I applied the 0.5% liposomal topical dutasteride for the first time 14 days ago. Long post but I want to document for my own reference and everyone else’s. My initial impressions and baseline lab results are below but first some background:
Up until 7 weeks ago I had been taking 0.5mg of oral finasteride daily for about 6 months.
When I am on oral finasteride 0.5mg daily:
- DHT = 19 ng/dL (measured by Quest Diagnostics, reference range = 14-77 ng/dL)
- Basically zero libido, no interest in anything sexual, almost never feel the need to jerk it
- No morning wood; getting an erection is forced and even then pretty weak
- Weird to say, but on average my d*ck is 50% smaller while on finasteride
- I’m not sure if I had other neurological effects; I had never given the possibility much thought so if I was operating with impaired mental capacity I probably just powered through it / compensated / deluded myself.
I stopped taking finasteride in order to experiment with topical dutasteride as an alternative.
After 5 weeks not taking finasteride:
- DHT = 49 ng/dL (measured by LabCorp, reference range = 14-77 ng/dL)
- Suggests that the 0.5mg daily finasteride was lowering my DHT by 61%
- Feeling GREAT - not sure if this is the finasteride leaving / 5-AR & DHT returning but generally felt good energy levels and positive about day-to-day life. One caveat; I’ve recently been eating much healthier, working out more regularly, and taking more supplements so a number of variables are at play
- After walking around for 6 months with a basically shrunken d*ck I suddenly feel like I have a hog in my pants. This alone gives me a weird sense of confidence
- Morning wood like clockwork
- Libido on high -- attracted to women I encounter in day to day life, and have a subconscious compulsion to pursue women where there had been none
14 Days ago I applied the Farmacia Parati 0.5% Topical Dutasteride for the first time
- As a couple people mentioned, the packaging is a little difficult. It has a cap with a small hole and a clicking screw-in mechanism at the bottom which when clicked forces the gel out of the hole in the top. Kind of like a liquid deodorant
- It makes it hard to dose -- I would click it once or twice, and using a plastic glove put it on my finger then try to strategically place it on my scalp between parts
- Only after I had done this a number of times i saw the fine print that reads “4 clicks = 1 ml”
- Not gonna lie I probably clicked that thing 12-15 times. So in my estimation I applied 3-4 ml, which I guess is equal to 15-20 mg of dutasteride. Mega dose off the bat, NOT ideal and big oversight on my part
- I’ve since realized that I can pop off the cap and using a 1ml syringe I can suck the gel up; I will use this method going forward to accurately measure the amount and apply with precision to intended areas
- I’m not positive about this, but I had some irritation on my scalp I think from applying topicals including tretinoin/azelaic acid etc (the area stung when applying anything with alcohol), and I’m wondering if by applying the dutasteride there it was much easier to go systemic?
Initial Impressions
- Ultimately it will be the follow up lab work that is of actual value, it’s hard to trust your own perceptions when you read so much despair on these forums
- Day 1 (the next day after I applied) I noticed some ball ache. Was nothing debilitating, and If I hadn’t read so many people talk about this phenomenon I probably would have shrugged it off. This was recurring and feels like it actually became more persistent in the 2nd week. Needless to say the boys hurt a bit and it was not imagined. Anyone know why this happens?
- Day 2 through 14 -- I had a bit less energy in general than in the weeks prior. Mainly felt like it was harder to get out bed in the morning and really had to push through some initial difficulty when doing cardio or weight lifting. I want to stop short of implying causation on this point; I have always had up and down weeks, but would be curious if lethargy/diminished energy is a side effect of 5-AR inhibitors that people commonly experience?
- Libido is eh. Not non-existent but definitely a step back from how I was feeling 5-weeks after finasteride discontinuation.
- Same with the shrinkage -- better than when I was on finasteride, but feel like the blood flow is not quite what it had been in the weeks prior
- Too early to say impact on hair loss, but if the dutasteride went systemic I’m assuming it’s working for hair
Two Week Conclusions
- This dutasteride sh*t is POTENT. I’m going to see if Parati can formulate a 0.1% concentration instead
- I took a stupid mega dose, it went systemic and hit me pretty hard
- I think it is ill-advised to hope this is some holy grail of hair loss, as we all know everything has a trade-off or is a compromise
- That said, I am hopeful that with some experimentation I can calibrate a treatment regimen with a frequency/amount/concentration which will 1) stop my crown hair loss and hopefully enable some regrowth, and 2) allow me to maintain a sufficient serum DHT level to feel good (feel better than on finasteride)
- Not sure what the numbers need to look like, but if I can suppress scalp DHT significantly while reducing serum DHT by only ~15% (rather than 60%) I hope this leads to the result I want. This is going to take a smaller dose.
- Once I resume and am on some consistent regimen for a few weeks I’ll test DHT again
Next Steps
- I’m going to wait 2 - 4 more weeks until I feel back to normal. Anyone know how long I should expect it to take for the effects of a dose like that to leave my system and 5-AR activity to resume?
- Going to try to secure 0.1% concentration during that time
The jury is still out on all the theories about being “liposomal” or “500 daltons” and whether they actually matter. In my opinion it does go systemic, it’s not a miracle treatment, but may yet be the best 5AR inhibitor compromise for people that experience sides. As laughable as that story is about guys that tried applying dutasteride for like 3 minutes then washing it out, I can kinda see where their mind was at. I have before photos and will share if there are ever meaningful after photos.
Vincent if you’re here and Mustang -- hit me up on discord, username is”‘dgadgdea”. Or PM me here. Would be good to compare notes
Final note -- I encourage other people to experiment similarly. I think I’ve figured out you can get reasonably priced DHT tests below (IF YOU ARE IN THE U.S.). I haven’t tried these a la carte tests yet but I’m hoping they work out. If you can get a $50 DHT test, then for $150 you could do tests 1) before applying, 2) 24 hours after applying, and 3) one week after applying to get a sense for how systemic it goes and how long it lasts. Small price to pay for something that may benefit you for years to come.
From Quest, including Free DHT:
https://www.findlabtest.com/lab-test/general-wellness/dihydrotestosterone-free-serum-quest-36168
From LabCorp (doesn’t include Free DHT but who knows if this matters):
https://www.findlabtest.com/lab-tes...sterone-dht-endocrine-sciences-labcorp-500142
From Quest (doesn’t include Free DHT but who knows if this matters):
https://www.findlabtest.com/lab-test/hormone-testing/dht-test-cost-quest-90567
I'll post a summary of my baseline lab results in a later post