Can I Make My Own Topical Finasteride?

/by William Rassman, M.D./0 /
I have finasteride 5mg pills. I crushed up the pill until it was very fine powder. I put it in an empty bottle of Minoxidil. I added 5ml of Minoxidil. Shook up the contents My intention is to shake up this mixture prior to applying and apply 1ML of this mixture a day via the Minox dropper. Thus this mixture should last 5 days Am i missing something here or is this sound?
The finasteride will not absorb into the skin and be effective the way you are using it. The real topical finasteride has a liposomal base that allows skin absorption. That is why you pay good money to a compounding pharmacist.

Photo of Zoomed in FUE Sites

/by William Rassman, M.D./0 /

Here, an area was left untouched, and the FUE was done above and below the untouched area. From looking at these photos, you can see that the FUE was distributed in the normal donor area nicely, but more FUE than this will cause significant depletion. The FUE was done above and below an area which has SMP done.


Have men had hair transplant and not been detected as such?

/by William Rassman, M.D./0 /

Just curious but has anyone had experience with telling their work colleagues or bosses that they were going to get a hair transplant to clear the air, etc.? Or have you told them after the fact at all? If so, what was their reaction like / how did people take it generally? I’m planning on getting a HT this year and honestly considering just telling my 2 main bosses straight up what I’m gonna do because I’m 100% sure they will notice it when I’m back at work; I know this because I’ll have at least 2500 grafts done in the front primarily, which WILL be noticeable even with a concealing hair style, and i know both of them are very clued in to appearances and somewhat vain themselves. One of my bosses literally even makes comments about my appearance and my hair sometimes if I have a ‘bad day’ or if something is “off” – he does it sort of in a prick-ish endearing way but he’s literally said multiple times like “what the fuck!” or “You need a haircut man!” So my point is i know 100% they will notice either way when I come back to work, and I feel that by just telling them up front, I may not only clear the air completely and remove any anxiety or awkwardness, but could maybe even gain a little respect or support. Anyway, does any one have thoughts or experience on this?

I have had men successfully hide the hair transplant, that is, if they do the strip method as the removed strip area is covered with hair and the recipient area is cleanly washed. If you have frontal hair you can come it forward and cover the recipient graft. I have had men successfully hide the hair transplant, that is, if they do the strip method as the removed strip area is covered with hair and the recipient area is cleanly washed. I also wrote a post on hiding FUE here: https://baldingblog.com/go-man-hide-hair-transplant/

My Girlfriend Is 5 Months Pregnant, Any Problems With Birth Defects With Me on Finasteride?

/by William Rassman, M.D./0 /

I understand you probably get plenty of messages so thanks for taking time to read this. My girlfriend is 5 months pregnant and Ive been on Finasteride for 7 months. I’m just wondering if I can contribute to take Finasteride whilst she is pregnant and also continue to have sex with her without the use of a condom. Will this lead to birth defects?

There are no problems with birth defects caused by you being on finasteride.

Reddit Reader Comments on a Baldingblog Post

/by William Rassman, M.D./0 /

The post he commented on is the following: https://baldingblog.com/new-report-that-finasteride-does-not-cause-sexual-side-effects/

Comment:  This survey method is so flawed that its ‘findings’ are not just unhelpful, but actually misleading. It’s really quite simple actually.

They just surveyed a bunch of guys who had been taking Propecia for hair loss and compared it to presumably random guys who were not on Propecia. If you develop side effects from Propecia, which often happens fairly early on, you are going to stop the drug quickly. 85% of the guys surveyed had taken Propecia > 12 months so you can be sure they didn’t have side effects. Even the other 15% would have likely filtered out most of the guys with side effects.

That’s why the authors erroneously conclude finasteride use resulted in no connection to sexual dysfunction. Their own data doesn’t even show that. Their data shows the finasteride group had a lower incidence of sexual dysfunction but that is only after you naturally exclude people who quit due to side effects. To say this study is controversial would be to give it way too much credit. It’s just flawed.

Only 4% of men get sexual side effects from finasteride?

/by William Rassman, M.D./0 /

Only 4% of people have sides? That sounds low. But, everyone online is talking about the side effects and how dangerous the drug is.

If you sat on a nail, you would remember it and every time you sat on a chair you would check for a nail. But sitting on a nail is very very very rare, not as rare as side effects from finasteride but those who have them are like the guy who sat on the nail, get it?

I’ve Heard of Everything Before, but Getting Your Hair Back With a Blood Pressure Type Cuff on Your Head, Mmmm? (Very Long Video)

/by William Rassman, M.D./0 /

The theory is that tight scalps cause hair loss.  There is no evidence whatsoever that this is true.  The goal of this video is to sell you a device to loosen up your scalp.  I don’t believe any of this but still will present it to you for the purposes of always presenting contrary opinions.

https://www.youtube.com/embed/sq5QYSNL_Ds?fbclid=IwAR0nXulCoyXy4Er3V6XrwwS1tTDx8rVEpU8SRgvyP_C1ApTgxLBF943_Ldc

Does Finasteride Cause Hair Loss?

/by William Rassman, M.D./0 /

Does finasteride cause hair shedding? I’m just starting on fin, I’m 22 and have long hair and I don’t know how bad any potential shedding will be? Like are we talking clumps of hair where it looks like I have bald spots or just excess hair shedding, if fin does cause hair shedding?

I have heard that finasteride can rarely cause shedding in the first couple of months, then it stops. Any shedding that lasts more than 3 months is possibly due to the genetic hair loss you are treating.

Frontal Fibrosing Alopecia – FFA (Commonly Found in Women) – (Photos)

/by William Rassman, M.D./0 /

This woman had hair loss and went to a surgeon a few years earlier who recommended surgery. Her condition is a clear diagnosis to a doctor with experience, a disease called Fibrosing Frontal Alopecia, which will cause any hair transplant to fail. Although this occurs more in women then men, it does occur in men and an astute doctor who is knowledgeable is critical before you get a hair transplant that will fail if you have this condition.

A Good Master Plan Will Not Produce This Type of Result (Photo)

/by William Rassman, M.D./0 /

This patient had a hair transplant many years before. The surgeon clearly didn’t understand the hairline or the balding potential for this poor man. He is now stuck with a terrible frontal hairline presentation and an isolated hair transplant in the front and top surrounded by his balding scalp.  He needs to have a real expert manage his problem today and it will not be inexpensive.

When hair disappears, are these hairs dead?

/by William Rassman, M.D./0 /

How does one know if a follicle has gone dormant, and can produce a new hair or is dead?

There is no way to tell other than the timing of its disappearance. Recent hair loss often has some active stem cells trying to find the ‘missing link’ to grow out a hair follicle. After years, these stem cells are thought to be inactive or possibly dead, but nobody knows for sure because we can get them to wake up so we assume the worst.  If there is anything there, a small miniaturized hair left, medications might reverse it. Some people feel that microneedling might induce the recently hair that disappeared to come back. This is a microwounding process that causes the release of many kinases that can cause hair regeneration. When adding minoxidil to the process, results are even better. I referenced a review of mixroneedling here:  https://baldingblog.com/review-of-microneedling-extensive-thorough-from-reddit/