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Given the FDAs April 2025 alert, informed consent for compounded topical finasteride should cover systemic absorption risk, known side effects (sexual, neuropsychiatric), transfer risk to household members (especially women of childbearing age), and the non-FDA-approved status of the formulation

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Stand on a step with heels hanging off the edge Rise up on toes using both legs Shift weight to affected leg only Slowly lower heel below step level over 3 to 5 seconds Return to starting position using both legs Perform 15 repetitions, 3 sets, twice daily Expect some discomfort during exercise

Inhibition of adipogenesis by Wnt signaling