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Hi. Stories here helped me to make decision, so i will post mine, hope it will help someone. Finasteride is not available in my country, so i replaced it with Saw Palmetto. Will update this post, when i spot some changes.
29.3.2025 Started using 1x daily “NOW Saw Palmetto” 320mg SP and 80mg pumpkin oil, 1x daily topical Minoxidil 5%.
Side effects from SP, pain in left testicle, retracting left testicle during orgasm, pain in the penile tip, difficulty maintaining erection, low libido, balls like in the winter. Side effects from Minox, heart palpitations after use, higher heart rate by 10 in calm state. Benefits from Minox, it solved my live long dandruf and helped with head scalp pain/tension.
Hair fall: up to 5 daily
After three days i had to stop SP, because of side effects. I got rid of sides after two weeks. (Also stopped Minox)
15.4.2025 Started to use 1x daily “NOW FOODS Pygeum & Saw Palmetto” 80mg SP, 25mg Pygeum and 750mg pumpkin oil, Minox 1x daily and 1x weekly Nizoral.
Have less sides from SP, no more penile tip pain. Balls are again like in the winter, left testicle pain is smaller, left testicle again trying to retract during orgasm, but its unconfortable, not painfull. Daily morning erections and during the day. Minox sides are gone, benefits still the same.
Hair fall: up to 5 daily
9.5.2025 SP sides, less pain in testicle, balls sometimes hang down, left testicle still trying to retract during orgasm and spontaneous erections are gone. Minox no sides, benefits are the same. Added 1x weekly Dermaroller 1mm. Nizoral 1x weekly.
Hair fall: 10-20 daily
If you’re not seeing any benefits from saw palmetto or if it’s causing side effects, consider focusing on minoxidil and dermarolling, as they can help hair growth. Nizoral is good for scalp health and can support hair loss treatment. If you’re struggling with side effects, it might be worth adjusting or pausing supplements and reassessing what works best for you. Treatments can take time, so patience and consistency are key. Check out the The Beginner’s Guide for more info.
Thanks for the advice, the side effects are slowly disappearing and I’m thinking about the recommended dose, will wait month, or two, I’m taking half now.
The least I want is to keep what I have on my head now and see in a few years if it helps or if the hair keeps falling out, it’s imposible to say right now. If it will be worse i will considere HT, i have good donor area.
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3.6.2025 1x daily “NOW FOODS Pygeum & Saw Palmetto” 80mg SP, 25mg Pygeum and 750mg pumpkin oil,1x daily Minox, 1x weekly Nizoral and 1x weekly dermaroller.
SP sides - all gone (except balls like in the winter).
Hair fall: 10-20 daily
Best result is seen on my vertex, small little hair are going out:
On the top are the benefits non visible.
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25.6.2025
2x daily after breakfast and lunch " Now Foods Prostate Health" 214mg SP, Phytosterols 567mg, Stinging Nettle Root Extract 160mg, Lycopene 6mg, Pumpkin Seed Oil 666mg and others in two capsules
1x daily after dinner “NOW FOODS Pygeum & Saw Palmetto” 80mg SP, 25mg Pygeum and 750mg pumpkin oil
1x daily Minox
1x weekly Nizoral
1x weekly dermastamp 1mm.
SP sides - some of sides returned, but helped taking capsules with food, what is recomended. I will observe myself to see if the all side effects go away and adjust the dose accordingly.
8.7.2025 - change in dose
1x daily after lunch “Now Foods Prostate Health” 107mg SP, Phytosterols 283mg, Stinging Nettle Root Extract 80mg, Lycopene 3mg, Pumpkin Seed Oil 333mg and others
1x daily after dinner “NOW FOODS Pygeum & Saw Palmetto” 80mg SP, 25mg Pygeum and 750mg pumpkin oil
1x daily Minox
1x weekly Nizoral
1x weekly dermastamp 1mm.
SP sides - I had to reduce the dose because it was making me tired. And i had more sensitive nipples, and that scared me, do not want breast because of gynecomascia, it’s better to be bald.
9.8.2025 -
1x daily after lunch “Now Foods Prostate Health” 107mg SP, Phytosterols 283mg, Stinging Nettle Root Extract 80mg, Lycopene 3mg, Pumpkin Seed Oil 333mg and others
1x daily after dinner “NOW FOODS Pygeum & Saw Palmetto” 80mg SP, 25mg Pygeum and 750mg pumpkin oil
1x daily Minox
1x weekly Nizoral
1x weekly dermastamp 1mm.
SP sides - little bit hornier overall, no other sides.
The first photo posted here is not the best for comparison.
The next photo looks better, because of the lighting and the length of the hair, but in terms of hair count, it’s actually worse, i do think, that what fell from the minox, didn’t grew back.
And the hair that has newly grown on the vertex has grown only a few millimeters in two months and they are blonde = not visible on the skin.
After four months, progress is not very visible, I am considering HT.
Thank you for your answer.
By creatine, I think you meant keratin? Creatine increases testosterone level, which can be converted to DHT.
Could you describe what Cityline is? I couldn’t find it online.
Potassium oratate, L carnetine, D-ribose and ALA are new to me, I’ll do some research.
I exercise regularly, so vitamins and minerals are common for me (including omega 3 and hydrolyzed collagen 1,2,3).
I use shampoo with medicinal cannabis and coffeine and only rinse my head with cold water and i do not was myself under hot water, because from my experience, i know, that hot water is just as good a hair killer as stress.
misprint “citrulin” .Yes i irecommend creatine+citruline, its true that from creatine hairs fall but with minoxidil hey grow out better then before cause of atp, NO and k+ pathways. You need improve metabolism (including atp, carbon and lipids). Better to do it with atp and cocarboxylase injection, or by popular sport supplements and sport. And recommend check your cholesterol, diabet, cardiology panel.
Think also about adaptogen herbs.
I did some internet research and i liked citruline and ALA.
Citrulline dilates blood vessels and can reduce inflammation, has no serious side effects, and it is beneficial in doing sports.
ALA is mainly benefitical for diabetics who do not take other drugs, recomended as anti-aging supplement and also lower inflammation. Can have heavy side effects as finasteride (not the same). And there are some post that it deplete vitamin B1 (cause hair fall), but it can be supplied.
21.9.2025 - the drugs are still the same
Hair fall: 10-20 daily
From another angle, it is possible to see that the hair on the vertex has grown a little longer.
The top of the had is still the same.
I am shedding right now, losing 10-20 hair during shower, my scalp is burning ring now.
In the first post, I wrote that Minox helped me with dandruff, I probably have psoriasis, which could also have contributed to hair loss.
I was able to find a doctor who would prescribe me finasteride, I think it is necessary before HT in case if I had any side effects. Appoitment on the end of November.
28.9.2025 - the drugs are still the same
Hair fall: 0-5 daily, shedding stopped after 5 days.
The photo below is of my temple, there are small hairs visible, they are dark, so I can hope they are not vellus hairs.
In the photo below, my forehead got heavy attack by vellus hair.
