The Cure For Hair Loss - The Truth About 5α-Reductase Inhibitors and Topical Anti-Androgens

Also I did some searching on this and found a comment on reddit which mentions the MPMD thing you mentioned. Lemme post it right starting after the colon:


Good posts and I agree there is no real evidence that Test causes hair loss. Doesn’t mean it doesn’t. There is a lack of evidence.

He also says “a foolish conclusion” when referencing MPMDs conclusion of Test causing loss yet says “normal physiological levels is not associated with hair loss”. Normal levels sure, maybe, again, lack of evidence, even if slight. MPMD didn’t have normal levels, and neither do I (I roid).

Regardless of that, I don’t see how it makes any practice difference, do you? How does he suppose you deal with said “5ar activity in the dermal papilla”? You have 3 options. Dut (or Fin), RU and potentially topical Dut. I see Dut and RU as the ideal solution regardless especially when you do have supraphysiological test levels. Or fuck it and run all 3.
Again, if that’s the case, then why does finasteride/dutasteride only cycles work?

Fin/dut ONLY stops DHT, not test. In fact, like you said, they increase test since there’s less test converting to DHT. Every study and every doctor says DHT is the culprit for hair loss, not test. Even chad gpt agrees.
Despite above, I do still believe DHT is the MAIN culprit of hair loss. There is no denying that. I still think scalp T will play a part, even if small. I don’t believe what doctors say nor chatgpt. chatgpt tells me a vegan diet is healthy also.
 
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Good posts and I agree there is no real evidence that Test causes hair loss. Doesn’t mean it doesn’t. There is a lack of evidence.

He also says “a foolish conclusion” when referencing MPMDs conclusion of Test causing loss yet says “normal physiological levels is not associated with hair loss”. Normal levels sure, maybe, again, lack of evidence, even if slight. MPMD didn’t have normal levels, and neither do I (I roid).

Regardless of that, I don’t see how it makes any practice difference, do you? How does he suppose you deal with said “5ar activity in the dermal papilla”? You have 3 options. Dut (or Fin), RU and potentially topical Dut. I see Dut and RU as the ideal solution regardless especially when you do have supraphysiological test levels. Or fuck it and run all 3.

Despite above, I do still believe DHT is the MAIN culprit of hair loss. There is no denying that. I still think scalp T will play a part, even if small. I don’t believe what doctors say nor chatgpt. chatgpt tells me a vegan diet is healthy also.

  1. This Study comparing fin and dut at different doses shows that 2.5 mg of dut increases scalp testosterone by a whopping 222% while 5 mg of fin increases scalp testosterone by only 23%. So if we were to assume testosterone is bad for hair then the 222% increase in scalp T must be terrible. Well turns out despite all that 2.5 mg of dut showed by far the best result out of all treatments and dosages.


All the evidence he provided seems to showcase T has nothing to do with it.
 
Good posts and I agree there is no real evidence that Test causes hair loss. Doesn’t mean it doesn’t. There is a lack of evidence.

He also says “a foolish conclusion” when referencing MPMDs conclusion of Test causing loss yet says “normal physiological levels is not associated with hair loss”. Normal levels sure, maybe, again, lack of evidence, even if slight. MPMD didn’t have normal levels, and neither do I (I roid).

Regardless of that, I don’t see how it makes any practice difference, do you? How does he suppose you deal with said “5ar activity in the dermal papilla”? You have 3 options. Dut (or Fin), RU and potentially topical Dut. I see Dut and RU as the ideal solution regardless especially when you do have supraphysiological test levels. Or fuck it and run all 3.

Despite above, I do still believe DHT is the MAIN culprit of hair loss. There is no denying that. I still think scalp T will play a part, even if small. I don’t believe what doctors say nor chatgpt. chatgpt tells me a vegan diet is healthy also.
And again. If T played a role, then why does hair loss medication only lower dht and not T?

It wouldn’t be good if T was a culprit too. DHT may be utter trash, but we definitely need T in our bodies 😭
 
And again. If T played a role, then why does hair loss medication only lower dht and not T?
I don’t understand this question, it makes no sense what so ever. They are 5AR inhibitors. Are you trying to say that Fin and Dut are pointless because it causes hair loss anyway due to T? It’s a comical argument. DHT is the main androgen causing hair loss without question, maybe not the only, there’s a lack of evidence as I said, but it’s the main one and it has no purpose in the body. They deal with the main problem. At physiological T levels it’s likely enough. Dut is also not even prescribed for hair loss, it’s off label.

It wouldn’t be good if T was a culprit too. DHT may be utter trash, but we definitely need T in our bodies 😭
Hence the existence of topical anti androgens.
 
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I don’t understand this question, it makes no sense what so ever. They are 5AR inhibitors. Are you trying to say that Fin and Dut are pointless because it causes hair loss anyway due to T? It’s a comical argument. DHT is the main androgen causing hair loss without question, maybe not the only, there’s a lack of evidence as I said, but it’s the main one and it has no purpose in the body. They deal with the main problem. At physiological T levels it’s likely enough. Dut is also not even prescribed for hair loss, it’s off label
It’s not comical. Why are those two prescribed as hair loss meds if T were also a culprit? Shouldn’t they give you something that lowers T too? Judging by your argument, even if I take a 5AR inhibitor orally by itself, I’m still gonna lose hair since the T is still at play. But the comment showed 5 studies which logically showcase T has nothing to do with it. Like one of those studies said, dut increased scalp T by 200%, yet none of the researchers or anyone using dut report extra hair loss. Anyone who uses fin/dut orally notice hair loss stopping as well as reversing, this just showcases that DHT is the only culprit, testosterone is innocent. Hair loss is studied extensively by scientists, if T was actually a culprit, don’t you think at least one study would mention that?
 
Why are those two prescribed as hair loss meds if T were also a culprit?
Maybe because systematically nuking T is retarded asf and not an option what so ever and RU is a research chemical (that showed better results than fin IIRC).

Judging by your argument, even if I take a 5AR inhibitor orally by itself, I’m still gonna lose hair since the T is still at play
Indeed. That is exactly what I believe, especially if you have supraphysiological Test levels.

With your logic eveyone should be 100% safe from the reaper with just Dut, that’s not the case. I’ve read about multiple people progressing on just Dut.

Like one of those studies said, dut increased scalp T by 200%, yet none of the researchers or anyone using dut report extra hair loss.
200% on natty T levels.

Anyone who uses fin/dut orally notice hair loss stopping as well as reversing, this just showcases that DHT is the only culprit, testosterone is innocent.
Definitely not. I have read multiple cases of hair loss progressing while on Dut, normal T.
 
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200% on natty T levels.
Yeah that’s still a big increase and they didn’t lose hair. Can you explain why?
Definitely not. I have read multiple cases of hair loss progressing while on Dut, normal T.
Then that means they’re losing hair due to telogen efflevium, not AGA lol. The overwhelming majority of people stop hair loss with fin alone. No evidence whatsoever T does anything.
 
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Yeah that’s still a big increase and they didn’t lose hair. Can you explain why?
Less androgenic.

Then that means they’re losing hair due to telogen efflevium, not AGA lol.
JFL which means they would lose hair on the sides of their head as well. They don’t.

The overwhelming majority of people stop hair loss with fin alone.
Complete cope. Most people maybe halt it for some time on fin but they WILL continue to progress on Fin.
 
JFL which means they would lose hair on the sides of their head as well. They don’t.
They prolly do and you just don’t notice. look man, no study or evidence showcases that T is a culprit as well, it’s just fear mongering. You’re dodging so hard. Dutasteride (which you practically worship) increases scalp T by 222%.
Complete cope. Most people maybe halt it for some time on fin but they WILL continue to progress on Fin
Not really since studies show it works + plus. people literally stop hair loss and reverse it even. Anyway, you’ve been on dut right? How do you prevent gyno,
 
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Less androgenic.


JFL which means they would lose hair on the sides of their head as well. They don’t.


Complete cope. Most people maybe halt it for some time on fin but they WILL continue to progress on Fin.

I never denied that.


yes, and some people continue progress.


Yes, 2.5mg.


Never had issues.
IMG 3819
IMG 3818


What do you think I should do for my case?
 
Hmm, well my plan was to start with topical ru only first. What do you think?
RU is best when used with a 5ARi. 5ARi is first line of defence and deals with most of the DHT, then RU deals with any scalp DHT remaining (and any other androgens at the scalp).
 
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RU is best when used with a 5ARi. 5ARi is first line of defence and deals with most of the DHT, then RU deals with any scalp DHT remaining (and any other androgens at the scalp).
Yeah my plan as a beginner was oral fin + ru and then later on move on to dut if necessary
 
2.5 of mg dut make actually sense but only for the first 7-10 days of roiding for reaching the steady state and then using 0.5 daily or EOD
 
RU is best when used with a 5ARi. 5ARi is first line of defence and deals with most of the DHT, then RU deals with any scalp DHT remaining (and any other androgens at the scalp).
RU + DUT It's practically the definitive cure, it suppresses local DHT scalp almost 100% crazy
 
2.5 of mg dut make actually sense but only for the first 7-10 days of roiding for reaching the steady state and then using 0.5 daily or EOD
I would use 2.5mg every day the whole time, at least while on cycle. It’s definitely worth it. I don’t see a reason not to use 2.5mg over 0.5mg ed, cost only, but I don’t see that as an issue either if you know how to source.


RU + DUT It's practically the definitive cure, it suppresses local DHT scalp almost 100% crazy
exactly. Hence this threads title.
 
View attachment 3683815

The Cure For Hair Loss - The Truth about 5α-Reductase Inhibitors and Topical Anti-Androgens - Part 2
(excuse the shit formatting, I don't normally write threads, so I can't format for shit)

What does this thread include?
In this thread I will be covering the different treatments depending on your age and situation for hair loss, as well as what impact each of these drugs will have on your development.

1) Introduction
2) Why are you balding in the first place?
3) What can we do about DHT at the scalp?
4) Distinguishing between Type 1 isoenzyme and Type 2 isoenzyme
5) Should I be worried about side effects from FInasteride?
6) Hair loss treatment if you are over 18
7) Hair loss treatment if you are under 18
8) What do do if you still experience hair loss on 5α-Reductase inhibitors
9) Is RU58841 safe for use, since it's a research chemical
10) How to make RU58841 solution
11) Drug dosages


Introduction.
We all know, hair is life, if you have no hair, you have no life.

Once you down the rabbit hole of finding a "cure" for hair loss, you will find that you have only 2 real options in term of halting the actual hair loss itself. Those options would be Finasteride/Dutasteride (5α-Reductase inhibitor) or research produces like ru58841. In this thread I will go into depth about these, and which one people should use depending on their situation, or if they should use one at all.

Why are you balding in the first place?
The vast majority of men go bald because of a hereditary condition called Androgenic Alopecia (AGA). Unfortunately, the number of men that do not have condition are in the minority, so do not assume that you are safe from the norwood reaper, ever. Everyone's hair follicles has a different sensitivity to androgens. The androgens binding to the hair follicles will make the Anagen phase shorter and shorter until a permanent state of anagen phase is present and the hair follicle is deactivated. The strongest hormone that shorten the Anagen phase is DHT (dihydrotestosteron) and Testosterone. Some woman are so sensitive to DHT and Testosterone that the small amount they produce is sufficient enough to cause hair loss.

What can we do about DHT at the scalp?
As I mentioned above, there is a very limited number of things we can do to combat this, however using the protocols I will outline in this thread will leave you having you hair for life. First we have to take care of the main androgen in causing hair loss, which already outlined above, is DHT. There is only one safe way to decrease the amount of DHT in your body, and that is taking a 5α-Reductase inhibitor such as Finasteride or Dutasteride. In taking on of these 5α-Reductase inhibitors, we are systematically decreasing the amount of DHT in out body, and subsequently decreasing the amount of scalp DHT we have, which is what we want to reduce as much as possible. I will outline which is best to take for each individual, since it's dependant on your age, if you use certain compounds to "pubertymaxx" etc.

Will 5α-Reductase inhibitors stunt bone development?
Is taking 5α-Reductase inhibitors going to keep you boneless forever? Lets find out.

Study:
Results: Patients with dihydrotestosterone deficiency present normal bone mineral density, suggesting that dihydrotestosterone is not the main androgen acting in bone.

Study:
Results:
View attachment 3683851

The two guys on the left have 0 DHT (literally) and they still have a normal bone structure and an identical height, bone density and skeletal mass to their healthy siblings, it have a higher binding affinity to the androgen receptor but it doesn't cause the same physiological response.
The pubertal growth spurt (for men) is also induced by testosterone and not DHT.

Also 5AR is not very active in bone tissues and DHT is mainly a paracrine hormone (i.e it acts where it's produced while testosterone acts on the whole body despite being produced in the testes).

So, does that mean we should all just take the strongest 5α-Reductase inhibitor (Dutasteride) and call it a day? Well, no. First we have to distinguish between the two forms of DHT, as these studies to not distinguish between them, so it is not the full picture.

Distinguishing between Type 1 isoenzyme and Type 1 isoenzyme.

Both these studies show that DHT doesn't have an effect on bones, right? So, we should all just take Dutasteride? Wrong.

These studies have not differentiated between type 1 isoenzyme, and type 2 isoenzyme.

So, first we have to see where type 1 DHT and type 2 DHT are expressed in the body.

Type 2 DHT is not expressed in bones at all, it's only expressed in the genitals, prostate gland, epididymides, seminal vesicles, genital skin, facial and chest hair follicles, and liver, while lower expression is observed in certain brain areas, non-genital skin/hair follicles, testes, and kidneys.

However, Type 1 DHT is actually expressed in bones. This matters because the studies I have shown above, are actually only deficient in the type 2 isoenzyme, which is the one that is not present in bones. This is the reason they present with normal bone mineral density, bone structure etc. If they were also deficient in Type 1 DHT, this would likely not be the case at all.

"5α-Reductase type 1 inactivated male mice have reduced bone mass and forelimb muscle grip strength, which has been proposed to be due to lack of 5α-reductase type 1 expression in bone and muscle.[29] In 5 alpha reductase type 2 deficient males, the type 1 isoenzyme is thought to be responsible for their virilization at puberty.[6]"

Bone growth and change will be minimal after 18, I definitely agree, but it still does happen. Facial bones are flat bones. They do not fuse, so they will continue to change forever, obviously to a lesser extent the older you get. Bones development/growth “stops” when resorption becomes greater than formation. As you age, this is more likely to happen, and will happen at a certain age most likely. Taking Dut with inhibits type 1, which is active in bones would likely have a negative impact, and speed up this process. You also won't achieve the slight bone changes that maybe desirable. It's true you don't know if you will have any noticeable change. Even in terms of BMD, doesn't effect aesthetics, it is still somewhat important for health. I would feel more comfortable to take Finasteride over Dutasteride if natural, since enhanced individuals would probably be able to compensate with supraphysiological Test levels and compensate for the lack of Type 1 DHT. The only thing I can really think of that have possibly comparable DHT type 1 levels to men on Dutasteride, would be women, who do actually have lower bone mass and lower BMD than men, and are at a greater risk of developing osteoporosis compared to men. That is not me saying if you take Dut your bones are going to melt and dissolve off your face.

Should I be worried about side effects from Finasteride?
I am not going to say that side effects do not exist, there are going to be the very unfortunate minority that may get side effects, but most of the people that are reporting side effects are schizo, especially if you go to places like r/tressless. They are basically all mentally ill. I’m not saying PFS or side effects in general aren't real, but I am saying that side effects, including PFS, are very much exaggerated in 2025.

Even in long-term studies (10 yr +) in Asians, no evidence of PFS symptoms were ever discovered. Only 1-3% get sexual sides, which wasn't even significantly different from the placebo arm in the original trials.

View attachment 3683840


Only after social media started popping off side effect reports started skyrocketing, and no, it’s not because there were fewer users back in the 2000s, millions of men were already on it back then.

There is some evidence for the existence of PFS and I will link a post here:
Personally, I would take the chance 10/10 times.

Hair loss treatment if you're over 18.
If you are above the age of 18, and are natural, which means you DO NOT take exogenous hormones, such as Testosterone to achieve supraphysiological Testosterone levels in the body, I would recommend taking Finasteride at 1mg ever day.
If you are above the age of 18, and are enhanced, which means you DO take exogenous hormones, such as Testosterone to achieve supraphysiological Testosterone levels in the body, I would recommend taking Dutasteride at 2.5mg a day.

Hair loss treatment if you're under 18.
If you are younger than, you don't want to reduce your serum DHT levels since you are obliviously still growing, and DHT does play an important role in puberty. This means we are going to have to deal with scalp DH and Testosterone through compounds that will not effect your systematic levels. This can be accomplished through the use to the research chemical RU58841. This is a anti androgen which is applied topically to the scalp. To put it simply, it binds to the androgen receptors instead of DHT and Testosterone. Since hormones like DHT and Testosterone will not be able to bind, your hair will be safe from the norwood reaper, at least until you are old enough to get on approved treatments.

What should I do if you still experience hair loss while taking a 5α-Reductase inhibitor?
So you may have taken a 5α-Reductase inhibitor and are still seeing hair loss after a few months on treatment. You are probably very sensitive to androgens at the scalp, since for a large majority, 5α-Reductase inhibitors will be enough. If you still experience loss, it is because 5α-Reductase inhibitors will not completely remove scalp DHT, there is still some present at the scalp. As well as this, 5α-Reductase inhibitors don't decrease scalp Testosterone. The only way to deal with any residual DHT at the scalp, and the scalp Testosterone is by using ru58841. I already mentioned above that it does. Adding this on top of 5α-Reductase inhibitors will mean that your scalp will have as little androgens present that is currently possible, and will give your hair the best chance of survival.

Is RU58841 safe for use, since it's a research chemical?
This next part is not my words, it's from a post else where.
I found out about a clinical researcher that worked on the compound.
I wrote him two e-mails, but he didn't answer.
Therefore I tried to call him on the phone. It was quite hard to get to him since his secretaries apparently don't speak English. But the third time I was calling, I was lucky enough to get himself on the phone.
When I mentioned PSK-3841 he knew immediately what I was talking about. Apparently he got at least 10 phone calls in the last 3 years about this subject.
I asked him wether he remembers major safety concerns and he said no. He thinks the research was stopped because of financial issues or bad marketability.
He also said he tried to contact Prostrakan about it, but they are not interested in continuing the research.

He said that PSK-3841 was quite effective when he used it in the 6 month trial. He even suggested crowdfunding to make Prostrakan release the data or continue research.
This corresponds with the following statement, that was released by Prostrakan.

Topical anti-androgen
This is an innovative molecule with a unique mechanism of action for the treatment of androgen-dependent conditions, such as alopecia and acne.
In pre-clinical studies, it has shown promising activity in various models of acne, alopecia and hirsutism. The product has good systemic and dermal tolerance.
In human clinical pharmacology, there was no systemic anti-androgenic activity and again good general and dermal tolerance.
The molecule has completed several Phase I studies and a Proof of Concept Phase II study for alopecia.
It has demonstrated similar efficacy after 6 months treatment as that observed with current oral therapy for alopecia after twelve months, based on the increase in net hair count. Again, no systemic anti-androgenic effect was observed (n=90).
This product is available for licensing.


PS: English is not my native language so I may have not understood everything 100% correctly. But I asked him about the safety concerns 2 times, so I'm quite sure about that.

Edit: I don't want the researcher to get into legal trouble. Therefore I have deleted the name from the post. He has not shared confidential Data with me but I want him to be safe.

How to make an RU58841 solution.
You can either use a premade solution or you can home brew your own, which is much cheaper.
I will outline how to make your own now.

You will need: Precisions measuring scale 0.001g, Propylene Glycol, Ethanol 95%, RU58841 raw powder, glass measuring beakers.

I will outline how to make a 5% solution.
This will contain 50mg RU58841 per mL. And it will be a 50mL solution.
70% Ethanol 30% Propylene Glycol is the best ratio for the solution.
You can use DMSO if you wish instead of Propylene Gylycol, with the same 70% 30% ratio.

Steps
1) Get the precision scale and put a measuring beaker on it, and set the weight to 0
2) Put the RU58841 powder into the beaker, measuring out 2.5g
3) Using the measuring beaker, measure out 35mL of ethanol 95%, and add that to the one with the RU58841 powder in it.
4) Using the measuring beaker and measure out 15mL of Propylene Glycol and add that to the beaker with the RU58841 and ethanol.
5) Stir until the RU dissolves.
Store the ready made solution in the fridge. Store the raw RU58841 powder in the freezer.

Here is a video from Reddit if you wish to follow that instead:


Drug Dosages.
Why 1mg of FInasteride and not 0.1mg or 5mg?

View attachment 3683969
Why 2.5mg Dutasteride and not the standard dosage of 0.5mg?
You are taking supraphysiological amounts of Testosterone, which as a result means you are going to have high DHT levels, and if you are particularly prone to androgens raping your hair follicles, you need to be as nuclear as you can be.
Serum DHT inhibition is not that different (about 4% more with 2.5mg) but the Scalp DHT inhibition is almost 80% at 2.5mg compared to 50% with 0.5mg.
Best RU58841 dosage?
I will clarify, by dosage I mean the amount of ru58841 that is applied to your scalp. You are not drinking it or taking it orally, you will be a Testosteroneless creature.
Apply between 50-100mg of RU58841 to the scalp. I would recommend not exceeding 100mg as it will increase the chances of systematic absorption.
If you still lose hair on the stack mentioned in this thread, you are likely not balding due to AGA.

Also go check out @Jonas2k7 thread about Minoxidil:

TAGS
@Drugsmaxxer @Hexmask @spectrumaesthetics2

@imontheloose (I will respond on dc to you, I just haven't gotten round to it yet)

dumb ahh question but if im taking zinc topically to reduce 5a for acne will it make be boneless cuz im lowkez worried nil its in a clenser and its working well which is the scary part
 
Good posts and I agree there is no real evidence that Test causes hair loss. Doesn’t mean it doesn’t. There is a lack of evidence.

He also says “a foolish conclusion” when referencing MPMDs conclusion of Test causing loss yet says “normal physiological levels is not associated with hair loss”. Normal levels sure, maybe, again, lack of evidence, even if slight. MPMD didn’t have normal levels, and neither do I (I roid).

Regardless of that, I don’t see how it makes any practice difference, do you? How does he suppose you deal with said “5ar activity in the dermal papilla”? You have 3 options. Dut (or Fin), RU and potentially topical Dut. I see Dut and RU as the ideal solution regardless especially when you do have supraphysiological test levels. Or fuck it and run all 3.

Despite above, I do still believe DHT is the MAIN culprit of hair loss. There is no denying that. I still think scalp T will play a part, even if small. I don’t believe what doctors say nor chatgpt. chatgpt tells me a vegan diet is healthy also.
Well he did use a normal dut dose while having like 2000 ng/dl which could mean that the 50 percent of scalp dht left over is more than the 50 percent left over in normal people, assuming scalp dht rises with more testosterone. So I think that’s probably why he was losing hair and if he completely eliminated 5Ar in the scalp he definitely would not lose nearly as much hair even with the 2000 ng test
 
Has less than finasteride 1 mg lol
But where is the evidence that RU is effective against androgenetic alopecia? Honestly I only found speculations, but maybe I searched wrong.
 
But where is the evidence that RU is effective against androgenetic alopecia? Honestly I only found speculations, but maybe I searched wrong.
From the results I've seen online it works very well, I suspect the jews decided not to continue studies on this drug not for financial reasons, but because they want people to continue taking fin and chemically castrate themselves
 
From the results I've seen online it works very well, I suspect the jews decided not to continue studies on this drug not for financial reasons, but because they want people to continue taking fin and chemically castrate themselves
What are the results? Scientific publications? I didn't find any.
 
Are you retarded? The jews hid them.
😄 Take out your frustration on this site. Congratulations. You will be alone like a dog in life, I put my hands on the fire.
There's no point in continuing to argue with you, goodbye.
 
😄 Take out your frustration on this site. Congratulations. You will be alone like a dog in life, I put my hands on the fire.
There's no point in continuing to argue with you, goodbye.
It is anecdotally stronger than Dut. RU is the thing I added that completely maintained and unminaturiesed any minor loss I had from retarded cycles while still blasting roids while 2.5mg Dut alone could not. Many anecdotes of people having little success with Dut/Fin and Minox, but after adding RU made a full 360.
 
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It is anecdotally stronger than Dut. RU is the thing I added that completely maintained and unminaturiesed any minor loss I had from retarded cycles while still blasting roids while 2.5mg Dut alone could not. Many anecdotes of people having little success with Dut/Fin and Minox, but after adding RU made a full 360.
any source you recommend?
 
View attachment 3683815

The Cure For Hair Loss - The Truth about 5α-Reductase Inhibitors and Topical Anti-Androgens - Part 2
(excuse the shit formatting, I don't normally write threads, so I can't format for shit)

What does this thread include?
In this thread I will be covering the different treatments depending on your age and situation for hair loss, as well as what impact each of these drugs will have on your development.

1) Introduction
2) Why are you balding in the first place?
3) What can we do about DHT at the scalp?
4) Distinguishing between Type 1 isoenzyme and Type 2 isoenzyme
5) Should I be worried about side effects from FInasteride?
6) Hair loss treatment if you are over 18
7) Hair loss treatment if you are under 18
8) What do do if you still experience hair loss on 5α-Reductase inhibitors
9) Is RU58841 safe for use, since it's a research chemical
10) How to make RU58841 solution
11) Drug dosages


Introduction.
We all know, hair is life, if you have no hair, you have no life.

Once you down the rabbit hole of finding a "cure" for hair loss, you will find that you have only 2 real options in term of halting the actual hair loss itself. Those options would be Finasteride/Dutasteride (5α-Reductase inhibitor) or research produces like ru58841. In this thread I will go into depth about these, and which one people should use depending on their situation, or if they should use one at all.

Why are you balding in the first place?
The vast majority of men go bald because of a hereditary condition called Androgenic Alopecia (AGA). Unfortunately, the number of men that do not have condition are in the minority, so do not assume that you are safe from the norwood reaper, ever. Everyone's hair follicles has a different sensitivity to androgens. The androgens binding to the hair follicles will make the Anagen phase shorter and shorter until a permanent state of anagen phase is present and the hair follicle is deactivated. The strongest hormone that shorten the Anagen phase is DHT (dihydrotestosteron) and Testosterone. Some woman are so sensitive to DHT and Testosterone that the small amount they produce is sufficient enough to cause hair loss.

What can we do about DHT at the scalp?
As I mentioned above, there is a very limited number of things we can do to combat this, however using the protocols I will outline in this thread will leave you having you hair for life. First we have to take care of the main androgen in causing hair loss, which already outlined above, is DHT. There is only one safe way to decrease the amount of DHT in your body, and that is taking a 5α-Reductase inhibitor such as Finasteride or Dutasteride. In taking on of these 5α-Reductase inhibitors, we are systematically decreasing the amount of DHT in out body, and subsequently decreasing the amount of scalp DHT we have, which is what we want to reduce as much as possible. I will outline which is best to take for each individual, since it's dependant on your age, if you use certain compounds to "pubertymaxx" etc.

Will 5α-Reductase inhibitors stunt bone development?
Is taking 5α-Reductase inhibitors going to keep you boneless forever? Lets find out.

Study:
Results: Patients with dihydrotestosterone deficiency present normal bone mineral density, suggesting that dihydrotestosterone is not the main androgen acting in bone.

Study:
Results:
View attachment 3683851

The two guys on the left have 0 DHT (literally) and they still have a normal bone structure and an identical height, bone density and skeletal mass to their healthy siblings, it have a higher binding affinity to the androgen receptor but it doesn't cause the same physiological response.
The pubertal growth spurt (for men) is also induced by testosterone and not DHT.

Also 5AR is not very active in bone tissues and DHT is mainly a paracrine hormone (i.e it acts where it's produced while testosterone acts on the whole body despite being produced in the testes).

So, does that mean we should all just take the strongest 5α-Reductase inhibitor (Dutasteride) and call it a day? Well, no. First we have to distinguish between the two forms of DHT, as these studies to not distinguish between them, so it is not the full picture.

Distinguishing between Type 1 isoenzyme and Type 1 isoenzyme.

Both these studies show that DHT doesn't have an effect on bones, right? So, we should all just take Dutasteride? Wrong.

These studies have not differentiated between type 1 isoenzyme, and type 2 isoenzyme.

So, first we have to see where type 1 DHT and type 2 DHT are expressed in the body.

Type 2 DHT is not expressed in bones at all, it's only expressed in the genitals, prostate gland, epididymides, seminal vesicles, genital skin, facial and chest hair follicles, and liver, while lower expression is observed in certain brain areas, non-genital skin/hair follicles, testes, and kidneys.

However, Type 1 DHT is actually expressed in bones. This matters because the studies I have shown above, are actually only deficient in the type 2 isoenzyme, which is the one that is not present in bones. This is the reason they present with normal bone mineral density, bone structure etc. If they were also deficient in Type 1 DHT, this would likely not be the case at all.

"5α-Reductase type 1 inactivated male mice have reduced bone mass and forelimb muscle grip strength, which has been proposed to be due to lack of 5α-reductase type 1 expression in bone and muscle.[29] In 5 alpha reductase type 2 deficient males, the type 1 isoenzyme is thought to be responsible for their virilization at puberty.[6]"

Bone growth and change will be minimal after 18, I definitely agree, but it still does happen. Facial bones are flat bones. They do not fuse, so they will continue to change forever, obviously to a lesser extent the older you get. Bones development/growth “stops” when resorption becomes greater than formation. As you age, this is more likely to happen, and will happen at a certain age most likely. Taking Dut with inhibits type 1, which is active in bones would likely have a negative impact, and speed up this process. You also won't achieve the slight bone changes that maybe desirable. It's true you don't know if you will have any noticeable change. Even in terms of BMD, doesn't effect aesthetics, it is still somewhat important for health. I would feel more comfortable to take Finasteride over Dutasteride if natural, since enhanced individuals would probably be able to compensate with supraphysiological Test levels and compensate for the lack of Type 1 DHT. The only thing I can really think of that have possibly comparable DHT type 1 levels to men on Dutasteride, would be women, who do actually have lower bone mass and lower BMD than men, and are at a greater risk of developing osteoporosis compared to men. That is not me saying if you take Dut your bones are going to melt and dissolve off your face.

Should I be worried about side effects from Finasteride?
I am not going to say that side effects do not exist, there are going to be the very unfortunate minority that may get side effects, but most of the people that are reporting side effects are schizo, especially if you go to places like r/tressless. They are basically all mentally ill. I’m not saying PFS or side effects in general aren't real, but I am saying that side effects, including PFS, are very much exaggerated in 2025.

Even in long-term studies (10 yr +) in Asians, no evidence of PFS symptoms were ever discovered. Only 1-3% get sexual sides, which wasn't even significantly different from the placebo arm in the original trials.

View attachment 3683840


Only after social media started popping off side effect reports started skyrocketing, and no, it’s not because there were fewer users back in the 2000s, millions of men were already on it back then.

There is some evidence for the existence of PFS and I will link a post here:
Personally, I would take the chance 10/10 times.

Hair loss treatment if you're over 18.
If you are above the age of 18, and are natural, which means you DO NOT take exogenous hormones, such as Testosterone to achieve supraphysiological Testosterone levels in the body, I would recommend taking Finasteride at 1mg ever day.
If you are above the age of 18, and are enhanced, which means you DO take exogenous hormones, such as Testosterone to achieve supraphysiological Testosterone levels in the body, I would recommend taking Dutasteride at 2.5mg a day.

Hair loss treatment if you're under 18.
If you are younger than, you don't want to reduce your serum DHT levels since you are obliviously still growing, and DHT does play an important role in puberty. This means we are going to have to deal with scalp DH and Testosterone through compounds that will not effect your systematic levels. This can be accomplished through the use to the research chemical RU58841. This is a anti androgen which is applied topically to the scalp. To put it simply, it binds to the androgen receptors instead of DHT and Testosterone. Since hormones like DHT and Testosterone will not be able to bind, your hair will be safe from the norwood reaper, at least until you are old enough to get on approved treatments.

What should I do if you still experience hair loss while taking a 5α-Reductase inhibitor?
So you may have taken a 5α-Reductase inhibitor and are still seeing hair loss after a few months on treatment. You are probably very sensitive to androgens at the scalp, since for a large majority, 5α-Reductase inhibitors will be enough. If you still experience loss, it is because 5α-Reductase inhibitors will not completely remove scalp DHT, there is still some present at the scalp. As well as this, 5α-Reductase inhibitors don't decrease scalp Testosterone. The only way to deal with any residual DHT at the scalp, and the scalp Testosterone is by using ru58841. I already mentioned above that it does. Adding this on top of 5α-Reductase inhibitors will mean that your scalp will have as little androgens present that is currently possible, and will give your hair the best chance of survival.

Is RU58841 safe for use, since it's a research chemical?
This next part is not my words, it's from a post else where.
I found out about a clinical researcher that worked on the compound.
I wrote him two e-mails, but he didn't answer.
Therefore I tried to call him on the phone. It was quite hard to get to him since his secretaries apparently don't speak English. But the third time I was calling, I was lucky enough to get himself on the phone.
When I mentioned PSK-3841 he knew immediately what I was talking about. Apparently he got at least 10 phone calls in the last 3 years about this subject.
I asked him wether he remembers major safety concerns and he said no. He thinks the research was stopped because of financial issues or bad marketability.
He also said he tried to contact Prostrakan about it, but they are not interested in continuing the research.

He said that PSK-3841 was quite effective when he used it in the 6 month trial. He even suggested crowdfunding to make Prostrakan release the data or continue research.
This corresponds with the following statement, that was released by Prostrakan.

Topical anti-androgen
This is an innovative molecule with a unique mechanism of action for the treatment of androgen-dependent conditions, such as alopecia and acne.
In pre-clinical studies, it has shown promising activity in various models of acne, alopecia and hirsutism. The product has good systemic and dermal tolerance.
In human clinical pharmacology, there was no systemic anti-androgenic activity and again good general and dermal tolerance.
The molecule has completed several Phase I studies and a Proof of Concept Phase II study for alopecia.
It has demonstrated similar efficacy after 6 months treatment as that observed with current oral therapy for alopecia after twelve months, based on the increase in net hair count. Again, no systemic anti-androgenic effect was observed (n=90).
This product is available for licensing.


PS: English is not my native language so I may have not understood everything 100% correctly. But I asked him about the safety concerns 2 times, so I'm quite sure about that.

Edit: I don't want the researcher to get into legal trouble. Therefore I have deleted the name from the post. He has not shared confidential Data with me but I want him to be safe.

How to make an RU58841 solution.
You can either use a premade solution or you can home brew your own, which is much cheaper.
I will outline how to make your own now.

You will need: Precisions measuring scale 0.001g, Propylene Glycol, Ethanol 95%, RU58841 raw powder, glass measuring beakers.

I will outline how to make a 5% solution.
This will contain 50mg RU58841 per mL. And it will be a 50mL solution.
70% Ethanol 30% Propylene Glycol is the best ratio for the solution.
You can use DMSO if you wish instead of Propylene Gylycol, with the same 70% 30% ratio.

Steps
1) Get the precision scale and put a measuring beaker on it, and set the weight to 0
2) Put the RU58841 powder into the beaker, measuring out 2.5g
3) Using the measuring beaker, measure out 35mL of ethanol 95%, and add that to the one with the RU58841 powder in it.
4) Using the measuring beaker and measure out 15mL of Propylene Glycol and add that to the beaker with the RU58841 and ethanol.
5) Stir until the RU dissolves.
Store the ready made solution in the fridge. Store the raw RU58841 powder in the freezer.

Here is a video from Reddit if you wish to follow that instead:


Drug Dosages.
Why 1mg of FInasteride and not 0.1mg or 5mg?

View attachment 3683969
Why 2.5mg Dutasteride and not the standard dosage of 0.5mg?
You are taking supraphysiological amounts of Testosterone, which as a result means you are going to have high DHT levels, and if you are particularly prone to androgens raping your hair follicles, you need to be as nuclear as you can be.
Serum DHT inhibition is not that different (about 4% more with 2.5mg) but the Scalp DHT inhibition is almost 80% at 2.5mg compared to 50% with 0.5mg.
Best RU58841 dosage?
I will clarify, by dosage I mean the amount of ru58841 that is applied to your scalp. You are not drinking it or taking it orally, you will be a Testosteroneless creature.
Apply between 50-100mg of RU58841 to the scalp. I would recommend not exceeding 100mg as it will increase the chances of systematic absorption.
If you still lose hair on the stack mentioned in this thread, you are likely not balding due to AGA.

Also go check out @Jonas2k7 thread about Minoxidil:

TAGS
@Drugsmaxxer @Hexmask @spectrumaesthetics2

@imontheloose (I will respond on dc to you, I just haven't gotten round to it yet)

Is topical Finasteride any good my brother? :lul:
 
Is topical fin just cope? I know it does eventually go systemic, but the only thing about oral fin that concerns me is penis development. 19 though so guess it's not much of a worry at this point.
 

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