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- 301
Bud im a nw2 but in the last 30 days i've lost a sht ton of hair (about to hit nw3 pretty hardly), so im planing to get on propecia, since imo the vellus hair will regrow and i'll get back to nw2, if i use minoxidil can i get back to nw1? I was nw1 two years ago or so...I used 5% RU58841 with 5% minoxidil for around a year and had good retention and some vellus regrowth. I then foolishly stopped the minoxidil and cut the dose of RU to around 3.75%. Between those two mistakes, I then lost a bit (few mm recession and deeper thinning) at my corners over the next 6-12 months.
After realizing this one month ago, I cranked up my dose of RU58841 to 7.5% and restarted topical minoxidil and I've already got vellus fuzz back to my NW1 hairline (I'm an NW2 now). The thinned deeper areas have already started filling back in and are looking denser.
In the past week, I added oral spironolactone 100 mg twice daily and minoxidil 5 mg orally twice daily in the as well because I'm in the middle of a major procedure (scalp expander for reduction) and I can't afford to f*** around or "wait and see". I need the maximum back ASAP.
I'm exceedingly happy with the results so far. It's been a short period since I modified my whole process (1 month total for all changes) and even terminal hairs are coming back in my NW1 zone. Don't know how much I'll get back long term, but it's definitely a powerful regimen.
The point is failure on finasteride is just the beginning. There are a lot more steps you can take. I lost 2 years to finasteride & dutasteride before realizing they didn't touch my DHT levels at all and they were worthless to me.
In my opinion, anti-androgens should be tried progressively in the following order:
1) Finasteride
2) Dutasteride
3) RU58841
4) Spironolactone
Something in there (or some combo) should work. Then based on sides, you just have to decide how much your hair is truly worth for you, and what you're willing to give in order to keep it...
Lastly, if you do use RU58841, keep it to 5% or higher. The studies showed a much bigger effect at 5% than 1%, so that is where the majority of the dose-reponse curve takes place. >5% should maximize the effect. I prefer to apply twice daily.