Alopecia areata is a devastating inherited autoimmune disease of the scalp. It can be treat by many dermatologists
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
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.
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/
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.
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.
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.
“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.”
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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.
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, 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.
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.
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.
Note the area on the left side the arrows point to hair that is being lost by fading away. This is what is left of his juvenile hairline. The mature hairline is nicely outlined by the thicker hairs. The area behind the hairline has some diffuse thinning maybe reflecting miniaturization and certainly less bulk than the mature hairline which has a different genetic code.
