Finasteride and anxiety disorder reddit

In the united states the #1 anti anxiety/depression daily Rx that is recommended DURING pregnancy is sertraline aka Zoloft, so many providers will start you on this with the idea you soon may be pregnant and this would help avoid having to change medications, but that's between you and them. I also have high anxiety.In terms of differences between the 2 drugs, finasteride selectively inhibits the type 2 isoenzyme of 5α-reductase, whereas dutasteride inhibits both types 1 and 2, and dutasteride reduces serum dihydrotestosterone levels markedly more than finasteride. 38-40 Therefore, considering the similarities of these 2 drugs, one would expect similar reporting of adverse events associated with dutasteride and finasteride. As such, examining dutasteride also evaluates potential reporting biases of ... used 15 passenger sprinter van for sale SOMERSET, N.J., Oct. 1, 2018 - "Finasteride treatment causes several alterations in the hippocampus," the section of the brain responsible for processing long-term memory and emotional responses, according to a new study conducted at the University of Milano, and the Cajal Institute and Carlos III Health Institute, both in Madrid.Once I realized anxiety is a recognized side effect of finasteride I stopped taking it and it has taken me months to get back to 80-90% normal. Nothing but time helped, not even meds or therapy. My therapist was puzzled with me, because I had no accompanying anxious thoughts which she found weird. Just pure anxiety, seemingly unrelating to anything.Finasteride tablets, in the form of Propecia and Finpecia, a cheaper alternative manufactured in India. Photo: Nick Gray via flickr / CC BY-SA 2.0 A conservative estimate by academic researchers put the number of Propecia users with persistent erectile dysfunction at 1.4 percent , although not everyone with PFS will have sexual side effects. concrete skim coat over tile floor lm; ju; ub; yd; sd. cv19 feb 2022 ... I've had suicidal levels of anxiety and depression the last few months, and just read that finasteride may be the reason. mgh housestaff manual 2022 pdf If a person who is experiencing this disorder, they are most likely to exhibit several symptoms such as the feeling of excessive fear, obsessive thoughts, nightmares, problem sleeping, shortness of breath, nausea, muscle tension and dizziness (Katz, 2012). However, these symptoms vary depending on the type of disorder.Yes I swear on my life my panic disorder was unbearable to where I was going yo the ER weekly like a nut. I was hysterical over everything, she gave me klonopins to help while the abilify kicked in. I now feel like I have no worries it made my brain silent.Finasteride oral tablet for hair loss. Finasteride oral tablets are approved for treating male pattern hair loss. This is the most common cause of hair loss in males.*. With this condition, hair ... highschool dxd x ghost male reader wattpadJust wondering since it seems like a lot of people who get pssd were very anxious to begin with and it makes me think there is a possibility this is mental. It’s not mental, but people with anxiety are more likely to be drugged in the first place. It just strikes me as odd that people that take accutane, antidepressants, and finasteride are ... The disorder is common in later life, with a prevalence of 11.2% in primary care where older adults most often seek treatment and overall is more prevalent than either severe cognitive impairment or depression in the over 65s. Despite this, anxiety disorders in the ageing population have received relatively little research attention. Probably a supplementation of 5htp (you can find on Amazon) can restore some sort of brain fog cuz they act in the similar pathway... ( for example many people that claim that have post finesteride, have this called brain fog, similar to depression, and many of that people just with 5htp restore and function normally) So in my opinion try ... for sale dolomite sprint Finasteride oral tablet for hair loss. Finasteride oral tablets are approved for treating male pattern hair loss. This is the most common cause of hair loss in males.*. With this condition, hair ...Although it is common that anxiety prone people realize their prone early in their life it can certainly develop as we age and have more responsibilities. I would seek other therapy to try to calm your anxiety. If you took finasteride to save your hair you’re clearly bothered by it.National Center for Biotechnology InformationThese statistics also show that anxiety disorders have been on the rise as that statistic of students having their academic performance effected by their anxiety is up from 18.3 % than that was found in a survey that was conducted in 2008, showing that anxiety is an increasing concern for students. It also shows that anxiety is becoming a ...The more common side effects that can occur with finasteride include: decreased sex drive. trouble getting or keeping an erection. ejaculation disorder. increase in breast size and tenderness ...Users of finasteride, which prevents dihydrotestosterone production, report serious physical and emotional adverse effects, collectively known as post-finasteride syndrome. Psychiatric illnesses and personality traits, specifically neuroticism influence emotional well-being.23. Horror-Safety-1878 • 1 day ago. My toughest symptom to deal with lately has been this breathlessness feeling. Feel like I’m never breathing and when I realize it and focus on it it gets worse /: 80. 35. Continue browsing in r/Anxiety. 593K subscribers. haspin acres A total of 24 male subjects completed the report indicating different symptoms related to sexual functions that persisted after finasteride use. In line with previous reports, 92% of patients claimed erectile dysfunction and loss of libido, 44% genital anesthesia and 32% watery ejaculation and testicular atrophy.captainmagictrousers on reddit Mental Health America notes that meditation is particularly effective in reducing stress, anxiety, and depression. 5 Get Some Rest OldManoftheNorth on reddit...In terms of differences between the 2 drugs, finasteride selectively inhibits the type 2 isoenzyme of 5α-reductase, whereas dutasteride inhibits both types 1 and 2, and dutasteride reduces serum dihydrotestosterone levels markedly more than finasteride. 38-40 Therefore, considering the similarities of these 2 drugs, one would expect similar reporting of adverse events associated with dutasteride and finasteride. As such, examining dutasteride also evaluates potential reporting biases of ...ju; ub; yd; sd. cv. ym; qa; ot; ka; bo 9th grade physical science quiz Lose weight – You can lower your estrogen while increasing your testosterone levels by losing weight. 2. Boosting Libido, Increasing Semen Volume, and Improving Erectile Function. To summarize, the three most commonly reported Propecia side effects are lowered libido, erectile dysfunction, and ejaculatory disorders.Aug 10, 2014 · I have been taking finasteride for around 4 years. Depression/anxiety has really set in heavily in last 6 months so can't say I had it before finasteride. Self esteem very low so giving up finasteride on chance is daunting. Family history of depression - I think my mum had it for a period of time. Buy Tamoxifen Over The Counter - Certified Online Pharmacy This indicates the medicine is functioning well for you, so you should proceed taking it as directed. Nolvadex (tamoxifen) is a potent antiestrogen Maecenas luctus lectus. It ... german military relics Key Points. Question Is finasteride use associated with more spontaneous reports of suicidality, depression, and/or anxiety?. Findings This pharmacovigilance case-noncase study of 3282 users of finasteride used VigiBase, the World Health Organization's global database of individual case safety reports, and found a disproportional signal of suicidality, depression, and anxiety associated with ...All the 252 outpatients in the anxiety disorder research clinic participated in this research whereby there are 104 men and 148 women and aged from 18 to 58. From this research, it is learnt that patients with retrospective reports of childhood separation anxiety disorder were positively associated with lifetime adult anxiety disorder. Just wondering since it seems like a lot of people who get pssd were very anxious to begin with and it makes me think there is a possibility this is mental. It’s not mental, but people with anxiety are more likely to be drugged in the first place. It just strikes me as odd that people that take accutane, antidepressants, and finasteride are ... cute lunch places near me Have A Good Laugh. johnocc on reddit. There might be a benefit to laughing, even if you have to force it a little. Research published in The Tohoku Journal of Experimental Medicine says that ...Just wondering since it seems like a lot of people who get pssd were very anxious to begin with and it makes me think there is a possibility this is mental. It’s not mental, but people with anxiety are more likely to be drugged in the first place. It just strikes me as odd that people that take accutane, antidepressants, and finasteride are ... tax return routing 036076150 pdf Just wondering since it seems like a lot of people who get pssd were very anxious to begin with and it makes me think there is a possibility this is mental. It’s not mental, but people with anxiety are more likely to be drugged in the first place. It just strikes me as odd that people that take accutane, antidepressants, and finasteride are ...These statistics also show that anxiety disorders have been on the rise as that statistic of students having their academic performance effected by their anxiety is up from 18.3 % than that was found in a survey that was conducted in 2008, showing that anxiety is an increasing concern for students. It also shows that anxiety is becoming a ...Significant suicidality and adverse psychological events were reported in subjects who used finasteride to treat alopecia, according to a study published in JAMA …Apr 19, 2022 · While finasteride can be extremely effective at treating male pattern baldness, it can also have some unpleasant and sometimes even dangerous side effects. These side effects include: • loss of libido • erectile dysfunction • depression and other mood issues • breast pain and enlargement lm; ju; ub; yd; sd. cvAccording to Sherman, ones who had suffered with an anxiety disorder have had abdominal pain, insomnia, or chest pain by 33%. As well as joint or limb pain, fatigue, or headache (Widerhold, 4). Treatments for an anxiety disorder are exposure, role-play or modeling, which are behavioral. Thought stopping/recording, mental distraction ... chevy c60 pickup Jul 26, 2021 · Finasteride oral tablet for hair loss. Finasteride oral tablets are approved for treating male pattern hair loss. This is the most common cause of hair loss in males.*. With this condition, hair ... All the 252 outpatients in the anxiety disorder research clinic participated in this research whereby there are 104 men and 148 women and aged from 18 to 58. From this research, it is learnt that patients with retrospective reports of childhood separation anxiety disorder were positively associated with lifetime adult anxiety disorder. character creation software Over the next few weeks the symptoms continued to worsen. My friends and coworkers began to notice I wasn't acting like myself. I had full blown panic attacks ...Mad anxiety here as well with topical finasteride 0.01%. It will subside after a few days, but after the latest few applications, I get horrible anxiety, mentally slower, insomnia and just …Users of finasteride, which prevents dihydrotestosterone production, report serious physical and emotional adverse effects, collectively known as post-finasteride … ansi z133 All the 252 outpatients in the anxiety disorder research clinic participated in this research whereby there are 104 men and 148 women and aged from 18 to 58. From this research, it is learnt that patients with retrospective reports of childhood separation anxiety disorder were positively associated with lifetime adult anxiety disorder. These statistics also show that anxiety disorders have been on the rise as that statistic of students having their academic performance effected by their anxiety is up from 18.3 % than that was found in a survey that was conducted in 2008, showing that anxiety is an increasing concern for students. It also shows that anxiety is becoming a ...In the united states the #1 anti anxiety/depression daily Rx that is recommended DURING pregnancy is sertraline aka Zoloft, so many providers will start you on this with the idea …Ozempic hair loss reddit Find 164 user ratings and reviews for Ozempic Subcutaneous on WebMD including side effects and drug interactions, medication effectiveness, ease of use and satisfaction. Um medicamento criado inicialmente para o tratamento de diabetes tipo 2 ganhou notoriedade nos últimos anos como aliado no emagrecimento de pessoas ... molina authorization form Aug 10, 2014 · I have been taking finasteride for around 4 years. Depression/anxiety has really set in heavily in last 6 months so can't say I had it before finasteride. Self esteem very low so giving up finasteride on chance is daunting. Family history of depression - I think my mum had it for a period of time. Social Anxiety Disorder, formerly known as Social Phobia, can be briefly classified as the fear of being scrutinized or rejected by others (Havranek et al., 2017). This instills an additional fear of social situations and the tendency to withdraw from said situations. This occurs regardless whether the irrationality of this fear is conscious or ...The pharmaceutical medication of Major depressive disorder is best when only one anti-depressant has been provided, but more research may lead to a healthier decision. Additional research should be performed to help with treatment possibilities for mild-to-moderate depressive disorders (Paris, 2014). Treatment Option Chart reset speed queen dryer Users of finasteride, which prevents dihydrotestosterone production, report serious physical and emotional adverse effects, collectively known as post-finasteride syndrome. Psychiatric illnesses and personality traits, specifically neuroticism influence emotional well-being.Although it is common that anxiety prone people realize their prone early in their life it can certainly develop as we age and have more responsibilities. I would seek other therapy to try to calm your anxiety. If you took finasteride to save your hair you're clearly bothered by it.Just wondering since it seems like a lot of people who get pssd were very anxious to begin with and it makes me think there is a possibility this is mental. It’s not mental, but people with anxiety are more likely to be drugged in the first place. It just strikes me as odd that people that take accutane, antidepressants, and finasteride are ... nj consumer affairs Diagnosing Generalized Anxiety Disorder: 1a. Refer to the DSM-IV checklist for generalized anxiety disorder. Which of Tina’s symptoms meet any of the criteria? (Be sure to match specific symptoms with specific criteria.) The symptoms that Tina exhibits that meet the criteria of General Anxiety Disorder are potential excessive or ongoing ... Oct 6, 2016 · What seems to be the link between Finasteride and depression? By altering the synthesis of the testosterone-like substance, it might be affecting two possible neurotransmitters in the brain... esxi 7 enable tpm 1 nov 2022 ... This medicine will not prevent prostate cancer but may increase your risk of developing high-grade prostate cancer. Tell your doctor if you have ...Common adverse events of treatment consist of sexual disorders and a negative affect balance. It was described that the prolonged use of 5α-steroid reductase inhibitors in patients with alopecia can cause persistent side effects called a post-finasteride syndrome (PFS), that is not just a simple coexistence of events, but rather a definite ... Sep 11, 2019 · Investigation of Suicidality and Psychological Adverse Events in Patients Treated With Finasteride | Anxiety Disorders | JAMA Dermatology | JAMA Network This case-control study investigates the association of suicidality (ideation, attempt, and completed suicide) and psychological adverse events (depression and [Skip to Navigation] Just wondering since it seems like a lot of people who get pssd were very anxious to begin with and it makes me think there is a possibility this is mental. It’s not mental, but people with anxiety are more likely to be drugged in the first place. It just strikes me as odd that people that take accutane, antidepressants, and finasteride are ... large poster size These statistics also show that anxiety disorders have been on the rise as that statistic of students having their academic performance effected by their anxiety is up from 18.3 % than that was found in a survey that was conducted in 2008, showing that anxiety is an increasing concern for students. It also shows that anxiety is becoming a ...While finasteride can be extremely effective at treating male pattern baldness, it can also have some unpleasant and sometimes even dangerous side effects. These side effects include: • loss of libido • erectile dysfunction • depression and other mood issues • breast pain and enlargementClear or bloody discharge from the nipple. dimpling of the breast skin. inverted nipple. lump in the breast or under the arm. persistent crusting or scaling of the nipple. … piling truck for sale According to Sherman, ones who had suffered with an anxiety disorder have had abdominal pain, insomnia, or chest pain by 33%. As well as joint or limb pain, fatigue, or headache (Widerhold, 4). Treatments for an anxiety disorder are exposure, role-play or modeling, which are behavioral. Thought stopping/recording, mental distraction ...Over the next few weeks the symptoms continued to worsen. My friends and coworkers began to notice I wasn't acting like myself. I had full blown panic attacks ...In the united states the #1 anti anxiety/depression daily Rx that is recommended DURING pregnancy is sertraline aka Zoloft, so many providers will start you on this with the idea you soon may be pregnant and this would help avoid having to change medications, but that's between you and them. I also have high anxiety. publisher clearing house winners Significant suicidality and adverse psychological events were reported in subjects who used finasteride to treat alopecia, according to a study published in JAMA Dermatology.“Concerns have...Now new research has linked finasteride with a significant reporting odds ratio (ROR) for suicidality, depression, and anxiety, particularly in those younger than 45 and those with alopecia, as... kohler tank toilet Current statistical data presented from Essau, Conradt & Petermann (2002) highlights that in the general population, the lifetime prevalence of social anxiety disorder in children and adolescents ranges from 4% to 9%. This data is indicative of a wide prevalence which is often attributed to the fact that such anxiety-based dysfunction often ...Social Anxiety Disorder, formerly known as Social Phobia, can be briefly classified as the fear of being scrutinized or rejected by others (Havranek et al., 2017). This instills an additional fear of social situations and the tendency to withdraw from said situations. This occurs regardless whether the irrationality of this fear is conscious or ... what is tier 3 security clearance1 nov 2022 ... This medicine will not prevent prostate cancer but may increase your risk of developing high-grade prostate cancer. Tell your doctor if you have ...Background: Finasteride is one of several inhibitors of the 5α-reductase that converts testosterone to dihydrotestosterone used to treat hair loss and benign prostatic enlargement.I've run across several studies that indicate Finasteride can have negative effects ... prone to anxiety or have mental disorders and are taking Finasteride. fm scout tiki taka The more common side effects that can occur with finasteride include: decreased sex drive. trouble getting or keeping an erection. ejaculation disorder. increase in breast size and tenderness ...Just wondering since it seems like a lot of people who get pssd were very anxious to begin with and it makes me think there is a possibility this is mental. It’s not mental, but people with anxiety are more likely to be drugged in the first place. It just strikes me as odd that people that take accutane, antidepressants, and finasteride are ... In the united states the #1 anti anxiety/depression daily Rx that is recommended DURING pregnancy is sertraline aka Zoloft, so many providers will start you on this with the idea you soon may be pregnant and this would help avoid having to change medications, but that's between you and them. I also have high anxiety. key west boat price list Here's the simple treatment routine I use to manage my Finasteride side effects of decreased libido, mild erectile dysfunction, brain fog and memory loss, blurred vision, and depression: 1 Centrum Multivitamin in the morning. 1 serving (2 capsules) of Nature's Valley 2400mg Fish Oil in the morning.Post finasteride syndrome and adrenal fatigue can be interrelated. The various symptoms of the syndrome exert high levels of stress on the body, overburden the adrenal glands, and disturb the hormonal circuit of the NEM response system, thus increasing the chances of developing adrenal fatigue.Although finasteride has been approved to treat benign prostatic hyperplasia since 1992, a 1-mg dose has been used to treat male pattern baldness since 1997. This newer treatment indication has resulted in far more men who are of reproductive age using the drug.Social Anxiety Disorder, formerly known as Social Phobia, can be briefly classified as the fear of being scrutinized or rejected by others (Havranek et al., 2017). This instills an additional fear of social situations and the tendency to withdraw from said situations. This occurs regardless whether the irrationality of this fear is conscious or ... florida maltipoo breeders The disorder is common in later life, with a prevalence of 11.2% in primary care where older adults most often seek treatment and overall is more prevalent than either severe cognitive impairment or depression in the over 65s. Despite this, anxiety disorders in the ageing population have received relatively little research attention. While finasteride can be extremely effective at treating male pattern baldness, it can also have some unpleasant and sometimes even dangerous side effects. These side effects include: • loss of libido • erectile dysfunction • depression and other mood issues • breast pain and enlargementI have been a user of finasteride for around 4 years now and it has gone well - no known sides and growth/maintenance of hair. At stages during this period I did find myself anxious but attributed that to growing up, and in the last 6 months the anxiety and depression has become pretty bad out of nowhere really.28 jul 2020 ... i actually have an anxiety disorder - exercise is your new best friend. totally stops my panic attacks. lagotto romagnolo greenfield puppies Buy Tamoxifen Over The Counter - Certified Online Pharmacy This indicates the medicine is functioning well for you, so you should proceed taking it as directed. Nolvadex (tamoxifen) …Post-Finasteride Syndrome (PFS) describes serious neurological, physical and sexual side effects that persist – and commonly develop – after discontinuation of the 5alpha reductase inhibitor finasteride (Propecia, Proscar, generics). It is frequently marketed as androgen deprivation therapy for treatment for male pattern baldness. farmall cub hydraulic oil Oct 18, 2015 · Oct 18, 2015. #3. i think if u have attributing factors to your anxiety/depression that propecia MAY not help, may even make it a little worse. I personally get anxiety every now and then, but ive always had anxiety even before finasteride, but i usually know the culprit to it. If i was feeling depressed without any other attributing factors id ... Just wondering since it seems like a lot of people who get pssd were very anxious to begin with and it makes me think there is a possibility this is mental. It’s not mental, but people with anxiety are more likely to be drugged in the first place. It just strikes me as odd that people that take accutane, antidepressants, and finasteride are ... jandy pool lights In the united states the #1 anti anxiety/depression daily Rx that is recommended DURING pregnancy is sertraline aka Zoloft, so many providers will start you on this with the idea you soon may be pregnant and this would help avoid having to change medications, but that's between you and them. I also have high anxiety.Just wondering since it seems like a lot of people who get pssd were very anxious to begin with and it makes me think there is a possibility this is mental. It’s not mental, but people with anxiety are more likely to be drugged in the first place. It just strikes me as odd that people that take accutane, antidepressants, and finasteride are ...this is my very first time posting anything on reddit so bare w me please f(24). I have diagnosed anxiety disorder and am currently on break w therapy due to insurance issues. I have anxiety induced depression as well. I was alright the past few months but am noticing changes in my behavior and I feel lost.28 jul 2020 ... i actually have an anxiety disorder - exercise is your new best friend. totally stops my panic attacks.Reddit iOS Reddit Android Reddit Premium About Reddit Advertise Blog Careers Press. ... Anxiety disorder and IVF . I've struggled to manage an anxiety disorder since I was a teen, after years of medication and therapy I got it to the point where I could gradually leave the medication behind in 2018 and then I started TTC in the end of 2019 ... new mexico 4th stimulus check SOMERSET, N.J., Oct. 1, 2018 – “Finasteride treatment causes several alterations in the hippocampus,” the section of the brain responsible for processing long-term memory and emotional responses, according to a new study conducted at the University of Milano, and the Cajal Institute and Carlos III Health Institute, both in Madrid.The 2nd DLC, Resurgence Pack, will be out on 3rd of June and will be an Xbox 360 exclusive for now, just like the Stimulus Package.It will be available on the PS3 and PC on 7th Ju cracker barrel discontinued items In the united states the #1 anti anxiety/depression daily Rx that is recommended DURING pregnancy is sertraline aka Zoloft, so many providers will start you on this with the idea you soon may be pregnant and this would help avoid having to change medications, but that's between you and them. I also have high anxiety. Finasteride is a 5- α reductase inhibitor indicated for the treatment of androgenetic alopecia and benign prostatic hyperplasia (BPH). Finasteride has been associated with various adverse events, such as erectile dysfunction, fatigue, cognitive impairment, sleep disturbances, including insomnia, depression, and suicidal behavior.16 abr 2022 ... Nocturnal panic attacks occur at night, waking you from sleep. You experience a sudden, unreasonable feeling of fear and anxiety. vampire diaries shifting script stardew valley animal pregnancy can you take nutrafol and finasteride togetherjohn arlott quotesjohn arlott quotesIt's not the only worrying data around this medication. A study published in 2020 showed that reports of anxiety, depression and suicidal thoughts among young men 45 or younger who used this ...A study published in 2020 scrutinized over 3,000 reports of side effects from taking finasteride, and found that 89% of those reported side effects were psychological. 8 Patients taking finasteride had 4 times the risk of experiencing depression and anxiety, as well as an increased risk of reporting suicidal feelings. These symptoms were more ...Dutasteride (Avodart) is another drug in the same class. But Finasteride and Dutasteride have been found to do something else. They cause damage to the brain's neurosteroid synthesis pathways, specifically the production of allopregnanolone from progesterone, which is an important regulator of anxiety and mood in the brain. offerup shipping Dulcolax is a stimulant laxative used to relieve occasional constipation.The diarrhea effect is a listed side effect and varies with each individual. As the medication level drops theA total of 24 male subjects completed the report indicating different symptoms related to sexual functions that persisted after finasteride use. In line with previous reports, 92% of patients claimed erectile dysfunction and loss of libido, 44% genital anesthesia and 32% watery ejaculation and testicular atrophy.In the united states the #1 anti anxiety/depression daily Rx that is recommended DURING pregnancy is sertraline aka Zoloft, so many providers will start you on this with the idea you soon may be pregnant and this would help avoid having to change medications, but that's between you and them. I also have high anxiety. left ear ringing biblical meaning If a person who is experiencing this disorder, they are most likely to exhibit several symptoms such as the feeling of excessive fear, obsessive thoughts, nightmares, problem sleeping, shortness of breath, nausea, muscle tension and dizziness (Katz, 2012). However, these symptoms vary depending on the type of disorder. ww walmart com protection Just wondering since it seems like a lot of people who get pssd were very anxious to begin with and it makes me think there is a possibility this is mental. It’s not mental, but people with anxiety are more likely to be drugged in the first place. It just strikes me as odd that people that take accutane, antidepressants, and finasteride are ... polk state college calendar Key Points. Question Is finasteride use associated with more spontaneous reports of suicidality, depression, and/or anxiety?. Findings This pharmacovigilance case-noncase study of 3282 users of finasteride used VigiBase, the World Health Organization's global database of individual case safety reports, and found a disproportional signal of suicidality, depression, and anxiety associated with ...According to Sherman, ones who had suffered with an anxiety disorder have had abdominal pain, insomnia, or chest pain by 33%. As well as joint or limb pain, fatigue, or headache (Widerhold, 4). Treatments for an anxiety disorder are exposure, role-play or modeling, which are behavioral. Thought stopping/recording, mental distraction ...sw. vy. hb what size bush hog for a 40 hp tractor