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FactorNatural optionsFinasteride (prescription)DHT reductionModest and variable (saw palmetto near 32 percent prostatic DHT in one comparison)Roughly 70 percent serum DHT reductionEvidence strengthSmall trials, lab and animal data, often mixedLarge randomized trials, FDA approvedSpeed of resultsSlow and inconsistentOften visible within six monthsSide effect profileGenerally mild, but not risk freePossible sexual side effects in a minority of usersPrescription neededNoYes The pattern is consistent
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