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There was a study done by a Cornell University professor named T. Collin Campbell in conjunction with Oxford University entitled “The China Study”. It’s an entire book, but basically he says genes are expressed by nutrition, and many of his arguments revolve around animal based protein v. plant based protein and cholesterol, cancer, heart disease — not necessarily balding. But this peaked my curiosity. Can male pattern baldness not be genetic at all but instead the balding aspect is expressed by some type of diet balding men eat whether that diet is heavy in red meat or whatever?

I have been aware of this thesis for some time and one has to give it credibility. There is no doubt that diet does play an important role in one’s health. It is classic “nature versus nurture” type of argument, but things are not so simple. I did not read The China Study book, so I really cannot comment on that, but with respect to balding, although it is genetic, diet may very well influence the ‘expression’ of the process. Some people ascribe diet as a cause of the racial differences in balding when comparing Asians (in Asia) with Caucasians in America, but the science for this is clearly not available.

Understanding what we are seeing is not good with photos here., but a HAIRCHECK test ( https://baldingblog.com/haircheck-test-how-it-is-done-video/ ) would give an actual number to what you think may be increased hair growth. These numbers don’t lie but photos can be misleading. You can see how photos can mislead you here: https://baldingblog.com/photos-taken-20-seconds-apart/

I am now 5 months since my surgery and I think that the surgeon went high on my donor area and may have over-harvested in this area as I can not see-through my scalp when I cut my hair short.

Your donor area may very well be over-harvested and the area on the left side looks lighter than the permanent zone below it. The harvested area appears above the permanent hair zone so speak with your surgeon about your concerns.

The message here is that persistence pays off!

I just wanted to ask if it is true that finasteride can cause penile shrinkage? My girl friend has been complaining that my hog is too large and I was wondering if taking it might at least diminish the girth.

I have a problem with this claim. You know when you are not sexually excited, you go swimming, you are out in the cold, the penis often smallest shrinks down. Try going for a a swim you you will see that it shrinks. Worrying about it I am sure doesn’t help. I don’t believe that having a large penis is an indication for taking finasteride which I don’t believe shrinks the penis.

June 10th marks 6 months since my 1200 FUE graft HT on my temples (lowered hairline as well slightly). The transplant hair is growing in slowly but surely. Unfortunately, I have significant shock loss on my native hair surrounding the transplant hair. Much of this has not grown back yet. Specifically, I have shock loss in the front hairline area and behind my right temple where grafts were placed.

I met with my doc last month, and she boosted me from Fin to Dut to help with growth (I have no sides from either-yay!) She also remained steadfast that all my shock loss hair will grow back, it just takes time. However, part of me wonders if I should really believe her, if she thinks it will really grow back or if she is just saying that.

Finasteride is best taken before the hair transplant as it often prevents the loss of the native hair. Unfortunately, after you lose your native hair and then take finasteride, the effect is heavily muted. I always offer my patients finasteride before I do a hair transplant to avoid this problem. You should wait a full 8 months to see the results of the transplant and then reassess your situation.

Again and again, this routine of finasteride and minoxidil used together, offers hope to many young men.

No, the number of harvestable grafts are fixed for your lifetime and depend upon your original donor density which the doctor can measure. That is why we are careful about what we take from the donor area when we do a hair transplant. As the limit for a typical Caucasian is about 7,500 grafts, then as this number is drawn down, it can’t be replaced and eventually there is no donor hair left. This is my concern in Turkey where they will take out 6000 grafts in a single session, leaving almost nothing left for future balding (which is almost a certainty) and they do it all with FUE, but most people can’t handle more than 3,750 FUE grafts before they start looking bald in the back of their head (see: https://baldingblog.com/collection-victim-photos-internet-harvested-depleted-donor-areas/.

I am 37 years old and had this balding for 10 years. I started using 1 mg PO finasteride daily 1 ml topical minoxidil twice daily 1 biotin vitamin daily, Saw palmetto shampoo, plus 0.5 mm micro needling at home 2-3 times per week.

I would increase the microneedling needles to 1.25mm and reduce the treatments to once a week. That depth gets to the stem cells that control the growth of the follicles to react to the wounds. You also might consider switching to oral minoxidil. Speak with your doctor. The photos suggest that the stem cells are still there and alive, so push the depth of the microneedling t where the stem cell reside.