Hi - there is no official diagnosis for "PFS". I have it in the sense that I have penile tissue scarring confirmed by medical imaging, with a urologist's opinion that finasteride was the likely cause. Yes, tadalafil does often help in my case, but the reduction in function is permanent and I doubt I will ever be my pre-finasteride self again.
Absolute nonsense. Your food contains calories in the form of carbohydrates, protein and fat. None of those macronutrients are metabolized in a way that is likely to lead to obesity. Obesity comes from consuming more calories than you burn. It doesn’t matter at all where those calories come from.
Robert Lustig talks about this quite a bit. The data shows widespread obesity in modern times is a direct result of all the added sugars in the standard American diet.
What about other countries? America might be leading the way, but a lot of European countries brag about "only" having a 1 in 4 obesity rate, which is still incredible.
The Diabetes Code is a great book about reversing diabetes through dietary intervention. The author discusses exactly what you're saying here: surprisingly few doctors know how effective a low-carb diet is at treating and curing type 2 diabetes.
I think this would be a fair argument if the possibility of persistent side effects were acknowledged and clearly communicated. Right now, if you go to get a prescription for finasteride and ask your doctor whether you might have side effects that last years after discontinuing the drug, they will almost certainly say, no, that's not possible.
> if you go to get a prescription for finasteride and ask your doctor whether you might have side effects that last years after discontinuing the drug, they will almost certainly say, no, that's not possible.
I can absolutely see that happening. I'm very interested in tracing this line of questioning back to a root cause because it likely has a systemic cause, and fixing it would have major implication in the way medicine is practiced and the treatments people receive.
Doctors are the highest paid profession in the United States because they have a legal monopoly on the practice of surgery and prescription of medicine. Because their income flows from this monopoly, they over value medical treatments that use prescription drugs and under value treatments that do not, such as diet and exercise. The latest example is the reluctance of the medical community to say the Vitamin D reduces the risk from contracting Covid-19, even though there is strong evidence to show this. Since this is so, your doctor is likely to not tell you the full story of the risks versus the benefits of the drugs you are prescribed and you would do well to research the question on your own, especially if it is a drug you will take for a chronic disease.
My problem is that I get too much sleep and it's very difficult for me to wake up if there's no meeting scheduled that morning for my flexible remote job or if there's no social pressure to get up. I'll happily sleep 12-14 hours if you let me. I've been this way since I was a teenager, and I'm 25 now.
I know this sounds like I'm complaining about a luxury, and lack of sleep is definitely worse, but it's always made me feel like I'm wasting my days sleeping and missing out on life to a degree.
I was like that into my 20s. Now in my 40s, I'm lucky to get nine hours. Enjoy it while it lasts and don't worry about it too much. (But set an alarm if it's impacting work.)
I'm just like you. Healthy, but I sleep a lot. 10h is ok, but 12h is my sweetspot. And before people ask, I love starting my day with a Monster (caffeine + taurine + ...)
I just put that on genetic variability. Stop the FOMO on life: mornings are no better than afternoons :)
