Why I Hate Topical Minoxidil (Rogaine)
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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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If this guy knew what he was talking about, he would have more than 10 hairs on his face
Gotta love the ignorance
@drgarylinkov I was just trolling but now that I looked into you some more. I'm really sorry that you suffered a significant side effect from the covid vaccination that caused your Alopecia to accelerate. Your Bells Palsey reaction was probably scary and even with multiple Ivy league degrees, you still didn't save yourself from the vaccine
Pin of shame
@hobblingoblin2813 he continues to delete my replies of apology. I didn't know he suffered a severe side effect from the c19 sh0t. To be great, you over come the impossible. If he cannot overcome the impossible, with his multiple of Ivy League degrees, then he's just another average guy on youtube who was really good at remembering things from school.
@@trevorwaldon7115I smell a poor.
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
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.
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
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 ;)
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'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.
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 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
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
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.
Thank you for pointing out the danger to pets!!
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!
very informative video i was about to start tropical minoxidil but now i must consult a specialist, thanks for uploading such a great videos. whenever i have some doubts over any medical topic i just search for your video and found it very informative and saves a lot of money and time and get free consult from ur channel . thank you once again and love ur all video, please ignore all negative comments as they have a lack of knowledge you are doing a great work for the community. 👍
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
Highly valuable content. Thank you!
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 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.
Hi Dr. Linkov, Thanks for your videos. They are really helpful. Will topical Minoxidil work to grow hair on front bald spots for a man 36 years old?
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...
Thanks for letting me know.
What about grey hair?
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?
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
Glad someone finally said it
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!
I just recently discovered your channel and I enjoy your content. What are your thoughts on applying minoxidil to the face for help with beard growth? I have some patches that I want to fill in. I recently saw a video of someone using a dermaroller and then applying minoxidil to their face. I would think that it would at least help to thicken my beard giving the appearance of beard growth 🤔
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.
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.
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...
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.
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 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.
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.🍀
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 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
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 love how you take doctor approved to a whole new level.
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.
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.
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.
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?
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?
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?
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
DR, You 're really looking good and younger than before
Its best to try topical minoxidil by itself without finasteride or dutasteride because you get a chance to see if the minoxidil is working on its own. If you are taking both minoxidil and finasteride/dutasteride, you will not know if minoxidil works because it could be the finasteride/dutasteride working.
Doesn't oral minoxidil have a strong impact on the blood pressure? Also what other effects would reduced DHT levels cause, if one takes DHT blockers?
I might be overthinking it, but I never liked the idea of taking blood pressure and hormone affecting pills.
Gracias doc! Muy interesante. Saludos desde Chile 🇨🇱
Thanks, doctor. Could you speak about topical Finasteride?
Great Video, makes sense ❤
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
Dr. Linkov-- I am currently taking 1% finasteride once daily and applying minoxidil foam 1-2 times per day. As the finasteride is targeting the androgenic mechanism of hair loss, would minoxidil still be beneficial for me? About to start medical school and my stress levels are about to skyrocket, so I want to get ahead of any potential increased shedding
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.
What do you think of combo of topical Finesteride, Spirolactone, Minoxidil &
Retin A?
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?
What are your thoughts on carboxy therapy for hair growth?
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
Fucking love you Dr linkov. You’ve given me so much hope to keep my hair longer than nature intended!
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 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?
Dr Gary, does your scar gel work for ice pick acne scars as well?
*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?
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
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?
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
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’ve watched tons of your videos. I was wondering in what situation you’d recommend a adjusting the dosage of finasteride. ???
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
My 16 year old son has experienced some eyelash and eyebrow loss. They seem to be growing back. I’ve noticed recently some hair loss at the back of his head. Initially he was prescribed 5 mg folic acid. Since he has completed his course of folic acid I noticed the hair loss at the back of his head. Please can you help/ advise?
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.
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.
Dr. Gary, what dose of spironolactone should women be on? I was on 50, now im on 100.
Is finasteride better? What dose?
Thank you. Cancer ruined my hair.
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 !
I have not heard of this before, is it as effective as finasteride?
@@GGelix - I've never heard of, or used finasteride before, so I can't comment as to how it compares. Nonetheless, I have had great success with spironolactone, I highly recommend it! ;-)
What should people do who are sensitive to both oral and topical finasteride? What are the alternative DHT blockers that are effective?
Is it possible to be allergic to oral minoxidl? Is oral minixidl contraindicated if you're also on spironolactone ( maybe it would lower blood pressure too much?) ? Thanks
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.
I have started using Minoxidil and Finastride 10% solution along with Finastride tablet 1mg. Since last few days, my hair have become hard and coming out when combing. Am I taking overdose? What combination I should use? Please reply. I am very worried.
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.
Do you recommend mixing pumpkin seed oil with castor oil and using that as a DHT blocker, and also mixing rosemary oil with castor oil as a carrier and using that as a stimulant? Along with 5% minoxidil
Just use finasteride and minoxidil
@@litjellyfishwhat if you get side effects from finasteride?
@@coreygold8538 then stop? Or try reduce dose. Just like any other medicine. I have been using it for almost 25 years without any issues
Gary, how often do you see symptomatic hypotension in patients taking oral minoxidil?
Thanks u Doctor, gratting from Colombia
Are the other medications safe for people with fatty liver?
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 read some study about peppermint oil on mice had a comparable effect as minoxidl . Thoughts ?
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?
What about for facial hair? Is topical or oral minoxidil better for beard growth?
Ive just had a hair transplqnt im 5 weeks in. Ive had one prp injection. And taking biotin and collagen. Jus ordered combination spray of finastride & minoxidl? Will this be ok you think.
Doc, did you lose your hair again, or is this an earlier recorded, but newly released video?
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..
Hello, please tell me, my hair started to fall out a lot already for 1 month, I washed my hair with lipo base baby shampoo for half a year and all this time I treated irritable bowels, took sulfasalizin, enterol, rebagit, etc. This is the first time my hair has fallen out so much that ,what sholud i do?
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 =(
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.
I started experiencing hairloss about 6/7 years ago (Im 28), I`m using Minoxidil for at least 4 years now I believe, I still have hair, but every year I have less and less, I do not feel like Minoxodil is doing much honestly. I´m a bit scare of Finasteride but I think Its time to consider that option and a possible FUE in a future
Finasterid is dangerous
Fina still causing hair loss, Duta is better.. But your sperm kwality is getting worse when using it..
I was also a bit scared about the possible negative effects of Finasteride but i took the chance and have been on it for 10 years. It completely stopped all hair loss, whereas every other male in my family has lost or is losing their hair. It's important to remember that in the studies the rate of negative side effects was very low. It's easy to read horror stories and get freaked out, the possibility is there but its not very likely. As for myself and this is TMI, the only side effect i had was decreased semen volume for a few months which eventually returned to normal.
@@BlindWatchMakers Thank you for your feedback! I understand around 1-2% of males has this side effects, but Im still worry for the long run, because studies stop tracking the evolution after some time. but well, I`ll give it a shot. Even with an FUE the doctor recommends Finasteride as well, so there is no way around
I have been taking finasteride once a day, topical minoxidil once a day and microneedling once a week for two years. Really satisfactory results.
If I stop the minoxidil now, will I see a change? Or will the other two maintain the status quo?