Its confusing why FIN would help if it does at all. If I'm honest, Dr Pezzi doesn't sound legit, I remember reading some of his stuff and it didn't sound very scientific or well informed.
I posted this on
TREATMENT - PAS recovery using Finasteride - Possible/High Risk Option
Please all you accutane guys, if you could join up. It would be great for the community. We need as many people are we can get in one place. Here is something I posed there:
"The only thing about prog receptors, is that PAS guys haven't gained much benefit from RU-486 so far.
I might be wrong here, but I just thought of another possibility. Is it possible that by FIN blocking 5AR2, it makes the body upregulate 5AR expression (which was downregulated) and brings back some libido/sex drive.
The only thing I can't figure out, is how blocking 5AR2 would upregulate 5AR1.
Or the use of FIN, significantly lowers blood DHT levels which makes the body upregulate 5AR expression. or Neither of these."
What if the reason fin works is the whole 5alpha 5beta balance gbold suggested. Maybe PAS is the distruction of both 5beta and alpha while fin mainly kills 5alpha and only partially 5beta and sometimes not at all depending on the user.
If this is the case using fin actually would trigger the body to upregulate 5beta reductase which actually plays a huge role in androgen receptor sensativity to androgens. Since we are all different hitting that magic balance is different since too much fin will inhibit 5beta reductase too.
If this theory is true then maybe someone could try long low dose instead of tapering up and back down to assure that 5AR is reduced and 5beta is upregulated
Could you link me to the page where this is talked about? First I've heard of it but sounds interesting.
FINASTERIDE: PFS MECHANISM (detailed)
Here is an interesting study about 5beta reductase:
Brain 5beta-reductase: a correlate of behavioral sensitivity to androgen
To piggy back off my theory of pas and 5beta reductase;
Since 5beta reductase makes androgen receptors sensitive and receptive to androgens especially in the brain AND the progesterone receptor is extremely closely resembling of that of the androgen receptor and considering the two have feedback loops triggered from one another for checks and balances I believe that PAS is the insensitivity to both androgens and progestins.
All the prog and androgens in the world don't matter if you have little to no receptor activity to soak them up and activate DNA transcription.
Finasteride is a progestin in and of its self and even tho the side effect profile is similar to accutain they have vastly different mechanisms of action.
I theorize that the strong progestin that fin is which is not capable of being metabolizes into various progesterone metabolites strongly either agonizes or antagonizes the prog receptors possibly waking them up and triggering a feedback loop for androgens. Couple that with the decrease in 5alpha reductase which causes an upregulation of the 5 beta reductase enzyme which increases sensativity to androgens and you got a winning combo.
The key to wake up 5beta is low dose finasteride as too high will inhibit both 5alpha and 5beta reductase, but could be beneficial nonetheless by the strong agonist/ antagonist activity at the progesterone receptor its self.
This is my theory, but I was thinking about it in my car ride to work and I had to post it.
I can't read/access this article and its in a dove
I can't find much info online that state 5 beta reductase makes androgen receptors more sensitive. Could you link me to any. This is an interesting theory though.I'm certainly considering FIN. It's a shame that this is the only drug that could be worth trying.
I’ve had some brief periods where I felt emotion again. Let’s hope this continues.