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But the side effect profile that comes with finasteride is also in a different category, and for a significant number of people, hormonal intervention isn't an option or isn't something they want

It stimulates your pituitary gland to produce and release more growth hormone through natural signaling pathways

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Moreover, mAbs are mainly expressed in mammalian cells because of their complex structure, increasing the cost of large-scale productions [86]

The honest answer is somewhere in between, and worth understanding clearly before assuming its either essential or irrelevant