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Finasteride

Finasteride inhibits type II 5-Ξ±-reductase, lowering scalp DHT and slowing miniaturization in androgenetic alopecia. Consistent use preserves density and increases hair counts in controlled trials. Effects stabilize after ~6–12 months and are maintained with continued use. It is pharmacologic, not β€œnatural,” and remains a cornerstone when the goal is long-term scalp preservation.


Blocks conversion of testosterone to DHT in follicular units with ~60–65% scalp DHT reduction; serum DHT typically drops ~60–70% at therapeutic dosing. Reduced DHT- decreased androgen signaling in susceptible follicles, slower miniaturization and improved anagen ratios.

Randomized, placebo-controlled trials show increased hair counts and global photographic improvements at the vertex and mid-scalp. Longitudinal data confirm maintenance with ongoing therapy, with relapse on discontinuation.

Commonly stacked with topical/oral minoxidil and ketoconazole shampoo. Consider labs/MD oversight if you have endocrine concerns. Any switch to dutasteride should consider higher DHT suppression and risk/benefit.

References


 

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