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User experienced hair regrowth with finasteride and minoxidil but started losing hair again after 1 year and 4 months. They ask if they should switch to dutasteride or wait longer.

A user lost 60% hair density in 4 months, started finasteride and microneedling, and has greasy, flaky, yellowish scalp. They are awaiting biopsy results, and another user suggested trying ketoconazole shampoo.

The user started oral minoxidil and finasteride two months after a hair transplant and plans to switch to dutasteride, using Nizoral and Mossi shampoos. They are considering a second transplant in Tijuana and using hair fibers and mousse for styling while waiting for medication effects.

A 28-year-old male started balding at 20 and has been using Bosley Shampoo, minoxidil, finasteride, microneedling, and exosomes/PRP treatments. He also underwent scalp micropigmentation to hide thinning hair and is seeking feedback on regrowth progress.

The user has been using a daily topical spray of finasteride and minoxidil, along with occasional microneedling, to address hair loss since August 2023, and is considering switching to oral medication for convenience and cost reasons. Despite progress, they are exploring options like increasing microneedling frequency or potentially undergoing a hair transplant to address a stubborn spot.

A user shared progress pictures showing hairline improvement after using oral finasteride (1mg) and minoxidil (3mg) for 5 months. Replies praised the noticeable regrowth and encouraged continued use.

A 25-year-old with aggressive diffuse NW5 hair loss is using Minoxidil, oral Finasteride, RU58841, Ketoconazole, and dermastamping, experiencing slow progress and mental health struggles. Despite some visible regrowth, the user feels discouraged due to ongoing hair loss and is seeking reassurance and advice.

A 17-year-old experiencing early hair loss is advised to improve diet and lose weight gradually, as rapid weight loss and poor diet may contribute to hair loss. Minoxidil is not an option due to tachycardia, and finasteride is not recommended before age 18; alternatives like magnesium oil and dermarolling are suggested.

Female (37) experiencing hair loss for 5 years, tried max dose of spiro and oral + topical minox without success. Discovered low cortisol and low DHEA levels, seeking functional medicine practitioner for help.

Hair loss from headspin friction might be improved with minoxidil if follicles are healthy. Finasteride isn't needed, and microneedling is suggested.

The user is experiencing diffuse thinning and inflammation despite using 2.5mg dutasteride daily, ciclopirox, and ketoconazole shampoos. They are considering treatments like hydroxychloroquine and JAK inhibitors due to suspected scarring alopecia and have faced challenges in obtaining a scalp biopsy.

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.

A user shared their positive experience with a hair transplant at Wimpole Clinic, performed by Dr. Malkani, and discussed using finasteride at a reduced dose due to side effects. They also mentioned avoiding minoxidil due to heart pain and taking supplements like biotin, marine collagen, viviscal, and krill oil.

The user experienced significant hair regrowth after 4 months using oral minoxidil, oral dutasteride, topical minoxidil, Nizoral shampoo, microneedling, and various supplements. They reported increased body hair and some acne as side effects but noticed less hair breakage with silk pillows.

The user is considering a hair transplant to increase hair density after using finasteride and minoxidil for two years. They prefer a natural hairline and are unsure if a transplant is suitable for overall thinning.

A 16-year-old is considering using 5% topical minoxidil for hair loss at the temples and crown but is concerned about potential issues from not using finasteride due to age restrictions. They plan to start minoxidil now and consider adding finasteride at 18 if available.

A 22-year-old is experiencing hairline thinning and has been using topical minoxidil for a year without significant improvement. They are considering finasteride despite concerns about side effects and are seeking reassurance and advice from others with similar experiences.

A 21-year-old woman diagnosed with male pattern baldness (MPB) who is considering treatments such as spironolactone, minoxidil and finasteride to address her hair loss. The user also discusses potential solutions for concealing the appearance of her thinning hair, such as wigs or haircuts.

The post discusses the difference in effects of Minoxidil (Min) on scalp and facial hair. The user questions why Min-induced hair growth on the scalp is temporary, while facial hair growth seems permanent, even after stopping Min. They propose theories, including different Min mechanisms on body and facial hair, the role of DHT, and the possibility of not achieving fully terminal hair. The responses include personal experiences and theories about Min's effects on hair growth.

The user has been using oral finasteride and minoxidil for 1.5 years with some crown improvement but still experiences thin hair and a receding hairline. They are considering switching to dutasteride for potentially better results, while others suggest adding topical minoxidil back into the routine.

Oral minoxidil may cause dry skin and dark eye bags but doesn't significantly age the skin. Topical minoxidil is toxic to cats, and some users prefer finasteride.

A 23-year-old experiencing severe diffuse thinning after scalp inflammation is considering finasteride as a last resort after stopping minoxidil and using anti-inflammatory medication. Users suggest that inflammation causes temporary shedding and recommend consulting a dermatologist, with some advocating for finasteride as a reliable treatment option.

OP has been using oral minoxidil (5mg) and oral dutasteride (0.5mg) but sees little progress and is unsure if they should continue. Other users suggest being consistent, giving it more time, and addressing scalp inflammation.

A 24-year-old is experiencing aggressive hair shedding despite past success with mesotherapy and minoxidil, and is considering adding treatments like Expecia, dermapen, or a hair transplant. Many suggest using finasteride to maintain hair, as it is necessary even after a transplant, and side effects are rare and reversible.

The user has been using 0.5 mg dutasteride and 5 mg oral minoxidil for 9 months and has started experiencing hair shedding, losing 70-80 hairs per day. They noticed good density in the crown area within the first month of treatment.

A user shared their 2-month progress using oral minoxidil and finasteride for hair loss, noting side effects and adjustments in dosage. They also use Nizoral shampoo and previously tried topical treatments and a hair system.

A 23-year-old male has been experiencing hair loss since age 19 and has tried topical minoxidil, oral finasteride, and topical finasteride, but experienced side effects. He is considering oral minoxidil as a last resort and seeks recommendations.

Oral minoxidil can cause rare facial bloating, especially at higher doses and in women. Reducing sodium intake, drinking more water, and adjusting the dose can help manage side effects.

The user has been using finasteride since November 2024, topical minoxidil since January 2025, and oral minoxidil since December 2025, with some experimentation with microneedling and RU58841. Despite initial progress, the user experienced accelerated hairline recession and loss of density in recent months.

A 35-year-old user shared their 4-month progress using Minoxidil, Finasteride, microneedling, and vitamins to treat hair thinning. They reported increased hair density, thicker strands, and deeper color, especially in the crown area.