Hair thinning after 40 is destroying my confidence need a hair growth supplement.
    Treatment 8/3/2026

    From the encyclopedia
    Minoxidil →

    Vasodilator used on the scalp and, at low doses, as a tablet

    Finasteride →

    Popular 5-alpha reductase inhibitor that lowers DHT, taken as a pill or used topically

    Saw Palmetto →

    Palm-berry extract taken as a supplement

    At a glance
    In this question or advice post, the primary subjects mentioned are
    💧 Minoxidil (topical)
    💊 Finasteride (oral)
    💊 Saw Palmetto (oral) 400-500mg daily
    the tone is 😞 negative.

    Other terms

    A 47-year-old experiencing hair thinning likely due to perimenopause is advised to consider treatments like minoxidil, finasteride, and supplements such as saw palmetto. Blood tests for iron, thyroid, and vitamin levels are recommended, and options like estrogen replacement therapy and hair growth supplements are discussed.
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    5 / 5 results

      community 2 years on treatment (stack update)

       465 upvotes 1 year ago
      A user shared their hair regrowth progress using Dutasteride, topical Minoxidil, Spironolactone, and Estradiol Valerate injections as part of hormone replacement therapy for transitioning. They experienced significant hair improvement and personal satisfaction but caution against this approach for non-transitioning individuals due to irreversible changes.

      community My hair after 3 steroid cycles

      in Progress Pictures  27 upvotes 2 years ago
      A user shared their hair progress after three steroid cycles, using 5% minoxidil and 100mg RU58841 daily. They are considering a hair transplant due to paranoia about shedding.

      community Fin alternative? (27M) Norwood 3

       4 upvotes 6 years ago
      A 27-year-old male experiencing hair loss at Norwood 3 level has tried minoxidil and finasteride but stopped finasteride due to side effects. He is exploring alternatives like Dermapen, Regenepure DR Shampoo, saw palmetto, and considering aromatase inhibitors for managing side effects, while also seeking advice on DHT blockers.

      community Are there any alternatives to finasteride?

       6 upvotes 2 weeks ago
      The user stopped finasteride while trying to conceive and is seeking alternatives to reduce hair loss. Suggestions include continuing minoxidil, using saw palmetto, alfatradiol, clascoterone, KX-826, microneedling, and keto shampoo, but safety during conception is uncertain.

    Related Research

    6 / 6 results

      research Botanical drug preparations for alleviating hair loss in menopausal women: a global ethnopharmacological mini-review

      November 2025 in “Frontiers in Pharmacology”
      This mini-review examines ethnopharmacological approaches to manage hair loss in postmenopausal women, highlighting promising botanical remedies like saw palmetto, rosemary oil, and ginseng. The authors underscore a need for more interdisciplinary trials and focus on traditional remedies' multifaceted benefits, while noting gaps in menopausal-specific evidence.

      research Dermatosis associated with menopause

      10 citations , January 2014 in “Journal of Mid-life Health”
      This article reviews dermatological problems associated with estrogen deficiency in menopausal women and highlights the importance of dermatologist and gynecologist collaboration, but reports no new clinical results.

      research Medicinal and cosmetic products used in treatment of hair loss

      September 2022 in “Polish Hyperbaric Research”
      This study analyzed 57 medicinal and cosmetic preparations available in Poland for treating alopecia, finding that finasteride is the most common active ingredient, with many products being in tablet or shampoo form and categorized as prescription drugs and cosmetics.

      research Hair Loss in Women

      81 citations , March 2009 in “Seminars in Cutaneous Medicine and Surgery”
      This review discusses the classifications, diagnostic methods, and treatment strategies for female pattern hair loss, but reports no clinical results.

      research AN OVERVIEW OF MEDICINAL PLANTS USED FOR THE TREATMENT OF HAIR LOSS

      October 2024 in “International Journal of Biology Pharmacy and Allied Sciences”
      In this research, a thorough review of hair loss issues and treatments identified the effectiveness of minoxidil and finasteride for alopecia in the scalp's vertex region, but noted concerns about their potential long-term effects, leading to increased interest in herbal therapies.