Hairfect Combo: Dutasteride Custom Hair Loss Formulas + StrutVite

We have two delivery options available:

  • -Topical options: Dutasteride*, Minoxidil,  Tretinoin, Fluocinolone, & Biotin in a safe high- penetration delivery vehicle
    -Oral: Dutasteride* capsules with or without Biotin
    -Plus StrutVite daily hair supplement
    *FDA off-label use for hair loss

    -Strongest topical Dutasteride up to 5-in-1  Premium Rx formula
    -Customizable with gel, solution, and capsule  options
    -Prescription-grade active ingredients
    -No preservatives, no propylene glycol, no  parabens, cruelty-free, no alcohol (gel only)
    -Along with our StrutVite daily hair, skin, and nail  vitamins for a well-rounded approach to hair  health
    -Topical dose options: Dutasteride 0.1%, Minoxidil  0.0%-7.5%, Tretinoin 0.0%-0.0125%, Fluocinolone  0.01%, Biotin
    -Capsule dose options: Dutasteride 0.1mg-0.6mg  with or without Biotin up to 5000mcg

    Dutasteride Topical + Strutvite

    • 30 DAY SUPPLY
    • 30 ml
    • 60 capsules (StrutVite)

    $89 per month

    Buy Now

    TRANSPARENT PRICING

    Dutasteride Capsules + Strutvite

    • 30 DAY SUPPLY
    • 30 capsules
    • 60 capsules (StrutVite)

    $59 per month

    Buy Now

    TRANSPARENT PRICING

Ingredients

Active Ingredients:

Dutasteride Topical Formula Options: Dutasteride, Minoxidil, Tretinoin, Fluocinolone, Biotin

Dutasteride Capsules: Dutasteride with or without Biotin

Ingredients in StrutVite: Vitamin A (as beta-Carotene) 1000 IU, Vitamin C (as Ascorbic Acid) 30mg, Vitamin E (as Mixed Tocopherols) 10 IU, Thiamin (Vitamin B-1)(as Thiamin Hydrochloride) 1.5mg, Riboflavin (Vitamin B-2) 1.7mg, Niacin (as Niacin and Niacinamide) 25mg, Vitamin B-6 (as Pyridoxine Hydrochloride) 2mg, Folic Acid 400 mcg, Vitamin B12 (as Methylcobalamin) 6mcg, Biotin 5000 mcg, Pantothenic Acid (as Calcium d-Pantothenate) 50mg, Iodine (as Kelp) 50mcg, Magnesium Oxide 15mg, Zinc (as Zinc Gluconate) 15mg, Copper (as Copper Gluconate) 1mg, Boron (as Boron Gluconate) 1mg, Choline (as Choline Bitartrate) 250 mcg, Inositol 50 mcg, MSM 400 mg, Hydrolyzed Collagen 100mg, Hydrolyzed Keratin 50mg, Bamboo Extract Silica 20mg, Turmeric Extract 50mg, Ashwagandha 100mg, L-Cysteine 50mg

Safety info

Important Safety Information for Strut Men’s Dutasteride Hair Loss Topical Formula

Possible Compound Ingredients:
Dutasteride*, Minoxidil, Tretinoin, Fluocinolone, Biotin
*FDA off-label use for hair loss    

Overview of Contained Information:
-Ingredient information
-InteractionsSide effects
-How to take the medication
-How to store the medication
-Other important information you should know prior to starting the medication

Instructions:

This treatment plan may help: Reduce hair loss and increase hair growth when used regularly and as prescribed.

It may take 2-4 months to begin seeing results, and up to 6-12 months for full results. Hair growth will revert to previous state if medication is stopped.

Follow all directions on your prescription label and read all medication guides or instruction sheets.

Use the medicine exactly as directed. Using more medicine or applying it more often than prescribed will not make it work any faster, and may increase side effects.

Do not take by mouth. Topical medication is to be applied to the indicated area only and not to be ingested. Avoid getting this medication in your eyes or mouth, if this does occur, rinse with water.

Apply once daily at night to dry, clean hair, and wash hands after application. Wash any non-treatment area that this medication may have accidentally come into contact with to avoid unwanted hair growth.

Allow to dry thoroughly and wash off in the morning, or after at least 4 hours.

Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.

Avoid using other products that also contain Dutasteride, Minoxidil, or Tretinoin unless directed otherwise by your doctor.

Do not use other scalp medications while using this product unless directed otherwise by your doctor. Do not use on the scalp if the skin is infected, irritated, or has open wounds.
You may experience increased sensitivity to the sun with this medication at the application site.

Contraindications and warnings:

Dutasteride is a medication for men only, women and children should never use Dutasteride containing medications.

Dutasteride is not indicated for use in women or pediatric patients.

Women who are pregnant or potentially may be pregnant should not handle or use Dutasteride containing medications due to the risk of birth defects in a male fetus.

If a pregnant woman comes in contact with Dutasteride medications, wash the contact area with soap and water right away and a healthcare provider should be contacted.

Dutasteride normally causes a decrease in PSA levels. If your PSA levels go up while you are taking Dutasteride it may signal the presence of prostate cancer and should be evaluated by a physician.

5 Alpha-Reductase Inhibitors may increase the risk of high-grade prostate cancer.Do not take Dutasteride if you are allergic to any of the ingredients in the formulation.

Fluocinolone is a topical steroid, and including Fluocinolone as an ingredient in this formulation may not be appropriate for you if you have ever had Diabetes or Cushing's Syndrome.

Using occlusive dressings over a topical corticosteroid formulation may increase systemic absorption and may increase the risk of side effects.

Allergies:

This medication may cause allergic reactions if you are allergic to a component of the medication or medications similar to the ingredients in this product.

If you are allergic to any of the ingredients listed (Ingredients: Dutasteride, Minoxidil, Tretinoin, Fluocinolone) please stop the compound, reach out to us and contact your doctor.

If you are experiencing any of the following symptoms: hives, difficulty breathing, rapid or weak heartbeat, swelling of your face, lips, tongue, or throat, you may be having an acute allergic reaction and you need to get emergency medical help immediately.

Conditions:

We have evaluated your health history and the specific health information you provided us, however, if anything changes and you develop or discover any new conditions please contact us and your doctor to make sure this medication is still appropriate for you.

This medication may have interactions with certain disease states, tell your doctor if you have any of the following:
-breathing problems
-seizures
-chest pain
-sick sinus syndrome
-AV block
-slow heartbeats
-low blood pressure
-liver disease
-heart disease
-kidney disease
-inability to urinate urinary obstruction
-enlarged prostate
-prostate cancer
-diabetes
-Cushing's Syndrome

Pregnancy and Breastfeeding:

Minoxidil, Dutasteride, and Fluocinolone should not be used during pregnancy or breastfeeding. Tretinoin products are to be avoided during pregnancy.

Do not use or come into contact with this medication if you are pregnant, breastfeeding, or planning on becoming pregnant in the near future.

This medication is meant for men only, and should not be used by women or children.

Side Effects:
This is a topically applied medication, and very little medication should be distributed throughout the entire body. However, you may experience side effects with this medication. Side effects may reduce or go away as your body adjusts to the medication with time.

Common side effects:
-Itching
-Burning
-Redness
-Flaking
-Dryness
-Scaling
-Peeling Stinging
-Acne
-Changes in the color or texture of your hair or skin of the applied area
-Irritation at the application site
-Increased sensitivity to the sun
-Bruising or shiny skin
-Tiny red bumps or rash around the mouth
-Small white or red bumps on the skin

This is a topically applied medication, so very little of the medication will get into systemic circulation and systemic or severe side effects should be rare.

Uncommon side effects may include:
-low blood pressure
-dizziness when standing up
-drowsiness
-nausea
-diarrhea
-headache
-breast tenderness or enlargement
-depression
-fatigue
-unwanted growth of facial hair
-Decrease in sex drive
-Trouble getting or keeping an erection
-Decrease in the amount of semen
-Decrease in your blood Prostate Specific Antigen (PSA) levels. Dutasteride may lower your PSA levels. If your PSA levels increase during the time that you are taking Dutasteride, this  may be a sign of the presence of prostate cancer and should be evaluated, even if this increase is still within normal limits.

More serious but less common side effects include:
-severe rash or hives
-little or no urination
-severe scalp irritation
-chest painfast heart rate
-fluttering in your chest
-severe headache
-Potential increased risk of a more serious form of prostate cancer
-Decrease in sex drive that continued after stopping the medication
-Allergic reactions including rash, itching, hives and swelling of the lips, tongue, throat, and face
-Problems with ejaculation that continued after stopping medication
-Testicular pain
-Difficulty in achieving an erection that continued after stopping the medication;
-male infertility and/or poor quality of semen
-In rare cases, male breast cancer

Stop the medication and seek medical treatment right away if any of these occur.

Avoid other products known to cause skin irritation on the area of treatment such as:
medicated or abrasive soaps, chemical hair colorants, removers, or waxes, electrolysis, products with alcohol or astringents, and cosmetics with an irritating or strong drying effect.

Medicines and Supplements:

We have evaluated your health history and the specific health information you provided us, however, if anything changes and you start or discover that you are taking any additional medicines or supplements please contact us and your doctor to make sure this medication is still appropriate for you.

Some medications can have interactions and we will help you evaluate that risk and decide on an appropriate treatment plan.

Dutasteride is contained in this medication, and Dutasteride and other drugs in the same class are also found in oral medications Avodart, Proscar, and Propecia. If you are already taking these medications it may not be appropriate for you to take this medication. Tell your doctor if you are already taking Dutasteride or Finasteride by mouth in tablet or capsule form.

Fluocinolone may be contained in this formulation and Fluocinolone is a topical corticosteroid. Combining this medication with other corticosteroids may be dangerous and increase the risk of side effects. Tell your doctor about all other corticosteroid medications you are using.

Tell your doctor if you are taking:
-
amifostine
-anthralin
-rituximab
-topical corticosteroids (e.g., betamethasone, hydrocortisone)
-aminolevulinic acid
-aminolevulinic acid topical
-benzoyl peroxide topical
-isotretinoin
-methoxsalen
-methyl aminolevulinate topical
-resorcinol topical
-salicylic acid topical
-sulfur topical
-verteporfin
-Heart or blood pressuremedications
-diltiazem
-duvelisib
-fluconazole
-fluvoxamine
-fostamatinib
-ginseng
-itraconazo
-lelefamulin
-nefazodone
-nelfinavir
-saquinavir
-sirolimus
-tacrolimus
-temsirolimusterazosin
-voriconazole

Risks:

We have evaluated the specific health information provided by you to identify if this product is appropriate for you.

If you forgot to provide us with any information or incorrectly provided the information we may misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment.

If you need to update or clarify any information about your health you can call us and update your profile so that we may reevaluate if this is appropriate for you.

Treatment Failure:

This treatment is not 100% effective for every patient. It may not work for every patient or may only work partially to resolve the condition that it is meant to treat.

If the treatment is not working, or if you find that you are experiencing new or worsening symptoms, contact us as well as your doctor to identify if you should continue this treatment.

If it is an emergency, call 911 or seek immediate medical help.

We are providing this treatment for you because the potential benefits outweigh the risks in our estimation based on the medical information provided.

You should evaluate this information and any input from your in-person healthcare team, and any other relevant information to decide if this treatment plan is appropriate for you.

Share with Your Healthcare Team:

We recommend that you update all of your physicians, pharmacists, and the rest of your healthcare team to let them know about any new medicines or supplements that you are taking or any changes in your health.

You can also ask us questions anytime regarding your therapy and we are happy to help you share any information about your health with anyone in your personal healthcare team.

Additional Resources
The following links provide further information on the potential risks and benefits of this medication:
Official Dutasteride PDR
Official Minoxidil PDR
Official Tretinoin PDR
Official Fluocinolone PDR
FDA Minoxidil Prescribing Information
FDA Tretinoin Prescribing Information
FDA Dutasteride Prescribing Information
FDA Fluocinolone Prescribing Information

Important Safety Information for Dutasteride Capsules

Ingredients:
Dutasteride* with or without Biotin  
*FDA off-label use for hair loss

Contraindications and warnings:

Dutasteride is a medication for men only, women and children should never take Dutasteride.

Dutasteride is not indicated for use in women or pediatric patients.

Women who are pregnant or potentially may be pregnant should not handle whole or crushed Dutasteride capsules due to the risk of birth defects in a male fetus. If a pregnant woman comes in contact with crushed or broken Dutasteride capsules, wash the contact area with soap and water right away and a healthcare provider should be contacted.

Dutasteride normally causes a decrease in PSA levels. If your PSA levels go up while you are taking Dutasteride it may signal the presence of prostate cancer and should be evaluated by a physician.

5 Alpha-Reductase Inhibitors may increase the risk of high-grade prostate cancer.

Do not take Dutasteride capsules if you are allergic to any of the ingredients in the capsule.

Before taking this medication:

You should not use Dutasteride if you are allergic to it, or:

-
If you are a woman or a child.
-If you are a woman who is pregnant or may be pregnant. Dutasteride may harm an unborn baby.

Tell your healthcare provider about:

-
Any health conditions that you have, including liver or prostate problems.
-All other medications that you take, including over the counter medications or vitamins and supplements.
-Keep a list of all medications you take to show your healthcare provider and pharmacist.

Drug Interactions:

Avodart/Propecia/Proscar:
Do not take Dutasteride if you are also taking Avodart, Propecia, or Proscar, these medications contain the same active ingredient or an ingredient in the same class and you would be taking too much.

Dutasteride has no known serious or severe interactions with other drugs.

Moderate interactions with Dutasteride include: carbamazepine, cimetidine, clarithromycin, erythromycin, isoniazid, itraconazole, ketoconazole, nefazodone, rifabutin, rifampin, and St.John’s wort.

Side Effects:

Get emergency medical help if you have signs of an allergic reaction to Dutasteride:

Hives, difficulty breathing, swelling of your face, lips, tongue, or throat.

Potential side effects of Dutasteride capsules:
Decrease in your blood Prostate Specific Antigen (PSA) levels. Dutasteride may lower your PSA levels. If your PSA levels increase during the time that you are taking Dutasteride, this may be a sign of the presence of prostate cancer and should be evaluated, even if this increase is still within normal limits.

Dutasteride capsule side effects may include:Less common side effects not requiring immediate medical attention:

These side effects may occur during treatment with Dutasteride. These side effects may not require immediate medical attention and may reduce or go away as your body adjusts to the medication with time. Your doctor may be able to help you find ways to reduce or relieve these side effects. Always talk with your doctor about side effects that do not go away or that are bothersome to you.

-Abnormal ejaculation
-Impotence
-Decreased sexual interest
-Decreased sexual performance or desireInability to develop or keep an erection
-Discharge, swelling, soreness, or pain from the breast or breasts

Side effects requiring immediate medical attention:

The following side effects are rare, but if they occur you need to seek immediate medical attention.

-Discomfort or pain in the chest
-Dilated neck vessels
-Irregular breathing or heartrate
-Extreme fatigueSwelling of the face, fingers, feet, or lower legs
-Trouble breathing
-Unexpected weight gain
-Decrease in your blood Prostate Specific Antigen (PSA) levels. Dutasteride may lower your PSA levels. If your PSA levels increase during the time that you are taking Dutasteride, this may be a sign of the presence of prostate cancer and should be evaluated, even if this increase is still within normal limits.

The following potential side effects have an unknown incidence, but if they do occur you should seek immediate medical attention.

-Blistering, flaking, or peeling skin
-Cough
-Trouble swallowing
-Dizziness
-Rapid heart rateItching, rash, hives, or welts
-Hive-like swelling of the face, eyes, lips, tongue, throat, hands, legs, feet, or sex organs
-Puffiness or swelling of the eyelids, face, eyes, lips, tongue
-Skin redness
-Chest tightness
-Unusual weakness or tiredness

5 Alpha-Reductase Inhibitors may increase the risk of high-grade prostate cancer.

Tell your health care provider if you have any side effect that bothers you or does not go away.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Additional Resources

The following links provide further information on the potential risks and benefits of this medication:
Official Dutasteride PDR
FDA Dutasteride Prescribing Information

Disclaimer

All prescription medications require a valid and complete online consultation prior to approval and final pricing is determined. All compounded medications in the U.S. are considered off-label use. Our licensed doctors have the ability to prescribe compounds for off-label treatment, if they believe that it is an appropriate course of treatment.

The drug and medical information provided on this website, is not meant to cover all adverse effects, drug interactions, warnings, medical uses, directions and precautions. The information provided is a medical resource and the judgment of your physician and/or healthcare practitioner should not be substituted. Strut has made every effort to ensure the information on the website is accurate and current based on present medical literature. Strut does not make any guarantees regarding the drug and medical information, and does not assume responsibility regarding the content. The drug safety and drug information contained on the website may be time sensitive and should not be utilized as a medical reference beyond the date hereof. The deficiency of a warning for prescription medications and vitamins provided on this website in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. If you have questions or concerns about your medications, please do not hesitate to contact us and/or your medical practitioner, including your pharmacist. Compound prescription products have not been tested or approved by the FDA for their intended use. No claims are made as to the safety, efficacy or use of this compound. Active ingredients used are FDA approved and follow strict United States Pharmacopeia (USP) guidelines when pursuant to a valid prescription.

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Frequently Asked Questions

Frequently asked questions (FAQs)

What are Dutasteride Custom Formulas?

Strut Men’s Dutasteride Hair Loss Formula* is a pharmacist and physician-formulated mixture of pharmaceutical-grade ingredients that may help reduce hair loss and increase hair growth in some men when used regularly and as prescribed. This is a topical option for men who don’t want to take a capsule. Strut Dutasteride Compounded Capsules* combine Dutasteride with Biotin for healthy hair growth into one once-daily capsule taken by mouth. This is a good option for men who prefer an oral Dutasteride route. *Dutasteride used for hair loss is considered an FDA off-label use.

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What is StrutVite?

StrutVite is a non-prescription hair, skin, and nail supplement formulated by pharmacists. StrutVite is meant to supplement a healthy diet and lifestyle to help support hair, skin, and nail appearance, growth, and overall health. Many of our patients include StrutVite into their routine along with our prescription medications for a well-rounded approach to health.

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What is a compounded medication?

A compounded medication is a prescription that is mixed up specifically for you based on your doctor’s request for specific strengths, ingredients, and dosage forms. Compounded medications are not manufactured, but made in compounding pharmacies by U.S. licensed pharmacists and pharmacy technicians that follow a formula ‘recipe’ customized to your condition to create an individualized medication for you.

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How do I get this custom prescription formula?

Strut’s innovative medical platform allows our U.S. licensed telemedicine physicians to treat patients remotely and safely via secure chat, phone, or video. Our physicians will customize a treatment plan based on your condition. The physician will recommend a custom formulated prescription product made from a U.S. accredited pharmacy to treat your condition. You must start with an online visit, so we can collect photos and medical information about your health. Completing an online visit is quick and easy. If you qualify, our doctors will provide a diagnosis, treatment plan and prescribe a custom formula to treat your condition.

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What active ingredients are in Dutasteride Custom Hair Loss Formulas?

Strut Dutasteride Topical Formula Options: Dutasteride, Minoxidil, Tretinoin, Fluocinolone, & Biotin in a pharmaceutical-grade gel formulated for adhesion to the scalp. Your doctor will choose the ingredients and strengths that are best suited for you and your hair loss goals. Strut Compounded Dutasteride Capsules: contain Dutasteride and Biotin.

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How should I use Dutasteride Custom Hair Loss Formulas?

Strut Topical Dutasteride Formula: Use the medicine exactly as directed. Using more medicine or applying it more often than prescribed will not make it work any faster, and may increase side effects. Do not take by mouth. Avoid getting this medication in your eyes or mouth, if this does occur, rinse with water. Apply once daily at night to dry, clean scalp, and wash hands after application. Wash any non-treatment area that this medication may have accidentally come into contact with to avoid unwanted hair growth. Allow to dry thoroughly and wash off in the morning, or after at least 4 hours. You may need to take Dutasteride for 3 months or more before you start seeing the benefits. You will need to continue the medication to keep your hair growth results. Strut Compounded Dutasteride Capsules: Take your dose of Dutasteride capsules by mouth at the same time each day. You may take Dutasteride with or without food. If you miss a dose and are only off by a few hours, you may go ahead and take your missed dose. However, if you missed a dose and it has been more than a few hours skip your dose and continue on like usual the next day. Dutasteride will not work better if you take more than 1 daily, so take Dutasteride capsules exactly as prescribed and never take an extra dose. You may need to take Dutasteride for 3 months or more before you start seeing the benefits. You will need to continue the medication to keep your hair growth results.

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How should I store Dutasteride Custom Hair Loss Formulas?

If the product has arrived warm, wait 2 hours before using. Store this medication in a cool, dry environment, protected from light, at room temperature (68F-77F). Always make sure the container is tightly closed when not using the medication. Keep all medications in a safe place out of reach of pets and children.

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What are the common side effects of Dutasteride Custom Hair Loss Formulas?

Strut Dutasteride Topical Formula: This is a topically applied medication, so less of the medication should get into systemic circulation and whole-body side effects should be rare. The most common side effects may include: Itching, burning, flaking, dryness, scaling, changes in the color or texture of your hair, increased sensitivity to the sun, or irritation at the application site. Read the full safety information tab on the product page. Strut Compounded Dutasteride Capsules: Potential side effects may include: Abnormal ejaculation, Impotence, Decreased sexual interest, Decreased sexual performance or desire, Inability to develop or keep an erection, Discharge, swelling, soreness, or pain from the breast or breasts, Decrease in your blood Prostate Specific Antigen (PSA) levels.. The following side effects are rare, but if they occur you need to seek immediate medical attention: Discomfort or pain in the chest, Dilated neck vessels, Irregular breathing or heartrate, Extreme fatigue, Swelling of the face, fingers, feet, or lower legs, Trouble breathing, Unexpected weight gain The following potential side effects have an unknown incidence, but if they do occur you should seek immediate medical attention: Blistering, flaking, or peeling skin, Cough, Trouble swallowing, Dizziness, Rapid heart rate, Itching, rash, hives, or welts, Hive-like swelling of the face, eyes, lips, tongue, throat, hands, legs, feet, or sex organs, Puffiness or swelling of the eyelids, face, eyes, lips, tongue, Skin redness, Chest tightness, Unusual weakness or tiredness. 5 Alpha-Reductase Inhibitors may increase the risk of high-grade prostate cancer. Read the full safety information tab on the product page.

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How long until I may see an effect from Dutasteride Custom Hair Loss Formulas?

It may take 2-4 months to begin seeing results, and up to 6-12 months for full results. Hair growth will revert to previous state if medication is stopped.

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What is the important safety information about this product?

See the detailed safety information under the Safety Info tab for the product.

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Do I need to take a photo?

Yes, your photographs will help us to accurately diagnose the cause of your medical condition and prescribe the most effective medication regimen. It is very important that we have clear photographs. Our site is mobile-friendly and simple to upload pictures.

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How much does the online visit cost?

The online doctor’s visits are typically complementary. With Strut, you will only pay for the prescription if you qualify after your medical consultation. If after checking out, the doctor identifies that you are not a good candidate for treatment, you will not be charged. If you decide to transfer your prescription at any time to a non-preferred pharmacy of Strut Health, then you will be charged a $40 physician consultation fee to your credit card on file. Customer service can provide additional details on our pharmacy network.

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How much does the medication cost?

The cost varies, the price is listed on the product page of the website. Prices at local pharmacies or online are often higher than what we offer. We keep our prices very competitive, as well as offering free visits and shipping.

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If I'm currently using another hair loss product, will a switch cause shedding?

Dutasteride and Finasteride are both 5-alpha reductase inhibitor medications that are commonly used for hair loss in men by helping to block DHT production. Dutasteride has been found to block DHT more strongly than Finasteride, potentially because Dutasteride blocks both 5-alpha reductase type 1 & 2, while Finasteride only blocks 5-alpha reductase type 2. Both medications are effective for male pattern hair loss, but Dutasteride may lead to more hair regrowth than Finasteride.

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How does each Dutasteride Custom Hair Loss Formula work?

Strut Topical Dutasteride Formula: Strut Men’s Dutasteride Hair Loss Formula contains a combination of prescription and nonprescription ingredients that target hair loss prevention and potential hair regrowth. Dutasteride is a 5-alpha reductase inhibitor medication used off-label to reduce the amount of DHT in the scalp and help preserve your existing hair. Minoxidil is a vasodilator that may help reduce shedding, increase hair growth, and thicken hair follicles. Tretinoin is a vitamin A derivative that may help stimulate hair growth and exfoliate the scalp to help the medications penetrate deeper. Fluocinolone is a mild topical corticosteroid that can help reduce inflammation. Your doctor will choose the ingredients and strengths that are best suited for you and your hair loss goals. Strut Compounded Dutasteride Capsules: Dutasteride is a 5 Alpha-Reductase Inhibitor medication that is being used off-label for male pattern hair loss. Dutasteride works on the scalp by blocking the enzyme which converts Testosterone to Dihydrotestosterone (DHT). It has been discovered that DHT can play a role in male pattern hair loss. Once DHT is indirectly blocked by Dutasteride, you may experience a reduction in hair loss and a general maintenance of the hair you currently have. Sometimes, Dutasteride will even regrow some of the lost hair, but the main goal is reducing additional hair loss.

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Does topical Dutasteride have good scalp absorption?

Dutasteride may have reduced scalp penetration as compared to topical Finasteride formulations due to the larger molecule size of Dutasteride. To help overcome the increased molecular size of Dutasteride, we have formulated our topical Dutasteride formula with DMSO to increase solubility and drive the formula into the scalp, as well as Tretinoin which has shown promise in increasing the bioavailability of topically applied hair loss ingredients like Minoxidil. If patients are concerned about the bioavailability of a topical formulation, we would suggest that they use the formulation along with a microneedling device which can help enhance penetration. In this study, researchers looked into microneedling with topical Dutasteride + Minoxidil vs microneedling with Minoxidil alone, and found better androgenetic alopecia improvements with the Dutasteride group: https://smj.journals.ekb.eg/article_42083_24b61cbba4be9982db23c318414034c0.pdf

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If I'm currently using another hair loss product, will a switch cause shedding?

There is not usually a shedding period if you are switching from an oral Finasteride or Dutasteride to topical Finasteride or Dutasteride, or from a topical to an oral form. However, if you have been using a topical Minoxidil (the active ingredient in Rogaine) product and you are switching to a medication that does not contain Minoxidil, you may see shedding. To help avoid this shedding, you can do a slow taper of the Minoxidil product over 6-8 weeks while transitioning to the new product, or you can make sure there is Minoxidil in your new formula.

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Dr. Alan Bauman MD, ABHRS, FISHRS
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