I would appreciate any feedback/advice

[frosty99]

Hello,

So in recent months I’ve started to notice abnormal hair fall from the root, when I use Nizoral I find 30+ hairs in my hands. I will preface that I did use Dutasteride 0.5mg daily for around 3 months but have been off for around 3 months too, I had to quit as I was getting severe cystic acne like you’ve never seen. Do you think I still may be shedding from the dutasteride? The attached photos don’t look as bad as in direct sunlight, also some diffuse thinning throughout. I’m wondering if taking finasteride would be a viable option since it only blocks one enzyme as opposed to Dutasteride. Any feedback is greatly appreciated. Thanks in advance

 

[Diffused_confidence]

Did you jump right into dutasteride? Why not use finasteride?

 

[frosty99]

Yeah I did, I thought to myself why not try block the most DHT possible.. silly I know

 

[Diffused_confidence]

Yeah I did, I thought to myself why not try block the most DHT possible.. silly I know

Yeah. You shouldn't take the nuclear option until the standard fda approved option fails. I don't think dutasteride even helps that much since the type 1 5ar enzyme isn't very common in the scalp.

 

[frosty99]

Exactly.. so I’m thinking I may give finasteride a go, hopefully I don’t get the crazy side effects I did on dutasteride.

 

[NickyA]

Yeah, it's worth using finasteride, many diffuse thinners respond better to treatments than your average receder. You might want to add minoxidil too. Stick to the meds because the crown can be a huge sink for your donor if you end up needing a hair transplant eventually, and transplants are already harder and usually more expensive for diffuse thinners.

 

[frosty99]

Yeah, it's worth using finasteride, many diffuse thinners respond better to treatments than your average receder. You might want to add minoxidil too. Stick to the meds because the crown can be a huge sink for your donor if you end up needing a hair transplant eventually, and transplants are already harder and usually more expensive for diffuse thinners.

I do have some minor recession but not too bad. Got some minoxidil 5% but haven’t used yet I’m worried of a massive shed with it. Yeah I’ve already been looking at a transplant so best transplant surgeon worldwide suggestions are welcome but I need to stabilise first. I’m stressing out big time trying to find a solution. Also feel like my scalp is constantly tingling and sensitive.

 

[Diffused_confidence]

I do have some minor recession but not too bad. Got some minoxidil 5% but haven’t used yet I’m worried of a massive shed with it. Yeah I’ve already been looking at a transplant so best transplant surgeon worldwide suggestions are welcome but I need to stabilise first. I’m stressing out big time trying to find a solution. Also feel like my scalp is constantly tingling and sensitive.

Start with finasteride first. Rogaine is more like a supplement.

 

[frosty99]

Start with finasteride first. Rogaine is more like a supplement.

Start with 1mg or half the pill?

 

[Diffused_confidence]

Start with 1mg or half the pill?

Whatever you are comfortable with

 

[jazz1]

Start with 1mg or half the pill?

Start with 1mg and see how you go with any side effects, also stick to one brand for the medication and do not switch over different brands later.

 

[Diffused_confidence]

Start with 1mg and see how you go with any side effects, also stick to one brand for the medication and do not switch over different brands later.

Why not change brands? I am considering changing to propecia brand because I have trust issues regarding generics.

 

[jazz1]

Why not change brands? I am considering changing to propecia brand because I have trust issues regarding generics.

Propecia brand is always a safe bet, I have read many stories and helped a few people over the years. There was a thread created to show the inconsistency in generic brands. There have been cases where people use propecia Merck brand for years and then decided to switch over or their hair clinic decided to sell generic brands and they started to lose hair.

 

[frosty99]

Thanks for all your help so far I appreciate it. I’m waiting on my prescription but it seems to be getting worse very very quickly. Could this be something more than male pattern baldness like Telogen? My doctor seems to think it’s medication that’s causing it, since male pattern baldness should not happen in this quickly (3-5 months) I also have small red sores all throughout my scalp and constant tingling/itching. I should note, last year my immune system was compromised due to an injury but my hormone and thyroid tests came back fine. I know it’s not the worst but it’s stressing me out terribly and I really hope I can get some regrowth

 

[Diffused_confidence]

Thanks for all your help so far I appreciate it. I’m waiting on my prescription but it seems to be getting worse very very quickly. Could this be something more than male pattern baldness like Telogen? My doctor seems to think it’s medication that’s causing it, since male pattern baldness should not happen in this quickly (3-5 months) I also have small red sores all throughout my scalp and constant tingling/itching. I should note, last year my immune system was compromised due to an injury but my hormone and thyroid tests came back fine. I know it’s not the worst but it’s stressing me out terribly and I really hope I can get some regrowth

If you take finasteride then it should help. I'm taking it because I'm not going down without a fight.