Did you do anything special to recover from the drug?
Guys have had results recovering from years of finasteride use from prohormones, fasting, other hormone drugs, diet changes
I don’t doubt for one second I’ve been damaged from it all this time
The way you described it, recovering from PFS should help your hair loss
I'll describe the exact process of recovering from finasteride. I've been through this process once to completion and I'm currently going through the same process again after using finasteride a little over 2 years ago.
When healing from this, there are constant peaks and valleys. In fact, the healing process is a decaying oscillation of highs and lows. It's like a dropping a bouncy ball and watching it bounce until the bounces become so small that it's difficult to discern whether the ball is on the way up or down. So, you go through periods of low steroid synthesis to VERY low steroid synthesis and then the process is repeated until biochemical factors in your body have adjusted which allow this process to decay or become less severe.
What's happening is that your body is attempting to synthesize higher levels of steroids because you are in a chronically deprived state. Your testosterone level may appear "normal", but these numbers are just blood concentrations... they say nothing about the throughput or the flow of steroids from synthesis to elimination. By cutting off the 5AR pathway, you've created a stagnation in the flow of steroid synthesis from "prohormones" to---> testosterone to---> DHT. To understand this, go back through this thread and look for the post I created discussing the "river" analogy... where steroid synthesis and its flow through the body is like a large river that splits into many other smaller rivers downstream.
Anyway, you're in this chronic state of steroid deprivation and as your body is repairing itself, your brain will send the command signals to synthesize more steroids. The problem is that I don't think it has a very tight regulation on how much it commands your body to make... I'm not sure it has the best ability to say: "make only a tiny bit... this much and no more". It's almost more binary, like an on/off switch. Your body will make a change, overshoot it's mark, pullback, and the repeat the same process until its error in missing its mark has diminished.. it's like a feedback control loop (for any of you that know about control theory and PID controllers), but it's not very good knowing what's going to happen ahead of time so that it can make adjustments without volatile changes in physiology. So, you'll temporarily feel better than usual... you won't feel as tired, you'll feel much better socially, you'll notice some interesting physiological changes like: the texture of your skin will change, your skin might produce a little more oil, your eyes may look less dark and a little more "alive", etc.
This doesn't last very long, though, and the reason for this is that, under normal circumstances, those newly synthesized steroids have pathways they go through and one of those pathways is still damaged (the 5AR pathway). So, with all that new "steroid" that was synthhesized, much of it needs to go through this 5AR pathway for normal physiological function, but it can't because it's damaged. So, it goes through every other available metabolic pathway.. and this causes an increase, obviously, in all other steroid metabolites, but, particularly, the one that is heavily involved in the brain's regulation of steroid synthesis... which is estradiol. Now, when estradiol is increased in concentration (especially without a corresponding increase in DHT), your steroid synthesis gets shut down again.
This "yo-yo" like process of oscillation between highs and lows just continues repeating until the 5AR pathway has been completely restored. As the pathway begins to edge closer to being repaired, you start to notice more significant physiological changes, but there's a certain point at which this healing process reaches kind of a tipping point... and at this point improvement begins to accelerate pretty rapidly. You could be going through this up and down process for years with slow, steady changes (like I am, and once did before) and the, suddenly, things begin to change rapidly.
I'm currently at one of the late stages I recognize from the first time. This may sound odd and possibly bad to someone that may not understand the mechanism behind what I'm about to explain. So, in the past few weeks, my balls and scrotum have literally shrunk and I've been extremely tired... far more than I have been in quite awhile. This very same thing happened to me maybe less than a couple months before I had healed the first time. Now, if you know anything about endocrinological function, you might guess that the reason for this happening would be reduced steroid synthesis, right?.. steroid synthesis drops and then you get this sort of testicular atrophy. However, I don't believe this is what is actually happening (and I have to stress, again, that I've already been through this and I know what comes next after this stage). What I think has happened is that the 5AR pathway is nearly recovered and steroids are now beginning to be metabolized (or 5a-reduced). Back to the river analogy... picture a river that has been dammed. When you remove the dam, water flows into an area that it previously had been restricted from flowing (the 5AR pathway) and the water level of the dammed area (the pool of other non-5a-reduced steroids) suddenly drops as it flows into the previously restricted area.
So, I'm getting an increase in 5a-reduced steroids and a decrease in other steroids that are precursors to 5a-reduced steroids (like testosterone). And, this reduction in steroids like testosterone will also reduce its other metabolites (like estradiol). So, I've experienced an increase in DHT, but a decrease in both testosterone and estradiol (among other steroids). Contrary to what most people probably think, I don't believe that DHT causes an increase in testicular growth. I think it causes a masculinization or virilization of sorts, but a combination of androgens along with estradiol is what causes growth. Estradiol is the growth hormone. So, now, I have testicular aching (exactly as I had before) and the next stage is for my brain to upregulate the body's steroid synthesis to make up for the now lowered levels of testosterone and estradiol (again, among other steroids that have been lowered by the repair of the 5AR pathway). What happens next, from a physiological standpoint, is that I begin to experience an increase in testicular volume... literal growth. More aching comes along with this, as well as discomfort due the scrotum being kind of too small for the rapid increase in testicular volume (this eventually gets better). As the body restores previous levels of 5a-reduced steroids, my personality begins to change and I start to feel... almost kind of invincible (and I really say this for lack of better wording). I get this electric feeling when looking at a female, I need much less sleep, I'm incredibly quick-witted (whereas before, I would have been cognitively slow.. late to the party, in a sense), I have quicker physical reflexes. I literally feel like a completely different person. In addition, my skin becomes incredible and my under-eye area looks juvenile.. no hollowness or darkness, completely filled in. During this period, my scalp actually began to itch like previous to finasteride use, but a few weeks later, the itching went away completely and my hair completely stopped falling out.. like 100%. The reason this happened is likely because as 5AR functionality was improving, it was drawing away more testosterone to be 5a-reduced and leaving not enough testosterone leftover to be aromatized (which is, IMO, the actual cause of hair loss in most men). However, as my body started synthesizing more steroids, more testosterone was leftover which could be aromatized and the itching and hair loss immediately ceased.
Now here's the part where I say that I don't believe that some of these improvements occur simply from the recovery from finasteride. The recovery definitely allows me to actually experience some of these benefits simply because my body is able to function normally and produce a much higher level of steroids, but I believe the reason I don't return to the hair loss and average looking skin like I would have had before taking finasteride is due to the consistent dietary and lifestyle changes that I've made and maintained for the past 4-5 years.
Other than the positive hair and skin changes, here's an example of something I've NEVER had, even previous to finasteride use... never even had as a teenager: when I fully recovered the first time from finasteride, I would get nocturnal erections that were so hard, I would literally wake up every single night in the middle of sleep almost in pain because it felt like my dick was going to explode. And during the day, I would walk around with a full hard-on just naturally. I never experienced this prior to using finasteride (and definitely not during) and I can only attribute this to the dietary changes that I've consistently kept.
So, this is why I believe that you can trigger some pretty powerful epigenetic changes by changing diet and lifestyle and this is also why I will never touch finasteride, or any other 5AR antagonist, again. It's been difficult to live with the mistake I made a couple years ago because I should have known not to toy around with finasteride again after making a full recovery.. especially because I probably had even further improvement to experience, but I was already messing with finasteride again (attempting to use it topically) not even a month after I had fully recovered. I guess I figured that if thing went wrong, I could recover quicker knowing what I know, but it has taken over two years to get back to the point where I'm close to a full recovery again.
So, I'm really looking forward to putting all this behind me and giving my body the chance to improve even further beyond where I had allowed it the first time. I'm 100% confident that if I hadn't touched finasteride again, I would easily have a full head of hair right now with no pharmaceutical intervention. And the reason I know this is because if your hair isn't falling out AT ALL (even by forcibly pulling on it), you're going to have more hair on your head at any given moment as new growth cycles occur. The only reason I wanted to use finasteride is because I wanted the best of both worlds... I wanted not only for my hair to grow and not fall out, but I wanted a thicker texture to my hair.. which is what finasteride can do. But, again, I don't even know how much further everything could have improved because I didn't even give it a month, after being in a place that I felt like was basically "recovered", before messing around with finasteride again.
Hard lessons to learn... and anyone reading this should learn from my mistakes before making them yourselves.