question from a user

Just started 90 MG / week divided into 2 shots of 45 each time. I’m 51 , and concerned about losing my hair. What’s the consensus on using Finasteride while on TRT?

AlphaMD's Answer

Hair loss on TRT is almost entirely dependent on your genetics. Therapeutic doses of TRT, especially as something as low as 90mg (I know that Canada has a much lower treatment approach), should not cause any TRT related hair loss outside of men who have hair loss in their families already.

I would say less than 1% of our clients encounter this & it is almost always family genetics at play.

Finasteride does it's job well. It blocks DHT essentially. DHT is what causes head hair loss. Taking it should do exactly that.

However, DHT is also 10x stronger than normal Testosterone & plays an important role in libido. So from a therapy standpoint we would never want someone to use oral Finasteride unless that was the only option. (It can also have some side effects).

A great alternative is topical Finasteride. If you have a company up there which can do it, that's the much better approach. It can be used on your head to do the exact same thing without blocking it internally or with risk of side effect.

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