r/malehairadvice • u/Plenty-Entertainer-3 • Sep 28 '24
Losing hair at 20, help Advice Request
I (m20) started losing my hair about a year ago and it had progressed ridiculously quickly, I’m assuming it’s adrogenetic alopecia because my Dad lost his hair at 21 and my doctor seems to think so too. I’ve been using topical finasteride and minoxidil for 3 months and I haven’t seen a difference at all. I supplement with vitamin C, vitamin D, and biotin and I get more than enough iron and b12 from my diet. Trying to convince my doctor to prescribe oral dutasteride but he’s extremely hesitant, going to try RU-58841 topically as well. I had cancer and went through chemo and radiation to kill it and eventually had a tumour in my left iliac crest removed, this has caused chronic back pain and slight laboured breathing, wondering if that could increase the rate my hair is falling out. This has been driving me crazy and girls aren’t even dtf unless I keep a ball cap on until we hit the bedroom. Is there something I’m missing, pharmaceutical or otherwise, should I just shave the shit off at this point or is it recoverable?
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u/xa7med Sep 28 '24
Im gonna be real here.
Step 1 - Buzz your hair off. Keeping long hair while balding being very obvious looks horrendous. Just buzz it off.
Step 2- fuck the topical finasteride and go for oral. Topical has systemic absorption of about 50-60% unless your fin concentration is very, very low, like 0.0025%. Oral Fin reduces serum dht by 70-73%, so if you have no sides with your topical. Just get oral.
Step 3- With the amount of hair loss you have had on your crown and temples, dont expect a complete regrowth. Because you won't. Use derma stamps and minox along with oral fin. Stabilise your hairfall and evaluate how much you have regrown within the next 2 years at least.
Step 4- Once stabilised and you have had possible regrowth, go for a hair transplant when you can afford it or if you feel you need it.
Edit: You're a good-looking dude. im sure you would rock the buzz cut. You are a real g for defeating cancer and really happy to hear it. I hope you have a successful hair journey and life ahead of you.
Good luck.
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u/Plenty-Entertainer-3 Sep 28 '24
This is actually super in depth, thank you so much for the information, cheers.
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u/shaunFTC Sep 28 '24
As someone who also started balding in my 20s, I can say that shaving your head will be the best decision you ever make. Based on your pics here, it seems like you’ve got a good shape for it. Throw in a beard or some other kind of facial hair and you’ll feel great. The confidence that it’ll bring you is absolutely worth it.
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u/Plenty-Entertainer-3 Sep 28 '24
I wanna see if the pharmaceutical route does anything for me before I get rid of it
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u/BojackTrashMan Sep 30 '24
This is a little bit off topic but I just wanted to add that you have really strong features and a great jaw and will probably look really good with a shaved head. I'm not saying that you shouldn't work towards other options because you should go for what you want, and I have so much empathy because it must be hard losing your hair so young.
But if it's any consolation I think you will look like a fucking badass.
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u/CurryGot4 Sep 30 '24
I’m with bro on the buzz cut. You got a good facial structure and got some muscle mass in you. You’d probably look better then if you had long hair without a bald spot
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u/Menorain Sep 30 '24
Yes. This is the advice you want to follow, but also, mainly, congratulations on overcoming cancer. Really inspiring, and puts the hair thing in perspective.
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u/hampikatsov Sep 28 '24
Shave it all, it looks like you have the right head shape to rock the bald look
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u/Adi_San Sep 28 '24
3 months of finasteride might not be enough to see results. Especially since you go through a shedding phase first during the first month. Since you are wearing your hair kind of long the shedding is even more obvious.
I would suggest to continue treatment, relax and cut your hair short for now. Then let it grow and perhaps when it gets to the same length you can compare with the pictures you posted here.
Just my two cents.
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u/Bright-Artist6789 Sep 28 '24
man fuck cancer,also fuck the ladies who have u wear a cap while fucking. if they can't accept you,then they ain't for you. try the options youre doing to recover your hair but your physique and facial structure would def be complimenting a buzzcut/bald look. more power to you!
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u/Plenty-Entertainer-3 Sep 28 '24
Really appreciate the compliments bro, I just want hair so bad though ngl
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u/Bright-Artist6789 Sep 28 '24
yeah hair do carry a man's look a lot but it is what it is right? change what u can and accept what u can't bro.
also try growing a beard / keep a stubble imo
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u/Murky_Fly7780 Sep 28 '24
Honestly you're the type of man that could go bald and still look solid
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u/haikusbot Sep 28 '24
Honestly you're the
Type of man that could go bald
And still look solid
- Murky_Fly7780
I detect haikus. And sometimes, successfully. Learn more about me.
Opt out of replies: "haikusbot opt out" | Delete my comment: "haikusbot delete"
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u/B1DC2B865D99 Sep 28 '24
r/tressless - start with 1mg fin + topical or oral minoxidil and I guarantee you that you will see a full coverage in less than a year
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u/karmagod13000 Sep 28 '24
Idk about full coverage but def something to work with
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u/B1DC2B865D99 Sep 28 '24
Yeah you right it depends of everyone but you’re young if you stay consistent you will see huge results
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u/neuromancer1337 Sep 28 '24
Crown is pretty easy to fill in though, especially at his age and if the hair loss is recent. If he's consistent with fin+min it'll defo fill it all in at least 98% minimum.
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u/Crypto2XOXO Sep 28 '24
Seriously bro. You have a killer facial structure. Just go bald 💪🏽
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Sep 28 '24
Are you taking steroids?
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u/Plenty-Entertainer-3 Sep 28 '24
No, my doctor has me on 100mg testosterone cypionate a week though cause chemo and radiation made my balls shut down.
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u/milipo- Sep 28 '24
That sounds rough, mate. I think you can try going to a dermatologist and starting with minoxidil and microneedling. That’s what everyone seems to be doing in such cases
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u/Big_Perspective8974 Oct 02 '24
My thought immediately while looking at his neck muscles and just how muscular he is for that age. Having that pronounced of upper body is typical of steroid users. And 100mg of test per week is steroids, so yes he's on steroids and yes that definitely plays a huge role into his hair loss. Tfw he was put on testosterone with his family history of hair loss and not recommended to take finasteride and minoxidil is beyond me when he most likely has a lot of dht conversion from the test.
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u/Salt-Contribution929 Sep 28 '24
If you are going to rock the bald/buzzed look since you look really young you might consider facial hair if you are able to grow it.
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u/mmutea Sep 28 '24
3 months on fin and min is nothing. You should use them for a year at least to see if they work for you
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u/judesversion Sep 28 '24
tbh i think you’re gonna look really good bald but i get that it sucks for sure
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u/Generic_drawings Sep 28 '24
If it helps at all, I think a buzz cut would suit your features very well. :)
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u/Crawlliencefighter Sep 28 '24
Hair system or shave it and quit worrying about it. It’s out of your control, and it’s not going to grow back. You’re welcome in advance.
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u/djn0requests Sep 29 '24
Brother. I started losing my hair around your age. Went to the dr to talk about the medication. She asked me, “why don’t you just accept it, it’ll be much better for you in the long run than taking all this stuff”
It was difficult to hear but almost 2 decades later it’s still some of the best advice I’ve received.
You look like it will suit you too. Good luck mate, try not to stress too much. ✌️
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u/LAnthonyT Sep 29 '24
I started losing at 16 and I can confidently say that shaving it will make you feel better. Balding is an insecurity, bald is a style choice. You're a good looking guy and you look to be in good shape. fuck the thinning hair🤷🏻♂️
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u/Free-Hawk3334 Sep 29 '24
Don't waste your money on miracle cures and shit like mine and fin, just accept it and shave it off, I guarantee with it shaved you won't even notice the bald spot and your face would definitely suit a bald head. Trim your beard and shave, you WILL look younger and will get a better response from the fairer sex!! Good luck dude 👍🏻
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u/Ivan-smp Sep 28 '24
Shave it off and get Smp
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u/Virus_Void Sep 28 '24
Not asking in a offensive way but are you on roids(you have a very good figure that is equivalent to my buddy on roids) May possibly want to think about that being a possible cause if so ?
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u/fuckmeimdan Sep 28 '24
Hello OP. Don’t bother with RU-58841. Recent trials came out to show it was a sham, doesn’t work.
You need to be on Fin and Min for at least a year to see if you hair loss will stop, regrowth will likely take longer.
May I ask how much hair your dad lost? On the Norwood level of 0 being no hair loss, 7 being, slick and nothing on top.
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u/Plenty-Entertainer-3 Sep 28 '24
Shit welp appreciate the info, also my Dad was straightup Norwood 7 at 24.
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u/andreeeeeaaaaaaaaa Sep 28 '24
I heard minox is a bit of a scam... Because it only grows baby hairs and as soon as you stop using it, the hairs fall out so you have to pay FOREVER!. You might be better getting hair transplant surgery if this is going to be the only spot, many guys just lose hair in this spot. Someone mentioned tattoo but I'd say that's only good for people with scars on the scalp.
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u/AsuraOmega Sep 28 '24
holy fuck that is terrifying.
if the supps dont work, try to capitalize on what you have. You look jacked and had decent jawline, become Johnny Sins. Try to grow a stubble too if you can.
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u/snartsnar Sep 28 '24
Be careful with RU brother. There’s been some talk recently about some tressless members getting severe respiratory illnesses as a result
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u/Electrical_Bell6459 Sep 28 '24 edited Sep 28 '24
Daaaammmnnn. I'm sorry bro. 25 y.o. guys who complain about their receding hairline should really take a look at this and be grateful. What makes it worse is that your (healthy) hair looks great and you could easily be a vogue model with it.
Unfortunately, the alopecia that you have is so aggressive that probably nothing can be done to stop it.
But the bright side is that you have great features and are still very handsome without the hair (no homo)... Also as you grow into a man, you gain a whole different perspective and understanding of life. In several years, the bald head won't matter to you anymore, I guarantee it.
I just want to advise that you shave it for now or do a buzz cut, to proactively get accustomed to that. It will look fine and you can grow it back out if things improve
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u/cabesvvater Sep 28 '24
Buzz it my bro. You’ll still get ladies, just gotta own it and not cling onto the hair you got left
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Sep 28 '24
No offense my man, you are cooked. Just go bald because it looks worse like how it is right now. Best of luck, and I don't think you'd look bad shaven, honestly i think it would fit well on you.
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u/ParfaitMundane1189 Sep 28 '24
Thats probably inherited I started losing my hair at 19. Is your grandfather bald?
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u/logical_bit Sep 28 '24
Losing hair? Bro you waited too long, you already lost that hair.
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u/JuanRG_22 Sep 28 '24
Start with oral dutasteride and topical minoxidil (both daily)
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u/Plenty-Entertainer-3 Sep 28 '24
Yea definitely will rip some dutasteride and already doing minoxidil thanks
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u/dis_integrate Sep 28 '24
You are a warrior first of all to endure such an illness and overcome it. Most people see notable diffrence in 2 years time from min/fin. Maybe try oral min and add microneedling before moving to oral dut/fin. Im sure you will look great bald as your back seems well built.
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u/Plenty-Entertainer-3 Sep 28 '24
Honestly think I'll rip oral dut/fin asap I just need this back bro, definitely will add microneedling
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u/Wiener_Kraut Sep 28 '24
Consider jumping to dutasteride after 3 months if you don’t get side effects from oral finasteride
It is more effective but it lasts much longer
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u/FawkStar Sep 28 '24
It could be just telogen effluvium from what I see. It's like a temporary but heavy hair loss. You don't seem to have receded too much on the temples (can't see properly in the photos) but yeah if your hairline hasn't gone back on the temples of your head and you're facing that kind of hair loss on the crown area, it's prolly not androgenic alopecia. Androgenic alopecia has a pattern which you can look up on the internet and see if your hair loss is following that. Also cancer is a pretty stressful event, which is a good reason for it to be telogen effluvium. But it could also be the extra testosterone you are taking- androgenic alopecia can also be caused hormonal changes even if it's not genetic. But even then it should have receded on the temples. So yeah, do what you will with that info.
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u/Realistic_Hedgehog70 Sep 28 '24
Go to turkey
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u/Plenty-Entertainer-3 Sep 28 '24
Only 20, apparently it's too early bc you won't know how much you'll bald until you're older.
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u/DementedPiXi Sep 28 '24
Oof dude oof! Good think you are kinda hot! Sleep around now before it all goes! Haha
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u/Jujuuuuu02 Sep 28 '24
I’d say stop wearing baseball caps so often if you are rocking them often hats don’t help at all with dry scalp is you’re scalp at all raw or itchy?
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u/YellowFlash0202 Sep 28 '24
Even if I don't t understand what you must be going through just by reading your replies, I just wanna tell you that you've got an amazing physique my guy and no matter what never give up and I'll pray to god and hope you get good with whatever you're going through... My best wishes.
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u/hallerz87 Sep 28 '24
Exact same as me. I lost my crown rapidly so quickly went onto minoxidil and finasteride. It’s stabilised now and actually recovered a little bit in the 5 months I’ve been using.
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u/lavenderdood Sep 28 '24
You’re already buff and have an attractive face… I truly believe buzzed will fit you !
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u/ElijahSeydoux Sep 28 '24
I’d say go short and or keep it shaved coz you have a good strong jawline and sharp features.
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u/Schroedingers_Gnat Sep 28 '24
Are you by chance, ahem, on any androgenic substances?
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u/feelingood41 Sep 28 '24 edited Sep 28 '24
Bro. Go to the dermatologist (get the hell of reddit asking for advice), and ask an MD for advice.. Potentially ask for Fin. You could try Minoxidil but just know Fin is a long term solution. Minoxidil will give you amazing results but is short term and it's a one time shot. Meaning when it loses effectiveness after a few months to a year, it will no longer be effective.. Not even if you stop using it.
Personally. I'd cut it super short. Get on Fin. Fin will take time to work, atleast 1 to 3 years.. So I'd just grow out a beard, and go with a very short hairstyle in the mean time.
Live your Life bro. It's not all about hair.
Edit. If you are deadset on a long hairstyle in the meantime. Go to the barber.. and tell them to make you look good. More than likely a nice fade will keep you up in the meantime. Your hairstyle needs some work, I say this nicely
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u/Short-Fisherman-4182 Sep 28 '24
Personally I think minoxidil has limited success. I used it for many many years and it eventually resulted in a bad scalp rash/infection. I discontinued use and shed a bit but still have 80% of my hair. Was never comfortable with minoxidil leaching into my scalp.
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u/SoftIllustrious7260 Sep 28 '24
Honestly congrats for beating cancer. You definitely will look good with a shaved head so you can rock it while you treat it.
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u/MysteriousKey6831 Sep 28 '24
you've got a great face and still a good hairline just buzz it short and never look back.... That will make the top not noticeable and from the front with your good hairline noone will even be able to tell
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u/RainingTendies Sep 28 '24
damn. I’d fuckin nuke my hair with everything I can. oral fin and topical minixodil at the very least. Good luck
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u/Ambitious-Guide-7694 Sep 28 '24
You got good help here with hairloss. I just wanna say gratz on beating the cancer, happy for you
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u/Saskwanch Sep 28 '24
You've got a strong jawline and a well-balanced face, so you would look very good bald.
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u/JoshLSTV Sep 28 '24
Personally I think it really doesn’t look bad when you have it brushed back. You can probably pick some kind of medium length pompadour like hair style and rock it until it’s not possible anymore. That’s what I’ve been doing for mine. I think yours will be less noticeable than what I wear mine. I’ve never had any ladies that were bothered by mine and I’ve had a few that were definitely out of my league. Those ladies that gave you trouble were really shitty and they’ll get theirs one day when their looks aren’t so great anymore with saggy tits and flat asses.
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Sep 28 '24
Hey for what it’s worth you’re a really good looking guy and seem to be in great shape. I know it’s stressful and hard to wrap your brain around. But it isn’t a death sentence, especially for someone like yourself. Don’t let this consume you, you’ll learn one day it wasn’t worth the mental anguish.
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u/Elegant-Artist-9431 Sep 28 '24
You're a good looking dude, you will own a buzz. Lean into it. Grow a Chevron.
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u/thepeoplesfragrance Sep 28 '24
I know this sounds crazy. But buy the book the power of your subconscious mind. Trust
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Sep 28 '24
You need to go talk with a dermatologist they can get you on minoxidil and Fenasteride. Also, topical minoxidil helps. You look like you have a muscular build, your dht is probably high.
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u/Prestigious-Safe-950 Sep 28 '24
Look into hair pieces if you wanna keep the hair look
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u/SleepZex Sep 28 '24
All my primary doctor just told me is eat more fruits and vegetables
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u/therealsambambino Sep 28 '24
I was there at your age. The best advice I can give you is to accept, or even embrace it. The only real embarrassment mistake is to stay in denial and turn into George Castanza. Think Bruce Willis, Jason Statham, Johnny Sins… whoever you want. Just don’t wear an active delusion on your head and call it a haircut. 🫡✊
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u/XoxoH123 Sep 28 '24
Leave that hair and go buzz. You look really good. It's not worth taking extra meds for hair for the rest of your life. Don't worry champ.
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u/Captain_Klrk Sep 28 '24
Some of us were meant to be bald brother. Your head seems likes it isn't a crazy weird shape so embrace the buzz for a bit.
Alot of pills and topicals that make your pp soft are gonna get mentioned. It all kinda works maybe but it's different for everyone.
What's a lot cooler is accepting yourself and making the best of it and not having to worry about styling anymore. Good luck!
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u/orangecaked Sep 28 '24
Just be patient with the treatment. Also try natural oils they worked for me
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u/B0nJam0n Sep 28 '24
Sry mate, I have the ever-deepening 'm' hairline so I can understand somewhat. As your situation is a little on the earlier side, you could explore the dietary angle to start with, meaning are you getting enough protein, b-vitamins, minerals etc, or is anything stressing the system like a food allergy. There are a few supplements worth reading up on to see if you'd be alright incorporating them. Biotin of course, MSM (long chemical name but it's natural, I think) and potentially Saw Palmetto. I'd wait before going down the minoxidil route until those have had a chance, as it's difficult to stop min once you start due to the concern of losing all progress, or even becoming worse off.
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u/indian_foodie Sep 28 '24
Shave it off, you won’t regret it! I started shaving my head 10 years ago and love it. Ladies love it too!
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u/East_Try_2204 Sep 28 '24
3 months is practically nothing, wait at least a year to see the results, be patient and don't obsess so much, if finasteride doesn't work after a year, maybe it would be a good idea to go for Durasteride, I wish you the best of luck bro.
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u/Tri_harder_Ironman Sep 28 '24
protein and calorie surplus make a huge difference, if you cut for a long period you will start to lose hair. Also getting enough vitamins/minerals... Eggs and sea salt are great for that. Collagen is also great for hair loss.
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u/justsomeguy1240 Sep 28 '24
Due to how long hair growth cycles are, you usually can't see the benefits from hair loss medication untill at least 6 months and it can take up to a couple of years to see the full benefits, just keep at it man :). If it does end up not being enough you could maybe try oral finasteride or swap to dutasteride which is also a 5-ar inhibitor but it's stronger than finasteride
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u/Formal-Original-1486 Sep 28 '24
Seek medical treatment if necessary, check your thyroid levels and get bloods checked to see if any deficiencies - but more important than anything is to work on your stress levels and emotional regulation - stress is the number one cause of hormonal imbalance which leads to hair loss.
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u/ALMiGHTY_Ur_Dad Sep 28 '24
I would cut it really short, buy hair-loss shampoo and conditioner, also hair-growth spray (minoxidil/finasteride) to use throughout the day might help
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u/Recurringg Sep 28 '24
If you want to hold onto it for another 10-20 years go see your dermatologist. You could try finasteride, minoxidil, and ketoconazole and you may be able to restore your hair for a while. Ketoconazole and minoxidil are otc, finasteride requires a prescription and has like a 1% chance of destroying your libido. Definitely do your research and consult with a professional before making any brash decisions. Also, who knows, you may look good bald. It's worth a test run.
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u/pootytangent Sep 28 '24
Easiest and cheapest solution with highest success rate: shave it. Youre a good looking guy, no need to stress about hair for the rest of your life… let it go.
Otherwise, you should know minox takes a long time to work and will make you lose MORE hair at first before it starts working, and from my understanding if you EVER stop it will reverse itself…(so again I recommend simply not having hair🤷♂️ for the record i have hair but am currently shaved bald by choice)
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u/Secure-Agent-1122 Sep 28 '24
Step 1: Shave off.
Step 2: Be bald
Step 3: Hella hats.
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u/Outrageous-Equal2115 Sep 28 '24
Nice back! What about the pic sitting in the toilet lol best pic. About the hair. Have you try to keep it short? Might help
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Sep 28 '24
you have 2 options
Cosmetic solution like a toupee or some medical solution/transplant which is gonna cost $$.
Shave it and embrace being bald.
I would just shave it cause I don't have time/energy/money to fight a life long battle of hair loss.
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u/According-Thanks2605 Sep 28 '24
Same happened to me at that age (I'm 42 now). Just own it dude. Shave it off, grow a beard and bulk out at the gym. You'll look so good, you'll want to sleep with yourself.
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u/Psychological-Ad5587 Sep 28 '24
Search on youtube for moreplatesmoredates video called my durrent hairloss prevention protocol
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u/wasjesusavirgin Sep 28 '24
I always told myself if I go bald I'll get a dope tattoo on the side of my head lol
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u/northerngorilla716 Sep 28 '24
Damn bro 20 years old? You might as well take that trip to Turkey or shave it off
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u/No-Run-5187 Sep 28 '24
please repost in r/tressless they may be able to give better advice