Sublingual Minoxidil Increases Fiber Diameter in Male Androgenetic Alopecia: A Proxy for Reversal of Hair Follicle Miniaturization

    January 2025 in “ PubMed
    Rodney Sinclair, Justyna Sicińska, Laita Bokhari, Michał Kasprzak
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    TLDR Sublingual minoxidil increases hair thickness in men with hair loss.
    A study investigated the effects of low-dose sublingual minoxidil (SLM) on hair fibre diameter in 33 men with male androgenetic alopecia (MAGA) over 24 weeks. Using TrichoLAB® H2H analysis, the study found that SLM increased hair fibre diameter in a dose-dependent manner, with the most significant increases observed at doses of 1.35mg and 4.05mg. The increase was particularly notable in intermediate and thickest hairs, suggesting a reversal of hair follicle miniaturization. In contrast, those on placebo experienced a decrease in fibre diameter. The findings support the potential of SLM as a treatment for MAGA by increasing hair fibre diameter and reversing miniaturization.
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      community I am a dermatologist with a clinical interest in alopecia. AMA

      in Will treatment work for me? 2 years ago
      In this conversation, 4990 discussed various treatments for hair loss, including oral minoxidil, PRP, transplan, Jak inhibitors, Dutasteride, Finasteride, Olumiant, Ketoconazole, RU58841, microneedling, baricitinib, and CCCA. They recommended scalp biopsies in unclear cases of DUPA, twice weekly to twice daily shampooing for topical minoxidil users, and two sessions spaced one month apart with follow up at month three to determine the effectiveness of PRP treatment.

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