Medical Therapy

Dutasteride

Dutasteride, although not FDA-approved for hair loss, is frequently used off-label for this purpose. It functions similarly to Finasteride by suppressing DHT production, but does so more comprehensively by blocking two different enzymes involved in DHT formation. This makes Dutasteride a potent option for patients who have not achieved the desired results with Finasteride. The increased potency also comes with a higher potential for side effects, which is why a discussion with your provider is essential before starting treatment.

Minoxidil

Minoxidil, widely known in its topical form as Rogaine, is also available as a prescription oral medication. Originally developed to treat high blood pressure, Minoxidil was found to have a side effect that turned out to be a benefit: hair growth. We offer low-dose oral Minoxidil as a convenient option for both men and women experiencing hair loss. It works by improving blood flow to hair follicles and extending the growth phase of the hair cycle, helping to reduce shedding and promote thicker, healthier strands.

Spironolactone

Spironolactone is an oral medication used primarily in women dealing with androgen-related hair thinning. It is beneficial for women with conditions such as Polycystic Ovarian Syndrome (PCOS) or hormonally driven shedding, where excess androgens contribute to hair loss around the hairline and crown. Spironolactone blocks the effects of these androgens, helping to slow or reverse thinning in affected areas. It is a safe option for many women, and it can be used on its own or in combination with other treatments to enhance results.

Topical Medications

For patients seeking a non-invasive approach to hair regrowth, topical medications offer a targeted solution with visible results. We create custom-compounded topical solutions using a blend of prescription and natural ingredients tailored specifically to your needs. We enhance personalization with tools like blood tests and the TrichoTest, a genetic analysis that helps us understand how your body responds to different therapies.

These topicals are formulated to reduce hair shedding, stimulate follicle activity, and improve scalp health while minimizing systemic absorption. They are ideal for patients who want a simple, daily application that delivers real results without oral medications.

Finasteride

Finasteride is an FDA-approved medication used to treat male-pattern hair loss by targeting the hormone dihydrotestosterone (DHT), which is known to shrink hair follicles. By reducing DHT levels, Finasteride helps preserve existing hair and encourages regrowth in areas of thinning. It can be taken in pill form once daily or applied as part of a custom-compounded topical solution.

Patients typically begin to see reduced hair shedding within three to six months of consistent use, with fuller benefits, including improved hair density and visible regrowth, more noticeable after six to twelve months. To maintain these results, long-term use is essential; discontinuing the medication can lead to a gradual recurrence of hair loss.

Finasteride is generally well tolerated, especially in topical form, though rare side effects may include reduced libido, erectile dysfunction, or breast enlargement, all of which tend to resolve after stopping the medication. It is not prescribed to women of childbearing potential due to risks during pregnancy and is typically reserved for postmenopausal women when appropriate.