This is an interesting presentation for what I would call End Stage DUPA in a balding Norwood Class 6 or 7 pattern. There is so much miniaturization and hair loss throughout the scalp, it is hard to pin down the pattern of hair loss. Here are two views from the same man. If this man wanted a hair transplant, I would first biopsy his balding area to make sure of the diagnosis in case he has an unusual presentation for scarring alopecia.
Can Saw Palmetto Cause Gynecomastia (Man Boobs)?
Saw Palmetto is a very very weak GHT blocker so the chance of getting man boobs are very remote
Most hair system have the hair combed in such a manner that it hides the base of the hair system. The very expensive ones (I suspect like Donald Trump has) uses a weave with your remaining hair and a lace base that is almost invisible. Speak with your hair system maker and I am sure he can arrange the style to cover the base fabric.
Microneedling doesn’t require minoxidil. The wounds created near the stem cells is what stimulates the growth of the hair. These wounded stem cells are located 1mm below the skin surface at the top of the hair follicle.
https://www.nytimes.com/interactive/2022/02/19/science/long-covid-causes.html?referringSource=articleShare
Article: https://wjmh.org/DOIx.php?id=10.5534/wjmh.200012
This treatment may result in development of non-alcoholic fatty liver diseases (NAFLD), insulin resistance (IR), type 2 diabetes (T2DM), dry eye disease, potential kidney dysfunction, among other metabolic dysfunctions. We suggest that long-term use of finasteride and dutasteride may be associated with health risks including NAFLD, IR, T2DM, dry eye disease and potential kidney disease.
Very nice growth from using finasteride. You can even see the new hair growing at the hairline in the second photo. Keep to the plan and growth can only get better. You must be sensitive to this drug
Nice improvement of the corner hairline
Key PointsQuestion For male androgenetic alopecia, what is the relative efficacy of monotherapy with orally and topically administered minoxidil, dutasteride, and finasteride?
Findings In this network meta-analysis of 23 trials, the rank of efficacy across treatments and the relative efficacy for every possible pairwise comparison of treatments were determined for 4 end points (ie, change in total and terminal hair count after 24 and 48 weeks). The results of this meta-analysis indicate that 0.5 mg/d of oral dutasteride has the highest probability of being the most efficacious treatment, followed by these agents in decreasing order of efficacy: 5 mg/d of oral finasteride, 5 mg/d of oral minoxidil, 1 mg/d of oral finasteride, 5% topical minoxidil, 2% topical minoxidil, and 0.25 mg/d of oral minoxidil.
Meaning The findings of this meta-analysis contribute to the comparative effectiveness literature for AGA therapies with regard to the compared interventions.
Dr. Rassman’s Concern: Dutasteride has a half life of 5-6 weeks so daily dosing at 0.5mgs make little sense to me. Blood levels and other organ impact at this dose building up over time, have not been analyzed or published.
Dermatology News Wrote: Here are comments and an analysis of this article which our readers may find significant: https://www.mdedge.com/dermatology/article/251693/hair-nails/male-alopecia-agents-ranked-efficacy-meta-analysis
Yes, dot scars are a consequence of FUE. ALL cuts into the human body produces scars. If your surgeon used a small punch of .95mm or less, the scars are barely visible. Larger punches create larger white dots. Sometimes the scars just stretch and become larger. Fixing it can be effectively treated with Scalp Micropigmentation
You are lucky that you are sensitive to the combination of minoxidil and finasteride
I’m in a bit of a predicament now. I can feel my hair getting thinner over the past year, but visually, my hair density still looks somewhat the same as before. If I were to take a picture right now, no one would even suspect I’m thinning because I still have a full head of hair. In fact the dermatologist I visited just took a look without using a trichoscan thought I was crazy and just prescribed me Minox unwillingly.
From what I have seen here, almost everyone hopped on Fin only when they start to see visible thinning. I haven’t come across anyone who has a head of hair on Fin. Despite people saying that prevention is the best, it seems that people only start medication once thinning becomes noticeable?
Finasteride has been shown to slow hair loss significantly when compared with men who didn’t take it. The spread between the two groups last years, showing that people who lose hair on finasteride lose it slower than they would have had they not taken in. Another way to look at it is that men on finasteride kept their hair longer over more than a decade than men who didn’t take it. Here is the graph that shows this: https://baldingblog.com/5-year-growth-plotted-with-propecia-compared-to-control-group/
For 4 months, this young man is an excellent responder. He used the minoxidil twice a day. These photos show the new hairs growing in.
