I have heard that propecia can cause muscle loss as well as the loss of facial hair . Is there any truth behind this and if so why do they not list this as possible side effects ?

Not sure where you heard these latest bits of quasi-information, but they are amusing and I’ll add them to my pile of “Hair Loss Rumors”. The FDA requires that Merck (makers of Propecia) list all side effects, and just to avoid lawsuits, drug companies usually list any potential side effects the drug can have as well, no matter how embarassing or remote.

Propecia blocks DHT formation, and since DHT is formed from testosterone, it raises testosterone levels slighly and temporarily. Since one’s testosterone goes up briefly, muscle and facial hair GAIN would be the expected consequence. Fortunately, the body’s own feedback mechanisms bring your testosterone back to normal levels pretty quickly, so long-term effects from this slightly increased testosterone are unlikely.

Balding Forum - Hair Loss Discussion

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