23, excess hairfall since 3 years [NEED SERIOUS ADVISE]

[gulshangrover]

Age 23

Hair fall everyday since 3 years.

Hairline has receded definitely.

Please advise, what can be done

Sides and back is still thick but overall density on top has definitely decreased.

 

[Ikbakkk]

Me too started at age 20 and now im 22, and worse than you both crown and hairline.
Just started 3 months ago, with topical minoxidil + finasteride. Mine got some regrowth (personal hair record on my story subfrorum), first two weeks on finasteride i lost my morning wood but still be able got hard. Stopped for a day, then until now still taking 1mg fina perday... idk why the morning wood is back. Not so much of an advice but just sharing hope this help

 

[gulshangrover]

Me too started at age 20 and now im 22, and worse than you both crown and hairline.
Just started 3 months ago, with topical minoxidil + finasteride. Mine got some regrowth (personal hair record on my story subfrorum), first two weeks on finasteride i lost my morning wood but still be able got hard. Stopped for a day, then until now still taking 1mg fina perday... idk why the morning wood is back. Not so much of an advice but just sharing hope this help

Are you shedding? How long it's been you're talking Finasteride?

 

[Ikbakkk]

Are you shedding? How long it's been you're talking Finasteride?

Yes, like crazy before i start my treatment.. in 4 days, it will be a month in finasteride. Ah also i use dermaroller 0.5mm

 

[gulshangrover]

Bump, losing 30-50 hair everyday.

 

[JaneyElizabeth]

Bump, losing 30-50 hair everyday.

isn't up to 100 normal? Maybe with fewer active follicles 30 is meaningful?

 

[gulshangrover]

isn't up to 100 normal? Maybe with fewer active follicles 30 is meaningful?

But I can feel the density from top has definitely decreased... I got my Vitamins D3 and B2 levels checked up again in August and they are normal after being deficient in January 2021.

My father had good thick hair until 45

My mother's side however everyone started losing hair early

I'm stuck in a situation where I don't know what to do

Never tried Minoxidil or Finasteride

Only on Multi Vitamin since January 2021 but shedding has not stopped.

 

[JaneyElizabeth]

But I can feel the density from top has definitely decreased... I got my Vitamins D3 and B2 levels checked up again in August and they are normal after being deficient in January 2021.

My father had good thick hair until 45

My mother's side however everyone started losing hair early

I'm stuck in a situation where I don't know what to do

Never tried Minoxidil or Finasteride

Only on Multi Vitamin since January 2021 but shedding has not stopped.

You've done everything we all try before Min/finasteride. Vitamins could help stop future balding but they won't halt male pattern baldness, nor will Biotin. You want to use a medicated dandruff shampoo now when you deliberate your choices. Keto is preferred but Selsun Blue and Albicore and T-gel should work too for dandruff and inflammation. It might also help any scalp or face redness so use it on non-exposed face too perhaps. After that I would do Min at 2percent and finasteride at 1mg. Those for most, are side free and can be used forever which is basically how all male pattern baldness palliative "cures" are. For life. At least there are options. We had no treatments until I was about 26 years ol.

 

[gulshangrover]

You've done everything we all try before Min/finasteride. Vitamins could help stop future balding but they won't halt male pattern baldness, nor will Biotin. You want to use a medicated dandruff shampoo now when you deliberate your choices. Keto is preferred but Selsun Blue and Albicore and T-gel should work too for dandruff and inflammation. It might also help any scalp or face redness so use it on non-exposed face too perhaps. After that I would do Min at 2percent and finasteride at 1mg. Those for most, are side free and can be used forever which is basically how all male pattern baldness palliative "cures" are. For life. At least there are options. We had no treatments until I was about 26 years ol.

I will definitely start using a medicated shampoo as you suggested but I literally have ZERO dandruff. Scalp is oily and hair becomes oily after 2 days of bathing.

If this is a male pattern baldness? Why it does not have a pattern? I agree my hairline has definitely receeded but also the density from top has gone to sh*t. I remember having so much of density. Now when I touch my head from up, I can almost feel my scalp compared to when I was 20.

What do you think could be the main reason for my hair loss?

 

[JaneyElizabeth]

I will definitely start using a medicated shampoo as you suggested but I literally have ZERO dandruff. Scalp is oily and hair becomes oily after 2 days of bathing.

If this is a male pattern baldness? Why it does not have a pattern? I agree my hairline has definitely receeded but also the density from top has gone to sh*t. I remember having so much of density. Now when I touch my head from up, I can almost feel my scalp compared to when I was 20.

What do you think could be the main reason for my hair loss?

Oily hair is common and probably means sebum for some reason coagulates less for you but white males often need up to two shampooings per day to keep hair looking its best even with hair loss. Females produce much less sebum and for them it is productive and coats strands and makes them shiny. Men usually have such short hair that this effect is absent. I recommend up to 20 minutes of vigorous brushing for people in hair stasis because it seems to be good for follicles as a whole but for those shedding, no, use a wide tooth comb and just get it how you like it and then maybe hair spray thickens a little.

 

[gulshangrover]

Oily hair is common and probably means sebum for some reason coagulates less for you but white males often need up to two shampooings per day to keep hair looking its best even with hair loss. Females produce much less sebum and for them it is productive and coats strands and makes them shiny. Men usually have such short hair that this effect is absent. I recommend up to 20 minutes of vigorous brushing for people in hair stasis because it seems to be good for follicles as a whole but for those shedding, no, use a wide tooth comb and just get it how you like it and then maybe hair spray thickens a little.

Do you think I'm diffuse thinning? Hairline has receeded but it's slowly receeding now compared before but from top I'm definitely losing hair ..

 

[JaneyElizabeth]

Do you think I'm diffuse thinning? Hairline has receeded but it's slowly receeding now compared before but from top I'm definitely losing hair ..

I don't see anything but that doesn't matter because you still want to take preventative measures since you love your hair. Some guys have ugly hair and don't care. Males when I was growing up were told hair is, not gay, but it's not manly to care about hair loss. I loved my hair always and was always messing around with different parts to work around a huge cowlick. I would at least use a dandruff shampoo if I were you and probably finasteride but that's not based upon pics, it's based upon putting your mind at ease.

 

[gulshangrover]

I don't see anything but that doesn't matter because you still want to take preventative measures since you love your hair. Some guys have ugly hair and don't care. Males when I was growing up were told hair is, not gay, but it's not manly to care about hair loss. I loved my hair always and was always messing around with different parts to work around a huge cowlick. I would at least use a dandruff shampoo if I were you and probably finasteride but that's not based upon pics, it's based upon putting your mind at ease.

I swear to god, my density has decreased, I cannot party the way i could before... It feels so thing... Photos don't do the justice

I literally have no dandruff but I will start using keto shampoo for sure...

I could start Finasteride and minoxidil if I'm 100% sure that my hair loss is caused by DHT and nothing else

You are a reputated and a well respected member her, I just need your guidance and your thoughts.

I have been following this forum since 1 year but never posted.

 

[gulshangrover]

I swear to god, my density has decreased, I cannot party the way i could before... It feels so thing... Photos don't do the justice

I literally have no dandruff but I will start using keto shampoo for sure...

I could start Finasteride and minoxidil if I'm 100% sure that my hair loss is caused by DHT and nothing else

You are a reputated and a well respected member her, I just need your guidance and your thoughts.

I have been following this forum since 1 year but never posted.

I can't part** and style my hair** the way I could do before

 

[JaneyElizabeth]

I swear to god, my density has decreased, I cannot party the way i could before... It feels so thing... Photos don't do the justice

I literally have no dandruff but I will start using keto shampoo for sure...

I could start Finasteride and minoxidil if I'm 100% sure that my hair loss is caused by DHT and nothing else

You are a reputated and a well respected member her, I just need your guidance and your thoughts.

I have been following this forum since 1 year but never posted.

I have been writing a lot about why it's virtually never Telogen Effluvium. So, in terms of being 100 percent sure, eliminate in your mind the possibility that what you see is Telogen Effluvium. One thing is that whenever I see pics of purported Telogen Effluvium, it's always in the crown and temples. Why would Telogen Effluvium occur only there? Scalp tension could be one reason but basically as far as I can see Telogen Effluvium does not present differently from male pattern baldness. I would love to see pics to the contrary but since females never seem to get a Telogen Effluvium diagnosis, I question if 99 percent of males with hair loss have anything except male pattern baldness.

This cuts out the clutter of going on biotin and vitamins and jogging and lifting weights and being "pure" cause none of that will bring back hair. It might lessen future hair loss so everyone should consider a healthier life style but it won't grow hair ever.

So I try to look at this from a Bayesian point of view where we calculate a prior probability and then put it into an equation to determine the post probability. So if 99 percent of people under 25 complaining about or seeking treatment for hair loss have male pattern baldness in actuality and not Telogen Effluvium, then essentially any waiting to see if it's just Telogen Effluvium is counter-productive unless finasteride does all of these bizarre alleged things.

My opinion is that most guys who go on blithely without using finasteride or who have these bizarre sides, deep down don't want to use it because it reduces the male hormone with the greatest binding ability so they invent via the subconscious reasons that they cannot use finasteride. Guys who say they immediately became dazed and confused or saw visions, I discount entirely.

And not towards OP but it's not your girlfriend, it's not your parents' divorce, it's not the D in chemistry, it's not the stress of first year in college cause women have all of these things too and they almost never lose their hair because of it. Guys need to wake up and assume that only male pattern baldness affects them. Until they do that, they are worthless and this is a spiel stolen from Tyler Durden who changed my life and could change all of yours:

 

[gulshangrover]

I have been writing a lot about why it's virtually never Telogen Effluvium. So, in terms of being 100 percent sure, eliminate in your mind the possibility that what you see is Telogen Effluvium. One thing is that whenever I see pics of purported Telogen Effluvium, it's always in the crown and temples. Why would Telogen Effluvium occur only there? Scalp tension could be one reason but basically as far as I can see Telogen Effluvium does not present differently from male pattern baldness. I would love to see pics to the contrary but since females never seem to get a Telogen Effluvium diagnosis, I question if 99 percent of males with hair loss have anything except male pattern baldness.

This cuts out the clutter of going on biotin and vitamins and jogging and lifting weights and being "pure" cause none of that will bring back hair. It might lessen future hair loss so everyone should consider a healthier life style but it won't grow hair ever.

So I try to look at this from a Bayesian point of view where we calculate a prior probability and then put it into an equation to determine the post probability. So if 99 percent of people under 25 complaining about or seeking treatment for hair loss have male pattern baldness in actuality and not Telogen Effluvium, then essentially any waiting to see if it's just Telogen Effluvium is counter-productive unless finasteride does all of these bizarre alleged things.

My opinion is that most guys who go on blithely without using finasteride or who have these bizarre sides, deep down don't want to use it because it reduces the male hormone with the greatest binding ability so they invent via the subconscious reasons that they cannot use finasteride. Guys who say they immediately became dazed and confused or saw visions, I discount entirely.

And not towards OP but it's not your girlfriend, it's not your parents' divorce, it's not the D in chemistry, it's not the stress of first year in college cause women have all of these things too and they almost never lose their hair because of it. Guys need to wake up and assume that only male pattern baldness affects them. Until they do that, they are worthless and this is a spiel stolen from Tyler Durden who changed my life and could change all of yours:

Thanks for such a wonderful piece of writing.

I have gathered a lot of information from that paragraph.

From what you're trying to say that is never Telogen Effluvium for men and you also gave a few example of crown and temple.

In my case, I've been losing hair from top and I'm pretty sure about it and temples have also receeded being honest.

I'm attaching more pics below so that you can asses even better and give a clear suggestion (even though you have already concluded that it is infact male pattern baldness)

Both my temples have receeded a lott and feels so week when I comb by hair backwards.

If you see, my hairline there are gaps between every few hairs (not just temple)

Let's say, if it's male pattern baldness, I will start Finasteride from tomorrow with Minoxidil

 

[JaneyElizabeth]

Thanks for such a wonderful piece of writing.

I have gathered a lot of information from that paragraph.

From what you're trying to say that is never Telogen Effluvium for men and you also gave a few example of crown and temple.

In my case, I've been losing hair from top and I'm pretty sure about it and temples have also receeded being honest.

I'm attaching more pics below so that you can asses even better and give a clear suggestion (even though you have already concluded that it is infact male pattern baldness)

Both my temples have receeded a lott and feels so week when I comb by hair backwards.

If you see, my hairline there are gaps between every few hairs (not just temple)

Let's say, if it's male pattern baldness, I will start Finasteride from tomorrow with Minoxidil

Well, wait, lol. What I said pretty much only pertains to Whites, Arabs and Jews and people with considerable gene overlap like people from Pakistan and India. You appear to be maybe East Asian and since you folks seldom bald in general, the Bayesian analysis applies but much more weakly since given normal hormonal conditions, Asians and Siberians rarely bald or only a tiny bit. Lol, for non-whites, relatives are helpful in determining at least the extent of male pattern baldness. That's why I stress so much that this is a white man's issue. We throw out fifty percent right away since they are females but then virtually all of the others with androgenic alopecia are Whites/Semites. This all fascinates me but we know in the Bible that there were bald people. It also matters if you have substantial beard growth, if you lack this, then again, you could potentially have something that is easily treatable. I still wouldn't wait but thanks to you, for helping me to articulate better. Virtually all of us on here are white/Semitic or Indian/Pakistani and we all got the beards if you will.

Janey talks in fact about following the migratory paths of people with beards and we see whenever they interbreed the next generation appears to be susceptible to male pattern baldness so that's how difficult the hormonal situation is for whites. Since we arguably get the best health care in the world, baldness does not seem to be a disease but rather the inverse of the situation of the African Lion. So baldness probably at one time was seen as intimidating to others and to me, a heavily bearded race must have seemed quite intimidating and appear to have special protection about the face and neck, and they do if they maintain beards. Follow the trail of beards and you follow the trail of male pattern baldness which appears to have originated in the area of the Mediterranean Sea but virtually all whites have these genes for beards so for hair, it's a bit of a mystery why up to 70 percent maybe more depending upon age suffer. male pattern baldness is also age linked and the rule of thumb is 20 percent by 20, 30 percent by 30 and so on till maybe 50 -70's when all males seem susceptible from age-induced hair loss. So multiple things are going on at different ages but the younger one is, the more androgenic alopecia seems to be caused by DHT.

Thanks for the kind words,
Janey

 

[gulshangrover]

Well, wait, lol. What I said pretty much only pertains to Whites, Arabs and Jews and people with considerable gene overlap like people from Pakistan and India. You appear to be maybe East Asian and since you folks seldom bald in general, the Bayesian analysis applies but much more weakly since given normal hormonal conditions, Asians and Siberians rarely bald or only a tiny bit. Lol, for non-whites, relatives are helpful in determining at least the extent of male pattern baldness. That's why I stress so much that this is a white man's issue. We throw out fifty percent right away since they are females but then virtually all of the others with androgenic alopecia are Whites/Semites. This all fascinates me but we know in the Bible that there were bald people. It also matters if you have substantial beard growth, if you lack this, then again, you could potentially have something that is easily treatable. I still wouldn't wait but thanks to you, for helping me to articulate better. Virtually all of us on here are white/Semitic or Indian/Pakistani and we all got the beards if you will.

Janey talks in fact about following the migratory paths of people with beards and we see whenever they interbreed the next generation appears to be susceptible to male pattern baldness so that's how difficult the hormonal situation is for whites. Since we arguably get the best health care in the world, baldness does not seem to be a disease but rather the inverse of the situation of the African Lion. So baldness probably at one time was seen as intimidating to others and to me, a heavily bearded race must have seemed quite intimidating and appear to have special protection about the face and neck, and they do if they maintain beards. Follow the trail of beards and you follow the trail of male pattern baldness which appears to have originated in the area of the Mediterranean Sea but virtually all whites have these genes for beards so for hair, it's a bit of a mystery why up to 70 percent maybe more depending upon age suffer. male pattern baldness is also age linked and the rule of thumb is 20 percent by 20, 30 percent by 30 and so on till maybe 50 -70's when all males seem susceptible from age-induced hair loss. So multiple things are going on at different ages but the younger one is, the more androgenic alopecia seems to be caused by DHT.

Thanks for the kind words,
Janey

Hey, I'm actually Indian so whatever you said above applies to me.

 

[JaneyElizabeth]

Hey, I'm actually Indian so whatever you said above applies to me.

Lol. So Native Americans from Alaska to Tierra del Fuego never bald without some situation not related to male pattern baldness. This is a kind of "indian". Some speak of East Indians and I think this is mostly south of China and they rarely bald either. There was at least some contact between Native Americans and Pacific Islanders, who I believe are also called "East Indians". Dravidic people? Sorry. I can't find much information related to you or whence you came or what languages are related so there is overlap but the key is whether one has substantial white/Semitic gene mixture. My best friend is Japanese on his mother's side and he had some recession in front but it halted like a "maturing hair line" and the fringe was beautiful black silky hair meaning on top too. He only lacked an oval hair line like most juveniles and females.

 

[Micky_007]

isn't up to 100 normal? Maybe with fewer active follicles 30 is meaningful?

I think there's some innacuracy with the interpretation of the "100 hairs falling per day being normal" statement.

We all have hair fall throughout the day, but most of it is not noticeable, as it's often very small, thin hairs and the times when it is thicker terminal hairs, it's much less than I'd say around 50 per day approximately.

However, when someone is seeing a lot of thicker/terminal hair fall that is noticeable, in the region of greater than approximately 30 hairs, I would start to say it's okay to be concerned.