Can finasteride or dutasteride cause gynecomastia?
Summary
TLDRThe video script discusses the use of finasteride as a treatment for male pattern baldness, addressing concerns over its potential side effects, particularly gynecomastia. It clarifies the difference between actual gynecomastia and pseudogynecomastia, reviews the incidence rates from clinical trials, and dispels myths about the drug's side effects. The speaker advocates for a balanced view, suggesting that the benefits of finasteride often outweigh the rare risks, and offers advice for those who may不幸地, experience side effects.
Takeaways
- 💊 Finasteride is a medication that has been used since 1992 to treat male pattern baldness by inhibiting the conversion of testosterone to dihydrotestosterone (DHT).
- 👤 Millions of men have benefited from finasteride with a very small, acceptable risk of side effects, which can often be mitigated through dosage adjustments.
- 📉 The fear of prolonged side effects from finasteride is unfounded as these have not been medically verified, and side effects typically resolve with discontinuation of the drug.
- 🤔 The perception of baldness as a cosmetic defect can negatively impact self-esteem, but finasteride offers a solution to hair loss concerns.
- 🎥 A video from a British dating show illustrates the societal impact of hair loss, where initial impressions can be heavily influenced by a person's hair or lack thereof.
- 🚫 The script discourages the idea that shaving one's head as a solution to baldness will result in an appealing look, suggesting it may not be as universally flattering as some believe.
- 🤷♂️ It emphasizes that even attractive bald men could potentially look better with a full head of hair, highlighting the aesthetic value of hair in framing a face.
- 🔬 The script delves into the medical aspects of finasteride, explaining its mechanism of action and its impact on hormone levels, particularly testosterone and estrogen.
- 🤰 The concern of gynecomastia (male breast tissue development) as a side effect of finasteride is addressed, distinguishing between actual gynecomastia and pseudogynecomastia (fat distribution).
- 📊 Clinical data is presented to show that the incidence of gynecomastia from finasteride is very low, especially when compared to the benefits of hair loss prevention.
- ⚠️ The rarity of gynecomastia as a side effect is underscored, with the script suggesting that the fear surrounding it is disproportionate to the actual risk.
Q & A
What is the primary purpose of finasteride as discussed in the script?
-The primary purpose of finasteride, as discussed in the script, is to treat male pattern baldness by inhibiting the conversion of testosterone to dihydrotestosterone (DHT), which is responsible for hair loss.
Why might some people be hesitant to take finasteride according to the script?
-Some people might be hesitant to take finasteride due to fear of side effects, such as prolonged side effects or gynecomastia, despite these being medically unverified or statistically rare.
What is the script's stance on the belief that finasteride side effects can be prolonged?
-The script refutes the belief that finasteride side effects can be prolonged, stating that this idea has never been medically verified.
What is the difference between actual gynecomastia and pseudogynecomastia as mentioned in the script?
-Actual gynecomastia involves the development of breast tissue in men, while pseudogynecomastia is simply fat distribution to the chest area that can be resolved by weight loss or liposuction.
How does the script address the concern of developing gynecomastia from finasteride?
-The script addresses the concern by explaining the mechanism behind finasteride and the actual incidence rates from clinical trials, emphasizing that the risk is extremely low and often reversible.
What does the script suggest about the impact of hair loss on first impressions?
-The script suggests that hair loss, particularly when resulting in a shaved ring of hair, can leave a negative first impression, potentially leading to dismissal by others.
According to the script, what is the incidence rate of gynecomastia with the use of 5 milligrams of finasteride daily?
-The incidence rate of gynecomastia with the use of 5 milligrams of finasteride daily is reported to be only 0.3 percent in the largest study involving over 14,000 patients.
What alternative treatments are mentioned in the script for individuals who develop gynecomastia from finasteride?
-The script mentions prescription aromatase inhibitors like Arimidex or Letrozole, and tamoxifen (Nolvadex) as alternative treatments, but also highlights the potential side effects and risks associated with these drugs.
What does the script suggest as a potential solution for individuals who cannot tolerate the side effects of finasteride?
-The script suggests that for individuals who cannot tolerate the side effects of finasteride, surgery (gynecomastia surgery) might be a safer and more definitive solution than trying to counteract the side effects with other drugs.
How does the script characterize the fear and paranoia surrounding finasteride's side effects?
-The script characterizes the fear and paranoia surrounding finasteride's side effects as being out of proportion to the reality of the situation, emphasizing that the actual incidence of side effects is very low.
What advice does the script give regarding the use of finasteride and the fear of side effects?
-The script advises that if the fear of side effects like gynecomastia is too great, individuals should consider the potential consequences of not taking finasteride, such as the impact of hair loss on their appearance and self-esteem.
Outlines
💊 Finasteride: The Solution to Male Pattern Baldness
This paragraph discusses the use of finasteride as a medication for treating male pattern baldness. It highlights the drug's effectiveness since its introduction in 1992 and addresses common misconceptions about its side effects. The speaker emphasizes that finasteride's side effects are rare, mild, and often temporary, and that fears about prolonged effects are unfounded. The paragraph also touches on societal perceptions of baldness and the importance of hair in physical attractiveness, using a British dating show example to illustrate the point. It concludes by encouraging men to consider finasteride to avoid the negative impacts of hair loss.
🤔 Debunking Finasteride Hysteria and Gynecomastia Concerns
The speaker delves into the hysteria surrounding finasteride, particularly the fear of developing gynecomastia, or male breast tissue. They clarify the difference between actual gynecomastia and pseudogynecomastia, which is fat distribution. The paragraph explains the mechanism of finasteride, its impact on hormone levels, and the extremely low incidence of gynecomastia associated with its use. The speaker cites studies and statistics to show that the risk of gynecomastia from finasteride is minimal, even at higher doses, and that most reported cases are based on anecdotal evidence rather than clinical trials.
📊 Analyzing the Incidence of Gynecomastia with Finasteride Use
This paragraph presents a detailed analysis of the incidence of gynecomastia in patients using finasteride, comparing it with another drug, dutasteride. The speaker reviews various studies, including a large one with over 14,000 patients, which reported a gynecomastia incidence of only 0.3 percent. They also discuss case reports of gynecomastia with finasteride at the standard dosage for hair loss, noting that these are rare and often resolve after treatment cessation. The paragraph emphasizes that the risk of gynecomastia is low and that fear of this side effect is disproportionate to the actual data.
🛑 Addressing Gynecomastia and Finasteride: Solutions and Perspective
The final paragraph addresses what to do if someone develops gynecomastia from finasteride, suggesting titration adjustments and the possibility of using prescription medications like aromatase inhibitors or tamoxifen. The speaker also mentions over-the-counter supplements, though they note the lack of proven effectiveness. They propose surgery as a definitive solution for gynecomastia. The paragraph concludes by urging individuals not to let fear of a rare side effect deter them from using finasteride, reminding them of the potential social consequences of hair loss and suggesting that surgery for gynecomastia is a more affordable and permanent solution than other hair restoration methods.
Mindmap
Keywords
💡Finasteride
💡Male Pattern Baldness
💡Side Effects
💡Gynecomastia
💡Titration
💡DHT (Dihydrotestosterone)
💡Aromatase Pathway
💡Nocebo Effect
💡Aromatase Inhibitors
💡Tamoxifen
💡Gynosurgery
Highlights
Finasteride, introduced in 1992, has been a solution for male pattern baldness, offering millions of men a simple pill to combat hair loss.
For many years, finasteride was taken with minimal side effects, and even those could be mitigated through dosage adjustments.
Finasteride's side effects are generally rare, mild, and reversible upon discontinuation, contrary to common misconceptions.
The fear-mongering around prolonged side effects of finasteride is medically unverified, yet it persists among some individuals.
The societal and dating implications of baldness are highlighted, suggesting that a full head of hair is often perceived more favorably.
Gynecomastia, or male breast tissue development, is a rare side effect of finasteride, often confused with pseudogynecomastia, which is related to fat distribution.
The mechanism of finasteride involves suppressing the 5α-reductase enzyme, leading to less dihydrotestosterone (DHT) and potentially more testosterone converted to estrogen.
Clinical trials and post-marketing surveillance indicate a very low incidence of gynecomastia associated with finasteride use.
Dutasteride, another hair loss treatment, may have a higher incidence of gynecomastia compared to finasteride, suggesting the latter as a safer option.
Case reports of gynecomastia from finasteride are rare and often involve younger men, suggesting a link with higher baseline testosterone levels.
Gynecomastia caused by finasteride is typically reversible upon stopping the medication, with most cases resolving within 10 months.
The fear and paranoia around finasteride's side effects are disproportionate to the actual risks, as evidenced by the lack of a significant increase in reported cases.
There is no predictive test to determine who might be more susceptible to gynecomastia from finasteride, making it a concern for some.
Adjusting the dosage of finasteride or using prescription aromatase inhibitors may help mitigate the risk of gynecomastia.
Surgery is presented as a potential solution for those who develop gynecomastia from finasteride, offering a permanent fix.
The transcript emphasizes the importance of not letting fear of rare side effects deter the use of finasteride, which has helped many combat hair loss.
Transcripts
what's up chooms hope everybody had a
prime valentine's day this weekend with
your missus who picked
you to be your significant other largely
in part because you decided to join team
finasteride
instead of team slaphead 100 years ago
who could have imagined that a cosmetic
defect as
horridly aesthetically unappealing as
male pattern baldness
could be solved by just taking a simple
pill like finasteride
since 1992 when finasteride first hit
the market
millions of men have had their minds put
at ease knowing that they can solve all
their hair loss problems
by just taking finasteride for many
years there were no
issues with this drug at all people
would take it knowingly knowing that
there was a very small
yet acceptable risk of side effects and
even if you did get side effects you
could easily mitigate those risks
through titration
as a as it has been shown that
finasteride is effective
even at less than the standard dosage
finasteride side effects
as we all know at this point are rare
mild and will often go away on their own
with continued use
and will always go away with
discontinuation the idea that the side
effects from finasteride can be
prolonged has never been medically
verified
yet people still continue to fear monger
because it helps them cope with being
bald
miserable slap heads who have given up
on life and want to drag everybody else
down with them because remember
misery loves company slap heads will
tell you things they
know are not true like shaving your head
will make you look like jason statham
vin diesel or the rock
when the reality is you'll probably end
up looking more like that albino kid
from the movie powder
or like that guy from the wife's
boyfriend meme and even if your
aesthetics are
top tier enough that you can look good
despite being bald
chances are you still will drop several
points in the aesthetics department
since no matter how good a face may look
you need a good head of hair to frame a
handsome face
that is why even bald men who look good
would still look
better if they had a full head of hair
and that is only in the best case
scenarios
for most people the results of losing
your hair are catastrophic and
life destroying i mean just take a look
at this video from a british dating show
and bring on the boys
[Applause]
[Music]
welcome to the show sir take it away and
give it your best shots
hello lady my name is emmitt and i'm
from roscommon hey
girls that's anna from roscommon but
tell us you turned on or turned off
[Music]
[Laughter]
holy [ __ ] i don't want to be too mean
because you know i've been down that
path before i know how it feels but
you know just looking at this guy you
could tell he has other glaring problems
as well such as being weak
effeminate looking he's a manlet he's a
new male but you'll notice all the
initial criticism from the women
was aimed at this main miss man's lack
of hair
shannon lights off for you as well i'm
doing my best for you here it's just the
hair
the lack of i mean i'm sorry so as you
can see it is hair
or a lack of hair that leaves the first
impression on those who meet
and nothing leaves a worse impression
than when someone sees per a person
who has a shaved ring of hair that looks
like a toilet seat around their head
which is appropriate because in this day
of age you have got to have [ __ ] for
brains to let yourself go bald
it doesn't matter what your other merits
may be if you don't give a good first
impression
people may dismiss you outright and you
leave a terrible first impression
when you are bald so stop fearing
finasteride and
start fearing what will happen to you if
you don't take finasteride
so on that note let's talk about a
common concern many have
many men have before beginning
finasteride and that is the development
of gynecomastia
aka male breast tissue so before i get
into this i think it is important that i
distinguish between
actual gynecomastia and
pseudogynecomastia
actual gynecomastia involves the
development of breast tissue in men
whereas pseudogynecomastia is just fat
distribution to the chest area
and men who get that can solve it by
simply losing weight or maybe getting a
liposuction so
real gynecomastia can happen to men
regardless of their body composition
composition as you often see
in professional bodybuilders who get
gynecomastia even though they're
extremely
lean you'll see some female breast
tissue on them and often this is because
they use supraphysiological levels of
testosterone which can then aromatize
into estrogen
and even though this is an extreme
example of how gynecomastia can happen
in men
the mechanism behind finasteride
possibly causing this side effect
is similar even though as we'll see this
is an extremely rare side effect of
finasteride
so the level of hysteria and concern
people have over this
is way overblown but nevertheless let's
take a look at this
balls deep as we always do so the
mechanism behind finasteride is well
understood at this point
we know it suppresses the type 2 5a
reductase pathway
that converts testosterone into
dihydrotestosterone which is the trash
hormone that makes us go bald and does a
whole bunch of other really horrible
things
um anyone who denies that dht is the
primary culprit for hair loss and men
genetically predisposed to male pattern
baldness at this point
is sprouting complete bro science at a
level equivalent to what we see from the
flat earth society
or from anti-vaccination groups so as
you can see in this figure
testosterone can not only be converted
to dht but also into estrogen via the
aromatase pathway
this seems counterintuitive at first but
you have to understand
men do in fact need some estrogen in
their body for proper joint as well as
proper cardiovascular health
logically when you suppress the 5a
reductase enzyme
that will leave you with more overall
testosterone and that is why finasteride
will raise testosterone by 9 to 15
or so in most people for most of us this
isn't an issue at all
and possibly this could even be
beneficial and may explain why some
people report things like higher libido
while they take finasteride
however some of this extra testosterone
will be converted into a small
amount of estrogen via the aromatase
pathway so estrogen levels can rise
slightly as well
for most of us this is negligible and we
won't even notice it
but this could be why some people do get
side effects from finasteride such as
lower libido as well as gynecomastia
so before anyone freaks out about this
let's discuss the actual
incidence of gynecomastia on finasteride
how common is it really
well if you look at the package insert
for proscar which is the five milligram
tablet of finasteride
as opposed to propecia which is a one
milligram tablet
you can see that they looked not
specifically at gynecomastia as a side
effect
but instead they looked at the incidence
of breast enlargement and breast
tenderness
which are not necessarily equivalent to
gynecomastia in any case
they looked at about fifteen hundred
patients on proscar versus fifteen
hundred patients on placebo
and saw the breast enlargement was seen
in one point eight percent of patients
on finasteride for up to four years
versus one point one percent of patients
on placebo
the incidence of breast tenderness was
up to 0.7 percent on finasteride and 0.3
percent on placebo they also included
data from another study
of a total of about 1500 patients half
on proscar and half on placebo
and they concluded that the incidence of
gynecomastia was 2.2 percent on proscar
and 0.7 with placebo of course we
are talking about proscar here not
propecia propecia has the same active
ingredient which is finasteride
but only at one-fifth the dosage as a
proscar tablet
which has five milligrams of finasteride
whereas again a propecia has just one
milligram
so what does the package insert for
propecia actually say
well we know it has to be rare because
in the initial clinical trials which
involved
thousands of subjects there were no
reported incidences of gynecomastia at
all
in fact the package insert reads quote
in the clinical studies with propecia
the incidences for breast tenderness and
enlargement
hypersensitivity reactions and
testicular pain and finasteride treated
patients
were not different from those in
patients treated with placebo unquote
so in other words they didn't notice
anything in any of the
thousands of subjects initially studied
and keep in mind this is an fda approved
medication we're talking about here
so the standards for approval are the
most vigorous in the entire world
and require hundreds of millions of
dollars worth of research
however based on the post-marketing case
reports of gynecomastia from finasteride
and because of the incidence of
gynecomastia on proscar
breast tenderness and enlargement were
eventually added to the list of possible
adverse reactions from taking propecia
and that's why it's on the package
insert today so reports of gynecomastia
on low-dose finasteride are only based
on crace reports which are the weakest
form of
evidence as we all know as they just
involve one or two subjects so let's
look at a paper describing two such case
reports
the first case report involved a 21 year
old man with antridic alopecia
who developed gynecomastia four months
after starting treatment
and he was on the standard dose of one
milligram per day upon cessation
the gyno did not resolve even after 10
minutes off the drug
now normally i'd say any reports of
prolonged
side effects from finasteride are
completely bogus but in this case
we're talking about tissue development
so it is true that if you do get kind of
hastily from finasteride
you may need surgery to rectify this so
this young man's case
is rare but it's not completely
implausible since you can't reverse
tissue development without surgery in
most cases so
in the second case report this paper
dealt with an older individual this time
he was 65 years old
and he had andronic alopecia it wasn't
specified how severe it was but he
but he developed gynecomastia after two
months of treatment and his case was
unilateral meaning only one breast was
enlarged fortunately for him though the
side effects did dissipate after two
months off treatment
but he still had some very slight
swelling six years after stopping
treatment
and this was probably as a result of
some press breast tissue development
that never completely resolved
even after he stopped taking the drug so
he probably would need surgery as well
so in this paper they also review the
literature on gynecomastia with
finasteride
in table 1 you can see the incidence of
gynecomastia in patients treated with 5
milligrams per day of finasteride
in the largest study involving over 14
000 patients
the reported incidence of gynecomastia
was only 0.3 percent
namely 42 out of 14 722 patients
and you know i don't know about you guys
but i think i take those odds especially
when you're talking about proscar
not propecia and keep in mind the
standard dose of finasteride for
treating male pattern baldness is only
one-fifth
of what was used in these studies and
furthermore many people report success
on even
smaller doses another thing worth
pointing out was that gynecomastia was
listed as the third most common side
effect in that study
so they were accounting for all the
other reported side effects from
finasteride
so if the third most common side effect
for finasteride only affects 0.3 percent
of patients
that gives you an idea of just how rare
side effects for finasteride are in
general
even at a dose of five milligrams per
day which no men should be using for
hair loss just one milligram or less per
day is totally fine
of the other studies in this table as
you can see though the highest
incidence was 4.5 percent in a study of
9423 patients and the lowest was
0 in a study of 70 patients but again
in the largest study by far the
incidence was only 0.3 percent
they then show a table showing the
incidence of gynecomastia from using
dutasteride which is interesting
dutasteride even though it isn't as well
studied as finasteride for fighting hair
loss
especially long term is still known to
suppress more dht than finasteride so it
may possibly increase estrogen levels
more
since there will be even less
testosterone being converted into dht
and more converted by aromatase into
estrogen compared to finasteride
so if you look at the table you can see
the studies have a
similar but smaller sample size compared
to the finasteride studies
but they seem to show a higher incidence
of gynecomastia
with all the studies except for a small
study involving 68 patients showing zero
cases
which could be a classic argument as to
why having a large sample size is so
important for these kind of studies
the other studies however show an
incidence of gynecomastia ranging from 1
to
2.3 percent which is still small but
nevertheless many times as high as what
the largest finasteride study showed
so personally i think the risk of both
these drugs are
low enough to the point where you
shouldn't be concerned but if you are
really worried about gynecomastia it
would probably be safer to use
finasteride rather than dutasteride
because even though
the incidence of side effects is low
with your testosterone it's many times
lower with finasteride so
both are low but finasteride's chances
are even lower so
anyways we've looked at finasteride at
five milligrams as well as dutasteride
at 0.5 milligrams
but what about finasteride at one
milligram daily as that is the standard
dosage for angenic alopecia well
in this table here you can see that all
we have are case reports and no
large clinical trials showing gyno as a
side effect of propecia
so interestingly all these case reports
show that the gynecomastia was
unilateral meaning again
just one breast was getting gyno for
some reason the age of
onset in the subjects was mostly pretty
early on with with most of them getting
gyno as early as two to six months
with one uh case of just one case of
somebody getting it after 11 months
so if you're already on finasteride and
have been on it for like over a year
let's say
then the chances you'll get gyno seem to
be pretty null fortunately for these
subjects though it looks like most of
their gyno resolved upon stopping
treatment within
at most 10 months or so the other thing
to note is that the age of these
patients was fairly young
ranging from 18 to 29 years old with
only one patient being on the older side
at 53 years of age
now this is speculative but i think this
may have to do with younger men
having higher baseline testosterone
levels to begin with so if someone is
really young and virile
then it could be that the very small
boost in testosterone they get from
finasteride
is enough for it to aromatize to a
greater degree than if an older
individual gets it since we know that
testosterone drops a little bit as you
get older
again though i must go back to the first
table and emphasize that gynecomastia
was
only reported and 0.3 percent of
patients and a sample size of over
14 000 patients on five milligrams of
finasteride daily
not one milligram so if you are a young
man don't interpret this as a red flag
to not use finasteride
another way to look at this is that this
is just a handful of case reports
and we know that there are millions of
people on finasteride for hair loss so
again it seems the incidence of
gynecomastia on one milligram of
finasteride daily
must be exceptionally low certainly
nothing to panic over
so as you can see from the available
research
gynecomastia like all of finasteride's
reported side effects are dramatically
overblown
because people want to exaggerate their
side effects because they're trying to
sue
merck however that being said i don't
want to come across
as being completely dismissive to the
few people who do in fact get kind of
gynecomastia as a result of taking
finasteride but keep in mind there is no
underlying predictor to find out whether
or not certain people are more apt to
get kynecomastia from finasteride
compared to other people people can
develop gynecomastia during puberty for
instance but the endocrine system in an
adolescent young man still undergoing
development
is not the same as an adult suppressing
their dht through finasteride so just
because you got gyno during puberty
doesn't mean you're going to make it
worse or get it again if you take
finasteride
there are a lot of shifts in the hormone
and endocrine system
levels during puberty before the
hormones finally stabilize in adulthood
so there are a whole plethora of factors
that could cause kaino during
adolescence that wouldn't apply to an
adult taking finasteride
also you don't need blood work before
starting finasteride
if you're already a healthy individual
if you have some pre-existing
endocrinological problem like
hypogonadism
or klein klinefelter syndrome then you
might be at a greater risk but if that
were the case you'd probably already
have
other symptoms in which case you should
be speaking with an endocrinologist
to get those problems resolved to begin
with like going on trt
people who are hypogenatal will almost
always have symptoms
and to screen everyone starting
finasteride for hypogonadism would not
be cost effective
and basically would just be a big waste
of time and money and if you're already
so scared of getting gyno from
finasteride
that you feel that you need to get blood
work even though we've already
established it effects fewer than
0.3 percent of users then chances are
you're at a very high risk to give
yourself a nocebo effect
in which case you probably shouldn't use
finasteride because the last thing we
need in the hair loss community
are more people spreading fear and
misinformation about this drug there's
plenty of that already
so let's assume though the absolute
worst case scenario has happened to you
and you're one of the very few people
who get gyno from finasteride
so what can you do well the first most
obvious thing you can do
is adjust your titration finasteride
standard dose is one milligram
daily but it is common for doctors to
prescribe less than that
and at a lower frequency such as 0.5
milligrams
or 0.25 milligrams daily or every other
day
and patients still report success while
potentially mitigating side effects
being that five milligrams of
finasteride only has a 0.3 percent
chance of causing gyno
then it seems like the chances on just a
fraction of that would be
very low unfathomably oh in fact but
failing that
what else can you do well there are
prescription aromatase inhibitors you
can use like arimidex or letrazole
although these drugs aren't considered
very cardiovascular friendly
meaning they have the tendency to raise
our cholesterol levels
although keep in mind a doctor who would
prescribe you an aromatase inhibitor for
something like gyno
would probably do so at an adjusted
titration which might mitigate these
risks
although none of these drugs are
completely risk-free another drug that
could be prescribed would be something
like tamoxifen
which is also known as novodex which has
a similar outcome but different
mechanism
as it is not an aromatase inhibitor but
rather it is a serum not to be confused
with sarms
serum stands for selective estrogen
receptor modulator
which works as an estrogen receptor
antagonist in the breast tissue
unfortunately novadex isn't very side
effect-friendly either
and one of its reported side effects is
even hair loss which kind of defeats the
purpose of using finasteride to begin
with
so there are also numerous
over-the-counter dietary supplements and
purported natural aromatase inhibitors
but none of these have been proven
effective so if you are an individual
who gets gynecomastia from finasteride
i think the best solution would be to
opt for something like
surgery gynosurgery isn't super
expensive
and you can ask the doctor remove the
gland altogether so that you'll never be
at risk for gynecomastia ever again
frankly i think that is a safer option
than trying to counter one drug side
effects
with another drug especially something
like tamoxifen or arimadex
you know nobody wants to spend a few
thousand dollars for a surgery but
gynosurgery is still cheaper than a hair
transplant
so for some reason you can't get around
the gynoside effects
i think surgery is a good idea so
anyways i don't think there really is
anything more to talk about regarding
this subject
you know gyno from finasteride we know
it's not common and the level of fear
and paranoia
people feel about this extremely rare
side effect is
way out of proportion to reality you
know gyno is rare
it is reversible with surgery and if the
extremely low odds of getting gyno are
still too great for you
just remember what happened to this guy
and ask yourself is that who i want to
be
nadine what happened he kind of looks a
bit old and he's baldy like me da
and no okay
okay folks till next time take care
Ver más vídeos relacionados
![](https://i.ytimg.com/vi/rNwlasPw4WI/hq720.jpg)
The truth about finasteride’s side effects
![](https://i.ytimg.com/vi/VEw16l-z6SU/hq720.jpg?sqp=-oaymwEmCIAKENAF8quKqQMa8AEB-AGUA4AC0AWKAgwIABABGGAgYChgMA8=&rs=AOn4CLBEOPgleoZRla8_7y3ZCJ9Z63afdA)
How to avoid side effects from finasteride.
![](https://i.ytimg.com/vi/i7MLUy0Yac4/hq720.jpg)
Preventing Balding: What I Did Before It Was Too Late.
![](https://i.ytimg.com/vi/Iq51v1r6cRU/hq720.jpg)
Is Topical Dutasteride The Holy Grail? - AS GOOD As Oral Dutasteride WITHOUT The Side Effects!?
![](https://i.ytimg.com/vi/1QROUrqt1tw/hq720.jpg)
New evidence proves finasteride protects your heart and can prolong your life
![](https://i.ytimg.com/vi/3XL6qkOu-Rg/hq720.jpg)
ESPECIALISTA revela A VERDADE sobre o MINOXIDIL
5.0 / 5 (0 votes)