I have done some extensive research on this herbal medication. I am not convinced about this drug until I see more concrete medical data. Finasteride was first discovered in South America in a plant extract by a group of primatives who normally ate large amounts of it in their diet. They had children that were […]
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I’ve answered this question before, but I am glad that you are inquiring if I am being paid by Merck to speak highly of Propecia. For the record, I do not work for Merck, am not on its payroll and have never been paid one dime for any of my opinions or activities in recommending […]
The hair on our head does not allow the pigment of the scalp to fully express itself without some sunlight. That is why the skin under the hair is lighter in color than face skin. This is present in everyone with hair, but clearly more visible when a dark skin person shaves the head than […]
Avodart is a more effective DHT blocker than finasteride (Propecia) and in the hands of those who prescribe it, it does work in situations like you describe. Find a doctor who understands this medication and consider its use.
A few times each month, I will post some random hair-related information, which I’m calling “tidbits”. I spend hours each day writing responses to questions I receive on this blog, so it is a nice change of pace. For example… I am often asked about what happens to testosterone when one takes Propecia. Testosterone levels […]
I have great difficulty with doctors who do not use this drug in men who are losing hair. The main motivation for many of them is to get the most money from their patients by chasing hair loss. This is a question of priorities. Who comes first, the patient or the doctor’s pocket?
Many people with prostate cancer will be treated with finasteride. If your doctor is willing to add this to your treatment, the hair loss may slow, stop, or reverse. If the cancer is not under control, it might contribute to hair loss. Stress is a major cause of hair loss and I can only imagine […]
One of the side effect of Minoxidil can be chest pain, though it is rare. Minoxidil is a hypotensive agent, which means it can drop blood pressure, and with that drop it can potentially cause chest pain. This is the sign/symptom of too much medicine being absorbed into the body in too short a time-frame […]
If you have lost the recently transplanted hair from the FUE, this is normal. The hair that remains may continue to grow. At 5 weeks, I would have expected that all of the crusts would be off. In my practice I get the crusts off in a week or less (often in the first few […]
You situation reflects that there will be progression of hair loss over a period of months/years, probably taking you to your father’s pattern sooner or later (sounds like sooner, rather than later). The variable response to finasteride speaks to the complexity of the factors at play. Included in these factors are variables like the sensitivity […]
You have just determined the absolute identifier for reaching the age where DHT kicks in. The appearance of chest hair is the biggest sign that DHT is now working on you. As you get even older you will see nose and ear hair as well; I should know, I am 63 years old. Propecia (finasteride) […]
Spironolactones have been used for hair loss for decades. Early in my career, I had asked well respected dermatologists about their experience with spironolactones and the results for the treatment of hair loss. The consistent story I got from them was that they were not efficacious and patients who used them, with or without other […]
Proscar is the 5mg version of Finasteride and Propecia is the 1mg version of the same drug. They do cost about the same and both require a doctor’s prescription. Many people buy the 5mg dose and then split it up. That is not very convenient, but there is no medical reason for me to tell […]
The two medications have different mechanisms of action. Rogaine (Minoxidil) gets great results about 15% of the time, but does require twice daily use and has side effects of dryness and flaking. Some people get dizzy from the antihypertensive effects of this drug. Propecia (Finasteride) works in a much higher number of young men, so […]
The scalp does not make testosterone, but it does metabolize it with the enzyme 5alpha-reductase, the same enzyme that Propecia (finasteride) blocks. During the metabolism of testosterone in the scalp, 5alpha-androstane-3beta-17beta-diol appears to be formed and the formation of androstanediol (a steroid byproduct created by the hair apparatus in the metabolic process) has some effect […]
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