Baldingat22

17 minutes ago, NARMAK said:

Both maternal and paternal side. 

Genetics are often cited as a ballpark guess. However do not take it as gospel, just a very educated guess as to what hair loss ball park you should expect. 

So if your family members tend to lose hair in their early teens, 20s and 30s quite a bit. Chances are you end up in a similar situation. 

Medication and generational hair loss are not currently studied on a long term clinical basis. Although it's been out for circa 20+ years now, as far as i can tell, no clinical studies are scheduled or ongoing to compare say a person who did use it VS their father, uncles etc. who didn't use it. There will be however users on this very forum though old enough to have started it 15+ years ago and might be able to offer anecdotal evidence on how their male relatives fared versus their own situation. 

Hair loss is overall multi factorial and genetics are probably a big part of the puzzle but not the only part. Hormone imbalance, Vitamin deficiencies, Immune disorders etc. can all contribute. 

The general recommended long term advice and clinical data suggests for the vast majority of males; inhibition of scalp DHT to be the best defence against hair loss that's Androgenetic Alopecia based. 

Hopefully other users can chime in. 

Thanks for this. Yes I’d be curious. Because one of my closest friends has amazing hair and his dad has good hair too but both his grand fathers were bald. So curious as to why he has no recession and uses no finasteride/minox etc. and other people I know have no family balding and they are bald

Where do men get the hair genes? You always hear moms dad if he is bald you will be but I see guys whose grandpa have great hair but they are bald or vice versa. So where does it come from in 99% of cases?

What are all your thoughts on stacking Oral Minox with Fin? I really don’t want to be on oral minox forever but it sounds like I’d have to. Fin/DUt I’m fine taking forever but maybe a link with stopping during sex idk I’ve seen that some place if trying to have a kid.

22 minutes ago, JC71 said:

Yes he was being talked about here as far back as I can remember, decade + but in all of this time he hasn’t produced any particular good results. And most are less than 2k. He was never spoken of that highly here, or on other forums I have been a member of. 

Thank you. Of that great list that has been provided is there any group of US HT surgeons that just standout compared to the rest? Not saying that all of them are not great but any in the US that are considered the Michael Jordan of the Hair Restoration field?

1 hour ago, LaserCaps said:

The breakdown of testosterone to DHT is continuous and we know DHT is an irritant to the follicle.  Fin, being a DHT blocker, will likely help.  Rogaine, PRP and Laser are the other modalities we typically refer to when dealing with this condition.  The mechanism of action of each it totally different and are thus synergistic when used simultaneously.  While I do agree everyone is different, there are certain "things" that tend to be universal with the use of the meds,

Propecia/Fin tends to halt hair loss for as long as you take it.  I've never encountered a patient who loss effectiveness over time. (I have been on it for over 25 years and things have not changed).

Rogaine (now available in pill form), tends to be effective for about 7 years and then it loses some effectiveness.  The suggestion is to continue its use. Most people are under the impression it is not working any more, stop all together only to see the loss they would have experienced had it not been for the medication.  

There is more testosterone under Propecia so why people experience a side effect is beyond me.  (That's the way I've always thought about it and have never experienced a side effect).  

And the debate continues.......Every year, it seems, we learn more and more about the long term use of these modalities.  Regardless, I plan to continue their use.  Can you imagine a hair restoration consultant without hair? 

Visit with your doctor, continue researching and keep in mind there are other modalities you can add to the mix. Take a set of photos and put them away so you can keep track of your progress.  

 

Thank you. I’ve actually been wanting to meet with Dr. Arocha for awhile actually.

7 hours ago, JC71 said:

Many years ago he was put up for consideration for being forum recommended, he didn’t come up to the standard required. From memory he usually did a low amount of grafts and some of the work was poor. I was never that impressed. 

Hmmm. I think it was because he was the president for some board or something but years ago I remember looking up the best HT surgeons and many that people talk about were on there but he was too yet no one talks about him so I was just curious.

50 minutes ago, MazAB said:

Also another thing to keep in mind is that the amount of free testosterone you have in you early 20's compared to your mid 30's, 40s and beyond, diminishes quite a bit. With less T over the years you naturally have less DHT as well. So even if Finasteride loses some of its efficacy over the years, the negative effects of DHT also diminish, so many times it can balance out. But again, every body is different. 

Thank you. Yes been on 1mg fin and feel it has halted my hair loss but worried it will lose effects over time. I’m 22 and don’t plan on getting an HT until 26-28 range so ideally I’d like to keep hair loss minimal until then. I hate topical minox due to skin sensitive so will never use that again but I’ve thought of adding oral minox I’m just scared I’ll have to take it lifelong and I’ll develop some skin condition or facial hair growth. I did just recently add .5mg dut once a week but who knows.

I use to believe he was the best. Is he good? I never hear anything about him in here.

On 2/13/2022 at 1:27 PM, Dr. Suhail Khokhar said:

If it's working, I wouldn't change your regimen

How have you responded to oral min? Any face hair or weird skin related issues?

I started 1mg generic fin everyday since 21 I am 22 now. Will fin lose its effectiveness over time? Like when I’m 35 will it no longer be effective with prevent future balding? Is dut a better long term option?

Probably a dumb question but I’ve been prescribed it to whoever my Doc never said how long to take it. Is this a life long pill alongside dut/fin? Or just a year or so?

2 hours ago, SadMan2021 said:

I have eczema/dry skin and take Dut. They are not related though at least for me. 

Oh okay ya then that would be even someone better to answer this. So naturally you are already chronically dry you don’t notice dut making that worse?

Anyone notice dry skin while taking fin or dut? I guess is it common or is that not a side effect of either?

How does one treat retrograde ap?

What would this hairline be classified as? Norwood 3?

5 hours ago, JC71 said:

Just to add though it’s unlikely a elite Dr/Clinic will have be able to fit you in within a couple of months. The best are pretty booked up. But it’s always worth a try, cancellations etc happen. 

Are the best alawyas booked up like this or due to Covid more booked up? Just curious when I get one in 5 years if I should expect 1 year waits

I have very similar hairline. 850 seems low. I get quoted 2000 but I maybe don’t have as dense hair as you idk

Ya well I just don’t want to bald further lol but I guess time will tell

1 hour ago, JC71 said:

As someone that is a Mental Health Nurse and happens to have Bi-Polar I can say that yes many medications can cause hair loss. 
I have personally had experience of taking many different anti-depressants as well as various anti-psychotics and experienced some hair loss with quite a few of them. 
From a professional point of view I would say that your mental health is more important than the possible risk of some hair loss. But on the flip side I understand what it’s like to be losing hair and wanting to do everything to keep it. 
And it’s important to talk to your own Dr and/or your mental health team. As quite a lot of those medications will have contra-indications with Fin.

On a personal note I took care of my mental health and don’t take Fin. My well being was more important. With regards to losing hair i opted for the hair transplant approach (5 and counting) 

It’s difficult to get the balance right. But finding the right medication is a task in itself. 
Something which has occurred for myself is that my hair has actually improved since stopping my medication a year ago. And that’s after being on it for over a decade ! 

From your knowledge in the area do Paxil cause hair loss?

19 minutes ago, SadMan2021 said:

Drugs and alcohol do not cause hair loss. 

Really?

11 minutes ago, mmokin said:

i think prozac is the most hair friendly but dont qoute me on that, but dude trust me the hair loss from anti depressants is most likely temporary shedding and the hair comes back after a month if you stay on it, stay on fin or whatever hair loss prevention routine your on and you'll be ok. but stay on medication if you need it, its not worth worrying about the potential small shedding if it means risking your mental health

True thank you. Ya I probably shouldn’t care because mental health is very important but my hair loss is part of my mental health so I’d hate ruining that further. If it doesn’t make me lose hair I’m okay gaining a couple pounds but further balding with Paroxetine(Paxil) I’d be pretty sad

53 minutes ago, RabbitHare said:

it made mine fall out...I cant remember which one,...it was so long ago and it happened right after a transplant..They didnt know it was the bad transplant or the meds...Recently i was on some bipolar meds and same thing so i stopped for good

Hmm ya I’m on Paxil which is an ssri. I’m worried I’ll further progress

I’m 22 and just started Paxil but you hear so much about SSRIs causing hair loss. My doctor wants me on it for a year. Will it make me bald? I am a Norwood 3 I’d say but just bald at temples. I do take fin daily so don’t know if that will combat this. Just curious thank you!

That sounds insanely high priced for a couple hairs. I assumed eyebrow would be like 1000 for a few hairs

1 hour ago, NARMAK said:

That's the main goal of Finasteride. Slowing down/stoping the progression of hair loss by DHT inhibition. Minoxodil works slightly differently which is why they work well in combination. 

Just start saving up and do your research on who does the right type of hair transplant and design for your goals. You're at a young age and trust me, you put the work in now, you can be living your best life in your 30s. A man with maturity, stability etc. Is always seen as a better catch usually. Plus, women tend to date a man a few years up, so you'll still have plenty of time to wrangle the babes

Thanks brother. I will save up and wait until late 20s/30s before I go through with it. Have a great day!