Tretinoin

“And if you can tolerate a Retin-A or Retinol or something vitamin A derivative-based, because that's the strongest ingredient that has a massive amount of studies.”

“but in general if you're using it properly and at a high enough dose you will be limited by this enzymatic pathway and there are ways to upregulate it one is compounding the minoxidil with tretinoin which can upregulate the sulfo transferase enzyme and allow more of that conversion to take place”

“i would escalate to like the pharmaceutical compounded route at that point if you needed to with like the tretinoin compounded minoxidil um it's funny the microneedling like i'm interested in for skin effects and so yeah people use on their face too like oh yeah so i you know it is”