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The testosterone hormone is very androgenic , and as a result, the side effects of AndroGel can include those of an androgenic nature. The possible androgenic effects include acne, accelerated hair loss in those predisposed to male pattern baldness and body hair growth. These effects are strongly tied to genetic predispositions. For example, if you are not predisposed to male pattern baldness you cannot lose any of your hair. If you are predisposed the use of AndroGel may speed up your hair loss. You were going to lose the hair anyway, but it may now happen a little sooner.
The androgenic side effects of AndroGel are due to testosterone being metabolized by the 5-alpha reductase enzyme. This in turn causes testosterone to reduce to dihydrotestosterone (DHT) where it affects the target tissue in the skin and scalp. For this reason, some men may find the use of a 5-alpha reductase inhibitor such as Finasteride to be useful. This will greatly reduce the androgenicity of the testosterone hormone, not completely but notably.