Hi,
I am 32, M from India. A little background about me, have been loosing hair since the past 10 years or something. Tried finasteride, minoxidil after a doctor suggested me, I did not research about it myself then. Finasteride increased the shedding, tried it for about 1-1.5 years and then stopped it. Used minoxidil 2.5%, 5% and even 10%. Very small and thin hair used to grow and then used to shed after a few weeks. Applied only on the bald area. Was on saw palmetto for a year and a half too. It didn't help either. This was about 7-8 years ago.
Have been an avid reader of this forum. Now there are two doctors as suggested here for the hair transplant in my state. Went to both for consultation. Both were charging around the same but the actual transplantation was done by their staff only. The doctors only started the surgery if I am allowed to be very blunt. So, I chose a cheaper, not very known clinic in my city in November, 2019. PFA a photo 2 months before the op. The gap widened in those 2 months, my old phone is not with me right now so not able to share more photos. They did a fine job I would say. My motive was only to cover the head. I am not into styling or anything. Anyways they did not suggest finasteride or minoxidil post op. But kept on saying to take regular PRP therapies. 2 were in the package and I took them. The hair were shedding few months after the op too but not much as the hair were kinda thick, I am talking about the non transplanted hair.
2020 was a bad year, lost many things. No gym for me since 2020 and my diet sucks. Last year in 2021 I was diagnosed with bicuspid aortic valve, a congenital issue, and my aortic valve was replaced. I am on anticoagulants for life. I thought that this will increase the shedding but the shedding was normal. Couldn't see any gaps on the head. Then I had a very very bad breakup and some personal family issues and now the shedding has worsened. I can already see the gaps behind the transplanted part. I talked to my heart surgeon, he gave a go for the finasteride. Stress does make me loose more hair. Since I have no control over it so few questions-
1. Should I start finasteride and/or minoxidil myself? The clinic from which I got the transplant done is still not advising the same. They are sticking to PRP. Here we can get finasteride without the prescription. The only thing which bothers me about it is the faster shedding phase which might demotivate me to stop it.
2. Is PRP FDA approved? Is it really helpful? As per the clinic, blood thinners will have no impact on PRP.
3. I have curly hair, I just use a baby shampoo to wash them. I was them every alternate day. Apply an aloe vera gel or sometimes a herbal cream. Using baby shampoo as the guys at the clinic recommended it. Now I have a little dandruff which usually come off if I scratch my head after washing, cannot see it otherwise. Which is a good mild anti dandruff shampoo?
4. Since my diet sucks and I don't have time for gym, my gymming is anyways restricted now because of the replaced heart valve, should I start whey protein and/or multivitamins? Trust me my diet currently is like burgers and fried food. Yes I need to get this straight first, I know. Also my sleeping pattern is fked up.
5. Any other recommendations?
Thanks