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      learn Neem Oil

      natural substance from Neem tree with medicinal and pesticidal properties

      learn Pyrilutamide

      highly targeted anti-androgen that might have minimal systemic effects

      learn Clascoterone

      a novel topical treatment that inhibits DHT on androgen receptors

      learn Finasteride

      Frontline, gold standard treatment for combatting androgenic alopecia

      learn Alfatradiol

      a synthetic estrogen used topically as an anti-androgen

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      community Why is scalp DHT suppression lower than systemic?

      in Finasteride/Dutasteride  11 upvotes 8 months ago
      Dutasteride reduces DHT more effectively in hair follicles than finasteride, but some individuals still experience hair loss despite treatment. Combining oral and topical finasteride may improve results, and some users experiment with topical dutasteride despite uncertainties about its absorption.

      community Efficacy and Systemic DHT Suppression of Topical Finasteride vs Dutasteride

      in General  122 upvotes 1 year ago
      Topical dutasteride may have limited absorption due to its higher molecular mass compared to finasteride, potentially affecting its efficacy in suppressing DHT locally. Microneedling might enhance dutasteride absorption, possibly offering stronger local DHT suppression with fewer systemic effects.

      community Any treatment not nuking systemic DHT levels?

      in Finasteride/Dutasteride  17 upvotes 2 months ago
      Hair loss treatments that avoid significantly lowering systemic DHT levels, focusing on topical options like dutasteride mesotherapy, minoxidil, and ketoconazole. The user is exploring alternatives like KX-826 and RU58841 due to concerns about hormone levels.