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A 33-year-old with long hair is experiencing hair loss and is considering starting finasteride and minoxidil or dutasteride and minoxidil. They are seeking advice on which treatment to choose and where to purchase it in North America.

Derma rollers may cause scarring alopecia, leading some to prefer dermastamps or dermapens for microneedling. Combining minoxidil with microneedling is effective, but proper technique and healing time are essential to prevent damage.

The user experienced hair loss and used Minoxidil and Finasteride to improve hairline and density, but stopping Minoxidil led to a setback. They plan to continue both treatments daily to increase hair density and are considering applying Minoxidil to the entire scalp.

Dutasteride is safer than finasteride for long-term use, with fewer sexual side effects. Users experience better hair regrowth and fewer side effects with dutasteride.

A 25-year-old MtF individual has been using oral finasteride, oral minoxidil, and MtF HRT to treat androgenic alopecia, resulting in significant hair regrowth. However, the regrown hairs remain thin and short, and they seek advice on how to make these hairs longer and thicker.

Microneedling is effective for hair growth, especially when combined with finasteride and minoxidil, but concerns exist about potential long-term skin damage. Users report increased collagen and elastin deposition, but the long-term effects on the scalp remain uncertain.

A user shared their 5-year journey with hair loss, detailing treatments including minoxidil, finasteride, plasma therapy, and mesotherapy. They initially avoided finasteride but later started using it due to dissatisfaction with minoxidil alone.

A user shared a 6-month hair regrowth journey using topical Minoxidil, oral Finasteride, and Nizoral, noting increased hair density and color. They apply treatments once daily before bed and have experienced a second shedding phase, which they believe is normal.

A user is considering a long-term hair loss treatment stack including Dutasteride, Finasteride, and oral Minoxidil, and is concerned about potential liver damage. Some responses suggest the stack is excessive, while others believe it's not harmful to the liver, but recommend regular blood work to monitor health.

A user is considering using RU58841 to treat hair loss and asks if it can be effective for 4-5 years. Some suggest starting with a lower concentration and debate the safety of RU58841 compared to approved drugs like finasteride.

People switching from Finasteride to Dutasteride after long-term use of finasteride and their results, including hair maintenance and increased thickness.

This conversation discussed the potential for a hair loss treatment alternative to minoxidil, with many users debating the economic and health implications of such an option. Some suggested that finasteride could be used as an alternative, while others argued that this would ultimately not benefit pharmaceutical companies due to their reliance on planned obsolescence.

The user has been treating hair loss for over 11 years with various methods including Minoxidil, Keto shampoos, vitamins, and microneedling, but has avoided Finasteride due to fertility concerns. They have recently added Zix and The Ordinary Serum to their routine and are questioning their high DHT levels despite their efforts.

A user is experiencing significant hair loss and scalp issues despite using Minoxidil, finasteride, and RU58841 since 2017. They switched to oral Minoxidil and are now on isotretinoin and topical corticosteroids for seborrheic dermatitis but continue to lose hair and seek advice on whether inflammation or treatment changes are the cause.

A 17-year-old is experiencing hair loss despite using 5% topical minoxidil, 0.05% tretinoin, and oral minoxidil, and is considering starting oral finasteride after a dermatologist suggested a hair growth spray with Capixyl, Redensyl, Anagain, and Saw Palmetto. Users advise caution with finasteride at a young age, suggesting starting with topical finasteride and consulting an endocrinologist.

Hair regrowth treatments like Minoxidil and Finasteride take a long time, often up to a year, to show significant results, and people should be patient. Many users express frustration with unrealistic expectations for quick results and emphasize the importance of consistency and patience.

Hair follicles often go dormant rather than die, and treatments like minoxidil can help revive them. Scalp health and stimulation, such as massages and using products like sulphur soap, are also important for hair regrowth.

The user is considering switching from finasteride to dutasteride for hair loss treatment and is unsure when to stop finasteride. Dutasteride takes about 15 days to reach significant DHT suppression compared to finasteride.

PP405 is anticipated as a future treatment for dormant hair follicles, but its effectiveness and safety are uncertain. Current treatments include oral minoxidil and microneedling, with some avoiding finasteride due to side effects.

The user transitioned from finasteride to RU58841 and oral minoxidil to maintain hair gains while avoiding systemic DHT suppression. They have not experienced increased shedding or side effects since stopping finasteride and hope RU58841 will preserve their hair.

The user has been losing hair since age 12 and is now starting treatment with 0.5 mg dutasteride and 2.5 mg minoxidil at age 29. They have also experienced dandruff and have a thinning crown.

The user is considering reducing RU58841 dosage from 100mg to 17.5mg for long-term safety due to brain fog issues from finasteride. They apply RU58841 only to the front of the scalp where thinning occurs.

Microneedling with minoxidil and finasteride greatly improves hair regrowth. Using 0.5mm depth every other day boosts minoxidil absorption without side effects.

Maintaining good hair density is more important than preventing a receding hairline, as it can enhance a mature look. Treatments discussed include finasteride, minoxidil, dutasteride, and RU58841.

A user experienced significant hair regrowth after using 1mg of finasteride daily for a year, avoiding minoxidil due to its toxicity to cats. They attributed success to quitting smoking, a better diet, and reduced stress, with only watery semen as a side effect.

The user is experiencing hair loss and is considering using finasteride again, along with ketoconazole shampoo and curl cream, to manage their long hair. They are concerned about the appearance of new hair growth and the potential shedding phase from minoxidil.

The conversation discusses hair loss treatments, specifically the use of minoxidil, finasteride, and microneedling, and the experience of shedding hair as a potential sign of treatment effectiveness. Some users report positive results after initial shedding, while others express concerns about long-term hair loss and the effectiveness of treatments.

Applying Minoxidil takes users between 10 seconds to 20 minutes, with most finding quicker methods more efficient. Techniques vary from using foam, liquid, or spray, with some users recommending buzz cuts for easier application.

A user shared their 4-year hair loss journey, highlighting that switching from topical to oral minoxidil and finasteride, along with dermarolling, significantly improved their hair growth. Another user mentioned using dutasteride, and the original poster emphasized the importance of dermarolling.

A user has been on finasteride for 4 months, experiencing persistent hair shedding despite improvements. Others suggest adding keto shampoo and note that shedding is normal.