Do you know a good dosage for liposomal? I have a 0.1% fin 5% min liposomal gel that I custom ordered, applying 1ml every day. But I’ve seen some places sell the liposomal gel at fricken 2.5% fin. I had an online pharmacist explain that the liposomal mechanism means this higher dosage is effective and safe, but as someone who got sides from just 0.25 mg of oral fin EOD, it seems like an absurd risk. Any insight? At the end of the day I just don’t want to be dicking around with the 0.1% liposomal gel if it’s ineffective and I’m still losing ground.
From my research, 82% of the topical liposomal finasteride stays in the skin. You can calculate that if 18% goes systemic, what the equivalent dose would be for the liposomal preparation. That is the reason I titrate upwards when I prescribe it assuming that 18% of the dose might go systemic, so that would be 18% of the 0.01%. My experience so far is that one out of hundreds of my patients developed sexual side effects. I have written a series of post on https://baldingblog.com/ addressing topical liposomal finasteride which you might want to read.
Ok, how is the long term efficacy of minoxidil when mixed with finasteride?
When you grow hair from minoxidil, it usually stays around until you stop it; however, continuing to take it, may not grow a wave of new hair.
The hair grown with minoxidil requires you to stay on the minoxidil as the hair is dependent upon this drug. if you stop the drug, the minoxidil dependent hair will fall out.
Why do TE change the hair texture so much? My hair is completely dry and stringy
You can treat your TE hair with a good quality thickening and softening products.
Had a question about my hairline and widows peak. My mom has three brothers. Two have normal straight hairlines and one has a widows peak. My mom also has a widows peak. Her other sister does not. My moms mom does not have a widows peak but my moms dad does.
On the opposite side my dad or grandfather does not have a widows peak. My moms brother who has a widows peak has a good hairline for 60. Much like my moms father up until he passed away at 40. Is it safe to say im following there pattern for hair given my widows peak?
The widow’s peak is a remnant of the juvenile’s hairline which means that the hair around it (when you were a child) disappeared leaving the point called the Widow’s peak. I would suspect that you might follow this pattern as well
I want to know why there are so many scabs covering my grafts. I can’t see the density that the surgeon put in. What advice can you give me?
These are questions you should be asking your surgeon. Scabbing occurs because of bleeding around the grafts and/or leakage of a serous fluid around the grafts that contain fibrin which form these ‘clots’ or scabs. Once they get set up (about 2 days) then they shouldn’t be removed aggressively because that will pull out the grafts. I have a vigorous washing technique to prevent this from happening.
Sorry that you didn’t get this information in advance of your hair transplant. because of the scabbing photos you sent me, I can’t read the density. Your surgeon will tell you how many grafts he put in and you can measure the recipient area and calculate the recipient transplanted density.
After using topical minoxidil for about 6 months, I switched to 1mg finasteride daily due to palpitation problems. It has been more than 1 year in total. The shedding has decreased a lot (thank God) but there is no new hair growth from the shedding areas. Bald areas are covered with feather-like hair but there is no progress. I am 44 years old and now I am seriously considering hair transplantation. Do you think it can be improved with medication or should I turn to transplantation?
If you have developed a Personalized Master Plan with your doctor and you are over 25 without effective medical treatment and more progressive balding, then maybe it is time to have a discussion with a good hair transplant doctor who cares for his patients above making a ‘transplant sale.’
Researchers at the University of California Riverside (UC Riverside) have identified a single protein that seems to control when hair follicles die. Armed with this new information, it might eventually be possible to reverse the process and stimulate hair regrowth.
The protein in question is known as TGF-beta, a signaling protein that regulates the division, growth and death of cells. As such, it plays major roles in important jobs like wound healing, and seems to be hijacked by cancer cells to allow uncontrolled growth. In this case, the team found that TGF-beta extends its work to the cells inside hair follicles.
Read more here: https://newatlas.com/biology/hair-loss-baldness-regulator-protein/
I seem to have less hair on the right side of my face in relation to the left side, but yet nobody else in my family has this issue. What is usually the cause of this and is a hair transplant the only solution?
Some men develop asymmetrical beard growth. If you are just starting growing your beard in the past year, don’t worry. Also the transition from a juvenile hairline to a mature hairline is also often asymmetrical as well.
There is no doubt that this man, now in his mid-50s, looks younger than his balding before state. I did his surgery 20 years ago and it is always a pleasure seeing my older patient. He maintains his hair situation from progressing by taking finasteride which he has been taking since 2002. He has no side effects. I want those of you who are looking at his hairline and see if you can see that this man had a hair transplant. I can’t tell even today. His hair transplant shows the value of a 1/4 inch transition zone made up with around 350 single hair grafts in front of the 2 and 3 hair grafts that bring on hair bulk. This shows that the hairline is not a ‘line’ and it should never be. The transplant does not need the finasteride to hang in for his lifetime because these hairs came from the back of the head where the hair is lifetime hair.
This man shows the value of the combination of both finasteride and minoxidil
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June 2021 vs. today (11.2.2022), 1.5 years on 1mg fin every day, Niz 3x per week, and 1 month on 2.5mg oral min every day.
Nice improvement. Stay on your routine and it will only get better. It may take another full year to see more value of what you are doing and it is even more likely that it will get better if you add weekly microneedling to your routine. If this is not enough and you are over 25, then a hair transplant will give you a normal hairline, something to consider.
My idea is to use topical once every other day and and oral every other day as well, like
Monday : topical
Tuesday : 2.5mg oral
Wednesday : topical
and so on…
I’m using topical min since 1.5 years now and would like to add oral min to increase effectiveness. It’s also getting really tiring to apply the topical everyday. Topical min was really good for me but I feel like it lost its efficiency. I’m also on 1mg finasteride for 2 months.
This makes no sense to me. If you are on the oral minoxidil, stay on it and forget the topical. You don’t want to overdose this medication because of heart side effects.
I’m currently going through TE and I might be tested positive with covid, will I 100% go through another round of TE cause of this?
There are no certainties in predicting what you are asking me; however, overlying Covid after having TE, I would suspect that your risk of another episode of TE is high