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I recently saw a few posts here talking about expressing gene in hairloss. For example, you said workout may precipitate hairloss or bad habits (smoking & drinking) could also make the hairloss occur ahead of the time, so I am wondering are these factors the triggers for hairloss? If I keep a good health condition which means I can delay my hairloss? Provided that I have the gene of hairloss, thank you.

Staying healthy is always a good idea. You’ll live longer and maybe your hair loss can be delayed a bit or maybe not. Hair ‘apoptosis’ (hair follicle death) is probably programmed in our DNA and genes. If you have the gene for hair loss, it will happen. Drugs, such as Propecia, seem to slow the process down or even seem to pause it. However even drugs do not completely stop the inevitable genetic predisposition.

I’m an 19 year old male and I think that I am starting to have early stages of balding, similar to that of broadcaster steve hartman but at a smaller alot smaller level. Is my hair going to continue to bald until it looks like steve hartman’s or is there a chance that it will stop? Also whats steps can I take at this young age?

You need to have a diagnosis, so get your hair mapped out for miniaturization to determine if that is what is happening to you. Why play guessing games? You need a Master Plan for your long term management and a good doctor to do it for you. I just can’t stress these things enough. My apologies to the regular readers that think I’m sounding like a broken record, but there’s just so little I can do to help via the internet without examining your hair loss, so I must keep recommending the same things over and over.

Have you seen first sign of improvement on Finasteride after one year?

This is not uncommon. Sometimes just slowing the hair loss is hard to notice, but if, while taking finasteride, your biological hair loss activity slows down, then the finasteride may become more effective. This might explain why you see improvement appearing at one year after starting the drug. This drug, in sensitive men, can give reversal of hair loss especially in the young men under 25 or even 30. It works better in the crown than on the frontal areas.

Multiple articles suggests that creatine does contribute to hair loss: see here: https://www.ncbi.nlm.nih.gov/m/pubmed/19741313/

I have been taking minoxidil 5% on my hairline for 1 year and I wanted to ask you if you think that adding finasteride will help grow more hair?

Adding finasteride will only add potentially more benefit. What you already got from minoxidil over one year is remarkable and unusual.

I’m nearly 25 and my hair is slowly getting worse I want to start finasteride but not sure if its wise to delay it Some of the reasons why I’m thinking of delaying. 1 potential side effects / permentant change in hormonal profile 2 possibility of hair getting worse 3 long term cost. At the same time I want to start to keep what I have

If you take finasteride and, worst case, get side effects of any sort, you can stop the medication. In my fairly extensive experience I have never seen permanent side effects that don’t go away with stopping it.

This is the response that I like to see with the use of topical finasteride plus minoxidil. Topical finasteride keeps the medication in the skin.