Last year I covered an interesting new study regarding mesotherapy with Dutasteride for treating hair loss. This treatment involves injecting Dutasteride into the scalp at regular intervals. One of the co-authors of the study was a Dr. Sergio Vañó-Galván from Spain.

A few days ago, Dr. Vañó posted a superb before and after photo (pasted below) on Twitter of a patient who took the following for 6 months: 1) Oral Dutasteride; 2) Oral Minoxidil; and 3) Dutasteride injection sessions.

On Twitter, I asked Dr. Sergio Vañó why he needs to give his patients both oral Dutasteride and Dutasteride injections? If injection delivery of Dutasteride is working, why not stop taking oral Dutasteride that has higher chances of side effects? Dr. Vañó’s response was that the combined oral + injection treatment was working best, and after 1-2 years, the patient is given the option to pick one or the other. Dr. Vañó also explained to me that the injections’ effect is a bit like microneedling.

Note that the above exceptional result does not even include the addition of antiandrogens such as Spironolactone and RU-58841 and more into the mix. If you truly do not care about side effects and want to go all out and add more hormone altering drugs, the above impressive before and after photo does not even represent the best case possible outcome!

However, I would not recommend such a comprehensive kitchen sink hair loss treatment regimen. Such a strategy is best left for male-to-female transsexuals who have limited other options.