24M, significant diffuse thinning and receding hairline - is this salvageable?

welshman123

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longest it’s been in ages… haircut today! just been working too much
 

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welshman123

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around 3 months into oral min, been taking 2.5mg a day at night time. Changing this to 2.5mg twice a day. No real sides apart from postural hypotension (when I stand up quickly I get a little dizzy for a second or two), but I had this before already. Going through a shed currently I think (or the min dose is too low).
 

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welshman123

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Yeah try doubling down on it. It’s also very possible that topical finasteride is not working as well as oral.
^still on oral finasteride, I assume you mean it’s not working as well as topical minoxidil? May go back to putting topical on in the PM.
 
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RagnarLothbrok

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Im in similar place to you. 2.5mg OM doesn't seem enough for decent regrowth. Most studies on low dose oral minoxidil in men with good results are using 5mg.

But we have two choices:
a) double down and go 5mg OM (more potential sides but decent dose)
b) Stay at 2.5mg but add Topical minoxidil on top, which could be arguably better paired with needling than standalone OM. Also you get "best of both worlds" in case there is any particular benefit of each treatment.

You are a responder to Topical so option b) would definetely work but there are many benefits to option a) aswell. Seems like option b) is the least risky but its the most annoying one. Whatchuthink?

I think OM is best for non-topical responders but this isn't the case.
 

welshman123

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Cool. So I’ll just up the dose to 5mg. Better to do 5mg once a day or 2x2.5mg? Am and pm
Im in similar place to you. 2.5mg OM doesn't seem enough for decent regrowth. Most studies on low dose oral minoxidil in men with good results are using 5mg.

But we have two choices:
a) double down and go 5mg OM (more potential sides but decent dose)
b) Stay at 2.5mg but add Topical minoxidil on top, which could be arguably better paired with needling than standalone OM. Also you get "best of both worlds" in case there is any particular benefit of each treatment.

You are a responder to Topical so option b) would definetely work but there are many benefits to option a) aswell. Seems like option b) is the least risky but its the most annoying one. Whatchuthink?

I think OM is best for non-topical responders but this isn't the case.

yeah, A is just so much more convenient. might try 5mg for now but not sure if i should do 2x2.5 or 1x5mg and we can see how it pans out
 

welshman123

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To put into perspective what dealing with AA is like for me, I thought I’d post quickly about how different each day can be when you have thin hair after my last post showing how thin it was - I felt I couldn’t do anything with it. However, how your hair rests can change its appearance dramatically - this shows the importance of both proper hair care (conditioning) and having a good barber that understands your hair type. For finer hair, my barber suggested styling wax powder and it really is great - it adds volume and holds thin hair in place, with no compromise in the appearance of density. Sure, it doesn’t grow hair, but our goal is to have the appearance of a fuller head of hair.

As stated in the last post, I have upped the minoxidil dose to 5MG daily, and I aim to be more consistent with ketoconazole shampoo and needling. See you guys soon :)
 

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