14 months on Fin, Total T 899, serum DHT 276 — high total T may still drive scalp DHT even when blood levels look controlled
    Finasteride/Dutasteride 5/13/2026

    At a glance
    In this treatment experience post, the primary subjects mentioned are
    💊 Finasteride (oral) 1mg 14 months
    💧 Minoxidil (topical) 14 months
    💧 Minokem N (topical) 5% minoxidil + 1.5% azelaic acid + 0.01% tretinoin 1 month
    the tone is 😐 neutral with slight improvement then plateau results.

    Other terms

    A 23-year-old male has been using finasteride and topical minoxidil for 14 months with slight improvement, but recent shedding led him to switch to a new minoxidil formulation without success. He is considering using topical RU58841 or dutasteride to better address scalp DHT, as his bloodwork shows high total testosterone and mid-range DHT levels.
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