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Maybe you're 100% right but I remember reading this article:

https://www.nytimes.com/2022/08/18/health/minoxidil-hair-los...

It seems to suggest that oral minoxidil can be at least moderately effective

I suspect the only reason we don't hear about this more is that the patent expired and most docs only know what is marketed to them by drug reps

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It’s because oral minoxidil requires a ramp period and some people can become symptomatic. If you browse Reddit or other forum threads about it, look for a discussion on “sides”.

There are several papers in the dermatology literature suggesting low dose oral minoxidil for hair loss. I think dermatologists or hair surgeons who do this every day will know the literature. The average pcp likely won’t unless asked.

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