Minoxidil As Treatment of Androgenetic Alopecia | The Hair Loss Show
Summary
TLDRIn this episode of the Hair Loss Show, Dr. Vickram Jash and Dr. Russell Nudson explore minoxidil, a long-standing treatment for hair loss. They discuss its origins, mechanism of action, and effectiveness in stimulating hair growth. The doctors address common misconceptions, such as the necessity of twice-daily application and the difference between 5% and higher concentrations. They emphasize the importance of patience and compliance with the treatment, noting that minoxidil is a safe and valuable component of hair loss therapy, particularly when combined with other treatments like DHT blockers.
Takeaways
- 🌟 Minoxidil is a long-standing product for treating hair loss and was originally developed as a tablet for high blood pressure, with hair growth as a side effect.
- 🔍 Dr. Vicam Jash was involved in the original research trials for minoxidil as a topical lotion in Australia in 1984.
- 💊 Minoxidil works by stimulating hair growth but does not address the underlying cause of hair loss, such as androgenic alopecia.
- 🔄 The product affects the hair cycle, particularly by extending the anagen (growth) phase, leading to a decrease in shedding rate.
- 📈 Some users may initially experience increased shedding, but this is a temporary phase indicating the start of a new growth cycle.
- ⏱️ Patience is key with minoxidil, as noticeable benefits may take 4 to 6 months to manifest.
- 👉 Minoxidil is available over-the-counter, indicating its safety and rigorous testing.
- 📊 About 40% of users can expect a noticeable improvement in hair quality, primarily in terms of hair shaft thickness.
- 🔄 The 5% concentration of minoxidil is generally effective, with higher concentrations offering minimal additional benefits.
- 👩🔬 There are different formulations of minoxidil, including liquid and foam, with the foam being less greasy and causing less scalp irritation for some users.
- 💡 Compliance with minoxidil treatment is crucial, and its effects are reversible, meaning hair loss may resume if the treatment is stopped.
Q & A
What is the primary purpose of stimulation therapy for hair loss?
-The primary purpose of stimulation therapy for hair loss is to stimulate the hair growth without addressing the underlying cause of hair loss, such as in male pattern baldness or androgenetic alopecia.
What was the original purpose of Minoxidil before it was used for hair loss treatment?
-Minoxidil was originally designed as a tablet to treat high blood pressure, and its use for hair loss was discovered due to an unexpected side effect of increased hair growth in users.
Who were the initial researchers involved in the trials for topical Minoxidil in Australia?
-Dr. Vicam Jash was one of the five doctors in Australia who were involved in the original research using Minoxidil as a lotion for balding scalps.
How does Minoxidil affect the hair growth cycle?
-Minoxidil affects the hair growth cycle by elongating the anagen phase, which results in a decrease in shedding rate and more hairs growing at any one time.
Why might some people experience an initial increase in hair shedding when they start using Minoxidil?
-The initial increase in hair shedding is due to the new hair growth pushing out the old hair as the treatment stimulates a new growth cycle, which is a temporary phase.
What is the general time frame for noticing the effects of Minoxidil on hair growth?
-The effects of Minoxidil are typically noticeable after 4 to 6 months of consistent use, with improvements in hair quality and volume.
What is the recommended frequency of applying Minoxidil according to the script?
-The script suggests that once a day is a reasonable frequency of use for Minoxidil, as it has an effect that lasts in the skin for about 21 hours.
Why might the 5% Minoxidil solution be preferred over higher concentrations like 7% or 10%?
-The 5% Minoxidil solution is preferred because it provides a noticeable improvement in hair quality, and going to higher concentrations does not significantly increase the response due to the flat dose-response curve of the medication.
What are the two forms in which Minoxidil is available for topical application?
-Minoxidil is available in two forms for topical application: a liquid solution and a foam.
What is the role of Minoxidil in the treatment of hair loss according to the doctors in the script?
-According to the doctors, Minoxidil is a safe and effective stimulator of hair growth that can be used for various types of hair loss. It is considered a valuable part of a treatment program, although it may not address the root cause of hair loss in conditions like male pattern baldness.
Outlines
💊 Introduction to Hair Loss Treatments and Minoxidil
In this introductory segment, the hosts, Dr. Vickram Jash and Dr. Russell, welcome viewers to the Hair Loss Show, where they discuss various aspects of hair loss and its treatments. They delve into the topic of stimulation therapy as an alternative to addressing the root causes of hair loss, specifically mentioning minoxidil, a long-standing treatment option. Dr. Jash highlights Dr. Nudson's involvement in the original Australian trials of minoxidil as a lotion for balding scalps. The segment also touches on minoxidil's original purpose as a high blood pressure medication and its unexpected side effect of hair growth, leading to its use as a hair loss treatment. The hosts emphasize the safety and over-the-counter availability of minoxidil, suggesting its rigorous testing and widespread acceptance.
🌱 Minoxidil's Mechanism and Temporary Shedding Concern
This paragraph explains the mechanism of minoxidil, which involves extending the anagen phase of the hair growth cycle, thereby reducing hair shedding. The hosts discuss the initial increase in shedding that some users may experience when they start using minoxidil, reassuring viewers that this is a temporary phase indicating the onset of new hair growth. They stress the importance of patience, as the full benefits of minoxidil, including improved hair quality and volume, may take up to six months to become noticeable. The segment also addresses common misconceptions about minoxidil use, such as the necessity of its application frequency and volume, and clarifies that the treatment aims to stabilize hair loss before any improvement is observed.
📊 Minoxidil's Success Rates and Patient Feedback
The hosts present the success rates of minoxidil, noting that about 40% of users see a noticeable improvement in hair quality, primarily in terms of hair shaft thickness. They explain that an additional 40% of users maintain their current hair state without further deterioration, suggesting an overall positive outcome for 80% of patients. The paragraph also addresses how to determine if minoxidil is effective, advising users to discontinue the treatment temporarily to observe any changes in hair shedding. The hosts discuss variations in minoxidil concentration, such as the 5% and 7% options, and explain that the higher concentration does not necessarily yield better results, cautioning against marketing-driven misconceptions.
🔍 Minoxidil Application and Preparation Options
This segment provides practical advice on using minoxidil, including the recommended application frequency and volume. The hosts clarify that the product should be applied directly to the scalp, not the hair, and that it is available in two forms: liquid and foam. They discuss the benefits of the foam preparation, which is often better tolerated and less likely to cause scalp irritation or flakiness. The paragraph also touches on the absorption time for minoxidil, indicating that the foam version absorbs more quickly, allowing for more flexibility in post-application activities such as washing or exercising.
💡 Long-Term Use and Combination Therapy with Minoxidil
The final paragraph discusses the long-term use of minoxidil, acknowledging that while some patients use it consistently for years, others may be less consistent due to various reasons such as forgetfulness or discouragement. The hosts stress the importance of compliance and the role of minoxidil in combination therapy with other treatments, such as DHT blockers, for more effective hair loss management. They conclude by reiterating the safety and efficacy of minoxidil as a valuable component of hair loss treatment programs and look forward to discussing additional stimulators in the next episode.
Mindmap
Keywords
💡Hair Loss
💡Stimulation Therapy
💡Minoxidil
💡Androgenic Alopecia
💡Hair Cycle
💡Over-the-Counter Medication
💡Potassium Channels
💡Shedding Rate
💡Dose Response Curve
💡Compliance
💡Topical Solution
💡Oral Minoxidil
Highlights
The Hair Loss Show discusses medical and surgical treatments for hair loss in both men and women.
Stimulation therapy is introduced as a method to stimulate hair growth without addressing the underlying cause of hair loss.
Minoxidil, a long-standing product for hair loss, was originally developed to treat high blood pressure but had hair growth as a side effect.
Dr. Vicam was one of the initial doctors involved in the Australian trials for minoxidil as a topical treatment for hair loss.
Minoxidil's mechanism of action is not fully understood but involves potassium channels and is considered a safe therapy.
Minoxidil is available over-the-counter, indicating its safety profile after rigorous testing.
Minoxidil works by elongating the anagen phase of the hair cycle, reducing shedding rates.
Some patients may initially experience increased shedding when starting minoxidil, but this is a temporary phase indicating new hair growth.
Patients should expect to use minoxidil for at least 4 to 6 months before noticing significant benefits.
The success rate of minoxidil shows 40% of users notice an improvement in hair quality, mainly by increasing hair shaft diameter.
An additional 40% of users maintain their hair condition without further deterioration when using minoxidil.
Minoxidil can be used for various types of hair loss, not just androgenetic alopecia.
The recommended dosage of minoxidil is once a day, and the amount should cover the entire area of hair loss.
Higher concentrations of minoxidil, such as 7%, do not necessarily provide better results than the standard 5%.
Minoxidil is available in two forms, liquid and foam, with the foam being better tolerated and less greasy.
The foam preparation of minoxidil absorbs quicker through the skin than the liquid, allowing for more flexible application timing.
Oral minoxidil is available by prescription for those who prefer not to use a topical solution.
Compliance with minoxidil treatment can be an issue, with many users stopping treatment due to lack of immediate results.
Minoxidil can be combined with other hair loss treatments, such as blockers, for a comprehensive treatment approach.
Transcripts
[Music]
welcome to the hair loss show Dr Russell
nudson and Dr vicam J aash discuss
issues relating to hair loss and the
medical and surgical treatment of hair
loss in both men and
women hi everyone my name is Dr vickram
jash I'm Dr Russell nson and welcome to
the hair loss show and this is episode
number seven so if you've been with us
up till now we've gone through uh the
causes of hair loss and what happens and
the difference between hair loss and
shedding and we've sort of outlined what
the uh the methodologies are of of
treatments so we talked about blockers
and now we're going to move on to the
other side of the equation which is
stimulation therapy now as we talked
about in the last episode stimulation
therapy uh is designed to do exactly
what it says it just stimulates the hair
it doesn't address the underlying issue
certainly in things like male patent
hair loss androgenic alopecia why the
hair is miniaturizing in the first place
these uh stimulators don't really
address that uh issue but what they're
doing is they are stimulating the hair
so the first thing we want to talk about
is one is a product that's uh been in
the market for for many years uh and
until uh for a long time was this you
know was the only therapy really we had
for for hair loss and that is
minoxidil so minoxidil I mean you know
lot about minox don't you cuz uh you
were certainly um one of the initial the
doctors who were involved in the trials
and with minox aren't you that's correct
vicam so in 1984 I had the privilege of
being one of the five doctors in
Australia that did the original research
in Australia using monoxil as a lotion
to apply to Bolding scalps so the
background to the story is that monoxil
was originally designed as a tablet to
treat high blood pressure and one of the
unusual side effects that It produced uh
in the method of action that that it the
utilizes was that people became Haier so
80% of people using oral minoxidil in
the dose that they were using for high
blood pressure noticed increase in hair
generally so basically on the arms the
legs the chest the face you name it that
they got hairy it was kind of like a
werewolf syndrome if you're like
but curiously they also noticed that
some of the mild patients who were
baling got some uh reversal of their
Bolding using oral minoxidil so this
stimulated the idea uh for the
pharmacology company to investigate
whether you could just stimulate the
hairs you want to stimulate so in that
scenario you put it into a topical
lotion and you only apply it where you
want the hair to work now so This
research was started in
1984 and we kind of have an idea how it
partly works but still 35 years later we
don't really exactly know how it works
it has something to do with potassium
channels but it's really Beyond uh you
know either my level of knowledge or
your level of knowledge to go any deeper
than that but it certainly does have an
effect so we did the research on both
men and women Australian had the first
women's trial in the world for using
topical monoxil for the female patent
hair loss it came on the market in
Australia 1989 as a prescription
medicine and it's safe that's the
important thing to notice this is a safe
therapy it lasted as a topical therapy
only for about 10 years be on
prescription before it became an
over-the-counter medication so the first
thing I want to tell you about the
medicine is that it's an
over-the-counter medicine you can buy it
from the chemist I think that highlights
its safety profile is so if anything's
available over the counter it's gone
through the very rigorous testing and it
is and they was a prescription for a
while but when they realized nobody was
getting harmed they knew they could
downgrade it from a prescription
medicine to an over-the-counter
medication so this is an important thing
for people to know so
minoxidil how we don't know exactly how
it works but it does two things that we
really want to focus on number one it
has an effect upon the hair cycle
remember we talked about the hair cycle
where we have the growth phase which we
call the antigen cycle so what monoxil
does is it elongates it lengthens the
antigen cycle so the way that becomes
noticeable to patients is that they
decrease their shedding rate now the
advantage of that is that if you Fe that
you have a hair loss problem or an
excessive shedding problem then being
able to slow down the shedding rate is
good because first you're less worried
that's right and number two it means
more hairs are growing on your head at
any one time than otherwise would be the
case that said I've got to tell you that
one thing that does make people nervous
is that there is a percentage of
patients when they start using monox all
then in the first month or two months
they notice an increase in shedding rate
they think my golly this is supposed to
save my hair and yet it's making it fall
out even faster well the reassuring
thing about this is number one it's a
temporary phase number two it tells you
that when hairs finish growing and they
stop being attached to the skin they sit
there till something tugs them out when
you put monoxil in the system and you
start the next grow cycle it pushes the
old hair out so the reason that people
go through this temporary increase in
shedding is because the new hair is
pushing the old hair out so that's a
good thing it not a bad thing I know but
what we're what I see and what I'm sure
you see is that people go oh you know
what I tried minoxidil topical minoxidil
and it made my hair loss worse and I was
like you know this is just this is
horrible this is not for me and then
they gave up and walked away and the
problem with that is that they've
invested in the monoxil they've tried it
for a few weeks they've had all the
downsides of it which is that initial
shedding without the benefit without the
benefit and so you know we all what we
say to all our patients if if you're
starting on an oxal listen be prepared
for that shedding and power through it
because the good stuff is coming you
know a few weeks after so that leads
into the whole concept of stimulators in
that if you remember from our discussion
on the podcast about the hair cycle when
a hair sheds out a replacement hair
doesn't come through for 3 months so
realistically when you're using
stimulation therapy you can't expect the
response to happen in weeks it's going
to happen over a period of months so for
monoxil specifically we would say to you
if it is 4 to 6 months before you're
really going to notice whether you're
getting a benefit or not the first thing
you might notice is a reduction in
shedding even if you have that little
bit of increase in shedding but for you
to notice an improvement in the quality
of your hair and therefore the volume of
your hair forget it it's not going to
happen in under four months and you'd be
very lucky if you're one of the people
to get it at four months it's more in
the second six months so you've got to
power through as you said and be patient
so people who come and say to us that
they've tried M oxal and it didn't work
there are two questions we asked them
number one is how long did you use it
for because they may not have used it
for long enough and number two I asked
them to Define failure because what they
mean is they didn't grow any extra hair
but if I say to them well but did you
get worse while you were using monoxy I
said well no and I said then my next
question is well what happened when you
stop using minox I say oh thinner so I
say the first goal of stimulation
therapy is to make sure that you're not
deteriorating that's an acceptable
result it may not be your favored result
but it's an acceptable result and this
is something we talk about all the time
isn't it with with medical therapy uh
and I know you say this I say is that
the goal of medical therapy at the
Baseline is stability if we can maintain
stability you and I are going to be
high-fiving our patients all day long
isn't it that's right because even if
the p isn't ecstatic they're not going
backwards this is like leaking bucket
therapy right you know we've got to stop
this leak coming out of the bucket so
obviously the second phase which takes
longer for people to notice is whether
they're going to get Improvement so if
you ask what are the percentage success
rate of these things there is again it's
a complicated thing so let's walk you
through it in bite-size chunks first if
you look at the trials about 40% of
people that used monoxil topically were
able to get a noticeable Improvement in
the quality of their hairs now if we
break down that 40% into what that
actually means it is mostly about
increasing the diameter of the shaft of
the hair so a weaker hair is becoming a
stronger hair and that's what's
producing the notable Improvement there
is a little bit of an increase in the
number of hairs that will grow at any
one time but the major benefit of using
monoxil is to increase the thickness of
the hair shaft so that's the first thing
that people need to understand that's
what we're trying to achieve so if we
look at it from therapy we're saying you
need to be on it because we're going to
stimulate the hairs and we're going to
try and keep them now what I said before
is that monoxil can be used for any type
of hair loss not just boldness in men or
female patent fitting uh for people that
have had uh malts which is like
synchronized shedding that maybe after
the birth of a child maybe after a fever
Maybe maybe after a change of medication
maybe after an acute stressful event um
even conditions like alip alpc areata
where the immune system switches off the
hair follicle we can stimulate the hair
follicle to see if we can get it to come
back faster so that's the benefit of of
using the the therapy so yes 40% of
people over time will notice an
improvement there's another 40% of
people who just notice that they're not
getting worse at least in the short term
you know 1 to two years so that's the
second benefit of it so maybe 80% of our
patients are going to use uh minoxidil
and somee of success with some degree of
success and then people say to me well
you know how do I find how do I know if
it's working I said well probably the
only way to be sure is to stop it and
see what happens so if you stop the
therapy and you stop stimulating the
hair with Minoxidil if you notice an
increase in shedding some four to8 weeks
later then you know that was having an
impact upon the hair cycle right so
sometimes you have to withdraw to the
therapy to be sure about the therapy now
the next thing we need to talk about is
what's written on the box it says one
mill to be used twice a day now there's
a reason why it says that it's because
that's what we did in the trial in 1984
that's what we submitted to government
in
1985 and so the therapeutic Goods
Administration said yes you can bu you
can Market it for a mill twice a day
that doesn't
address two critical factors number one
is how long does the effect last in the
skin the answer is 21 hours so
realistically it only has to be used
once a day if you want to use it twice a
day that's fine you're not going to do
any harm but realistically EAS to be
used once a day the second thing is
addressing the one mil the reason that
one mil was the number was that they
were trying to standardize how everybody
in the trial was being treated but but
again in real life situations some
people have a small area of hair loss
some people have a large area of hair
loss so if you have a small uh area of
hair loss like you would put a cream on
a rash you just cover the area and the
amount is the amount if you got a larger
area you use a larger amount so it
really doesn't matter about measuring it
to the one mill you don't have to stick
to the one M you just need to cover the
area you're trying to treat so those are
two things I want to emphasize number
one is once a day is a very reasonable
uh uh frequency of use number to treat
the entire area you want don't just
worry about the one meal answer cool so
there's a couple of other things you
know so you know sometimes we get a lot
of feedback from patients who are who
are on minoxidil who are trialing
minoxidil and so here's a few things
that we commonly go here I'm on 5%
monoidal I hear there's a 7% monoidal 7%
must be better than 5% all right now
that sounds like a logical thing until
you understand what we call a dose
response curve which means if you
increase the dose do you increase the
response the positive response so with
monoxil it works like this yes it works
up to about 5% here right at the 5% Mark
you're getting this response if you go
to 7% you might get that response if you
go to 8% you might get that response if
you go to 10% you might get that
response it's almost a flat line right
so basically the reason behind this is
marketing because people believe that
Solutions work better so don't be fooled
by that if really 7% or 6% or 8% or 9%
was better than 5% why isn't it
available at the chemist seriously why
isn't it available it is so as you can
see you know 5% is applicable across the
board yes theoretically there's an
advantage to 7% but it's absolutely
minuscule and you're not you know it's
not going to be noticeable by most
people and the same is true with the
inverse because there is a a version so
if you look at minoxidil which is rain
or regain that you might see at the at
the chemist there is a men's version of
it and there's a female version of it as
well so for men mostly they will use 5%
for women you can use 5% or 2% now the
reason that we have these two different
ones is because some women are very
fearful of getting increased facial hair
from absorption through the skin using
the 5% and the interesting fact is that
if you start on 5% you get a quicker
response than if than you start on the
2% it's not necessarily a better
response so what you can do in this
situation is if we have women who are
using 5% and they're noticing a little
bit of increased facial hair we can
downgrade them to to 2% to help that
because that's reversible by the way
that increased stimulation is reversible
which also tells you if you stop the
therapy you lose the effect so it is a
reversible effect in all cases so you
can often maintain somewhat on 2%
after you've started on on them for 5%
so that's okay so the difference between
the pink box and the blue box is that
marketing pink to the women seems to
work better than than than just marking
the blue men's version so that again is
a marketing principle not necessarily a
science principle the other thing that
we commonly see is people come and say
oh look I've started minoxidil I really
don't like it it makes my hair greasy or
I'm getting really skitchy sorry itchy
flaky scalp and that comes down to the
preparation and in fact oxal comes in
two preparations there's a liquid and
there's a foam and the liquid is the the
base preparation is propylene glycol and
that can cause uh itchiness and Flaky
scalp uh in about 30% of uh people that
use that so um I generally sort of say
to people look there are two options the
foam is sometimes a lot uh better
tolerated in a lot of people and it's
like comes in a mousse can you shake it
and you squir a bit into the into the
cap and then you can just use your
finger or or a cotton butt just to to
paint it on and the other key there is
that it is there is absolutely no point
in applying the monoxil to the hair
right the monoxil has to be on the scalp
it doesn't do anything if you soak your
hair in monoxil because the hair is not
going to the hair is effectively dead
rope and therefore is not going to
absorb and you're not going to get any
benefits so painting it onto the scalp
is important so foam I find is better
tolerated in a lot of it's less grezy
because it doesn't have the PG yeah
right it's pg3 which is the reason they
developed it was because you know not
just the Dermatological reaction the
flaking that Vic was talking about but
also women finding they were having
styling issues with it so this is why
they developed a PG free uh version of
it to do that but the chemistry is
interesting too because the foam absorbs
quicker through the skin than the lotion
so the lotion takes 60 to 90 minutes to
absorb through the skin the foam takes
10 minutes to absorb through the skin so
when people are saying well when can I
wash my hair afterwards or when kind of
get sweaty afterwards um as long as you
have applied the lotion maybe 90 minutes
before washing or sport you're going to
be okay as long as you put it on 15
minutes before uh with the foam for 15
minutes before uh sport or washing
you're going to be okay you don't really
have to keep it on for 4 6 8 hours and
wash it out the next morning it really
will absorb through a lot quicker than
that cool so in summary minox really
really it's been around for a long time
very safe really good stimulator of hair
growth it comes in um a liquid and a
foam and the 5% is applicable for most
people and most people don't react don't
react um and the other thing to not note
that you don't need to take it twice a
day once a day is perfectly fine um if
you take it you know start taking it be
aware that there is going to be an
initial shedding phase after using some
people which you may experience some
shedding absolutely and but power
through that and then uh the growth will
will come after that and um it can you
can take it as an oral form as well okay
but that's back to prescription medicine
so oral monoxil is something that's
increasingly being used because people
don't like necessarily to use a topical
solution in amongst their hair uh for
styling reasons so you can use a much
lower dose uh rather than the tablet
that was used for high blood pressure in
fact we use such a low dose that it
doesn't affect the blood pressure but
again you'd have to have that prescribed
by a doctor somebody who knows what he's
talking about like a specialist who
works with hair loss would understand
this rather than the general
practitioner they would be very
reluctant to do this so it's a very
useful medication for any type of hair
loss and it has a role in the treatment
of boldness um and most people might
start with this first but it's a
short-term therapy for Bolding in my
opinion because for most people it's not
targeting the problem which is the DHT
buildup and the f IC it doesn't have
that effect so it's slowing things down
without necessarily stopping what are
your thoughts on compliance I mean how
you've used it for a long
time uh have you seen people going oh
yeah I've been on monoidal once a day I
use it every night and I've been on it
for 20 odd years yes there are people
like that but the truth of the matter is
most people waver in waver out they stop
for different reasons they forget they
get discouraged right because they're
expecting it to be better when in fact
it's stable
and often they come to me and say yeah I
realized when I stopped that I got worse
so maybe I should start back on it again
but is there something better the answer
is there's no 100% answer for anything
in hair loss uh but it is a very useful
medicine and I rank it just behind using
in boldness I rank it behind using
blockers first uh and other types of
hair loss are rank at number one and and
this is going down another rabbit hole
but you can combine therapy can't you
the blockers and stimulators we'll talk
about that at the end because there is
there are certain conditions where it
makes sense to combine a blocker and a
stimulator but certainly I want you to
know it's safe I want you to know it
works pretty well and that it's a very
useful part of
a treatment program for virtually any
type of hair loss uh there are sometimes
you might under use it shortterm but
mostly you're going to have to use it
long term perfect okay I hope that's
been of use to you or I think that's
great I mean I think we've got covered a
lot with M oxidal so yeah I think that's
uh fantastic and we'll uh on the next
episode we'll go through some of the
other uh stimulators um uh for for hair
loss okay but we'll see you next episode
thank you see you
[Music]
then
Parcourir plus de vidéos associées
![](https://i.ytimg.com/vi/3XL6qkOu-Rg/hq720.jpg)
ESPECIALISTA revela A VERDADE sobre o MINOXIDIL
![](https://i.ytimg.com/vi/CQ8-J5bzRCE/hq720.jpg)
Hair Loss Treatments That Actually Work for Women & Men! | Dr. Shereene Idriss
![](https://i.ytimg.com/vi/i7MLUy0Yac4/hq720.jpg)
Preventing Balding: What I Did Before It Was Too Late.
![](https://i.ytimg.com/vi/wa5n5y0NJPM/hq720.jpg)
How to stop worrying about finasteride's side effects and avoid the nocebo effect
![](https://i.ytimg.com/vi/Iq51v1r6cRU/hq720.jpg)
Is Topical Dutasteride The Holy Grail? - AS GOOD As Oral Dutasteride WITHOUT The Side Effects!?
![](https://i.ytimg.com/vi/yNjv7if7mnE/hq720.jpg)
Should you switch to Dutasteride? (Androgenetic Alopecia)
5.0 / 5 (0 votes)