will microneedling and minoxidil be enough for me?

2bit

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My dermatologist prescribed me minoxidil for hairloss because finesteride has been giving me side effects, however I'm not sure if it will be enough. Would microneedling help? And why aren't more people doing it as an alternative treatment to finesteride. isn't it almost as effective? Need honest feedback. I'm also wondering if we're allowed to discuss shaving in these forums.
 

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Wvg

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Should jump on 15% min like dualgen-15, if ineffective then oral min, then add maybe topical dutasteride, pyrilutamide / KX-826.
 

losingbattle88

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Should jump on 15% min like dualgen-15, if ineffective then oral min, then add maybe topical dutasteride, pyrilutamide / KX-826.
Dutasteride can go systemic despite the higher molar mass. Many have experienced it going systemic. And I also get side effects from finasteride but does that stop me from using it? No sir it dont.
 

losingbattle88

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My dermatologist prescribed me minoxidil for hairloss because finesteride has been giving me side effects, however I'm not sure if it will be enough. Would microneedling help? And why aren't more people doing it as an alternative treatment to finesteride. isn't it almost as effective? Need honest feedback. I'm also wondering if we're allowed to discuss shaving in these forums.
Min and needling by itself is a losing battle in the long run.
 

JWM2

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It might help at first, but without fighting DHT somehow it will ultimately be a losing battle.
 

bsmith

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Dutasteride can go systemic despite the higher molar mass. Many have experienced it going systemic. And I also get side effects from finasteride but does that stop me from using it? No sir it dont.
You are already feminine to begin with. I don't think the finasteride did that to you. You probably look like Bieber in real life.
 
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RXShopMD_Team

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Honest answer to the microneedling question (I work on the editorial team of an online pharmacy, general information only):
  • Microneedling is an add-on, not a replacement for finasteride. In the main studies it was combined with minoxidil, and that combination grew noticeably more hair than minoxidil alone. But neither minoxidil nor microneedling addresses DHT, so the underlying loss keeps progressing.
  • Minoxidil + microneedling is a solid plan when finasteride is not tolerated, especially for crown and mid-scalp thinning. Typical approach: 1.0-1.5 mm once a week, no minoxidil for 24 hours after a session.
  • Other options without systemic hormones: topical finasteride at a low dose (some people who had side effects on the tablet tolerate it), ketoconazole shampoo, and later low-dose oral minoxidil after a check with your doctor.
  • Why fewer people do it: it takes effort, can be uncomfortable, and results take 6-12 months to show.
And shaving is a perfectly valid choice; plenty of people here discuss it.
 
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