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Posts posted by vboteju
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I am a resident in a surgical field. You've made quite a few claims here. Please explain how you would like to manage the following:
-management of hypoxia while avoiding intubation
-if you truly believe that this is a farce, please explain why 99% of everyone at my institution wears masks
PS - This stuff could definitely spread on food. There is a reason why nobody eats at the hospital cafeteria anymore unless you have to.
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17 hours ago, LaserCap said:
Yes I did, he's good at what he does.
Sounds like you should have all the answers to your questions then.
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18 hours ago, LaserCap said:
Nice set of photos. I particularly like the way you comb the hair out of the way so you can really see the quality of the work. Nice work. The naturalness is unbelievable. 4 months? Must have also done PRP to get such quick results post op. This does kind of put to rest the idea that you need multiple procedures to achieve density. Many believe that grafts compete for blood supply and that a separation in between grafts is needed for survival of any given procedure. Some time later, (typically 1 year), patients can return for a second procedure to add density to the same area. With your work, it seems, (and I realize it's number of grafts dependent), you can achieve full density in a single pass. What do you attribute this to? Advanced techniques? More knowledge, more experience?
Didn't you used to work for Arocha?
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5 minutes ago, hairlossPA said:
care to explain? what side effect are you clarifying? also- a screenshot without a source is as good as nothing. are you saying seizures are a side effect of finasteride?
So 5ar metabolizes cortisol. If you block 5ar, cortisol increases. Increased cortisol causes sleep disturbances. For most people, this is not an issue. Some people cannot handle the disturbances/fluctuations in hormonal levels which leads to the sides.
I am not saying Fin causes seizures.
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37 minutes ago, hairlossPA said:
Lol i’m sorry but this is the dumbest side effect I’ve read about finasteride. “the first side i got was waking up during most nights and having unpleasant dreams. this was 1.5 years on the drug”
what scientific evidence do you have that shows this was a “side effect” of the finasteride you were taking? if you told this to your doctor I’m sure he would laugh. Are you kidding me?
I love when people post “side effects” that are no where even close to being listed as potential side effects.
Broader question to everyone claiming “side effects” from finasteride: what data or scientific evidence do you have to support your claim that what you were experiencing was due to the finasteride? I’m genuinely curious. Most of the time I think it’s in people’s heads. Did what you were experiencing match what it said online as potential side effects? how did you narrow it down to the culprit finasteride? what if you were just in a funk. what if it’s something else with your body.
bad dreams on finasteride. man oh man I gotta add that one to the arsenal lol
If you claim side effects other than what is listed here you are completely paranoid and frauding.
Here ya go. The mechanism certainly exists. Luckily for most it doesn't end up being an issue.
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2 hours ago, Raker said:
That’s assuming you require additional surgery, not convinced.
You would expect someone to treatment plan for a condition that is typically chronic, progressive without accounting for the need for future surgery?
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1 hour ago, gillenator said:
Have you tried a topical form of finasteride?...you may not get sides with that, just not sure if it will prove efficient for you over the long haul.
Your crown diffusion is a large area and why some form of finasteride would potentially be a great benefit to you.
Ask your doctor if using it every other day or every third day might help with the sides since it has a long shelf life.
I have not tried topical. I would prefer not to, given that I will eventually have kids/wife and there is a strong possibility they would be exposed to it.
I used Fin 2x a week and had sides.
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47 minutes ago, Raker said:
Can somebody explain the rationale of using only one side of the head for donor?
Most likely makes it easier from a surgical standpoint to know where to harvest next.
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The transplant was done by a highly rec’d doc from this site. I’ve been happy so far, obviously waiting for the final results to pass judgement.
Ideally I would have hair after 45- I’m just not sure whether that is a feasible option for me given my genetics, hair loss, inability to use meds. And if that’s the case, I’d rather be aggressive in treating loss early and being bald later on. I think hair is important, but it is more important for me to have hair earlier rather than later.
Does it look like I will be a nw5/6 and do you think my donor will be able to match up?
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Just turned 28. Pictures below are with wet hair. People don't think I am balding when hair is dry/styled.
Genetics - Dad is a nw1 who has just started to experience thinning around 55. hair line is fully intact for him. Normal people wouldn't notice any thinning. Don't know about paternal grandfather. Maternal grandfather is a nw7 at around 80. Was about a nw4 around 40ish. I think I am following an accelerated pattern of my dad, because my maternal grandfather had recession rather than diffuse thinning.
Currently on Minoxidil and Nizoral. Lost quite a bit of hair over these last few months - not sure if its the Min causing shedding or simply accelerated male pattern baldness. Can't tolerate Finasteride - tried .25 mg and still got sides.
Had a 2k graft in the frontal hair line portion done by a recommended doc via FUT. Per him, I have 9k grafts total (so 7k more left in the bank) if I go the full FUT/FUE route. My hair caliber is medium fine. Had about 2 hairs/graft from the procedure.Realistically, my goals are to get to around 40-45 with hair. If I can maintain after that, great. His prediction was that I would end up at nw4 at around 40 without meds. I see a clear nw5/nw6 pattern emerging.
My thoughts-
Max out FUT/FUE
Figure I can get 1k viable total from BHT
Throw in SMP for increasing the look of density
Did a round of PRP with him - if I respond well, I will continue to do this.
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I have had sides with Fin multiple times now - tried lowering dose, decreasing frequency etc. Did not work. Coming to the conclusion that it is not for me.
Any recs on what to use if Fin is not an option? I am on min and keto shampoo. Considering pumpkin seed oil, saw palmetto, azelaic acid.
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I spoke with the doc and they said and it likely did not hurt anything as long as it was not hot..
Is there anyway to know? I feel like my scalp would have gotten irritated if it was too hot right?
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So I had an FUT done on Monday, and was told to keep the recipient site dry. I was told I could use a hairdryer on a cool setting...I don't use hairdryers very often and accidentally used the lowest heat setting instead since then. Do yall think I damaged the grafts? For what it's worth, none of them have dislodged, and I have been following all the other directions as far as spraying etc.
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Any recommendations on those who are good at transplanting into areas of existing hair?
I won't be on Fin. Can't handle the sides.
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Quick update: decided to forego the Fin. I'm wasting too much energy trying to figure out if I can handle it, and I'm at a point in my life where I can't risk messing around.
I'll be open to getting another HT 6 or so yrs down the line if need be, any pics of what to expect if the top continues to thin?
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Yup, I'm leaning mostly towards arocha right now. Looking at 2k grafts for FUE.
Trying out fin at .25 2x weekly. Hopefully it works. Is this an effective dose if you can't handle the sides from a large amount?
And is there any way to predict how long I'd be able to hold on to my hair until I have to shave (assuming I can't do fin, and still go the FUE route)?
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that diffuse thinning is coming one way or another man. just plan for that. I am 26 and worse than you right now with diffuse thinning.
plan for the future and maximize donor grafts
Updated the post - this is after some shedding after being on Min for about a month
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Hey guys,
I was hoping to get yalls perspective on going the FUT vs FUE route. I will be getting this transplant when I turn 28 (currently 27 and aiming to get it this winter) and am on Minox/Ketoconazole. I tried Fin at .25 mg/day, and had side effects so I stopped. Currently a Norwood 2.5 (I believe) w/ diffuse thinning - I attached some pics.
1) Do y'all recommend trying out Fin at .25 EOD or 2x week? I'm very hesitant since I feel a day and night change in my energy, mood, concentration, libido, erections after stopping it. I was on it for 5 days and it took me about 3-4 days to normalize. Has anybody had success w/ topical fin?
2) I am leaning towards getting FUE since if I do end up having to shave my head, FUE would be a more minimal scar than an FUT scar. I would be happy with having my hair for the next 10-15 yrs - anything after that would be awesome. I was told 2.5k by Hasson/Wong, 2k by Arocha, and 1500 by Nadimi. Arocha was in person, the other two were FaceTime/online consults.
3) Anything else I can do to maintain? I am looking into derma rolling. Do you guys ever try RU? I am skeptical of anti androgens given that I had sensitivity to Fin.
4) If Fin is a no go, I am expecting another procedure down the line. I was told that I have good donor, so I am thinking of going for a conservative HT in order to maximize my hair for the next decade or so. I am open to getting body hair to fill in the missing areas later on.
Thoughts?
***This is with a month's usage of Minoxidil 1x daily btw - had some shedding since I've been on it.
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Leaning towards Arocha because I hear he's good + he's nearby. Can you tell me what else you've heard about him? I've done a search on the website, one of the concerning things is his pts tend to be older and the hairlines are a bit more conservative. Makes sense however, with the pts also being older.
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I'm a 28 yo male who is a Norwood 3 with diffuse thinning on top. I've started up minoxidil and will be getting on Fin within the month. I'm looking to have a transplant done in about 6 months, and wanted to get a consensus on these docs.
I've met with Arocha so far in person and had an online consult with H/W. The consult with Diep is scheduled for the end of the month. I'm leaning towards FUT - in order to maximize grafts - I'm not entirely sure how my body will respond to the meds, so I want to keep this option.
The rep from H/W said I'd need 2500 grafts.
Arocha said to go with 2200 grafts for what I think is a slightly more conservative hairline. It seemed as if he was open to going a bit more aggressive. He told me that I had good donor, and could have 3 HT's if I went the FUT route and 2 if I went the FUE route.
I understand that H/W are known to be some of the best; where does Arocha stack up with these guys? I am in Houston, so if all things equal, I would prefer to go to the closer surgeon. That being said, if H/W are even slightly better, I would much rather go there. Diep is third on my list (I'm hesitant to go the FUE route because I want to see how well the medications work, and I believe his FUT work is not as renowned as the others).
Will the Coronavirus Affect The Hair Transplant Industry?
in Off-Topic Posts
Posted
If someone is acutely hypoxic you will wait for them to desat as you start an antiviral? What antiviral works for coronavirus?
This stuff spreads via respiratory droplets. If the person who prepares your food has it..there is a chance it will spread.
That video says nothing about not intubating. All it says that there should be a shift in clinical criteria to make the determination to intubate.