피부과 전공의사들을 통해 피나스테리드 복용과 우울증 간에 직접적인 인과관계가 밝혀진 바 없다는 점이 알려졌기 때문이다. 실제 다수인 의료진들은 약 복용 보다는 탈모 자체로 인한 우울증 혹은 심리적 요인에 의해 발생하는 부작용인 ‘노시보 효과 가능성을 지적하고 있다.
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