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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 Posted this years ago but still getting questions!

      in Progress Pictures  326 upvotes 2 years ago
      The user successfully treated their hair loss using 1ml of minoxidil twice daily and dermarolling with a 1.5mm dermaroller once a week. They experienced noticeable results only after combining minoxidil with dermarolling, and they have not used finasteride.

      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  761 upvotes 3 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.