My hair is thinning in my twenties. What actually works to stop it?

Hair thinning in your twenties is stressful, but there are genuinely effective options. Here's what actually has evidence behind it:

Clinically Proven Treatments

Minoxidil (Rogaine or generic)

• Topical solution applied to scalp
• FDA-approved, well-studied
• Generic versions (like Kirkland Signature from Costco) work just as well and are much cheaper
• Takes 3-6 months to see results

Finasteride (Propecia or generic)

• Prescription pill for men only
• Very effective at stopping DHT-related hair loss
• Talk to a doctor - services like Hims, Keeps, or Roman make this easy and affordable online (~$20-30/month for generic)

Helpful Additions

• Nizoral shampoo (ketoconazole) - has some evidence for reducing scalp inflammation that contributes to loss
• Nutrafol - supplements with decent research, though pricier

What to Actually Do

1. See a dermatologist first to confirm it's androgenic alopecia vs. something else (thyroid issues, nutritional deficiency, etc.)
2. Start early - these treatments preserve existing hair better than they regrow lost hair
3. Be patient and consistent

Hims or Keeps are good starting points if you want a quick, affordable consultation without an in-person visit.