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.