Finasteride only blocks one enzyme — Type II 5-alpha reductase. That leaves Type I untouched, which means DHT production continues at the scalp.
For some men it's enough. For many, it isn't — and they spend years losing ground on a drug that was never designed for full suppression.
Dutasteride blocks both. That's not a preference. That's pharmacology.
Hair follicles don't regenerate. Once DHT miniaturizes a follicle past a certain point, that hair is gone — and no medication brings it back.
Starting dutasteride in your 20s, before significant damage occurs, means you're protecting follicles that are still viable.
You're not treating hair loss. You're preventing it. That's a completely different outcome.
0.5mg is the default because it's the dose that minimizes refunds and side effect complaints — not because it's optimal.
Clinical data shows dose-dependent improvement all the way to 2.5mg daily, with no proportional increase in adverse events.
We start you where the evidence says to start, and we titrate based on your response. The goal is full DHT suppression — not the minimum effective dose on paper.