Re: I collect more and more labs/genome/dutch tests that support my theory on PFS. I really think I have it nailed down. I d...
u/drwillpowers
r/DrWillPowers2026-04-04T15:55:18Z
Dr Will Powers’ own statements and theorizing
Summary (paraphrased)
Powers argued that finasteride is an irreversible "suicide inhibitor" that permanently disables any 5AR enzyme it touches, requiring 2–3 weeks for the enzyme to be degraded and remade — so even a single pill can suffice if the patient's system is already at its limit. He interpreted windows and crashes as substances that increase or worsen metabolite clearance, and suggested cAMP/cGMP gradients may play a role for some patients (particularly PSSD or genital-numbness/ED presentations), where excessive buildup destroys the signal-to-noise ratio. He illustrated transporter overload with ABCC2 (or ABCC5 for cAMP): a struggling exporter given a second job falls further behind, and cited his transgender-medicine experience with COMT, which metabolizes dopamine/adrenaline as well as catechol estrogens, where speeding it up can crash dopamine signaling in slow dopamine producers. He claimed accumulating labs, genomes, and DUTCH tests were finally showing consistent, reliably abnormal findings across nearly all PFS patients — something never previously achieved — and that exceptions still trace to some other near-catastrophic metabolic defect that finasteride converts into a true catastrophe. He framed the whole model through redundancy/entropy metaphors: PFS patients have a hidden specific vulnerability (a video-game character with full hit points but a fatal weakness to fire spells), and he personally lacks that vulnerability because his glucuronidation is intact — closing with dismay at online services selling "DIY fire spells" for hair loss to people unaware of their own vulnerability.
Key points (paraphrased)
- Finasteride framed as irreversible 5AR suicide inhibition (~21-day functional knockout); one pill can suffice at the vulnerability edge.
- Windows/crashes = changes in metabolite clearance; cAMP/cGMP gradients implicated for PSSD/ED/numbness subtypes.
- ABCC2/ABCC5 exporter-overload and COMT substrate-competition mechanisms from trans-medicine experience.
- Claim of consistent lab/genome/DUTCH abnormalities across nearly all PFS patients — presented as unprecedented.
- Hidden-vulnerability model: apparent health conceals a specific metabolic weakness; redundancy/entropy framing.
- Personal genome: intact glucuronidation, fast P450s — hence his claimed finasteride immunity.
Why it’s in the corpus
A foundational exposition of the threshold/vulnerability model — why onset is sudden and unpredictable, why one pill can suffice, and why normal labs coexist with catastrophic outcomes. The claimed genome-wide consistency across his PFS cohort is the empirical backbone of his genetics-first program (cf. DWP-003).
Context — the post Powers was replying toVerbatim third-party text, shown for context only — not Powers’ statement. Usernames removed.ShowHide
Powers' comment replies to a community member:
Thank you so much. There is already an enormous improvement. I did wake at the usual time (2:30-3, which may be habit rather than physiology, but then slept from 3 to 7:30. Incredible. This is life changing. I appreciate you so very much!
(Parent context recovered from the r.genit.al mirror on 2026-10-07; Powers' comment text itself is from John's user-provided export.)
Some fields on this page come from the release’s Markdown edition, which carries text the JSON edition omits.
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