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File: maxresdefault.jpg (92 KB, 1280x720)
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/balding/ and /finasteride/ general - hair is love, hair is life!
Sticky: http://tuxbell.com/index.php/Balding

Reminder that if you can clearly see down to your scalp when your hair is wet, your hair is thinning, lots of small new hairs sprouting at the hairline or crown is a sign of hair recession.

Holy trinity:
Tabs: https://en.wikipedia.org/wiki/Finasteride
Lotion: https://en.wikipedia.org/wiki/Minoxidil
Shampoo: https://en.wikipedia.org/wiki/Ketoconazole

Finasteride/Dutasteride are 5-alpha reductase inhibitors that prevent free T from being converted to DHT, a byproduct of testosterone that serves no purpose after puberty but to choke out your hair follicles and make them thin out and die in a few short years, a condition known as androgenic alopecia.
5ar inhibitors prevent your hair from getting any worse, mild regrowth is expected, rapid onset diffuse thinners see a significant recovery on fin alone. Can be taken orally or topically.
5ARIs are not dosage dependent, taking as little as as 0.2mg daily fin can reduce serum DHT by 68%, while 5mg reduces by 72%.
0.5mg daily dut reduces serum DHT by 95%, but is considered a second line treatment, and can be more expensive and harder to get prescribed. Start with fin.

Fin has been used to treat benign prostatic hyperplasia (BPH) for 30+ years, it's very well studied and is tolerated well in almost all men, however, there's a 1-2% risk of erectile issues in controlled studies.
These can be avoided by reducing dosage, spacing out dosage, or stopping the drug. Fin takes days to fully bio-accumulate, the half life of fin is about 8 hours, adverse effects occuring within minutes of starting fin or persisting long after stopping fin are not real and have no basis in reality. Please note that dut has a much higher half-life of 5 weeks, if you're prone to fin sides, dut may cause them for far longer.
Refer to https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3481923/ before responding to PFS trolls.
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>>18698181
Minoxidil (liquid and tabs) is a vasodialator that opens potassium channels and widens blood vessels bringing nutrients to your hair follicles, stimulating them into thickening, accelerating growth and elongating the growth phase. Min is taken with fin to restore your hair to it's original hairline, thickness and vigor when hair loss is caught early enough, (pre-NW2). Can be taken orally or topically.

Topical min does not work in 1/3 of men because they lack the required enzymes in their scalp, all men have this enzyme in their liver so the oral route is a good fallback.
The FDA formulation for 5% liquid minoxidil is food safe (vape juice, ethanol and water) and can be safely taken orally if oral min tabs are expensive or rarely prescribed where you live. As a general rule, ~4 drops (0.1ml) = 5mg minoxidil.
There's a 1-2% risk of fluid retention with higher oral dosages, start with the lowest dosage possible and work your way up when you're sure it's well tolerated.

Ketoconazole is an anti-androgen and antifungal that inhibits DHT on the scalp and used to treat fungal infections of the scalp that may be making your hair loss worse such as seborrheic dermatitis, a condition where you exhibit severe greasy, flaky large dandruff flakes with dried yellow crystals (blood plasma) embedded in the scalp. Some people may only have traction alopecia (hair loss from scratching or friction), but it will not cure androgenic alopecia on it's own. Can only be taken topically.

Do not use spirolactone. Spirolactone is a diuretic which, in large doses, inhibits testosterone and, by extension, DHT.
It is regularly prescribed as an anti-androgen for male to female HRT, and thus, comes with an astronomically higher risk of sexual side effects in men including ED, gynecomastia, and can cause potassium toxicity.

Previous thread: >>18689449
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>>18698181
Is there a country closer to America than Turkey that has a good hair transplant clinic? Mexico?
>>
>>18698391
The clinic and the proficiency of the surgeons matter more than the country. Shop around some of the results and reviews from patients in mexican clinics and decide if the results are good enough for you.
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>>18698181
I know that min affects cats but does it also affect parrots? I've been thinking about doing topical min for a while but i'm deathly scared of accidentally killing my bird
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>>18698181
>it's very well studied and is tolerated well in almost all men, however, there's a 1-2% risk of erectile issues in controlled studies.

It can also cause heart issues.
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>>18698440
Nope
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Why aren't I getting any sides from dut 0.5? Is this even working? Should I bump the dosage?
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>>18698464
Some people report (sexual) sides on finasteride but not dutasteride, but I think this is anecdotal only. I don't have any sides (other than less sebum overproduction) on dutasteride, but I never did on finasteride either. 0.5mg once daily is the standard dose for oral dutasteride and should work for basically all men. It does take a few weeks to reach peak concentration (it has a very long half life), but, if you've been on it that long, it should be working as well as any hormonal treatment can.
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>>18698434
it does yeah
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>>18698489
>The time to steady state is dose dependent, and at a dose of 0.5 mg/day is approximately 3 months.
Few weeks my ass. No wonder I feel fine. Might as well finish my finasteride since my dick is going to fall off in a few months anyway.
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>>18698464
Why do you think sides are a “normal” thing to experience on the clinical dose?
If you mean
>I started Dut and my hair looks exactly the same
It takes 6 months of daily use to tell if you’re a responder or not.
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>>18698391
Turkey is trash and there are only three Turkish surgeons worth considering: Pekiner, Bek, and Keser. There's Nader in Mexico and Pittella in Brazil. Thailand has several good value options such as Ratchathorn, Laorwong, Path, and Patty.
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Current hairloss protocol:


>320mg of saw palmetto twice daily (morning and night)

>one 0.5mg dutasteride gel capsule daily

>micro-needle session once weekly (entire scalp)


>one 10,000mcg capsule of biotin daily

>daily multivitamin


>nizoral 2% shampoo once weekly (other days are head and shoulders BARE followed with RedKen ultra nourishing all soft conditioner)

>0.25 mL of 2% topical minoxidil ingested orally equalling approximately 5mg of oral min
>>
how well does HRT work for hair regrowth and do i still need fin on it?
>>
anyone got experience with minoxidil sides? i'm taking 3mg (+1mg fin) orally a week in and getting an elevated heart rate and minor heart palpitations. it's not bothering me too much but i'm wondering if this is an adaptation or a permanent side effect. fin, on the other hand, is making me hornier
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>>18698584
Just do dutasteride or finasteride before trooning. even with trooning there's lots of variables if you can get hair back or not.
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>>18698622
what if i am already trooning? just started but i don't think that there is a reason to stop or delay.
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I'm not taking your troon pills. I'd rather be bald tbqh
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>>18698635
have at it! another one out of the dating pool
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>>18698614
Wait a month and see if it lessens. Initial sides are kind of common on oral min especially starting off on a full dose.
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>>18698584
Yeah generally you will still want to be on fin so long as your body is still producing test, which it will be even on HRT. It doesn't take a lot of DHT to affect your hair especially if you already know you are susceptible to balding.
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>>18698181
We're all gonna make it bros!
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>>18698567
Regained hair count: 0
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>>18698799
Shoo shoo malding demoralizer
>>
I'm not bald but my year has like 90% bad hair days so I usually wear a beanie.
Boy oh boy are femoids *pushy* trying to find out what's underneath.
So yes.
They care.
Stay the course.
All the best to everyone here.
>>
I'm 21 and I'm balding. Should I jump on duta or is it better to start with fin?



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