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Finasteride can help extend the hair growth cycle and improve hair density, allowing for long hair despite initial shedding. Periodic shedding may occur, but it typically does not affect healthy hair significantly.

Long-term finasteride users often experience periodic hair shedding due to natural hair cycles, even after several years of use. Some consider switching to dutasteride, but concerns about side effects and the effectiveness of finasteride remain common.

Dutasteride can drastically reduce sebum production, leading to dryer hair and shedding. Alternating shampoos and periodic silica supplementation can improve hair quality and thickness.

A 34-year-old male has been using 1mg finasteride daily and 5% topical minoxidil twice a day for over two years, experiencing no side effects. He stopped microneedling after two years as it seemed ineffective, but despite periodic shedding, his hair grows back stronger.

The user has been using 1mg finasteride daily, 5% minoxidil twice daily, 1.25mm derma-stamping fortnightly, and 2% nizoral shampoo twice a week for two years, seeing significant hair regrowth despite periodic shedding. They plan to consider a hair transplant in the future to address stubborn areas.