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      learn Tofacitinib

      a JAK inhibitor for alopecia areata and other autoimmune conditions

      learn Osteopontin

      signaling protein that, when suppressed, may grow hair by reducing inflammation and stem cell loss

      learn Melatonin

      hormone commonly taken for sleep aid has some topical benefits for hair

      learn Dutasteride

      Heavy duty finasteride that comes with higher risks, but scalp injections seem safe and are gaining popularity

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      community 6 Months in. Stick with it Fin? Or switch to Dut?

      in Progress Pictures  53 upvotes 2 months ago
      A 36-year-old man has been using oral finasteride and minoxidil for six months and is considering switching to dutasteride due to concerns about shedding and lack of response. Users suggest continuing with finasteride, trying micro-needling, or cautiously adding dutasteride while monitoring for side effects.

      community Complete non responder to everything. Modern Norwood Sisyphus

      in Update  75 upvotes 3 weeks ago
      The user has been using finasteride for four years and topical minoxidil with microneedling for a year but has not seen significant results in slowing hair loss. They are considering trying dutasteride despite concerns about its intensity, and others suggest trying oral minoxidil or combining treatments for better results.