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Dosage Questions, Fin + Minox + trans-feminine HRT


hairlines

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Hi,

I am a trans woman trying to work out what I should be taking to do best by my hair. I am currently on:

  • Spironolactone (anti-androgen)
  • Estradiol (female hormones)
  • Finasteride Oral 1.25mg daily
  • Minoxidil Oral 1mg daily

Everything seems settled and I don't have any undesired side effects. It's been a little hard to figure out what dosages are appropriate for this mix of things as there is some overlap in effects. The other complication is that oral minoxidil is difficult to get in low doses here in NZ. If I'm going to continue it I'd want to push that up to 2.5mg I think so that I can quarter a 10mg tab and use that. My GP is happy to work with me if I can show appropriate references.

I do have a transplant surgery lined up later in the year out of country. Advice was that 1mg oral minoxidil wasn't enough.

Keen to hair any other guidance, especially form other professionals in the network.

Thanks

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