Finasteride Phobia and testosterone levels (In ENGLISH)
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- čas přidán 6. 09. 2024
- Does Finasteride phobia due to side effects of this drug trouble you and you unnecessarily get frequent testosterone tests done even when not mandatory.
To skip from one question to another in an easy manner click on the timeline here-
4:30 Do you think High Testosterone causes baldness ?
4:46 Do you feel Finasteride decreases Testosterone levels?
5:27 Does use of Finasteride decrease muscle mass?
6:24 Does use of Finasteride have steroidal effects?
6:50 Do you think Finasteride can cause permanent sexual side effects?
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#finasterideside #propecia #dutasteride #sideeffects
This is by far the best video I have ever seen on CZcams pertaining to androgenic alopecia and the reasons and science behind it, I am supremely satisfied doc, please continue to make more videos to help us know more!
Thank you for your words of encouragement.
@@hairtransplantinindia @Darling Buds Clinic sir as you have explained in ur diagram that when testosterone levels increases by 15% and goes to brain/bone zone and increases Esterdio levels. I have taking finasteride 1mg/day for the past 10 months.
So what tests shall I go through so that If I am not getting any side effects/increase/decrease in anything which can be harmful? So that I can be free from.mental tension like of increased esterdio levels, effects on breast or any other thing. I just want to check If I am doing good without any major issues in my body as i m on Finasteride. Please name all the tests and I will get them done & show you the reports. Please help thanks.
Age: 30
Weight around 75kg
Thanks you for the kind words. Appreciated!
@@superbsuyash1466 You are doing fine. If you do not have a problem all is well. No need to check levels. Levels after starting Finasteride will not correlate with actual situation.
@@hairtransplantinindia Dr what is ur opinion on possibilty of existing pubertal gyno worsening when we take finasteride..are the risks higher?
I think with regards to testosterone, whilst being on finasteride, is that TOTAL testosterone will increase but FREE testosterone will decrease. The reason for why total testosterone increases was perfectly explained in this video, but the decrease in free testosterone is because the lack of DHT means that more testosterone will bind to SHBG, hence reducing the levels of free testosterone.
Thanks for your comment.
@@hairtransplantinindia Is there a way to raise Free testosterone?
@@hairtransplantinindia So if the above comment is correct. Finasteride will lower Free Testosterone and since we have less free testosterone it should decrease muscle mass or maybe decrease muscle building? Can you shed some light on muscle mass and finastride?
This is best and most informative video on the topic. He has good command on the subject.
I must has seen 100s of video but all my questions are answered here.
This should be top recommended on the topic.
Keep up the good work 👏
Today you have cleared my all myth and doubt about finasteride very well Sir...
Thanks for sharing such informative videos with us.
Thanks for watching, Sir.
Are u using still??
Finally the only great explanation that is technically enough to make an informed decision to use Fin. Thank you Doctor! 💥💥💥💥
Thanks for watching and also for the gracious appreciation.
Dont use finasteroide
Excellent information, most of the male patients using finasteride have such doubts and all these have been explained in depth. This video answers all such doubts. Thanks sir 👍
Thanks Sir.
I am a 53 year old man who has suffered from anxiety and depression ever since puberty. Got off my antidepressant 2 years prior to taking finasteride. That was a big mistake. Went through hell emotionally, and ended up stopping the drug. Thus losing a good amount of hair. I am back on finasteride and prozac, and seem to be doing well. Guys, it is possible to take the drug if you have emotional issues. You really have to monitor your mood, and continue taking your med/medications. Great video by the Dr. as always by the way. Working out also really helps, and also watching your diet and alcohol intake.
Thanks for sharing your valuable experience.
DHT is there for a reason. It’s not just some troublesome hormone. Reduce it then, it just results in chemical castration with finasteride.
One the best propecia videos I have ever seen on CZcams . Thank you for providing this essential and wise information for people who is concerned about potential hormone sides .
Thank you for being on the channel and for commenting. Much appreciated.
@@hairtransplantinindia it's not just a phobia it did effect me when I used it both topically and orally. My libido was completely gone and I tried it for months going off and on trying to see if it can work for me as I really wanted to try it. Had to get a hair transplant and even Dr told me to use it after hair transplant and I told him the side effects I was having. He told me use minoxidol topically only
Another useful video explaining clearly about finasteride and also the myth surrounding its side effects, crystal clear explanation sir, thanks a ton
Thanks for watching.
most scientific video i have seen about the topic. thank you for the video doc 🙏🏼
Glad you enjoyed it!
Undoubtedly, The best video i have seen on Finasteride.
Thank you for the kind words and for watching my video.
Thank you Dr for taking the time to reply to each comment
It's my pleasure
No matter what you day doc...I personally know many people now who had got the side-effects of this drug and are still not able to fully recover even after quiting it
If counseling is not done properly and the 40% incidence of ED in age group 25-35 (same age as hair loss) is not kept in mind and wantom prescription of Finasteride happens, high cases of ED have been noted. They are irreversible not because Finasteride is such a bad drug, but because it has meerly unmasked existing hypogonadism/ED.
@@hairtransplantinindia does this mean that the people in the age of 25 to 35 should stay away from it and how can one know if the Ed happened is because of finax or it was preexisting . One would certainly blame finax only if they notice sudden changes after taking it.
@@abhinavtiwari4238 If your total testosterone level was normal and you do not suffer from hypogonadism and do not have major psychological psychosomatic issues, yes you can blame Finasteride for it. I never have had such a thing with my patients since i do a detailed assessment.
@@hairtransplantinindia Thank you doc . But what if someone doesn't want to take it at all then what is your protocol to handle such patients particularly grade 5 or above patients who is left with minimal preexisting hairs to preserve
@@abhinavtiwari4238 In such a case if baldness is not stable better embrace your baldness. If stable, you can give hair transplant a chance.
I’m glad I finally started finasteride a few weeks ago I wish I started it years ago but I got scared off by misinformation. I read the pamphlet and the vast majority of study participants had no adverse effects and almost all had significantly more hair than placebo. It also actually increased my testosterone level, not decreased it.
Thanks for sharing your experience with the community here. When it comes from an unbiased source it becomes very valuable.
Hi brother, may i know how it is going? I'm thinking of starting the dosing of finasteride.
@@hairtransplantinindia I guess I was the unlucky ones who had very bad side effects. Happy new year doc
Most of the people who suffer severe Fin side effects are hypochondriacs, they are people who obsess on every little thing. With erectile dysfunction; they will take Fin - they then go to have sexual experience, think back to the Fin post they read on a forum; they panic, and that causes their erection to go down. They then blame Fin, and stop Fin - but now they have these thoughts in their mind and they still have ED - so they think "I have post-Fin syndrome" when it is all in their mind.
One guy who was complaining of severe Fin sides such as ED, later admitted the first time he ever took Fin literally 2 minutes later, he started having bad brain fog and heart palpatations. That's when we realized it was all in his head, as the Fin wouldn't even be absorbed after just 2 minutes. It was his mind panicking - he'd be the same if he took a sugar pill.
I fully agree with you. This has been my experience as well. With so many people petrified of Finasteride, I am planning a host of videos only on Finasteride si I can help them get over this myth.
@@hairtransplantinindia Yes! Please do this, it will sincerely help myself as well as others. The concern I have is not that Finasteride can cause side effects (since all drugs cause side effects) but that an FDA approved drug could cause permanent side effects. That is what I want debunked.
@@joshuat357 Sure.
I still am hesitant to continue as my personal anecdotal experiences of side effects cannot be sidelined for contradicting empirical evidence.
That is completely your choice. However, you have been informed about the drawbacks and it is now an informed choice!
I love your video's. They're so educational!
Thanks for watching. I loveseeing your comments.
love your work. very generous Dr
Thank you kindly!
Thank you for the very extensive explanation. It answered what I was thinking
Glad it was helpful!
There are Two type of DHT
1) Scalp DHT
2) Serum DHT
Finesteride just block Serum DHT .
Which medicine will help to block Scalp DHT ?
Q2 .
Does microdosing like 0.2 mg or o.5mg of oral finesteride for long period of time is affective ?? And who is the best candidate for it ??
Q3 .
Please let us know how to stop the minioxidil and finesteride without affecting their results ??
hanks. All your queries have been covered in my Finasteride videos- it is a huge topic you have touched upon (a Pandora's Box) -
czcams.com/play/PL369T6qyYsuHhqymaMLTT6OMyUS_5pJv4.html
Once again great informative video....love to see more videos in upcoming years
Thanks
Excellent breakdown and analysis
Glad you liked it! Thanks for watching.
Very good explanation, thank you 👍
Thank you for watching my video
God bless you my dear bearded doctor friend
Thank you kindly
I 100% had sexual side effects from finasteride. I had complete shut off of Libido, loss of morning erections and about a 70% loss of erections. I had hormone testing and my testosterone was extremely low. So were my LHT and FHT levels. I am 5'9 and weigh 130 lbs so I am by no means over weight. I stopped talking finasteride and started taking an estrogen blocker(clomid) for 3 months and only then did some of my libido and ability to have an erection come back. I am slightly concerned that the effects maybe permanent. I am not an anxious person nor am I a hypochondriac. There is something going on here that you may not be aware of.
You were improperly assessed before initiating Finasteride. You were not fit for starting this DHT blocker.
@@hairtransplantinindia and how would you adequately screen for finasteride use? You can’t. It should be taken of the market.
@@consciousreverie4696 Several videos dedicated to Finasteride counseling, selection and side effects. Also strategies to use minimal dosage to nullify likely side effects. The trouble is most people do not get counseling by experts before starting Finasteride.
@@consciousreverie4696 The truth is most people tolerate this drug very well. Those who do not should not touch it.
Thank you for a useful and clear explanation. I've been taking Finasteride for 12 years and although I think it has helped me retain most of my hair, I do still have worries that it may be causing side effects or damage to my body - I'm particularly concerned that as you explained, Finasteride increases Estragon/Estadiol levels, and this can lead to unwanted side effects like Gynecomastia. Is Gynecamastia common with Finasteride?
If it has not till now, and you are unaware of it, it is suiting you well. So do not worry. Trump has been taking it for 25 years and there is not a male in this world more virile than him. Or is there!
@@hairtransplantinindia funny about trumh 😂
DIM and Calcium D-Glucarate can lower the excess E2 hormones from Finasteride while increasing the "good estrogen" Estriol, also cutting out Xenoestrogens from products can help keep Estradiol lower.
Thanks for your comment. Also please mention the reference.
Hi Doctor, great video filled with valuable information! Question, what are considered normal levels of testosterone & estrogen in males as a good candidate for finasteride use? What levels of testosterone considers too low and levels of estrogen too high to realize one is not an ideal candidate for use of finasteride? Thanks for any insight you have on this!🙏🏼
Thanks for watching. This video has so much more information about what you ask- czcams.com/video/xmj7uEWAvDc/video.html
Well done video I appreciated you I just done my hair transplant DHI method still waiting to see the result and I've been taking finasteride 1mg
Best of luck!
@@hairtransplantinindia thankyou
as a paediatrician myself , I appreciate your dedication to your craft . One question i would like to ask to you ( I have even asked my senior consultant dermatologists) is that how far will dutasteride affect other dht depend follicles like beard hair? I have seen randomized albeit minor studies wherein the it has stated that it does affect minimally .
90% DHT is blocked by Dutasteridebut by Finasteride- 70%.
The latter does not affect beard growth therefore. However with Dutasteride I cannot say since it's been in vogue only past 5 years. We know so much about Finasteride since it is in use for 40 years. But since it does not bock all of DHT, the effect should be negligible.
Thanks you for the words of encouragement, Doctor!
Thank you very much for this video doc, it is really nice that someone debunks finasterid myths on the scientific basis.
I have one question that really interests me about this topic. Namely, does adding arimidex to finasterid has “steriodical effect” on healthy male person? If yes, does in that case arimidex must be taken also on daily basis? (I am aware that is not responsible to advise use of arimidex for such purpose, at least not under endocrinologist supervision, but i would like to hear Your opinion just for orientation).
It is not a good thing to play with the hormonal milieu in your body by taking Finasteride and Arimidix. Te later has plenty of side effects on it's own. I do not use this drug for my patients.I would much rather ask him to stop Finasteride or alter his lifestyle.
An extremely informative vide - It has explained my 'side sffects' to a tee!
Thanks for watching. Did you watch this one about Finasteride- czcams.com/video/cPWmhkYEiUw/video.html
Finasteride is not for people whose Testosterone levels are in the lower range. Because their libido is highly dependent on their DHT level. When you are young in 20s then Finasteride is fine
Thank you doctor for a VERY well explained video. Many of my lingering questions were answered. I'm not a novice on these topics at this point in my life but your diagram helped reinforce my understanding and helped me eliminate some confusion I've had with other conflicting videos and discussions I've had with others. So as I understand it, although Dutasteride increases scalp testosterone to something like %100, scalp testosterone really doesn't have much of an effect on hair loss since it's really about the binding affinity of DHT (which is 5x more influential on hair loss from what I understand) to the follicle? Even though testosterone is an androgen as well?
Yes you are right. And thank you for taking time out to watch my video.
Testosterone is very at binding with SHBG as well. Testosterone also affects hair, but instead of going totally bald, you'll grow very thinner hair in 50's because testosterone also affects hair on scalp but it is order of magnitudes less than the havoc DHT causes on your scalp from increasing scalp tightness to hairloss.
@@Tate525 Thanks for sharing
Sir benifits of prp pe bhi video bnaooo
Surely I will make one soon since have plenty of time during this Covid Lockdown.
Unfortunately there is still a very negative effect from finasteride: and it is decrease of DHEA hormone.
I've been using finasteride for two years and started to look much older. Because use of finasteride decreases production of your facial sebaceous glands. Because not only your dht goes low, but also your dhae go low.
You will suddenly feel the difference in the morning when you wake up your facial skin will be very dry. Every single day. And now I have black circles and my eyes.
As 1 doctor told me you will feel that you got old when your face in the morning wouldn't be oily anymore.
There are many finasteride forums were young guys over 20 years says that they are so happy that after starting taking finasteride their acne has gone.
Unfortunately, they have no idea what new problem they gonna face. 😔
More a side effect of being on these forums I think. But I do respect your point of view as well.
@@hairtransplantinindia is that all you can answer on my comment? 🤦♂️
dr how can i consult u online becasue due to social distancing unable to come to ur clinic thanks alot sir
Please share pictures on drbhatti@darlingbuds.com
Thanks for all the infos Doc.
Could you explain a bit more about the perfect ratio of testosteron to estrogen?
Thanks a lot
The normal T:E2 testosterone (T)/estradiol (E2) ratio is 1.7 ± 0.12
Hello@@hairtransplantinindia my level of T is 2,71 ng/ml and E2 is 0,021 ng/ml, is it correct ratio ?
@@rafasowicki7565 The total testosterone level is low.Please see an andrologist/endocrinologist
Thank you one more time for an excellent video! So what range of testostrone to estrogen levels that are good or bad omen for finasteride sexual side effects? How about PSA (prostate specific antigens) levels, i heared they are important to monitor and how can you interpret the base level PSA before treatment?
PSA levels are an indicator of prostate function and a marker to screen prostatic tumors. This is affected when we take DHT blockers and hence the need to take these levels before starting on Finasteride. I do not start a patient on Finasteride unless his total testosterone level is more than 300 ng/dL. Below 500 level no more than 0.5 mg a day should be given. Testosterone levels are used in my practice to screen patients who will most likely have side effects with Finasteride.
Thanks for the video sir. Just want to know Finastride pill with tropical solution or. Finastride pill with minoxdyl. Which one is good.
The latter.
Amazing is all I going to say 👏👏👏
Thanks
Thank you for showing us the physiology of testosterone metabolism. There are some physicians discussing the benefit of lower finasteride dosage such as 1mg 3x per week, with the benefit of having enough DHT blocking at the follicle, but less side effect. I have yet to find any research to support this strategy as the original study was only done at 1mg 7x per week. Have you found any research that would point to this Lower dose of finasteride as a potential therapeutic option?
I have tried it. It works in those whose balding is stabilising. Not in a young man with strong family history and who is thinning at a young age.
Excellent video doctor, I’m curious to know your stance on topical finasteride + minoxidil (0.1% finasteride and 5% minoxidil)
Topical Finasteride does not reach the root of the problem.
@@hairtransplantinindia why? Can you explain it ?
@@rafasowicki7565 I have explained this in the video titled Dutasteride in detail.
Great talk doctor, thanks for your time. Do you recommend antiestrogenic meds while I’m using finasteride.
No I do not.
But a 15% increase in testosterone levels sounds like A LOT.. what if one does not take the full dosage and instead do 0.5 mg three times a week - will it be significantly lower then?
The benefit will be lower as well.
Thank you sir thats really valuable. Does any ocd people take finasteride and successful with that.
Yes provided counseled properly.
sir what if i dont have prostate enlargement or i take finestride 1mg does it gonna shrink my healthy or normal prostate ? or do finesteride cause genitals shrinkage ?? because some people claim it shrink their penis ?
It does not cause shrinkage. People who say this are uneducated about Finasteride and believe hearsay. A doctor will not advise it without telling side effects.
Which hormone is responsible for libido in men? Free T? Estrogen? Or dht?
The topic of libido is very complicated and a whole different field altogether. Free testosterone is mostly repsonsible for libido but a lot of men with normal testosterone levels have low libido. Both male and female hormones are implicated for libido across gender lines.
hello doc...a great video!! 🔥🔥
but what do you think about natural DHT blocker?? and can you make video about it
thank's doc 💪
Thanks!
Watch this: czcams.com/video/2ueR_IhE3H0/video.html
which one do you think is the best saw palmeto or finasteride??? For dht blocker
@@sundaysans Saw Palmetto cannot be compared to Oral Finasteride. Saw Palmetto is nowhere near the efficacy of Finasteride.
Doctor , good content. Doctor you said it will increase the level of 15% testosterone by using finsteride that will be added to the third category which will increase estradiol , that is a female sex hormone which will give an impact to bone and brain in male. Which will impact in slight reduce in muscle and all( this is what I understood from your video). But what I didn't understand is muscle comes in other category of testosterone, until or unless finestride touches the testosterone that stimulates liver , muscle and fatcells. How the muscle is impacted? If the 15% increase in estradiol, what will be the impact in bone and brain?
Testosterone has no impact on muscle mass. It is a Myth that it does. This is reinforced when patients on Finasteride develop puffy breasts (gynecomastia, man boobs). People will then take more of the unnatural proteins for muscle mass building like Whey protein which in turn will cause more thinning and the cycle goes on and on...!
Estrogen is good for bones. I do not think increased Estrogen due to DHT blockers has any noticeable good effect on the brain. Even if it does, due to some reason patients occasionally complain of mood changes and foggy thought process. Patients only report side effects, and seldom do to come and tell how good the drug is!
This is purely by observation.
@@hairtransplantinindia thanks doctor for your reply and now I am clear about it 😊
Sir..It was a great informative one..following since long now..Would like to have your consultation..
Thanks. You can send pictures on mail drbhatti@darlingbuds.com
Hello Doctor...Its very very Informative and extremely helpful. The point is "Ratio of Testosterone vs Estrogen"...Wow ....Doctor if i take finasteride and testosterone boosting foods simultaneously, will it be helpful..Please guide me
Thanks
Finasteride does not lower your testosterone.
Dear Dr. Bhatti, thank you for your videos. I am looking to get appropriate tests done before taking Finastride. After i get my results, i wish to book a consultation with you. Can you please let me know the specific biomarkers that I should get tested before taking Fenastride. Thank you.
Hi, only total testosterone is needed besides your BMI
Can I stop finasteroid?
I m using 1 mg daily from last 8 years.
Also I m using minoxidil from last 10 years
Is the baldness stable?
Brilliant Dr.. Understood. How would one lower e2 levels while on finasteride?
Medically only. In the video the name of drug is mentioned
Thanks Dr. I ddnt even know that one can use and 5AR and AI together
Hi Sir , Good day!
Curious to know where is your clinic located and do you have clinic in chennai?
We are a standalone clinic in Chandigarh since I do most of the procedure myself.
You said. Estradiol levels increase , what are the effects of increased estradiol???
Effects of feminisation.
Sir you mentioned excess testosterone get converted to estrogen by aromatization so when body builders take anabolic steroid there testosterone gets high massively why don’t they get fat or gynocomestia or loss muscle mass as they have testosterone in excess through aromatization ?
Their testosterone that is excessive also converts to estrogen but their body can handle this estrogen. Not the case with someone who is overweight, sedentary, has genetic propensity to developing gynecomastia and has low testosterone to start with.
I have been taking Dutastaride for one year now along with Minoxidil. My hair looks great and everyone notices it. But It has effected my libido a bit so my dermatologist said to take the .5 mg every other day - not everyday. My libido is better. I have even started taking the dutastaride every third day and my hair still looks great. My question pertains to lifting weights and dutastaride. I am 66 years old. I do intermittent fasting, eat very healthy, have lost 16 kilos in 4 months BUT it seems despite my intensive upper body workouts my muscle don’t seem to be growing. I mean I look great, but I feel skinny though I am eating eggs, fish, beef etc. Question: Is the dutasteride blocking my muscle growth. Thank you ahead of time for your answer. Blessings.
Thanks for the question. However for personalised consultations/assessments you need to whatsapp us at +91 8872238888
Doc do you think 15% bodyfat is too much? Should I lean out?
Yes you need to reduce it to 5-7 % though ideal is 2-4 %
@@hairtransplantinindia humour ?
I read a lot about finasteride and you are a knowledgeable doctor.
If you need a estrogen receptor, then I do think that Aromasin is better then Arimidex, since it is very easy to crash with Arimidex, just someting you should take into consideration.
I do have a question, if the paitent is obese, can the rise in estrogen from finisteride long term not cause low testosterone from the negative feedback on the hypothalamus?
Thank you for watching.
I have not tried Aromasin. Will discuss it with the local pharmacology professor. Yes you are correct about the negative feedback mechanism in obese patients. Obese individuals rarely tolerate Finasteride. I am quite hesitant in starting them on Finasteride.
how i can made topical Dutasteride in home ?????
please
I discussed this here: czcams.com/video/1JpK-fYPnkM/video.html
@@hairtransplantinindia
thanks doctor
Nice beard! It suits you :)
Now, I am just confused about the negative feedback loop that would increase the feminine hormones. Is it not still counter-productive and causing unwanted effects such as gynecomastia? Thanks!
Thanks.
Effects of increased estradiol don't happen in all. I would say if you are slim and mesimorphic in build, you are fine.
I have a question sir... if a body has high tests level due to 5a inhibitors. Then possible it can be converted to estrogen which can further lead to gynaecomestia. How to prevent this? Sir
Yes true but its not usual.
Hello Doctor, I have heard that men with excessive body hair growth like thick back hair/shoulder hair chest hair etc have a much lower chance of side effects and a better response to finasteride treatment compared to men with very little body hair in your clinical experience is this true? have you noticed this observation in your patients? this observation was mentioned in a Japanese pilot study comparing efficacy of finasteride thank you
Ofcourse since men with more hair usually do not have low testosterone which is the cause of ED. Finasteride just tips the balance in these cases. We do not get total testosterone levels done and hence these are missed.
Hello Sir,
Does 5 alpha reductase enzyme Inhabition by finasteride is irreversible and permanent even after stopping?
Does our body generate new 5 alpha reductase enzyme?
Thank you sir
This is an ongoing process. When you stop the medication, the inhibition too will stop.
Hi doc, we had a consultation a few weeks back and something I’m still unsure of :
1- for those who wish to use TRT let’s assume 250mg per week of test- is finasteride effective ?
2- what dosage you recommend to keep hair loss at bay ? ( I’m on 1mg every other day )
3- does finas negatively affect that 250mg potency ?
Thanks
Finasteride does not negatively impact since it does not block all your DHT. I recommend the dosage you are on. But dosage of TRT/Finasteride has to be tailored specific to your situation.
Sir do u have the option of online consultation?. I am suffering from diffuse androgenetic alopecia.
9814531111 please send a message on whatsapp.
What time of the day do you recommend testosterone and estrogen levels? I heard AM for test, but what about estro? And the ratio you mention, does it mean the ratio of them at the identical time?
Early morning is best time for these hormones
Hello Sir.
Sir, as it mentioned that testosterone needs tobe converted into estrogen in the brain.
Sir, does testosterone also convert into dht in the brain? Does dht has any function in the brain?
Thank you sir.
Yes DHT has a function for the brain. Search my video Brain Fog with Finasteride
Would taking something that blocks aromatase conversion/testosterone to estrogen be helpful to stave off the estrogen spike, that is more likely to cause side effects than lowered DHT?
Why not use topical finesteride to control skin DHT rather than using Oral one?
Because the deivery agent to take topical Dutasteride directly to the follicle without entering the blood stream has not yet been invented. However Polichem has come out with a version that holds promise.
Yes the total Testosteron increase but what with the free Testosteron which is more important ?
Total testosterone is done to rule out pe existing hypogonadism. Other than this testing androgens has no role whatsaoever.
Btw dr are 1,50 a week also enough since I get side effects if a take more
Does finastride affect liver
Not if it is normal.
@@hairtransplantinindia can a jaundice patient take finastride
What kind of testosterone blood test is required ? Bio available or total ?
Total
what hormones testing and other lad tests need to be done before taking finasteride?
Free Testosterone and estradiol levels as baseline
Dr no me afecta tener relaciones sexuales muy seguidas tomando finasteride no me bajara la libido ni me causara dolor testicular gracias espero su respuesta Doctor
Can we dis continue finesteride to when looking side effects and is it true that if we dis-continue the medicine then side effects will gone forever???
Yes this is true if side effects are not due to hypogonadism or high level of pre exiting estradiol. You need to get a proper assessment before starting Oral Finasteride.
@@hairtransplantinindia thanks for the guidence 🙏🙏
Sir how can i contact you i need to discuss so much queries about my situation..if possible please guide me to the safe direction 🙏🙏
@@VishalYadav-vf9nb 8872238888
Love your videos!
I have a question about this:
Can an aromatase inhibitor help relielve the side effects of Finasterid in some cases? Thx
Yesand then it is fine- but effectivity of microdosing is side effects that develop due to excess estradiol will get alleviated. But taking an AI is a huge issue by itself. But people take microdoses though their effectivity is questionable. But it is your calling and that of your doctor.
@@hairtransplantinindia thank you doctor for your knowledge. Could you explain why taking an AI has huge issues? I would like to take Fin and I’m currently on trt and taking an AI. Thanks so much.
@@user-ql3xw4qx8v No issues if taken under medical supervision.
In my own experience, taking AI cause alot of issues. From pain in joints, overall feeling gloomy and lethargy. From what i have read, we tend to look at estradiol as something negative but this hormone plays alot of important roles in our bodies, including mood, energy, bone density etc. Shutting it off leads to more problems than benefits, but of course , this is all very dependant on each individual and any kind of drug use of this kind should be medically supervised.
Hello Doctor, I have a question, please answer me. I am thinking about starting Finasteride 1mg a day. I am a high level karate player, and I am afraid if Finasteride will affect sports performance. You said it doesn-t affect muscle mass, but does it affect muscle explosion? I have red some things about it, and thus I am concerned. I already use minoxidil and had great results and no side effects. I am a lean individual with 6% body fat and I weight 72.5 kg and my height is 167cm. Thank you for your attention.
Please do not worry. It will not affect extreme strenuous training. Many of my patients taking this medication are athletes, body builders and adventure enthusiasts. Your body composition is ideal for Finasteride.
@@hairtransplantinindia thank you for your answer Doctor, greetings from Portugal!
Thanks for a great video. I am 50 and I think I'm at my cognitive peak. I am considering finasteride. I'm a runner and I do heavy strength training. I am concerned with this claim - that ' the prevention of the synthesis of neurosteroids like allopregnanolone is caused by inhibiting 5 alpha reductase. ' In other words 5a reductase does more than just reduce DHT levels. So it could be that the disputes about whether testosterone or dht affects libido (or particular parts of mood) the most are complicated by the fact of 5a reductase levels affecting other neurotransmitters that affect mood. It's possible that dht or affected neurotransmitters affect the cns and focus in sports. Any thoughts? (the, reason I mention my cognitive peak is that with physical decline inevitable and mental decline following behind later hopefully, it's going to be difficult to know what might be going on).
Yes the hormone DHT is essential for cognitive well being and general health of synaptic pathways of the brain. However we are not blocking all of the DHT. Very few people report this problem but as in erectile dysfunction Finasteride tips the balance unmasking the effect in those who are vulnerable. This does not happen in the vast majority though. If this were to happen you can stop the drug.
Sir please suggest the blood test before starting finastride. I am from Pakistan
Pleas get these done-
1) Total Testosterone
2) Free Testosterone
3) Estrogen
4) DHT
5) Free Androgen Index
Tell me how to treat stage 2 of AGA, my hairline is just slightly rececde from temple and i am just 22 and i am too much concerned so tell me how to diagnose it? Give me the best regime
Thanks for the Qs.
The hair along the hairline will not grow back. However if you send me pictures at drbhattI@darlingbuds.com I can give you a better appreciation.
Hair transplant, as you may know, is not done before 24 years age in NW 2 Scale patients.
I mailed pics to you sir
Hello doctor, What is the appropriate ratio of testosterone and estrogen to start on finasteride?
Testosterone: estrogen levels are not indicative of whether to start or not start Finasteride. It is more to rule out existing hypogonadism.
Doctor pls pls pls make a video on finastride and it's complete relation or side effects with prostate
It has been covered in this video please- czcams.com/video/xmj7uEWAvDc/video.html
@@hairtransplantinindia thanks sir
Also keep posting more videos doc they are highly informational
Does Finasteride decrease free testosterone. I see few asked this but were not answered. Thanks.
Not answered since level of hormones does not matter. Other than the fact that increased testotsterone gets converted to estradiol. Measure that.
Why not to obsessive compulsive people ? I have OCD I took fin and experienced side effects
More common in this category
Sir, can you please let me know what should be the estrogen vs testosterone ratio or vice versa.
The normal testosterone (T)/estradiol (E2) ratio is 1.7 ± 0.12
@@hairtransplantinindia Thank you for your reply sir.
Hello Doctor.... I'm 21 years and currently on Norwood 2 and it is progressing rapidly what should I do....And how can I contact you?....
You can send me pictures at 8872238888
What benefits does DHT have for adults?
Libido, cognition, maintenance of prostate & seminal vesicles.
@@hairtransplantinindia So, Finasteride affect all these?
@@govindaramana.n.586 It may in some.
Hi Doctor - Thanks for the great info. Will Finastride help in hair fall control that can happen due to consuming whey protein and going to gym?
This is individual. You will need to try and see for yourself.
I really don't understand how DHT that was present in my body right from my teenage years was just lying dormant in my body without thinning my hair till I reached 25 and moved to a different city. I see this effect on most of my friends. The ones who moved to a different city for work, have been diagnosed with miniaturization, MPB and started experiencing thinning after crossing 24 or 25.
Can you explain this? I assume Testosterone (& DHT) peaks during our teenage years and early twenties and yet I and most people I know did not lose any hair during this stage.
DHT alone does not cause balding!
DHT is present in everyone in equal measure after we reach puberty. But it causes androgenetic alopecia only in select few. These are the people who have the androgenetic alopecia (baldness) gene. When the gene will express itself is also encoded in it. In some it can happen as early as 17 years of age, while in others only after 50.
@@hairtransplantinindia ok, then the trick is to regulate all the factors in our control that expresses this gene during adulthood. Here is a Ted talk from a scientist where she talks about reverting and delaying gene expression: czcams.com/video/JTBg6hqeuTg/video.html
Aging is not in our control but our lifestyle is. Knowing this it's trivial to assume giving finasteride for this problem is such a duct-tape solution. It's like using kerosene as a coolant for an overheated engine. It is bound to wreck the whole car.
Hi thank you for your informative videos they are the best on the web, I have my testicular tubes tied would taking finasteride increases any negative prostate , libido side affects ? I’d like to add I have recently undergone a 2000 fue hair transplant a month ago and looking forward to the results I have been using minoxidil cream for years but am still seeing hair loss , many thanks.
Vasectomy is of no releance while taking Finasteride. There are no such side effects. Hair loss will continue even with oral Finastreide but will be much less after 3 months on it. Thanks for watching.
Sir i really love you sir 😊😊😊
Thanks for the comment. The feeling is mutual. Thanks for watching my videos.
Do u ever prescribed finestride to the patient in age between 23 to 35(bcaus of that ED side effect found in 30-40%).....and if a person between age of 23-35 find a sexual or ED side effect ...then if we stop taking finestride....Will this side effect will go gradually?
ED side effects is less than 1% in my practice. The percentage you have mentioned is the prevalence of ED in normal population in age group 25-35 age. These are not the right candidates for starting Finasteride. I never give them Finasteride.
@@hairtransplantinindia but sir...if some patient are taking 1mg finestride twice a week(which is debatable if this does will work properly or not)....and they are in age grp of 23-35...and they found ED side effect....so if they stop taking finestride...will this side effect fade away?...
@@chauhannadimkhan7051 What was their total testosterone level before starting. If they were otherwise healthy and had good libido earlier, the side effect will go away.
Hi doc, thanks for taking the time to answer so many questions. I am 42 my testosterone is 310, I have taken 1 mg finasteride for 6 months now and my hair loss is much worse, do u think the finasteride dose is too high?
1 mg a day is not a high dose. Your hair loss would be much worse without Finasteride. Ask your doctor to consider you for once a week 0.5 mg Dutasteride.
@@hairtransplantinindia Thanks for the reply, with my testosterone being quite low do you think I should even be taking finasteride, and one last thing, is it ok to use DIM when taking finasteride? Thanks in advance.
OK thank you.
@@blahblahblah7880 Pleaes stop Finasteride if you think it is not for you. I can only recommend and give opinion which I have already. DIM has to be taken under medical supervision.
@@hairtransplantinindia thanks, I will definitely consider your advice.
Hello Sir
Does increase level of estradiol, can suppress LH and FSH secretion proportionally via negative feedback?
Thank you sir
Yes it can
Hello Dr.
I am an Natural athlete who likes to do bodybuilding. as you mentioned in the video it is the estrogen which makes you feel more weak in the gym. How can I conquer these side effects. I am currently using finasteride since 3 months. I track my progress in the gym. So at first I felt weaker in the gym and when I compared mi lifts I could see that I indeed got weaker since I have taken finasteride. I also feel like since I have began to take Finasteride I have lost some of my aggression in the gym. Have you any recommendations on how to conquer these specific sides?
thank you doc!
You can reach out to me on whatsapp 8872238888 and we can do a Video call this week.
Hi doc, great professionality. I don't get just one thing since i'm italian and don't speak that much of english. So basically taking finasteride free testosterone in your body increases because of the drug inhibiting 5 alpha reductase. The increase of free testosterone leads to an increase of estrogens. My question is, can this increasing in estrogens be harmful to health? And can that more free testosterone increased by the drug work like doping? Like making you stronger and other
DHT is the active metabolite of testosterone. Muscle building is a function of DHT. Increased testosterone levels can be alarming in those who live a sedentary life and are overweight. In others I have not seen much of a problem. To avoid all this Dutasteride should be taken with utmost caution since it blocks almost 95% DHT which is a lot.
@@hairtransplantinindia thank you i didn't know dht is involved in muscle building, i thought it did just a small part and the big part of the job was of testosterone