Going Deep On Hair Loss Prevention Drugs With Peter Attia - From Tame To Nuclear

More Plates More Dates

Health & Fitness, Science, Education, Self-improvement

4.9 • 806 Ratings

🗓️ 6 October 2024

⏱️ 16 minutes

🔗️ Recording | iTunes | RSS

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Summary

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Transcript

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0:00.0	By the way, how important is D.H.T. Post-puberty? Seemingly, it depends because from a cognitive
0:08.8	health perspective, from a balance of estrogen standpoint, from a vasodilation in the penis standpoint,
0:16.2	like there are certain things where you could say it's pretty critical, but then there's
0:19.7	also, you could just as
0:21.5	easily say it's not necessary or mandatory. Like you will survive and likely thrive just the same
0:28.0	with a lack of DHD almost entirely. Even when you, a lot of people will demonize five alpha
0:35.2	reductase inhibitors and justifiably so in some cases. But even when you look
0:40.5	to literature that compares placebo versus finasteride versus deutasteride, side effect profiles are
0:46.2	pretty similar even. Yeah, due tasteride and fanasteride being two drugs that block 5 alpha
0:51.9	reductase used initially for reducing prostate size because DHT disproportionately drives prostate growth,
1:00.2	but also used for hair, I think, I would say use more for hair loss now.
1:04.3	Yeah.
1:06.6	But yes, and we have talked about this on two podcasts previously about post-finasteride
1:11.0	syndrome, um, which is a debatable idea.
1:15.2	In other words, there is not a clear consensus in the urologic literature about even the
1:20.2	existence of this, let alone the prevalence, let alone the reversibility of it.
1:27.0	All of these things are really unknowns. And actually,
1:32.2	it's created quite, quite a bit of a conundrum for us because we have a number of patients who take
1:37.1	fanasteride or dexteride for hair loss. And what's your stance on five alpha reductase inhibitors just at a? Yeah, I mean,
1:47.9	look, I think, I'll be honest with you. I never really paid enormous attention to it until about a
1:53.3	year ago. And I think right now our stance is I probably wouldn't start somebody on it.
2:02.6	And if a person, so in other words, if a person has BPH, we're not going to manage that anyway.
	...

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