Meta-analysis of 7 RCTs
396
Variable across included RCTs
Combination produced clinically meaningful improvements over minoxidil alone: hair density MD +9.22/cm² (p=0.04), hair diameter MD +2.26 µm (p=0.005), global photographic assessment MD +0.79 (p<0.00001). Findings followed PRISMA 2020 methodology; risk of bias assessed with Cochrane Risk of Bias 2.0.