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      learn Spironolactone

      powerful topical and oral anti-androgen used mostly by women

      learn Minoxidil

      An essential vasodilator with some anti-androgenic effects, has excellent safety record

      learn Finasteride

      Frontline, gold standard treatment for combatting androgenic alopecia

      learn Dutasteride

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

    Research

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      community DHT Harms Scalp Microbiome: DHT Itch is REAL

      in Research/Science  415 upvotes 6 months ago
      Increased Malassezia and Cutibacterium in the scalp microbiome are linked to higher sebum production and inflammation in androgenetic alopecia (AGA). Treatments include ciclopirox shampoo, benzoyl peroxide shampoo, clobetasol propionate, calcipotriol, minoxidil, finasteride, and dutasteride.

      community The Worst Hair Loss Condition You (MAY) have: LPP

      in Research/Science  43 upvotes 1 year ago
      Lichen Planopilaris (LPP) is an autoimmune condition causing permanent hair loss and fibrosis, often misdiagnosed. Treatments include pioglitazone, topical corticosteroids, anti-inflammatory medication, and Jak inhibitors.
      Oral Minox isn’t working, where do I go next

      community Oral Minox isn’t working, where do I go next

      in General  97 upvotes 3 days ago
      A user is experiencing uneven hair thinning and has tried topical minoxidil without success and finasteride with adverse effects. They are considering microneedling and PRP treatments while avoiding finasteride, and another user suggests trying dutasteride as an alternative.

      community Oral fin 1mg + oral min 2.5mg 100 days

      in Is this regrowth?  101 upvotes 2 weeks ago
      The user experienced improved hair density and some regrowth after 100 days of using oral finasteride (1mg) and oral minoxidil (2.5mg), with plans to add microneedling and ketoconazole shampoo. Despite some initial side effects, they report no current issues and intend to continue the treatment.