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The conversation discusses whether finasteride's reduction of DHT and increase in scalp testosterone contribute to hair follicle miniaturization. Some participants argue testosterone does not cause miniaturization, while others suggest that even with reduced DHT, other androgens like testosterone may still contribute to hair loss.

The user shared progress pictures showing hair growth after six months of using topical minoxidil twice daily, finasteride once daily, derma rolling every four days, and initially taking zinc and vitamin D. They also used scalp massaging techniques with minoxidil.

Nanoxidil is considered by some as a substitute for Minoxidil, but users report it as ineffective and expensive. Finasteride is recommended as a more effective treatment, often used with Minoxidil, microneedling, and ketoconazole.

The post is about a user considering using topical Melatonin for hair loss and asking if any melatonin spray can be used for this purpose. The user also seeks clarification on the required percentage of Melatonin in the spray, while a respondent shares their experience of the spray making them sleepy.

Pelage plans to conduct two Phase 3 trials for PP405, a new hair loss treatment, which may take about a year to complete. Users discuss various hair loss treatments, including pyrilutamide, minoxidil, finasteride, and clascoterone, with some expressing impatience over the lengthy trial process compared to faster drug approvals like the COVID vaccine.