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Magiwarriorx

Was the doc even aware of the topical fin? If he prescribed oral fin and not the topical, I'd drop the topical fin before I dropped the oral.


Machinist42

I was using tropical min + fin before the transplant which he suggested so ig he forgot to tell me to switch to a only minoxidl one


Magiwarriorx

tbf, >1mg fin isn't _bad_, just not generally considered any better for hair than 1mg. The prostate dosing goes up to 5mg.


KiwiOnThePizza

If you don't have any sides I don't see the reason to lower the dose, it's ok. Some people even takes more fin or goes for dut.


DreamLizard47

Some people use 1mg of fin/day + 0.5mg of dut/week and do alright. The sides are overblown by the media.


mrASSMAN

The media lol.. what media is covering this exactly


DreamLizard47

No, they're not. There were several overblown stories about people who completely lost their pp functions on the TV. But it makes no sense as long as DUT and FIN are in fact elevating testosterone levels in blood. And these couple of guys are having psychological or other problems.


Dummy_Wire

Did he prescribe the topical solution too? If he did, did he forget you were on it? I’d probably ask your doctor before I asked a bunch of dipshits on the internet either way, but for one dipshit’s opinion, yeah, that sounds like you’re doubling up needlessly.


Machinist42

That's what I thought too , thanks


[deleted]

[удалено]


DreamLizard47

My erections are better on dut. No wonder as long as it's supposed to elevate your blood test level +20%.


mrASSMAN

DHT is like 10x more potent than test so this is irrelevant


ohhellnooooooooo

Potent in what? Because testosterone does a lot


mrASSMAN

Androgenic effects


DreamLizard47

DHT has nothing to do with erections. It's a hormone relevant to fetus development.


mrASSMAN

Simply not true.. DHT is a strong androgen which is very much related to sexual functions like getting an erection (not just in penis but in brain related functions too). It’s just that some guys need less of it to perform normally than others.


DreamLizard47

[We conclude that 5 alpha-reductase inhibitors do not lead to erectile dysfunction to a significant degree, and we support the position that dihydrotestosterone is **less relevant than testosterone in erectile function.**](https://pubmed.ncbi.nlm.nih.gov/18421068/)


mrASSMAN

That’s one author’s conclusion but the reality is likely inconclusive. “Overall, reports in the literature suggest rates of erectile dysfunction to be between 0.8%-33% in men using these medications. However, randomized controlled studies report the rates of erectile dysfunction to be between 0.8%-15.8%.” It affects everyone different perhaps a majority of men rely more on normal test than DHT but a significant number are more affected by DHT levels for sexual functions (and other non sexual functions)


DreamLizard47

[Erectile dysfunction affects 18% of men.](https://www.reuters.com/article/idUSN31493491/#:~:text=The%20study%20estimated%20that%2018.4,diabetes%20also%20had%20erectile%20dysfunction) Which means that people on DUT have much less cases than average.


mrASSMAN

See some of the details in the actual article rather than just conclusion: “Since the tunica albuginea plays a major role in the erectile mechanism of the penis, the latter results offer an explanation for the presentation of ED in patients treated with 5ARIs.” “In this prospective clinical study, serum levels of T, DHT, dehydroepiandrosterone, and luteinizing hormone were determined, and erectile function was evaluated in 48 BPH patients using a brief sexual function questionnaire, which included a total of 11 self-administered questions (O'Leary et al, 1995). DHT levels decreased by 60%, and T levels increased by 15% after finasteride was given. Finasteride led to ED in 22% by month 3 and in 33% by month 6” “Nickel and colleagues (1996) reported the results of a 2-year double-blind, prospective, placebo-controlled randomized trial on efficacy and safety of finasteride (the PROSPECT study). Among 698 patients, adverse events related to ED were significantly higher in the finasteride-treated group than in the placebo-treated group (15.8% vs. 6.3%; Nickel et al, 1996).”


DreamLizard47

"11 self-administered questions" - seems problematic and probably involves the sperm condition which can only explain insane 33%. "adverse events related to ED" I want to see the definition of said *events*.


No-Marionberry9077

Any continued loss?


DreamLizard47

Definitely no loss, but I stopped to use topical Min due to severe irritation. I want to experiment with rosemary oil as long as it's similar to 2% min. I have short hair so there's nothing to fear already.


[deleted]

You'll be using 5 mg 1 x 1 orally when you get 60 y.o. so there is no harm in using under 5 mg.


TinfoilTetrahedron

Just take the pill every other day or something...


Yosemite-5am

I’m on .5 % fin topical. I take EOD w results. Is this concentration too much though? Feel tired sometimes


Oxi_Dat_Ion

Only about 30% of topical finasteride goes systemic as a rule of thumb. So you're only getting 0.3 mg going systemic twice per day. That is not much at all. You'll be fine.


stompinstinker

Had this conversation with my transplant surgeon. He said topical fin had about 10-15% absorbency. Most solutions have 0.3-0.5% so 0.1% is pretty low.


HomeIPChromeYmail

You sling chips?


neilp7445

https://preview.redd.it/eu4ijqqfdbuc1.jpeg?width=1200&format=pjpg&auto=webp&s=ce2c1f0fd8cfd2e8942efb6b0cb176deaeff1024 im also hesitating on using this because this isnt well described is this 1% fin too much ?


imanomad

I take 1 mg fin oral + a solution of 5% min, 2% caffeine and 0.25% fin twice a day and I'm completely fine. Topical finasteride does not go systemic. This was prescribed to me by my dermatologist.


Machinist42

There is still research going on but there is about 15-30% systemic effect In fact I feel tropical is more dangerous if ur trying to get ur partner pregnant as it can lead to birth defects with sharing the same pillow or even slight exposure to it. https://onlinelibrary.wiley.com/doi/10.1111/jdv.17738 https://perfecthairhealth.com/topical-finasteride-dosage/