Androgenetic Alopecia Care Requires Greater Evidence-Based Guidance

    Glen Jankowski
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    TLDR More unbiased research is needed to improve androgenetic alopecia care.
    The article highlights the need for more evidence-based guidance in the care of androgenetic alopecia (AGA), as current information can be biased and practitioners disagree on its classification as a disease. A survey of 34 hair loss practitioners revealed that while most acknowledge AGA's pathological features, opinions are divided on whether it is a disease and if it has been overly medicalized. Only 14% believe AGA requires treatment, yet many favor treatments like finasteride for their psychological benefits, despite concerns about safety. The study emphasizes the importance of a commercially independent evidence base to improve care and ensure patients are informed about treatment risks and alternatives.
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      community Hair Loss Drugs Ranked in Order of Efficacy

      in Research/Science  67 upvotes 1 year ago
      Dutasteride is likely the most effective treatment for male pattern baldness, followed by finasteride and minoxidil in various forms and dosages. Users discuss personal experiences, dosages, and potential side effects, with some considering combining treatments for better results.

      community I’m Feeling so discouraged and depressed - No one wants to prescribe finasteride to me.

      in Finasteride/Dutasteride  68 upvotes 1 year ago
      A user in France is frustrated because three dermatologists refused to prescribe finasteride for their hair loss, suggesting it's not androgenetic alopecia (AGA) and offering expensive vitamin treatments instead. Other users suggest buying hair loss treatments like minoxidil and finasteride from various online pharmacies and considering a gender-affirming care physician for more understanding treatment options.

      community AGA evaluation and first steps - BEGINNER MEGAPOST

      in Chat  76 upvotes 1 year ago
      The conversation discusses androgenic alopecia (AGA) and its treatments, focusing on finasteride, minoxidil, and ketoconazole shampoo. Finasteride is recommended as essential for preventing further hair loss.

      community Why is everyone not directly advised Dutasteride?

      in Finasteride/Dutasteride  169 upvotes 1 year ago
      Dutasteride is less commonly prescribed for hair loss because it is not FDA-approved for this purpose, unlike finasteride, which is more accessible and preferred due to fewer side effects. Dutasteride may be more effective in reducing DHT but has a longer half-life and potentially more significant side effects.

      community What else is good. Besides the big 3.

      in Chat  35 upvotes 1 year ago
      Key treatments for hair preservation include minoxidil, finasteride/dutasteride, and microneedling, with additional options like specific shampoos, oils, biotin, zinc, tretinoin, clascoterone, and low-level laser therapy. Maintaining a healthy lifestyle, reducing stress, and addressing nutrient deficiencies can also support hair health.

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