5 alpha reductase inhibiters like Finasterade slow the conversion of Testosterone to DHT, which is a more potent androgen. This conversion occurs in the skin, l

5 alpha reductase inhibiters like Finasterade slow the conversion of Testosterone to DHT, which is a more potent androgen. This conversion occurs in the skin, liver, prostate and retina. Using a 5aR inhibiter mostly affects those organs alone. There would be a slight decrease in effective Testosterone levels and these drugs can sometimes affect libido and erectile function. But the reduction will be minor compared to hormone ablation (HAT), which takes you close to zero. HAT affects you in many ways: mood, bone loss, muscle loss are the main ones. To which we can now add dementia.