question from a user
Testosterone and hair loss prevention. What do you recommend? Finastride and minoxidil and dutaraside okay? Dosage recommendations? What is a recommended regime for men who want to get the benefits of testosterone but are also prone to baldness and actively losing hair?
AlphaMD's Answer
Testosterone is not the cause of male pattern baldness, its byproduct, DHT, is. Blocking 5a-reductase (the enzyme that turns T—> DHT) has been proven to not only prevent hair loss on TRT; it can reverse hair loss in most cases with long-term use.
Finasteride and dutasteride both work, though dutasteride is preferred due to its lower side effect profile.
Adding minoxidil to a 5a-reductase med can work wonders.
Topical treatments (like shampoos and sprays) have been proven to have the same benefits as the oral treatment, with much lower risk of side effects (studies have shown blood levels of the medicine are nearly 100x lower with the topical treatments vs oral/systemic meds).
TL;DR: topical Finasteride/Minoxidil treatments are effective enough to cause hair regrowth even while on TRT, with incidence of side effects nearly 100 times less than oral treatment.
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