When it comes to remedies for men’s hair loss, numerous alternative non-medical products claim to stop hair loss or promote hair growth. After trying multiple products, you may find that none have worked for you.

To be effective, alopecia must be addressed at its root cause. Different individuals have various underlying issues that contribute to hair loss.

There is no single product that works for everyone experiencing hair loss. In fact, while there is no cure, several treatment options are available; thus, medications should be used to manage hair loss rather than to cure it.

Finasteride 1 mg was initially marketed under the brand name Propecia. Now that the patent has expired, many generic versions of Finasteride are available on the market at a much lower cost. As a result, many people have switched to the more affordable generic Finasteride instead of continuing with Propecia. 

 Dosage

The recommended dosage is one 1-mg tablet daily. For maximum effectiveness, it is best to take it around the same time every day. 

It must be taken for at least 6-12 months before you can see any results. 

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 Can FINASTERIDE regrow hair at the receding hairline ?

Finasteride works best for hair loss on the top of the head and the crown area. 

For unknown reasons, Finasteride is not effective for the receding hairline where hair transplantation can offer the greatest improvement.

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What happens if I stop taking FINASTERIDE ?

After using Finasteride long enough to see the regrowth, you need to continue using it indefinitely or as long as your body is still producing testosterone to retain the benefits. Discontinuing the use of it results in returning hair loss.

To put this into perspective, if a man had permanently lost 10 hairs a day due to his hair loss problem before taking Finasteride, he would have lost 3,650 hairs in a year or 7,300 hairs in 2 years. But he has been taking Finasteride in the past 2 years so Finasteride has been keeping those 7,300 hairs in tact. 

If he stops taking Finasteride now, those 7,300 hairs will fall out as many as 100-200 hairs per day in the next 2-8 weeks which will bring him back to the point he would have been had he never taken Finasteride.

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Side effects

1.Loss of sexual desire and erectile dysfunction. Less than 2% of people taking Finasteride are affected. 

In a 2019 medical research, the survey found no difference in sexual side effects among people who used finasteride for hair loss. Read more

From our 20 years of experience in this field, we find that sexual side effects of Finasteride are rare. Most times people tend to have judgmental thoughts due to the coincidental occurrences. 

When the sexual side effects happen anytime after taking the medication, people usually blame it by overlooking other possible factors that could have caused them sexual dysfunction whether they take the medication or not. 

Those factors include age, obesity, alcohol consumption, smoking, binge eating, bedtime, lack of exercise, anxiety, or even spousal relationship.

2.Decreased volume of ejaculate and a decrease of sperm count in some men. This is a typical finding in men fertility. It is not recommended for men who are in the reproductive ages and have low sperm count (Oligospermia)

3.Swelling or tenderness of the breasts.

4.Depression

All of these side effects may subside at any time or may persist even after discontinuing the use of this medication.

5.Finasteride is not usually prescribed for women; women who may be pregnant are at risk for congenital defect in the unborn child. 

However, some doctors prescribed Finasteride for post-menopausal women with inherited hair loss and found that it worked well for them.

6.Children under 18 years of age should not take Finasteride since it decreases male growth hormones, substances essential for children to grow and develop.

How Does Low-Dose Minoxidil Work?

Minoxidil is believed to stimulate hair follicles by increasing blood flow to the scalp and promoting hair follicle activity. It works by:

• Widening blood vessels: This increases the supply of oxygen and nutrients to hair follicles, helping them grow thicker, stronger hair.

• Prolonging the anagen phase: The hair growth cycle consists of three phases—anagen (growth), catagen (transition), and telogen (resting). Minoxidil prolongs the anagen phase, allowing hair to grow for a longer period.

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Benefits of Low-Dose Oral Minoxidil

1. Convenience: Many patients prefer oral medications over topical treatments because they are easier to use and avoid the messiness associated with applying creams or solutions to the scalp. Oral minoxidil only requires taking a small pill daily, offering a more straightforward solution for those with busy lifestyles.

2. Effective for Different Types of Hair Loss: LDOM has shown promise in treating not only androgenetic alopecia but also other types of hair loss, such as telogen effluvium, alopecia areata, and even frontal fibrosing alopecia.

3. Fewer Scalp Irritations: Some patients experience scalp irritation, itching, or dandruff when using topical minoxidil. Oral minoxidil bypasses the skin, minimizing these localized side effects.

4. Lower Risk of Side Effects Compared to High-Dose Oral Minoxidil: The low doses used for hair loss minimize the risk of serious side effects that can occur at higher doses, such as excessive hair growth on the face and body, fluid retention, or cardiovascular issues.

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Potential Side Effects

Although low-dose oral minoxidil is generally well-tolerated, it’s important to be aware of potential side effects. These may include:

• Hypertrichosis: Excessive hair growth can occur on areas like the face, arms, or back, although this side effect is less likely with lower doses.

• Low Blood Pressure: Since minoxidil is a vasodilator, it can lower blood pressure. However, this effect is rare at low doses.

• Fluid Retention: Some patients may experience mild swelling or puffiness, though this is more common at higher doses.

• Shedding: It’s not uncommon to experience an initial period of increased hair shedding as hair follicles transition into the growth phase. This is usually temporary and indicates that the treatment is working.

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Who Can Benefit from Low-Dose Minoxidil?

Low-dose minoxidil is an option for individuals with various types of hair loss, including men and women with androgenetic alopecia (male and female pattern baldness). It can also be useful for patients who have not responded well to topical minoxidil or those who experience scalp irritation with the topical form.

Some dermatologists also recommend low-dose oral minoxidil for people who prefer a more convenient treatment approach or for those with widespread hair loss that may not be well-covered by topical application.

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Consulting a Healthcare Professional

Before starting any hair loss treatment, it’s important to consult with a dermatologist or healthcare provider to determine the best course of action. They can assess whether low-dose minoxidil is appropriate based on the individual’s medical history and type of hair loss. Blood pressure monitoring may also be necessary during treatment, especially for individuals with underlying cardiovascular conditions.

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Conclusion

Low-dose oral minoxidil is an emerging and promising option for treating hair loss. It offers a convenient and effective alternative for individuals who may not respond well to topical treatments or who prefer oral medication. While it has a favorable safety profile, it’s crucial to work with a healthcare provider to ensure proper use and minimize the risk of side effects. As research continues, low-dose minoxidil may become a more widely accepted treatment for hair loss in both men and women.

DUTASTERIDE

Dutasteride is a medication initially approved by the FDA for the treatment of benign prostatic hyperplasia (BPH), also known as an enlarged prostate. It is part of a class of drugs called 5-alpha-reductase inhibitors. These drugs work by inhibiting the conversion of testosterone to dihydrotestosterone (DHT), a hormone that contributes to both prostate enlargement and hair loss.

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How Does Dutasteride Work for Hair Loss?

Dutasteride targets hair loss by reducing levels of DHT, a key factor in male pattern baldness. Hair follicles sensitive to DHT shrink over time, leading to thinner, weaker hair, and eventually stopping hair growth. By lowering DHT levels, Dutasteride helps prevent this follicular shrinkage, allowing hair to grow thicker and stronger.

While Finasteride, another popular 5-alpha-reductase inhibitor, also reduces DHT, Dutasteride is more potent. Dutasteride inhibits both types of 5-alpha-reductase enzymes (Type 1 and Type 2), whereas Finasteride only inhibits Type 2. This results in Dutasteride lowering DHT levels by more than 90%, compared to around 70% with Finasteride.

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Effectiveness of Dutasteride for Hair Loss

Studies have shown that Dutasteride is highly effective for treating androgenetic alopecia. Some key findings include:

1. Improved Hair Growth: Clinical trials indicate that Dutasteride promotes significant hair regrowth in men suffering from male pattern baldness. Many patients experience visible results after a few months of consistent use.

2. Longer-lasting Effects: Due to its potency in lowering DHT levels, Dutasteride tends to offer longer-lasting benefits compared to Finasteride. Many users report that they maintain their hair growth even after stopping the medication.

3. Greater Efficacy Than Finasteride: Head-to-head studies comparing Dutasteride and Finasteride have consistently shown that Dutasteride produces better hair regrowth in men, making it a superior option for those with more advanced hair loss.

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Dosage and Administration

Dutasteride targets hair loss by reducing levels of DHT, a key factor in male pattern baldness. Hair follicles sensitive to DHT shrink over time, leading to thinner, weaker hair, and eventually stopping hair growth. By lowering DHT levels, Dutasteride helps prevent this follicular shrinkage, allowing hair to grow thicker and stronger.

While Finasteride, another popular 5-alpha-reductase inhibitor, also reduces DHT, Dutasteride is more potent. Dutasteride inhibits both types of 5-alpha-reductase enzymes (Type 1 and Type 2), whereas Finasteride only inhibits Type 2. This results in Dutasteride lowering DHT levels by more than 90%, compared to around 70% with Finasteride.

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Side Effects of Dutasteride

While Dutasteride is effective, it does come with some potential side effects, similar to other DHT blockers. These may include:

• Decreased Libido: Some users report a reduced sex drive while taking Dutasteride.

• Erectile Dysfunction: A small percentage of men experience difficulties with erections.

• Ejaculation Issues: Changes in ejaculation, such as reduced semen volume, have been reported.

• Breast Tenderness or Enlargement: Rarely, some men may experience gynecomastia (swelling of the breast tissue).

Though these side effects are generally rare, it's important to discuss them with your doctor before starting treatment. In many cases, side effects diminish over time or disappear after discontinuing the medication.

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Conclusion

Dutasteride is a powerful and effective treatment for androgenetic alopecia, especially in men who have not had success with other treatments like Finasteride. By dramatically reducing DHT levels, it can promote hair regrowth and slow the progression of hair loss. However, as with any medication, it’s important to consider the potential side effects and consult with a healthcare provider to determine if Dutasteride is the right choice for you.

For those seeking a stronger, longer-lasting solution to hair loss, Dutasteride may be worth considering as part of a comprehensive hair restoration plan.

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Topical Finasteride

Hair loss is a widespread issue that affects millions of people, particularly men suffering from androgenetic alopecia, also known as male pattern baldness. While oral finasteride has long been a popular treatment for hair loss, the development of topical finasteride offers a new alternative with reduced risk of systemic side effects. This innovation has piqued the interest of both patients and healthcare providers.

In this article, we’ll explore what topical finasteride is, how it works, its effectiveness, and the benefits it offers over oral finasteride.

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The Difference Between Oral and Topical Finasteride

For many years, oral finasteride (brand name Propecia) has been one of the most commonly prescribed treatments for male pattern baldness. While effective, oral finasteride has been associated with several systemic side effects, including:

• Decreased libido

• Erectile dysfunction

• Reduced semen volume

• Gynecomastia (breast enlargement)

These side effects, although uncommon, have deterred some men from using oral finasteride, prompting the development of topical finasteride. Unlike the oral form, topical finasteride is applied directly to the scalp and is intended to target hair follicles without significantly affecting DHT levels throughout the body. This localized application may reduce the risk of sexual side effects and other systemic issues.

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How Does Topical Finasteride Work?

Topical finasteride works similarly to the oral version, but with an important distinction. When applied to the scalp, it inhibits the conversion of testosterone to DHT locally, primarily within the hair follicles. This helps prevent follicular miniaturization—the process by which hair follicles shrink and produce thinner, weaker hair.

Because topical finasteride is absorbed through the skin, less of the drug enters the bloodstream, meaning it has less of an impact on overall DHT levels in the body compared to oral finasteride. This reduction in systemic absorption is thought to lower the risk of unwanted side effects.

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Effectiveness of Topical Finasteride for Hair Loss

Studies on topical finasteride have shown promising results in treating androgenetic alopecia, with similar efficacy to the oral version:

1. Clinical Trials: Research has demonstrated that topical finasteride can significantly reduce scalp DHT levels and promote hair regrowth. In a 2018 study published in the Journal of the European Academy of Dermatology and Venereology, topical finasteride showed comparable hair growth results to oral finasteride, with fewer reported side effects.

2. Reduced Side Effects: One of the main benefits of topical finasteride is the lower risk of sexual side effects, which have been a concern for some men using the oral form. By reducing systemic exposure to finasteride, users of the topical version report fewer issues related to libido or erectile function.

3. Combined Treatments: Topical finasteride is often used in combination with minoxidil, another FDA-approved topical treatment for hair loss. Together, these medications can have a synergistic effect, promoting better hair regrowth than either treatment used alone.

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Benefits of Topical Finasteride

1. Localized Treatment: The main advantage of topical finasteride is that it targets DHT levels at the scalp, where hair loss occurs, without significantly affecting DHT levels in other parts of the body. This makes it a more attractive option for men who want to avoid the systemic side effects associated with oral finasteride.

2. Fewer Sexual Side Effects: Clinical studies and anecdotal evidence suggest that topical finasteride users are less likely to experience the sexual side effects that are sometimes associated with the oral version. This is particularly important for younger men or those who are hesitant to risk these side effects.

3. Non-invasive: Like other topical treatments, finasteride can be easily incorporated into a daily hair care routine. It doesn’t require the same medical oversight as procedures like hair transplants, making it a more accessible option for many patients.

4. Customizable Formulation: Topical finasteride can be prescribed in various strengths, allowing doctors to tailor the dosage based on the patient’s needs. Some formulations combine finasteride with other active ingredients, like minoxidil, to enhance results.

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Who Should Consider Topical Finasteride?

Topical finasteride may be an ideal solution for:

• Men experiencing early signs of androgenetic alopecia who want to slow hair loss and potentially regrow hair.

• Men who have experienced side effects from oral finasteride but still want to continue treatment.

• Patients looking for a non-invasive, long-term treatment option for male pattern baldness.

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Potential Side Effects of Topical Finasteride

While topical finasteride is generally well-tolerated, some users may experience minor side effects, including:

• Scalp irritation or redness

• Dryness or flaking of the scalp

• Mild headaches

Because the systemic absorption of topical finasteride is significantly lower, the risk of sexual side effects is much lower than with oral finasteride. However, some systemic absorption still occurs, so it’s important to monitor for any adverse effects and discuss them with your doctor.

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Conclusion

Topical finasteride is a promising option for men seeking an effective treatment for androgenetic alopecia without the risk of systemic side effects. By targeting hair follicles directly, it offers the benefits of finasteride while reducing the likelihood of sexual dysfunction or other issues. For many, topical finasteride provides a balance between effectiveness and safety, making it a valuable tool in the fight against hair loss.

As always, it’s important to consult with a healthcare provider to determine if topical finasteride is the right treatment for your hair loss and to ensure proper usage.

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Saw Palmetto 

Saw palmetto is a small palm tree native to the southeastern United States, particularly Florida. The berries of the tree have been used for centuries in traditional medicine to treat a variety of health conditions, including urinary and reproductive issues. Today, saw palmetto extract is widely marketed as a supplement to support prostate health and hormonal balance, with emerging interest in its role in addressing hair loss.

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How Does Saw Palmetto Work ?

Hair loss, particularly androgenetic alopecia (male and female pattern baldness), is often driven by the hormone dihydrotestosterone (DHT). DHT is a byproduct of testosterone, and in genetically predisposed individuals, elevated DHT levels can shrink hair follicles, leading to thinner hair and eventual hair loss.

Saw palmetto is believed to help by blocking the enzyme 5-alpha-reductase, which is responsible for converting testosterone into DHT. By inhibiting this enzyme, saw palmetto may lower DHT levels and reduce its negative effects on hair follicles, similar to how pharmaceutical treatments like finasteride and dutasteride work. However, saw palmetto is often viewed as a gentler, more natural alternative to these prescription medications.

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Effectiveness of Saw Palmetto

Research into saw palmetto’s efficacy for hair loss is still in its early stages, but several studies suggest it may have benefits for promoting hair growth and preventing further hair thinning.

1. Clinical Studies: In a 2002 study published in the Journal of Alternative and Complementary Medicine, researchers found that 60% of participants who used a saw palmetto and beta-sitosterol supplement experienced improved hair growth. Another study in 2012 found that saw palmetto increased hair density in patients with mild to moderate androgenetic alopecia after 24 weeks of use.

2. Topical vs. Oral Use: Saw palmetto is available in both oral supplement and topical form (usually in shampoos or oils). Some studies suggest that oral supplements may be more effective at reducing DHT levels systemically, while topical treatments may support scalp health and reduce local inflammation, potentially helping with hair growth.

3. Comparison to Finasteride: While saw palmetto is not as potent as finasteride, it has been shown to have a mild-to-moderate effect on reducing hair loss and stimulating new growth, making it a good option for individuals looking for a natural approach with fewer side effects.

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Benefits of Saw Palmetto

• Natural Alternative: Many people turn to saw palmetto because it offers a plant-based, natural alternative to pharmaceutical DHT blockers. Those concerned about the side effects of prescription drugs like finasteride (such as reduced libido or sexual dysfunction) may prefer to try saw palmetto as a safer, gentler option.

• Fewer Side Effects: Saw palmetto is generally well-tolerated by most users, with minimal side effects. Some individuals may experience mild stomach upset or headaches, but serious side effects are rare compared to prescription treatments.

• Hormonal Balance: Saw palmetto is known to support hormonal balance, particularly in men, which may have broader benefits beyond hair health, such as supporting prostate health.

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Who Can Benefit from Saw Palmetto?

Both men and women can potentially benefit from saw palmetto for hair loss. Since female pattern hair loss is also linked to DHT sensitivity, saw palmetto may provide benefits to women experiencing thinning hair, though research in this area is less robust than in men.

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Dosage and Usage

Saw palmetto is available in various forms, including capsules, tablets, liquid extracts, and topical treatments like shampoos. The typical oral dosage ranges from 160 mg to 320 mg per day, depending on the formulation. Topical products containing saw palmetto are often used as part of a daily hair care routine, usually applied directly to the scalp.

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Are There Any Risks?

While saw palmetto is considered safe for most people, there are some considerations to keep in mind:

• Pregnancy and Breastfeeding: Women who are pregnant or breastfeeding should avoid saw palmetto, as it may affect hormone levels and potentially interfere with pregnancy.

• Drug Interactions: Saw palmetto may interact with medications that affect hormone levels or blood clotting, so it’s important to consult with a healthcare provider before starting the supplement, especially if you’re on other medications.

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Conclusion

Saw palmetto extract is a promising natural option for those seeking to address hair loss, particularly androgenetic alopecia. By reducing DHT levels and supporting scalp health, saw palmetto may slow hair thinning and promote regrowth. While it may not be as powerful as pharmaceutical treatments, it offers a gentler, more holistic approach with fewer side effects.

If you’re looking for a natural alternative to combat hair loss, saw palmetto could be a valuable addition to your hair care routine. However, as with any treatment, it’s always best to consult with a healthcare provider to determine the most appropriate solution for your specific needs.

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