An Act of Contrition

A 19-year-old shares his hair loss experience and treatment routine, which includes 1mg finasteride daily, 2mg oral minoxidil daily, ketoconazole shampoo every 2 days, and a healthy lifestyle. He notes that oral minoxidil is showing better results than topical minoxidil.

OP experienced heart issues after taking pilocarpine, which they believe interacted negatively with oral minoxidil, leading to hair loss. They stopped pilocarpine but can no longer use oral minoxidil.

The user experiences severe side effects from finasteride and dutasteride, including low libido and anxiety, and is currently using oral minoxidil despite shortness of breath. They are seeking alternative treatments for hair loss, having tried pyrilutamide, fluridil, and RU58841 with no success, and are considering future treatments or a hair transplant.

Hair loss is linked to scalp fibrosis and tension, which result from chronic mechanical stress and androgenic signaling. Treatments include blocking androgens with finasteride, promoting hair growth with topical minoxidil, and improving scalp mobility through exercises.

Creatine may counteract minoxidil's hair growth effects by closing potassium ATP channels, potentially leading to hair loss in predisposed individuals. Despite anecdotal reports, there is no conclusive evidence linking creatine to hair loss.

A 21-year-old male has been experiencing hair loss with tingling sensations and has been using oral finasteride, minoxidil, and coal tar shampoo. Finasteride has reduced tingling, but thinning persists, and others suggest possible DHT-related inflammation and recommend treatments like dutasteride and ketoconazole shampoo.