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AFAIK it's a one time deal, at least that's the case with the topical stuff. Didn't think it's a lifelong thing
You have to use it forever to maintain any new growth achieved, otherwise it'll fall out after discontinuing it.
Research has shown micro-needling increases longevity of the new hairs if you stop taking it, and I think can even get some to become permanent, but you'll still lose a lot of gains regardless.
I believe it also becomes difficult to regain those lost hairs if you get back on it later.