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

The conversation discusses using 1.5mm microneedling to improve responses to Minoxidil for hair loss. One user humorously suggests more aggressive microneedling.

The user is experiencing a strange hair loss pattern despite using dutasteride for 3 years and minoxidil with tretinoin for 1.5 years. They recently added microneedling and are considering a scalp biopsy to understand the cause.

The user has been experiencing prolonged hair shedding despite using Dutasteride, Minoxidil, and topical Finasteride, with blood tests showing high free testosterone and low SHBG. Suggestions include adjusting Minoxidil dosage, considering topical anti-androgens like RU58841, and addressing metabolic factors to increase SHBG.

The user has seen great results from microneedling but is worried it might lead to faster balding without medication. They are considering adding Finasteride or Dutasteride to their routine to address underlying DHT issues.

User "hairlossblows" shares their positive experience with minoxidil, microneedling, and finasteride for hair loss treatment. They report significant hair regrowth, especially in the hairline, and minimal side effects from finasteride.

The user has been using finasteride, minoxidil, and microneedling for hair regrowth over 9.5 months. They plan to continue updating their progress.

The user is using oral finasteride, topical minoxidil, and microneedling for hair loss. Progress has slowed, with the crown showing little change, but the hairline is improving with more thin baby hairs.

9 Month Update: Topical Fin/Min (0.3%, 6%), Weekly Microneedle 1.5mm, 40 Years Old. User shares progress pictures and discusses hair loss treatments used.

Switching milk brands cleared scalp inflammation and other symptoms, but hair shedding continues. The user hopes shedding will stop as hair cycles progress.

A user shared their hair restoration journey using oral and topical finasteride, experiencing side effects with the former. They later switched to microneedling, scalp massages, and vitamins (D3, Zinc, Biotin, B complex, Vitamin E) with mixed feedback on progress.

The post discusses the confusion about the optimal microneedling depth and frequency for hair growth, and when to apply treatments like minoxidil. A reply suggests the best method is using a 1.25mm depth every 7 days with a specific device, holding it for 10 seconds to stimulate hair growth.

A 24-year-old is experiencing hair loss and is considering microneedling due to side effects from finasteride and saw palmetto. They are contemplating combining microneedling with a 3-in-1 treatment to manage hair loss until age 30.

The user experienced worsening hair thinning despite using finasteride, minoxidil, and ketoconazole shampoo, and switched to dutasteride five months ago. They are considering adding tretinoin and microneedling to their routine for better results.

Progress made with a hair loss routine that includes topical Minoxidil/Finasteride, Nizoral shampoo and Micro needling. Additionally, the user switched to sulfate-free shampoo and conditioner, as well as taking a Hair & Nails supplement.

A 21-year-old experiencing hair loss since age 16 is using 1mg dutasteride, 5mg minoxidil, and Nizoral, with occasional microneedling, but stopped microneedling due to scalp inflammation. They report some patchy regrowth, with stronger results at the front than the midsection.

The user started oral finasteride and minoxidil in November 2024, initially saw improvement, but has experienced increased shedding since April 2025. They are concerned the treatment may not be effective anymore and seek advice.

The conversation discusses a new model for understanding androgenetic alopecia (AGA), linking it to dietary and lifestyle factors similar to PCOS, and highlighting the role of DHT, vascular damage, and inflammation. Treatments mentioned include Minoxidil, finasteride, and RU58841.

The user has experienced significant hair regrowth using finasteride for 7 months and minoxidil for 3.5 months, with many commenters noting visible progress. The user has not experienced side effects and is considering additional treatments like microneedling.

A 20-year-old is using oral minoxidil, finasteride, and a dermastamp to address hair loss but is concerned about continued thinning and lack of visible regrowth after six months. They are questioning if diet, vitamin deficiencies, or dosage adjustments could impact progress.

People are discussing if microneedling alone or with tretinoin is effective for hair loss without using minoxidil or finasteride. They are questioning the viability of these treatments by themselves.

A user shared their 5-month progress using a topical treatment with finasteride, minoxidil, and retinoic acid, noting some hair growth but also shedding. Another user encouraged them, sharing their own experience of gradual improvement over 12 months and advising patience.

The user shared progress pictures showing improved hair density after using topical Minoxidil for two years and topical Finasteride for one year, with occasional microneedling. They adjusted Finasteride concentration over time and are considering additional treatments like a hair transplant.

The user discusses their hair loss treatment routine using Minoxidil, Finasteride, microneedling, and Ketoconazole shampoo. They report initial side effects from Finasteride but believe the treatment is working and seek opinions on their progress.

OP has been using finasteride, minoxidil, microneedling, and keto shampoo for hair loss. After two years, they are starting to see progress and encourage consistency.

The conversation is about someone's progress with hair loss treatment using topical finasteride, minoxidil, and weekly manual microneedling. A reply indicates that they have made noticeable progress.

The conversation discusses using microneedling combined with castor, peppermint, rosemary oils, and caffeine as a treatment for mild hair loss, aiming to stop or slow down hair loss and potentially regrow hair. The effectiveness of this treatment without side effects is uncertain, and it may slow hair loss but results vary.

Quitting RU58841 after over two years reduced scalp itching and inflammation, despite concerns about losing hair gains. The user continues using finasteride and oral minoxidil.

The conversation is about a user's hair loss treatment progress using minoxidil, dutasteride, and microneedling. The user noticed progress after 2-3 months but feels the progress has slowed recently.

The user has been using Finasteride for 7 years, RU58841, Stemoxydine, and 2% Ketoconazole shampoo for hair loss treatment but still experiences an itchy and inflamed scalp. They have not yet tried the prescribed oral Minoxidil and are considering lifestyle factors like diet and sleep as potential contributors to the issue.