"It is interesting to point out that of the 113
patients followed for 10 years, only 14% worsened,
whereas the remaining (86%) had benefits (21%)
from the treatment duration or (65%) persisted in
their improvements."
Finasteride, 1 mg daily administration on male androgenetic alopecia in different age groups: 10-year follow-up (PDF Download Available). Available from:
https://www.researchgate.net/public...cia_in_different_age_groups_10-year_follow-up [accessed Oct 1, 2017].
If you wish for summary, go to Bernsteinmedical.com.
From the 5-year-study we know:
"Studies have shown that after five years of treatment, 90% of men taking finasteride experienced either a growth of new hair or a halt to their hair loss."
(
https://www.bernsteinmedical.com/medical-treatment/propecia-finasteride/) ==> please don't make me search this study too, I've got no time... I think that's very well known for all of us, right?
In one point you were right, you can't tell after one year if you're a responder or not. It's just possible to tell after 5 years, if you take it precisely. But it changes absolutely nothing about the conclusion which is simple maths:
If you're one of those 90%, then 10% already dropped out after 5 years, which
MUST (please don't dare critisizing this, it's like saying you can't prove that 2+2 is 4, because proving this mathematically is not possible too) mean that only 4% will worsen after 5 more years.
"Just because there is no reason why it should be game over after 10 years does not mean anything. The fact that there is no reason for it means that science is not far enough to provide an answer for it. We are waiting for studies to prove it? This shows how not objective you are. You are basically saying 'I really think it is the case, even though there is no real proof but I believe in it that much that I am 100% that science will agree with me at some point, just wait!'."
You do know that even researchers work with correlations, right? Tendencies and probabilities, to foresee an outcome. It's like watching a football game, one team leading 10:0 after 85 minutes and telling this doesn't mean anything because um well.. theoretically the others could still win, right? Or a crazy dude could show up and shoot them all with a rifle for fun. That's the guy you won't invite to the next match, be honest. When everything seems to point into one direction, believing in it happening is absolutely legit.
"The plural of anecdote is not evidence. And besides, my dermatologist actually uses finasteride himself and had never heard of side effects and here I am, more than one year later after quiting finasteride, still not recovered... What I am trying to say is, dermatologists should be experts in the topic, but more often than you would think they are not unfortunately."
Yes sure they're often not, but can you blame him for something happening that is so extremely rare to happen? When a doctor prescribes 1000 people aspirin
(and yes, you can compare the probabilities of sides of finasteride and aspirin) and one of them gets uncurable sides forever, is he a hero for helping 999 of them or an unprofessional bastard for letting that happen to this one guy? He spoke of experience, probabilites and it's up to you to decide taking it or not. I blame him for saying
never, that surely sounds fishy, but mine said he never had anyone with sides and that's a legit fact to tell to the patient. Working with chances and probabilities is not wrong if they're high enough, you can use them for decision making and opinions, you have to when there's no choice. Or are you never going to drive a car because there's "just" a 99.99...etc. chance to survive it to your working place?
"You have data to back these numbers up?"
With minoxidil I dit exactly that,
I calculated probabilities, there is no evidence, you're right. But I brought up
rational reasons to justify them, you can argue about it and they're not pure fantasy. The synergizing effect was mentioned on a very well known german site:
http://www.haarerkrankungen.de/expertenrat/faq.php?ParentRubrikID=19&Zaehler=11&MaxZaehler=25
"Hierzu gibt es keinerlei wissenschaftlich valide Studien. Ich kann nur aus unserer eigenen Erfahrung berichten. Wir haben zahlreiche Patienten zunächst mit einem Präparat, Propecia oder Regaine, behandelt. Die Behandlungsverläufe wurden mittels Photodokumentation festgehalten, so dass eine objektive Beurteilung auch über Jahre möglich ist. Bei den meisten Patienten konnte entweder ein stabiler Haarstatus oder eine Verdichtung des Haarkleides nachgewiesen werden. Nach 1-2 jähriger Monotherapie wurde dann das jeweils andere Präparat zugegeben und man konnte bei einigen Männern eine weitere, zum Teil sehr deutliche, Verdichtung des Haarkleides erkennen. Somit muss geschlussfolgert werden, dass die beiden Präparat auf unterschiedliche Weise synergistisch wirken. Wird ein Präparat abgesetzt, muss davon ausgegangen werden, dass die durch dies Medikament zugewonnenen oder erhaltenen Haare wieder ausfallen werden.
Dr. C. Kunte"
Google him if you think he's not a specialist on this field. And find a translator if you don't trust me.
"Great that your hair is doing well! As you can see I bolded a certain part of the last part of your previous post because this tells me all I need to know. You want assurance for your hair and you desperately look for an inner feeling of security. I can relate to that feeling but it makes us no longer objective. You cherry-picked information, anecdotes and data to create a reality that you feel comfortable with. You had hoped that other people would give that feeling to you (that is why you created this topic after all) but the results were not really what you were looking for so you started doing the work yourself. It seems like you are quite confident now about the success of our current treatments so good job on that."
Thank you! And I honestly hope that you're doing good too. But I don't "cherry-pick" stuff I'm not
objectively convinced about. If you find good reasons to convince me that they're wrong, I definitely won't deny them.