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I have to heavily disagree with your last paragraph.minoxidil is needed because it does activate regrowth. You are mixing hrt (essentially a theraphy to either recover from menopause in ciswomen or transition to female for transwomen) with hair loss and hair regrowth. It's easy to confuse both and you are not the only one.
The two are different and somewhat related: although when you look around you the best candidates for having full head of hair are women not men. Half of the men after 50 look like gigantic dickheads. Female with hormone deficiency after menopause get thinning but in a diffuse pattern because dht is attacking the hair follicles in a different way (frontal follicles are much more resilient in females than males.) I think the reason is the same but the pattern is different.
So to recap, get on hrt if you want to transition and don't mind b**ch tits on your body. You will put your body in an emulation mode that will stop hairloss (T & DHT levels are the same as pre-menopause ciswomen.) In order to recover the loss you had being born with a dick, you will also need possibly duta if you stil have T because somehow dht will happen in other areas then from your balls and remember your follicles have already severely miniaturized. You will also need minoxidil to reactivate the growth of these follicles (no one can tell why but I suspect it's related to PGE2 which is deficient in men.)
minoxidil will grow hair everywhere, some on your head (unfortunately not enough) but expect Neanderthal hands and arms and the need to laser it or wax it regularly. If you are on hrt and try to feminise that's a big issue. minoxidil topical is effective but not as much as oral with higher doses. Oral will avoid the aging of skin and wrinkles and doses will make topical insignificant in its effect.
If you do minoxidil, do microneedling (the follica way). Done right, it will trigger neogenesis.
All of this can work or not work depending on your own body ability to react to the drugs or not. If you have sensitive follicles or you waited to long to start, it will be harder. There is no cure, and the only way to maintain what you get is to keep at it everyday of your life. Are you ready for this commitment? The minute you stop, things will go downhill and you are back to square one, while you may keep the side effects permanently (ED, gyno, vision loss, liver decease, etc.) For each their own.
What makes you say that oral minoxidil will not have the skin aging effect? This is the reason why im scared to use minoxidil again. Back when i used it, it made me look like a zombie. It was so horrible no amount of hair was worth going through the day like this.
I would have thought using oral will make it even worse, because the minoxidil will literally reach every single nanometer of your skin.
Do you have information on the follica needling protocol? What do they do exactly?