The conversation is about finding a good shampoo to improve hair health and thickness, with recommendations including ketoconazole, pura’d’or, Head & Shoulders Dermaxpro, OGX Argan Extra, and OGX apple cider vinegar shampoo. Users discuss experiences with ketoconazole and suggest adding a scalp cleanser with glycolic acid to the routine.
Ketoconazole shampoo is primarily used to reduce scalp fungus and inflammation, not to block DHT or androgen receptors. It may help with seborrheic dermatitis and improve scalphealth, but its effects on hair loss are minimal compared to treatments like finasteride.
Dutasteride caused persistent hair shedding and no improvement for 18 months, leading to a switch back to finasteride. The user also uses oral minoxidil and plans to focus on better scalphealth.
Hair loss is distressing, with treatments like finasteride, minoxidil, and spironolactone commonly used despite potential side effects. Emphasis is placed on maintaining mental health and self-worth beyond hair appearance.
Dutasteride at 2.5 mg/day reduces scalp DHT by 80%, while 0.5 mg/day reduces it by 50%, with minimal difference in side effects. Users often combine it with finasteride, RU58841, and minoxidil for better hair loss management, though side effects like dry skin and pimples are noted.