Category: Uncategorized

Posted on

If Propecia Doesn’t Work, Is the Hair Loss Unrelated to DHT?

Is it possible that if you are one of the people who didn’t respond to propecia that your hairloss is unrelated to DHT? I’ve read the Diffuse AA can look like diffuse patterned baldness and even chronic TE can end up looking like thinning on top. I’ve tried propecia for a long time now coming up on 16 months and my hair on top is gradually thinning.

a little background for you, I have lived with anxiety, stress and depression problems for a long time and think that having these problems chronically has lead to hair thinning. I only have slight recession in the temples but everything else is evenly thinning on top. In summary, for the 10 percent or so that Merck reported as not responding, could they have hairloss unrelated to DHT? Thanks.

As you suggested, there are many causes of hair loss that are not DHT related. I have no way to know the reasons for your hair loss, though. That being said, there are patients with genetic hair loss that just do not respond to Propecia and this can be tested for with the HairDX Finasteride Response test (written about before).

You need to get a proper diagnosis from a good, caring doctor. I can not help you without examining you, at which point I could map your scalp and conduct a hair bulk analysis in our office.

Posted on

If you’re going to loose all your hair why not accept it?

“If you’re going to loose all your hair eventually there is no point in treating it, you will be bald anyways, that’s how God wants you to be.”

A relative of one person gave him this comment. This was my answer: God gave us genes that cause hair loss. God did not say that one had to accept these genes and that is what I make a living at, helping people like you manage or cure your hair loss cosmetically or otherwise. If God intended that hair loss should not be treated, God would have stopped the science of hair restoration from growing like crazy. If God gave you cancer, heart disease, smallpox, measles, etc.. would you accept it or try to cure it?


2020-01-25 09:49:17If you’re going to loose all your hair why not accept it?

Posted on

I’m 18, and have clearly started to bald. Do you agree with this plan?

I’d have a recommended list as follows:

  1. Dutasteride

  2. finasteride

  3. minox

  4. LLLT

  5. Nizoral

  6. microneedling (I have this so low due to safety concerns about people doing this at home alone. Most derm’s don’t recommend more than 0.25mm for home usage)

Extras (may or may not help):

  1. peppermint oil, rosemary oil

  2. saw palmetto

  3. scalp massage

  4. RU

  5. CB

  6. Taurine

  7. multi vitamin

After over a year of obsessive research, that’s the combined list I’ve accumulated if available ongoing treatments. Obviously, a transplant would be an option for something permanent as well.

I would start someone on the 3 most easily used and affordable products (Fin, minox, and niz 2%). From there, if they don’t respond, I’d swap out Fin for Dut and recommend LLLT comb or needling if they are willing to take the risks. If that somehow fails, then we’re getting into the trial products for desperation (ru, CB).

There’s lots of treatments out there, I think it’s just a matter of finding the right combo that works for most people :).

The first thing I would do is get a HAIRCHECK test to get a baseline and find out where and how much hair loss you had, and then from the results of the test make the recommendations of treatment. This is the value of seeing an expert in the field. Look here for more information: https://baldingblog.com/haircheck-test-how-it-is-done-video/


2019-05-10 12:14:13I’m 18, and have clearly started to bald. Do you agree with this plan?

Posted on

I’m 21 and Balding — What To Do?

Dear Sir:
I’m 21 years old , i’m suffering from hair loss , its not that much till now but i have a feeling that if i just ignored it , it will be very bad later , & i realy care sooooooooooo much about my Look. So please tell me what can i do , Do you prefer surgery for me , or Drugs ( if yes mention one ) i used to use REGAIN EXTRA STRAINGTH . but i stopped. because i wanted a faster solution . please reply as soon as possible . thanks so much

It is very difficult to evaluate hair loss without at least pictures, and an in personal consultation is better. I don’t recommend hair transplantation as the first option to solve your balding problem. First, you would have to be evaluated to map out your hair loss as it progresses by determining the degree of miniaturization that is in every part of your scalp. Then, providing you are a male, I would likely have you on Propecia for a year or so, then reassess the miniaturization and your observable pattern of hair loss (if any) or reversal of hair loss. From there, transplantation might be right for you, but only an in-person evaluation will be able to determine this. If you’d like to email photos to me, please use the email address on the contact page.


2005-12-05 16:17:08I’m 21 and Balding — What To Do?

Posted on

I’m 23, should I get a hair transplant?

At 23, generally you should first try drugs like minoxidil and finasteride for a year. I have seen reversal with this drugs in men of your age. You can add microneedling as well to increase the probability of getting your hair back. If you don’t respond to the drugs, then a hair transplant may be proper depending upon many factors that you and your surgeon will work out. Depending upon your hair thickness and donor density in conjunction with your end balding pattern, decisions can be make properly. Make sure that you get a Personalized Master Plan from your doctor and an estimate of your worst case balding pattern before you get a hair transplant

Posted on

10 months following FUE and my results are poor (photo)

I don’t see the results from 3000 grafts suggesting a failure of the grafts to grow. The number one cause of this is a technical failure of the team performing the surgery. If you went to a good doctor, go back and discuss this with that doctor. If you purchased on price alone and the doctor is unavailable, the number one problem is that you have depleted your precious donor hair and may have hit the limit to FUEs done for the donor area having to switch to a strip surgery, so in that case, you need to see a real expert in this field?


2019-05-10 12:19:5710 months following FUE and my results are poor (photo)

Posted on

Started Minoxidil 10 Months Ago (Photo)

Clearly some value has been achieved. I would add finasteride to the routine as that would add a different mechanism for reversing the hair loss. A boarder approach is often more effective.


2019-12-11 09:16:43Started Minoxidil 10 Months Ago (Photo)

Posted on

1000 hairs lost last night

I have been on finasteride for 2 years but today suddenly in the shower my hair started coming out in clumps. I’ve lost so much density, I bet more than 1000 hair went down the drain and additional hundred more when I was drying it. This includes the back and the sides of my head. I am panicking so much because when I started I only had mild temple recession with no hair loss anywhere else , and now this happened.

How old are you? If you are young, maybe you started to accelerate your balding genetics. This can happen if you are unusually stressed. Does that apply to you? if you are very worried, see a dermatologist of a hair specialist like me if yu in Southern California.