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I think there is a misconception regarding the androgen receptor. From my understanding any androgen (DHT or Testosterone) can activate the receptor in the hair follicle. Hence removing DHT doesn’t cure balding as the video suggests. It definitely helps however as DHT has a 7 times higher binding affinity than testosterone so removing DHT definitely helps. DHT is also seen as “garbage” hormone and testosterone should be able to activate the receptors that DHT was binding too. If this is not the case then side effects will become prevalent and the requirement of a blood test is vital as the user doesn’t have enough androgenic activity. This can be seen in users with high DHT and low testosterone.
I agree that videos like this help with the anxiety of taking finasteride are required. I just think more information needs to be transparent about how this pill helps treat the issue but doesn’t cure baldness. For the majority of people finasteride should halt balding for at least a year (see the follow up study of finasteride where 99% of patients saw no recession after a year of taking, then 90% after 5 years). There are many other treatments people can take after such as dutasteride or even RU (which I’m not suggesting to use but is definitely an option for people with highly sensitive receptors)
I’ve been a long time lurker (first post) and I hope people can start looking at the endocrinology of hairloss and realise these treatments are synonymous of activities like brushing your teeth.
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