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      learn Pyrilutamide

      highly targeted anti-androgen that might have minimal systemic effects

      learn Clascoterone

      a novel topical treatment that inhibits DHT on androgen receptors

      learn Finasteride

      Frontline, gold standard treatment for combatting androgenic alopecia

      learn Alfatradiol

      a synthetic estrogen used topically as an anti-androgen

      learn Dutasteride

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

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      community Any treatment not nuking systemic DHT levels?

      in Finasteride/Dutasteride  17 upvotes 1 week ago
      Hair loss treatments that avoid significantly lowering systemic DHT levels, focusing on topical options like dutasteride mesotherapy, minoxidil, and ketoconazole. The user is exploring alternatives like KX-826 and RU58841 due to concerns about hormone levels.

      community Why is scalp DHT suppression lower than systemic?

      in Finasteride/Dutasteride  11 upvotes 6 months ago
      Dutasteride reduces DHT more effectively in hair follicles than finasteride, but some individuals still experience hair loss despite treatment. Combining oral and topical finasteride may improve results, and some users experiment with topical dutasteride despite uncertainties about its absorption.

      community Does ketoconazole reduce systemic DHT by much?

      in Treatment  6 upvotes 8 months ago
      Ketoconazole shampoo does not significantly reduce systemic or scalp DHT levels and is mainly used for its anti-fungal and anti-inflammatory effects. It is not a replacement for finasteride, which is recommended by some users despite concerns about side effects.

      community Efficacy and Systemic DHT Suppression of Topical Finasteride vs Dutasteride

      in General  122 upvotes 10 months ago
      Topical dutasteride may have limited absorption due to its higher molecular mass compared to finasteride, potentially affecting its efficacy in suppressing DHT locally. Microneedling might enhance dutasteride absorption, possibly offering stronger local DHT suppression with fewer systemic effects.