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The user has been using a topical solution of minoxidil and finasteride for one month, experiencing some hair shedding. They also use a multivitamin, derma rolling, and a shampoo with ketoconazole and salicylic acid, seeking advice on additional treatments.

The conversation discusses hair loss treatments, focusing on the use of peptides, injections, and topical applications like Minoxidil foam. Users debate the effectiveness of different methods, with some advocating for injections and others supporting topical treatments.

The conversation is about updates on hair loss treatments Breezula or PTD-DBM. No new information was provided.

Microneedling is more effective when combined with minoxidil, especially for temple regrowth, but is considered near-useless on its own. Users suggest combining microneedling with oral minoxidil and dutasteride for better results, while some caution against potential scalp damage.

A user shared 4-month progress pictures using a daily Hims fin/min/ketoconazole/biotin hybrid spray for hair loss, reporting positive results. Suggestions included adding microneedling to the routine.

A 48-year-old who had been thinning since 25 and reached NW4-5 baldness saw no improvement with 1mg/day finasteride and 5% minoxidil twice a day after 8 months. After copying another person's routine, they now use 0.5mg finasteride, ketoconazole shampoo weekly, daily microneedling with 0.5mm and 1mm once a week, and apply minoxidil twice daily, resulting in baby hairs on their bald spot and temples after three months.

The potential availability of a new hair loss treatment called HMI-115, which has shown promising results in experiments on monkeys but is not yet available to the public. Replies cautioned against using unproven substances from shady labs.

The user is considering switching from oral to topical minoxidil and possibly adding finasteride, while continuing with dutasteride and incorporating microneedling to improve hair loss treatment. They are concerned about potential shedding during the transition.

HMI-115, a potential treatment for hair loss that can reverse miniaturization and make individual hairs thicker, as evidenced by data from macaques given the treatment and one subject in the phase I trial.

Applying minoxidil immediately after microneedling at 0.5mm can cause stinging and potential systemic absorption, so some users prefer to wait 12-24 hours. Others report no issues with immediate application, but caution is advised to avoid irritation and side effects.