The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
within the mechanical category, the stimulus that seems to work best is microneedling. The combination of microneedling and finasteride, can lead to some pretty robust and impressive hair regrowth, so much so that people that were... I would only describe them as pretty bald or bald, can regrow significant amounts of hair.
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It has also been shown to be a very effective augment for some of the hormone- based hair regrowth tools and pharmacology that we're going to talk about in a few minutes.
The combination of microneedling and finasteride is probably the most effective way to go. If you're going to do that, there's no reason why you couldn't also use ketoconazole shampoo, could also use saw palmetto.
But certainly things like microneedling, which is a mechanical stimulus for which there are pretty good data that it can improve hair growth.