If we were experiencing hair loss right now, here's exactly what we'd do — in order, based on stage, with honest reasoning for each step.
Step 1: Start with Natural DHT Management
Procerin: oral capsules + XT topical foam — our recommended starting point.
For early-stage loss (Norwood I–III), we'd start with Procerin OTC. Why? It combines multiple natural DHT blockers (saw palmetto, beta-sitosterol, pumpkin seed extract) in oral capsules plus a topical foam — addressing DHT from both systemic and local pathways. It has an IRB-approved clinical study (rare for supplements). Zero sexual side effect risk. 90-day guarantee to evaluate.
We'd use both the capsules and the XT foam daily, consistently, for at least 90 days before evaluating.
Step 2: Add Minoxidil If Needed
If after 3–4 months on Procerin alone we weren't seeing adequate improvement, we'd add generic minoxidil 5% (foam, applied once daily). The combination of DHT blocking + growth stimulation is stronger than either alone — the clinical data on this is clear (94.1% improvement rate for the combination).
Step 3: Escalate to Rx If Progressing
Procerin Rx — prescription topical for when OTC isn't enough.
If natural management + minoxidil weren't sufficient, we'd move to Procerin Rx — topical finasteride + minoxidil in one application. Why topical over oral finasteride? Lower systemic absorption means lower side effect risk while delivering comparable DHT reduction at the scalp. The telemedicine consult is quick and you don't need an office visit.
We'd continue taking the Procerin OTC capsules alongside the Rx topical for the multi-vector approach.
Step 4: Surgical Consultation (Norwood V+)
If loss has progressed significantly despite medical treatment, we'd consult with a reputable FUE surgeon — but only after stabilizing on DHT-blocking medication for at least 12 months. Surgery without ongoing medical management is setting yourself up for further loss around the transplanted area.
How to Get Started: Our Step-by-Step Approach
If you're unsure where to begin, here's our recommended process for evaluating and starting hair loss treatment:
- Identify your hair loss type. Confirm it's androgenetic alopecia (pattern thinning at temples/crown) rather than another condition. A dermatologist can confirm in one visit.
- Assess your Norwood stage. Early stages (I-III) have the most treatment options and the best prognosis. Advanced stages (V+) narrow the field to surgery plus maintenance.
- Start with a natural DHT blocker. For early-stage loss, begin with Procerin or a similar IRB-studied supplement. Use daily for at least 90 days before evaluating.
- Add minoxidil if needed. If DHT management alone isn't producing sufficient results after 3-4 months, add 5% minoxidil to your routine.
- Consider prescription escalation. If the natural approach plus minoxidil isn't enough after 6 months, consult a doctor about topical finasteride (like Procerin Rx).
- Commit to consistency. The biggest predictor of success isn't which product you choose — it's whether you use it every single day for months. Most failures are actually quits.
What We Wouldn't Do
- We wouldn't buy biotin supplements
- We wouldn't spend $500+ on a laser cap
- We wouldn't try essential oil protocols
- We wouldn't switch products every 3 weeks
- We wouldn't wait until Norwood V to start treatment
For product-by-product comparisons with ingredient breakdowns and pricing, malehairlossproduct.com maintains a useful reference guide.
The Most Important Opinion We Have
Start early. Everything else is secondary. The difference between starting at Norwood II vs. Norwood V isn't about which product you pick — it's about how many follicles are still alive to work with. Every month of delay narrows your options. This is the one opinion in hair loss that is universally supported by every credible source. For a broader look at men's health beyond just hair — including hormones, fitness, and grooming — Modern Male covers the full picture.