Hair Loss Protocol Calculator
Picks the evidence-based finasteride dose for your demographic plus your preferred minoxidil route (topical 5%, oral LDOM, or both). Surfaces the shedding timeline, LFT schedule, and PFS stop rules up front.
§ TIMELINE
What to expect, week by week
Photo-track every 3 months under identical lighting. The shedding paradox is the #1 drop-off point for users — knowing it's coming is half the battle.
Weeks 2–8
Dread shed
Transient synchronized telogen exit. Do NOT stop — it is often a response indicator.
Weeks 8–12
Shedding slows
Exit phase tapers as new anagen cycles begin.
Weeks 16–24
Visible density improvement
Vertex hair counts typically +10 to +30 hairs/cm².
Weeks 24–52
Terminal regrowth
Vellus-to-terminal conversion continues; photo tracking shows real change.
Weeks 52–78
Peak visible effect
Maximum benefit at 12–18 months; plateau thereafter with continued use.
§ ANCILLARIES
Supplements with evidence, ranked honestly
- Iron repletion if ferritin < 70 ng/mL · evidence: strong — Low ferritin is a well-documented contributor to telogen effluvium. Test before stacking.
- Vitamin D3 if 25(OH)D < 30 ng/mL · evidence: moderate — Cross-sectional association with alopecia severity; see the Vitamin D3 calculator for dose.
- Marine collagen 10 g/day · evidence: weak — Mixed evidence; safe. Pair with vitamin C.
- Saw palmetto 320 mg/day · evidence: weak — Mild 5-AR-1 activity; not additive with finasteride. Only consider as monotherapy for cautious users.
- Biotin · evidence: none — No evidence of benefit absent deficiency; skews thyroid/troponin lab assays. Skip unless documented deficiency.
§ MONITORING
Photos, labs, and the weekly mood log
- Baseline photos (vertex, mid-scalp, hairline, temples) under consistent lighting + repeat at 3, 6, 12 months.
- Optional baseline labs: total T, SHBG, DHT, TSH, ferritin, 25-OH-D — rule out non-androgenic causes.
- Weekly mood / libido / cognitive log during weeks 1–12 (EMA/MHRA suicidal-ideation warning).
- LFT (AST, ALT): baseline, 3 mo, annually — minor finasteride signal.
- 01Gupta AK, Talukder M (2023) — Oral vs topical minoxidil for AGA, MA (PMID 34634163)
- 02Sinclair R et al. (2025) — Low-dose oral minoxidil (LDOM) Delphi consensus (PMID 39774750)
- 03Iorizzo M et al. (2026) — JAAD review: FFA + female AGA systemic therapy (PMID 39800209)
- 04Finasteride FDA label — Propecia 1 mg / Proscar 5 mg (DailyMed)
- 05EMA PRAC 2025 — Finasteride suicidal ideation warning update
§ FAQ
Dread shed, PFS, topical fin, LDOM, female safety
7 questions
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