Donald Trump’s somewhat crazy (but still believable) long-time physician Dr. Harold Bornstein just claimed to the New York Times in several interviews that both Mr. Trump and Mr. Bornstein take Finasteride to tackle their hair loss problems. Mr. Bornstein claims that his own full head of hair as well as Mr. Trump’s full head of hair are a testament to the efficacy of Finasteride. Surprisingly, the article even mentions how Donald Trump’s prostate specific-antigen (PSA) levels were an extremely low 0.15 due to his taking Finasteride (a hair loss drug that was was originally developed to shrink enlarged prostates in men and in the process reduce PSA levels).
I try not to devote entire posts to celebrity news, but this particular development was significant enough to write about separately. It is very rare to see a story on Finasteride and hair loss in a major newspaper (except when it involves athletes who take the drug and get banned).
Mr. Trump almost certainly has had significant work done to cover his hair loss over the years according to numerous sources. The most in depth research and speculation covering that subject was in this impressive article from last year.
I hope one of Mr. Trump’s advisers tells him about Dutasteride in the near future. Perhaps he can then even get that drug finally approved in the US to treat hair loss. Especially considering this new initiative from the president.
Dutasteride 0.5 mg per day Significantly Superior to Finasteride 1 mg per day at Regrowing Hair
Dutasteride 0.5 mg per day Significantly Superior to Finasteride 1 mg per day at Regrowing HairA new study from India shows that Dutasteride 0.5 mg once a day increased hair count in 45 men from 223 at baseline to 246 at 24 weeks (i.e. in 5.5 months of treatment). Full highly detailed study here. This represents just over a 10 percent increase. It should be noted that without any treatment, most people would continue to lose hair, so the real benefit is greater than 10 percent.
In the same study, 45 men were also treated with Finasteride 1 mg once a day and saw about a 2 percent increase in hair count at 24 weeks. Still a good results when considering that virtually all of these balding men would have seen a decline in hair count at 24 weeks without treatment.
Before and after photo of best case result of Indian patient taking Dutasteride 0.5mg daily for 24 weeks (Source):
This is yet one more study among numerous others over the past decade that has concluded Dutasteride to be significantly superior to Finasteride in regrowing hair. The majority of such studies seem to come from the western world (with Japan and South Korea also disproportionately represented) so I am glad that this one comes from India. It seems like Dutasteride is effective at growing hair irrespective of one’s ethnicity and genetics.
I liked the below finding (although it should be noted that Dutasteride is still too recent a drug to make any conclusions about long-term side effects; and most other studies show at least slightly higher side effects from Dutasteride compared to Finasteride):
Both the groups showed a similar side effect profile with sexual dysfunction being the most common and reversible side effect.
Dutasteride Regrows Some Miniaturized Hair
One of the more interesting aspects of this particular study is that the authors also measured how many miniaturized/miniaturizing hairs (i.e., “thin hair count”) became thick once again. This is important because it shows that 5-alpha-reductase inhibitors such as Finasteride and Dutasteride can bring back hair from the dead/almost dead/slowly dying. It is unclear how many if any of the thin hair that became thicker were vellus hair (i.e., barely noticeable and almost transparent) that had shrunk many years or even decades earlier. In this particular study, Dutasteride 0.5 mg led to a reduction in the “thin hair count” by 12 percent at 24 weeks, while Finasteride 1 mg led to a reduction in the thin hair count by 1.5 percent at 24 weeks (just a 1 unit reduction in actual thin hair count so not too meaningful a percentage figure interpretation here).
Over the years, I have read many online anecdotal reports (see links at end of this post) of older men who were taking Dutasteride to treat enlarged prostates and saw hair growth in areas of the scalp that were totally bald (i.e., covered in vellus hair) for decades. Dutasteride likely helps bring back long-lost hair in many patients, although usually just some of it.
***If you ever do decide to take Dutasteride, I would highly recommend consulting an experienced dermatologist first and being aware of the worst case potential side effects.