Dr. Rassman –
An anecdotal, first-hand report on my experience with finasteride and saw palmetto/beta-sitosterol for your readers: taking the latter for about 10 months, my frontal area continued to thin and my libido was crushed. Taking the former for now about 13 months, my frontal area has maintained and my libido is totally normal.
In other words, you’re saying saw palmetto and beta-sitosterol caused libido issues. I don’t know what dosage you were taking or if you were strictly taking it for treating hair loss, but thank you for the reporting your experience.