This graph shows that Dutasteride when compared with finasteride has a great impact on DHT suppression. Here is the article: https://www.hairlosscure2020.com/dutasteride-works-finasteride-fails/
Thank you for posting my comment on your blog this week. I re-read my comment and thought it may have been unclear so I wanted to clarify a point.
Haber’s original data set showed some peculiar results for the finasteride (F) group versus the control (C). It is very widely accepted that finasteride impairs sexual functioning compared to the control but that was not what Haber found in his study due to the research design. I don’t really know how to put it any more nicely unfortunately. According to the ASEX score, (F) had only 24.3% with some sexual dysfunction versus 38.4% for (C). Libido was similar between groups with (F) showing 22.8% with libido loss and (C) at 22.2%. Reduced sexual functioning was much lower for (F) at 17.8% versus 24.2% for (C).
Keep in mind there is a small amount of missing data in the fin group but it shouldn’t matter that much. Because of the way they excluded patients who stopped taking the drug, likely due to side effects, the data appears to show that on average finasteride improves sexual functioning but that isn’t true because the data isn’t properly randomized. Everybody basically knows that finasteride causes sexual side effects and the data is growing ever stronger that a small group gets persistent side effects. When their data showed the opposite effect and they didn’t stop to question why, they decided to completely ignore the data and conclude “there was no difference in loss of libido, reduced sexual performance, or the number of men with an ASEX score indicating sexual dysfunction.” I’m really not sure how this article got published but the authors appeared to have willfully distorted the data and study design to meet their presumed conclusion.
https://baldingblog.com/reddit-reader-comments-on-a-baldingblog-post/
My experience parallels Dr. Haber’s experience as well as another few dozen doctors with lots of experience. From a first hand perspective, I take it and don’t have ED or libido issue and my son took it and got an increased sexual drive. My patient’s parallel the official reports with about 2-4% ED and libido issues, possibly slightly higher. I have written thousands of prescriptions for finasteride and that makes me more of an authority than those who look in from the sidelines.
Daily use is unusual for microneedling (dermarolling) but this is what he looks like. The results are impressive
What is interesting in this man with 4 months growth from finasteride and minoxidil is the length of these new hairs (about 1 inch is about right) for good early growth
I would like to believe that this Class 5A patient achieved a complete reversal of his hair loss on finasteride and minoxidil use over a 5 month course; but I can’t believe it because the hair growth to long hair alone can account for the change in this picture. This man, if he wants to be fair, needs to show comparable hair cuts and comparable views.
You have Triangular alopecia and a Norwood Class 4A pattern of balding. Triangular alopecia often impacts both sides of the temple hair and it is an inherited condition just as the Norwood Class 4A pattern that you have
I wrote about it here: https://newhair.com/wp-content/uploads/2018/11/phenotype-article-published.pdf If you read the chart on page 318, the widow’s peak (6%) can start in boys ages from 5-10 and 36% in boys 10-15. That means that loss of the juvenile hairline can start early in life, as early as 5 years of age.
This is a 20 year old male who got a partial return of his corner hairline with finasteride and Minoxidil. Because he was 20, the hair loss is recent and more easily reversed.
So about 3 Years ago I got a FUE hair transplant I was 24 with a NW7. I had 2000 Grafts done in the front of my head. Planned on getting another 2000 towards the back of my head. I didn’t like how the first one turned out, so i didn’t do that. It didn’t turn out terrible but I have what looks to be called “Cobble stoning” on my head. Some small indents. They told me that FUE leaves for minimal scaring and hard to see. I feel like they weren’t truthful with the results that a NW7 could get with a hair transplant. When I told them that i like to keep my hair pretty short they didn’t even mention SMP. So me Being desperate and depressed I went with the procedure because i trusted them because they have a 5 star rating. I recently got SMP done to help cover up the FUE scars. I went to see the surgeon that did my FUE a week ago and he said the scars will go away. Should I ask to talk to someone and ask for a refund or I will give them a bad rating? Or what would you all do if in my shoes? Thanks for the help.
Unhappiness after a hair transplant is related to (1) bad outcome, (2) inappropriate expectations between doctor and patient, (3) very fine hair which tends to produce a thinner look, (4) poor planning of the surgery with too few grafts to meet the need of the balding area. If your doctor tried to SELL you the surgery and misrepresented, then what follows may not apply. There is no excuse of cobblestonning of the skin or significant scarring without proper informed consent, which only you know if you got.
I have been doing hair transplants for 30 years. I can’t say that I never had an unhappy patient because I can’t always get into the head of my patients no matter how hard I try, and I do try hard because I spend a lot of time with my patients. If I get an unhappy patient (very rare), then I meet with them to find out what I can do to make them happy. I want to achieve 100% happiness, but I can’t always do it. I am very flexible in getting my patient to meet their goals and I always encourage the patient to return to meet with me, not in a confrontation but as a good extension of the doctor/patient relationship. So my recommendation to you is to give the doctor the opportunity to make it right.
How do I tell miniaturized hairs under microscope?
Here is a photo of DUPA and you can easily see the thin miniaturized hairs that seem to dominate the field of view because it is a case of DUPA: https://baldingblog.com/do-i-have-dupa-photo/
Great results from minoxidil, microneedling and finasteride for just 3 months. No disrespect here, but is some of what value we see the result of longer hair and styling or is it all new growth that makes the difference?
Do you think is it safe to take finasteride 3mg a week or every other day in regards to hormonal fluctuations? Because taking it every other day would mean the days you don’t take it , your dht would rise. So essentially the dht levels are constantly going up and down.
The reality is that it is the tissue level that controls the blockage of DHT which is found in the hair follicle at least 6 days after you take the pill so the every other day dose is not a problem (about 80% as effective)
So many men want to see benefits if they take finasteride and show it off, but they are not photographers and differences in views (position) and lighting make it impossible to see what they think they are seeing
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388756/
The article concludes: Dutasteride seems to provide a better efficacy compared with finasteride in treating AGA. The two drugs appear to show similar rates of adverse reactions, especially in sexual dysfunction.