Excellent thread.
Here's my analysis:
1. Stay consistent with treatments. Part of Credo's issue from the get-go was that he was off and on treatments. Once he became consistent, results came.
2. Nothing like being a minoxidil hyper-responder. The most powerful treatment for this guy has been minoxidil, as is evident in his dramatic change in hair color. He went from towhead to nearly black hair. That is because minoxidil increases pigmentation. Not only that, but there are some minoxidil hyper responders out there who don't need a 5ARI.
3. Microneedling in combination with minoxidil creates a similar effect to that of oral minoxidil, as apparent in the dramatic results.
4. As evident in his blood tests, as well as photos, dutasteride can in fact make hair worse through hyper reflex. (It's possible that finasteride can, too, albeit not to the same degree). Way too often people throw the kitchen sink at their hair loss, and too many people jump the gun on dutasteride. It should only be a last resort.
5. Not everyone responds the same to the same treatment. This of course is an individual case study and should be treated as such. Different people respond differently to different treatments. Nonetheless, there is a lot to glean from in this thread.
Again, great documentation, very helpful record.