Treatments not working (Need suggestions)
    Finasteride/Dutasteride 3/17/2025

    From the encyclopedia
    Dutasteride β†’

    Heavy duty finasteride that comes with higher risks

    Minoxidil β†’

    An essential vasodilator with some anti-androgenic effects

    Ketoconazole β†’

    antifungal with some anti-androgenic benefits, often used as a shampoo

    At a glance
    In this question or advice post, the primary subjects mentioned are
    πŸ’Š Dutasteride (oral) 1.5 years
    πŸ’Š Minoxidil (oral) a couple of years
    β€’ Ketoconazole (shampoo) a couple of years
    β€’ Low-level laser therapy (cap) every other day a couple of years
    the tone is 😞 negative with no growth results.

    Other terms

    A 21-year-old experiencing significant hair loss despite using dutasteride, oral minoxidil, ketoconazole shampoo, and low-level laser therapy seeks advice. Suggestions include adding microneedling, checking for vitamin deficiencies or thyroid issues, and considering a scalp biopsy for other conditions.
    View this post in the Community β†’

    Similar Community Posts Join

    5 / 5 results

      community Naturally high T (1,100+) causing diffuse thinning while on Dut

       22 upvotes 5 months ago
      A 26-year-old male with high testosterone is experiencing diffuse hair thinning despite using a comprehensive treatment regimen including dutasteride, oral minoxidil, RU58841, ketoconazole shampoo, microneedling, and low-level laser therapy. Suggestions include adjusting dutasteride dosage, monitoring iron levels, and consulting a dermatologist for further evaluation.

      community Lost ground on Dut, Min, RU, etc (5 yrs… 2021->2026)

       16 upvotes 5 months ago
      The user has been using a combination of treatments including Dutasteride, Minoxidil, RU58841, ketoconazole shampoo, microneedling, and low-level laser therapy to address hair loss but continues to experience shedding and density loss. Despite high testosterone and iron levels, the user is frustrated with the lack of improvement and is considering adjusting treatment or exploring other options like a hair transplant.

      community Ranking the best treatments for hair growth

      in Research/Science  3 upvotes 6 months ago
      Effective hair growth treatments include finasteride, minoxidil, dutasteride, and hair transplants, with additional options like microneedling, low-level laser therapy, and PRP showing some benefits. Newer treatments such as GHK-Cu peptides and ketoconazole shampoo are promising, while others like saw palmetto and biotin are less effective unless deficiencies exist.

      community What is the ultimate hair regrowth protocol

       29 upvotes 1 year ago
      The conversation covers aggressive hair regrowth treatments like Dutasteride, Minoxidil (oral and topical), RU58841, microneedling, and ketoconazole shampoo. It also mentions PRP, laser therapy, GHK-Cu injections, and hormone therapy for maximum regrowth.

      community 8 months post 4,000-graft FUE. Progress pictures + my stack

       223 upvotes 2 months ago
      The user underwent a 4,000-graft FUE hair transplant and uses finasteride, topical minoxidil, microneedling, ketoconazole shampoo, and low-level laser therapy. They are happy with the results after 8 months and wish they had started treatments earlier.

    Related Research

    6 / 6 results
      Minoxidil: A Comprehensive Review

      research Minoxidil: a comprehensive review

      16 citations , June 2021 in “Journal of Dermatological Treatment”
      This study reported that while topical minoxidil exhibits hair regrowth in androgenetic alopecia, oral minoxidil 5 mg/day was more effective than topical forms after six months, with low doses also potentially effective for women and other hair loss types.

      research Female pattern hair lossβ€”An update

      12 citations , January 2020 in “Indian Dermatology Online Journal”
      This article discusses the causes, diagnosis, and treatment options for female pattern hair loss, emphasizing the role of topical minoxidil as a primary treatment, but provides no new clinical results.
      Managing Patterned Hair Loss – A Hair Raising Task!

      research Managing patterned hair loss – a hair raising task!

      October 2021 in “Cosmoderma”
      This review summarizes existing knowledge on diffuse and patterned alopecia, emphasizing recent advancements in treatment beyond FDA-approved options, but it reports no new clinical findings.

      research Noninvasive Hair Rejuvenation

      May 2023 in “Clinics in Plastic Surgery”
      This study suggests that platelet-rich plasma injections are a promising option for the treatment of androgenetic alopecia, both alone and as an addition to other nonsurgical and surgical treatments.