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

RagnarLothbrok

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what's the current consensus on LLLT?
I actually started 1 month ago, it 100% works for irritation/inflammation which is actually what topical minoxidil causes me, so only for that still worth those 10min per day for me. As for hair growth... can't tell much yet, but it's not going to be significant.
 

Jeju

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Hasn’t it been 1.5 years of minoxidil gains? It could be that you’re just starting to lose again now.
 

welshman123

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Hasn’t it been 1.5 years of minoxidil gains? It could be that you’re just starting to lose again now.
Personally I think it aligns with when I stopped topical min and started a low dose oral min so much that I’m leaning towards it being that oral just didn’t feed the follicles the same as topical. But only time will tell. As before, I don’t mind the buzzcut
 

RagnarLothbrok

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Personally I think it aligns with when I stopped topical min and started a low dose oral min so much that I’m leaning towards it being that oral just didn’t feed the follicles the same as topical. But only time will tell. As before, I don’t mind the buzzcut
If you navigate a bit on r/tressless, now that oral minoxidil is more mainstream, I seen at least 10-15 people saying the same thing that happened to you and people regret stopping topical.

I think its basically because Topical minoxidil only works for a minority (40% of users according to studies), while OM works in 100% users, so in general, more users benefit switching to oral than not.

But for the cases where you already responded topically, esp. mixed with microneedling which is known to interact with topical minoxidil upregulating WNT, it might be actually counterproductive.

But OM is still useful as an "insurance" and to keep improving the parts where I can't apply topical minoxidil (donor area for transplant, eyebrows, and beard). So I think 2.5mg OM + 1x topical per day seems like best regime for me.
 

welshman123

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If you navigate a bit on r/tressless, now that oral minoxidil is more mainstream, I seen at least 10-15 people saying the same thing that happened to you and people regret stopping topical.

I think its basically because Topical minoxidil only works for a minority (40% of users according to studies), while OM works in 100% users, so in general, more users benefit switching to oral than not.

But for the cases where you already responded topically, esp. mixed with microneedling which is known to interact with topical minoxidil upregulating WNT, it might be actually counterproductive.

But OM is still useful as an "insurance" and to keep improving the parts where I can't apply topical minoxidil (donor area for transplant, eyebrows, and beard). So I think 2.5mg OM + 1x topical per day seems like best regime for me.
Thanks for this mate

yeah I’m still keeping 2.5mg a day but going back to the 2x topical
 
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Jeju

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Personally I think it aligns with when I stopped topical min and started a low dose oral min so much that I’m leaning towards it being that oral just didn’t feed the follicles the same as topical. But only time will tell. As before, I don’t mind the buzzcut
Buzz cut looks good man. Realistically though, how much regrowth are you expecting? You’re wayyyy above baseline.
 

welshman123

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Flash on and flash off of where we are now. Things can change quickly, eh? Gonna keep it shaved and give it time on the initial protocol that worked for me.
 

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RagnarLothbrok

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I seen this happen literally to every hyper-responder that starts at NW4+ (including myself). Initial 6 month regrowth is insane but after a couple sheds things take a few steps back. Also most people who hyper respond start being a bit more lazy with needling and minoxidil commitment, start changing treatments too often... (myself included).

My theory is that first-time minoxidil + needling is such a strong WNT upregulation that the follicles go into massive growth mode whats why you see all those hyper-responder cases but once you are not at minoxidil newbie gains and your scalp can't mantain such high levels of stimulation DHT starts f*****g you over again on next hair cycles.

Anyway the good news is that you can still improve again, I had really similar story to you and now 1.5 years later im starting to improve again after taking it more serious. This time I'm not ever relaxing regardless of my hair state. Consistency is key to improve every single hair cycle.
 
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