Understanding Finasteride Dosing | The Hair Loss Show

Today, we are going to discuss customizing finasteride dosing.

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Dr. Vikram Jayaprakash
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Dr. Russell Knudsen
Level 2, 45a Bay Street, DOUBLE BAY NSW 2028
1800 685 399

#finasteride
#hairlosstreatments
#hairlosssolution

[wrongmark]

I started taking Finasteride 3 times a week after watching one of The Hair Loss Show videos 3 years ago. My hair has almost all come back. It’s not as thick as it was when I was a young man, but the difference has been fantastic.

[viisoni]

These doctors have saved my hair. I have no words left to thank them more. Bless you doctors 🙏 Finasteride 3 times a week and Minoxidil 5% daily has stopped my hairfall 75% hope to get 90% soon

[dtegg]

Because of these videos, I've been taking 0.5mg (half a pill of 1mg finasteride) 6 days a week for about six years. I started around my 27th birthday, and I just turned 33. At 1mg (first year or so of taking it), I felt some side effects (chest tightness, lower libido), but at the same time, I was also dealing with intense stress from being self-conscious about my hair loss and paranoid about side effects. After finding online that the efficacy is roughly the same at a half dosage with fewer side effects, I lowered the dosage. Since then, I have had no noticeable side effects, and my hair is the same with no noticeable hair loss from age 27 (I take photos once a month to track it).

I should note, however, that while the rest of the men on both sides of my family are bald/balding, my 70-year-old father has nearly as much hair as I do. His father (my grandfather) was bald in his 30s, but his father's father (my great-grandfather) had a full head of hair until the day he died! Go figure. If there was a better test to figure out whether or not I was actually losing my hair or if this was my natural "mature" hair pattern like my father's, I'd pay for it.

It's a little tricky for me to determine whether some depression I occasionally feel is due to the drug, my family history, or both. Many male and female members of my family deal with mild depression. In general, I have not noticed any issues with my sex drive or sex life, and if anything, as I got older, it improved alongside my overall confidence, as one would expect.

That said, as I got older, I also became more comfortable with the likely chance that I'd be mostly bald one day. As you can see with both of these guys in the video, being bald does not mean you are not attractive. Some of the most powerful men in the world are bald. Some of the most attractive (as ranked by women) are as well. This is something I came to terms with myself, and it really helped me relax about the inevitable loss of my hair when I stopped taking the drug. Confidence, personality, overall health, and fitness -- and frankly, whether or not you had a good-looking face in the first place -- really are more likely to determine your "attractiveness" than your hair ever will. Some people also look better bald, especially in their 40s onward: The Rock, Jason Statham, Bruce Willis, Vin Diesel, Ed Harris (even looks badass with the donut hair), John Travolta, etc etc.

[nmartoudis]

I love these 2. They follow the science, and are honest as it gets.

[connorhunter]

. Taking it every 4 days:
• With a 0.125g dose taken every 4 days, you have 7 doses in a 30-day period (since 30 days / 4 days = 7.5 doses, rounded down to 7 doses).
• Total accumulated dose = 0.125g * 7 doses = 0.875g
Since each dose lasts for 30 days, and you're taking a dose every 4 days, the cumulative effect for each month remains constant at 0.875g. Therefore, over the entire year, the cumulative effect will never exceed 0.875g, as the doses from the previous months stop contributing after 30 days.

[joses]

61 years old. Been taking finasteride for over 20 years. First 1mg a day then recently 3mg a week. Have all my hair no side effects PSA. Good. All good.

[filipjanus]

My doctor prescribed topical finasteride 1% 3 times a week and told me to wash it after 3 hours to reduce the systemic.
After 4 months I see big improvement

[marls]

1mg everyday gave me side effects after 8 months. Eventually switched to 1mg MWF and was on that for about a year. Side effects didnt really improve. Recently just switched to 0.5mgs MWF, after 2 weeks side effects got much better. But the effect on the hair is slightly less. My experience in case anyone is interested.

[emperorscott]

I took 1mg Finasteride everyday for 5 years and it was an absolute game changer for me. Saved my hair.
But i did notice after 4 years that my hair was thinning again but only very slightly.
So after research, i made the switch to Fins big brother Dutasteride.
I've now been taking Dutasteride 0.5mg daily for 3 and a half years and so far so good.

[ARKAEA]

You should do one for dutasteride given its usually prescribed at 0.5mg and has a very, very long half-life. I'm not convinced the sides are worse than finasteride given how low you can dose it and still get vastly superior retention and yes, even regrowth, results.

[sherwin]

These two are Heaven sent. Thanks so much for your expertise great docs!!!❤

[MrMoeqt]

Very pertinent video chaps!

I feel that many people write off finasteride too soon by overdoing their dose and experiencing side effects. Titration is a proven way to soften the lowering of serum DHT and to minimise side effects.

Look forward to the next video.

[alfydarkdeadly]

I was getting side effects on 0.5 mg every other day.
I switched to 0.25 4 times a week. And it’s really seemed to benefit me. I have been measuring my oestrogen levels and testosterone monthly as well so I can see what’s happening.
According to studies you only need a very small amount to have a big effect. That’s why 0.25 4 times a week seems to be working. And I haven’t got any nasty side effect like the last 2 times I was on it.

[MMusumeci]

Hi, can you please explain the same micro dosing with Dutasteride. For instance, taking 0.5 mg every two days, instead of daily, and how and if its effectiveness changes? Also, how taking it every two days could influence potential side effects? Thank you

[communicate.anshul]

1:35 This is why Doctors & Engineers are different
0.8 mg should be on X-Axis instead of Y-Axis

[وسامالنصر-رن]

I swear to God, we have been using it daily for 3 months or more, 1 milligram every day, and it has no effects, and my desire has not changed at all, but the result I have not focused on yet, I will focus on it after 3 months.

[alfieknight]

docs, regarding side effects and custom dosing... you say finasteride lasts in the scalp skin for 30 days, leaves the body in 30hrs, and dht levels return to normal in under 2 weeks. Is it a possible idea to take finasteride in bursts of 1mg per day for seven to ten days or so at beginning of every month? So that the drug briefly builds up in the system then leaves the system only creating side effects briefly but stays in my scalp for until I start again in 20 or so days, which is ten days less than it takes to leave the scalp. So that I have finasteride in my scalp all the time and so that I only have side effects roughly half (or hopefuly a third) of the time. My hair growth responds extremely well to finasteride but the drug is quite bad to my sexual function.

[joeyg]

What about absorption of finasteride ? Does it diminish with age ? Do certain foods/substances interfere with absorption and/or effectiveness ?

[ministry_of_love]

10:34 Stability equals 3-5 mg per week

[coldfire]

Hey docs, was wondering about the two 10 year studies on finasteride. It seems, if I'm understanding it correctly, that they saw MORE growth/regrowth in the 5-10 year period. I thought fin would gradually stop working or that you would see the "final" results in the first couple of years, but the studies seem to say otherwise.