TheFittest wrote:Hi Drew,
I've had excellent success maintaining my hair with Dr. Lee's 5% topical spironolactone cream. The only other product I use is Dr. Lee's 2% ketoconazole shampoo (his version of Nizoral -- which is *much* easier on hair than the standard version).
Before Dr. Lee compounded his version, I made a "homebrew" 3% cream. I don't recommend doing this. Consistency batch to batch is key, and that's difficult to achieve at home.
An anecdote. For almost a year, I was inconsistent in my use of the 5% topical spironolactone cream, and my crown and temple-points suffered. After my last HT with Dr. Cole, I decided to apply the cream every day, once a day, without fail. Almost 18 months later, I've stopped loss in the crown, and have *regrown* cosmetically significant hair at my temple-points (those aesthetically essential small triangles of hair on the sides of your hair above the sideburns).
In short: use it. Esp. if you've had any significant side-effects from internal drugs.
Regarding the new minoxidil foam. I have not been a big fan of minox in the past. It has been difficult to apply and that's a serious negative when compliance is key. I have some experience with this kind of delivery system for other skin conditions, and this foam is almost certainly superior to the liquid solutions. It may be useful, esp. if you are a diffuse thinner with curly or wiry hair. I do not like minoxidil hair quality on scalps that have thin or fine hair.
I hope this reply has been helpful.
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