I am Mike aged 46 years old and I have thinning in both temples and frontal hairline. I been on oral minoxidil 2.5mg for quite a while and have been on 1.25mg of oral finasteride and don’t think I am responding to oral finasteride possibly. Worked when I was on it in 2018-2019 but slowly lost effectiveness. I tried oral dutasteride at 0.5mg per week and it stopped my hair shedding but had sexual side effects that made me stop. I am gonna try microneedling with a M8S Dr. Pen and topical duatesteride.
Microneedling can help improve the absorption of topical solutions and might be beneficial combined with topical dutasteride. Topical dut could help with reducing DHT locally and minimize side effects compared to oral forms. Continuing with oral minoxidil is a good move for promoting regrowth.