Confused about "conflicting viewpoints". The only viewpoints that matter are what are found in studies. Everything else are random dudes on the internet pretending they are chemists / biologists / dermatologists.
When it comes to hair loss treatments, opinions really mean nothing. Data is what matters - either on the product itself or its ingredients. Topical Spironolactone has been used for topical antiandrogen treatment for both hair loss and acne for decades.
Its not some random new product that is subject to online randoms saying it might or might not be legit. It is legit. Its about as legit as legit can get outside of taking Propecia.
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https://www.researchgate.net/public...ronolactone_therapies_in_skin_androgenization
“The most important clinical studies using spironolactone as an antiandrogen drug either per os or topically are referred. Menstrual disturbances very often occur during SP treatments thus limiting its systemic use. As far as the topical use is concerned SP seems to be highly effective with absence of systemic effects. Local mild side effects were present in a small number of patients.”
Spironolactone has been used topically by acne sufferers for decades for the exact same reason it would be beneficial for hair loss. Local inhibition of androgen activity in the skin.
From wikipedia:
“Spironolactone is an antagonist of the androgen receptor (AR) as well as an inhibitor of androgen production. Due to the antiandrogenic effects that result from these actions, it is frequently used off-label to treat a variety of dermatological conditions in which androgens, such as testosterone and dihydrotestosterone (DHT), play a role. Some of these uses include androgenic alopecia in men (either at low doses or as a topical formulation) and women, and hirsutism, acne, and seborrhea in women.[16] Spironolactone is the most commonly used drug in the treatment of hirsutism in the United States.[17]”
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