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Finasteride may seem less effective over time due to increased DHT sensitivity or aging, but it still suppresses DHT. Switching to dutasteride offers stronger DHT suppression but may increase estrogen levels.

A 28-year-old male considering hair restoration is deciding between starting with 0.5mg dutasteride or 1mg finasteride, with finasteride being the typical starting point due to fewer and shorter-lasting side effects. The options also include minoxidil and biotin.

A hair transplant without using finasteride or similar medications may lead to unnatural results and further hair loss. Financially capable individuals are advised to stabilize hair loss with medication before considering a transplant.

Dutasteride is often blamed for worsening hair loss, but initial shedding may lead to improvement, requiring patience. Some users find success with dutasteride, finasteride, and minoxidil, while others experience side effects or no improvement.

User is using a topical solution with .1% finasteride, 6% minoxidil, and .0125% tretinoin for hair loss, along with a .25 derma roller once a week. They are concerned about the necessity and potential side effects of using the derma roller.

The user shared their positive experience with hair regrowth using dutasteride, initially combined with minoxidil, noting significant improvement in hair thickness and hairline over 1.5 years. They stopped minoxidil due to its greasiness but continued with dutasteride every other day, experiencing manageable shedding and no serious side effects.

The user experienced a decrease in libido after long-term use of Finasteride and wonders if it's related to the medication. Responses suggest that hormonal changes and libido fluctuations are normal and may not be solely due to Finasteride.

The user is considering switching from oral to topical dutasteride and minoxidil due to concerns about mental health effects from lower DHT levels. They are seeking advice on the effectiveness and side effects of this change, including potential hair shedding and density changes.

After switching from finasteride to dutasteride, the user noticed new hair growth and experienced manageable shedding. They reported feeling great on dutasteride with minimal side effects, using Cialis occasionally for libido issues.

A user's regimen to help with their diffuse thinning, which includes taking Pyrilutamide BID, 1mg finasteride daily, 2.5mg oral minoxidil daily, topical minoxidil since August 2021, LLLT every two days, topical fin, progesterone, melatonin, minoxidil (started one week ago), pumpkin seed oil and not dermarolling; other commenters suggested Nizoral for dandruff control and caution when using pre-mixed products with Pyrilutamide.