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I’m 34 and considering starting finasteride now

I’m 34 and have been using min and niz for about 10 years. Honestly they did their job in maintaining and even regrowing a bit of my hair pretty well but I can see my hair is starting to thin out a bit on top. More of my scalp is visible. I ordered some cheap generic brand of fin called Accord (hopefully its legit) but after reading this forum I’m having second thoughts. My sex drive isn’t that high as it is and the side effects seem brutal. Is there anything I should know before starting these pills or should I just not bother?

Thanks in advance for any advice

Finasteride is a lifetime commitment so if I were you, I would try to get a HAIRHCECK test (https://baldingblog.com/haircheck-test-how-it-is-done-video/ ) before starting the drug to be absolutely sure you know where your hair loss is starting from.


2020-11-04 08:26:40I’m 34 and considering starting finasteride now

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I’m Already Taking Propecia, So Doctors Can’t Determine My True Norwood Pattern

Hello dr.rassman.
I am in my early 30’s and receding and losing hair in the front area of my scalp. I recently went to get a hair consultation done and they said I could end up a norwood 4 but they do not know because I am on propecia and there is no really way of telling what norwood pattern I will eventually end up at and when. Currently, I am a norwood 2.

If there is no way of knowing what my pattern will be and when my hair will stabilize or if it will at all, isn’t it pointless to go for a procedure before I fully stabilize because if I don’t, my native hairs will fall out and the transplant will look bad. For all I know, it can take 20 years before I stabilize and reach my pattern!

It really doesn’t have to be that complicated.

Most men show signs of thinning in a specific pattern by the time they are in the mid 20’s to 30’s. Taking Propecia would not affect it too much if you pay close attention and have good miniaturization measurements and bulk measurements.

Remember, Propecia does NOT completely stop hair loss. It slows it down. You will see a pattern if not in the first exam, but over the course of several months with interval measurements.

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1/4 Tablet of Proscar with Breakfast

Dr Rassman
If i take 1/4 proscar with breakfast will it get absorbed in my blood streem or is the tablet just too small after it is mixed with food? Do you think it is better to take it on a empty stomach? Thanks

I’ve often said that in my opinion, it is best to take it before breakfast. I generally think that it is best taken on an empty stomach although it probably makes no difference on the absorption issue.

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I am 15 years old and am losing hair. Can I take finasteride?

Depending upon your bone maturation, it may not be unreasonable to use the drug finasteride, but first where you are on YOUR growth curve (e.g. bony maturation) plus other factors relating to your hair loss are critical to understand. I belong to a group of 60 doctors who share a common email and the subject of young boys 15 and up and the use of finasteride has come up. With proper doctoring, this can be an option. The HAIRCHECK test is a critical first step in evaluating the degree of hair loss that you have. Many doctors may not want to use this drug on you so it is a careful discussion with you, your parents and your doctors that is critical in making such decision.

William Rassman, M.D.


2017-01-11 14:35:40I am 15 years old and am losing hair. Can I take finasteride?

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I’m Pregnant and Have Alopecia

Dr. Rassman,
I’m 11 weeks pregnant and I’m suffering from alopecia. I was just wondering if is there any safe form of treatment that I can go through or any specific food that I can eat to prevent any further hair loss. The hair loss started off as about a quarter size in circumference now it has grown to about five inches in size!! Please I need some help, because I feel that pretty soon I will be completely bald. Thank you for your time.

I am assuming that the hair loss is relatively complete in the areas showing. If so, it sounds like you are suffering from Alopecia Areata induced by the pregnancy. You need to see a dermatologist for a biopsy and treatment. You will need to coordinate any treatments with your OB doctors to keep things safe for your baby if the doctor elects to treat the problem and my presumptive diagnosis is correct.

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17 Year Old with Early Hair Loss and Every Member of His Male Family Had Advanced Balding

My father lost his hair in his early 20s, and nearly all the males in my family are bald or balding. This can’t be normal, I refuse to believe that other teenage boys who are not experiencing AGA go through something like this. What are your thoughts? And when you started shedding hair, did it actually progress to visible hairloss?

If all of the male members of your family have extensive hair loss, it is likely you will follow that course. The use of oral Minoxidil or Finasteride might slow down the course of the process, something that your father and grandfathers might not have tried when they experienced the balding process. I would strongly recommend that you get a HAIRCHECK test to establish a baseline so that you can follow the hair loss with a good measurement. You can repeat this test yearly to determine the effectiveness of the treatment you select. Find a doctor who has this instrument as I believe it is critical for you to know what is happening to you over time.

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I’m thinking of stopping Minoxidil

I have been using Fin for 4 years with pretty good results, added Min to regime but now wanting to stop after 16 months as I’m getting a hair transplant later this year.

Hair transplants certainly help with balding, but the medication is what stops hair loss progression of your native hair that is still left on your head. I have performed hair transplants on thousands of men and those who stayed on finasteride were likely to be finished with their balding, as this man shows well: https://baldingblog.com/20-years-ago-2-hair-transplant-procedure-photo/