Why I Hate Topical Minoxidil (Rogaine)
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- čas přidán 10. 05. 2024
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Doctor Gary Linkov explains why he doesn't recommend topical minoxidil, also known as Rogaine, to his patients.
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0:00 - Intro
0:12 - Background
1:27 - Not anti-androgenic
4:59 - Limited efficacy
6:17 - Negative effects on the scalp
7:03 - Twice daily application
7:31 - Animal toxicity
8:40 - Takeaways
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I’ve been using Rogaine since I was 31. I’m 50 now and my hair is thicker than it was in my 20s. So there’s that.
I guess, to each his own.
Anecdotal evidence does not count 🤷
@@Sabrina066 tell that to my head
likely youre hairloss has remained slow and stable - minoxidil on its own is enough to eclipse the loss rate caused via androgens. Not the case for most people, you are one of the lucky ones!
he did say in the stats some it works for but very few
Lady here. I’ve used the combo of low dose Spironolactone qd and topical 5% minoxidil qd for approximately over a year and have seen good results. Absolutely saved my hair.
Same.
Male at Birth transgenders also are a population to see the effects of spironolactone on prevention or slowing of further balding
Me, too. Post-menopausal chick here. The hair loss was out of control for about 2 years before I finally caved and used topical minoxidil (liquid). Changed my life..lol..About 2 years later I added oral minoxidil and Finasteride, but still too scared to stop the topical since I had phenomenal results with it.
Where do you get Spironolactone?
@@RoussaElsey0515 Your dermatologist. It's actually a blood pressure medication so it's prescription only.
I've got a question, there's plenty of men in the world whose hairline barely receeds at all even in old age. Why can we not screen the genes of those individuals and compare them to genes of balding men with the goal of gene therapy at a later stage?
My dad is one of them. He’s 77 and has a full head of hair. My brother went bald at 28. I’m a lady (no hair loss). We’re now 41 and 42😊.
Easier said than done.
You have basically described an entire generation of research in one sentence.
The thing is, there are often hundreds of genes that affect a trait and each gene affects hundreds of traits... So it's easier said than done to narrow down the most important genes with the least side effects to target
We have done that.
1. Gene therapy new and expensive ,could cause side effects and is temporary
2. Balding is controlled by many genes
3.if balding is dominant then there is no gene therapy for it
If it was that easy it would have been done
A major benefit of Minox is that it doesn't mess around with your hormones (Ex. androgens). Hair loss occurs in a pattern. If you strengthen hairs on the front line of hair loss, it'll prevent (or at least slow) all hair loss. I started topical Minox when my hair loss started (early 30s) and it slowed the process down. I'm 44 with only some recession. Both my younger brothers are almost totally bald.
Thank you!!! It’s a really risky game to start messing with hormones
exactly! this guy recommends taking hormones to men like it is nothing. really weird agenda he seems to have...
@@roool91 The safety profile of oral finasteride at low dose is well established. The side-effects sound scary but they seldom occur in most people, and are temporary even if they do occur. Fin is probably one of the best solutions to combat the root of the problem, and you'll never know if it works for you if you never try.
@@roool91it's strange you kind of figured that out. So many people are really stupid. Yes it's pushed for a reason. Can you think why?
@@Anton-je9bc calling someone stupid without knowing who I am or what I believe … yeah you are one of the smart ones.
Feel free to elaborate on what you know? I maintain that hormone treatment should only ever happen if there is an absolute medical necessity. Being sad about you hair falling out just isn’t that.
Anyways, be kind ;)
Woman here and i am using topical Rogaine for ten years and i love it. My hair is like it was when i was younger. I skip a day about once a week but i do use it regularly.
I totally agree. This video is absolute BS! I've been using Minoxidil for 15 years now and so far so good! I unsubscribe...
@@MarlonDeanMusicChannel thank you! I really like the videos from this doctor and i am so surprised about this one. If i did not use Rogaine, you would see my scalp through the thin hair, like my mom had. But my mom did not have this available at the time and i am so glad that it is here now.
@@AdrienneMintI started using it. Its been a month. I also do microneedling. I also like this man videos. But this video is rubbish. I only use once in 24h.
I thought using Rogaine will improve the issue and after a certain time, you wouldn't need to use it anymore . Like the Dr said, maybe you should search for the root of the problem. The money you spent in Rogaine × 10 years , is way more expensive than a professional treatment for a hair loss or even a hair transplant .
I agree with DR . I used it for more than 6 months and didn't see any results so I stopped . I think it's a scam because you need to take it for life to work while they get rich . No thx
Lady here😊💃...
taking since a few years 1.25mg. oral minox. But WITHOUT great results!
Now I am on 5% topical Minoxidil, but only every other day.
Together with 1.25 mg every other day.
Sometimes I needle with O.5.
I have almost my beautiful hair back.👍🏻🍀
Topical minoxidil was a godsend for my gf who experienced temple recession. 5% once a day has worked wonders and its been 3 years now.
Go off queeeeeen
But it can't make a girl slim😢
Look into natural DHT blockers. Get into the science behind female hair thinning. Try to put that crap down.
✨️👍
I’m a 59 yr old man, (not a golden hamster) I had a full head of hair but noticed a year ago it was slightly thinning on top, not much but I noticed it. I started on Regaine foam( uk) once a day and the results a year later are amazing, I can use a hair dryer again but the new hairs are curly. So now I have a full head of wavy hair instead of straight hair. But hair is hair.
After breast cancer treatment and taking all the medications that come with it, I was bolding and hated it. I have been using topical 5% minoxidil twice a day and I have no complaints.
Glad someone finally said it
I've been using minoxidil (local generic) for 4 months now and my hair stopped falling out entirely. I used to lose 200-300 hairs daily and even up to 1000 with every washing for years. Now I lose about 17 hairs daily and about 100 during washing. I see new hair growing over my forehead. My harine is still a little bit receded, but if this current situation continies, I'll be happy with that because the treatment is pretty affordable. This is definitely something to consider though. Female late thirties btw.
This really surprises me. I must be a rare case. I have been on topical minoxidil for 5 years. I am a 75 year old woman and my hair has never been thicker. I use it just once a day. I have had problems with scalp irritation but take a few days off, use a dandruff shampoo, and it clears up and I can go back to using it again.
I'm 60, works great for me too, very itchy. Woman have much lower Testosterone which makes a huge difference.
were you experiencing androgenic hairloss?
That’s because women, unlike us, are not prone to DHT, which is the root cause of hair loss. Minoxidil for women works wonders. Unfortunately, for men it’s not enough.
i used it on my face for over a year twice a day and have a full beard years later still. i couldn't grow a beard at all, not even a shadow before. (as an adult)
You can try non-alcoholic Topical Minoxidil. The irritation and white flakes will go away.
The key here is to use a combination of approaches, such as minox + finasteride / dutasteride + ketokonazol. Plus regular nutrition and vitamins for hair could help to support hair growth.
Yup, this is my approach along with LLLT and microneedling.I WILL WIN.
What is LLLT ? I'm also facing hair loss.. planning to get on with it
@@lisa22150 it's important to be careful with microneedling, not to overdo it, since it may cause scarring and actually increase hair loss. Regarding LLLT cannot say anything since as far as I know the proof of its eficacy is not quite there. But I guess it won't harm anyway.
Also there is limited data on the efficacy of such treatments as Stemoxidine, Fluridil, which can be actually stacked up. However, I've been using Fluridil (market name Eucapil) for over a year and haven't noticed significant results.
I thought ketokonazol was for skin irritation and dermatitis?
@tofuguru941 it is. It's an antifungal. However, it does appear to be a mild anti-androgen
I use a topical combination of minoxidil and finasteride which works well for me.
You habe to bc minoxidil wasnt enpugh ?
This is the correct approach.
@@tsubimekdeinmansubimekdein3898 Dutasteride (works 93%) or Finasteride (works 70%) is blocking DHT hormon, so your hair won't fall out anymore. Minoxidil or Nanoxidil causes the blood vessels on your scalp to open and promotes hair growth.That are two separate things..
Which product do you use?
No side effects from topical finasterid?
I take 1mg of finasteride and topical minoxidil. Adding the minoxidil really helped me with regrowth. I was on oral finasteride for a year, but didn't see much regrowth. When i added the minoxidil, like within 2 month i was getting compliments from my hair dresser. I couldn't afford both oral finasteride and oral minoxidil.
Sounds like placebo effect brother, 2 months is not long enough for minoxidil to do ANYTHING for your hair. Even a regular hair growth cycle takes 5-6 months AT LEAST.
I am 50+ and I have 3 years of Rogaine. The results are amazing and I am definitely determined to continue using it. Minoxidil has stopped the hair to fall, to stop thinning and to regain the thickness I had on my 20's. And the hair miniaturization due DHT actions on hair's androgen sensitive receptors, well that hair is now back in business. I understand, Finasteride inhibits the 5-alpha reductase enzyme stopping the testosterone - dihydrotestosterone conversion and it sounds like the golden standard for androgenic alopecia treatment. It makes sense, you are totally right. But, Gary, Minoxidil is ok too. It works. On top of this, few month ago I start some micro-needling sessions. The front side hair follicles, the most affected ones by the DHT action...wow!
I tried topical a long time ago and I just got rashes in the back of my head. I have been to many Drs including hair club and all I got were take biotin or spend hundreds of dollars on hair club products that only worked for a few months. I’m so glad I found a Dr that listen to me and my concerns. Thanks Dr G for the oral minoxidil.
I developed a horrible rash from it and it actually caused me to lose more hair.
Women in my family start using they start losing their eyebrows and eyelashes when they hit their late 30s. After watching a Rogaine commercial it hit me, hair follicles are hair follicles so why wouldn't it work on my eyebrows and eyelashes. I asked three different pharmacists if there was anything harmful about "painting" minioxidil on my eyebrows making sure it got through to my skin and then using a fine, clean eyeliner brush to paint it onto the base of my eyelashes. All three said there wasn't anything harmful unless I got it in my eye. I started using it a couple of times a day. Within a month I could see new hair growth starting. First, I stopped losing eyebrows and eyelashes. Then the holes in my eyebrows started filling in and new eyelashes started to just poke through. Within a bout two months, my best friend noticed. In three months, my eyebrows and eyelashes all filled back in and I looked normal. I do use a clean spoolie to brush my eyebrows and the base of my eyelashes to clear any dead skin and to stimulate the area. I did notice that before a spurt growth of eyelashes, the base of my eyelashes ached a bit. Brushing them a bit vigorously relieved the ache and within a day or two the area would show new eyelashes poking through. 35 + years later, I'm still using it twice a day. I did add latisse to get my eyelashes to grow longer. Great result!!
careful with latiss as it has side effects
what i noticed: even if i apply minoxidil on my scalp, it improves eye lashes too
What about reports of heart complications related to oral min, vs no complications with topical?
There are side effects just like any other oral medication you take, the body eventually gets used to it.
Oral is more likely to go systemic, which is why the sides are stronger. Topical can still get serious heart complications (I got them), and especially if you regularly use a dermaroller. Although efficacy is lower with topical, you also get less sides, but it's messy and a pain to apply. So there are trade-offs.
@@SteveJonesOwnsDSP oral is systemic by definition no?
Serious side effects of oral minoxidl is extremely rare
@alonsomelojunior3887 the possible side effects of fin is my boners stop the possible side effects of oral min is fluid build up in and around the heart. I understand anything that works has side effects but some are much greater than others
Thank you for pointing out the danger to pets!!
I love your channel! Thank you for the educational content. I really appreciate the in depth analogies and the specific explanations for each ingredient in targeting a more well rounded approach for tackling hair loss! I was always confused at the different mechanisms for each individual medication - super helpful
I have been on spironolactone for over a year and it not only made my cystic acne go away, it also made my hair noticeably thicker !
Well in my case (very early stage of androgenic alopecia at age 18, female pattern) i do see improvement in my hair with using daily minoxidil (5%, once per day). I am also taking contraception pills, both prescribed by dermatologist, according to whom the disease is fully reversed. But what does surprise me that treating low (acceptable, but low) ferritin level improved my hair condition, especially baby hair longevity.
Now I'm almost 23 and i must admit that I'm little stressed about tying new ways of treatment, but we will probably try to go without contraception and see what would happened - my level of androgens had always been not high
Finisteride gave me pretty bad sexual side effects and no one warned me about it. It really bothers me how the risks are so glossed over. Minoxidil may not be very effective but it never gave me any side effects. If I had a choice of ineffective or I can't come, I'll take ineffective.
Dude these finasteride side effects eventualy go away, you should've insisted a little more. I started at the dose of 1mg and I had the same sides you had for around 6 months, now I use finasteride 2,5mg and it's all fine. The same happened with Oral MInoxidil, I had all the sides for 3 months and it's all gone.
No one warned you about? Bro, it's in all the literature, especially in the pamphlet you get when you get prescribed by a doctor. Either he tells you of the sides directly, or it's given to you. Now you're trying to blame others besides yourself.
I was biggest defender of finasteride and found eventually it happened to me too. I dont have prob w erec but its more like the eja aspect and not good quality. Quality of that aspect diminished by like 65%. Im willing to bet if i quit it would go away. But… i want to keep my hair so sadly its a trade off i am willing to keep. No way would i use the harsher dutasteride. Id love to switch to saw palmetto though.
@@SteveJonesOwnsDSP the medication, like all medication, had an insert written in print so small an ant couldn't read it with all kinds of technical mumbo jumbo and usually all that stuff is just to cover their ass, not actual warnings. Usually when drugs have major side effects, any time a doctor mentions the drug, they mention the side effects. For instance, I use tretinoin and every time a doctor mentions it they mention it causes sun sensitivity. I see mentions of finasteride all the time and doctors, just like the doctor in this video, make no mention of major possible side effects. Before I was prescribed it, not a single person warned me. That is a fact. If you think I should have figured it out from the wadded up sheet of paper glued to the bottle, I guess you can think that.
@@alonsomelojunior3887
Same here. 6 months seems to be the sweet spot. My body had a weird time adjusting, but now all the sides are gone. Not that they were really serious in the first place though.
You are better than that clickbait thumbnail and title
He should've titled it why you need to stop DHT in order to regrow hair with minoxidil.
How is it a clickbait? He does go on to say he isn't a fan of topical minoxidil multiple times in the video and he states his reasons
@@mdsouz4I don’t get it either. Maybe he changed the title of the video. We did watch it significantly later than they did.
I recently switched from topical Minoxidil to oral. After a month I haven't noticed any changes on my scalp but I've been growing excess hair everywhere else which is awful. I'll be switching back to topical!
I'd love to have more body hair. Maybe I'll switch to oral. That's a good side effect to me.
Dear you need to be consistent in typical manoxdil. Oral treatment has side effects that you can grow hairs on other parts of your body. Where you don’t need it.
Have you noticed any difference with your heart rate ?
@@Chris-nr3md dear I am using topicals manoxdil. I am feeling shedding at the moment. I am feeling positive. No heart rate difference. It’s normal. But if you taking tablets oral manoxdil you may feel side effects.
@@Chris-nr3md Not at all luckily.
I have had a hair transplant and am now at 11 months since i had this transplant. I use Dutasteride capsule form 3 times a week for hair loss. I drip minoxidil liquid every night before I go to sleep on my skull. And I use Revita shampoo and conditioner against hair loss... Turns out to be a great combination for me... No more hair loss and my head has grown nicely with new hair...
Minoxidil can be used once per day just fine, the twice per day thing is an outdated recommendation. Oral minoxidil is a medication that doesn't even work too well for what it was created and there are serious concerns about damaging the heart by taking it orally. Topical minoxidil is very unlikely to give you any systemic effects, you just can't get enough to get a meaningful amount in your blood. Doesn't seem like a good idea to me, you might as well take finasteride, since it at least goes to the root cause of male pattern baldness, instead of just stimulating it independently (but yeah, this only applies to males or females with that kind of hair loss).
I heard the same thing about oral minoxidil being discontinued for high blood pressure due to its damaging effects on the heart, so why would anyone take it for hair loss?
finasteride has too much side effects and not allowed to women before menopause
@@Sky10811 the latter is correct. The former depends on the person, and often can be mitigated through continued use or reduced frequency or dose. Wouldn't risk heart damage for that anyway.
Surely oral minoxidil and finasteride carry a much heavier health burden where topical minoxidil and saw palmetto are obviously less effective but a less damaging compromise
cant live forever
Sides for Fin are rare and tend to be mild. You can adjust the dose to 0,5mg daily to reduce sides if they occur. Nocebo is a possibility too.
Ditch saw palmetto. It doesn't do anything
Yes but they don't work so it's a moot point
Saw palmetto is worthless. I wish I just went straight to finasteride.
@@ccuwaniii6510 hard to prove anything works but I’ve still got very good hair after transplant and saw/regaine/micro/nizorol at 62 so I’ll keep going and believing
I love how you take doctor approved to a whole new level.
I am glad you mentioned oral minoxidil. Few doctors do and there is not as much information about it as finasteride. When I decided to do something about my hair loss I researched the options. I was concerned about post-finasteride syndrome. I found a study that showed that oral minoxidil was safer and more effective than finasteride so I decided to give it a try. I have only been taking it a few months but have already seen significant improvement.
Bro, there's a reason why oral minox isn't common practice (off label). Do yourself a favor and look into heart issues and oral minox.
Oral finasteride has infinitely more scientific research than oral minox and like Gary said, minox doesn't get to the root cause of hair loss. Check Kevin Mann's "Hair Cafe" channel for additional perspectives.
Yes, it is a great hair growth stimulant, you may see great results for 1-2 years, then you will start losing hair again after around 2 years, and the funny thing is. For 2 years, you used minoxdil. You would still lose hair. It was just not noticeable due to the growth covering loss. If you see great results from minoxidil, you should try finasteride or dutasteride for a minimum of 2 months and make your decision. If it is a good treatment for you, post finasteride syndrome is a complete myth. No side effects from finasteride or dutasteride will continue after stopping treatment as it will not stay in your system after discontinued use and everything in your body will return to baseline from before starting treatment. If you really want to save your hair, you have to take finasteride or dutasteride, then after that you can use other topicals to regrow your hair or help maintain it even more, like topical anti-androgens or minoxidil. If you only want to keep your hair stable for another, like 2-,3 years, then just continue minoxidil your if you want to keep your hair long term, consider what I mentioned and do some more research where you are looking at efficacy and scientific research, not some random mentally ill people saying they have permenent side effects many people have existing issues then like to try to blame anything they can for their misfortune and bring other people down with them.
You get it all wrong. Finasteride is mostly safe while oral minoxidil can literally kill you.
@@sumsar0125 Any medication can have side effects, actual heart issues are very rare. In fact, it is used for high blood pressure too.
It's also much more likely to be successful. It's meant to be taken with finasteride as usual.
Did you experience excess hair growth anywhere else in your body apart from your head after taking oral minoxidil?
Fucking love you Dr linkov. You’ve given me so much hope to keep my hair longer than nature intended!
This was super helpful thank you! My boyfriend is 25 his father is completely bald on his crown, his maternal grandfather was bald, his uncles are bald. He has been thinning/receding for a few years and was very insecure about it and went to the dermatologist probably almost 2 years ago now and she told him to use Minoxidil of course. He’s been on it since then and we’ve seen some baby hairs and he’s losing less hair but hasn’t gained anything really. 2 weeks ago he saw a different dermatologist that prescribed him finasteride and told him to continue the minoxidil so hopefully we see some results in the coming months!
Thank you for your responses.. but my hair loss was some kind of strange...
It was not really a thinning of hair.
Rather 27 little bald spots all over my head- and this very quickly.
(Even my Derm. told me - never seen this before...).
And he is a Genius-Specialist for hairloss here in Europe.
They gave me Steroide inj. for over one year.
Together with Minox. orally 1.25mg.
2.5 mg. was too strong for me.
Felt dizzy.
So I stopped the Injections and took various Vit.
and Patches from Lifewave x-39/Aeon/Glutathione... not regulary.
Now and today- I almost have my huge strong hair back. (Not the same structur- more curly).
With Minox.5% topical sine 8 months and 1.25 mg. orally every other day. And needle with 0.5 mm.
My Goal is now- to quite Minoxidil... , very, very slooowly and let's see what happens.
Sorry, for this loooong story!
Maybe - it will help someone too.🍀
I have started topical minox 2 months ago, together with once per week 1mm dermastamp. Shedding started after 2-3 weeks or so and lasted 3 or 4 weeks. Now almost no hairs are falling out during the shower. I apply once / day. Now let’s see where this is going to. Still want to wait with hormone blockers, it doesn’t feel good when im all about living healthy and optimizing testosterone
On Finasteride 1.25mg daily, Minoxidil 5% once a day and derma stamp 0.7mm once a week. Did wonders for me! my temples have grown back 100% in one year.
Can I ask, is your minoxidil topical and do you use it right after derma stamping? Thanks!
@@karenk9573 I use the topical yes. On days i use derma stamp i wait a few hours before i use the minoxidil 5%
Ive been on Minoxidil for a few years now and i must say that ive definitely seen it help with retaining my hair. However i do also use a Biotin supplement.
The doc is correct in prescribing Finasteride. It really is a game changer. I sadly had to stop using it as it gave me very bad brain fog.
I got plapitations from using Minoxidil for hair thinning after several months of use and didnt notice much of a difference anyway. I quit taking it and only stayed with finasterides. Then i went and did prp treatments and a hairline transplant and just after 5 months later now my hair looks completely different. It looks like it used to look when i was 15 yrs old and i couldnt be happier having no side effects anymore with a full set of perfect hair.
I also got palpitation from taking minoxidil however, I broke the pill in two and took half in the morning and the other half dinner
Did you transplant hair on the sides? Like above the sideburns?
@@predatoryzzx Yes and a little bit inwards where the hair was starting to get thinner and also moved the hairline a bit forward on the forehead. Since my donor area is massive with thick hair the results got even better than expected. And the prp treatments kinda restores the hair overall to a younger version of itself. Only way to keep it that way is also to keep taking finasterides and the hair will do its work. I think minoxidil does more harm than good to the body overall whether u take it topical or pill. and as long as u done prp treatments u can instantly stop taking it. The prp treatment is so potent and strong that quitting minox straight away wont give any side effects like hair shedding. Just make sure to eat a healthy diet a few weeks before the prp treatments and for a few weeks after the prp treatment to give the scalp as much nutritions as it can take. Because the blood they use for the prp treatment will contain more nutritions.
I had the same thing happen randomly after a few months I also got them
@@susiemccallister9352How many and how often did you have the PRP treatments?
At time stamp 1:55, you mentioned “it can help convert vilis hairs to thicker hairs” but it’s unclear if you are referring to topical or oral. Which are you referring to? Thanks in advance!
Both
Try using typical first. It’s less side effects. Rogain form or regain form is the best.
Thanks for letting me know.
What about grey hair?
I'm a woman with genetic hairloss (probably the andorgenic type?). I talked to my GP and a dermatologist about it. They tested my scalp and my hormones and found my hormones are normal, and it started in my 20s and just started to worsen as I got older. I heard menopause can also lead to hairloss, so that's scary when I have hairloss before menopause. I used 2% minoxidil for years and it did increase hair growth, but I do have more thinning than before. I usually use it once or twice a day until i have growth, then reduce it to once a day or a couple times per week. It's the cheapest treatment and it's hard to afford the other treatments even if they are better. Doesn't the pill for hairloss increase all body hair? I remember hearing that it isn't recommended for women. Can we put coffee on our heads? I would volunteer for the studies if I knew they existed.
Topical Minoxidil gave me scary heart issues; especially when I took a deep breath in the morning, and I only applied it once a day. I've read that the heart issues were even worse with the Oral form -- I heard stories of some folks waking up in the middle of the night with a rapidly beating heart. I also got contact dermatitis because I didn't wash my hands well enough. So whenever I applied mino to my head, I'd get allergic breakouts on my forearms. On the other hand, I am on Fin and have no ill side effects whatsoever.
are you sayijg minoxidil applied to the scalp gave you scary heart issues?
@@Omas012it did for me but I dermarolled then applied I may have left it on to long. But it does work
DR, You 're really looking good and younger than before
I have tried a lot of approaches. For many years, I took oral finasteride and topical minoxidil and had a great outcome with thick hair. It was very natural looking. A couple of years ago, I decided that I had been on oral finasteride for too many years, so I stopped taking finasteride and stayed with topical minoxidil, and gradually started losing hair but not at a heavy pace. Then I stopped both and took oral minoxidil. I started having subtle chest pains so I stopped it and the chest pains went away. I went back to topical minoxidil (but a 6% dosage) with topical finasteride and it has been okay but not as effective as the oral finasteride. So now I am going full circle back to oral finasteride and topical minoxidil. I am in the early stage so I am getting heavier hair loss (I heard this is typical). I hope I get back to my earlier great outcome. But I will see if my body chemistry has gone out of whack.
I love your content but this video left a lot to be desired. Everything. you said is correct but I think the message could have been more complete. Minoxidil, whether oral or topical is a very good adjunct therapy to 5a-R inhibitors. Dual therapy alongside a lifestyle with a focus on your overall health is the ultimate approach to curbing hair loss. There are many fantastic combined fin/min topical formulas that work brilliantly and don't use PG as a carrier while also minimizing and in some cases completely eliminating side effects. I am on my 10th year of fin/min, testing oral and topical, and at nearly 40 my hair looks like it did in my 20s. FWIW, I tried oral min for 3 months and near the end of the 3rd month I had to quit due to chest pain which resolved a week after stopping. I have tried it several times over the years and the same thing ends up happening so I stick with topical.
So Should, or could you use Oral Minoxidil in combination with Oral Finasteride? Would the combination be of any further benefit than just taking one of the medications?...Thank you...
Dr. Linkov I will be training at your alma mater residency program for ENT! Would be great to meet you someday!
I have listened to many videos and I am still a bit confused. Does the combination of topical minoxidil and micro-needling prevent the further minaturization of hair follicles and stimulate the growth in the areas affected by the hair loss?
Do you recommend the oral form of minoxidil for women as well, given the concerns about hair growth in areas that aren't typical for women? Does a lower dose help mitigate such concerns?
I know a woman who stopped using medication because she started groing hair on het ears.
I haven't had any weird hair growth on oral. I take both topical and oral. Works great for me!
Try using typical manoxdil. It has less side effects. And works directly on hairs scalp.
I’ve been using topical minoxidil for about 5-6 months and I feel like it hasn’t helped at all. Only dries my hair out and of course some irritation. I’ve been thinking of stopping it and I feel this video has helped my decision
Thank you for sharing your knowledge ❤
I got no growth from topical 5% foam minoxidil. However, oral Minoxidil has been exceptionally effective. Additionally, I take oral Finasteride 1.0 mg daily to block DHT.
What are your thoughts on combining topical minox with other ingredients? Right now, I'm on a custom foam solution (made by my pharmacy) that contains Minox, Finasteride, Ketokonazol, but also Tretinoin -- the latter is supposed to triple the absorption of the solution and allow you to apply it once a day instead of twice. I've had great success with it, but my progress has stagnated in the past year and every 4-5 months I'm hit with a shedding period. I'm essentially playing tug of war with androgenic alopecia -- any suggestions?
I use a version of minoxidil that has a lower molecular weight. Been using it for about 6 years and would never stop using it. But it’s important to know it’s never gonna stop genetic hair loss, it just slows it down. You really need to take a DHT blocker along with it for long term benefits. You need to attack the source of the problem. I use an all natural DHT blocker, which is not as strong as say, Finasteride, but the risk of side effects is virtually zero, unless you’re allergic to an ingredient. I had a noticeable difference in the effectiveness of Minoxidil, only a few weeks after starting. I can even say, it improved my skin as well. I’ve never had skin issues, but i’m 33, so i am starting to age. My skin feels tighter and firmer. Something people might not know, is DHT not only cuts off the oxygen supply to hair follicles, it also inhibits the production of Collagen and Elastin. It’s a “skincare”product i’ve been gatekeeping until now.
But Minoxidil is definitely very helpful with strengthening the hair and follicles and extending the resting phase of the hair cycle. As long as you’re consistent. And sometimes i’ll even go a few days without using it if i’m super busy and it’s all fine, my hair will shed more, but i’m not gonna lose all that work from a couple day break. But i’ve also been using it for many years. If you’re just starting out, i recommend staying consistent for a year or two.
Hey! Please, what natural DHT blocker are you using? And what is that skin product you've been gatekeeping until now?
Dutasteride and topical minoxidil work awesome. I think you should have used a different title, "I hate people who don't block DHT and want more hair. Oral Minoxidil isn't a good look for gals. The itching and greasiness are awful. I use once daily. Thanks!
I had a transplant which worked really well for a year. After the 1 year mark my transplanted hair became very thin and looked terrible, so I started using Rogaine in the foam form and it worked well. My hair is much thicker and looks good.
I wanted to switch from topical to oral Minoxidil for sometime now. this video just gave me the push
I freaking love my topical minoxidil I use it with Finastride. And boy let me tell you. Literally bald spots went away. Hair grew back where there was no hair. It’s incredible. Use the combo.
Is finastride a topical medication version too?
Thanks, doctor. Could you speak about topical Finasteride?
Do you have to transition from topical minoxidil to oral minoxidil or can you just drop the topical and immediately start the oral?
What about if minoxidil oral is not available in my country, is it better to just take finasteride oral ? or still combine finasteride oral with minoxidil topical ? Thank youu
I have to disagree with this one, Ive watched a bunch of the videos over the year and a lot of them I like, this one he mentioned PRP, and the research I have done on multiple forums clinics, is that 80 percent of people say it never did work for them and they spent thousands of dollars for sessions, I do agree that people need to take a DHT blocker with min in order to boost results .
I have heard dermatologists recommending Nizoral shampoo (ketoconazole 2%) to help with androgenic alopecia. What do you think of this?
It’s not the best treatment. Try using typical manoxdil. It works much better.
It does not work. I have been using Nizoral for the past 7 years to treat my sebderm, which occurred alongside androgenic alopecia. My hairline is still receding and I am still losing density all over. I would have regrown or maintained all that hair if it did help.
@@bestman2670 Why don't you try topical manoxdil .also for sebum you can wash your hairs with apple cyder vinegar. .
I started using 5 percent once per day last year, saw massive hair regrowth and a ton on my face ears and neck. I backed off to every other day then dropped to 2 percent every other day. I'm still seeing growth and my hair is crazy thick. I would not take it orally. I think it's hard on the liver.
Both Minoxidil and finasteride are giving me headaches, even if I tried to stay with them for weeks they don't go away. Any other recommendation? thanks
Can you do a video on what to do if you are on finasteride and minoxidil, but want to taper off minoxidil? Is this an option or will you lose minoxidil strengthened hairs?
i had telogen effluvium & topical minoxidil worked well for me, my only issue is my hair grows back wavy, i used to have straight hair..
I feel like finasteride is geared more towards men taking it. Is it safe for Women to take it? I take dutasteride 3x week, use Irestore red light helmet, topical minoxidil, and nizoral shamoo. Still having massive shedding 😪. What more can I do?
Would you recommend oral minoxidil to someone who has mitral valve prolapse? I've tried topical minoxidil for a few months and it has had no effect.
Finasteride seems to be working fine but it seems like I've hit a brick wall using it for 6 months now and am seeing no further improvements.
Hi doc,
Taking minixidl liquid 5% but I got bad contact dermatitis on my ears and neck. If it's giving me dermatitis ( red itchy) do you think it's technically increasing inflammation to my scalp, and inflammation is supposed to be bad for hair growth? Except that scalp tissue is thicker so might not have an obvious reaction to minoxidl to the scalp area compared to thin neck or ear skin)? I'm wondering to try minoxidl foam ( it does not have propylene glycol) but read some people could actually be allergic to the minoxidl itself so switching from liquid to foam would not help).
Also having big dread shed . I don't know if should stop the minixidl ? Can spirolactone cause dread shed too? Been on both for about 3 weeks now. Thank you
Hi - another female here - I do use topical rogaine, but I'm curious if the oral version is only for women - and, if so, do we also get access to the finasteride? and, what are the side effects if we do?
p.s. my husband just started taking the oral medication from you new company. We love you, Dr. Gary!!!!
Try using typical manoxdil. It has less side effects. The oral manoxdil you will start seeing hairs on other parts of the body. This is why they made typical manoxdil so that you can directly use on your hairs scalp. Where you need hairs. Be consistent in what you do.
The main issue I'd have with finasteride is that it's on the blood donation medication deferral list. Would it still be effective if taken every two out of three months?
I used to take finasteride tablets for 3 years but it gave me some unwanted long term side effects. I started using Hims recently which is topical minoxidil and finasteride combined as a serum. What do you think of this?
It seems to be working for now. It's been 2 months.
Hims say to apply the serum once a day, I usually do it as part of my morning routine and it acts as a bit of a holding agent to keep my hair still. I'm also worried about the cat. Can you advise?
how much does it cost monthly also any side effects?
That’s completely fine just stay with the topical
It says twice daily application but once is more then enough because of the half-life of the drug itself which lasts around 24 hours.
It's not.
@@Jorsten don't comment if you cant elaborate.
@@cryptexmelnikov9075 It's actually about 21 hours. So if you are using it once a day at the same time each day you're not getting the full benefit.
I am a 68 year old lady. I used to see many men with little hair on their heads. Now many men have glued on toupees. They are changed about once monthly. Most people cannot tell the artificial hair pieces. I usually can spot them. BUT good for this new form of hair science. I have used equate form of minoxidil for ladies. We use it twice a day.. it does make little baby hairs. I know this because some of it drips onto my forehead accidentally, and there are little hairs there.
I wasn't convinced to stop topical minoxidil until you said it was toxic to cats. Not risking my pet. Will stick to finasteride and LLLT only now. Not really interested in the oral form of minoxidil at this point: am a bit tired of taking pills.
Spirolactone have me terrible heart palpitations and dizziness. I have been on topical foam for like a decade now, it has slowed but not stopped the loss. Mine is once a day, never miss a day.
Spironolactone is poison. It lowers the blood pressure and disrupts the immune system. I thought I had leukemia or something similar until i stopped taking it. It took me a few months to go back to normal.
I’ve been on Minoxidil for years. In that time it’s difficult to say whether i’d look the same if I hadn’t taken it. The liquid version irritated my scalp. Foam only works for me. It was definitely not reversing my hairloss and i’m still very gradually losing it. About 5 years ago I began trying Finasteride. After a couple of years I stopped. Results were disappointing and to be honest, I could see and feel no difference. It still wasn’t reversing any hairloss, my libido was affected, quality of sperm and possibility of birth defects if you’re trying to have children are real. And after doing research I realised that Finasteride only actually works for about half of men anyway. Just back on topical Minoxidil now. Still gradually losing my hair. Probably not much point in continuing tbh. Pill form is not offered in the UK but given the research anyway, it’s unlikely to make much difference.
I’m on topical min and fin once a day and it’s working pretty well. No side effects.
I take oral minoxidil 5mg daily, but I can't stop using the topical out of habit as well. Help me Dr Linkov!
Do you have side effects from the oral
Minoxidil?
Thanks
@@user-zm3di4kn5q nothing yet, I started on 2.5mg and after a while upped the dosage once used to taking it. I think for me, below 10mg should be fine. I have mild high blood pressure to start with so I think this drug helps that in mild amounts daily.
Lady here too.
I have been on minoxidil since 2014.
Only recently I’ve started PRF + biotin with great results. I have been wanting to remove minoxidil. I am afraid to remove it completely. Shall I try to go this route anyway? The only natural substances I could take would be saw palmetto+pumpkin oil. As I know there are many risks for women taking fin/dus.
What are your thoughts on carboxy therapy for hair growth?
Woman here. Six months after I started oral minoxidil my blood test and ultrasound exam showed a fatty liver, with no other changes to medication, diet or lifestyle. I never heard evidence for it, though. Still scared. I stopped immediately and my hair quickly worsened. I'm now on topical 5% minox 2x/day and seeing little improvement, but still some. Then the gynecologist told me spironolactone can also affect fetus, if I ever get pregnant. Not taking any more systemic drugs.
*Question:* If you have generally a bit of low blood Pressure, would it not be a bad Idea to use oral Minoxidil? Cause I thought Minoxidil will lower the Blood Pressure?
So what should we use to regrow hair instead? For most people finasteride/dutasteride will just stop further hairloss
It has side effects you need to consider. The biggest side effect is ED
Spironolactone is difficult to get on as a woman as you have to be on birth control for them to prescribe it. Birth control has been linked to hair loss.
And there's a good reason women don't take oral minoxidil as it can cause hair growth in unwanted areas
Hey Doc, will feelconfident ever ship to Europe? Buying finasteride here feels like getting robbed in broad day light and you cannot buy oral minoxidil at all.
It’s widely available via online pharmacies in the UK Idk how the laws work but maybe you can get it shipped over?
Oral Minoxidil- leider nur auf Rezept, hier in Europa.
Great video. Thanks! What is the youngest age that Finaseride can be started? 18?
Hell no. 25 is the youngest I’d suggest.
I have heard having a healthy gut by consuming probiotics foods can help decline the loss of hair, also the intake of zinc and cooper along with bamboo silica vitamins can help the retention of hair, while making it thicker, it also helps to decrease the appearance of gray hair.
I have hypothyroidism, started using topical minoxidil for 6 months 1xweek and it has given very good results. I use a dermaroller 30min before the Mx too.
Gracias doc! Muy interesante. Saludos desde Chile 🇨🇱
I tried both oral and topical minoxidil and topical is better for me by far. I was kind of surprised by the results.
i have alopecia universalis and bipolar and rogaine makes my mood swings worse and sometimes causes episides... there are many studies that rogaine causes mood swings. im currently on jak inhibitors and having like 30-40 percent regrowrth
Anecdotally, I had an FUE in 2018, Finasteride is not enough - I used a brand of topical Minoxidil (made in Israel) and the results were amazing. I have it documented thru photos.
I'm concerned about topical minoxidil and my cats. Can I use only topical finasteride for new hair growth too? Or is it only to maintain existing hair?
I used finasteride for 1 year and stopped due to the side effects and continued with LLLT. It seems to be doing well since I noticed hair thinning which is why I started using hair treatment products to begin with. Do you think the 1 year use of finasteride was a good jumping off point before using LLLT?
Thank you for this comprehensive video. I've been trying to tell people minoxidil isn't the cure all pill/medication for hair loss but nobody wants to believe me since I'm not a doctor =(
Dr Gary, does your scar gel work for ice pick acne scars as well?
Okay but how would one go about aquiring oral minoxidil when you live outside of USA? For us in europe, it seems to only be possible to get the topical solution. Any recommendations?
Im using 5mg of oral minoxidil since 8 months and got the shed of my life, what is good so i pushed through and got some good results i would say. Health is fine since im monitored by my doctor. I ordered the medication online 🙃
I only use minoxidil for higher density of my facial hair and also due to research, that facial hair will stay with you after stopping use minoxidil. But for the hair on your head it will work as long, as you use Minoxidil, and after you stop it, all the gained and saved hair may fall out and you will look the same, as you were when you started using it, or usually you will be looking much worse