How bad is this diffuse thinning? I shaved my head for a more clear picture. 21M.

walking_cat123

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How bad is this diffuse thinning? I cut it like this because I was going to put on a hair system. I'm 21M, have been balding since 18. I tried Finasteride and had bad side effects. Would dermirolling and minoxidil help me in this case? Is it worth having a transplant without finasteride? This is honestly depressing...
 
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