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The choice between them depends on your individual response, provider preference, and access considerations

This dual mechanism means patients often experience hunger breakthrough during prednisone courses, even at doses that previously controlled appetite

"Spironolactone, whether used as monotherapy or adjunct therapy, is a successful and well-tolerated treatment choice for [female pattern hair loss]." - Burns et al., Journal of the American Academy of Dermatology Lifestyle changes are equally important

These are downstream consequences, not inevitable, and they underscore the value of watching symptoms early before damage accumulates