There is a lot that is not known about microneedling. In theory, once you get the hair growing and healthy, you might be able to stop it and then wait a full hair cycle before worrying if the hair will fall out or not. Alternatively, you can significantly reduce the amount of microneedling like once a month or once every other month just to keep the stimulus there. IF any reader has more information about this, I would like to hear from them. Transplants go much needler than the microneedle so scarring should not be a problem, in theory.

Hey Doc, I have posted before and you replied, but I was very unhappy with your posted answer so I though I would rephrase my question. I am a 22 year old male who has thinning the kind you see in old women. Its pretty thin, and when i shower or go in the pool you can clearly see my scalp, its embarassing. Is DHT the chemical responsible for my balding. PLEASE dont tell me to see a doctor and leave it at that. I have Truly DIFFUSE UNPATTERNED alopecia. Hypothetically speaking, if you were my doctor, and you determined this what would you tell me to do short, SHORT of a hair transplant. Is Rogaine more effective than Propecia or Avodart for my kind of balding? Does Rogain work well in Women? Thanks for the help, your website kicks ass and has really helped me.

Male hair loss presenting as Diffuse Unpatterned Alopecia (DUPA) is different from male pattern hair loss. If you have a diffuse pattern hair loss, that would include in what we call the donor area, which is the area in the occipital and bitemporal areas (the fringe around your head and sides), then you need to be evaluated first with blood work to rule out hypothyroidism, anemia, hormone imbalance, autoimmune disease, etc. Possibly, a dermatologist can biopsy your head if you have inflammatory disease on your scalp which can cause diffuse pattern hair loss. The process we call DUPA, when there is no metabolic or autoimmune problem indentified, may respond to Propecia (about 50% of men will get a partial reversal in my experience).

I don’t agree with what he said about the Laser Comb because I think that the data is not accurate. Otherwise, it is a good overview.

https://www.reddit.com/r/tressless/wiki/index

What is happening to me and why don’t I have hair there?

For those of you who don’t know what retrograde alopecia is, it is a loss of hair (or thinning of hair) at the nape of the neck or sometimes more rarely on the sides above the ears. I believe that this is genetic.

I started Minox around 2 weeks ago, putting up to 1ml of 5% generic liquid once per day on my scalp. Today, I experienced heart sides (chest pain, tightness in the chest, rapid heartbeat) for the first time after a few days of increased libido and headache.

An incident this afternoon, which I believe might have been a panic attack coupled with dizzyness, led me to look up ‘minoxidil panic attack’ on the internet.

The lower 2% minoxidil has less side effects when used topically, and works well with once a day applications. Yes, there are side effects for everything. You could get in a car accident, but will you stop driving if you have to drive?

I heard that hair falling is an autoimmune disease, with the body attacking its own hairs. Then, there is Wim Hof (google him), that has scientifically shown to control consciously so many processes in his body that were previously thought to be impossible.

Some forms of alopecia have an autoimmune cause. This is more common in women then men. 99% of men who are losing their hair find genetic causes inherited through various family lines.