Kevis, Avacore, Regenix

Dr. Rassman,

I am 25-years-old and for a year or two my hair has been thinning along the hairline (just above the forehead). I can see that it is not nearly as thick as it used to be, but it is not yet noticeable to others. About ten months ago I started taking Propecia and using Nizoral Shampoo, but I am not satisfied with the results as I have only seen a moderate slowing in the rate of hair loss and no detectable re-growth.

I want to take further action and would like to know what options I should consider. I am currently looking into Avacore, Kevis, Avodart/Dutasteride, a laser brush, and Regenix. Are any of these products worthwhile? Are there others I should know about? I feel like I need to do something fast before it looks like I am losing my hair. What should I do?

I look forward to hearing form you. Thank you for your help and for the website. Best regards.

I have a somewhat standard answer to your question. First get yourself analyzed for miniaturization with your scalp mapped out so that under a good doctor, you can have your hair progress or lack of progress measured over time as you move between different treatment modalities. With this mapping, you will (at the least) know if anything is really working and put numbers to it.

Of the suggested treatments you intend to try, some have minoxidil as the active ingredient, but at a much higher price than you can purchase it a Walmart or other discount stores. If you like paying more then by all means go for it. Avodart (dutasteride) has been discussed on this site in great detail. The laser comb is not well documented for benefit, but there is clearly a lot of hype and only costs between $500-800, so again, if you feel that spending money might help, by all means try it. I have had good reports about Regenix, but no objective measurements for hair regrowth.

If you are in the Southern California area, I would be happy to see you if you’d like to setup a consultation for your problem. The alternative is going bald, unless you can gain better control of what is happening to you.