question from a user
AlphaMD's Answer
When it comes to TRT, Testosterone at a therapeutic dose (getting you to where you should be) typically doesn't cause additional* hair loss. However if you're prone to balding (or have a family history of it) then it can cause it to continue/speed up.
This is mostly due to additional DHT being added to what you currently have. This is a small amount of conversion & is usually a good thing, as DHT can be x10 stronger than basic Testosterone for all the benefits of T. However, it's also fairly good at drying out and causing issues with hair follicles on the scalp. That being the case, Finasteride can be a good medication to take with TRT to reduce DHT. We'd prefer to not give it to all patients unless they know they'll need it or they notice side effects since again that DHT is pretty helpful. Even with Finasteride and lower DHT you will still feel some great benefits from the basic Testosterone from TRT.
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When you say subq vs IM, are you talking for just HCG or also for Testosterone? This is a pretty interesting topic for both actually. We'll do a detailed video on that question.
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We do use a compounding pharmacy. The short answer is that is offers us & the patient more control, better prices, and is easier to work with for everyone. The longer answer is touched on in this last excerpt: https://youtu.be/7wXrbRiKT1M
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