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I think IMHO that alternatives to Finasteride are needed in the market as quickly as possible.Jesus oh f***. Maybe I dont want R-equol either! lol.
This is why I love my beloved daro. Virtually none crosses the blood-brain barrier so at the tiny topical doses I'm using I don't think I have to worry too much about these crazy brain effects of other broader acting drugs.
The caveat to what you're posting is to still keep in mind we know there are people born with 5 alpha reductase deficiencies and they do not develop any major cognitive problems that I'm aware of. Now one may argue that developing with exposure to 5-ar and then losing it later in life is different from never having 5-ar at all.
But it is still at least somewhar reassuring that those completely deficient in 5-ar aren't developing dementia in their 30s or anything scary like that.