Pirfenidone is suggested to treat fibrosis and baldness by blocking inflammation markers and reducing collagen. It is also available as a gel for scar removal.
The user started using finasteride, minoxidil, and biotin for male pattern baldness (MPB) and is experiencing rapid thinning. They are questioning if low blood flow to the head could be contributing to their hair loss.
Hair loss treatment should target dermal white adipose tissue (DWAT) to restore hair follicles. Potential remedies include tocopherol (vitamin E), botox, rosiglitazone, niacin, kojyl cinnamate esters, and ADP355.
Dutasteride may cause chronic infertility by reducing semen volume and motility, with concerns about irreversible prostate fibrosis. Users consider switching to finasteride or using treatments like minoxidil and microneedling, weighing hair preservation against fertility.
A 38-year-old male experienced rapid hair loss progression and tried topical Minoxidil for 15 months without success, then switched to a combination spray with Minoxidil, Finasteride, and Tretinoin for two months, still seeing no improvement. Users suggest patience, as Finasteride can take six months to a year to show results, and recommend considering oral treatments if health permits, while also advising against washing off treatments too soon.