The active ingredient in Propecia is called finasteride. Propecia increases hair growth on your scalp and prevents you losing more of your hair. The results of Propecia can be seen in as little as 3 months. During the growth phase, hair grows over a period of 2-4 years , and then hair stops growing for 2-4 months in a rest phase. After this, the hair falls out and new hair starts to grow in its place. Then the cycle repeats itself, meaning that hairs on the scalp are always in different stages of the cycle. Hair loss is caused by a hormone that shortens the growth phase of hair. Whether or not this happens is dependent on genetic factors. Male pattern baldness becomes more common with age, but can also affect some men in their 20s. Do I need doctor's prescription for this hair loss medicine everytime I purchase it? What is safest and most cost effective way to buy this medicine? Some people seem to drive all the way to Niagara Falls or to New York, why? If you have an employer drug plan, there's a good chance they'll even cover it. Keep away from pregnant women or women who may become pregnant!!! You never know what you actually get with the online sites. A years supply will set you back under $40, even if you go to expensive retail pharmacy. Dose doesn't particularly matter as the FDA studies show it to be highly effective at even a fraction of the 1mg dosage. You're allowed to use their pharmacy without a membership, and they charge $4 for dispensing versus the typical $10-$12 you'll pay at the big chains. Cut the pills up or nibble a bit off or take a little bit of powder. If you want to save on the dispensing fee, go to Costco. It is often covered under provincial drug plans if you have coverage in the usual fashion, as it is reasonably commonly prescribed to elderly men to ease prostate symptoms. 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