Peter Attia· MD
finasteride or dutasteride and they have been shown to reduce the likelihood of urinary retention and reduce the need for surgical procedures in prospective randomized trials
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The headline is broadly defensible, but the qualifications matter. Effect sizes vary by population, the strongest claims rest on shorter trials, and credible voices push back on how it's typically framed.
finasteride or dutasteride and they have been shown to reduce the likelihood of urinary retention and reduce the need for surgical procedures in prospective randomized trials
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Bookmarking — the dossier-vs-overview split is the right call. Most of the time I want overview; sometimes I want receipts.
Would love a "what would change this verdict" RSS feed. Sign me up if it exists.
so if you have uh urinary symptoms you've kind of failed behavioral modifications then we would do an alpha blocker if an alpha blocker is working um but not to the extent that the patient's satisfied and the individual patient has a large prostate over 70 or so gram and that you can easily diagnose that on an ultrasound or MRI yes you you would typically you know uh be able to size that no problem can can a good urologist size that on a rectal exam a good urologist can I personally kind of think about things like small medium large yeah in general for people in a relatively high quality Urology practice you're going to know the patients's volume of their prostate based on a variety of things you're kind of monitoring for but if you have a large prostate and you're having progression on an alpha blocker you can reach for a five Alpha reduce inhibitor finasteride or dutasteride