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      community Bile Acid-Mediated DHT Dysregulation Hypothesis

      in Research/Science  13 upvotes 1 year ago
      Elevated bile acids can inhibit the enzyme AKR1C2, leading to increased DHT levels, which may accelerate hair loss in those predisposed to androgenetic alopecia. Treatments mentioned include topical minoxidil and finasteride.

      community 24yo no progress 6 months fin + min

      in Progress Pictures  11 upvotes 5 months ago
      A 24-year-old has been using oral finasteride and topical minoxidil for six months with minimal progress in hair regrowth, despite starting derma rolling and considering telogen effluvium as a possible cause. Suggestions include switching to oral minoxidil, adding dutasteride, and continuing microneedling for better results.

      community Treatments to maintain alternative to finasteride/dutasteride

      in Treatment  6 upvotes 4 years ago
      A 29-year-old male experiencing hair loss due to TRT is using minoxidil and dermarolling but is hesitant to use finasteride or dutasteride due to potential side effects. He is considering low level laser therapy (LLLT), PRP, ketoconazole shampoo, and oral minoxidil as additional treatments. A reply suggests that without a DHT blocker like finasteride or dutasteride, other treatments may not be effective long-term.

      community 3 months topical min and oral fin

      in Progress Pictures  12 upvotes 11 months ago
      A 40-year-old started using oral finasteride and topical minoxidil for hair loss, seeing improvements after 5 weeks. They plan to try a dermastamp for better results, as they experienced scalp irritation with dermarolling.

      community M43. 9 months on fin+min oral. Hairline regrowing

      in Finasteride/Dutasteride  317 upvotes 4 months ago
      A 43-year-old experienced hairline regrowth after 9 months using finasteride, oral and topical minoxidil, dermarolling, and vitamins. Users discussed the effectiveness and dosage of these treatments, with some expressing concerns about high doses and potential side effects.

      community Opinions on Scalp fibrosis and DHT?

      in Research/Science  9 upvotes 4 years ago
      The conversation discusses the theory that scalp fibrosis contributes to male pattern baldness (MPB) by increasing DHT concentration, and mentions treatments like Minoxidil. The user seeks opinions on the theory and the effectiveness of scalp massages.

      community Red and ichy pimples/rash from applying topical minoxidil

      in Chat  2 upvotes 4 months ago
      The user experienced red pimples and a rash from using topical minoxidil, possibly due to propylene glycol. Suggestions included seeing a dermatologist, switching to foam without propylene glycol, using Nizoral, and adjusting application timing.

      community 8 Months of Treatment with Subpar Results

      in Is this regrowth?  23 upvotes 1 month ago
      The user has been using Dutasteride, Minoxidil, Ketoconazole, and RU58841 for hair loss but sees subpar results. Suggestions include adjusting treatments, considering a hair transplant, and addressing scalp inflammation.

      community 7 months into mesotherapy for hair loss

      in Treatment  1 upvotes 8 months ago
      The user is experiencing worsening hair loss despite undergoing monthly injectable finasteride, clay masks, laser therapy, and microneedling. They are concerned about severe shedding in areas not typically affected by male pattern baldness and are considering seeking a second opinion.

      community Random thought that I don't think I have seen here yet. If Verteporfin is able to stop scar formation successfully in humans to a large degree (assuming future studies show this), wouldn't this basically open up the door for it being a no brainer for strong NW2s and 3s to opt for hairline lowering?

      in Research/Science  6 upvotes 2 years ago
      The conversation discusses the potential for Verteporfin to reduce scarring, making hairline lowering surgeries more viable for men with mild hair loss. The user suggests that if scarring can be minimized, men might opt for hairline lowering instead of using grafts for other areas.

      community Miniaturization or regrowth? How can I tell them apart?

      in Treatment  11 upvotes 4 months ago
      The user has been using finasteride for 16 months, minoxidil for 11 months, and started microneedling 2 months ago, experiencing shedding phases. They are questioning whether they are experiencing miniaturization or regrowth.

      community M18: I think microneedling is making my hair look thinner

      in Is this regrowth?  9 upvotes 1 year ago
      The conversation is about a user experiencing hair thinning potentially due to excessive microneedling while using finasteride and minoxidil. Many suggest reducing microneedling frequency and considering alternative treatments like dutasteride or a hair transplant.

      community 34m, 3 months on oral min and fin

      in Is this regrowth?  122 upvotes 1 year ago
      A 34-year-old man has been using oral minoxidil and finasteride for three months with noticeable hair regrowth and no side effects. He is considering a hair transplant but is currently satisfied with the progress and prefers not to switch to more aggressive treatments.

      community Has anyone experienced burning scalp after chemical damage (perm)?

      in Chat  6 upvotes 8 months ago
      A user experienced burning, itching, and soreness on their scalp after a perm in 2021, despite using oral finasteride, oral minoxidil, and ketoconazole shampoo. They are seeking advice on whether to pursue further medical tests or consult a neurologist for nerve pain.

      community Balding (i guess?) 22 yr old male with seborrheic dermatitis

      in General  98 upvotes 1 year ago
      A 22-year-old male experiencing hair thinning and loss, possibly due to seborrheic dermatitis or low vitamin D, is cautious about using minoxidil or finasteride due to heart palpitations and high blood pressure. Suggestions include using ketoconazole shampoo to control inflammation and focusing on treating the dermatitis first.

      community Could I include mesotherapy in my regimen?

      in Finasteride/Dutasteride  2 upvotes 5 months ago
      The user has been using oral minoxidil and topical finasteride for over a year with good results but is considering adding mesotherapy with dutasteride due to concerns about side effects and is seeking advice. Another user suggests continuing with oral finasteride or dutasteride, while another supports mesotherapy for its benefits and professional oversight.

      community Who won’t respond to minoxidil? (Studies)

      in Research/Science  33 upvotes 3 months ago
      Minoxidil's effectiveness varies due to differences in sulfotransferase enzyme levels in the scalp, affecting people with conditions like ASD, liver disease, and androgenic alopecia. Treatments like topical tretinoin, microneedling, and using minoxidil sulfate instead of regular minoxidil can improve results for those with low enzyme levels.

      community Dutasteride not working - is this the end now?!

      in Chat  4 upvotes 1 month ago
      The user is experiencing ongoing hair loss despite using treatments like topical and oral finasteride, dutasteride, oral minoxidil, and RU58841. They are advised to consider a scalp biopsy and blood tests to determine the underlying cause, as their hair loss may not be related to DHT.

      community Mesotheraphy dutasteride worth it ?

      in Finasteride/Dutasteride  3 upvotes 8 months ago
      A 31-year-old male experienced side effects from various hair loss treatments, including finasteride and dutasteride, and is considering mesotherapy with dutasteride as a last resort. Another user tried mesotherapy for four months without significant change but experienced no side effects.

      community Got into argument with my dermatologist, AITA?

      in General  198 upvotes 6 months ago
      A 20-year-old male is frustrated with his dermatologist for refusing to prescribe DHT blockers like finasteride or dutasteride, instead pushing for a hair transplant despite ongoing hair thinning. The user feels dismissed and unreasonably treated, and is advised by another user to find a better dermatologist and consider finasteride or dutasteride for effective treatment.

      community Can I put pp405 into a dermastamp

      in Microneedling  2 upvotes 8 months ago
      The conversation is about using a dermastamp for hair loss treatment and concerns about a potentially scam product, pp405. It suggests sticking with known treatments like finasteride and minoxidil.

      community Has anyone used e-surgery topical fin/min/tretinoin spray?

      in Product 4 months ago
      The conversation is about a topical spray containing finasteride, minoxidil, and tretinoin, with users discussing its effectiveness compared to more established brands. One user mentions using a product with 5% minoxidil, 0.15% finasteride, and 0.15% tretinoin.

      community (Serious) Updates and discussion, new treatments in development

      in Treatment  7 upvotes 1 year ago
      Finasteride, minoxidil, and derma rolling are currently the best treatments for hair loss. New treatments like TDM-105795, GT20029, PP405, HMI 115, Tsuji, Scube 3, RU, JW0061, Topilutamide, and verteporfin show promise but have uncertain timelines.