Do I have DUPA

I would like to have a HT in the future when my diffuse thinning on top gets really bad, but I don’t know if I have DUPA, is it possible to see from photos from my iphone?

To make the diagnosis, buy a hand microscope from Amazon ($30 range) and then get photos like these from your donor area: https://baldingblog.com/do-i-have-dupa-photo/

Propecia with Hyperthyroid

Good day Sir, I would like to ask if you can recommend propecia to me, despite of having hyperthyroid and heart problem.thanks and god bless

I would doubt that there is a problem with Propecia use, providing that you have dealt successfully with the treatment of your thyroid problem. You need to see a doctor and have a full examination of your scalp. Confirmation of the diagnosis is critical before I would write a prescription.

As thyroid problems are a common cause of hair loss, I think this is an informative page for those intertested in learning more about thyroid disease: Hyperthyroidism.


2005-11-16 14:36:37Propecia with Hyperthyroid

Do I Need to Dye My Hair Forever if I Get SMP?

Here is a question on the Scalp micro Pigmentation. Once a patient decides to do a cosmetic pigmentation especially on certain parts of the scalp, but not the full scalp, how is he going to look when his real hair will become gray eventually? Do you use a permanent or a temporary pigment?

I think we’ve answered this before, but in general, we do not perform SMP to certain parts of the scalp since as you point out, it would not blend in with the changing of hair color. For example, we sometimes leave the areas around the ears and neck.

Scalp Micropigmentation is permanent. If you want a temporary solution, I’d try Toppik or DermMatch.


2011-10-25 17:17:31Do I Need to Dye My Hair Forever if I Get SMP?

Prostate Cancer Prevention

A recent article, titled “An update on chemoprevention strategies in prostate cancer for 2006”, published in the May 2006, Volume 16, Issue 3 issue of the Current Opinion in Urology medical journal discusses the ability to reduce prostate cancer with a variety of herbs, vitamins and drugs including the roles of: finasteride, selenium, lycopene, soy, green tea, anti-inflammatories and statins. It warns of the increased risks associated with excessive vitamin E and cyclooxygenase-2 inhibitor. We are learning much about prevention of Prostate cancer. Below is a review of the article:

PURPOSE OF REVIEW: An increasing volume of research has been directed at the prevention of prostate cancer. This review proposes to summarize the large trials, novel approaches and molecular mechanisms of effect published in 2004 and 2005.

RECENT FINDINGS: The impact of the Prostate Cancer Prevention Trial continues and subsequent articles have addressed the increase of high-grade prostate cancers detected in the finasteride arm of the trial, as well as the potential costs and benefits of extrapolating the findings to a public health campaign. Studies of risk have been published warning of excessive vitamin E and cyclooxygenase-2 inhibitor use in chemoprevention. Growing evidence supports the concept of chemopreventative agent combinations and further data on the roles of selenium, lycopene, soy, green tea, anti-inflammatories and statins in prostate-cancer prevention are presented.

SUMMARY: Level one evidence exists for the preventative effects of finasteride in prostate cancer. The evidence for other agents is less conclusive but a number of large-scale, appropriately designed trials will hopefully address some of the relevant issues in prostate-cancer prevention over the next decade.

Source: Curr Opin Urol. 2006 May;16(3):132-7, An update on chemoprevention strategies in prostate cancer for 2006, Neill MG, Fleshner NE. Division of UroOncology, University Health Network, Toronto, Canada.

Do swimming pools promote hair loss?

I’m not trying to suggest that swimming causes MPB or anything like that. I’m just wondering if the chlorine or other chemicals in the pool could be detrimental for those of us already struggling?

The chlorine in the swimming pool may damage your hair, but the growth mechanism is below the scalp, not reached by the pool water. There is a difference between damage to hair that has already grown and new hair that just emerges into your world. If you look at a long hair carefully, the part of the hair closes to the scalp is new and in its best shape, unless your have miniaturization associated with genetic hair loss

Do you think MPB is playing a part in Justin Bieber’s “deep rooted issues”?

Not trying to just gossip or start drama. Just want opinions. Personally, I think it’s playing a big part. It obviously takes a large toll on all of us going through it, but imagine being someone like Justin Bieber who’s whole life was boosted up based on an attractive appearance, especially the hair. And yes, his hair could be a lot worse. But we can all see he isn’t where he used to be.

All men want hair and don’t like it when they see changes related either to age or some form of male balding. Celebrities are no different and I have seen my share of celebrities to tell you that they are like you, they care about their hair

 


2019-04-08 12:47:10Do you think MPB is playing a part in Justin Bieber’s “deep rooted issues”?

Question about starting finasteride

Hi doctor, just a question, do you have hundreds of patients on Fin without any sides? And if they do have any do they just call you? And what dosage do you recommend, Im thinking of 0.25mg

I have thousands of patients on finasteride without side effects. Usually, I start at the recommended dose, unless the patient is unusually concerned about the sexual side effects. If that be the case, I might start with 1/4 dose and slowly over weeks increase the dose until it reaches the 1mg dose provided that there is no deleterious side effects reported.


2019-02-12 07:08:29Question about starting finasteride