Hi, great article. I have an aggressive form of MPB. I am 23 year old with a NW2 hairline, diffuse thinning over the top and crown. Been on 5% Minoxidil and 2% Keto for about 9 months. Went through a period of shedding which has reduced somewhat in the last couple of months. I don’t see any appreciable increase in density anywhere but I do see plenty of thin vellus hair at my hairline. I am waiting for the 1 year mark to see the full effect of this regime. Is there like a test you can do to assess hairfall? Or do we just have to count the hair lost in the shower? Do you reckon I should start the Fin to hold on the the hair I have? Like most guys (actually a bit more than most guys seeing that I am young) I worry a lot about being in the 2% who experience disastrous sides from Fin. I do plan to check my DHT levels before I start, if I do at all, to see if I naturally have high/low DHT. That should tell me what to expect, to an extent.
Both minoxidil and finasteride require a lifelong commitment, but for users looking for a treatment with permanent results, hair transplant surgery may be the solution. Over the years, surgeons have developed techniques to deliver natural-looking results that are a far cry from early hair transplants, which had a cornrow-like appearance. These procedures are costly and may require multiple sessions depending on the patient.
Finally, if these tests come back normal, your dermatologist may suggest a scalp biopsy of a couple of two-millimeter sections taken from your scalp under local anesthesia ($400 and up). It can determine whether genetic hair loss, telogen effluvium (a condition in which hair falls out from stress or rapid weight gain), or a disease (such as lupus) is the cause of your shedding, and your dermatologist can treat you accordingly.

As with any new technology, there is still a lot of educating that needs to happen, at both the physician and consumer level, when talking about robotic hair transplants. Some people have the misconception that the ARTAS robot is operating on it own when, in reality, the robot is simply an extension of the operator, working within parameters programmed by the surgeon. Its effectiveness, therefore, is tied directly to the expertise of the surgeon and the end result — as with any hair transplant — is only as natural as the artistic skills of the surgeon behind the machine.

The trick about all of these hair-loss products and treatments is that they’ll stop working as soon as you stop using them. “They have to be ready for a lifetime commitment,” says Rieder. But, just like brushing your teeth, as long you keep on keeping on with the scientifically proven preventative treatments, those hairs on your head should be just fine.
In February, though, Ms. Telford, 46, flew from her home in London, Ontario, to Sarasota, Fla., for a new $1,400 hourlong treatment known as platelet rich plasma (P.R.P.), which is said to stimulate dormant hair follicles. The procedure involves drawing blood, spinning it in a centrifuge to extract the plasma, adding various nutrients (like more protein), then injecting the resulting mixture in one-inch intervals in a grid on the top of the scalp, which has been numbed with a local anesthetic.
Hair loss is more common than you think and it can happen to anyone. According to Michele J Farber, MD of Schweiger Dermatology Group in NYC, causes range from, “androgenetic or hormone-related hair loss, stress related-hair loss, also called telogen effluvium, and dandruff. Medications, vitamin deficiencies, thyroid disorders, excess styling, and autoimmune disorders can also cause hair loss and thinning.” But the good news is, there are viable solutions, starting with topical growth treatments.
The most common kind of hair loss is pattern baldness. It happens when hair follicles shrink and stop working. The first sign is the appearance of strands that are thinner and more fragile. Then the scalp becomes more visible as fewer hairs grow to replace those that shed. That’s because the anagen phase becomes too short for the hair to grow out of the scalp. Plus, the hairs that remain aren’t securely anchored. And this condition happens to both men and women.
For as long as men have been fretting over their expanding foreheads, they've been scrounging for hair loss treatments. From hippo fat pomades to the urine of young foals, history is full of just-so-crazy-they-might-work concoctions. They didn’t work. And a quick Googling reveals that most of the products and services marketed today are only slightly less absurd.

Finally, avoid damaging your hair and scalp with harsh products and too much time in the sun. Use sulfate-free shampoos, remember to apply conditioner, and cover up outdoors. If you spend time in the pool, use a clarifying shampoo that removes chlorine from your hair. Also, rinse well with lukewarm or cool water. If you take good care of your scalp and hair, you’ll find that it’s easier to keep your locks thick and healthy.
You can maximize your results from minoxidil by dying your hair after two to three months of treatment. Minoxidil tends to create very fine hairs at first, and dying the hair increases the contrast between the hairs and the scalp, making the new hair growth area look denser. This is one common technique in before/after photos for hair loss treatments.

One common side effect of minoxidil is a red, itchy scalp, but users claim that merely switching brands can sometimes alleviate that symptom. Another possible side effect is excess hair growth in unwanted places, including the face. It is important to point out that unwanted hair growth and other side effects go away once treatment is discontinued.
Defy hair loss with ROGAINE®, the #1 dermatologist-recommended, FDA-approved brand with a clinically proven formula to regrow hair. Unlike thickening shampoos that temporarily coat the hair, ROGAINE® penetrates deep into your scalp to revive follicles and increase protein production so you can grow new, fuller, thicker hair. The revolutionary formula begins to work on contact with patented Tricho-Prime™ Technology, a proprietary combination of ingredients that primes your scalp for optimal hair regrowth.

Results can take awhile to become apparent, so it’s important to be patient and follow the regimen exactly. It is best to begin using these products at the first signs of balding or hair thinning for the best results. Drinking more water, eating a balanced diet, taking a daily multivitamin, and taking advantage of additional supplements like Biotin can also help speed up hair regrowth.


The earlier you begin treating hair loss, the more effective the treatment will be. Androgenetic alopecia is a condition that gradually worsens over time, so the general rule is that the earlier you seek treatment, the better. “If you’re losing your hair and you have genetic hair loss, using medication such as Propecia or minoxidil is most effective when started early,” says Dr. Robert M. Bernstein, Dr. Wolfeld’s colleague at Bernstein Medical – Center for Hair Restoration. Because not everyone loses hair on the same timeline, you can’t rely on statistics to tell you when you should start treatment. Some men start to notice thinning in their early 20s, while others maintain a thick head of hair well into their 50s. If you suspect that you’re starting to lose your hair and want it to stop, act quickly.
"I recommend that everyone [with any hair loss] take finasteride," says Robert M. Bernstein, MD. Bernstein is associate clinical professor of dermatology at Columbia University and founder of the Bernstein Medical Center for Hair Restoration. "To patients who are younger,” he says, “I also recommend minoxidil. But the mainstay is finasteride. The data show that, over five years, it significantly retards hair loss in 85% of users."
You can also get a hair-loss kit from Hims, which comes with both minoxidil and finasteride. Keeps has one, as well. And though it might seem like overkill to take two different hair-loss treatments at once, this is one of those rare instances where more is actually better. McAndrews calls the combination of orally administered finasteride and topically applied minoxidil a “full-court press” against hair loss. “That’s doing the most you can for preventative medicine.” Rieder notes that taking both drugs together is more effective than taking either one alone.
For the past two decades, scientists have made strides in developing hair loss treatments that are both safe and effective. However, the market is inundated with ineffective products; "99 percent of all products being marketed in the less than ethical hair loss treatment industry are completely ineffective for the majority of those who use them," according to the AHLA.

Green tea is rich in antioxidants that prevent hair loss and boost hair growth (25). Many other herbal teas possess similar properties and can be used just like green tea to rinse your hair. Tea rinses have been tested and tried by many people for hair growth, and the results have been positive. Some of the other teas that you can use are bamboo tea, nettle tea, sage tea, or even regular black tea. Just steep the tea bag or a tablespoon of the dried herb in hot water and use it as described above.
But you must start these medical therapies before you lose all your hair. McAndrews likens it to brushing your teeth, in that both are preventative measures. “The sooner you start doing it, the better at slowing down this aging process,” he explains, adding, “Is toothpaste perfect? No, you’re still getting tooth decay with toothpaste, but you’re slowing down tooth decay.”
Retin-A, or topical tretinoin, is sometimes used as a combination therapy with minoxidil for androgenic alopecia. It’s important to use this type of medication under the guidance of your doctor. In some circumstances, tretinoin can actually cause hair loss. Some people who have used it at home report that topical retinol creams, serums, and lotions may make hair loss worse.

"I recently started using your hair growth products, and now there is no looking back. My hair has always been really thin and fine and growth around the hairline at the temples has been poor. It almost looked like my hairline was receding. I didn't like putting my hair up as I looked like I was going bald. But, not any more. My hair feels thicker, and growth is improving at the temple area. My hair would never grow beyond my shoulders, that's going to be the next test, how long will it grow!! Thank you, after years of irritation with my fine hair things are looking up."


You may have hereditary hair loss, but you don't need to live with it forever. Women's ROGAINE contains topical minoxidil, the only FDA-approved over-the-counter ingredient clinically proven to regrow hair. ROGAINE works by getting inside your scalp to revitalize follicles and stimulate hair regrowth. That's why ROGAINE is the #1 dermatologist-recommended product for hereditary hair loss in women. The sooner you start, the better your chances of regrowing your hair.

Viviscal is a natural hair-growth supplement that promotes hair growth in people with thinning hair. It contains a marine complex known as AminoMar C. This is made of minerals, vitamins, and shark and mollusk powder. These ingredients help to regenerate new cells and strengthen existing cells. You have to take the pills twice a day for at least six months in order to see results. Viviscal also makes a shampoo and conditioner.
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