You seem very knowledgeable so what is your opinion on minoxidil? I’m currently a Norwood 2.5 (with thinning in a Norwood 3-) 3.5 pattern) I’m 32 and have been taking 1mg finasteride for about 8 months. Can’t decide whether I should jump on minoxidil or not
There is indeed a test you can do for minoxidil sulphate to determine if you will likely respond to the treatment.
Minoxidil apart from Finasteride is currently the only FDA approved treatment that stimulates growth and it works in individuals to varying degrees.
There have been individuals reporting great results with minoxidil, and others who have had very little effect. In my personal case I used minoxidil by itself and went from having very little hair on top to a full head of hair within four months.
The issue with minoxidil however,
Is that it does not tackle the root cause of hairloss which is DHT. Therefore if used by itself the initial growth from minoxidil will tend to decline within months or years.
Personally when I used minoxidil I regrew all my hair at month 4, and after year one or year two, my hair started to decline until year five when I was more or less back at baseline.
There was a study on minoxidil done by Olsen in the nineties which you are welcome to search for which showed that generally after five years participants were back at baseline. This is also what I experienced when i used it. However, there will be individuals with less aggressive hairloss who can maintain on minoxidil indefinitely.
I would recommend staying on finasteride for the full year and hold back on minoxidil as when you start Minoxidil you are likely to start shedding hair and your hair will at first appear thinner before growing back later on. This may cause you further distress so you need to be aware of this.
it is also time consuming to apply minoxidil twice a day.
As long as you are taking Finasteride 1MG, there is no rush to add minoxidil as you are dealing with the main cause of hairloss. Wait until the full year and if you are not happy with the results from Finasteride 1MG then add minoxidil to stimulate hair regrowth.
At 32 with Norwood 2.5 -3.5 My personal opinion is that at the two year mark on finasteride 1MG and minoxidil 5% combined you will have good results.
If you have any more questions please do not hesitate to ask.
HLV