0.03 is way too low... I can't find that graph right now but I remember 0.05 to be the least amount to have DHT reduction of any meaning to us and 0.1 to be nearly as significant as higher? Then when you go higher than 0.2 there is almost no difference anymore.
I'll get back to you later in the day.
- - - Updated - - -
Wang, I will summarize the arguments here, to the best I know them. Note that this is an ongoing conversation on the forum, both involving myself and others, and thus the level of knowledge and wisdom is evolving as well.
The issue is that full DHT inhibition (~60-70%) in the scalp and then the serum is reached very quickly, definitely by ~0.07 mg/day. After that it's a nearly flat response curve. We don't know what the response curve is for the other hormones affected by finasteride, nor do we know the response curve of finasteride in the brain or in the prostate for that matter.
You can find some info in this thread:
http://www.hairlosstalk.com/interact/showthread.php/98862-Why-is-the-recommended-finasteride-dosage-for-treating-BPH-5-mg
Why is the recommended finasteride dosage for treating BPH 5 mg?
In this thread:
http://www.hairlosstalk.com/interact/showthread.php/98373-Topical-finasteride-microdosing-as-additional-treatment
Topical finasteride microdosing as additional treatment?
And in this thread:
http://www.hairlosstalk.com/interact/showthread.php/98490-Microdosing-on-finasteride-Updates
Microdosing on finasteride - Updates?
Now I will summarize some of the arguments:
1) The Japan Study
http://www.ncbi.nlm.nih.gov/pubmed/15319158
It showed that the effectiveness of 0.20 mg/day at increasing hair count is nearly identical to that of 1.00 mg/day.
So if you increase your dose by a factor of 5 (!!!!!), you'll have marginally more hair growth. A very small number, the difference is smaller, substantially smaller, than the error bars.
2) The Drake et al. study:
The effects of finasteride on scalp skin and serum androgen levels in men with androgenetic alopecia.
http://www.ncbi.nlm.nih.gov/pubmed/10495374
They measured the effect of doses of placeboo 0.01, 0.05, 0.20, 1.00, and 5.0 mg daily of finasteride, and they found the following:
http://s23.postimg.org/iip5fa1pn/finasteride.png
http://www.regrowshair.com/wp-content/uploads/2013/04/SkinScalp.jpg
At 0.01 mg/day, benefit is marginal. At 0.05 mg/day, you get maximal inhibition in the skin, but only two thirds of the inhibition in the blood (50% instead of 70%). This means that the effect of finasteride in the skin saturates
earlier than it does in the blood. If you assume that reducing scalp DHT is more important than reducing serum DHT, and less risky, than some dose between 0.01 and 0.05 mg/day is ideal. This study is after 42 days of daily dose, so we can assume hormonal equilibrium.
The Drake study can also be understood as independently confirming the Japan study. If your priority is hair first, 0.20 mg/day is definitely fine, as shown by two separate studies.
3) This final point is from a topical study, which I think is related to Polichem's research
https://www.researchgate.net/public...one_in_healthy_men_with_androgenetic_alopecia
At low doses of their topical solution, they get full skin inhibition of DHT without full blood inhibition of DHT. This shows that after 1 week of treatment with their topical formulation, 0.22 mg/day is adequate at fully suppressing scalp DHT while minimally suppressing blood DHT. But it's only 1 week. I bet they'd have to cut the dose further after say, four weeks. Finasteride hangs around for a while.
Note: "b.i.d." means twice a day. , "o.d." means once a day.
Interestingly, at a high dose, there is no difference between once a day or once every two days for the blood ... but the skin cares. Maybe skin processes T->DHT much more rapidly than the blood does?