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A user found that scalp itch might be linked to inflammation rather than DHT alone and noticed hair improvement with certain cancer drugs. They also discovered that black seed oil relieved their scalp itch and are experimenting with a mix of essential oils for dry scalp, questioning if oils affect minoxidil absorption.

The user follows an intensive hair loss protocol including dutasteride, biotin, black tea, pumpkin seed oil, peppermint shampoo, rosemary conditioner, mukemame, soy milk, lycopene, garlic, magnesium, chamomile, spicy food, citrus bergamot, zinc, multivitamins, kefir, and Greek yogurt. They plan to alternate between pumpkin seed oil and safflower oil and will share before and after pictures.

The user started finasteride again, using it every other day, along with a laser helmet, inversion massage, and various supplements. They are considering Minoxidil but had a bad reaction previously and plan to get hair grafts.

An 18-year-old shares their successful hair regrowth journey using finasteride 1mg daily, topical minoxidil twice a day (mixed with tretinoin 0.025% at night), ketoconazole shampoo 2-3 times a week, and occasional dermarolling. They report no side effects and emphasize the importance of consistency and early intervention.

Ketoconazole shampoo may help with scalp health and inflammation but is not a substitute for DHT blockers like finasteride. It is generally considered a minor addition to hair loss treatment, with varying opinions on its effectiveness.