

  • @ameerskater
    @ameerskater 3 года назад +4

    Thank you guys so much for the informative video. Starting my journey today. For some reason my right temple is thinning/fading at a very very quick rate, compared to the left.

    • @whitewolf2952
      @whitewolf2952 2 года назад

      Results ? I have also started noticing some thinning and receding hairline on my left temple. I would appreciate the feedback

    • @ameerskater
      @ameerskater 2 года назад

      @@whitewolf2952 Hey man I started on 1 m mg finasteride 3x week at first, and it has worked, I got a little regrowth and it is kind of stabilized right now and I moved to 0.5 mg everyday now, and may even do 1 mg everyday at this point since I am seemingly losing a little hair (I'm not sure if its another finasteride shed which usually means more regrowth) But I am also using saw palmetto oil (hairmetto) on the temples as well. My advice is to start now and just play with the dosages at first. good luck man. I also am going to try micro needling my temples with 1.5mm roller or Derm pen a6 2x a month.

    • @whitewolf2952
      @whitewolf2952 2 года назад

      @@ameerskater Thanks alot mate for the feedback. Hope u the best.

    • @jaxonfrench6466
      @jaxonfrench6466 6 месяцев назад

      @@ameerskaterany update on how you’re currently doing my man?

    • @ameerskater
      @ameerskater 6 месяцев назад

      @@jaxonfrench6466 stabilized but starting to think again, effectiveness has gone down over time (but it’s still working or course) now I think I’m gonna hop on minoxidil too for my temples

  • @TOShorts
    @TOShorts 3 года назад +2

    Great video! I do disagree with your approach on pre-treatment bloodwork. Serum free and total DHT is important to measure prior to starting therapy, as interpretation of these results can help indicate likelihood of developing common side effects with use. This would be important for the patient to know prior to onset of therapy.

  • @phrexusdocena7562
    @phrexusdocena7562 3 года назад

    This is very useful. Thank you! Legit

  • @KedrocGaming
    @KedrocGaming 2 года назад +3

    Question: I have been taking finasteride in combination with minoxidil for a year now with decent results (3 times a week and once a day respectively). Hair stopped falling and some of the balding areas are growing new hair, some thin hair and some thicker. Would it matter if I increase the dose of finasteride to 1mg per day or it would work exactly the same? My guess is the latter based on what you shared on the video, but still want to confirm. Thanks!

    • @zeus5349
      @zeus5349 2 года назад +3

      I would say don’t try to increase dosage if you already got good results, just stick to it

  • @unslimshady2787
    @unslimshady2787 2 года назад +15

    I started taking finasteride yesterday and I am skeptical and worried about dosage, frequency, and side effects. Not anymore!
    You guys are the best. You made it easy for me to just cut the pill into quarters and take it 3x per week.
    I really appreciate your effort in making these super helpful videos.
    Wish you the best! and KEEP IT UP... WE NEED YOU!

    • @darrencain1092
      @darrencain1092 2 года назад

      Hi ... Did you get prescription from local Dr or did you need to see specialist hair Dr?

    • @unslimshady2787
      @unslimshady2787 2 года назад

      @@darrencain1092 I live outside the us, so it was really easy to get and without even a prescription.

    • @unslimshady2787
      @unslimshady2787 2 года назад

      @@darrencain1092 I live outside the us, so it was really easy to get and without even a prescription.

    • @adampflederer3194
      @adampflederer3194 2 года назад +1

      Any update on 3x per week 1.25mg??

    • @Twanger..
      @Twanger.. Год назад

      Any updates?

  • @asiffarooqui6789
    @asiffarooqui6789 4 года назад +1

    Hello, thank you again for your great videos. I just had a question regarding when you mentioned that its okay to stop finasteride for up to a few months etc. Is that advice for people who are suffering from side effects and or for those who just want to save pennies too, that it wont be too much of a set back for its efficacy? Thank you so much.

  • @DailyDoseOfIslam
    @DailyDoseOfIslam 4 года назад +1

    Your videos are very informative so thank you. I was hoping if you could you make a video on using 320mg Saw Palmetto tablet's a day to stop hair loss in men as oppose to using Finasteride. I have read in multiple places this is the Natural remedy to using Finasteride and has the same effects. Could you compare the 2 please. Thank You

  • @benwalsh7478
    @benwalsh7478 4 года назад +5

    Perhaps a video on the combination of Fin and Dut would be helpful too?

    • @TheHairLossShow
      @TheHairLossShow  4 года назад +2

      We have addressed this in our previous episodes.

  • @ericwei8707
    @ericwei8707 4 года назад +31

    Thank you for the valuable content here. I would like to request a video showing the before and after photos of patients on their hair improvement (after 1-2 years) solely on finasteride and minoxidil treatment to know how well or effective can medicine treat male pattern hair loss. I'm sure such video will help others. Appreciate with thanks.

    • @TheHairLossShow
      @TheHairLossShow  4 года назад +21

      Will add that to the list...

    • @ericwei8707
      @ericwei8707 4 года назад +3

      @@TheHairLossShow Alright! Looking forward to that. Thanks!

  • @shingetsu10
    @shingetsu10 3 года назад

    Very informative. Thank you

  • @mikeflyers77
    @mikeflyers77 2 года назад

    Hello, thanks for the content. This is what I'm talking about. I love the detail on the dosing. Because I will admit I was scared for years to use fianasteride. First the physical and then the mental. I am trying a .5 dose every other day. Thank you, much appreciated.

    • @tonyatthebeach
      @tonyatthebeach Год назад +1

      I'm on 0.5mg every other day too. No side effects. Hair loss is stabilised, I may even have some regrowth. You?

  • @toomanytubes0002
    @toomanytubes0002 4 года назад +10

    Hi guys. Quick question on Dutasteride dosing. Since your general recommendation is three 1mg Finasteride pills per week, and since Dutasteride is said to be a few times stronger, would just one 0.5mg Dutasteride pill per week be the equivalent to the three Finasteride per week? If not, what would be the equivalent dose in your opinion? Thanks!

    • @AppleMasterChris
      @AppleMasterChris 11 месяцев назад +1

      Please no NOT attempt to dose dutasteride by yourself! The dose for BPH is 0.5mg (which is 12 times higher for finasteride), making it roughly 24 times as potent. Dutaseride is not licensed for hair loss for this reason, and a major side effect is breast cancer in men.

  • @nicholasgeorge82
    @nicholasgeorge82 4 года назад +5

    Thanks very much. You have made me rethink Finasteride. I took it 13 years ago and experienced sides (panic attacks, anxiety... no issues sexually)... I was on 1.25mg per day.
    I have never considered that dosage may have been the problem. I am naturally pretty sensitive, so a reduced dosage could hopefully work.
    I’m considering trying the 3mg/wk approach as suggested.
    Thanks

    • @TheHairLossShow
      @TheHairLossShow  4 года назад

      Good luck.

    • @codybell6882
      @codybell6882 4 года назад +3

      How long did you stay on the Fin before you discontinued it? I was experiencing some sexual sides and they resolved after about 3 weeks(could be months) because the body adjusts. I think thats a key problem for many people. As soon as they experience the scary side, they immediately discontinue without realizing that in the majority of cases, the body normalizes the change in dht resulting in less or no sides. The only consistant side ive experienced is a decreased volume of ejaculation. Which is of no concern to me in the slightest lol

    • @nicholasgeorge82
      @nicholasgeorge82 4 года назад +1

      Cody Bell Glad that your sides stopped. I kept taking it for 18 months (because I was unaware that fin was causing the issue - this was 14 years ago, when there was less info readily available). My body didn’t adjust quickly after stopping either...

    • @codybell6882
      @codybell6882 4 года назад +1

      @@nicholasgeorge82 yeah thats known to happen in many people unfortunately. Small percentage of symtoms are persistent. But perhaps lessening the dose can help you lessen or eliminate side effects.

    • @ricardosempresussa
      @ricardosempresussa 2 года назад +3

      Same here. 2 years of panic attacks just from nowere (but finasteride). It's a very scary drug.
      Anxiety, blood pressure, fear of dying everyday, all day... Fucked my life for some years. I fear this medicine... At that point, I just didn't care about any sides. I was 20 years old. Lot's of T... Strong as hell...lifting weights and fuckin everyday. My lady is my witness of what I came through. Still with me 13 years after these horrible years of panic. I guess I will try topical instead. When I checked with a doctor, he asked if I had any contact with female hormones. My estradiol levels were higher than a woman in menopause. Remember that DHT blocks estrogen. So you block DHT and it won't block estrogen anymore. You're female hormones will start raising at this point.
      We're fighting a false "war"...baldness isn't a disease. We have to be very careful about blocking this hormone, that came naturally with all men. If its there, there's a point, right?

  • @vaibhavkaul1041
    @vaibhavkaul1041 4 года назад

    This is one of the best shows about hair.I enjoyed watching this brilliant partnership of two doctors.Thankyou for the information. Just had a question,DOES FINESTERIDE CAUSE SHEDDING????
    Thanks ànd regards
    Vaibhav

    • @kaskovic1993
      @kaskovic1993 4 года назад

      Yes it does in the beginning however this will grow back.

  • @latino1935
    @latino1935 3 года назад

    Amazing channel.

  • @jf6328
    @jf6328 2 года назад +4

    Finally took action went to my dermatologist they prescribed finasteride. Bought it, Looked it up and saw horror stories so I was not going to take it until I came across you guys wow. I took it right away lol What a Channel.The dosing 3 times a week makes so much sense. I’m in the super early stage of hair loss so I’m so happy I acted early. Thank you guys so much!

    • @derpy6695
      @derpy6695 Год назад

      How’s it goin? I’m 18 n alr losing hair I’m thinking of 3 times a week

    • @predatoryzzx
      @predatoryzzx Год назад

      update?

    • @difaabdulrafi1303
      @difaabdulrafi1303 Год назад

      @@derpy6695 been taking the same dosage as you, now into week 3, so far so good and no sides.

    • @dunes1011
      @dunes1011 Год назад

      Update please?

    • @difaabdulrafi1303
      @difaabdulrafi1303 Год назад

      @@dunes1011 i’m taking the same dosage as him, so far so good and no sides effect., 3 weeks in now.

  • @melvenmarigonzales5425
    @melvenmarigonzales5425 2 года назад +4

    Hi. great show and very informative. for a year i took 1mg finasteride and now i shifted to finasteride 5mg and split the pill 1.25mg and i take it daily. based on your dosing. should i take it 1.25mg 3x a day? i have not felt any side effect even taking it daily even with 1.25mg. is it okay to adjust it to 1.25mg 3x a week? thanks in advance

  • @_baller
    @_baller 3 года назад +2

    Thanks for all the videos guys, I'm on finasteride now, after 8 months of palmetto and rogaine with ok but inadequate results, trying 1mg every other day

    • @magnus00125
      @magnus00125 3 года назад

      Did every other day help?

    • @rishabhpal8848
      @rishabhpal8848 2 года назад

      What about the palmetto ?? Is it working ?

    • @_baller
      @_baller 2 года назад

      @@rishabhpal8848 palmetto was ok, needed Fin for the thinner hairs

    • @rishabhpal8848
      @rishabhpal8848 2 года назад

      @@_baller ok in the sense ? What changes ..

    • @_baller
      @_baller 2 года назад

      @@rishabhpal8848 palmetto helped somewhat, Fin does better, thicker hairs

  • @MrSlamTimmy
    @MrSlamTimmy 4 года назад

    Hello Doctors thanks for you time and Knowledge.
    Could you talk about Serenoa repens efficacy in hair loss treatmant?
    Thanks

  • @GeorgiZhukov33
    @GeorgiZhukov33 4 года назад +3

    You guys are fantastic. These shows have been incredibly helpful. Australia is lucky to have you and your practice. Question, do you ever prescribe 1 mg 7 days a week. Example, for the 19 year old with a lot of hair loss, would you go that high or is the most you ever start 1 mg 3 days per week? Many thanks from the USA.

    • @TheHairLossShow
      @TheHairLossShow  4 года назад +7

      Thank you for the comment. I would probably still start on 3mg per week. But build up if things are not stable at 6 months. Ideally, you want to be on the lowest dose possible.

    • @GeorgiZhukov33
      @GeorgiZhukov33 4 года назад +1

      The Hair Loss Show Thanks very much!

    • @ameermadrid9684
      @ameermadrid9684 2 года назад

      So should i start 3 tables a week or 1 mg daily im 27 y.o

    • @kandesjarlais7164
      @kandesjarlais7164 Год назад

      Amazing show, !!!!I’m 62 and have good hair, I was prescribed 1 mg per day, but I simply can’t handle it. Groggy, bloated, low libido. What do you suggest drop down to 3 mg per week or maybe two? Thank you for your response.

  • @livmarlin4259
    @livmarlin4259 4 года назад +8

    Vikram Paprikash is so handsome! 😍

    • @asnijmegen
      @asnijmegen 3 года назад +1

      R u kidding me?

    • @rihansa199
      @rihansa199 3 года назад

      @@asnijmegen says someone without a pfp on

  • @CommanderRiker0
    @CommanderRiker0 3 года назад

    Awesome advice

  • @bryancortez1014
    @bryancortez1014 2 года назад +2

    My primary physician was hesitant to prescribe Finasteride citing common side effects such as erectile dysfunction AND gynecomastia (enlarged male breast tissue). If it wasn’t for these videos, I surely would have stoped the pursue of prescribed medication to help combat hair loss. Thank you for the invaluable educational videos. I feel more confident now to continue with the medication with the proper/recommended dosage.

  • @kevinbraud8570
    @kevinbraud8570 4 года назад +3

    Thank you Dr's. I am 54 and just started taking the medicine. On the 6th day, depression really kicked in. I completely stopped using the drug. I'm thinking I was overdosing. After listening to your great advice, I may try 1mg per week to see if the side effects stop.

    • @SonyCamry
      @SonyCamry 4 года назад

      have you tried ? ddi it make a differene?

    • @kevinbraud8570
      @kevinbraud8570 4 года назад

      @@SonyCamry yes the depression stopped. After listening to Dr Vik and Dr Russell saying only a trace of finasteride is needed to control DHT in the scalp, I'm now taking .5 mg twice a week. I'm hoping this will do the trick.

    • @SonyCamry
      @SonyCamry 4 года назад

      @@kevinbraud8570 thanks i had a similar experiece maybe ill try .5mg twice a week

    • @MrLDoMe
      @MrLDoMe 3 года назад

      @@kevinbraud8570 Hi, did lowering the dose reduce side effects?

    • @kevinbraud8570
      @kevinbraud8570 3 года назад

      Dustin Lee no it’s still spiking my Tinnitus. I stopped before seeing if it caused depression. My body (and mind) just doesn’t like this medicine.

  • @ratt57
    @ratt57 2 года назад +4

    Thanks for a great video, I've subscribed to your channel! I'm 65 and just had a hair transplant... am I too old to be starting finasteride? I've been using minoxidil for 20 years now, and I'm curious if even that's still working for me! Also, what percentage of your patients complain of prostate/sexual side effects from finasteride, and do they usually go away after stopping its use? I'm reading about how sometimes the side effects are permanent...

  • @PUREPARKOUR688
    @PUREPARKOUR688 3 года назад +1

    Amazing video! Interesting to hear you talk about the half life in follicle is 30 days, I've not come across this stat in my reading, which paper is this from? Thanks guys, very informative video

    • @hannanshah
      @hannanshah Год назад

      From a quick search online: Finasteride has a half-life of around six hours. This means that six hours after taking it, half of it has attached to the enzymes in your body. This continues, after 12 hours 75% of it has been used, after 18 hours 87.5% has been used, and so on. After a couple of days, all the finasteride in your body will have been used up. However, the enzyme it blocks has a half-life of 30 days, so you’ll still have blocked enzymes in your body, resulting in lower DHT levels, for up to 90 days later.

  • @Quake_-_A.I._Covers
    @Quake_-_A.I._Covers 3 года назад +1

    Thank You very much for the free and cost saving informations! How about taking Finasteride 3 times a week, and serenoa repens the remaining 4 days of the week? Thank You!

    • @gabber7081
      @gabber7081 2 года назад +1

      No.
      It's ok stick on just on propecia.

  • @ricochet2273
    @ricochet2273 2 года назад +3

    Hi Dr Knudsen & Dr Vikram, what are your thoughts on a dosage of 0.5mg, two to three times a week?

  • @cjbolan8059
    @cjbolan8059 3 года назад +3

    I'm a woman with post-menopausal overall hair density thinning and miniaturization that occurred over a 3 year period. So gradual that it took me awhile to even notice what was happening until the volume loss began to seriously impact hair styling.
    I've been using minoxidil for 6 months and so far, so good. I recently added finasteride. My doctor prescribed 1mg per day. So far, no side effects. I got a second opinion on the dose from another doctor and was told that anything less than 5mg is not an effective dose for a woman. Both doctors are board certified dermatologists who specialize in hair loss. If 1mg per day truly is insufficient for a woman, I may be wasting valuable time. What has your experience been in your practice with respect to effective finasteride dosing for women?

    • @terrir.7604
      @terrir.7604 2 года назад +1

      Are u still taking finasteride? I'm post meno. Doc wants me to start on 1 mg. I'm so scared. Worried it will build up in my liver and I don't have a gallbladder.

    • @atetster
      @atetster Год назад

      1mg for a woman is just insane. Please change doctors. 0.25mg every reduces DHT about 80% of 1mg does even for males

    • @misterbool7349
      @misterbool7349 4 месяца назад

      I think that women need more finasteride than men. A study talked about 5 mg a day for women but it has to be confirmed. Spironolactone is more prescribed for women.

  • @dominictorrettoo
    @dominictorrettoo 6 месяцев назад

    Best video! thanks so much!!

  • @damienbyt
    @damienbyt 4 года назад

    Thank you, very good

  • @janjet169
    @janjet169 3 года назад +8

    Been on fin 2.5 months now (1mg/day), noticed it started to give me gyno. Stopped now. You think reducing is a good alternative to fully stopping? Or even switching to topical fin?

    • @harky_one
      @harky_one 3 года назад +1

      I switched from 1g to 0.5mg for about 9 months now and the gyno I gained from 1mg went away.

    • @marls5654
      @marls5654 3 года назад

      @Gabe Gibson Did you lose hair on the 0.25mg dosage?

    • @gvillarreal79
      @gvillarreal79 3 года назад

      @Gabe Gibson did you lose any gains on the lower dosage? How are you feeling now? How's your hair?

    • @gvillarreal79
      @gvillarreal79 3 года назад

      @Gabe Gibson bro great news then, I'm not an aggressive balder, I'm 41 going on 42 but I'm definitely thinning, my crown is slowly growing a hole. Should I do. .5 3 days a week? You think I'll be able to build up enough to actually get results? I don't care if it takes longer, also I'm 6'1 240 pounds.

    • @sallogruvarma9764
      @sallogruvarma9764 3 года назад

      @Gabe Gibson i think that 0,5 mg every day and 1 mg every other day is the same thing. I will try every other day because i use fin 5 mg split in 4..i have tried to split in 8 but is better split only in 4 pieces..

  • @KW-wh6jg
    @KW-wh6jg 4 года назад +13

    Hey, just wondering what your opinions are on the oft-reported cognitive side effects of finasteride? Some claim it made them more dumb, or have brain fog, memory issues, etc. Really worried about that myself. Thanks.

    • @Patrick.Basedman
      @Patrick.Basedman 3 года назад +3

      Well it affects neurosteroids and that's a fact. Whether it will affect you mentally is another story but if you're already predisposed to mental issues like depression I'd be very careful with it.

    • @E10l
      @E10l 3 года назад +4

      I took it for 4 days and I had brain fog. My memory is always sharp and I never felt like this, so its finasteride related 100%.

    • @meltedsnowman9637
      @meltedsnowman9637 Год назад

      @@Patrick.Basedman It doesn’t affect neurosteroids. The brain contains type 1 5 alpha reductase enzymes, not type 2 which is what finasteride affects.

  • @reignrelic
    @reignrelic 3 года назад +1

    I was scared from watching all these youtube videos of side of affects. This video helped me be more at ease, Thank You. My pills should be arriving this Monday.

    • @ishobakrackatewy8855
      @ishobakrackatewy8855 3 года назад +1

      With you my man started my first 1 bout half hour ago .. Good luck to both of us 🤞🤜🤛

    • @reignrelic
      @reignrelic 3 года назад

      @@ishobakrackatewy8855 Def, good luck. Once I see results I’ll I’m pulling back on the dosage and getting a hair transplant. I’m not taking this for over 2 years and for those two years I’ll be pulling back every 2 months or so. Maybe I’ll do 3days a week for 2 months and 1 month off and so on. Even if I don’t get side affects I’ll be pulling back cause you just never know. God bless and be safe.

    • @AryanSharma-qj4eu
      @AryanSharma-qj4eu 3 года назад

      @@ishobakrackatewy8855 bruh I also took my first tab the day you took it lmao. I am using 1.25 (cutting tablet) every alter day

    • @ishobakrackatewy8855
      @ishobakrackatewy8855 3 года назад

      @@AryanSharma-qj4eu how's it going bros I've been 1 mg every night def something going in my body bit more energy or something I'm getting a burny face if that makes sense? Like my face is red so I'm gonna lower dose 1 every other day.. Might phone the doctor hopefully my GP keep me sweet don't fancy checking reddit forums or RUclips for advice

    • @AryanSharma-qj4eu
      @AryanSharma-qj4eu 3 года назад

      @@ishobakrackatewy8855 Its been 1 week with fin. Honestly I think they are responding good. I have started to see small hair on my hairline and my hair look a little thicker (not a lot but somewhat, maybe oils also helped in it). And yes my semen is now somehow quite liquidy (if this made sense) but I read that this is common.

  • @rarebarney5681
    @rarebarney5681 2 года назад +1

    I take my 3 day at 1mm. I also take Rogaine as well and I use a derma rollers every week. I am probably over extending with my treatment but I am really conscious about my hair and don't want to lose it. Luckily my hair loss isn't that bad only happening in my hairline.

  • @Dedlogico
    @Dedlogico 4 года назад +12

    So, does this mean that once I build up the finasteride on my tissues, I can safely stop for up to 3 months and keep the inhibiting effects of finasteride, after finishing my finasteride break, should I do a build up again? like taking finasteride for another 3 months or so? or maybe I can keep the finasteride build-up by taking one pill every 5 days or something like that?

    • @3260ELEMENT
      @3260ELEMENT 4 года назад +3

      I'm really curious about this as well

    • @LordJagd
      @LordJagd 2 года назад

      Really good question. It appears that fin is taken WAY more frequently than necessary. 3x a week should be the starting point.

  • @paulsenior2015
    @paulsenior2015 3 года назад +3

    Hi. Great videos. I’ve been taking generic Finasteride for 6 months 1mg per day and noticed side effects. I’ve just had a hair transplant and I want to get back on it. Will 0.5mg Mon, Wed, Fri, be enough dosage? I’m also thinking of trying propecia ( branded ) to see if there is a difference?

    • @Vakti892
      @Vakti892 3 года назад +2

      Which side effects did u notice?

    • @salmonraj2785
      @salmonraj2785 3 года назад

      What side effects pls tell me

  • @pistolen87
    @pistolen87 3 года назад +2

    I got very elevated liver enzymes from finasteride after taking 1,25 mg/day, so I would recommend taking a blood test after using for a while. The dosage was probably way too high for me. This is useful information.

    • @thebest5productsforyou
      @thebest5productsforyou 3 года назад

      Did you continue on a lower dose?

    • @pistolen87
      @pistolen87 3 года назад

      @@thebest5productsforyou No, I couldn't get my doctor to prescribe it again to me because of the blood test. I'd like to try again but at a lower dose, and follow up with blood test to see if I could find a sweet spot.

  • @Vid24979
    @Vid24979 4 года назад

    Hi doctors. Wonderful show. I wanted to know if isotretinoin and finasteride can be taken together?Will 1mg finasteride taken daily Increase chances of acne in an acne prone patient?

  • @hamadalali452
    @hamadalali452 4 года назад +4

    Hey Doc, I was wondering If started with 3mg a week when should I increase my dosage? or should I just continue the same dosage for 6/12 months if I have no sides. And thanks for the valuable content.

    • @dors.sc1
      @dors.sc1 4 года назад +1

      been wondering about the exact same thing, i was thinking maybe going for every other day which is 3 times one week 4 times the next week so 7 times per 2 weeks instead of 6

    • @berko5996
      @berko5996 4 года назад

      If you get no sides and it seems like the hairloss slowed down, then i would keep the same dosage.

    • @alwaleed5190
      @alwaleed5190 2 года назад

      Hamad what happened with u ? I’m thinking to start taking fin tomorrow thanks in advance

    • @ivoxozo3711
      @ivoxozo3711 2 года назад

      If with 3mg a week you achieve to stabilize your hair loss, you should keep on that dose; else you might should increase the dose to 4mg a week and see what happens after some months

    • @ivoxozo3711
      @ivoxozo3711 2 года назад

      @@alwaleed5190 I recommend u to start with fin. As you, I had been doubting a lot (because of fear of having side effects) to start, but after watch all the videos from this cannel, I decided to start with a 3xweek dose. The results have been quite well, without side effects. Of course, finasteride is not a definitive cure for hair loss (it doesn't exist so far), but it helps a lot to stabilize/reduce the hair loss (exact results vary according to each person).

  • @peterpan2724
    @peterpan2724 3 года назад +4

    Hi, I am 22 years old and currently on 1mg Fin each other day for about 1 month. I am mostly affected by hair loss in the crown area (~Norwood 2.5). Given my young age, is it still recommended to be on such low dose/frequency because I am probably more sentitive to DHT? Should I up the dose to 1mg daily or wait for first results in 3-4 months?
    Thank you for your response!

    • @SuperNineThou
      @SuperNineThou 2 года назад

      Could you update on your results? Im 22 years old too and want to do 3mg per week

    • @saqibjunejo
      @saqibjunejo 2 года назад

      Same problem

    • @user-wr9dh6yv1o
      @user-wr9dh6yv1o 2 года назад

      Still on finasteride lad?

    • @dunes1011
      @dunes1011 Год назад

      Update please?

  • @kestermiller9549
    @kestermiller9549 4 года назад +2

    Thank you for your Videos - Have you ever encountered patients that receive side effects involving the eye? I.e twitches when blinking

  • @michaelaustin6877
    @michaelaustin6877 3 года назад

    Excellent!

  • @lewis20002000
    @lewis20002000 4 года назад +3

    Gentlemen, if the goal is to stop the DHT conversion at the site/hair follicle, then topical Finasteride should work if absorbed deep enough into the scalp/follicle.
    I am looking at limiting the journey via the liver and whole body, thus lessening side effects?
    With this update, I am thinking of taking 1mg 2X /week after the first month.

  • @steverothmans5908
    @steverothmans5908 3 года назад +8

    Ive been taking 1 mg for 2.5 months and its done wonders for my hair... great difference... the hair is responding strongly to finasteride...my hair is much thicker and darker and the receeding hair is definitely thickening up more and more.... BUT... im experiencing quite severe sexual side effects and i know its the finasteride because they started the day i started taking it... my libido is greatly reduced, semen volume is much less, probably 50% less... my penis doesnt get as hard dusing sex and goes soft sometimes... i dont get erections as easily or as often, i dont have any pre-ejaculate anymore (which i used to have a lot of).... sorry for the graphi details but its really bothering me...but i dont want to lose my hair... ive got no idea what to do next...i can only get 5mg tablets an i cut them into five pieces which is hard to do since theire small, but im thinking of maybe trying to split it into 8 peces if i can manage, so i would be taking 0.625 mg per day to see if i can benefit from the stronger hair but no sexual side effects...but i have a bad feeling about this...since the doctor told me the hair growth itslef IS a side effect so a lower dosage will probably reduce all side effects including the hair growth...idk...i will try still, im 27 btw and have moderate hair loss but strong thinning...i wish there was some other proven solution other than finasteride to save a mans hair... minoxidil i didnt try since its prohibitively expensive in my region... with a salary of 500€ i cant afford 40€ a month for it... finasteride i paid 1.3€ for 28 5mg tablets generic...that nothing

    • @juicer404
      @juicer404 2 года назад

      i had same problem, im gonna try 1.25mg a week monday and thursday

    • @dunes1011
      @dunes1011 Год назад

      Update please?

  • @felipematheus6518
    @felipematheus6518 4 года назад +1

    great video

  • @ErykDiscovers
    @ErykDiscovers 3 года назад

    I started taking propecia 2 weeks ago. 3 times a week. No side effect so far. Thank you for educating us. I will update you with my progress.

    • @LordJagd
      @LordJagd 2 года назад

      Any update?

    • @ErykDiscovers
      @ErykDiscovers 2 года назад

      @@LordJagd I haven't had any significant improvements yet since it's only been a few weeks. I will keep you guys updated.

    • @LordJagd
      @LordJagd 2 года назад

      @@ErykDiscovers Gotcha. Any side effects?

    • @morpheusmorph13
      @morpheusmorph13 2 года назад +1

      @@ErykDiscovers update

    • @ar5055
      @ar5055 2 года назад

      Update??

  • @miket.8289
    @miket.8289 4 года назад +8

    Can you comment on the Drake et al. (1999) study that concluded that taking 0.2 mg per day is almost the same as taking 1 mg a day. Also, to achieve that steady state, can we take 0.5 mg 3 times a week?

    • @hadichami3921
      @hadichami3921 3 года назад +1

      Any news about that? Have read the same..

  • @sunrising25
    @sunrising25 4 года назад +3

    Hi, I have been following your channel and have got tremendous insight about causes of hair loss and the probable medical and surgical solutions. Both of you explain in a very logical and simple way. Keep up the good work!
    I have 2 questions
    1. I have started taking topical (minoxidil 5% + finasteride 0.1%) and applying daily once in night since past 5 weeks. So if I am already on topical finasteride, do I also need to take the oral tablets? Is the topical dose sufficient?
    2. Second is about PRP and Mesotherapy. Which one is more effective
    Request your answers to the above questions.
    Thanks.

    • @sunillaveti
      @sunillaveti Год назад

      I'm also on topical finasteride, can we start oral finasteride 3mg per week?

    • @farhanrehman9109
      @farhanrehman9109 6 месяцев назад

      Any progress?

  • @Danimal77
    @Danimal77 2 года назад +2

    I have read that not taking it daily will affect your hormones. There will be spikes in the bloodstream of introducing, stopping and then re-introducing the pill into your system every couple of days. Remember, the half life of finasteride in your bloodstream is short, so by taking it every other day, your hormones will go up and down constantly, as opposed to taking it daily, and thus regulating your hormone profile.

  • @shawnbryant4482
    @shawnbryant4482 3 года назад +1

    Dear Docs, thanks a lot for the channel, it's given me a real hope!
    I started Finasteride at the dose you recommend (1 mg X 3 per week), however, I'm having a mild pain in testicles and prostate and also feel like the thinking process is not as clear anymore. I'm thinking of taking a pause to let it clear out and maybe restarting with a lower frequency: 1 mg per week. Is this dosage supposed to give any effect at all?
    Thanks a lot in advance and cheers once again for your efforts!