Mary Claire Haver

speaker

806 appearances 2 recordings 1 series first heard Sep 2026 last heard 15 Sep

Mary Claire Haver’s voice in public audio — every appearance, attributed to the second.

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recordings per month · last 12 months

Recordings per month over the last 12 months — 2 in all, peaking in Sep 2026 with 2.

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unPAUSED with Dr. Mary Claire Haver · Menopause Masterclass: Why Your Hair Is Thinning and What Works · 15 Sep 2026 podcast

So, don't worry about dropping your blood pressure or taking it at this very, very, very low dose.

This is, remember, the 1.25, you're cutting the 2.5 in half.

There was no association with tachycardia, which is rapid heart rate in a large retrospective cohort study done in 2025.

No association with pericardial effusion or any heart issues.

And all the cardiovascular data is supported across multiple studies.

So the studies consistently show that combining minoxidil

with an antiandrogen, something that blocks that DHT, that dihydrodistosterone, that's what actually binds at the hair follicle receptors, with or without procedure, outperforms any single treatment for female pattern hair loss, okay?

And we're going to get to those.

um what are the anti-androgens okay we're going to talk about them so again it works great by itself it works synergistically when you combine it with an anti-androgen if you have female pattern hair loss which most of you um who are listening to this this far this is the number one cause

All right, so let's talk about the antiandrogens.

All right, so two big groups here are finasteride and spironolactone.

Oral finasteride improves hair density in many postmenopausal women.

It's been studied in female pattern hair loss and better evidence in postmenopausal patients than in premenopausal patients.

So it seems to be a sweet spot for postmenopausal patients.

You can do oral finasteride and there is actually

some topical available as well.

Spironolactone has an anti-androgen action.

It binds to that DHT receptor.

It's really useful in women with signs who also have androgen excess.

So acne, they're having unwanted hair growth, they're having irregular cycles or polycystic ovarian syndrome.

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