Author: Dr. William Rassman

Doc, i have a question, Does it happen usually that someone stops reacting to the current dosage and has to move to higher concentrated dosages. Ex, someone stops reacting to 1mg finestride and has to move to 2mg to keep seeing results. I am kinda scared of it, I started with 1mg per day, but later came across someone mentioning it, so I reduced the dosage to 1mg every alternate day, bcoz 0.5mg per day wasn’t available. Was it a smart move or me just believing in a myth?

The original Merck studies showed that the 1mg dose was the ideal dose for hair loss. Half that dose is 82% as effective, so taking a pill every other day is essentially half the dose and it should still be 82% effective in your situation.

I know it isn’t a super bad case of MPB yet but I really don’t like these temporal recessions. They make me look old and I want them to go away. I’ve traced where my hairline used to be and I’m wondering: can it be restored with just fin + min or will I need to buy a hair transplant at some point?

I am not 100% sure that this is balding. To be sure, I need to see a frontal view with your eyebrows lifted high so that you forehead creases. That will tell me exactly where your hairline belongs, if it is receded, and by how much.

This may be an early Class 3 pattern of balding. If you are under 22, it will likely respond to minoxidil and finasteride. If you are over 26, if it doesn’t respond to the above medications, then try microneedling for 6 months, which should regrow your hair. If not, you can get a hair transplant if you have tried it all and are over 25, which will work well if this is balding. The design of your hairline you sent to me is clearly feminine. You need a good doctor to design it properly if you get a hair transplant, and it should be a mature MALE hairline.

https://pubmed.ncbi.nlm.nih.gov/33878855/

Conclusions: Based on our results, the combination of arginine and zinc tested in our study could represent a good therapeutic option for the treatment of AGA and TE and it might represent a valid alternative to finasteride.

The message here is that persistence pays off!

Female hair loss, unlike male hair loss, is rarely complete and most people believe that these hairs are still there, possibly cycling irregularly or poorly? When some new drug is discovered, we may find that the hairs that are not there, will appear.

Amazing results from finasteride on the frontal hairline which is not common.

The look is great, but you have used up more than 50% of your donor supply which could be a problem if your balding pattern significantly advances. I would ask your surgeon a simple question: “Could the same results have been achieved with 3000 grafts (1500 each side)? If your hair has a medium or better thickness, the answer is ‘yes’ in my opinion.

The pictures show nice filling in hair behind the hairline. It may still get better in the next year if you keep it up.

Have you seen first sign of improvement on Finasteride after one year?

This is not uncommon. Sometimes just slowing the hair loss is hard to notice, but if, while taking finasteride, your biological hair loss activity slows down, then the finasteride may become more effective. This might explain why you see improvement appearing at one year after starting the drug. This drug, in sensitive men, can give reversal of hair loss especially in the young men under 25 or even 30. It works better in the crown than on the frontal areas.