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Hi all, Long time lurker and occasional poster here. I've been contemplating the use of minoxidil (oral) in relation to a hair transplant, and I'd love to get some insights from the community. Here are some arguments for both sides: **Using Minoxidil Before Hair Transplant:** (1) **Strengthen Existing Hair**, (2) **Delay the Need for Transplant** (3) **Maximize Donor Area Usage** **Using Minoxidil After Hair Transplant:** (1) **Enhance Transplanted Hair Growth** (2) **Minimize Shock Loss** (3) **Overall Improvement** As for me personally, I'm on Fin for 6 years and I've mostly maintained. Lately my hair is starting to look thin and I've noticed an increase in shedding. This could be because of stress and that i had COVID a few weeks back and since the seasons change now I will wait a few weeks before i make judgment. I plan to get an hair transplant in the future but wasn't sure about when is the RIGHT time to add another treatment - could be minoxidil, dut or even RU. Thank you for your time and replies!

@David MamanWould love to get an update on the final results and any additional tips!

@David MamanI read somewhere Dr. Couto was only operating on patients who commit to Finasteride. I also read he recommends using vitamins. Did he recommended something for you to take? minox or oral minox? Also, can you give a little info on the man himself - how old is Dr. Couto? I have yet to see a picture of him! Does he speak English? or his staff? Thanks and good luck!

Very interesting! Great to get responses from trusted members @win200@EvoXOhio

Any updates @EvoXOhioand @win200? Thank you!

Thanks for the update! Wonder how much is due to oral vs topical in this case. Shame there is no studies on this.

Yeah I will try and edit some pictures. 4 years total on Fin. The hair loss was resumed only this year with some temple recession and some slight crown thinning. It's not bad but I can feel my hair is less thick and dense compared to where I was after two years of Fin.

Any updates? Also goes for @win200

Zoloft. I read this study and thought what do I have to lose? https://pubmed.ncbi.nlm.nih.gov/9521031/ Scalp pain and pimples went away like two or three days after restarting the drug. Still have oily hair but much less then before.

Will upload later. Want to include pre Fin, peak Fin and now. Would still love to hear opinions.

Hi all, I would like to get your opinions about some thoughts I have and I'm unsure how to proceed. Quick recap of my story: Caught my MPB early and started Fin. For the first two years my hair loss was pretty much stabilized. I started taking an SSRI and I was paranoid it was making me lose hair so after about a year I gradually started to taper down and then stopped completely for about six months. To my surprise, I began to feel an itch and my hair became very oily (same as pre fin days) also had pimples around my hairline and frontal third. Started shedding a lot of hairs - short and long. I've began searching and found out this might be reflex hyperandrogenic and was about to give up. Figured I might as well get back on my SSRI and just like that the itch and pimples disappeared but my hair was still oily, maybe less. Shedding also decreased and I stopped shedding short hairs. This all happen in the past years and my hair took a hit - temples receded and crown got a little thinner. Still better than before I started Fin but I still lose more than before and the oil is driving me nuts. So now to my dilemma - I've been wanting to get a hair transplant for like the past 5 years but now I'm afraid my hair loss is not stabilized and this might compromise my results. As I see it my options are: 1. Wait to see my final form on Fin and hold off transplant for a couple of years; 2. Get a hair transplant now and see how it will hold up; 3. Try adding Duta one or twice a week to see if my hair loss stabilize again. I would love to hear your opinions on my story and offer me some advice because I'm really confused. Thank you for reading this far!

Impressive! @De Freitas ClinicDoes Dr. Freitas recommend taking FIN + DUT together? or is it DUT once a week?

Is this true?

Sorry for the late response to this but great thread (as always). I've been looking at some of your posts and I've seen that the Dr likes to combine Fin and Dut. Any reasons for that? do the Dr recommends adding one Dut pill to Fin? or just using Dut? Thank you in advance!

Thank you for this @Melvin-Moderator. I really want to get behind the hype around topical duta but I'm quite skeptical. The only person who posted results is "mustang". It's been over 6 months since others tried it but no results. Seems fishy - from browsing different forums it seems mustang is little sketchy. Just a heads up for others, no shade whatsoever.

Didn't you just went to Dr. Ferreira? https://www.hairlosstalk.com/interact/threads/topical-dutasteride-case-assessment-thread.128798/post-1978066

I think I remember this case but his previous thread got deleted (?). If I recall he went to HDC.

@yalla8can you please update the thread? would love to see the progress! thank you!

Would love to get an update if you have time @hairlossPA

@Raphael84Impressive! I assume the beard grafts were used in the crown area? Do you know if the patient was on Fin before the procedure? Thank you for presenting this case!

Dr. Konior in Chicago would be equivalent (some will say even better). Check out his work, you'll be impressed. Good luck!

Wow! this sounds interesting! I've been contemplating ordering topical dut but since I didn't see any "real" results I didn't pull the trigger yet. Dr. Wong reply to you was indeed interesting.. Hope soon is tomorrow! 😂

Thanks for the interesting Live! Loving the series. Would love to see a Live with Dr. Mwamba about HT's and about Topicals (FIN, DUT, MIN) since he sells them and hopefully have data to support Dr. Wong claims about topical duta.

Thank you for your input and knowledge. I think I also need to pay a visit to a derm. Question though - will using Nizoral (Keto) help or reduce inflammation?

Yeah, exactly what I wrote a few comments before. It looks promising but I haven't seen any documented results besides mustang.