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The post discusses a product from Hims that combines finasteride, minoxidil, and biotin in one pill for hair loss. Users share mixed opinions, with one praising its effectiveness, while another warns against potential heart-related side effects of oral minoxidil, suggesting topical solutions instead.

A 20-year-old is experiencing hair loss and has tried Minoxidil, ketoconazole shampoo, dermarolling, Biotin, Selenium, Zinc, and a shampoo with various ingredients but is still losing hair. They had side effects from topical finasteride and are considering RU58841 but are concerned about past heart issues.

Minoxidil is used for hair loss and sometimes for high blood pressure, but it's outdated for the latter. For high blood pressure, it's combined with a beta blocker and diuretic to manage side effects.

Oral minoxidil treatment increased hair density and shaft caliber in AGA patients. Side effects included hypertrichosis and lower extremity edema, with younger patients experiencing fewer side effects.

The user began using topical minoxidil in 2020 without regrowth, then added 0.5mg finasteride, 2.5mg oral minoxidil daily, topical minoxidil/finasteride most days, and weekly micro needling since December 2022. They also use peppermint-infused jojoba oil for hair health and have noticed less gray hair.

Concerns about CosmeRNA safety mechanisms and potential side effects. Discussion includes comparisons to Fluridil and questions about nanoparticle specificity and siRNA stability.

People on testosterone replacement therapy (TRT) with aggressive androgenetic alopecia (AGA) discuss using Dutasteride or Finasteride, sometimes combined with topical treatments like RU58841 or CB-03-01 (Breezula), to prevent hair loss. Concerns about side effects and costs of certain treatments are mentioned, with one individual sharing their experience of slowed hair loss using Finasteride alone.

A 24-year-old male reported a 7-month hairline recovery using 0.5mg of dutasteride daily with no side effects. Another user suggested adding minoxidil to the treatment.

The conversation is about the potential impact of RU58841 on male fertility, specifically regarding sperm concentration, total count, and motility. The user is curious about the likelihood of RU58841 reducing fertility based on its mechanism of action and comparisons to similar substances.

A user shared their 4-year hair loss journey, highlighting that switching from topical to oral minoxidil and finasteride, along with dermarolling, significantly improved their hair growth. Another user mentioned using dutasteride, and the original poster emphasized the importance of dermarolling.