R
repszon
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How to start?
Nw(norwood) 2: 1 mg finasteride, topical minoxidil
Nw 3: Start with 1 mg finasteride/0.5mg dutasteride & topical minoxidil
Nw 4: Dutasteride, topical or oral minoxidil.
Nw 5: A full comeback can't be made. You won't reach baseline density ever again, even with transplantation. Use Dutasteride 0.5mg & oral minoxidil, might as well throw in ru58841.
Nw 6+ Is it even worth trying? Get a hair system or embrace/accept the baldness (taking the white pill)
Could always get on dut at norwood 1.5 and never care about hair loss again - preferably
What to do if you're a bad responder?
If you don't respond to topical minoxidil you could add in a topical retinoid, ideally tretinoin. Scientifically oral minoxidil doesn't seem to be better than topical minoxidil in terms of regrowth, and the response rate seems to slightly higher, arguably insignificant though. Anecdotally, I've seen more impressive regrowth with oral minoxidil, even if doesn't seem to be the case scientifically.
Source: https://jamanetwork.com/journals/jamadermatology/fullarticle/2817326
If minoxidil doesn't work out, you could always use dutasteride and if you already use dutasteride, increase the dosage, ideally to 2.5mg. Dutasteride mogs finasteride in every aspect.
Still no response? You could use topical androgens like ru58841, it blocks all androgens on your scalp, and it doesn't seem to go systemic, but the research is very scarce, so I can't promise anything. Ru58841 mogs if you're roiding though.
Micro needling? Micro needling is retarded long-term, as it'll cause fibrosis (scar tissue), making you ineligible for hair transplants. You could still use a low needle length for your beard as you'll use it short term and at a lower needle length (0.5mm), meaning less risk of fibrosis.
Risks
Finasteride: ≤ 0.3% chance of gyno, 2-4% chance of ed, 2-3% lower libido (Note: it goes away most of the times with continued usage), decreased semen volume 1-2%.
Dutasteride: Everything basically the same as fin except gyno being slightly higher, still ≤1% and decreased semen volume being a percentile higher (2-3%).
Ru58841: If it goes systemic you'll experience all the side effects expected from having reduced/low amounts of androgens in the body, anecdotally heart pain has been reported with ru, but the vast majority of cases has been reported on the higher percentiles of ru being 10% and higher. Ru is poorly studied on humans so long-term side effects are unknown.
Topical minoxidil: Dry, itchy and flakey skin often due to the propylene glycol, could switch to foam without propylene glycol to fix it. Slight heart pains, very rare and no one has ever been reported dead from topical minoxidil, so I'd personally push through the pain until the body adjusts.
Oral minoxidil: Swelling (edema), rapid heartbeat / palpitations, hypertrichosis (unwanted body hair), chest pain, pericardial effusion (deadly but very rare at low dose) I'd recommend getting echocardiogram every now and then if you use.
Nw(norwood) 2: 1 mg finasteride, topical minoxidil
Nw 3: Start with 1 mg finasteride/0.5mg dutasteride & topical minoxidil
Nw 4: Dutasteride, topical or oral minoxidil.
Nw 5: A full comeback can't be made. You won't reach baseline density ever again, even with transplantation. Use Dutasteride 0.5mg & oral minoxidil, might as well throw in ru58841.
Nw 6+ Is it even worth trying? Get a hair system or embrace/accept the baldness (taking the white pill)
Could always get on dut at norwood 1.5 and never care about hair loss again - preferably
What to do if you're a bad responder?
If you don't respond to topical minoxidil you could add in a topical retinoid, ideally tretinoin. Scientifically oral minoxidil doesn't seem to be better than topical minoxidil in terms of regrowth, and the response rate seems to slightly higher, arguably insignificant though. Anecdotally, I've seen more impressive regrowth with oral minoxidil, even if doesn't seem to be the case scientifically.
Source: https://jamanetwork.com/journals/jamadermatology/fullarticle/2817326
If minoxidil doesn't work out, you could always use dutasteride and if you already use dutasteride, increase the dosage, ideally to 2.5mg. Dutasteride mogs finasteride in every aspect.
Still no response? You could use topical androgens like ru58841, it blocks all androgens on your scalp, and it doesn't seem to go systemic, but the research is very scarce, so I can't promise anything. Ru58841 mogs if you're roiding though.
Micro needling? Micro needling is retarded long-term, as it'll cause fibrosis (scar tissue), making you ineligible for hair transplants. You could still use a low needle length for your beard as you'll use it short term and at a lower needle length (0.5mm), meaning less risk of fibrosis.
Risks
Finasteride: ≤ 0.3% chance of gyno, 2-4% chance of ed, 2-3% lower libido (Note: it goes away most of the times with continued usage), decreased semen volume 1-2%.
Dutasteride: Everything basically the same as fin except gyno being slightly higher, still ≤1% and decreased semen volume being a percentile higher (2-3%).
Ru58841: If it goes systemic you'll experience all the side effects expected from having reduced/low amounts of androgens in the body, anecdotally heart pain has been reported with ru, but the vast majority of cases has been reported on the higher percentiles of ru being 10% and higher. Ru is poorly studied on humans so long-term side effects are unknown.
Topical minoxidil: Dry, itchy and flakey skin often due to the propylene glycol, could switch to foam without propylene glycol to fix it. Slight heart pains, very rare and no one has ever been reported dead from topical minoxidil, so I'd personally push through the pain until the body adjusts.
Oral minoxidil: Swelling (edema), rapid heartbeat / palpitations, hypertrichosis (unwanted body hair), chest pain, pericardial effusion (deadly but very rare at low dose) I'd recommend getting echocardiogram every now and then if you use.
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