Advanced balding reversed (photos)

I’m 25 years old. I was starting to lose my hair when I was 16. It was very rapid process so when I was 20 my situation is almost NW7. 132 days ago I decided to take this regime ( I don’t want to mention about decision phase)

first 120 day, I started with the big 3 + dermaroller 0.5 mm x1week (dut(0.5) once everyday+ minox %5 twice everyday + nizoral 2-3 times per week with no side effects) biotin(10000) + zinc(50) + d3(5000) + collagen peptides(tablet) + omega3(with fish oil) all of them x1 everyday ogx biotin shampoo

Everything was good for me. It was like a miracle you know. My hair like born again. My head was full of baby hair and they were getting stronger day by day (or its just it seemed to me like that) On day 118, I just noticed to shedding, probably it has began before that then I shaved my head to zero guard. In this 14 days I shed like crazy. It’s like the first day when I was start this, I read something about shedding but I’m still worried about that this will be failure for me. So I bought something and added my regime. It’s been 2 days since I started using. Apple cyder vinegar tablets(750mg) x1 everyday, l-cysteine (500mg) x1 everyday, vitamin A (25000iu) x1 everyday, iron (65mg + 325mg fer.) x1 everyday, Ubiquinol (100mg) x1 everyday, Collagen peptides powder 15g with cold water everyday, dermaroller upper to 1.5 mm x1 week, Castor oil x3 days of week with massage 2 hours waiting, hyaluronic acid after dermaroller

I uploaded every angle and lights position of my head with day numbers. https://imgur.com/gallery/E0KiyIz. So I just need your help. What should I do? Should I continue or It was just a good short dream that end with failure? If I will continue, what would you suggest me to add?

Amazing results in just 80 days. It seems to be working. I would love to see better focused photographs. My recommendation is stick to it.


2020-06-12 09:38:03Advanced balding reversed (photos)

Adrenaline and Hair Loss

I hear caffeine from coffee i.e. increased adrenaline and you’ve consistently said adrenaline can contribute to hair loss. What’s up with this?

I am not aware of this. I drink a triple espresso every day. Coffee drinkers are not at any higher risk for hair loss than non-coffee drinkers. Genetic balding is the cause of most hair loss.


2008-06-24 14:11:27Adrenaline and Hair Loss

Adrenal Problems and Hair Loss?

Is there a correlation between adrenal fatigue/insufficiency and hair loss (in the form of total head miniaturization, but yet have no balding, no recession.) I have very low DHEA levels and high cortisol levels…. would chronic/high physiologic stress levels induce hair thinning/miniatuzization?

Yes, it is a possibility, as low adrenal function in such conditions as Addison’s disease affects about 1 in 100000 people. Hair loss throughout the body is a reported finding in this condition. I do not have experience with following people with this disease, as they are treated with appropriate hormone supplements. I have never seen a patient with Addison’s disease and studied the existence of miniaturization or a follow-up of this in a treated patient. Sorry that I can not shed more light on your question.


2006-10-26 12:05:04Adrenal Problems and Hair Loss?

Advanced Patterned Hair Loss?

I have a new question for you! Is there a very advanced norwood scale where hair thins on the bottom of the back of the head, and the bottom of the sides?

My hair is really thick on the upper sides of my head.. and very very thin under that, just directly above my ears (Not my temples) and behind my ears.. it is very hard to explain. The hair loss I have explained seems patterned (in the sense that it is thinning similarly on both sides). I have thinning on top in a sort of norwood 3 vertex pattern. Could it be MPB related?

Norwood 7Some men have a hairy neck extending from the permanent fringe area of the scalp (as seen in the Norwood 7 diagram at right). This neck hair can be very thick, like good scalp hair (this might be what you are talking about). I really don’t understand what you are describing. There are a variety of autoimmune diseases that can produce a pattern-like loss, but first lets show me what you have either in person or by photos, as I can not write a book about it here.

Adverse Event Reporting in Clinical Trials of Finasteride

A new meta-study finds the following:

“Of 34 clinical trials, none had adequate safety reporting, 19 were partially adequate, 12 were inadequate, and 3 reported no adverse events. Funnel plots were asymmetric with a bias toward lower odds ratio for sexual adverse effects, suggesting systematic under detection…”

From Wiki definition: A meta-analysis comprises statistical methods for contrasting and combining results from different studies in the hope of identifying patterns among study results, sources of disagreement among those results, or other interesting relationships that may come to light in the context of multiple studies.[1] Meta-analysis can be thought of as “conducting research about previous research.”

The report is interesting but a Meta Analysis is only as good as the clinical trials it is analyzing. All studies have its advantages and pitfalls. If adverse or sexual side effects were being examined, I question why other (much larger and comprehensive clinical trials) of finasteride 5mg was excluded.

Advice for a 16 Year Old with Bald Spot?

Okay, Well I’m not quite sure how this works but I’ll try it out anyway. I’m a 16 year old male living in the state of Washington. I constantly get crude remarks on how I have a bald spot. Self confidence and the inability to function without a hat is very depressing. I the thing that gets me is how young I am. If you could provide any advice it’d be very much appreciated.

Thank You.

Without seeing you, I do not know what you mean by a bald spot. Are you balding? Did you suffer from some trauma on your head, which produced a bald spot? You need to be examined by an expert doctor. If you are balding, then you will show miniaturization of your hair in the balding area. Even at your age, when balding occurs, the drug Propecia usually works very, very well to reverse it.


2008-01-09 09:26:46Advice for a 16 Year Old with Bald Spot?

Advice from Someone That Has Had 9 Procedures

Dr. Rassman,

I’ve had lots of procedures done; I’ll say at least 9 since 1995. I’m 41 now. I know that’s a lot. I’ve had at least 4-5 done at one center, then about another 4 done at a well know hair transplant center here in DC. I’ve even had gaps of up to 4 years between procedures because of money issues. I’ve spent at least over $20,000.00 so far. I was never given a “Master Plan”. Every person only evaluated me, then asked, “How many are you looking to get right now?.” Me being new to transplant never really realized that once you start the process, you should, in my opinion, every year get as many grafts put in as you can afford. Well, I had really bad scarring in the back going across from one side to the other which was corrected a bit. My head of hair is not nearly as full as I would want it. Actually, right now it’s still very thin in spots here and there. Sometimes I’m just so depressed about it. Don’t make the mistake like I did. If you go for transplant procedure, get another job, work part time, anything to get that head full of hair. Too many procedures, cutting, stitching, etc. spells trouble. I know.

One of the groups did a great job of reducing my scarring in the back of my head. I was also told that in a couple of years ago that lab grown hair follicles will be available. Do you agree? I’m at that point where I feel this would be my last and only alternative.

You have a tragic story. You were not placed on this Earth to give doctors money every year to get hair moved and to manage scars on your head.

The only patients that have had over 4 procedures with me are those that were very, very bald (9,000+ grafts) or very, very obsessive (I fondly call them my ‘hair addicts’). Most people should be completed with 1-2 procedures. Informed consent requires doctors to tell you what is in store for you, what you can reasonably expect a hair transplant will do for you, and when it will be completed. That is the doctor’s moral and legal obligation and the fact that you did not have that happen, means that you must have been victimized from hopping around to different doctors. You should have held your original doctor accountable for finishing what he/she started (in a perfect world of course). I know, unfortunately, that many people who go to doctors that are not responsible or accountable are caught in a difficult position. My suggestion is that you consider going to a doctor who will give you the real scoop as to what, if anything, you can expect going forward. If you need repair work on the scar, that doctor should be able to let you know what is in store for you. As you are on the east coast, may I suggest seeing Dr. Robert Bernstein in New York. He and I literally wrote the book on repairs.

I want to also comment on your hope that soon, hair will be grown in a lab to solve the hair supply problem. I am sorry to burst your bubble, but I don’t believe that will happen in any reasonable timeframe to get you the extra hair you may need. Many doctors are promising lab grown hair in a few years, but the ignorance by these doctors seems pervasive on this subject. My opinion is that we will not see lab grown hair for more than a decade from now. So for the readers who are postponing decisions on hair transplants to wait for lab grown hair, you need to ask yourselves if you really want to wait until you are 70 years old to get the more youthful look.


2007-12-14 09:25:11Advice from Someone That Has Had 9 Procedures