- Reaction score
- 51
They're all made with the 5ar enzyme so less finasteride should mean better neurosteroid levels. .125mg might be good (since we've seen that fina reaches max DHT inhibition by .25mg). I wonder how many people can maintain using just .125 though?Do you think its dose dependant? Personally I think at this point its almost certain these changes lead to the depression and other sides some men get.
On the other hand right now its take propecia or go bald. I thought about taking .125mg could that help male pattern baldness a little but only reduce these different steroids a lot less than the 5mg they gave here?
Its a difficult choice, but honestly who wants to go bald? There is no finasteride alternative
There ARE alternatives but they're not FDA approved, so most doctors won't prescribe them. There are the nonsteroidal anti-androgens (NSAA) like flutamide, bicalutamide, enzalutamide, RU-58841 etc and those can all work topically. CB-03-01 aka Breezula which is a different class topical anti-androgen. Topical spironolactone (spironolactone smells bad though). I think topical is the way most guys should go to reduce side effects.
Oral anti-androgens are also possible but again you'll have to deal with side effects. I think spironolactone and cypro are not worth it for most guys - fairly high chance of sides. The NSAAs only block at the receptors, they don't block T production or neurosteroids, so they have few side effects except for gyno, but that chance of gyno is high.
Long story but I'm on oral bicalutamide and raloxifene (a SERM that blocks estrogen activity in breast tissue, mitigating gyno). 2 months in and it's visibly working. I'll make a post about it eventually. I think guys could use a much much lower dose NSAA topical, and maybe low dose raloxifene if gyno is still an issue with topical. That should have very few side effects.