By Todd Lee M.D.

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Not too long ago I summarized a study which evaluated the benefits of combining finasteride with Minoxidil and Finasteride with Ketoconazole.  I thought “How dumb, why is there no test group that has all three?”  They all have different mechanisms after all. Then I thought “Dutasteride is far superior to finasteride for hair regrowth (30%) but it is way harsher on your erections and it has a 5 week half life. If it makes you impotent you’re going to stay that way for a while.”  When reading on topical saw palmetto I thought “It would be better to use dutasteride topically and rub it in to the scalp with the Minoxidil.  Thus using all 4 mechanisms: oral Finasteride (F), topical Dutasteride (D), Ketoconazole (K) shampoo every three days and Minoxidil (M) 2 times a day.

Turns out there was a study 4 years ago that proved this works! The 4 fold approach I came up with for hair regrowth works very well! People just thought of it 4 years before I did.   In fact, despite the Finasteride and the Dutasteride being redundant, the 4 products work better than using just the D, M, and K without the F.

I would like to point out something: if you’re on a strong androgen that is a modified DHT like Anavar, Tren, Masteron, Anadrol, or Winstrol, then there is no point in the Finasteride or the Dutasteride since these steroids are already 5 alpha reduced and a 5 Alpha Reductase Inhibitor (5ARI) is pointless for causing hair regrowth or preventing hair loss. A 5ARI will actually decrease neuro hormones used for mood and sex drive. Ideally if you’re just trying to decrease hair loss or cause hair regrowth a topical approach is the way to go.

To date, every one who has tried this method has seen hair regrowth. Its crazy.  I often give this article to people and they dont understand it. then they ask me questions and it makes sense. SO