However, this is a far cry from proving that either finasteride or dutasteride increase the risk of neurodegenerative diseases.
Well considering that there are studies out there showing what happens when you deprive the body of DHT/interfere with 5AR (such as the one I posted in that link), regardless of drug -- and the physical/neurological implications of such -- I'd say it's already been proven.
It just hasn't been stated as such by "Merck" or "Glaxo" (and likely never will be), because they of course don't want people to know about such potential, although admitedly rare, consequences of 5AR inhibitors.
and I believe that no propensities of this sort were detected in the 5AR deficient pseudohermaphrodites
You treat the pseudohermaphrodite model as God. Personally, it's worthless to me.
As I've debated with you elsewhere on this forum, normal men are not pseudohermaphrodites, nor are they women (to refute your "women have less DHT than men and they are fine, so we should be too!" claims).
As I've stated already, changing a normal male's hormonal profile to match that of a pseudohermaphrodite (who's genetic makeup/hormone profile is inherently different since conception) can have unintended consequences, since normal men were never MEANT to function as or have the hormonal profile of a pseudohermaphrodite.
Again, just because we CAN change our hormonal profiles to match theirs, doesn't mean we SHOULD. Nature built us a certain way, and if you mess with that, bad things may happen.
The bottom line is that no-one knows what the long term neurological effect of dutasteride is - not GSK, or doctors, or posters here. If you want to adopt the precautionary principle, don't take the drug.
Agreed. And in the study I quoted above, it would seem the use of Finasteride may have unknown, unforeseen consequences due to reduction of DHT and thus interference with 5ARII androgen-activated neurite outgrowth.