How serious is your hairloss or what was your baseline? How was your experience with minoxidil over the years? I see that you are big advocate for min + tret.
I'm just curious because few years ago when i first started I had amazing regrow on topical minoxidil so it seems that enzyme level was fine and I was good responder, but it lasted only few months and then without modifying anything over next few months, slow but overall huge regress occurred that did not recover over next few years.
Next at some point due to random circumstances I was forced to stop treatment for few weeks, which caused huge shed that destroy my whole density, devastating, however lucky enough when I returned to topical minoxidil and restarted treatment I once again experience excellent regrow, just like the first time, without any further shedding, density improve amazingly. However once again, it lasted only for few months, and then the same scenario with slowly loosing everything without recovering for next several months, up to today, occurred.
I saw the diagram from the study that topical minoxidil may loose effectiveness after few years, but in my case it was always just few months, peak effect around month 3 and then maybe two months of stable situation and then bum slow continuous regress with huge shedding that did not recover.
And I'm wondering how is that possible if theoretically minoxidil initially works that well?
btw in both cases I was always blocking dht, it was not only minoxidil.
And I do not know if oral minoxidil could help in my case if topical minoxidil works so weirdly.
I started to receding around 15, didn't pay much atention but at 17th , a couple of month before m 18th ,was imposible to hide. I should be a NW7 by the age of 25 or sooner, that bad was. However, I always was an really good responder to the hair loss treatment. And by good responding I mean, I do did stop the receding hairline and massive thick where I do have hair. The lost hair line, the death zone of the temple, between a NW2-3 to a Norwood 1-0 , I never was available to growing back .
For me, it have never lost effectivenes and I just wished to started sooner. In fact, was cause that same stupid thing that " it lost effectiveness with time " that I did stoped the first time ( back in 1997 , cause a Stupid dermatology ) and I went from a big Norwood 1 to a Nw2 -3 within a year . Then I re-started, never stopped, every single night, and keep the same hair line from the last 24 years and counting.
During all this years, Minoxidil plus tretinoin is the only treatment I have never stopped or changed. And I was a lot of time with just that.
There are a couple of interesting things to add, like ketoconazole shampoo 2 % , cetirizine lotion 1 % , latanoprost, etc .
I do think that tretinoin also inhibit DHT, since isotretinoin do it . In fact, I had a very similar result, when I was using oral isotretinoin for acne and Minoxidil ( alone ) for hair loss, back in 1996 than the what I got/get with minoxidil plus tretinoin . I do think that, like tretinoin, isotretinoin active the sulphatase enzyme that convert minoxidil into active minoxidil.
Before try it oral minoxidil, I shouled recommend you tretinoin plus minoxidil. Search online, it have being use it for top doctors since early 90s , there is tons of reviews. In fact , the vestion version of the popular Xandrox , back in the 90s ( the real one, the one made by Dr Lee ) was just minoxidil plus tretinoin .
I don't think that oral minoxidil will works better than tretinoin plus minoxidil. I have tried it both things . Again, oral minoxidil was really popular back in early 2000s . You can search for old post on the hairsite.com forum .