In regards of sides, long time safety, price, practical usage what are the arguments for each method. Also is it possible to make the topical version at home. I’d highly appreciate objective arguments at with some literature for evidence, but of course own experience with trying out these methods.
Oral is better if you don’t get side effects because it addresses the miniaturization that you can’t see in parts of your scalp where you may have already started balding. The topical only works where you put it and spreading it all over your scalp, doesn’t make sense if the pill can do it a a fraction of the cost without the nuisance of daily applications which are time consuming
When you continue to shed on finasteride, it probably means that the genetic hair loss has increased its rate of loss. Stopping the finasteride will probably cause more rapid loss so I doubt that it is the finasteride that is causing the shedding
Does the permanent loss from TE apply to one who is taking dutasteride? I’d like to believe that it may help in preventing miniaturization to some extent. What do you say doc?
TE never cases permanent hair loss, it is temporary and often goes away in a year or so. It also rarely impacts men.
cost of a hair system is higher than you think. This is what one poster wrote: cost of a hair system is high
The one clinic I’ve found near me has hair systems starting from $900 (!) and it’s assumed i will need 3 of those per year. Then I need a cleaning of the hair system and re-attachment every 3 weeks costing $130 each time.
Annual cost is thus: $2700 for hair system itself + $2300 for re-attachments = $5000!! This is not including all the hair styling products and special kinds of schampoos needed (which is not cheap). What the heck?? Why is it so expensive?
I heard you can buy cheaper from online stores but that it’s basically a gambling not getting different kind of hair or a damaged system etc. Anyone with experience?
Hair Transplant: can massaging the scalp cause transplanted hairs to be lost after 3-4 weeks?
The problem is not with the transplanted grafts as they are secure in their new home but from the native hair that can be fragile after a hair transplant and come out easy particularly the miniaturized hairs.
The general thought is that it keeps working, at the least slowing down the loss. We know that it does that because many men who have stopped it after 10-20 years of use, found that they lost hair after stopping in within a few months.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4064044/
The focus here is on possibly less than 1% of the population taking finasteride.The majority of the people I have prescribed the drug for, tell me it is a miracle drug. Some of the posters on Reddit also comment positively about it and show fantastic results with a full return of their original hair. So there is a Yin and a Yang, the Yin is high satisfaction and Yang is PFS or for some small percentage or sexual side effects that requiring stopping the drug. I try to tell everyone the story both good and bad so of the hour I spend with each new patient in my office, a good 10-15 minutes is presenting the balance between finasteride good and bad in the appropriate new patient. My PATIENTS make the decision to take it and I do not influence them or intimidate them in any way. I try to tell the facts and offer alternatives as well. That is what being a good doctor is. Every medication in the world has had negative effects, even Aspirin has killed people, so you can live a sheltered life and never venture into the world of any drugs, or you can be a smart, educated buyer when you need some medication, whatever it is and take the drug for the benefits it offers, but be sure to understand the down side.
I’m curious, If someone has a low sperm count and low libido, is it safe to take Finasteride with family backround of low fertility? Thanks! I’m too embarrassed to ask my doctor.
You shouldn’t be embarrassed to speak with your doctor. One of my son’s had a low sperm count while on finasteride but he conceived after trying for a few months. I don’t know the answer to your question but you elect to take finasteride then get a sperm count before and one and two months later to find out if there is a connection for you.
The blood levels for finasteride are not important. The fact that this drugs stays in the hair follicles for up to a week or more, is what brings on the benefits of finasteride as a competitive inhibitor, so if you take a half dose twice a day or a single dose once a day of 1mg, the results will be the same.
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