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      learn Osteopontin

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

      learn Ketoconazole

      antifungal with some anti-androgenic benefits, often used as a shampoo

      learn Dutasteride

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

      learn Minoxidil

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

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      community Prolonged shedding over last 15 months

      in Update  2 upvotes 1 week ago
      The user has been experiencing prolonged hair shedding despite using Dutasteride, Minoxidil, and topical Finasteride, with blood tests showing high free testosterone and low SHBG. Suggestions include adjusting Minoxidil dosage, considering topical anti-androgens like RU58841, and addressing metabolic factors to increase SHBG.

      community Is dutasteride not working for me?

      in Progress Pictures  1 upvotes 3 months ago
      The user is experiencing prolonged hair shedding despite using Dutasteride, Xpecia, Ocean Capilus, and microneedling. They are considering adding minoxidil due to concerns about the effectiveness of their current regimen.

      community Do not switch from topical to oral minoxidil.

      in Chat  757 upvotes 4 weeks ago
      Switching from topical to oral minoxidil caused prolonged hair shedding without regrowth, leading to the use of both topical and oral minoxidil with oral finasteride. Responses to these treatments vary, emphasizing the need for personalized approaches.

      community Can valisone solution cause hairloss?

      in Question  1 upvotes 7 years ago
      A user is concerned that prolonged use of valisone (betamethasone) and clotrimazole solution for scalp dermatitis may be causing hair thinning and loss. They noticed thinning in the area where the solution was applied.