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The conversation discusses the mechanism of action of alfatradiol (17 alpha estradiol) in treating hair loss. It explores theories that it either inhibits 5 alpha reductase to prevent T->DHT conversion or aromatizes scalp T into 17-alpha-estradiol to save hair.

Balding's emotional impact is discussed, highlighting self-acceptance and well-being. Treatments like finasteride, minoxidil, and microneedling are mentioned, but the focus is on self-care and maintaining perspective.

A user shared a success story showing hair regrowth over 10 years, attributing it to quitting creatine and taking 0.5mg finasteride. Some commenters were skeptical about creatine's impact, while others inquired about side effects, and the original poster reported no negative effects from finasteride.

The user stopped using minoxidil due to inconvenience and negative effects on hair appearance, opting to continue with finasteride and dermarolling. Other users shared mixed experiences with different minoxidil brands and forms, including oral minoxidil.

The conclusion of the conversation is that the user has made progress in their hair loss with the use of oral finasteride and topical minoxidil. The progress was most significant in the first year, and the user's temples are slowly improving.

User Wonderful_Tonight910 suffered from hair loss and seborrheic dermatitis for years. After using irritant-free shampoo, their scalp improved, hair loss stopped, and new hair growth appeared.