I've been using the miconozole nitrate now for 4 months with good results. Began here at this site in 2002 at the age of 26 and I'm 41 now. (Note: My original username was lost when I changed my email address and wasn't on this site from 2004 until now). My thinning has been diffuse in the temples and have never had issues in any other area. Made huge gains and maintained it for 10 years. Temples are shit now but rebounding again. I took some pics last night and will post here later. Here's my current regimen: Finasteride 1.25 mg daily (since 2001) Rogaine 2x daily (since 2003) Nizoral shampoo every other day (since Nov 2016) Capasal shampoo every other day (since May 2017) Miconzole Nitrate every day at night (Since May 2017) Added in July: S5 Plus Cream 1x daily at night Saw Palmetto 1x daily 1500 mg Quality fish oil 1x daily Vitamin D 10,000 IU 1x daily Astaxanthin 1x daily Rhodiola 1x daily Ashwaganda 1x daily Pantothenic acid 1x daily Biotin 1x daily Added yesterday: Mixture of castor oil as a medium with 2 drops of peppermint oil, 2 drops of rosemary oil, 2 drops of cedarwood oil. Applied every other night to thinning areas. We'll see if it works, but damn...this application feels great on my scalp. Notes: I was using the Nizoral regularly with the finasteride and minoxidil for 10 years with really really good results. I stopped using the Nizoral because of the cost. Huge mistake. I wish I'd never had stopped using it. I got back on the Nizoral last November regularly. Went through 7 months of a gradual shed. Started the gains again with the addition of the miconozole nitrate and Capasal shampoo like Tyler. What I've noticed. The minoxidil does not have the same effect with my hair that it once did. When I began to add other growth "helpers" that's when the gains have started again.