question from a user
Should new patient to TRT start with AI preventively or wait and only start if having symptoms? Is topical finasteride good enough to prevent worsening make hair loss on TRT? Would TRT hurt future hair transplant? Thanks
AlphaMD's Answer
In our book, unless you're doing high levels of bodybuilding Testosterone where you're near guaranteed to have side effects, you should start normal TRT without an AI first & wait to see if you need it. Typically it is the minority of men who do, so it's better to no give an extra medication if possible or to plummet natural Estrogen.
Topical Finasteride is a great solution, and if possible what we would prefer. Being a type of DHT blocker, stopping it on the head but letting it still work in the body is great. DHT in the body really impacts libido & is much stronger than normal Testosterone, so you want it when you can.
It would not, much for the same reason as the first answer. Though during a transplant period you should involve your TRT provider just to make sure they might not have suggestions for you.
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