Finasteride Microdosing Vs. Customised dosing | What are the disadvantages?

What is the dose of Finasteride? Is Microdosing or customised dosing the better way forward. Or should we adhere to the FDA recommended regulation dose of Finasteride?
So when we speak of microdosing, can we get away with 0.2 mg a day and get a good result as far as maintenance of hair is concerned, without so much as even an inkling of a side effect -even in those vulnerable?
So coming back to microdosing, it has been shown by a particular study that the effect of taking 0.2 mg Finasteride daily or 0.5 mg Finasteride 3 days a week is not much different from taking 1 mg dose. You may support these findings by endless studies and theoretically this may even be true; but the body does not respond in all cases like we intend it to. In my practice, I have been using similar dosing - 0.5 mg on alternate days and found that not much benefit accrued in the vast majority of clients. However in those fit for the medication but otherwise fearful are advised 0.5 mg and then gradually I build up on it more to allay the patient’s fears and have him as an ally in his own interest so he develops confidence in the medication and the doctor and gradually overcomes his phobias. I do not exhibit this dose routinely since I am not convinced about its benefits as alluded by some studies. To me my clinical judgement and instinct borne out of years of practice and prescribing Finasteride in various doses is more important than one sided research.
So I do not think 0.2 mg taken daily or 0.5 mg taken 3 times a week and omitted on weekends is a plausible option in the face of aggressive baldness which is so common these days. This approach merely wastes precious time especially since patients agree to taking Finasteride very late in their hair loss timeline. It is gross injustice to advise them a miniscule dosage and waste another few months when we fully know that when the hair shaft diameter decreases to less than 50%, Finasteride fails to have any effect. It just reminds me of Nero and how he watched Rome burn as he played his fiddle.
So this is the rationale of customized dosing. A belief out of clinical experience that there is no one dose best suited for all. Every person is different, his metabolism and mind are different. We have to seek out the lowest dose best suited for him to maintain his hair and at the same time save him from side effects.
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#Finasteride #dose #darlingbudsclinic

[denniskroner]

Hello Doctor, first of all I want to say that your Videos are really good and informative, keep it going.
I have been on 1 mg of Finasteride every other day for about 4 months and since one month I am on 1mg every day. I am now starting to panic a little because I haven't seen any results and my hair loss hasn't stabilised yet, after the 5 months of treatment. Is that unnormal because my dermatologist hadn't any answer for me? What shall I do? Continue 1mg Finasteride? Start Dutasteride? When can you expect to see results? I am 19 years old with receeding hairline and haven't had any side effects.
Thank you.

[sufiyanhassan]

Not just your medical knowledge but your English skills are also really commendable. Thank you for imparting so much knowledge through these videos.

[wtifrxm]

It’s reassuring to know there are professional researchers talking about these important topics. Just watched your DHT paradox video, it’s fantastic. I hope science is able to convey more answers sooner than later. It’s a shame available knowledge and treatments isn’t satisfying for premenopausal, under 30s women like me suffering with pattern hair loss.

[CarTorqSA]

Hey gents, I’ve been taking around 0.05mg ( like a grain of sand ) for a few weeks now because 1mg and 0.25mg flared my Gyno up considerably. So far the 0.05+- has been showing good signs, I don’t get flare ups and my hair isn’t falling out when I get out the shower anymore so it’s looking good so far .

Just posting this incase anyone else has Gyno troubles.

[sagarbadiger]

Hi doctor,
I'm 26, I'm fall between NW2 and NW3
and I started fin 1mg alternate days and have been taking in from 8 months and taking a break 15 days for every 3 months.

I haven't done my blood tests and as the area above my frontal hairline isn't filling so. I suppose that I should be upgrading it to 1mg daily.

Can I stop for 15 days or a month and take a blood test and then start with 1mg daily?

Please advise in upgrading
Thanks

[darcyiix]

I have a question.
I started Finasteride at 0.5mg dosage daily, I had no side effects except my semen was watery (water like thin), I stopped Finasteride and the issue resolved within 24 hours. Now I'm taking 0.5mg every other day and no such issues what so ever. Do you think that watery semen issue resolves overtime?
Thank you!

[BelmakciN]

Hi Doctor! My frontal hairline has thinned and I would like to regrow hair in this area. For the past year or so, it has NOT gotten worse, it has stabilized. I have a full head of hair everywhere else. What would be the best dose of Finasteride for this situation? Thanks!

[escanorsheikh]

i am 26..nd have heridity of extensive balness..i can See my hairline is going back..6 month ago i have started taking fin ..intially 1mg per day but started seeing some sides so switch to 1mg every other day...and it stopped my haitfall and i can see many tiny hairs coming on my hairline..should i let this dosage continue or try 1mg per day for some time? and if i try 1mg per day does shedding phasr come again?

[anmoldixit]

Doctor i am 6, 2 male 92 kg body weight my age is 24 i have grade 1 baldness can i continue finastrecide 0.25 mg alternate days... But i want to know that i have to use it whole my life or afer hair recovery i can stop plzz rep doctor🙏🙏..

[Matheusferreirabk]

Hey doctor, ive started using fnasteride a week ago (1mg a day) and im experiencing low libido.


Should i cut the pill in half and take 0, 5mg a day or should i take the 1mg pill on alternate days?

[techalpha]

Hi doctor, I started balding at 16, I have been on minoxidil since 18 and I am 20 now. My hair is pretty much a norwood 3.5-4 at the moment and I would be bald without the minoxidil.

I need to start on finasteride, so would you recommend 1mg for this case or lower at 0.5mg? I look forward to hearing from you.

[juliankhw]

would you still recommend stopping finasteride for fortnight every quarter to flush out the built up fin if the patient had a hair transplant?

[juliankhw]

hi doctor, i am taking both oral minoxidil and finasteride. would you also recommend stopping oral minoxidil at the same time im stopping finasteride to flush it out periodically? or just finasteride? thank you in advance.

[AA-rkwu]

Thank you so much. I have started with Tuesday, Tuesday and friday. 3 times a week. And I I have 5mg pills i divide in 4. I try to divide them same. But sometimes they are little different sizes. Is that a good routine?

[ivantoxie]

Okay so let's say a patient has had a hair transplant and was taking finasteride at 1mg every day who eventually have sexual side effects 2 years later. The patient came off finasteride for several months to clear it out of their system because they did not know what else to do. In the other video you mentioned the protocol of 1mg of finasteride for 90 days followed by 15 days off and repeat. When coming back onto finasteride again would this be the appropriate time to follow this protocol or should they restabilize themselves with finasteride for 6 months before following the 90 days on 15 days off protocol?

[naviianjum]

Sir what is your recommendation should we take 0.5mg daily or 1 mg daily om any other day, iam 24 i am using 0.5 mg daily even my dermatologist suggests me using 1mg daily asking me its safe also using procapil hair spray and get my 1 prp session, so i wanna know from you should i increase to 1 mg or continue using 0.5 mg daily

[dlou]

Hi Doc, I have been taking 0.2mg but i am experincing strong sextual side effects which stops after I stop taking the drug. Should stop taking the drug or change my dosge? Thanks a lot !

[shopcenterify]

Doctor, please tell me, why overdoing dermaroller cause me hair shedding? I use oral minoxidil but I know its happen from dermaroller

[amir_edlbi]

Hello Doctor,
I have been losing hair since I was 17. I had a hair transplant at the age of 19 for the front area. Now I am 22, and I'm still losing hair on the middle and crown areas. I started using minoxidil six months ago and finasteride three weeks ago (1mg every other day). Could you please tell me whether I should keep it that way or increase the dosage to 1mg every day?

[ajayradhakrishnan]

Doctor, after hair transplant hair sheds out during initial months right. How do we know that we are not losing grafts ? I wash my head and apply minoxidil but I see a lot of hair falling out. I’m afraid if I’m losing actual grafts. What are the chances? I have not seen any blood though.