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For everyone struggling with hair loss but concerned about side effects of Fin. Look into topical fin. It produces higher concentrations of the medication in the scalp and lower systemic concentration. Not perfect, but better.
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About 2% of finasteride users experience these side effects, and they are reversible after discontinuation.
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Apparently some users report persistent side effects even years after stopping the medication (post-finasteride syndrome).
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How many of them can be accounted for by the natural rate of sexual dysfunction?

I've been taking it without significant side effects for ~15 years, so I'm not worried, although at this point it's losing its main effect as well.

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yep that would be me
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Yep. Not everybody but enough to warrant vigilant monitoring and titration.
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