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HairSiteadmin
unregistered user
03-04-03, 10:21 PM (EST)
 
"Dr. Monahan's answers inside"
 
   <sorry about the tease earlier today>


Allow me to first remind everyone that Dr. Monahan is a chiropractor. He is not a hair doctor. So please be civilized with your comments and do not take this as hair loss advice from Dr. Monahan.

Dr. Monahan was in the official Dutasteride trail conducted by Dr. Sawaya. He is simply relating his experiences for the benefit of the posters here. Please be THANKFUL that Dr. Monahan is willing to share with us his results. Don't flame the good doctor.

The following is based on the questions compiled in the forum earlier last month

Dr. Monahan's answers were paraphrased below:

1) Shedding

NONE whatsoever according to Dr. Monahan. He said the medication started working almost immediately and there was never any shedding.

2) Shedding among other test subjects

Dr. Monahan was not aware of any test subjects who experienced shedding while using Dutasteride. As a matter of fact, Glaxo never mentioned to Dr. Monahan anything about shedding. However, that does not mean that there was no shedding among the test subjects. It's just that the issue was never brought up or mentioned during the time when Dr. Monahan was a test subject.

3) What was Dr. Monahan's daily dose while he was a test subject?

This has been addressed at least TWICE already and posters here just have to respect the fact that Dr. Monahan honestly cannot remember exactly what dose he was on during the trial. He does, however, remember that he was given the highest dose, whether it be 2.5 mg or 5 mg.

4) How many months did the trial last?

Just a little more than six months. But Glaxo continued to monitor his DHT level for another 4-5 months subsequent to the termination of the trial. It was found that the same level of DHT inhibition persisted for about 4 months after Dr. Monahan stopped using the medication.

5) Was Dr. Monahan given a loading dose at the beginning of the trial?

NO, NO, NO !!! Who started this rumor ???????

6) Did Dr. Monahan use finasteride prior to the dutasteride trial?

No.

7) When Dr. Monahan switched to finasteride after the termination of the dutasteride trial, did he maintain all or substantially all of the regrowth from dutasteride?

No.

8) Is Dr. Monahan using Avodart now?

Yes.

9) What is Dr. Monahan's daily dose now?

2.5 mg daily.

10) Did Dr. Monahan experience any shedding this time?

None whatsoever.

11) How long has he been on Avodart?

1 1/2 month.

12) Is Dr. Monahan seeing results this time?

Yes. Dr. Monahan is seeing about 15% regrowth at this point (1.5 month since using Avodart) - approximately 15% of the regrowth he had by the end of the Dutasteride trial.

13) Describe Dr. Monahan's results while he was in the dutasteride trial.

Dr. Monahan experienced regrowth all over but the thickening was most promienent in the crown area. Regrowth started in the crown area and it was very apparent that the regrowth was creeping forward toward the hairline. Regrowth was also observed in "shiny" bald spots. However, Dr. Monahan said he did not regain a cosmetically acceptable hairline. While there was definitely regrowth along the hairline and the temples, the hairline was still relatively weak by the end of the trial.

14) How and when does Dr. Monahan take his Avodart?

2.5mg all at the same time (with dietary supplements) in the morning, empty stomach, shortly before breakfast.

15) What supplements does Dr. Monahan take?

Dr. Monahan also takes B vitamins, muti-mineral vitamins, omega 3 fish oils, baby aspirin (mainly for his cardiovascular condition). Most supplements are taken in the morning at the same time he takes his Avodart. In addition, Dr. Monahan maintains a very balanced diet with appropriate amount of protein and he has vitamins and minerals adminstered intravenously once a month.

16) Does Dr. Monahan use other treatments such as Rogaine etc ?

No.

17) Additional questions for Dr. Monahan

Dr. Monahan will be taking questions in the Doctors & Expert forum (available in 1 week). No more than 2 questions per week.

18) New website

Last but not least, Dr. Monahan will have his own website up in about a month. It is called monahanclinics.com. I will make the announcement when it is up and running.

========================================

I hate to do this to you guys again, but PLEASE fill out the Avodart survey if you have not already done so. IF you have filled out the survey many months ago, please give us a current update.

I can't stress enough how important this survey is to all of us here, so please HELP!

http://www.hairsite2.com/library/article238.htm


Thank you guys !!

HairSite


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,
unregistered user
03-04-03, 10:28 PM (EST)
 
1. "RE: Dr. Monahan's answers inside"
In response to message #0
 
   Damn, that guy is a good responder! Maybe the key is the higher dose for the rest of the people who are shedding. (I'm not one of the shedders btw)


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DJ
Member since 1-22-03
19 posts
03-04-03, 10:51 PM (EST)
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2. "RE: Dr. Monahan's answers inside"
In response to message #1
 
   hey comma, how are your results comming along? i know your one of the good responders here..it seems to me that there have been more positive posts then negative lately, it seems like a lot of people that were shedding are now reporting that there sheds are stopping or slowing down( i have not yet shed, .5mgs for 10.5 weeks).i hope in 3months everyone sees an improvement in thier hair! good luck guys

-DJ


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,
unregistered user
03-04-03, 11:51 PM (EST)
 
3. "RE: Dr. Monahan's answers inside"
In response to message #2
 
   >hey comma, how are your results comming along? i know your
>one of the good responders here..it seems to me that there
>have been more positive posts then negative lately, it seems
>like a lot of people that were shedding are now reporting
>that there sheds are stopping or slowing down( i have not
>yet shed, .5mgs for 10.5 weeks).i hope in 3months everyone
>sees an improvement in thier hair! good luck guys

I'm doing well on Avodart. My hairline has certainly been improved, and my daily fallout is less and what I consider to be "normal". There are a lot of new hairs at the temples that were never there before avodart. Up top on the "crown" where I was becoming too thin to hide it much longer, the hair is thicker than it was before, and I can see some new hairs there. I don't think avodart is going to be a cure, but it is certainly going to big big help for people who are around being a NW 1-2.5. My time on Avodart is either 13 or 14 weeks without checking a calender. I don't use anything else other than Nizoral 2% and some vitamins every now and then.

My results are noticable to me. Not many people knew I was losing hair before this because it was still "easy" to conceal it. But now even when my hair is wet out of the shower, I definately see the crown as being not as bad as it was before.

So, let's see how the next 3+ months progess.


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Chia Pet
unregistered user
03-05-03, 00:56 AM (EST)
 
5. "RE: Dr. Monahan's answers inside"
In response to message #3
 
   Looks like the people who shed were on finasteride first.


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Paul
unregistered user
03-05-03, 01:41 AM (EST)
 
6. "RE: Dr. Monahan's answers inside"
In response to message #5
 
   I've read plenty of shed reports from non-propecia members too, I don't think that's it.


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Jim
unregistered user
03-05-03, 00:05 AM (EST)
 
4. "RE: Dr. Monahan's answers inside"
In response to message #2
 
   2.5 mg --- chapter 13 for me!
Honey, Gather up the pop bottles!


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pete
unregistered user
03-05-03, 09:38 AM (EST)
 
12. "RE: Dr. Monahan's answers inside"
In response to message #1
 
   >Damn, that guy is a good responder! Maybe the key is the
>higher dose for the rest of the people who are shedding.
>(I'm not one of the shedders btw)

I think you've got to remember that if you've been losing hair for years, you probably won't notice shedding anyway. Whereas if you have stopped your hairloss with Finasteride and then start Dutasteride you will notice it a lot more if it starts (and especially if you are looking for it). I am shedding a bit but I wouldn't notice unless I was doing hair pulls and looking for it and comparing hairs lost to say 3 months ago.


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john
unregistered user
03-05-03, 09:42 AM (EST)
 
13. "To pete"
In response to message #12
 
   Hi pete,

How is it going mate? How is your hair going?

After Monahan's interview what do you plan to do?

Up your dose to 2.5 or stick to 1.0mg for the time being? I am considering upping my dose to 1.0mg but it hurts my pocket!
At least I am not smoking.
Regards

John (chiswick)


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pete
unregistered user
03-05-03, 12:34 PM (EST)
 
17. "RE: To pete"
In response to message #13
 
   >Hi pete,
>
>How is it going mate? How is your hair going?
>
>After Monahan's interview what do you plan to do?
>
>Up your dose to 2.5 or stick to 1.0mg for the time being? I
>am considering upping my dose to 1.0mg but it hurts my
>pocket!
>At least I am not smoking.
>Regards
>
>John (chiswick)

John,

How's it going? I was out in Richmond saturday night (not far from you), had a good one. I've been on 1.0mg now for a while so I am certainly not planning to go to 2.5mg. I doubt it'll make any difference to be honest, certainly not to the naked eye. Just got to stick with it...


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Michiel
unregistered user
03-05-03, 11:18 AM (EST)
 
16. "RE: Dr. Monahan's answers inside"
In response to message #12
 
   Good point pete!!


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Bryan
unregistered user
03-05-03, 05:53 AM (EST)
 
7. "RE: Dr. Monahan's answers inside"
In response to message #0
 
   >5) Was Dr. Monahan given a loading dose at the beginning
>of the trial?
>
>NO, NO, NO !!! Who started this rumor ???????

Outstanding! One very false rumor, now officially laid to rest!!

Bryan


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Chaz
unregistered user
03-05-03, 10:14 AM (EST)
 
14. "RE: Dr. Monahan's answers inside"
In response to message #7
 
   >>5) Was Dr. Monahan given a loading dose at the beginning
>>of the trial?
>>
>>NO, NO, NO !!! Who started this rumor ???????
>
>Outstanding! One very false rumor, now officially laid to
>rest!!
>

Yes, Bryan, that was very satisfying to read.

May i remind everyone here that this rumor was one of Common Nonsense's little chestnuts. Others jumped on the bandwagon of course, but none of *them* masquerade as a 'Doctor'.

Thanks, David, for this very useful info' from Monahan.

He seems a very good responder to Dut. Most of us here seem to have had some increased shedding. (I'm wondering about those intravenous vitamins he takes.)

Chaz


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,
unregistered user
03-05-03, 09:35 PM (EST)
 
20. "Why should we CARE about Monahan??"
In response to message #14
 
   Listen, if this guy Monahan was a regular poster here on this site, and never participated in the Avodart trials half of everyone in this forum would have been calling him a f**king liar about his quick results after a month. The other 25% of everyone here would take what he said with a grain (or two) of salt. So why, this one guy, is such a guru here? There are no pictures to back up his statements. What he calls regrowth could very well be nothing more than the smaller pigmented hairs that most everyone on Avodart is getting. Then again, what he calls regrowth might be imagined, or just wishful thinking.

I just want everyone to realize that this is a guy like everyone else here, but yet no one says he's a crazy liar like a lot of us get called when we posted about early results.

,


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McHale33
unregistered user
03-05-03, 08:46 AM (EST)
 
8. "RE: Dr. Monahan's answers inside DHT threshold or type1"
In response to message #0
 
  
Propecia wasn't able to maintain his results, so there might be validity to some DHT threshold or type1 inhibition.
Half life is important because he was able to maintain his results
about 4 months after stopping which he reported before not above.
This is backed up GLAXO followup by same DHT levels still being maintained 4 months later after Avodart was discontinued.



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cheveux
unregistered user
03-05-03, 09:13 AM (EST)
 
9. "questions!!!!!"
In response to message #8
 
   I don't understand about the dose of avodart....2,5 mg??? It's 5 pills?!
How much money must have?!
Can I expect some results with 0,5 mg daily????

I am NW 1,5 and I want just to maintain my hair et to restore some hair in the temples....please answer me


PS. In Italy if you have a doctor who understand the situation he can prescribe Proscar for prostatic problems...so Proscar si FREE, price O.
This happen in USA for Avodart??? If your doctor prescribe you Avodart for prostatic problems (problems that you don't have...of course)...Avodart is free?
I can't immagine how much money must to have for take 5 pills everyday...I payed 160 euro 90 pilss!!!! (150 dollars).


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Pete
unregistered user
03-05-03, 09:22 AM (EST)
 
10. "To cheveaux"
In response to message #9
 
   160 euros sounds very good, where did you get yours from, do you need a script?


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switzerland
unregistered user
03-05-03, 09:23 AM (EST)
 
11. "RE: To cheveaux"
In response to message #10
 
   in a switzerlad pharmacy


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Dut you long time
unregistered user
03-05-03, 10:50 AM (EST)
 
15. "To Cheveaux --- understanding US medication coverage"
In response to message #9
 
   Hey Cheveaux,

No, medication is never free in the US. Generally, Americans have their medications covered or partially covered by medical insurance. However, medical insurance is very expensive. Most people get their medical insurance coverage through their work where the employer pays part of the insurance cost and the individual pays a monthly rate (this can be anywhere from $30 to $500+).

With a medical insurance plan, medications are covered to some degree but in addition to your monthly rate you usually need to pay a fee each time you refill the prescription (called a co-pay). This co-pay can be a percentage of the cost (say, 30%) or a flat fee (say $15-25) depending on the medical insurance plan. Also, depending on the medical insurance plan they may or may not cover certain medications.

Thus, a medical insurance plan might cover Proscar with a $15 co-pay but not Propecia (you are on your own). Or it might cover Proscar with a $15 co-pay and Propecia with a higher co-pay of $25.

With the medical insurance plan that I currently have, I pay 20% of the cost of any medication on their "approved list" and 30% of the cost of medications not on the list. The list for my insurance does not cover any prostate medications such as Proscar or Avodart. Thus whether I have a prescription for Proscar for a prostate problem or Dutasteride for hair-loss it is the same fee---30% of the cost of the medication at the pharmacy.


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Chuck Frasher
Member since 12-25-02
487 posts
03-05-03, 08:14 PM (EST)
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19. "RE: questions!!!!!"
In response to message #9
 
   >I don't understand about the dose of avodart....2,5 mg???
>It's 5 pills?!
>How much money must have?!
>Can I expect some results with 0,5 mg daily????
>
>I am NW 1,5 and I want just to maintain my hair et to
>restore some hair in the temples....please answer me

In your case, I would just go with the .5 mg dose. If you want a little extra help, use some topical spiro at the hairline at night.


>PS. In Italy if you have a doctor who understand the
>situation he can prescribe Proscar for prostatic
>problems...so Proscar si FREE, price O.
>This happen in USA for Avodart??? If your doctor prescribe
>you Avodart for prostatic problems (problems that you don't
>have...of course)...Avodart is free?
>I can't immagine how much money must to have for take 5
>pills everyday...I payed 160 euro 90 pilss!!!! (150
>dollars).

5 tabs would be extremely expensive.


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Chuck Frasher
Member since 12-25-02
487 posts
03-05-03, 08:12 PM (EST)
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18. "RE: Dr. Monahan's answers inside DHT threshold or type1"
In response to message #8
 
   >
>Propecia wasn't able to maintain his results, so there might
>be validity to some DHT threshold or type1 inhibition.
>Half life is important because he was able to maintain his
>results
>about 4 months after stopping which he reported before not
>above.
>This is backed up GLAXO followup by same DHT levels still
>being maintained 4 months later after Avodart was
>discontinued.

Of course it was 4 months for people who were taking 2.5 mgs a day. I wonder what it would be for those taking .5 mg a day.


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Poster99
Member since 12-25-02
134 posts
03-06-03, 02:58 AM (EST)
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21. "RE: Dr. Monahan's answers inside"
In response to message #0
 
   ((... Dr. Monahan is a chiropractor. He is not a hair doctor...))

A lot of people misunderstand that fact. A chiropractor is *not* a medical doctor. He cannot prescribe drugs. (unless he has an MD degree "on the side" <g>)


(( ...Dr. Monahan was not aware of any test subjects who experienced shedding while using Dutasteride... )

Anybody here ever take part in a pharmaceutical trial? I'm curious if you ever get to know the side effects of *any* of the other trialists? Wouldn't that bias the study? Unless you see another guy in the waiting room who says, "Man, ever since I started taking this stuff, my hair is fallin' out like crazy!!" I can't imagine that he would know others' details.


(( Was Dr. Monahan given a loading dose at the beginning of the trial NO, NO, NO !!! Who started this rumor ??????? ))

Rumor? I believe GuttBaser said that it was "common knowledge" that Dr. Monahan took a 40mg loading dose. Bwaaaa!

(( Dr. Monahan maintains a very balanced diet ... and he has vitamins and minerals adminstered intravenously once a month. ))

Holy cow! He shoots up vitamins? I've never heard of anybody doing that.


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