I’m mentioning your use of spironolactone cream because it’s a gimmick.
Oral spironolactone was not used within men who had hair loss within the 2000s because it’s an anti-androgen which poses de-masculinising side effects. It was probably popular within women, but women have an entirely different response rate to males. No one is claiming that it’s safer than topical minoxidil, but it’s definitely more effective than topical minoxidil. Again, oral medications are less of a hassle and require significantly less time, whilst avoiding the irritation the topical can have on the follicles and scalp (due to alcohols).
I would like you to show me someone who had the same results and starting point as Bridge whilst using topical minoxidil.
It’s success rate is mentioned as being ‘high’ because of people who have managed to maintain, otherwise the legitimate success rate of regrowth is around 30%, and the levels of regrowth can be insignificant to us.
I doubt that much goes systematically, otherwise people would be experience the same effects as oral minoxidil, such as increased body hair.