Jamind's Story

Jamind

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The below comprises a synopsis of my hair loss experiences/treatments.

My goal throughout the past ten years has always been to regrow my hairline naturally whilst maintaining elsewhere. Hair loss greatly affected my confidence, but I tried to focus on building my confidence regarding my physical appearance in other ways, such as keeping fit in the gym (aerobic and weights), dressing "well", attempting to fulfill life aspirations and, ultimately, trying not lose sight of the whole. That said, there were many occasions when I obsessed over hair loss forums seeking answers. I tried many treatments, including snake oils out of desperation, but none were successful in regrowing anything that significantly changed the appearance of my hairline. Whilst certain proven treatments strengthened my hairline and perhaps brought it foward slightly, I continued to style my hair in such a way (essentially, short curtains with a quiff held in place by hair spray/gel spray) so as to minimise the appearance of my greatly receded hairline and thus any cosmetic results I achieved remained hidden. I did go through a phase of more often than not wearing a hat socially, but that makes matters worse as it is more evident that one is trying to hide something.

On 21st Feb. I had a 2146 FU (strip) transplant done by Dr Alan Feller in NY. A wonderful experience, a fantastic doctor/team, and after three months the fine hairs are currently covering the transplant zone and slowly maturing. I now wonder why it took my so long to make this decision. Basically, I couldn't come to terms with doing something "unnatural"; and this is despite having had numerous operations in the past for other (non-cosmetic) reasons. I took advice from various people, including Spex, before embarking on this journey.

Prior to my transplant, all my hair loss treatment experiments had always been done in a very methodical manner and after much research. I am a Dr of chemistry (PhD), so have plenty of experience in scientific research. In my early twenties, my frontal recession was pronounced and the hair on top my head felt very fine and limp, but with no obvious thinning to the eye. My hair loss (and perhaps thinning) was accompanied by soreness and itching, a bed full of hairs, and a deluge of hairs falling out every time I rubbed my head. It has always been evident to me when a treatment is working as these things stop or are less apparent.

Amongst others, the oral/topical treatments I have previously tried include:

Xandrox 5% and 15% - Some regrowth, perhaps, but unquestionably affected my heart (I would describe it as a very heavy beat, not necessarily rapid, and not linked to stress/adrenalin). I used these morning/evening during a number of months, and then 15 % alone once per day during a number of months (total time spanning almost a year).

Generic Finasteride (Finalo and Finax) - Maintained hair, and individual hairs are thicker than without, but not as dramatic as with Dutasteride. Possibly a greater frontal recession than with Dutasteride, which suggests the latter regrew some frontal hair. I have been on this for most of the past 7/8 years, apart from the 8 months on Dutasteride and 6 months with nothing (with the exception of Dr Lee's regrowth shampoo). I have since stopped as, now armed with my new hairline, I am no longer willing to endure the reduced libido that I have always suffered whilst on this drug. Maca (a Peruvian root vegetable and powerful aphrodisiac/adaptogen) previously helped with this to a certain extent.

Generic Dutasteride - My fine hair appeared fuller within a few days, due to dilation of individual hair shafts, and thus thicker. Slightly different side effects to Finasteride, but a pronounced decrease in libido nonetheless. I took this for 8 months.

Old Revivogen formula - Didn't really give it a chance, before returning to Finasteride. Horrible stuff.

New Revivogen formula - Only 3 months after quitting Finasteride (again), hair still feels full/healthy after daily use of Revivogen. I have also always been a sceptic, but it may give me some extra time before another transplant and/or more advanced/less side effect prone treatments are available. The published research behind Revivogen (which the company paid for), in which topical Finasteride, Dutasteride and Revivogen are compared, is very questionable (and unprofessional), would not stand-up to any kind of peer review, and is pointless since it is a comparison to oral finasteride in which we are more interested. My scalp has been irritated, but this irritation is different to the sore and tingling sensations I experienced pre-hairloss treatments and at times after stopping all treatments. Moreover, my head has always itched unless I wash it every day as I have oily skin. I have reduced my Revivogen application to 5 times a week and the irritation has become less noticeable. After 6 - 9 months I should know whether Revivogen is really working for me.

Dr Lee's Treatment Shampoo - Soon to be discontinued as Minoxidil.com has been closed by the FDA. Does it slow down my hairloss? I honestly don't know, but I use it because there is strong research behind it and 2% Ketoconazole (Nizoral) offers me a brief respite from DHT/oil induced irritation after each application. I use this twice a week; using it more often is counterproductive, leaves my scalp dry and irritated, and makes my hair look less healthy. Every three days doesn't work in a weekly routine, so I use it every Wednesday and Sunday mornings and leave it in for 5 min. whilst showering. I will continue doing this, but instead with a generic 1 or 2% Ketoconazole shampoo.

If anyone has any questions/comments I will endeavour to respond. Please post any responses regarding my hair transplant here.

I will aim to post updates and further transplant hairline photos in the future.
 

Rawtashk

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Re: My Experience and Unwanted Finasteride

hair transplant pics on your other post look good. However...I have a question\concern.....what's the baldness look like in your family? The fact that you've been on finasteride for the most part of 7-8 years means that you have DRASTICALLY slowed down your hair loss. It would really suck if you stopped taking finasteride and then you ended up with a NW6 pattern with just a strong hairline. I have a bit less hairloss than your original hairline, but NW6 pattern is STRONG in my family, so I'm very hesitant to do a hair transplant. I don't want to get hit with sides in 5 years and have to drop finasteride and end up with a weird looking bit of hair on the front.

Now, that's not to say that's gonna happen to you, it's just something to think about. If you do stay off of finasteride, then I would suggest that you get one of these
http://www.amazon.com/Ldr-5013400-Bath- ... 962&sr=8-9

Put it in your drain (I put mine upside down so it sticks up) and monitor the hairs that it's catching after your showers. If the volume of hairs starts getting larger and larger, then you know that it's time to do something.

Grats on your new hairline, and I hope you keep it the rest of your life! :)
 

ATJ

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Re: My Experience and Unwanted Finasteride

I think that's going to look really good -- you're headed in a nice direction.

Agree with Rawtashk's sentiment. Now that you've had the transplant, you ought to consider protecting your investment by preserving what's behind it. If you thought the frontal recession sucked, losing the hair behind your beautiful new hairline will probably suck 100x more. Personally, I'm surprised that Feller didn't spread that many grafts over more area in the event that you lose more on top.

Of course, if you're lucky, you still might have another 5000 or more to donate in the future, if that's your plan: To keep filling in as remainder succumbs over time... Or perhaps hair multiplication in the future.
 

Jamind

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Thanks for your responses guys. As you will have gathered, during the past 8-9 years I have built up a fair amount of knowledge on hair loss and the various treatments available to me. I am well aware that stopping Finasteride could start (or restart) a rapid recession behind the new hairline. Since I experience side effects that I am not willing to endure any longer, however, I am stopping Finasteride to see what will happen, as oppose to worrying about what might or might not happen. None of us know how my hair loss might progress and at what rate.

One grandfather was bald (NW6/NW7) from a relatively young age. No other males in my family have experienced hair loss under the age of 60. Could it be, perhaps, that my frontal recession was aggressive, but thereafter hair loss will be considerably slower? I do have greasy skin on my face and we all know the link between sebum and DHT.

I have been using Revivogen for 4.5 months now and there has yet to be any significant change in the feeling of my hair. I experienced no (or no significant) shock loss of native hairs behind or in the transplant area. You will have noted above that my hair felt very fine and limp, and my scalp sore, at the age of twenty four before starting any treatments. I am currently experiencing none of these effects; effects that I have experienced during other periods of halting hair loss treatment. I also check my pillow each morning for any significant change; this has always been a more effective measure of monitoring my hair loss than the number of hairs lost whilst showering. Could it be that Revivogen will be sufficient in my case to slow down any noticeable hair loss until a less side-effect prone treatment/drug is available (see Finfighter's list, for example)?

Dr. Feller implanted hairs behind my old hairline and acted on the understanding that I was a successful Finasteride user. I do, of course, hope that my transplanted hairs are kept for life and that diffuse thinning will not occur in my donor area. I would hope that with the combination of further strip procedures, and then FUE, I might reach the 8000-10000+ mark in total (i.e., 6000-8000+ more grafts).* This should be sufficient to give me a cosmetic density on top. If further such transplant procedures are to be required, however, the drive towards finding the hair loss panacea is so great, that there is likely to be an effective alternative treatment or procedure (multiplication, as you suggest) I might instead employ to halt or disguise further hair loss. I have no intention (and hopefully the armoury to aide this intention) of being left with a crop of hair at the front and a bald scalp elsewhere!

I do currently have hair greed and am thinking a modification of my hair line might be necessary!

* I believe the average number of donor grafts is approx. 8000-10000 if using both strip and FUE.
 

Rawtashk

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Re: My Experience with Hair Loss Treatments

Can I ask your history with finasteride? How long have you been on it? What were the sides?
 

Jamind

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Re: My Experience with Hair Loss Treatments

Can I ask your history with finasteride? How long have you been on it?

As detailed above, 7-8 years.

What were the sides?

It didn't/doesn't make me impotent and nor did it prevent me from having sex. In all areas (with reference to the previous two subjects) I was probably functioning at 60% on a good day. Normal physiological responses towards sexual attraction/urges ceased occurring. After four months without Finasteride I am not completely back to normal, but getting there.

I cannot be more frank than this.
 

Rawtashk

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Re: My Experience with Hair Loss Treatments

Gotcha.

Were you taking it at 1.25mg (quarter of proscar), 1mg, or .5mg? I ask, because there are several people on these forums (and many on many others) who've reported some sides on 1mg, but none (or reduced) sides on .5mg.

Not saying that you have to go back to the finasteride, just pointing out possible options. I know that, put in your situation, I would be terrified of the hairloss continuing and ending up with a chromedome+ a perfect hairline :(
 

Jamind

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Re: My Experience with Hair Loss Treatments

My initial dosing was 1 mg every day, then a period of 1 mg every other day, and then finally, a period of 1mg on Monday, Wednesday and Friday (i.e., three times a week). Yes, side effects were reduced on a reduced dose, and my hair still maintained, but side effects were still there nonetheless. The difference in the suppression of scalp DHT between taking Finasteride every day and every other day is small. For many men aiming to maintain there current situation, this difference will probably be cosmetically insignificant; it certainly was for me.

I have not taken Finasteride since the beginning of March, but have used Revivogen since. This is simply an experiment and for my own peace of mind. I am quite confident that should a drastic fall-out begin, I can quite rapidly reverse this with Finasteride. I have done much experimenting over the years, and have never acted out of paranoia; just a determination to exhaust every avenue towards achieving side-effect free maintenance. I am also confident that there will be developments within the next five years that my offer me another alternative towards achieving this.

It will be interesting to see: a) do I return to normal, b) what effect, if any, Revivogen is having and c) if I return to normal and start taking Finasteride again, but at a reduced dose of three times a week, will the side effects be manageable
 

Oknow

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Re: My Experience with Hair Loss Treatments

Jamind said:
My initial dosing was 1 mg every day, then a period of 1 mg every other day, and then finally, a period of 1mg on Monday, Wednesday and Friday (i.e., three times a week). Yes, side effects were reduced on a reduced dose, and my hair still maintained, but side effects were still there nonetheless. The difference in the suppression of scalp DHT between taking Finasteride every day and every other day is small. For many men aiming to maintain there current situation, this difference will probably be cosmetically insignificant; it certainly was for me.

I have not taken Finasteride since the beginning of March, but have used Revivogen since. This is simply an experiment and for my own peace of mind. I am quite confident that should a drastic fall-out begin, I can quite rapidly reverse this with Finasteride. I have done much experimenting over the years, and have never acted out of paranoia; just a determination to exhaust every avenue towards achieving side-effect free maintenance. I am also confident that there will be developments within the next five years that my offer me another alternative towards achieving this.

It will be interesting to see: a) do I return to normal, b) what effect, if any, Revivogen is having and c) if I return to normal and start taking Finasteride again, but at a reduced dose of three times a week, will the side effects be manageable

How old are you?
 
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