Verbatim response from Claude
Finasteride vs. Minoxidil: Where to Start
The honest answer is they work differently and many people use both, but here's a practical breakdown:
Start with Minoxidil if you:
- Want to avoid potential side effects (finasteride can affect libido/sexual function in some men)
- Are in early stages of hair loss
- Prefer a topical option with no systemic effects (topical minoxidil)
- Are a woman (finasteride isn't typically recommended for women)
Good options: Rogaine, Kirkland Signature (same formula, much cheaper), or Hims/Keeps for topical minoxidil
Start with Finasteride if you:
- Have pattern baldness (MPB) that's progressing
- Want to address the root cause (DHT) rather than just stimulate growth
- Are comfortable with a prescription medication
Good options: Generic finasteride (very affordable), or through Hims, Keeps, or Roman for convenient online prescriptions
The practical recommendation:
Many dermatologists suggest combining both for best results. If you're only choosing one, finasteride is generally more effective at stopping loss, while minoxidil is better for regrowing hair.
Talk to a dermatologist or use a service like Keeps for a proper assessment first.