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Have you come across any studies which go on to show with considerable evidence that the bodybuilding supplement creatine can promote/speed up hair loss/mpb? There seems to be a lot of “broscience” when searching around, and I’d like to hear the thoughts of a professional.

Over the many years in this business, I have seen supplements that contain steroids (some labeled and some not labeled). I remember an article (didn’t save it) where the FDA caught some supplement company of putting steroids in with the Creatine, and not labeling it. They broke the law. Creatine, by itself, should not cause hair loss.

Cutis verticis gyrata describes a scalp condition with convoluted folds and deep furrows that resemble the surface of the brain. Cutis verticis gyrata is a progressive condition. It is mainly troublesome due to the cosmetic appearance. Rarely, it can be complicated by malignant melanoma developing within a melanocytic naevus. Cutis verticis gyrata occurs more commonly in males. The primary form of cutis verticis gyrata has a reported male-to-female ratio of 5:1. The incidence of cutis verticis gyrata may be reported as lower in women because longer hair may camouflage the condition (Ref: Dermnet NZ).

This is a cosmetic issue for those who have it. As you can see in this photo, styling the hair can be a problem.

Thanks for this info. I have been to my dermatologist and physician to consult with them before taking Propecia. They assured me it is an overall very safe drug, and it works. For a few weeks before taking this drug, I even monitored ball ache and (paranoia induced) sexual performance issues; related to the worried anticipation of taking this drug. I did so to remind myself to see if these feelings had occurred before taking the drug. I literally took my first pill today and I have been feeling the slightest but (seemingly) very real presence of a mildly annoying ball ache. I know (as a Dr. who has no idea who I am) you can’t make any determination as to what is going on with me. However, is this common? Do you know why one’s balls might ache on Finasteride? Is there anything I can do to try and combat any potential nocebo effect? Is it realistic to get sides after 1 pill? Thank you to anyone who can provide insight.

It would be highly unusual to get sexual side effects of any type on a single pill. However, you seemed primed for a placebo effect on the side effects which are about 100% if you psych yourself up about this process.

Dr.Rassman,
I heard from somebody that the average person loses 100 hairs a day. This seemed really high to me, is it true?

Yes, this is true. It is believed that the average person has about 100,000 hairs on their head and the life cycle for a hair (before going into its cycle shut down and regrowth) is 3 years. Wtih that said, that means 35,000 hairs lost per year or about 100 (rounded) hairs per day for 3 years will equal the total number of hairs on the head of an average Caucasian Male.

I have worked with Dr. Bernstein and he is one of the smartest people in this industry. I think that if you spend the time to listen to this podcast, you will be smarter for the time invested. Bill Rassman

https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/510520719&color=%23ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false&show_teaser=true

3 years ago, we exchanged a friendly conversation on my troubles with Post-Finasteride Syndrome. I followed your advice back then and went to several specialists, who couldn’t help. Since then, I am still suffering tremendously (numb deformed genitals, zero arousal, severe ED, other physical symptoms such as a thinning beard…) after exposure to 5ARi treatment.

I’m honestly baffled that knowledge about this condition readily exists and NOTHING is happening to help those people who are suffering from it. My life ended when I developed PFS and I have been left to rot by the medical community.

Would you be willing to raise awareness about this rare iatrogenic condition in the medical/dermatological community or publish a case report as to bring PFS in the medical literature? I don’t think this would damage reputation anymore since some credible studies have been published since, and, sorry for being so candid, I personally believe it’s your responsibility to help those who’ve been harmed by a drug you are promoting online.

I don’t mean any offense or disrespect. But I’m only trying to give a voice to thousands of young man who have been severely harmed by this drug and have lost all hope. Last year, we lost a young man to suicide, because he couldn’t bear the bodily destruction anymore that PFS has wrought.

Please, consider helping us bringing awareness to this rare iatrogenic disease. We have a moral obligation to not turn a blind eye to those in need.

Thank you

This syndrome, also identified with long term finasteride users, is devastating for those impacted.. Can you imagine giving up your sex life for the rest of your life? There is presently not much understanding about these syndromes and certainly over the past decade, not much has been offered in effective treatments for these men. The purpose of posting this man’s plight is to let you know that if you are on finasteride or dutasteride and have significant sexual side effects and/or impotence in the short term, speak with your doctor about stopping this drug. From my experience, I am not aware that taking this medication for a short time and stopping the medication because of these side effects will produce this syndrome.

This patient had a localized harvest of his donor area with FUE. The area extended outside the permanent zone of hair which means that the patient has had hair moved from areas which are not permanent and that the harvest with FUE may have been too great. We see this complication of large FUE sessions, that some of these patients develop a ‘balding’ of the hair in the back of their head. I have spoken against over-harvesting for many years since I originally defined FUE