Read the following:
If fish is good once a week to build the brain and protect it against Alzheimer’s disease, think fish for your overall diet a few times a week. Over and over again, the value of Omega-3 fatty acids has been seen as a strong plus for our diets. Don’t wait until old age to take the correct dietary steps to enjoy your retirement while you are young.
I am 24 year old currently on propecia for the last 8 months. While the results have been satisfactory, I am not thrilled. I have had zero side effects from the medication. I am looking into taking avodart .5 mg. I know you are not legally permitted to condone the use of it for MPB, but is it more effective than propecia? I am looking to get a little regrowth that i have not seen with propecia. Is it safe to use for MPB and is there substantial non FDA controlled testing credibility regarding regrowth? Please Advise
There are no FDA studies on Avodart related to hair regrowth, but Avodart has been studied for prostate problems and it is safe in the older population. To my knowledge, there are no good studies on Avodart with a hair loss focus either. If any readers out there are aware of such studies, please feel free to send me links to the address on the Contact page. Please follow past blog entries related to Avodart by using the search.
I tried to supply the link; however, the link was blocked. If you want to see this, you can search “Follicum reports early studies” and see this study.
2019-01-24 05:55:482019-02-14 11:44:21Follicum Reports Early Studies
Dr. Rassman,
I appreciate all of your feedback on a variety of issues. It really is so helpful for all of us.
I had a HT 3 weeks ago (FUE) with a top notch doctor. Everything went fine. At day 15 post op I was exposed to the Florida sun without a cap or sunscreen, but with hair covering the recipient area, for a total of 10-15 minutes — also during a car ride the sun was shining. I know you have written on this issue, and I have read all of the sun-related posts. However, I would like your thoughts on my situation please.
I noticed some slight pinkness, and the blotchy white and pink spots that I have read about, and some minor sensitivity to the scalp after the sun exposure. I did not have any blistering, and have not yet had any peeling in the area. I am now, since, using sunscreen 70 spf. My question is: is it likely that I affected the grafts, and their growth by this limited exposure (not a severe “red” burn) to the sun?
Please say “No”, but otherwise be objective, and thanks again.
“No”, I do not think you affected the graft.
Most doctors generally recommend protecting the skin from sun exposure (especially after any surgery), because the UV light can cause discoloration of the scar. I would think 15 min in the sun or riding in a car would not be an issue.
Nawaz Sharif had a hair transplant? As the news channels are showing him every hour after the unfortunate killing of Ms Bhutto, I noticed how drastically un-bald he is compared to just a year ago!
Here’s him a couple of years ago – ForumPakistan
Here’s this month’s photo – ABC Australia
Digging around a bit, I found media has already gotten the clue. Pakistan’s top newspaper Dawn reports
“They share one inexplicable self-indulgence; both have had hair transplants that make them look younger in the eyes of every beholder except their electorate.”I know ex Prime Minister of Italy Berlusconi had had a transplant. Does that make Mr Sharif the second state leader? Seeing Berlusconi lose the election so badly and Mr Sharif’s general
lack of mass support, HT may not yet be that “effective” for our leaders 🙂Thanks
Interesting comments and photo research. Thanks for sending this in. To answer your question, I really don’t keep track of which state leaders have had hair transplant procedures, but if any readers have examples, feel free to leave a comment. It would certainly seem that Nawaz Sharif had some form of hair restoration. I do not know for sure though, until he publicly acknowledges it. The photos speak for themselves, however.
I’ve put the photos you sent side by side for easier comparison below:
I’m 9 weeks into my hair transplant journey. Resumed going to the gym at the 8 week mark. I’ve noticed my donor area start to get itchy. I sweat profusely while working out. My heart rate during a HIIT session can also climb to ~200bpm. Should I be worried that this will negatively impact my hair transplant at this stage? Side-question: sometimes I don’t get the chance to wash my head after a workout until at least some hours later. Is that an issue? Is it possible that the itching on my donor area is completely unrelated to the exercise and has more to do with my minoxidil/finasteride use? I’ve only been on topical min- oral fin for 20-ish days so far.
Feeling really panicky and paranoid so any answers help!
9 weeks after a hair transplant means that you are now normal. Do whatever you did before the transplant. The transplant should be undetectable at this stage. Any medical health issues should bring you to see your primary doctor, not your hair transplant doctor. At this time (actually 3 weeks out), you can wash your hair normally and sweat all you want without worrying about the hair transplant.
You have a terrible complication that caused you to lose a lot of your donor hair. Maybe with time, it will come back. Go back and speak with your doctor since your donor area is in trouble. You may have been donor area may have been over-harvested, or this could be shock loss since it is in the first month. If your hair comes back, you will see it return around the same time as the recipient area grafts start to grow. If the donor hair does not return, then Scalp Micropigmentation is the only solution available to you or to anyone in your situation (see: https://scalpmicropigmentation.com/).
2018-03-08 06:39:592018-06-22 09:46:41I Had an FUE of 3500 Grafts Less Than a Month Ago (Photo)
Hi,
I’m currently on Synthroid 50mcg and I take this medication in the morning on an empty stomach. I read that Propecia should be taken in the morning (ideally) because testosterone levels are highest during this time. Is it OK to take Synthroid at the same time as Propecia or should I start taking my Synthroid at night?
Yes, taking both Synthroid (levothyroxine) and Propecia (finasteride) in the morning is not a problem.
2009-02-26 08:35:082009-02-24 13:20:32Synthroid and Propecia
This is part 2 of my series of posts about follicular unit extraction (FUE). I discussed the history of FUE yesterday in part 1.
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When I made the decision to have another hair transplant procedure some 8 months ago, I asked Dr. Pak to do it with FUT (strip), not FUE, and the rationale for this is outlined below. I had no noticeable scar from this FUT, even though it was the third procedure I had at the exact same location. Before I get into the FUE in more depth, it is important to compare the FUT grafts with the FUE grafts:
Graft quality:
The FUT grafts are tightly controlled with regard to the quality of the graft, and the consistency is totally dependent upon the experience of the team and the quality controls put into place by the surgeon as the grafts are taken from the strip. The FUE graft quality is dependent on the wide variety of tissue connections and different types of collagen that surround the FUE graft. The grafts are cored with an instrument, never seeing the graft until it is removed. The surgeon who uses hand instruments and gets good at them, ‘feels’ the instrument as it works its way through the scalp. Everyone is different in regard to their tissue makeup so that every person reacts to the FUE coring differently. If a surgeon claims 2% damage straight across the board, he is selling himself, and in my opinion he is not telling the truth (see here and here).
The grafts are pulled from the extraction site once they are cored and this pulling is most often the cause of the denuded distal end of the FUE graft. Almost 100% of FUE grafts lose the fatty covering at the bottom of the graft, exposing the hair follicular bulb to the air around it (this is never present in FUT created grafts). This can be a problem because drying (the number one cause of graft death) is accelerated as the grafts are moved from the donor area to the bath they are stored in, and then from that bath into the recipient area. Meticulous attention to keeping the graft very moist and protecting it from the air in the room is critical to graft survival and this is probably the single largest cause of FUE failures once the graft has been removed from the donor site.
Graft survival:
The survival of the denuded graft may not be as great as the survival of the FUT manually dissected graft, and there are few scientific studies other than one by Dr. Bradley Wolfe (ISHRS Presentation in October 2012) that demonstrates in his hands on a side by side comparison in a single patient, that graft growth was essentially the same when FUT and FUE were compared.
The denuded graft has always bothered me and every technique gets it when performing an FUE no matter which surgeon does it, and there does not seem to be influence by the commercial instrumentation used. There is one exception to this — when we developed and tested the FUE2 technique and used subdermal tumescence simultaneous with the FUE technique. As you can see on this FUE2 page, the grafts have no denuded distal end. We have not commercialized this technique at this time and I am personally waiting to see if scientific studies being done now, will shed light on the importance of the denuded distal end for the FUE graft.
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Part 3 tomorrow, where we look at surgical skills and robots.
Dear Dr Rassman:
I started losing hair at 21 years old and i was prescribed Propecia by a doctor. at 23 i took steroids for a period of 2 months, a oral plan which included Winstrol (Stanozonol), so propecia wasnt really working and decided to change for Avodart taking 0.5Mg a day. Now that i dont work out anymore, i kept taking avodart for more than 1 year and now i think i have reduced sex drive, and reduced amount of sperm.
I believe hair loss has completely stopped since avodart, but the sex drive got worst, 1 year after.
would you recommend to stop completely taking avodart?
would it be effective to take it every 3 days instead?
would you recommend to go back to propecia?Regards
You are asking for detailed medical advice, but I am not your doctor — for legal and ethical reasons, I can only provide general advice. You need to address these issues with the doctor that prescribed you the anabolic steroids and Avodart (dutasteride). You don’t seem to have a focus on the long term consequences and steps you need to make in your hair restoration process, so the best advice I can give you is to find a doctor that will form a Master Plan for you.
You are correct in stating Avodart causes a low sex drive (much higher occurrence than Propecia). It should be reversible once you stop taking the medication, unless you also have a component of inherent sexual impotence. Mind you that this is all confounded by your anabolic steroid use. This is more the reason why you need a good evaluation and examination by a doctor (face to face).
2008-01-16 14:33:532008-01-16 19:19:03Taking Avodart and Oral Steroids
