Random internet troll - "Bro, these guys with PFS just have low testosterone and a sedentary lifestyle." Me - “Okay…”

The consequences of inaction are far worse than the perceived risks of taking action.

Nothing demonstrates a person’s conviction to their principles more than putting them through absolute hell and seeing how they respond.

My sleep's never recovered after developing PFS. Fixing that alone would be life-changing.

Imagine hearing about someone devastated in a car accident and responding, “I’ve been driving for 20 years and that’s never happened to me.” Everyone would immediately understand how absurd that is. Yet people use that exact logic to dismiss iatrogenic harm.

Anyone who labels an iatrogenic harm testimonial as “fear mongering” is just a pure coward. Plain and simple.

I’ve never encountered more people so confidently convinced of their own intellectual superiority while demonstrating such a shallow understanding of the subject than I have in the finasteride defender community.

hims and hers... are we being serious right now...?

Medical error alone has been estimated to rank as the third leading cause of death in the U.S., yet iatrogenic harm is supposedly rare. Interesting.

youtu.be/qJrAi18CTvw?si=kzxU… Continued minimization of PFS from Dr. Gary Linkov, a hair transplant specialist with a very large online platform. Once again, the discussion largely centers on libido, ED, ejaculation, depression, and suicidality rather than the much broader neurological, autonomic, musculoskeletal, metabolic, and physical symptoms patients continue to report. He acknowledges that PFS has been reported in the literature and even states that some men experience symptoms permanently after stopping. Yet he also says he has never seen a case in his own practice and argues that persistent side effects “don’t really make much sense” because finasteride is metabolized and leaves the body. Think long and hard about this recycled reasoning. There's no meaningful discussion of research examining altered gene expression, androgen receptor overexpression, epigenetic changes, or androgen receptor CAG/GGN repeat polymorphisms in PFS. Instead, the reasoning is essentially: the drug is gone, so the effects should be gone. Another extraordinarily simplistic way to approach persistent adverse effects, particularly from someone who openly says he prescribes finasteride every day and routinely recommends it to his patients. Also, it's another failure to evaluate patients who develop PFS after the drug is stopped, which is a large part of what Post Finasteride Syndrome is. Interestingly, the video also briefly uses a clip from the Moral Medicine account from one of our interviews, ironically from a patient discussing persistent effects after Accutane rather than finasteride. If you're suffering from PFS, PSSD, PAS, or a similar persistent post drug syndrome, please keep speaking out and consider leaving a firm but professional comment on the video.

“Finasteride will kill your sex drive.” What gets left out of the PFS conversation: Physical Dry eyes and skin Head pressure Frequent urination Autonomic dysfunction Muscle twitches Muscle wasting Weakness and fatigue Bone pain Osteopenia Tooth and gum problems Metabolic changes Lipoatrophy Skin pigmentation changes Thinned skin Prominent veins Anhidrosis Sleep apnoea (obstructive/central) Digestive problems Sexual Penile atrophy and tissue changes Perineal muscle atrophy Genital pain Genital numbness Watery ejaculate Reduced ejaculate volume Testicular atrophy Loss of libido and sexual desire Erectile dysfunction Loss of spontaneous erections Premature ejaculation Increased refractory period Pleasureless orgasm Post-orgasm asthenia Neurological Anhedonia Anxiety and panic attacks Insomnia Derealisation Cognitive impairment and “brain fog” Memory impairment Vision impairment Tinnitus Seizure-like symptoms Brain Zaps Suicidality It’s long past time we stopped reducing PFS to sexual dysfunction alone.

“Correlation doesn’t equal causation” is such a convenient talking point for people who have zero intention of investigating the correlation any further.