I’ve been taking .25mg every other day for 7 weeks now and my hairloss – especially around the crown – has only accelerated. Is it safe to keep going with this dose?

Safety is not an issue, effectiveness for low dosage as you are doing is the issue. This dose, based upon the Merck studies, is about 50% as effective as the full 1mg dose.

We need to talk about good medical practices. Many surgeons believe that FUE works well provided that in a person with an medium hair thickness and an average donor density, has no more than 3500 FUE grafts removed to avoide a see-through donor area. 3500 grafts for such a person will cover Class 3, 3a, 4a, 5a patterns of balding relatively easily.  Once you get into class 4, 5, 6 and 7 patterns, then an FUT may be a better answer either as a sole harvesting technique or combined with FUE.  As the hair thickness gets finer (less and less hair bulk/mass), the maximum number of FUE grafts drops because by maintaining the same harvesting number in a person with fine hair, the see-through donor area may become a problem. With coarser hair (more hair bulk/mass) and an average donor density, more FUE grafts can be safely harvested.  As the original donor density drops, the see-through donor area risk rises so FUT might be a better choice as a see-through donor area is a real risk for low density donor areas in many men.  High original donor densities with medium-coarse or coarser hair are good candidates for FUE in the more advanced Norwood Patterns.  If you combined higher than normal donor density with a coarser hair, this  person can easily have most of his head transplanted with FUE alone.  I have never seen an FUE result in a Class 7 patient with fine hair or one with significantly reduced original donor density and not have a depleted donor area (see-through donor area).  I believe that there is a role today for surgeons to be skilled in both FUE and FUT and based upon the above factors and the surgeons preferences, the right harvesting method for the right reasons will be selected.

I’ve read many times before that libido improves in people who quit finasteride and use dutasteride. I think there was a study on this. I have also observed this myself. Has anyone noticed this before? Could Dutasteride be more tolerable? (I use it every 2-3 days)

Dutasteride is more potent then finasteride by about 15%. Logically, there should be more side effects. There are less publications on dutasteride side effects in men of hair loss age than finasteride by a long shot

I would see a dermatologist. I suspect that you have developed Alopecia Areata but there are other things it could be. A Biopsy is needed, then followed up with appropriate treatment

 

 

9 month finasteride and minoxidil, added 2 months microneddling and I was amazed how quickly the crown filled in.

I wish the crown photos would be lighter so it could be compared well with the before pictures.  I will take your word for it that it is better

This is a nice result from the use of 5 months minoxidil, finasteride and microneedling for 5 months

I’m 23 and it’s happening. I’ve always had a poor hairline but now it’s thinning. And quickly (6 months and it’s gotten worse). Money is no object. Are these crappy hairpieces or are they indiscernible from the real deal? Do you shave the rest of your head for them? How do they work? How do you clean them? I want to do it early enough with my current hairstyle so no one can tell. I’m not keen on the medication or rolling.

Be aware that hair systems need to be attached, so most use glues to hold them to your shaved scalp. This causes traction alopecia and more hair loss so most men who make the switch to hair system end up on them for life as their hair loss always gets worse, often from the hair systems themselves.