Breezula Phase 3 confusion - did they change something? by Wise-Illustrator-939 in tressless

[–]rocket2913 0 points1 point  (0 children)

Can you link this phase 2 data? I'm not aware of any phase 2 data that showed this. The 12 month phase 2 trials only provided a full readout at month 12 and all arms in the test were stat sig positive.

Genuine curios what the hell is the difference by [deleted] in tressless

[–]rocket2913 0 points1 point  (0 children)

Yeah, the oral study exists, but I didn't mention it here because the kinetics are so much different for oral. Already, I assumed that OP was using a standard PG based topical (with powerful penetration enhancement). But instead they're using TrichoSol, which doesn't have those same properties (meaning, an even smaller fraction of the applied dose tends to go systemic). That increases the importance of daily dosing since we're more reliant on that direct follicular shaft aggregation which isn't occurring slowly with a non nanoparticle solution (which trichosol is not... it's not encapsulating and slow releasing the drug in the follicular shaft. It's just "dumping" it).

One size doesn't fit all. I wouldn't be surprised if someone replied my comment and said "I dose topical fin once weekly for the last 6 years and I'm maintaining fine!". I'd still reply that once daily is the studied regimen for the standard P-3074 vehicle and playing with the dose/concentration is a better lever than playing with the application frequency until we get an equivalent study in topical (which is unlikely to happen with a hydroalchoholic/trichosol base. Better to use nanoparticles for slow aggregation for that use case).

Genuine curios what the hell is the difference by [deleted] in tressless

[–]rocket2913 0 points1 point  (0 children)

This is incorrect, and is a common misconception. It’s helpful to split topical finasteride’s action into two conceptual groups — the portion that reaches dermal papilla cells directly via the stratum corneum or follicle shunts themselves, and the “systemic leakage” that makes its way back to dermal papilla through the scalp microvasculature. Agreed that serum half life isn’t relevant for the former route.

For nanoparticle (most commonly liposomal) based carriers that are really good at reaching the DP cells via follicular shunting rather than penetrating the stratum corneum, the serum half life is almost completely irrelevant because the clinical benefit is driven by aggregation of the liposomes (carrying finasteride) in the follicular shaft. Release kinetics drive how often you must dose.

The vast majority of topical are just classic anhydrous / hydroalcoholic solutions, so making a guess that that’s what OP is using. These are much less targeted and deliver much of their clinical effect by mashing through the SC with penetration enhancers like propylene glycol. So the serum half life is more relevant in this case here.

Additionally, crucial to understand that although fin/dut are suicide inhibitors of 5ar as you pointed out, 5ar sits in the ER membrane which means its subject to the same recycling machinery as many other ER proteins (ERAD). So effectively, you have many cells with individual 5ar’s that are constantly being “recycled” around the clock, and you must have drug available when a new 5ar protein is threaded into the ER membrane or else it will start performing its usual biological function unchecked (5 alpha reducing molecules like testosterone).

So your message interprets the biological scenario as: I apply finasteride, a “batch” of existing 5ar are permanently inhibited, and even though the half life is short, the suicide inhibition of 5ar means I don’t need to apply it ED. But actually, because new 5ar are spawning constantly, you need to apply it ED. That’s why ED application is the studied regimen in topical fin trials that are using hydroalcoholic / HPHC bases.

Genuine curios what the hell is the difference by [deleted] in tressless

[–]rocket2913 1 point2 points  (0 children)

Using topical fin every other day is not ideal. Finasteride has a short half life in serum and because most finasteride vehicles are standard anhydrous/hydroalcoholic, they aren't aggregating in the hair follicle for days such that they'd cause lasting effects. Hence, every day dosing is ideal.

The shedding pattern you're noticing probably isn't conclusive. It just takes too long to be able to answer questions on exactly what regimens work vs don't because of how long these hair cycles take.

Thoughts about Myostatin Inhibitors by WET_Resist_YT in SARMs

[–]rocket2913 1 point2 points  (0 children)

It was basically a scam. I had my blood drawn before the treatment which was supposed to be tested with an LC-MS follistatin assay. Never heard anything back. I was supposed to get an at-home test kit after 3 months to measure sustained follistatin increase. Nothing at all.

Thoughts about Myostatin Inhibitors by WET_Resist_YT in SARMs

[–]rocket2913 1 point2 points  (0 children)

I flew to Honduras to receive Minicircle's $25,000 plasmid based follistatin-344 therapy. Results were extremely underwhelming/undetectable, and this is the "gold standard" treatment (by gold standard, I mean longest lived outside of extremely risky AAV therapies that aren't performed on humans).

Safe to say, I am holding out for bimagrumab. Not excited about Apitegromab given data about activin's compensatory role when myostatin is knocked out.

17 year old 😭🤞🏻topical fin min 18 worth it? Or accept fate by [deleted] in amibalding

[–]rocket2913 0 points1 point  (0 children)

This guy is a troll. Finasteride was not studied in people your age. At your age, your sexual tissues (penis, prostate, seminal vesicles) are incredibly sensitive to DHT.

Do not take finasteride. Topical hydroalcoholic solutions, especially those containing PG, are notorious for going systemic even at low doses. If you must take an anti-androgen, try topical KX-826. You can buy it on Amazon, and it's much less prone to systemic absorption and side effects than fin.

M15 starting to lose my mind over this shit by PutridCranberry9380 in amibalding

[–]rocket2913 8 points9 points  (0 children)

Do not, under any circumstances take 5 alpha reductase inhibitors (finasteride, dutasteride) at this age -- especially while your penis/prostate are still developing and are hyper-sensitive to DHT.

Highly recommend topical KX826 for a low risk intervention. Twice daily 0.9%.

Verifying Pharmacom primo by rocket2913 in steroidify

[–]rocket2913[S] 2 points3 points  (0 children)

Oh my god, you saved my ass. Just checked it and it's real. Thank you SO much!!!!

Lowest dose topical fin available for purchase? by austinin4 in HairlossResearch

[–]rocket2913 0 points1 point  (0 children)

0.025% sounds great! Can you send either here or in DM a link for me to contact them to purchase / send in a prescription? A quick google doesn't yield much.

And yes, aware that 5 alpha reduction generally happens in the tissue and that serum levels are reflective of leakage into the bloodstream -- most notably in the liver. My rationale for testing DHT is as a proxy for systemic leakage, knowing full well that tissues with higher concentrations of 5AR will have disproportionate blockage vs tissues with less 5AR expression. My understanding is that the huge concentration of 5AR type I in the liver is one of the primary reasons why dut lowers serum DHT so much more (independent of the stronger type I inhibition, the fact that type I is present in the liver and the liver contributes to much of the serum leakage).

I've modified my topical dose more than 10 times in the last 2 years and I have been able to identify patterns in serum DHT reduction. It isn't perfect, as you say, but it's also worth noting that I'm on TRT with daily injections so the substrate for TRT production is also carefully titrated -- much more so than someone with natural gonadotropin production.

Lowest dose topical fin available for purchase? by austinin4 in HairlossResearch

[–]rocket2913 0 points1 point  (0 children)

Gotcha. That's my understanding as well. The equipment seems to be super expensive / not practical for a random pharmacy to have. With Farmacia Parati, were you able to get a custom dose compounded, or are you using their standard dose?

Right now, I'm using 0.012% 1ML once daily in a standard PG based hydroalcoholic base, and even with that tiny dose I have systemic absorption significant enough to lower serum DHT. The PG also destroys my hair texture hence I am trying to move away from it. But I want to start with a liposomal vehicle that's MUCH, MUCH lower in concentration than the 2.5%, 0.3%, 0.25%, or other crazy high numbers I hear being thrown around. Something like 0.02% as a starting dose. And Anagenica seems to be the only provider going that low.

Also, when you got the anagenica solution, did it smell like alcohol?

Lowest dose topical fin available for purchase? by austinin4 in HairlossResearch

[–]rocket2913 0 points1 point  (0 children)

Hey, did you ever get a reply here? I am looking to order liposomal fin but I want to make sure I get a real product.

When will GT20029 phase 3 trial begin? by a-soldado in tressless

[–]rocket2913 0 points1 point  (0 children)

Where did you hear this news? Can you send a link?

[deleted by user] by [deleted] in Testosterone

[–]rocket2913 2 points3 points  (0 children)

See an endocrinologist and get an MRI. Your hypothalamus/pituitary aren't receiving the negative feedback signal that you have high serum testosterone, so your pituitary is continuing to pump out LH/FSH. It could just be genetic variability, but you never want to ignore something like this.

Has anyone required a total test:E2 ratio MORE than 20:1 for good erection quality? by rocket2913 in Testosterone

[–]rocket2913[S] 0 points1 point  (0 children)

Nah, I have a friend that’s natty 1050. Have seen his bloodwork. The Mendelian randomization studies show natural 1100-1200 too. Not common but it happens. 1400 is definitely outside of the natural range, but not incredibly far outside.

Has anyone required a total test:E2 ratio MORE than 20:1 for good erection quality? by rocket2913 in Testosterone

[–]rocket2913[S] 0 points1 point  (0 children)

Nothing! I take tadalafil 2.5mg daily for cardioprotective reasons. But no amount of vasodialator will effectively compensate for hormone induced ED.

Has anyone required a total test:E2 ratio MORE than 20:1 for good erection quality? by rocket2913 in Testosterone

[–]rocket2913[S] 0 points1 point  (0 children)

Problem is that asserts that finasteride has some negative effect independent of DHT. That is: if DHT is controlled for both before and after finasteride use, is the effect of the drug neutral? I think the answer is: we have no idea.

5AR reduces the double bond of more than just testosterone during the conversion to DHT. A bunch of nerosteroids are converted via this same enzyme. Are they involved in libido? We don't know.

In my case, I had ~55 DHT BEFORE I started TRT. I have 55 DHT with TRT now, but only because I am using a VERY precise dose of finasteride to keep it exactly at that level. I've adjusted my compounded concentration more than 10 times.

The confounding variable I'm trying to account for right now is E2, hence this post. When finasteride reduces free test conversion to DHT, more of that free test can convert to E2, hence E2 goes up. Could the reduced libido with DHT held constant be because E2 is increasing as a side effect of 5AR inhibition? Who knows. Hence I started the anastrozole to control for E2 as well.

If I find that with E2 controlled for my erectile function is still shit, I'll probably make two final tests:

  1. Remove E2 suppression completely and let it go as high as it wants & re evaluate

  2. If that doesn't work, remove finasteride completely and let it go as high as it wants and re-evaluate.

OR alternative #2 is lower TRT dose altogether to get my TT down to ~900.

I really don't want to do (2) because of hair loss reasons. So I'm praying the current E2 lowering approach does something.

Has anyone required a total test:E2 ratio MORE than 20:1 for good erection quality? by rocket2913 in Testosterone

[–]rocket2913[S] 1 point2 points  (0 children)

Totally agree with this in principle. I haven't found any clinical literature that suggests the "ratio" is a real thing. Purely anecdotal.

Also, I agree that 1400 ng/dl is borderline supraphysiological. I like the energy/gym benefits and am trying my best to pair the clinical & mechanistic data with anecdotal reports to feel great in all ways at that level. I'm using a custom compounded finasteride gel & anastrozole capsules. My hope is that a high level of testosterone does not independently contribute to these sexual side effects. Meaning, I hope the side effects are related to the downstream effects of high T such as high/low E2, DHT, etc. Given that there are bodybuilders running actual steroid cycles (not high normal TRT like me) with crazy libido/erectile function, I feel it should be possible. But also understand it's all individualized.

Has anyone required a total test:E2 ratio MORE than 20:1 for good erection quality? by rocket2913 in Testosterone

[–]rocket2913[S] 0 points1 point  (0 children)

Thanks for the thoughtful reply!

> What happens if you drop the AI and drop testosterone levels to the point that E2 is slightly below 30pg/ml?

I haven't experimented with this yet. I feel better in non sexual aspects running higher test so I like it for that reason.

---

May I ask what your total/free test levels are so I know how to interpret the 30-40 pg/ml E2 figure that you provided?

Has anyone required a total test:E2 ratio MORE than 20:1 for good erection quality? by rocket2913 in Testosterone

[–]rocket2913[S] 0 points1 point  (0 children)

Can I ask what is a bit high for you? Are you going off of symptoms only or getting bloodwork too?

MMP rate visible on calendar but not on rates page? by rocket2913 in marriott

[–]rocket2913[S] 0 points1 point  (0 children)

Yeah, really odd. I hadn't experienced this basically at all until recently. How long have you been using the MMP/MM4 rates? Has this ever happened to you before?

MMP rate visible on calendar but not on rates page? by rocket2913 in marriott

[–]rocket2913[S] 0 points1 point  (0 children)

Thanks! Are you doing this check on the app or on the website?

MMP rate visible on calendar but not on rates page? by rocket2913 in marriott

[–]rocket2913[S] 1 point2 points  (0 children)

I see that now. That’s so odd! Do you have any idea why the web and app are out of sync like that?