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bismarck last won the day on February 11 2019

bismarck had the most liked content!

Community Reputation

30 Excellent

About bismarck

  • Rank
    Senior Member

Basic Information

  • Gender
  • Country
    United States
  • State

Hair Loss Overview

  • Describe Your Hair Loss Pattern
    Receding Hairline (Genetic Baldness)
  • How long have you been losing your hair?
    In the last 5 years
  • Norwood Level if Known
    Norwood II
  • What Best Describes Your Goals?
    Considering Surgical Hair Restoration

Hair Loss Treatments

  • Have you ever had a hair transplant?
  • Current Non-Surgical Treatment Regime
    Nizoral Shampoo

Recent Profile Visitors

1,493 profile views
  1. Resveratrol, NMN, metformin, even rapamycin. There are a number of potential targets in terms of slowing aging. Their relationship, if any, to hair loss has not been studied to any degree that I know about. On which subreddit did you see that post?
  2. Interesting point, very interesting point. Let me see if I can find any long term follow up pics. My understanding from the Beehner study was the opposite.
  3. TRT will likely contribute to and accelerate hair loss, even if you are taking Dutasteride. DHT is a large contributor, but there are many new factors at play that we didn't understand before because the science was not as evolved (exosomes, androgen receptor sensitivity, hormesis, etc). If you have a legitimate medical reason like bone loss or impotence, than do you what you have to do. Just be aware it might make things dicey.
  4. Whatever the fuck he did don't do it. LIke his political career, he has an abortion of hair.
  5. If you're basing your answers off of realself or doctor published pictures, you're asking to get f'd in the a. I hope you get a reach around at least. Patient submitted cases or forget about it.
  6. Be a man. Post your pictures here. Non surgical. Get on big 3 first. Stop complaining.
  7. A few tips: -Look at patient submitted cases for a rough idea of 'Yelp reviews' of the physician. -Look at surgeon submitted cases for a rough idea of what the surgeon themselves views as their 'ideal outcome'. -Review multiple forums and try to keep a log of patient cases for those you're considering strongly in a growly type notebook. Give each case a rough "1-10" rating so you're not just relying on memory and posts from forum users. This is obviously extremely difficult with submitted cases, but it is far better than what we've had in the past and certainly there are very few cosmetic (or surgical) procedure in existence that have the database of patient submitted cases that HRN has accumulated. Be very grateful for this site. -Be careful to separate liking the surgeon personally from the quality of their results. The former doesn't mean $hit for the most part; the latter is key. -Try to look into the state medical board where the physician is located. Most United States, Canadian and UK surgeons have to report disciplinary action to their respective boards. If you can find court records, look up how many times they've been sued. -Look up their actual Yelp page, and mentions of them on other forums. You might be surprised at what you discover. Be careful to separate the trolling/internet noise from actual insightful criticism. If you figure out how to do this, please let me know. -Trust your gut, it matters more than you realize.
  8. Exosomes and exogenous ketones are probably two areas of promise as well, but again, very little in the way of peer reviewed evidence.
  9. Wht the f are they doing over there in Turkey. Should be ashamed.
  10. There really hasn't been much of interest treatment-wise in a long, long time. Cutting edge inevitably faces a trade off with 'clinically proven' and snake oil salesmen rush in to fill the void.
  11. jj, two things -- I have to say, your scars are some of the most imperceptible I've seen, so surprised to hear you say this. I also think, however, that you have one of the best eyes for detail amongst everyone on this forum, and you would probably catch stuff that the average layperson (or even physician) would miss. Have your scars ever been noticed by someone before you told them about your surgery?
  12. It has been studied to a limited extent with alopecia areata but not androgenic alopecia to my knowledge. I don't think it would be as effective as dermarolling. Combing it with electrical stimulation or minoxidil to augment its effects would be interesting directions to go as well. I think a lot would depend on if the underlying fascia had fibrosed already or not. The balance between hormesis and anti-oxidation is the fulcrum around which every hair follicle rotates. Acupuncture for treating alopecia areata: a protocol of systematic review of randomised clinical trials. Lee HW, Jun JH, Lee JA, Lim HJ, Lim HS, Lee MS. BMJ Open. 2015 Oct 26;5(10):e008841. doi: 10.1136/bmjopen-2015-008841. Nitric oxide signaling molecules in acupoints: Toward mechanisms of acupuncture. Ma SX. Chin J Integr Med. 2017 Nov;23(11):812-815. doi: 10.1007/s11655-017-2789-x. Epub 2017 Oct 28. Review.
  13. Thanks Blake. When you use sutures are they absorbable or do you remove them? Or is this also surgeon preference? I have heard that absorbable sutures may not be as secure as conventional sutures, but have you noticed anything one way or the other? For your patients that are out of town that you use sutures with, do you have them removed with a local doc in their home city?