HCG will most likely increase progesterone, but hopefully, it can stimulate 5AR which will increase allopregnanolone. The goal here is restoring an adequate androgen index in the body, with a healthy androgen to estrogen ratio. Keeping it low, below 7ng/ml, is absolutely key to improving. It is not intended nor implied to be a substitute for professional medical advice. Other than supporting male sexual development through puberty, DHT more or less serves to sustain androgenic functions in androgen supported tissues that could otherwise be maintained by high testosterone levels, lowering SHBG and antagonizing estrogen. Of the products that actually contain efficacious ingredients, the standardization (extract) that is used in most commercial products is generally very low too. Check 3adiolG for increases and 3adiol for decreases. Post-finasteride syndrome If cortisol is low in blood tests, then you can focus on increasing that, but if cortisol is low in saliva tests but high in blood tests, focus on calming the adrenals. You also need a physiological amount of Estrogen to support many overlapping functions as well. The “sexual health” market is full of junk. Diviccaro S, Giatti S, Cioffi L, Falvo E, Herian M, Caruso D, Melcangi RC. Obviously, the most predictable and efficacious of those being Testosterone, as it is the literal bioidentical androgen we naturally secrete, and we already know it acts as a precursor to all of the other hormones we need to modulate sexual health sufficiently, with a reasonably predictable risk profile. However, that would then make you Testosterone deficient and cause muscle wasting because DHT has such poor anabolic activity. For someone using Proviron by itself, while Proviron doesn't directly increase free testosterone, it still modulates the androgen index in the body and can correct a hormonal imbalance without causing complete HPTA shutdown. Thanks. Expectedly, those using 1.0-1.25 mg for hair loss prevention (the standard daily dose of Propecia, or Proscar prescribed off label divided into quarters) would experience a recovery of DHT levels within an even shorter time frame. Post-finasteride syndrome (PFS) has been claimed to occur in men who have taken oral finasteride to treat either hair loss or benign prostatic hyperplasia, independent of age, dosage, or indication. My total t is 650 ng/dl. Post-finasteride syndrome is a rare condition that some men may experience after taking finasteride (Proscar, Propecia). Acufene Punk?”. I know how frustrating it can be, but it doesn't have to be.Let me help you identify the missing link, give you clarity and get you to your goal. Finasteride blocks the glutathione production leading to mycotoxin build up if you were living or working near mould and not knowing it. I think progesterone is high because it’s not converted further downstream possibly due to 5AR downregulation. The mean 25-hydroxyvitamin D concentration of these participants was markedly lower than that of men with sufficient testosterone. This genetic mutation is what shed light on the potential therapeutic applications of Finasteride in the first place [R]. Or, you have high SHBG levels, and the drop in DHT and/or the spike in Estrogen caused even more Testosterone to get bound up by SHBG, preventing you from getting sufficient free testosterone to facilitate androgen dependent functions that would otherwise be satisfied by endogenous Testosterone. Post-finasteride syndrome (PFS) is a constellation of serious adverse side effects manifested in clinical symptoms that develop and persist in patients during and/or after discontinuing finasteride treatment in men with pattern hair loss (androgenetic alopecia) or benign prostatic hyperplasia. HHS Vulnerability Disclosure, Help Self-reports provide much of our understanding of post-finasteride . official website and that any information you provide is encrypted NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. I’m in PFS from February 2018. Hi Gary, synthesis of bile (5β-R specifically), which is essential for the digestion of fat and absorption of fat-soluble vitamins. Thanks in advance. A medical opinion on this procedure would be important, because we do not have scientific evidence about HCG and PFS, but it would already be a start. What’s happening to the progesterone if I try HCG? I have had retraction of penis and man boobs. I am quite distressed atm and hope this is not permanent and everyone is telling me I’m just hypochondriac but I know my sexual function is inhibited for the time being. However, because estrogen and SHBG levels are now significantly lower in the body, via Proviron's inherent androgenicity and the optimization of the body's androgen index, sexual function should significantly improve in individuals who have optimal total testosterone levels on paper and still experience Post Finasteride Syndrome. How To Reverse Post Finasteride Syndrome Natural Post Finasteride Syndrome Treatment Lifestyle Diet Supplements Unnatural Post Finasteride Syndrome Treatment Testosterone Restores Sexual Function In Male Pseudohermaphrodites Why Can't You Just Inject DHT To Treat Androgen Deficiency? Obviously some level of responsibility falls on the patient to research what drugs they are going to be taking prior to taking them, but if a doctor has upwards of a decade of “education”, and they suggest you forgo blood work, or fail to even suggest it to begin with, it just goes to show that they probably shouldn't even be prescribing drugs in the first place. Well, SSRI drugs almost never only inhibit the reuptake of serotonin, but they often also increase allopregnanolone, decrease serotonin receptor sensitivity, block certain serotonin receptors, release dopamine and histamine, etc. Epub 2016 Jan 13. In the image above, the man on the left has a 5-alpha reductase deficiency, and his brother on the right doesn't have a deficiency. You can argue with the theoretician but you can’t argue with the anecdotal stories of successful recovery. This in itself not only exemplifies how testosterone is inherently androgenic, but it also reinforces the fact that testosterone will transcribe androgenic activity in affected tissues following its activation of androgen receptors (such as exacerbate hair loss in those with a predisposition to aggressive AGA). If you could thoroughly evaluate erection quality, libido, etc. Increasing carbon dioxide production. This site needs JavaScript to work properly. This experiment to me proved that the functions of DHT can be replaced simply be replacing the disparity in the body's androgen load from baseline after inhibiting 5-alpha reductase. See? I also started taking Allopregnalone ( Ideal Labs ) along with coconut oil whcih has helped with my mood and anxiety. Most don't realize how the body uses fat to produce testosterone in the first place (and consequently DHT), but many shoot themselves in the foot by severely limiting fats when they try and lose fat. Chronic insomnia , I am now taking Trazodone which helps me get to sleep, I also have myoclonic twitches and brain zaps while trying to fall asleep and my auditory system is super sensitive any small noise at night makes my me jump even when wearing ear plugs. Haphazardly giving somebody Finasteride without looking at their baseline hormone levels is a terrible idea. Copyright © 2022 More Plates More Dates – All Rights Reserved. Keep in mind, the reference range for these hormones are extremely general too. This diet is recommended by the National Heart, Blood and Lung Institute NHLBI to help prevent and treat metabolic syndrome. This is backed up in the clinical data conducted on male pseudohermaphrodites [R]. Brian fog A doctor will tell you your testosterone levels are fine when you are walking around with a 300 ng/dL total testosterone level. Gene Expression Study of Post-Finasteride Syndrome patients at Baylor ... “How do you explain that? Dopamine agonists, such as mucuna pruriens, huperzine A, Catuaba bark extract, etc. – cold penis Why Do Some People With Post Finasteride Syndrome Get Worse After Using Testosterone/TRT? Prior to starting Finasteride, I advise that you at least get the following high sensitivity hormone profile and add the sensitive assay Estradiol test to your cart on top of that. This is something that works very well, but I'm telling you right now, you need to be more concerned with your overall androgen index than what random supplements you are taking to bandaid your issues. It’s baffling to me how many people do not understand that Finasteride is an anti-androgen. Q&A answers from my first @marekhealth live webinar. Dutasteride is so powerful that it almost induces a state identical to what pseudohermaphrodites experience as a result of a 5-alpha reductase genetic deficiency. Masteron is a very androgenic hormone, but far more tissue selective than DHT still. Andro Genetic Alopecia (AGA) is the most frequent cause of hair loss worldwide, affecting around 70% of males as Male Pattern Hair Loss (MPHL) and 40% of females as Female Pattern Hair Loss (FPHL) at some point in their lives. Proviron is not 17α-alkylated, so it has little or no potential for liver toxicity. If you are unable to import citations, please contact The following study was evaluated using Dutasteride, which is far more DHT suppressive than Finasteride. 5α-R type 1, which creates the neurosteroids 5α-DHP and allopregnanolone downregulate the glutamatergic system. So, despite the fact that you're increasing your Testosterone and your estrogen by 15%, the drop in DHT Finasteride causes reduces the overall androgen load in your body. I’d love to help you out. I’m not beholden to trT. I've proved this myself with my year long Dutasteride experiment. You should get your baseline total testosterone, free testosterone, DHT, Estradiol and SHBG levels tested. Total testosterone secretion dropping will decrease the amount of bioavailable free testosterone for the body to use, and the concurrent increase in SHBG binds up even more of the testosterone in the body, further dropping the amount of bioavailable free testosterone in the body. Here are a few good ways to increase dopamine: For more a comprehensive guide on boosting dopamine, check out this article: If dopamine is low, then prolactin will most likely be high. Hi David, If you leave your Post Finasteride Syndrome up to a doctor to solve, you will 9/10 times be stuck with a limp dick and assuming that Finasteride ruined your life. Also do you recommend an androsterone supplement, I haven’t heard of that option so far. However, this may also give rise to severe . If you don't have baseline blood work to see what your hormone profile looks like, you will have no idea what to reference afterwards if an issue arises. and the term post-finasteride syndrome arose. Are you sensitive to dietary fats and have greasy stool with fat floating on the surface of the water after pitching a loaf? To help with sleep I am also I use Magnesium , Lemon Balm, Taurine, Theanine and other sleep-aid herbs . In some cases, their genitalia appears female, or in other cases they definitively have male genitalia, but its unusually small (micropenis) with the urethra opening on the underside of the penis. I will start Progesterone cream with tongkat ali soon. Yes, in general it’s safer with less sides, but some people have reported similar side effects as fin. Hello. What do you think of TRT is PCT to recover from PFS? Frankly, I don't care if you buy it or not. I kept my Testosterone levels on the brink of high-normal. Topical TRT will increase DHT even more. These are all things that are facilitated via an improperly managed hormone profile, and can be manually corrected. I have had PFS for 15 years, just came across your article, would you be interested in looking at my labs for comment? – Brain fog Use 5 grams per day, every day, for the rest of your life. Go to: Introduction Finasteride is an inhibitor of the enzyme 5α-reductase types 1 and 2 - with greater affinity for type 2 - that has been approved by the Food and Drug Administration (FDA) in the United States for the treatment of benign prostatic hyperplasia (BPH) since 1992 and for the treatment of male androgenetic alopecia (AGA) since 1997. Anti-inflammatory diets to try include: DASH diet. technical support for your product directly (links go to external sites): Thank you for your interest in spreading the word about The BMJ. DHT is several times more androgenic than Testosterone with a much higher binding affinity for androgen receptors, and is what is majorly responsible for the development of secondary sex characteristics like the deepening of the voice, development of facial hair and body hair, and the growth of the penis and scrotum. However, some men report persistent sex drive and ejaculation problems after stopping the . These levels should be assessed using sensitive assay testing only, as outlined earlier in the article. Killian McDuff on Twitter: "RT @Derek_Fitness: Is HCG A Viable Long ... Any doctor interested in giving an opinion on the case? 1 Epub 2022 Jul 14. Now two months after stopping Dudasteride, my twitches and brain zaps are now greatly diminshed, insomnia is still a problem though. – prostatis Cheers. While getting baseline blood work for as many major endocrine health markers as possible is ideal, the markers above are the bare minimum that you absolutely need. The same androgen dependent functions can be satisfied via any androgen though; Testosterone and DHT aren't special, which we will delve into later. I can definitely have a look for you and see if I find anything that needs optimization. And even if you do still encounter issues, you can then pin point exactly what the reasons could be and how to attenuate the issue within short-order. You are after all slashing your body's primary androgen by upwards of 70%. Thought I'd summarize some things that have had some effect, in case it could help others here. I find this amazing article. The issue is not your testosterone production in this scenario, rather, the issue is that you do not have enough bioavailable free testosterone available to actually use. Also I jumped the gun on TRT out of frustration and desperation. You could be estrogen dominant even with in-range estrogen levels simply due to an insufficient androgen load in the body. DHT is very androgenic, but sucks at building muscle. 8600 Rockville Pike Thanks man, much appreciated. . alteration in the gut microbiota, which can lead to digestive issues, skin issues, mental issues, etc. Finasteride is a 5-alpha reductase inhibitor and this blocks the conversion of testosterone to DHT. Unauthorized use of these marks is strictly prohibited. It was so low that DHT was not even detectable in my blood. While it doesn't fall into the traditional medical definition of an anti-androgen, the fact remains that 5-alpha reductase inhibitors are designed to severely deplete the body's androgen levels. My blood level are ok only progesterone and colesterolo are higher than the max range. Had you seen that your baseline bloodwork showed borderline high estrogen levels to begin with, low or low-normal androgens, borderline high SHBG, or a combination of these, it would be a lot easier to make an educated guess about what your risk profile was prior to starting. What they don't communicate to you is that Finasteride is deigned to deplete your androgen levels. At some dosage, androgen-affected tissues would be adequately stimulated by Masteron, and then micronized Estradiol could be administered to get E2 levels up to 30 pg/mL manually. I am on the transcrotal cream. I took a topical of Fin/Minoxidil for less than 3 months and just recently have experience whole body weakness, stiffness, joint pain, brain fog and a lower feeling of well-being/happiness. Low levels of these hormones increase glutamate and may account for the appearance of behavioural disorders such as anxiety, aggression, and cognitive dysfunction. The Finasteride treated group was using 5 mg per day for 24 weeks (roughly 6 months), and after stopping treatment, their DHT levels recovered to baseline within a month. Sexual Problems of Men With Androgenic Alopecia Treated With 5-Alpha Reductase Inhibitors. Post-Finasteride Syndrome Therapy & Treatment | Dr. Matthew J. Bruhin Exogenous steroid use is on another level from hormone assessment on Finasteride, and has many more moving parts at play. In addition, DHT acts as an antagonist to estrogen in the body and also frees up bound Testosterone to SHBG. The way Finasteride works is by inhibiting 5-alpha reductase. I got Post Accutane Syndrom, which is related to PFS, there is a down regulation of 5 alpha reductase 1. Developed by Merck, it is used to treat male pattern baldness, but millions of men have suffered from a multitude of side effects—these are collectively known as Post-Finasteride Syndrome or PFS. During puberty, Testosterone and DHT spike significantly. Post-Finasteride Syndrome: An Induced Delusional Disorder with the ...
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