I know DHT shrinks hairs on male pattern baldness but Does DHT destroy the follicle? And does alopecia areata destroy the follicle or just cause hair to fall out?

Hair that has genetic balding eventually die. It is called Apoptosis of the hair follicles and it is genetically coded to the number of hair cycles a hair may live. Alopecia areats is an autoimmune disease that also has a genetic propensity; however, if it it treated successfully with appropriate anti-inflammatory drugs, it can reverse and sometimes recur.

Someone sent me this picture while sitting on a bus. He thought is was interesting enough to send it on. I hope it brings a smile to you as it did to me.

I got this set of photos from a group of doctors who share information with each other. It shows an FUE that was performed with a large punch. I wouldn’t call it an FUE as it gives the reference to FUE a bad smell.  These grafts contain 5-7 hairs each, typical of the use of a large punch.  It is hard to imagine that this still happens today. This problem is easily repaired by most reasonably skilled surgeons who understand how FUE is done the right way.  His donor area is another issue that needs to be addressed as well, but not so simply.

6 Months treatment with minoxidil on female shows significant improvement in the visible density and fullness of the parted hairline

I’m 30 years old and at the end of my rope. I first got on fin in 2016 after noticing thinning in my crown. Around early 2019, shortly after I turned 29 and started a stressful job, fin stopped working for me. Within four months, I lost an inch off my hairline and almost half the density of my front third of my scalp. I got on 0.5 mg dutasteride every day around April 2019. Dut seemed to stop the loss until now, when I started diffuse thinning again on my front and — for the first time in years— my crown. 12 months after starting dut, I am significantly below baseline, with signs of diffuse thinning all over the top of my scalp.

Dutasteride (blocks 85% of 5 alpha reductase) is not the magic bullet for hair loss. It is just a little more effective than finasteride (blocks 70% of the 5 alpha reductase). See this post: https://baldingblog.com/realize-fin-isnt-working/ which also applies to dutasteride.

I used Minox for 9 Months now, didn’t see much of difference in my diffuse hairloss as I always cut it short. However 4 months ago, I started taking Finasteride 1mg, microneedling 1.5mm every week or 2 weeks. I saw huge improvement in my hair in the last 4 months (Pictures of improvement after 4 months Microneedling+ finasteride are attached to the mail). I used a german brand Finasteride called “Finaristo”. Now since a month I switched to another generic Finasteride 1mg from “Relonchem” shipped from a registered NHS UK pharmacy, because it’s much cheaper than here in Germany. I am now shedding like crazy and this is the first time I notice a shedding in my whole treatment regimen. would you recommend me rebuying the expensive generic german brand so I don’t lose my results? or is it a normal shed at 4th month of finasteride that should go away? And if goes away, how long until it does?

Maybe the new medication is not what you are thinking you are buying and if it is a counterfeit, then that would explain the shed

There is too much crusting present making it easy to lose grafts.  I make it a point to get all of the crusts off on the day of the surgery as well as the day after the surgery to avoid this problem. Our article shows when grafts can be lost safely: https://newhair.com/wp-content/uploads/2018/11/mp-2006-graft-anchoring.pdf. Here is a video that shows how to wash your hair:  https://baldingblog.com/what-is-the-washing-technique-that-you-use-for-after-a-hair-transplant/

Read this article and then you will understand what is happening to you and the timing issue.  You should go back and see your surgeon.