No More Finasteride Side Effects! Dr. Bhatti's Solution @hairtransplantinindia
Summary
TLDRالملخص يناقش موضوع الآثار الجانبية للأدوية التي تعالج الهزال الشعري، ويناقش الأخطاء التي قد تحدث إذا لم يتم اتباع النصائح الطبية الصحيحة. يتضمن الملخص النصائح الخمس التي يقدمها الطبيب لتقليل الآثار الجانبية، ويشدد على أهمية الاختيار الصحيح للمريض قبل الأدوية، والفحص البيئي الأساسية قبل البدء في العلاج. كما يناقش الملخص الاعتقاد في وجود متلازمة POST-FASTR التي يرى الطبيب أنها غير موجودة، ويشدد على أهمية الصحة العامة على الوجه الشخصي.
Takeaways
- 😷 بعض الأفراد قد يعاني من التأثيرات الجانبية إذا تناولوا الدواء، وهناك أساليب لتقليلها في المستقبل.
- 👨⚕️ الطبيب يناقش خمسة استراتيجيات لتقليل التأثيرات الجانبية التي ذكرها في مقطع فيديو سابق.
- 💊 الأدوية التي تسمى 'propia finr' ليست مناسبة لجميع الناس، وبعض الأفراد لا يتحملونها بسبب أسباب نفسية أو عضوية.
- 💻 السكان الحديثة عادة ما يكونون سكتنا، وهؤلاء الشباب الذين يستخدمون الكمبيوتر ويعملون من المنزل يعانيون من مستويات منخفضة من الهرمونات الجنسية.
- 📊 موقع 'sterone decline.com' يوفر معلومات حول مستويات الهرمونات الجنسية في الدول المختلفة، ويظهر أن مستويات التستوستيرون ت递减 بسرعة.
- 🚫 يجب أن يتم اختيار المرضى قبل إعطاء 'finest ride' بدقة، وأنه لا يمكن أن يتناول هذا الدواء بدون اشراف طبي.
- 🧪 ينصح الطبيب بإجراء فحوصات قبل بدء الدواء، بما في ذلك مستويات التستوستيرون والإسترين، BMI، وعدد الحيوانات الخصية.
- 🚫 الطبيب ينصح بتجنب إعطاء 'fosite' للأشخاص الذين لديهم BMI 30 أو أعلى، حيث يمكن أن يعانيون من أمراض أخرى مثل السكر والضغط العالي.
- 🤔 الطبيب يشك في وجود 'postfastr Syndrome' ويرى أنه لا يوجد دليل على أن التأثيرات الجانبية مستمرة بعد التوقف عن الدواء.
- 🧐 يرى الطبيب أن التأثيرات الجانبية من 'finest ride' نادرة، وتتغلب على الغالبية مع مرور الوقت.
- 👶 الطبيب لا يوصي بالإعطاء 'finest ride' للأشخاص دون 21 عامًا، حيث لا تطور الخصائص الجنسية الثانوية حتى هذا العمر.
- 🧘♂️ يشدد الطبيب على أن العقل يمكن أن يؤثر على الشعور بالتأثيرات الجانبية، وينصح بالصبر والثقة في الأدوية.
Q & A
ما هي الأدوية التي يمكن أن تتسبب في الآثار الجانبية ويتم التحدث عنها في النص؟
-الأدوية التي تم التحدث عنها في النص هي فيناستريد (finasteride) التي تستخدم لعلاج الهزال الشعري.
ما هي النصائح التي ذكرها الأخصائي في الفيديو لتقليل الآثار الجانبية؟
-الأخصائي ذكر خمسة استراتيجيات في الفيديو، لكن النص لم يذكرها بشكل مفصل. يتضمن ذلك التأكد من أن المريض مناسب للدواء، وإجراء فحصات قبل البدء على الدواء للتحقق من مستويات البول، الإسترون، BMI، وعدد الحيوانات الخصية.
لماذا ينصح الأخصائي بتجنب إعطاء فيناستريد للأشخاص الذين يمتلكون BMI 30 أو أعلى؟
-لأن الأفراد الذين يمتلكون BMI 30 أو أعلى عادة ما يعانيون من أمراض أخرى مثل السكر والضغط العالي والاكتئاب، وهذه ال諸利亚قد تكون عوامل ترتبط بارتفاع حدوث الإعاقة الجنسية، مما يمكن أن يزيد من احتمال حدوث الآثار الجانبية.
ما هي العلاقة بين النشاط الجسدي وتأثير فيناستريد؟
-الشباب ال今朝 يميلون إلى ال Couch potato، مما يمكن أن يؤدي إلى انخفاض مستويات الهرمونات الجنسية وانخفاض الدافع، مما يمكن أن يؤثر على الاستجابة على فيناستريد.
لماذا يرى الأخصائي أن فيناستريد ليست الدواء الوحيد للعلاج بالشعر؟
-لأن الأخصائي يعتقد أن الصحة هي أكثر أهمية من الشعر، وأن هناك خيارات أخرى متاحة مثل العمليات الجراحية للشعر بدلاً من الأدوية.
لماذا ينصح الأخصائي بإجراء فحص مستويات البول قبل البدء على فيناستريد؟
-للتحقق من وجود أي مشاكل قد تكون موجودة مسبقًا مثل الانخفاض في مستويات البول، مما يمكن أن يؤدي إلى التأثير الجانبي如果不在开始服用之前进行检查,患者可能会错误地将副作用归咎于药物。
ما هي الفئة العمرية التي لا ينصح الأخصائي بالإيواء فيناستريد؟
-الأخصائي لا ينصح بإيواء فيناستريد للأشخاص دون 21 عامًا، لأن الخصائص الجنسية الثانوية التي تحددها DHT ليست مكتملة حتى الشخص يصبح 21 عامًا.
هل الأخصائي يعتقد في وجود متلازمة بعد فيناستريد (PFS)؟
-لا، الأخصائي ليس مؤمنًا بوجود_PFS ويعتقد أنه لا يوجدvidence لوجود هذا الوضع.
ما هي نسبة حدوث الآثار الجانبية مع فيناستريد مقارنة بال placebo؟
-في الدراسة التي تم ذكرها في النص، كانت نسبة حدوث الآثار الجانبية في مجموعة فيناستريد تقريبًا 2 إلى 3 ٪ أعلى من مجموعة الplacebo في العام الأول، لكنها بدأت في الانخفاض في السنوات التالية.
لماذا يمكن أن تكون العقلية القوية مهمة عند التعامل مع فيناستريد؟
-لأن العقل يمكن أن تؤثر على الشعور بالتأثير الجانبي، وشخص ليس لديه Makeup عقلي قوي قد يكون أكثر عرضة لتجربة الآثار الجانبية، خاصة إذا كان يبحث عن هذه ال诸利亚 على الإنترنت.
لماذا ينصح الأخصائي بالإيواء فيناستريد في المرضى الذين يعانون من الاكتئاب أو القلق؟
-لأن الأخصائي يرى أن الأدوية قد تلعب دورًا في التأثير الجانبي، ويفضل أن يتجنب إيواء الأدوية للأشخاص الذين يعانيون من الاكتئاب أو القلق لتجنب ت加深这种感觉.
Outlines
💊 Medication Side Effects and Strategies for Minimization
The first paragraph discusses the potential side effects of a medication, presumably finasteride, and the importance of proper patient selection before prescribing it. It emphasizes the need for a doctor's supervision and initial biochemical parameter testing, including testosterone and estrogen levels, BMI, and sperm count, to rule out potential issues before starting the medication. The paragraph also mentions the 'nobo phenomenon' and the psychological impact of pre-existing conditions on the perception of side effects. A reference to 'sterone decline.com' is made, indicating a global decrease in testosterone levels and the importance of considering this when prescribing medication.
🤔 Skepticism on Post-Finasteride Syndrome (PFS) and the Importance of Baseline Testing
The second paragraph presents a doctor's skepticism about the Post-Finasteride Syndrome (PFS), arguing that it's not a proven condition and that side effects should not be solely attributed to finasteride. The speaker stresses the importance of baseline testing for sperm count and hormone levels, pointing out that many people have low testosterone levels and infertility issues unrelated to the medication. The paragraph also references a four-year placebo-controlled study that showed side effects in the finasteride group were initially higher but decreased over time, unlike the placebo group which showed an increase in side effects over the years.
🔍 Addressing Patient Concerns and the Psychological Impact of Medication
The third paragraph addresses patient concerns about the side effects of finasteride, particularly in young individuals who may be more obsessed with hair loss. It highlights the power of the mind in perceiving side effects and the importance of mental robustness for patients considering the medication. The speaker also discusses the 'nocebo phenomenon' and how prior knowledge of potential side effects can increase the likelihood of experiencing them. The paragraph concludes with a call to action for viewers to engage with the content and anticipates the availability of a full interview on the topic.
Mindmap
Keywords
💡Side effects
💡Finasteride
💡Testosterone
💡Gonadotropin hormones
💡Sedentary lifestyle
💡Baseline testing
💡BMI
💡Aromatase
💡Postfinasteride Syndrome (PFS)
💡Nocebo phenomenon
💡Mental makeup
Highlights
Minimizing side effects of medication through unique strategies.
Proper case selection and patient education before prescribing finasteride.
The importance of considering psychological and organic factors in medication tolerance.
The impact of sedentary lifestyle on hormone levels and sexual health.
The role of testosterone in libido and sexual function.
The significance of checking testosterone levels before starting finasteride treatment.
The potential risks of self-medication with finasteride without professional guidance.
The importance of baseline testing for sperm count and estrogen levels.
The correlation between BMI and the risk of side effects from finasteride.
The role of aromatase in fat cells and its impact on hormone conversion.
The skepticism towards the existence of Post-Finasteride Syndrome (PFS).
The necessity of health prioritization over hair retention.
The rarity of side effects persisting beyond the initial adjustment period.
The comparison of finasteride side effects with placebo in long-term studies.
The importance of patient age in prescribing finasteride and the age limit considerations.
The psychological impact of information about side effects on patient experience.
The influence of mental makeup on the perception and experience of side effects.
The importance of patient education to manage expectations and reduce fear.
Transcripts
if somebody already has side effects if
this is the case is there any way doctor
uh to minimize them in the future and
maybe you can also comment onto some of
your strategies that I find very unique
that you mentioned in one of your videos
very good video and you had like five
strategies that you uh kind of propose
uh for minimizing side effects so that's
very interesting so maybe you can uh go
into that a little bit so uh Mr Matt I
would like to add that propia finr is
not for everybody every body cannot
tolerate this drug for many reasons
psychological or
organic and today's population is
generally sedentary in nature youngsters
are sedentary in nature they stuck to
the computer working from home or
working all the time on computer and
very little exercise these uh uh
youngsters today have usually uh low uh
gonadotropin hormones low sexual
hormones so if you do not have enough
testosterone male hormone enough Drive
which comes from your testosterone
hormone this medication can play Havoc
with your libido with your sexual life
and here I would also like to refer to a
nice page the sterone decline. comom
where you can actually check U where
your country ranks in terms of average
testosterone levels and the guys who are
behind this page are doing wonderful job
they're updating this page very
frequently there was a last update done
on the on the 3rd of November this year
and what they do they pretty much pull
up hundreds of studies from all across
the world and they look at the
testosterone levels in all of those
studies and based on this data we can
also see how rapidly testosterone levels
have been decreasing over the last
decades you can also check how your
country has been doing over the last
like three four decades so if you look
it up here so the case selection before
putting a patient exhibiting a patient
with finest ride has to be proper it
cannot be that a patient takes this
medication overthe counter as it is it
is it is not an overthe counter drug but
many countries it is freely
available so it is not to be taken
lightly this drug has to be taken under
supervision of a competent doctor who
knows who has been treating hair loss
for several years this drug comes with
side effects but if a patient is
counseled properly if biochemical
parameters are taken into consideration
before starting the drug you would
recommend somebody to do a specific
screening before taking finest rde
before taking finest rde I would like to
get number one your testosterone level
your estrogen level your
BMI uh your sperm count to rule out
everything uh that could be wrong later
on a patient can ascribe these to taking
finest ride so to rule it out once you
start the medication then you can't say
what it was all due to because you know
people talking about PFS what they lack
is
initial um biochemical parameters which
were not done total testosterone level
done and estra level done to rule out
hypogonadism because these are the
people who as it is have side effects
and they just they just need to take
finest ride and just need to watch a few
videos online and they will end up with
a problem you started about BMI that's
body mass index for people who don't
understand it and you mentioned in one
of your videos that you don't advise uh
taking fosite for people who have a
certain body mass index that is I
believe 30 or higher which means like
obese or overweight individuals because
we see in those individuals uh
experiencing also other diseases like
diabetes hypertension uh potential
depression and these are also factors
that correlate with higher occurrences
of erectile dysfunction and that might
be also then the reason why these people
have those side effects may not be
necessarily also related to ferite so
that's why Dr bti likes to rule those
people out who are already quite
susceptible uh towards developing uh
side effects from fastrite not even
talking about that these people have you
know a higher body fat percentage and we
know that aromatase is also being
expressed in in in fat cells and that's
something that can actually make people
more estrogenic since that's the hormone
that converts testosterone into estrogen
and thus could also increase the side
effect occurrence that people complain
about now if we come back to PFS
postfastr syndrome you as a physician
who has been prescribing this drug for
more than 15 years right now are you a
believer in postfastr Syndrome have you
encountered this phenomenon with your
patients or not Mr Matt I am not a
believer in the PFS syndrome the postf
syndrome I don't think it exists it uh
you can't blame everything on fin ride
you know when you have not Baseline uh
testing lab testing Baseline sperm count
testing everybody is not healthy every
you you expect that you taking for
granted that you are healthy 40% of
people have low testosterone level Mr Mr
Matt do you know that 40% is a big
number and the the number of people who
have uh importance people who have uh
you see um infertility is on the
rise now you can't say that you you are
infertile because of finest ride there
is a huge population which is not taking
finest ride and is infertile now what
happens to a person who's not got his
Baseline testing done and ends up
infertile ends up important he can't
blame it on finished
right and if he was infertile if his low
sperm if his sperm count was low if his
testone testosterone levels were low if
his estrogen was high where was the need
of starting himon finist health is far
more important than you know your hair
there are many options available if you
don't have hair besides hair transplant
or
medication but you know you your health
is more important than your hair that's
what I feel I have been giving
prescribing routinely I think I I insist
on every each one of my patient to take
finest ride some some follow my advice
some do not but I have seen that it is a
very rare uh phenomenon Having side
effects after finest ride it's extremely
rare yes people have it initially in the
first few weeks but the get over it as
the body adjusts to the new changed
millu interior the new hormonal balance
balance the body adjusts they get over
it in in four to 6 weeks they just have
to be patient exactly also it it goes uh
hand in hand with the with the
randomized control trials done done on
Finas ride especially I'm going to link
it or pull it up on the screen somewhere
uh there was this fouryear Placebo
control study done on 1524 patients
where they observed ferite versus
placebo side effect as far as impotence
libido ejaculation and all these
problems and interestingly the finast uh
group was a little bit higher in terms
of occurrence of side effects in
percentage maybe 2 to 3% higher than the
placebo group that was in the first year
but in the second third and fourth year
it started to decrease whereas funny
enough the placebo group on some aspect
actually started to increase so it was
for example in impotence the placebo got
actually higher over time whereas the
the feride group got actually lower so
that that's something that that that we
can see and it's interesting that you
are seeing the same in your practice so
if somebody has side effects maybe even
mild ones like maybe some some uh
pinching in in the in in the balls or in
the in the chest area in the nipples
where people maybe get or some some some
some odd Sensations initially they tend
to usually resolve uh with the time
right so many many times patients ask us
you know why such a dangerous drug
you're giving us see we are not the
patients's enemy we I and we are not
profiteering from finestro finest is
such a cheap drug it hardly costs $10 a
month no doctor would be profiteering
from prescribing finest but a doctor
would definitely prescribe a medication
which gives results there is no
alternative presently uh no drug which
is even very which is even close to
finest ride in sustaining retaining your
hair in the long term so what would be
maybe like the youngest individual you
have ever prescribed fastrite what is
your your limit where you start
prescribing it because we know the DHT
importance in Adolescent and preputial
you know development of sex organs and
and sexual male characteristics uh so
what would be the the age limit so
finest is an FDA approved medication for
hair loss for last almost 30 plus years
and uh this medication is advised to be
taken in those who are in males who are
18 plus over 18 years of age not any
lower but I go step further I do not
prescribe this medication uh to those
below 21 years
because uh the sexual characteristics
the secondary sexual characteristics
which are determined by DHT are not
fully developed in the male till he is
21 so I would not like to put the
patient on finest ride till he's 21
understood so do you also see higher
occurrence of Side Effects by certain
age groups maybe younger guys are
reacting different to older guys older
people have less side effects than young
people have I've seen young people are
more obsessed with their hair loss and
young people are more obsessed with uh
taking finest ride they'll be all over
the Internet and searching for all side
effects and the mind is so powerful Mr
Matt if you search for this your mind is
going to convince you that you have a
side effect you know sex is in the mind
a person who does not have a robust
mental makeup as it is he's not a
candidate for for um finest ride let me
tell you this is not a medicine for the
meek for the
meek for somebody who is very timid and
not
feeling who gets who gets Carried Away
by his friends his relatives and what he
reads on the internet and is very
fearful of everything that he suspects
might be true totally totally a huge
mind game we we we have the studies done
on nobo phenomenon that people who were
counseled on on side effect about Fin
right previously versus the ones that
were not these ones had much uh I don't
know how many fault higher chance of
experiencing those side effects in the
end but it was a big number uh compared
to the group that didn't know about the
side effects so if you get value out of
this video make sure you give it a thumb
up subscribe to the channel and once the
whole interview will be available to
watch I'm going to put it right here so
you can watch the whole podcast until
next time
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