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I’m sorry to disturb you with this message, but I’m really confused about something and I was out of options… I have been using Minoxidil for more than 9 months and finasteride for 8. I have read somewhere that I could never stop minoxidil because I started it before Finasteride and so that my hair was already dependent on its effect and that finasteride would not really work well too because of it. Is that true ?

I’m sorry if my question is stupid… Have a good day, Sir.

There is a lot of confusion out there. Minoxidil develops minoxidil dependent hairs when it works. Finasteride reverses miniaturization and possibly brings back the hairs when it is almost gone. These are independent so one can be used without the other although the two are complementary to each other.

Finasteride usually start quickly by reducing shedding and then stopping or slowing the hair loss in a few months. Reversal, if it is to occur, will happen between 4-18 months. Some men don’t ever see new growth and have to accept slowing the loss of stopping the hair loss. A few men will find increased shedding when they start taking finasteride. This is a sign that it is working so i tell these men not to worry, just be patient.

I had a How good does SMP look? Also see: https://scalpmicropigmentation.com/ You can judge for yourself. Every ‘hair’ on his head is actually a tattoo.

Generally, they live as long as the source hair where they came from. The donor area in the back of your head generally lasts your lifetime so when it is transplanted, it lasts our lifetime 98% of the time.

Hi, I’m a 22 years old male. I have a very strange situation. I didn’t have MPB before, at least it wasn’t noticeable. I was a vegetarian for some time, but then I started eating meat again, but not red meat. One day I decided to eat red meat again, then the next die I noticed some balding on my temples and increase in body hair.

Everytime I exercise or eat red meat, the next day I wake up with more hair lost and thicker body hair. It’s not a coincidence.

But why? I started taking Proscar, and I get the same effect as eating red meat the next morning: more hair loss and thicker body hair.

What can I do? Every solution for hair loss just comes back and bites me from where I least expect it. If it’s because of testosterone, does this mean that I had low and stable levels until I started eating meat again?

Hair loss or growth does not happen overnight. For that matter, the texture of your hair does not change overnight either. Your body just does not work that way. The biology of hair cycling is in the order of weeks to months.

If you decide to abstain from red meat that is your prerogative, but I do not believe there is an overnight correlation with eating meat and the changes in your hair.

Hi Doctor,

I know everyone is genetically different in their balding patterns, speed, etc. but how long does it generally take for miniaturization to turn a healthy hair folicle into one that can’t grow any hair? Weeks? Months? Thanks!

You are right — everyone is different. The hair you see on top of your head reflects about 1/2 inch per month of growth. Miniaturization can take months or possibly even years to appear.

I’m a 30 year old guy with diffuse thinning hair. I started to take finasteride about 3 years ago and to be honest I’m not certain if it did anything for me as I didn’t have any regrowth during that time. However I’ve been able to greatly regrow a lot of my hair through microneedling over the last 2 years. I wanted to get your take on wether the hair I regrew with microneedling could be permanent? I reduced my finasteride dosage from 7 mg per week to about 3mg per week about 6 months ago and haven’t lost any ground. Your educated guess? Thank you!

I don’t believe that anyone knows for sure about how long microneedling induced hair will last. I am guessing it will last about one hair cycle (Max) which in a young man could be 3 years.

I want t know why I have random bald spots on my face. I always had a healthy beard, and for the past two or three months the areas have increased not dereased. What is possibly causing this, and how can I fix the problem? I miss my beard.

There are many things that can cause hair loss like you describe, including ringworm (a fungus), alopecia areata (an autoimmune disease), etc. See a good dermatologist for a diagnosis.