I want to read your thoughts on gynecomastia and pseudogyno from finasteride. For me, puffiness in and around the areola happened within 48 hours. After stopping the drug at four months, the puffiness remained. Ultrasound showed no gland, only fat. But the area around the areola is clearly puffy, as if there is gland (head and also tail going to the side).
Now, my e2 levels were lower during two months of finasteride than they were before I started the medication. I was eating a ton of spinach, red gabbage and celery during the meds to help prevent sides.
I would like to hear what you have to say about why it’s developed in the first place, whether it can be reversed and how.
Cheers.
As I mentioned before, finasteride is an incredibly potent drug. At 0.05 mg, it was still able to to suppress statistically significant levels of DHT production.
As far as why it has developed in the first place... we all have different genetically determined expression of different enzymes in all of our bodily tissues. It's the reason why some people have hair loss and others don't and it's also the reason for everyone else in between. Some people naturally experience hair loss, but don't get gynecomastia. Some people get gynecomastia, but have beautiful, thick heads of hair. Some people have beautiful, thick heads of hair and don't get gynecomastia. It all comes down to enzymatic expression in individual tissues. Serum concentrations of hormones can sometimes be helpful diagnostic tools, but they don't reveal the whole picture and low serum estradiol levels don't necessarily mean that one can't still get gynecomastia.
With that being said, you very likely have a high enzymatic expression of aromatase in your breast tissue and possibly high expression of estrogen receptors. You may also have weak 5a-reductase expression in that tissue, which was likely the only source of antagonism against estrogenic effects in your breast tissue. So, binding and subsequent destruction of the 5a-reductase enzyme in your breast tissue by finasteride made the environment in the tissue hospitable for feminization. With a lack of 5a-reductase, high aromatase expression and estrogen receptor expression is all that is needed along with sufficient levels of aromatizable androgens to cause feminization.
In regard to how it can be reversed, you want to make it easier for your body to normalize and recover. By eating ONLY raw fruits and vegetables, leafy greens, and potent root vegetables like ginger, garlic, beets, etc., your body is able to take a break from the energy it uses to break down foods that are difficult to digest and foods that are generally inflammatory. If your body doesn't have to deal with those external burdens from meats and difficult to digest foods, it can use that energy to renew itself. It's not easy to eat that way at first, but it's the only thing that has ever significantly sped up the recovery process for me.
In the short term, you can topically apply Andractim to your affected breast tissue to aid in catabolism of the gynecomastia.