What should I choose as hairloss prevention?

My only problem with fin taht remains ist postfinsyndrome.
I have to read into this more though but it seems like inhibiting the enzym can have long lasting effects. Im not sure though if these changes are
a) purly due to the lower dht level which in that case wouldnt be sich a concern as mine is going to be eleveted anyways
b) due to fin having other effects in the body/brain
c) a permanent reduction of the enzym/damaging the enzym production
For what my anecdotal experience is worth, I take 0.5mg dutasteride daily after previously having been on 1mg daily finasteride and still get morning wood without fail and have sex at least once a day at 40 years old. I'm on 200mg pw trt.
 
Unless you’re heavily suppressing DHT to near or sub eugonadal levels, and keeping it there, it’s pointless taking oral 5ARis

Genetics in conjunction with age is what mediates hair loss severity; DHT is only a required component. Once the “andro” part of “androgenetic alopecia” is at saturation, further DHT has little effect. Similarly, DHT can only stimulate secondary sexual characteristics such as body hair, and prostate pathologies, so far before it has no further significant effect.

I believe the most plausible explanation is that the combination of your age and genetics disposes each hair follicle to a certain degree of DHT sensitivity. For most young men each hair follicle has a sensitivity of 0%, meaning no amount of DHT can stimulate hair loss. With genetics and age, that sensitivity rises in a Norwood pattern to 100%, whereby eugonadal DHT stimulates full miniaturisation, with further DHT having no effect. 50% sensitivity would mean DHT levels double what’s normal will cause miniaturisation.

If a eugonadal man of sufficient age, with normal DHT, and a genetic predisposition to MPB, takes steroids for the first time, he’ll see his hair get “raped”, and then blame the roids. He then comes off the roids, see his hair loss stabilise, and be further convinced it was the increase in DHT and not his own genetics. In reality the hair he lost was transitioning from that 0% sensitivity towards 100%, and the added DHT just expedited the hair loss.

Maybe I’m wrong on this, but I’ve not seen any evidence to the contrary, and I believe it’s the most logical mechanism.

There may be some outliers who are particularly sensitive to extremely high DHT whose hair loss stabilises at merely very high DHT, but id imagine that for most men if you wanna stop hair loss completely you’ve gotta crush your DHT and keep it crushed
 
For what my anecdotal experience is worth, I take 0.5mg dutasteride daily after previously having been on 1mg daily finasteride and still get morning wood without fail and have sex at least once a day at 40 years old. I'm on 200mg pw trt.
You had your DHT tested?
 
On a 200mg TRT/cruise dose I was taking 0.5mg fin 3x a week.
When I changed to 650mg a week I changed to 1mg a day.

I havent had any shedding on either protocols, so the 1mg a day might even be too much, i dont know
 
I might try 1mg 3x a week on the blast dose and see if it performs just as well, but its a scary test to perform as i dont want to suddenly start shedding for several weeks.
No side effects noticed so far
 
I might try 1mg 3x a week on the blast dose and see if it performs just as well, but its a scary test to perform as i dont want to suddenly start shedding for several weeks.
No side effects noticed so far
I’ve stuck with .25mg ED for 2.5 years now and it’s been great. No notable sides and stopped hair loss
 
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