20M, No Shedding on Oral Minoxidil 2.5mg After 16 Days – Should I Increase Dosage?

I had shedded very low to almost none visibly prior to my AGA-related hair loss. For context I am 20 and a diffuse thinner and on 2.5mg oral minoxidil for the past 16 days. Is this too early to tell or should I up the dosage? No visible shedding in the 16 days, does it mean that the 2.5mg won’t work on me? I am 6 feet and 180 pounds. Also, while rubbing my hand across the scalp I usually see 5-10 hairs but not more than that in the current situation. I don’t remember the number for pre-hair loss times as I had begun to lose hair at just 17.

Quick details:
-20 year old
-6 feet, 180 pounds
-Diffuse thinner, Norwood scale non-applicable. Though no hairloss on back of the scalp so not DUPA and more likely AGA esepcially given that I had early beard growth (inverse correlation with dht).
-Diffuse thinning began at late 2023.
-Current stack: Oral minoxidil 2.5mg/day, Oral dutasteride 0.5mg/day(avodart), Oral finasteride 1-2mg/day^ (will use fin for only a few months until dutasteride takes effect properly aka “dut kicking in”. ), ketoconazole 2% 2/week. No biotin etc. supplements I use, as I believe those are bullshit for AGA (maybe can thicken already existing hair but does not affect MPB much.) I canNOT unfortunately use microneedling/dermaroller as I have malassezia since very early times (dating back to early childhood) and am afraid it may get worse.

^(I divide proscar to 4-5 pieces with a sharp razor blade on a paper towel and wash the blade with soap&water for a minute and trash away the paper piece. Don’t worry about sanitization, I keep everything clean. propecia here (Turkey) is 5x more expensive than proscar and lasts only 1 month instead of 140 days or roughly 4 and a half months).
^Do NOT suggest me to use RU58841/Pyrilutamide, you only need them if no 5ARIs work for you (eg finasteride/dutasteride) and even then quite dangerous for you as for one they are topical and second as they block not only DHT but T too for they are antiandrogens and not DHT inhibitors. Also quite expensive and canNOT find any ru58841 powder here produced locally.

I have no time to lose with dumb dermatologists here who don’t even know that MPB is caused by DHT. So please don’t recommend me to check in with them, they are nothing but a waste of time in my view. Thanks for reading my post, have a great day and bye!

I have no vitamin or nutritional deficincies to speak of too per my blood tests, thanks.

Shedding isn’t always visible right at the start, especially with oral min, so it’s not a clear indicator of efficacy. Oral min works systemically and might show effects without initial shedding. Stay consistent with your treatment, and give it some months to show results. Adding topical treatments like tretinoin can help with absorption if you decide on topical min later. Since dut is in your stack, you’re tackling DHT well. Keep using keto for the scalp issues. Check out more about treatments here.

30 days in, still no shed for context. LDOM 2.5mg, obtained from a compounding pharmacy, not like eg. loniten. Up the dosage or move to topical minoxidil+tretinoin, or both, though systemic effect risk will be far higher? I am beginning to believe that I am a poor responder unfortunately to the oral minoxidil at 2.5mg. I cannot find a brand version of oral minoxidil, only option is to get it done via a pharmacy or obtain it from Germany via Turkish Pharmacists’ Association (TEB) though it is more expensive but above all requires a ton of paperwork from what I had read, and you can only source 3 months’ worth of dosage, when minoxidil needs a solid year. You could also obtain the powder and make the pills yourself, though this is not something I know much and won’t do since I don’t have A)the necessary equipment B)a degree in chemistry/pharmacy or a great deal of knowledge in chemistry/pharmacy. High school chemistry is all I know.

Pro tip: make your posts shorter. I ain’t got time to read all that.

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i am not gonna make my posts shorter and you are free to do whatever you wanna do :slight_smile: shorter posts=less info to judge. I will just up the dose to 5mg or go topical if nobody answers it. If you don’t add details than somebody will say oh just get a prescription for loniten for instance, when in Turkey it is unobtainable, you have to add that info my man. You need to add height, weight etc. as it is related to dose too. If reading is not your thing, you could always go back to 1st grade where they will gracefully teach it to you :joy:

*ps: answer to @simonenlared