Derek (More Plates More Dates)

It's just like a bit more of a nuisance because it's topical.

And you have to adhere to the protocol.

But like, you know, black box warning drug from like, you know, pre 2000 for blood pressure versus like the topical reiteration that is likely not to cause that.

Worst case scenario, you can elevate the efficacy profile by trying to threaten no one with it, trying the microneedling with it.

And if it doesn't work, like maybe at that point, look at the oral if you want.

But like that's kind of like the escalation risk scenario.

Is the tretinoin oral or topical?

You would get like a compounding pharmacy to formulate it with a minoxidil because you can't buy that over the counter.

That would be like you would now have gone to the pharmaceutical route at that point because you would typically what I would do if it were me is like I'd start with the minoxidil topically.

If no response, I would probably look at microneedling to ensure there's actual absorption occurring and or the enzyme activity that can be manipulated via that manual, because it's not an extra drug that I'm adding.

It's just like manual, like micro damage essentially that I do once a week.

And newest literature reveals that you might be able to get away with only doing a 0.6 millimeter depth as opposed to the old studies had everyone doing 1.5, which was like guaranteed to draw blood.

I have some of my old YouTube videos where like I have like a bloody scalp in the video because of like the depth that I would be going to to be, you know, using the devices.

So 0.6 seems to be potentially as efficacious with less of a cosmetic issue, quicker recovery, etc.,

And it's not more drugs.

It's something that like I recover from quick in my scalp seemingly.

You know, is there some potential downstream issues to hitting my scalp with that once a week?

I don't know.

But like so far, so good from a lot of the data that I've seen and like for me using it.

And then from there, I would escalate to like the pharmaceutical compounded route at that point if you needed to with like the tretinoin compounded minoxidil.