Melvin- Admin

Excellent results 👏🏼

If you can measure scalp DHT before treatment along with serum DHT, you could clearly assess whether topicals reduce DHT locally. For example, if a topical reduces 30% serum DHT, but 80% scalp DHT. That would prove that it indeed reduces DHT locally. After all, DHT on the scalp is what matters the most. Serum DHT levels don’t matter.

Very nice coverage 🙌🏼

You need a biopsy to check scalp DHT. I don’t believe your proposed plan is a scientific approach.

I don’t appreciate your tone, or your accusations. I’m not making $100+ off any subscriber. That’s a false accusation. We partnered with Xyon because both Pat and I use the product, and it’s something we both believe in, just like the physicians we recommend. We were approached by Reviv a natural topical last year. We used it, but found it wasn’t effective, so we never partnered. You’re making all of these claims without even trying any topical. Still, you’re free to share your opinion. But when I recommend this product it’s because it works for me.

Finding a lab that tests the biopsy is extremely difficult. I haven’t been able to find one, if you can find one in California let me know. I will gladly test myself.

Watch this

Thank you, yes, this needs to be shared far and wide. Its an important point.

If cost is an issue, take oral dutasteride. It’s much cheaper. You could micro-dose and save even more money.

I think these repairs are difficult, they’re not starting from a clean slate. You already had an unnatural hairline with multis in it. You can either extract those grafts, which will show scarring, or you can try and camouflage it with more hair. A repair case is never going to look as good as a virgin case. That’s why it’s important to choose the right clinic the first time. It sounds like you’re no longer confident in the clinic, so probably best to go elsewhere, though, keep in mind, the previous poor work will be extremely difficult to completely camouflage unless it’s removed. Best of luck,

It takes at least 90 days to start seeing growth.

Unfortunately, the full interview was broken up into bits and pieces because his staff kept knocking on the door. I think I’ll go back to his office and do a full interview where we can look at specific cases and get some more community involvement.

Medication can help regrow some hair. But it will not change you from a Norwood 6/7 to a Norwood 3V. Your baldness classification is set by your genetics. Unfortunately, diffuse hair loss is not in the Norwood classification. I’m sorry if I sound harsh, but I was also in denial for many years. I thought because my hairline was still intact I was a Norwood 3. I thought Norwood 6 means no hair on your head. This is not true. It’s not where you are, its where you’re headed. A true Norwood 3 has no diffuse loss, the pattern follows the Norwood scale This is a Norwood 5/6, despite having hair, that hair is thinning and will eventually be gone, even with meds.

It’s probably nocebo. I highly doubt one spray will give you instant side effects. There’s a threshold. The limited studies we have on topical dutasteride shows it reduces DHT after the first few hours and then your DHT comes back.

It took them 9 hours to extract 2,160 grafts. Your donor probably wasn’t robust. What clinic would want to prolong a surgery to two days if they didn’t have too? They lose money. You’re not happy, that’s fair. I think every patient has a right to be dissatisfied. I believe this is a good learning experience for everyone. For the clinic, pleasing the patient at the time may not please them afterward. For the patient, being in denial doesn’t help anyone. Medication does not change your level of baldness. Hope for the best, plan for the worst is always a good way to approach surgery.

I don’t think so, if a clinic can extract more grafts without damaging the donor they will, especially Eugenix. He has 3,000 more grafts now because he wasn’t depleted the first round. There are very FEW that can withstand more than 3,500-4,000 grafts in one round. There are outliers, sure, but to assume he could’ve gotten way more is speculation. @GeneralNorwood Thank you for sharing that photo I didn’t know it was 3,500 grafts over two days. The only reason a clinic would stretch out a procedure two days is to extract the maximum number of grafts your donor could withstand. There are a lot of things to critique, but graft count is not one of them.

He went to one of the top 3 clinics in the world that can extract maximum grafts. 3,500 grafts all scalp in one session is a big number. Not many can withstand much more without depletion. We can all point to outliers where 7,000 grafts are taken at once, but he clearly isn’t an outlier.

I have to strongly disagree, what Norwood 6/7 that you know could achieve a uniform result using 3,500 grafts? Hair transplants are all about supply and demand. Now you can have critiques about the planning of the procedure that’s fair. But he could’ve gone to Jesus himself, and he would still need a second procedure right away. The lateral humps near the part line are extremely difficult to fill in one procedure. @Zoomster will tell you even after 14k grafts it’s still not perfect. It’s impossible, to transplant his hairline, midscalp, and address the lateral humps with 3,500 grafts. The demand exceeds the supply. Regardless of who he went too, he would’ve needed a second procedure. In fact, not just one additional procedure, at least two procedures. Now, I can’t comment on what he was or wasn’t told during his consultation because I wasn’t there. The fact is, he’s a Norwood 6/7, he has a large surface area to cover, you can’t cover that area with 3,500 grafts. Impossible. He would’ve still had bald patches regardless.

In my opinion, you both are casting judgement on a procedure that hasn’t even started to grow. I understand there are concerns, but I think its a good idea let the results do the talking. As for going to an elite surgeon in the states. The cost would be double to triple the cost you paid, and there’s no guarantee it would be any better. You guys trusted them enough to book surgery, now trust the process. There’s really nothing else you can do at this point anyway. You’re gonna drive yourself mad second guessing the minutiae.

You can’t cherry pick studies. I just posted a much larger study that showed oral finasteride reduces 68% DHT after one year. Can you stop DHT locally? The question is unknown. Until you can do a large scale study that checks scalp DHT, we can’t comment. We can speculate that it’s due to systemic reduction that it works. I find it hard to believe reducing DHT by 34% is enough to give you good results, but maybe that is it. Either way, reducing DHT by 70% is unnecessary. I think there’s enough evidence to show that you don’t need to reduce systemic DHT that much.

I don’t believe anyone is being defensive, everyone here is sharing their thoughts and opinions. You can agree or disagree. Just because someone doesn’t have the same view as you, doesn’t mean they’re being defensive. You have every right to express your dissatisfaction, but others are allowed to share their input as well. You can’t post something publicly and ask those who disagree with you to be silent. I don’t think that’s a good approach either.

You got me hyped for this transformation haha

That’s one study, most studies show that oral finasteride reduces DHT by up to 70%. This much larger study found oral finasteride reduced DHT by a mean of 68%. All of the topical finasteride studies we have available (albeit small) show a 30-35% reduction. Oral finasteride 1 mg/day significantly reduced serum DHT levels by a median 68.4% in men with male pattern hair loss treated for 1 year. https://link.springer.com/article/10.2165/00003495-199957010-00014

It reduces DHT by 30% but oral finasteride reduces it by double. Topical finasteride is statistically as effective as oral finasteride, but reduces DHT by half. That is HUGE!