Author: Dr. William Rassman

This shows some good value with the use of finasteride for 10 months adding a dermaroller the last month.

If you didn’t have side effects before, while taking taking the drug, but came off the drug, would coming back on trigger any side effects or would you assume that no side effects would be the anticipated? Have you ever prescribed it to someone with mild NAFLD?

Yes, I have prescribed finasteride to people with non-alcoholic liver disease. If you didn’t have side effects before, going back on the drug now should also give you a similar experience.

Great results from the use of finasteride for 13 months and minoxidil for 3 years

This young man was 19 when he started the finasteride and his crown loss disappeared. He should stay on the drug or he will lose the hair again. This drug works well in very young men.

If you are over 26, you might be a reasonable candidate for a hair transplant. Why 26? Because the patterns of balding become more evident at the age of 26, but the risk or more balding make it difficult, at times, to plan appropriately. If you use up your donor hair as many men do, then you are left deformed when the balding patterns finalize.

I am surprised to see your Finasteride does being so low as the studies of effectiveness puts it down to less than 25% effective at the 0.1mg dose. The minoxidil dose is 5% and microneedling all occurring at the same time. The time frame between photos is 9 months and I suspect that the microneedling plus the minoxidil working together gave him the benefit he can see.

Yes. If this is a change, then it is possible that you have developed early gynecomastia of the right breast. If there are no lumps (painful or otherwise), then you should see your doctor for advice on what to do.

I am writing because I’m am wondering about the effects of finasteride on my hair. I understand you said to wait until at least a year to see results. I go through various mini sheds where I notice a portion of my hairline receding. I started fin when my hair loss was minimal and it has only sped up or continued to recede on finasteride. I have had no sides. Will my hair go back to what it was when I first started taking finasteride or am I stuck with what I have until the sheds finish. I am slightly confused because I don’t necessarily feel like I’m shedding more then the average person would. It has been 3 months today. Any advice or clarity would be much appreciated. Thank you

You must be patient. There is no guarantee that finasteride will work on you, but although it may not reverse the hair loss in a year, it will probably slow or stop it

These photos, although not identical ‘shots’ does show movement towards reversal. More time and better photography should be dramatic.

This man sent many photos all showing tons of hair. The only one I included was an orderly view that compares favorably to the photo he took 3 years earlier. This man clearly enjoys his hair.