It's official - I am not going back to avodart.  Had a sharp loss of libido and I wasn't sure whether it was coincidental or due to the avodart, but after being off about a week and a half libido has returned.  I am using it topically mixed with minoxidil now and no side effects - then again who knows how well it will work that way.  I quit finasteride earlier this year after restarting for the same reason.  Bummer.

So you are having side effects from saw palmetto?

Luckily it did not take long for it to reverse... avodart can stay in your body for a month so I thought it might take that long to go away.

That's why I stopped finasteride and started Saw Palmetto extract. I get similar results and no side effects. I take two 320 mg pills a day. 1 in the morning, one in the evening. I was almost going to start avodart but was worried about the side effects so I didn't. I'm sorry you had problems with it but that confirms my decision,

I'm gonna take jaydees advice and try the sea buckthorn oil shampoo and washing twice a day. Once with that and once with Revita. Keeping the scalp clean and free of toxins. I've been thinking about his premise and reading a lot about it and I think he's right. There's some correlation with dht, inflammation, and maybe even demodex mites. It seems like anything that controls inflammation helps with hair loss, lasers, tocotrienol, hydrocortisone cream etc. Keeping the scalp clean makes sense too, if there's any dht in the excess sebum cleaning it off has to help minimize the effects.

Check your PM"S!!

I'm still using the avodart, just topically mixed with minoxidil instead of orally.  No side effects topically.  Not everyone gets the side effects - if i could take it orally without getting them I'd still do it!

Still using topical keto as well? That plus topical avodart is the best treatment.