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i have sleep disturbances with fin for nearly 2 weeks … usually i sleep ( 9-10 ) hours now … i woke up in the middle of the night and i sleep just 4 or 5 hours and can’t continue and feel sleepy throughout the day … is there any chance that side effect disappear by time ? because it affects me in my work and in my life generally …. if i took fin before sleeping could that help ? .. or just quitting is the only solution ? … i need to know your opinions because i can’t live like that !

Sleep disorders with finasteride are not reported. This could be psychological.

A good transplanted hairline will have a transition zone created in front of the larger grafts (2-3 hairs each) so that there is an easy gradation from forehead to thicker hair. This picture shows the absence of a transition zone and hair lined up like soldiers, not a random normal placement of the grafts. In addition, the transplant is not aligned to the forelock so it was poorly planned. This surgery was done recently by another clinic.

Hi Doc. I have a few questions regarding male pattern balding and hormones.

1. I obviously have a lot of DHT as I am 22 and have hair on my shoulders, back and chest and had bad acne growing up. Does this mean that I will be more susceptible to MPB?
2. I have a widows peak that I inherited from my father. He is in his 50’s and the only extent of balding happened before his mid twenties that resulted in a pronounced widows peak. Does this mean That I will probably follow his pattern? if I have more DHT that he does is there a greater chance that I will have more balding…or is your pattern of balding predetermined…regardless of the amount of DHT you have.
3. I have noticed miniaturized hair falling out every once in a while, they are thin but still as long as the rest of the hair. Does this always mean MPB or does some hair naturally miniaturize. (could other scalp conditions cause this, such as dermatitis)

I appreciate any info you can offer regarding these questions. Excellent site, keep up the good work.

1. Having “lots” of DHT does not necessarily mean you will have MPB. You need to have the gene for MPB. Just having hairy shoulders, back, and chest does not necessarily mean you have “lots” of DHT either.
2. You may or may not follow your father’s hair pattern. There is no way to tell for certain.
3. Miniaturized hair does not necessarily mean you have MPB. Men with MPB have miniaturized hair in certain “patterns” — thus, the term male pattern baldness (MPB).

I was wondering if you have an opinion on hair systems, or if you ever recommend them to patients with advanced balding? I know that most people prefer to keep their natural hair, but I feel like people with very advanced balding (NW5+) would look much better if they just wore fake hair rather than try to stretch out their limited donor supply over their entire scalp. I’ve noticed that people who try to get a transplant as a nw6/7 almost inevitably have to choose between a sky-high hairline, a giant bald spot surrounded by a ring of hair, or just very thin hair all over.

Different strokes for different folks. Hair systems work and work well; however they are very expensive (see here: https://baldingblog.com/why-not-a-hair-system-instead-of-a-hair-transplant/) and once your on them, you are hooked on them because the attachment mechanisms cause permanent hair loss and makes the balding worse. Even from a cost perspective, a hair transplant is generally less expensive unless you are a Class 7 man. In that case, a hair system is like putting on a hat, but you have to wear it all of the time and over time they start to smell and fall apart, requiring washing and replacement frequently. Also, unless you can afford the best like Donald Trump has, your system may be detectable to almost everyone. Nobody likes that.

Hi

I have red hair and it comes from my father’s side of the family only. The men on this side of the family have their hair but the men on my mom’s side (who do not have the red hair gene)all suffer from MPB.

My hair is starting to form into Norwood Scale 2: is it possible I could go bald too even though the red hair gene comes from my dad’s side?

Thank you for your help.

The color of you hair, along with other physical characteristics you inherited, are carried in different genes than the ones associated with MPB. The genetic predisposition for balding is inherited from either your father’s and mother’s sides, with more weight on your maternal lineage (48% for father’s side vs 52% for mom). There is a possibility that you may develop MPB. You need to be examined by an expert, someone who will map out your scalp hair for miniaturization to determine if you will be losing your hair. If you are in the early stages of hair loss, then you need a Master Plan to determine how to proceed with your hair loss treatments.

Have any of you guys found a successful dosage that doesn’t give you puffy face, fat belly etc while still being effective for hair growth?

If you are getting these side effects, either the dose is too high or you should not be on this drug. Speak with your doctor

I just started Dutasteride. What’s this about the half-life allowing you to take it less often than fin?

The half life for dutasteride is 6 days (this is in the blood), but the tissue life (at the hair follicle itself) lasts much longer-possibly weeks or even a month. Less frequent dosing is ok, in my humble opinion.