Harry Bosch

Of course mindful. My protocol will focus on steady, conservative deliver instead of weekly spikes. One outcome of that strategy (hopefully) will be to minimize the onset of sides. Interestingly, when I tried to introduce Dut in the past, I felt I responded poorly. Both times were limited 1-2 month trials. Maybe I overreacted to an initial shed. In theory, my success with Finasertide would have been indicative of a good reaction to Dut. Perhaps your remarks about additional T on the scalp could have been true. Makes me wonder if I should re-introduce RU to be on the safe side. I stopped using prior to my surgery. Something that I wanted to get away from - sourcing and compliance are obviously a tall order. Never loved working with gray market clinics. I will say, my goal is not to blast into supra physiological levels where one really enters unsafe territory for hair. Just return to that natural, healthy levels of a younger man and, obviously, feel better -- that's why I'm doing this, not for cosmetic reasons. Although a boost in body composition would not be unwelcome. If I do lose ground with hair, I can always get another procedure.

You’ll be there soon enough, too!

Thanks brother! I will say that when my hair is dry or dehydrated, the result looks a bit weaker. But that’s more about my hair type (wavy to curly). Really thick hair in forelock and midscalp vs. lower density hair on the hairline and transplanted regions. Making my hair look good always required moisture and product, even before my loss pattern progressed into HT territory

Right, and that’s on my mind. It’s a separate conversation. There’s a few TRT vets who I’ve talked to on here on how proceed in hair-safe matter. Important clarification is that TRT is not the same as anabolics or “juice.” I’m just trying to return to healthy level and feel better. It’s not a cosmetic decision but entirely quality of life. Blasting into unnatural supraphysiological levels, and/or adding steroids, are the vanity based decisions that really threaten hair.

Cheers mate! Funny enough, I was inspired by @Sitries1 refinement with Dr. Ferraira and considering a little touch-up way way way downstream to address a couple weak points. Hard to be unhappy, but also hard not get greedy in my position. But that’s maybe a year+ in the future, and I plan to live a little in the mean time. I am likely to begin a conservative TRT protocol, so getting ahead of some expected recession would be wise.

Yes, attached are pictures at 9.5 months. MEDS 1.25 mg/day Fin 5 mg/day Oral Min Topical Min 4-5x/week Nizoral 1% 2-3x/week PICTURES Wet/damp hair immediately after shampoo + conditioner. Presented in multiple states. Messy, slicked back, and combed in both directions. My hair and the overall cosmetic result look much stronger when hair is wet. Weaker areas are exposed when hair is dry and dehydrated, which is common for my tumbleweed up top.

I am strongly considering TRT myself. My feeling is that Fin or DUT will be sufficient to offset the increase in T if your protocol keeps you in the normal range. I think the aggressive combo of Fin and Dut together is what is crushing your DHT score. Maybe scaling back to Dut once per week is advisable. Are you experiencing symptoms like lethargy ? A good middle ground might be reducing the 5-AR intake while introducing a topical AA Like Pyralitamide

Curious for thoughts on this. Fwiw. The timeline. I had been using Topical Min for 10+ years alongside Fin. In January 2021 I started Oral Min and used it concurrently with Topical Min + Fin for 15 months up until my surgery (May 2022). Post surgery I ditched the Topical Min but stayed on the Oral Min. So I’ve really been taking Min all along. I don’t think reintroducing Topical while staying with Oral, too, would create a significant shed? I think there is something to the localized effect of Min when applying to weak spots. Can’t say I’ve been a huge responder to Oral Min alone, and I’ve got a fairly large sample to determine that conclusion

Update at 7 Months. I believe I’ve had some regression since my 6-month update. Nothing tragic. Perhaps it’s just some shedding and/or de-synchronization of growth cycles. Hard to say. I do think a I’ve lost some native hair surrounded the transplanted area. My left side has historically been stronger but it looks worse, perhaps worse than pre-surgery. Recall that I have had a post-surgical bump in the two recipient temple regions. That, along with that fibrosis region (scarring alopecia?) has contributed to some ongoing anxiety. Both my temporal regions, as well as my grey streak, present some weaker, wispier hairs that are don’t look healthy and are resistant to styling tricks. Speaking of that fibrosis region, recently my hair has been lacking lift in that area. Hard to support that combover wave I personally fancy. Makes me wonder if I got any growth there - I guess we can’t be sure unless we shave down and assess that area. Overall there are improvements. There’s the temporal closure on the right side (which was the weaker side, pre-op). The temple peaks are stronger, although I’d like the right side to be a bit less concave. I’m comfortable with the fact that my current look is short of my surgical goals. This was not unexpected. My density behind the recession was unlikely to be matched with one operation. Plus, the threat of continued loss and thinning threatens every patient. At 6 months I was generally satisfied, but right now — when it comes to styling — there’s not a real material improvement vs. pre-op. Again, perhaps it’s just a shed or a brief setback. This was not the case one month ago. My hair is wavy and tends to stand up, which makes the hairline and loss pattern look bad. That was the motivation for the temple closure. I think there is foundation here for a successful refinement, and that was always a likelihood based on my hair characteristics. I’m a bit discouraged by the regression on my left side, and certainly have ongoing anxiety about the two bumps and fibrosis. The gaps in my frontal tuft still exist but are smaller. We’ll see if the next five months offer some form of rebound and improvement. As far as protocol, I’ve been loyal to 1.25mg/day Fin + 5mg/day Oral Min. I abandoned topicals (RU and Rogaine) post-op, so that might be a factor in the result-to-date. I plan to reintroduce Topical Rogaine alongside the medications, as it’s possible I grew some reliance to it after 10 years of use. It’s possible I’m not a huge responder to Oral Min, and I certainly don’t have the associated sides such as excess body hair. Pictures, both wet and dry, are attached. Harsh bathroom lighting.

Certainly helps with styling, camouflaging, and coverage. But very high maintenance and sensitive to dehydration! One of the reasons I felt a procedure would really help cosmetically. When hair was dry and unhealthy, it’s stand up and look like tumbleweed and really expose/exacerbate the appearance of recession vs. laying down flat for a combover style

There are a few pre-op pics from clinic earlier in the thread. I attached a few that I’d sent to various clinics during my assessment conversations. I actually rebounded a bit from these images - at the time they were taken, I suspect my Fin pills had degraded through poor maintenance by me. I was also less consistent with applying Min. Around the time of the first images (fall 2020) I started applying RU. In January 2021, I stacked Oral Min on top of Fin, Topical Min, and RU. Kept that protocol up until surgery and had some improvement.

@therambler

Pinto People: @Bonek @Falconary @Iceee222 @JDEE0 @rambo man

6 Month Update Hey gang. Attached some pics at 6 months. Outdoor lighting, post-shower, damp hair * (*hairline looks a lot better and homogenous when moist; dehydration- which is common with my wavy hair type - makes everything look more sparse) Overall hard to complain. My goals were aggressive, and in that sense it’s been a positive change but I’ve got a few weak points. My thick hair type + loss pattern demanded a lot of density in the recipient area. Cosmetically, it looks good and responds well to some mild, strategic fiber application (not pictured). Downstream I will consider a touch-up. I haven’t yet grown evenly everywhere, notably those two small gaps in my frontal forelock. And I’m sure I’ll lose some thickness in the front to gradual MPB progression - my left side (stronger side, historically) does look like it’s become a bit more concave than a I prefer. But these are small critiques, and not worth addressing for some time - hate to endure another shave/ugly duckling. Of course we all become hyper critical and greedy once we’ve taken the HT leap. Speaking of shave, I know my case was unique with that peninsula of 200 grants that Dr. P implanted into a region affected (we think) by fibrosis. I can’t really determine how that has grown or impacted the outcome, and I suppose I couldn’t know unless we shaved down again. I do have a small smooth bump in each temporal region. Initially we figured this was natural swelling from the dense pack, but Dr. P’s prediction that it will resolve in time has not proved true. He did assure me it wouldn’t impact the final outcome. Had anyone else experienced this long-term subtle inflammation (?) in the recipient? Protocol 1.25mg Fin/day 5 mg Oral Min / day Nizoral 1% 2-3x / week No topicals since the operation. Had previously used topical Min for a decade, and RU for about a year. Reluctant to return to the latter given its gray market status, anecdotal evidence, and complete lack of safety information. Interested in Pyralitamide. I’m in that age pocket where TRT is a real option with much-needed physical benefits, but obviously hair safety is important to me. A legit, tested topical AA would be a great adjunct. I did not respond well to oral Dut (in two limited samples) and hesitate to try the topical, endure a shed, and be able to confidently source it long-term. Feedback welcome. Pics below:

Hey thank you. My weaker temple has grown in pretty well. That, along with my pristine donor, gives me hope a more aesthetic change is coming for my weaker areas on the hairline