9 months fin daily, inconsistent topical min, microneedling 1x per week

Progress Pictures 7/27/2026

A 29-year-old male experienced hair thinning and used topical minoxidil, finasteride, and RU58841, but stopped RU58841 due to health concerns. He is considering adding topical dutasteride and switching to oral minoxidil to enhance regrowth, while others suggest using ketoconazole shampoo, microneedling, and lifestyle changes like diet and exercise.

A 35-year-old man has been using Finasteride 1mg daily for 4.5 months with no noticeable effects on hair loss, and he is considering adding Minoxidil to his treatment. Other users suggest that significant improvements may take up to 18 months and recommend additional treatments like Minoxidil, microneedling, or switching to Dutasteride.

The conversation is about someone who has been taking finasteride for hair loss without success, considering switching to dutasteride or giving up treatment. Suggestions include trying dutasteride, microneedling, infrared therapy, multivitamins, and high-concentration topical solutions combining finasteride and dutasteride.

Optimal microneedling routine is 1.25mm once a week with Dr Pen 36 needles. Applying Minoxidil right after microneedling may increase systemic absorption risk.

People shared mixed experiences with RU58841 for hair loss; one person saw no improvement, another had significant gains and uses it with finasteride, while a third had an allergic reaction to the premixed solution. Some mix RU58841 powder into minoxidil themselves.