Based on my personal experience of almost 22 years of finasteride use I would say in my case any accelerated loss and scalp irritation was down to the brand of finasteride I was taking as I have experienced this several times from bunk Indian manufactured finasteride. Many people complaining of problems seam to be first time users. with limited finasteride experience usage. So while reflex hyperandrogenicity may well real, if you are taking Indian manufactured finasteride, I would swap this out first with a US or European Controlled generic, before ruling out finasteride for good. FYI companies like 'keeps' do not make finasteride, they just re label cheap finasteride from intas pharmaceuticals, that was originally formulated for the local Indian market.