WRassman,M.D. BaldingBlog
    • Menu

    Minoxidil half life curves

    Dec 30, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    Question: 5mg oral minoxidil once a day or 2.5mg oral minoxidil twice a day, which would yield better results?

    The issue at hand is not the blood levels achieved. A dose of 5mgs runs heart risks not worth taking for a healthy man. The point is at what level will the hair effect happen. The answer is a 2.5mgs daily, good results are seen and it is safe from severe cardiac side effects.

    Alopecia Areata in young woman (photo)

    Dec 30, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    Alopecia areata is a devastating inherited autoimmune disease of the scalp.  It can be treat by many  dermatologists

    29 and not balding yet

    Dec 30, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    Can you have a sensitivity to DHT and not have signs of MPB nor history of it.  Does that mean that I never have to worry?  Can I start testosterone therapy now?

    Maybe you don’t have the genetics for balding, but some men who have it may not show it until a later age.  I have seen it appear in at least one 50 year old man.  If you go on testosterone, you might precipitate the genetics if you have the genes.  If you don’t have the genes for balding, then taking testosterone will not cause hair loss

     

    Finasteride over time

    Dec 29, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    Do you build up tolerance of finasteride/dutasteride over the years, or is it more your follicles have just become more sensitive?

    I think that finasteride keeps its effectiveness; however, your genetics is a variable that could increase more hair loss, overwhelming the finasteride.  That is tied to your genetics.

    Female hair loss pattern in men?

    Dec 29, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    Can any man develop a Female Pattern Hair Loss as a man?

    Make sure that you don’t have DUPA (Diffuse Unpatterned Alopecia) which is a rare condition in men but it impacts the entire scalp areas including the privileged donor area around the sides and back of your head. See a good dermatologist or hair expert. See here: https://baldingblog.com/do-i-have-dupa-photo/

    Finasteride and testosterone levels

    Dec 28, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    There’s so much talk about finasteride, side effects, and the dreaded “pfs”. I feel that often people with negative experiences talk a lot more than people who have positive experiences. If you enjoy a product, you’re less likely to write a review, as opposed to someone with a bad experience. Just my theory on how feedback can be skewed towards the negative side. I’m 33 years old and have been on 1mg finasteride daily for 1 year. In this time I have experienced no side effects, and my hair loss has stabilized. I haven’t seen tremendous results, but results are there.

    I recently got my testosterone levels checked and it came back as 830 ng/dL. Healthy levels for my age are 300-1,000. So I’m in a good spot, and may actually be considered on the high side of average. That’s all I have to say. Speak to your doctor if your considering it, do your own research, and I hope your hair grows back.

    This story is more common than you might believe reading the various blogs, forums and posts that are ANTI finasteride.  In my practice, this is what I see most commonly.

    I am using the kitchen sink for hair loss

    Dec 28, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    By kitchen sink I mean finasteride, minoxidil, keto shampoo, microneedling, massage and I started 3 months ago. 

    I can see new growth around the leading edge of your hairline. Keep it up and you may see some good restoration of your original hairline.

    Finasteride non-responder

    Dec 27, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    Started fin 7 months ago, 1mg per day and my hair is currently the worst it’s ever been. I understand that finasteride doesn’t work the same for everyone, and not at all for some people, but at what point do I call it quits? Would a year with no stability be a good indicator that I’m a non responder ?

    There are other medications worth trying including oral minoxidil. Also the use of microneedling may change what is happening to you as well.  It is important to recognize that finasteride almost always slows down or stops the hair loss, which is something you might not see.  

    Oral Minoxidil (From NY Times August 18, 2022)

    Dec 26, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    “At a meeting in Miami in 2015, Dr. Sinclair reported that low doses of minoxidil prompted hair growth in 100 successive women.  He published those results in 2017, noting that rigorous studies were needed, in which some patients would be randomly assigned to take minoxidil and others a sugar pill. But that has not happened. He says he has now treated more than 10,000 patients.  Recently, a rising number of hair-loss dermatologists have been giving the low-dose pills to patients with male and female pattern hair loss, a normal occurrence with age.”

    Image

    Brandy Gray, 44, was seen by Dr. Crystal Aguh before and after treatment with oral minoxidil.

    22 Deaths from Medical Tourism reported in Turkey sine 2019

    Dec 23, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    https://www.mirror.co.uk/news/world-news/brits-heading-turkey-new-hair-28795103

    Deaths have also occurred in the US (very uncommon) and other countries.  Most of these deaths related to the use of simple anesthetic drugs like Marcaine or Xylocaine which are easy to overdose if you don’t understand their use.

    Minoxidil at 19

    Dec 23, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    I’m just 19 and last year I had 2 bald patches.  I started using minoxidil and they grew back in just 2-3 months. Then I stopped using it since and lost all of the hair from those bald spots.  Why did this happen?

    Hair that grows because you used minoxidil are dependent upon minoxidil and when or if you stop it, these minoxidil dependent hairs will fall out  Just restart it.

    21 days post FUE

    Dec 23, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    21 days, is sheading, but not all, most are growing, is it possible for most not to shed? has anyone seen this?

    What you think is growing might be pushing the hairs below the skin forward and out of your head. You will know in a couple of weeks because if the hair continues to grow at 4-5 weeks at a length equal of 1 cm, then it is really growth.

    PRP

    Dec 22, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    I’m a diffused thinner and I’ve been on fin for a year and 8 months, but it just stopped working, I’ve been losing crazy amount of hair for 3 months now, to the point that my hair is back to baseline and probably even worse, my hairline is also taking a hit.

    PRP. I haven’t see predictable results from PRP while other modalities such as oral minoxidil, finasteride and microneedling have shown great results.

    Great in-depth analysis of DHT blocking on Reddit (Part 1)

    Dec 21, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    My attempt at a FAQ for Dutasteride (a little about oral/topical Finasteride as well..) from tressless

    Where is hair more important, front or back of the head?

    Dec 21, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    Curious what the consensus is. Is thinning/balding crown that bad? My take is that i would rather have a good hairline than a thick crown. Currently my crown is very thin but my hairline is okay. Should I consider myself lucky?

    The man in the mirror is the one you want to treat and that is the frontal hairline which frames the face. Many men walk around with crown balding, but when you meet them, they look at your face when they shake your hand. You rarely look at the back of the head, especially if the man is tall.  For this reason, I always start off my hair transplant strategy to make the front and top perfect, as much as possible, then, I will turn my focus to the back (crown) of the head which usually requires a lot of grafts (hair) to make it look respectable.  Using SMP to subsidize the crown also works nicely, something I do often. 

    123
    Page 1 of 3

    Videos

    Podcasts

    Ask Dr. Rassman

    * Your questions may be published (without your contact information).

    [contact-form-7 id=”27935″ title=”Sidebar Contact”]

    Over 21 million women and 35 million men in America suffer from hair loss. For many of these people, the psychological impact on their life is debilitating.

    Dr. Rassman is a world leading expert in hair loss with over 25 years of experience and over 50,000 satisfied clients.

    About

    This site exists to educate about hair loss and hair restoration.

    William R. Rassman, M.D.

    Categories

    • ACell
    • African American
    • Age
    • April Fools
    • Density
    • Diseases
    • Drugs
    • Drugs (Cause Hair Loss)
    • Favorites
    • Female Hair Loss
    • FUE
    • Hair Cloning
    • Hair Loss Causes
    • Hair Pieces / Systems
    • Hair Products
    • Hair Transplantation
    • Hairlines
    • Megasession
    • Other
    • Other Surgical Procedures
    • Personal Stories
    • Photos
    • Pigments
    • Podcasts
    • Post-Operative
    • Repair
    • Repost
    • Scalp MicroPigmentation
    • Scarring
    • Thinning
    • Tidbits
    • Training
    • Videos

    Archives

    • February 2023
    • January 2023
    • December 2022
    • November 2022
    • October 2022
    • September 2022
    • August 2022
    • July 2022
    • June 2022
    • May 2022
    • April 2022
    • March 2022
    • February 2022
    • January 2022
    • December 2021
    • November 2021
    • October 2021
    • September 2021
    • August 2021
    • July 2021
    • June 2021
    • May 2021
    • April 2021
    • March 2021
    • February 2021
    • January 2021
    • December 2020
    • November 2020
    • October 2020
    • September 2020
    • August 2020
    • July 2020
    • June 2020
    • May 2020
    • April 2020
    • March 2020
    • February 2020
    • January 2020
    • December 2019
    • November 2019
    • October 2019
    • September 2019
    • August 2019
    • July 2019
    • June 2019
    • May 2019
    • April 2019
    • March 2019
    • February 2019
    • January 2019
    • December 2018
    • November 2018
    • October 2018
    • September 2018
    • August 2018
    • July 2018
    • June 2018
    • May 2018
    • April 2018
    • March 2018
    • February 2018
    • January 2018
    • December 2017
    • November 2017
    • October 2017
    • September 2017
    • August 2017
    • July 2017
    • June 2017
    • May 2017
    • April 2017
    • March 2017
    • February 2017
    • January 2017
    • December 2016
    • November 2016
    • October 2016
    • June 2016
    • May 2016
    • April 2016
    • March 2016
    • February 2016
    • January 2016
    • December 2015
    • November 2015
    • October 2015
    • September 2015
    • August 2015
    • July 2015
    • June 2015
    • May 2015
    • April 2015
    • March 2015
    • February 2015
    • January 2015
    • December 2014
    • November 2014
    • October 2014
    • September 2014
    • August 2014
    • July 2014
    • June 2014
    • May 2014
    • April 2014
    • March 2014
    • February 2014
    • January 2014
    • December 2013
    • November 2013
    • October 2013
    • September 2013
    • August 2013
    • July 2013
    • June 2013
    • May 2013
    • April 2013
    • March 2013
    • February 2013
    • January 2013
    • December 2012
    • November 2012
    • October 2012
    • September 2012
    • August 2012
    • July 2012
    • June 2012
    • May 2012
    • April 2012
    • March 2012
    • February 2012
    • January 2012
    • December 2011
    • November 2011
    • October 2011
    • September 2011
    • August 2011
    • July 2011
    • June 2011
    • May 2011
    • April 2011
    • March 2011
    • February 2011
    • January 2011
    • December 2010
    • November 2010
    • October 2010
    • September 2010
    • August 2010
    • July 2010
    • June 2010
    • May 2010
    • April 2010
    • March 2010
    • February 2010
    • January 2010
    • December 2009
    • November 2009
    • October 2009
    • September 2009
    • August 2009
    • July 2009
    • June 2009
    • May 2009
    • April 2009
    • March 2009
    • February 2009
    • January 2009
    • December 2008
    • November 2008
    • October 2008
    • September 2008
    • August 2008
    • July 2008
    • June 2008
    • May 2008
    • April 2008
    • March 2008
    • February 2008
    • January 2008
    • December 2007
    • November 2007
    • October 2007
    • September 2007
    • August 2007
    • July 2007
    • June 2007
    • May 2007
    • April 2007
    • March 2007
    • February 2007
    • January 2007
    • December 2006
    • November 2006
    • October 2006
    • September 2006
    • August 2006
    • July 2006
    • June 2006
    • May 2006
    • April 2006
    • March 2006
    • February 2006
    • January 2006
    • December 2005
    • November 2005
    • October 2005
    • September 2005
    • August 2005
    • July 2005
    • June 2005
    • May 2005
    • April 2005
    • June 202
    • May 202

    Links

    Disclaimer

    This site is intended to educate the public on hair loss topics based on personal experience and opinions from Dr. William Rassman and contributing physician editors. Information provided on BaldingBlog.com should not be used for the purpose of medical diagnosis or treatment.

    Scroll to top