Going back on 1mg finasteride, total panic!!

ctrl

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Hi guy!

I've started to notice hairloss back at 1997, when I was 21 years old. Mostly diffuse thinning. I started taking 1mg of Propecia in 2001 and it pretty much maintained all of my hair. So I was really happy with it.

So, last year, I started taking 1mg every other day. To see, if it would still be effective and also to cut the costs. I maybe have skipped a dose here or there before, but never all the way through.

However after several month now I at first wasn't not sure if my hair has gotten slightly thinner. It's was difficult to tell, because I long since don't monitor it, because I hardly ever think about it. Also, out of curiosity I started rubbing my hair over the sink. Every time I did some hairs would come out. But I don't remember ever doing this before, so maybe it's normal?

Ok, so yesterday I was at a dermatologist. I kind of freaked out and wanted a neutral opinion on my hair.

He's supposed to be a hair specialist, also offering PRP. Well, I don't know, but he's supposedly specialised on hair among other things.

He took a look at my hair with a magnifying glass. He said, that he does see some telogenic hair on the front and also a few in the back, but my status is very good, especially the overall coverage. He ran his fingers through my hair with a glove and told me that the hair falling out is nothing to worry about, since he only had a few on his hand.

I told him, that I halved the Finasterid dosage some months ago and that this coincides with what I perceive as a worsened state in the frontal area. He told me to get back on the 1mg dosage and see what happens. He took pictures and proposed that I should come in about half a year to see how I'm doing.

I kind of freaked out, because my lowering of the dosage might have caused me to lose some in the front. I don't know.

I really don't want to add minoxidil, unless it's absolutely neccessary. But I'm thinking about going back on Nizoral . I used it when I first went on Finasterid and I don't know if it did anything, but my hair loss was obviously stopped. I quit using it some 6 years ago.

Another thing, I had recently my Testosteron tested and it's 8,2 (8,32 is the upper limit for the normal Testo rate in a 20-49 year old), which is really high for me being 40. I do workout often and intensly and I eat right and also take Zink. Maybe 0.5mg is just not enough for my high Testo levels?

My plan is to stick to 1mg and Nizoral for half a year and then see how I'm doing. What do you guys think? I hope I'm dong the right thing.

So since then I'm kind of in panic mode now because of my hair, which I haven't been for 15 years. I obsessively look through old photos. where I was already on finasteride and I do think my hair looks much better than now. Especially the temples and front, not sure about the back.
Now I'm not even sure that I wasn't worse of 1 year ago before I started havling the dosage.

But then again, these weren't photos supposed to show my hair status. I only have one from 2002 I took of the top of my head.


1 week ago I didn't even think about my hair, I was just enjoying life.

Now it seems like a big cloud of depression has set over me. I feel helpless and in panic. :( It's the same feeling I had 15 years ago, will this work, is it the right thing to do? I feel absolutely horrible, which seeing that last week I was feeling fine is kind of crazy, but I just can't "unsee" what I am pretty sure is a worsening of my status and I can't shake the panic.



 

shulk

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Your DHT levels remain lowered for several days after one dose. Taking it every other day is probably just as or almost as effective as taking it daily.

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If you have somewhat longer hair (by male standards), you could try yanking out some at the problem areas. Inspect them and see if they overall thin down towards the root. Don't worry if you see some thinning or loss of pigment right against the base though. For a lot of people this is normal for hairs that are in the telogen pase.
 

ctrl

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I don't think they are thinner down the roots.

So is finasteride not working for me anymore? Upping the dosage and adding Keto won't do anything?
 

RhinestoneHLT

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I don't think they are thinner down the roots.

So is finasteride not working for me anymore? Upping the dosage and adding Keto won't do anything?

I would go back to the trial tested 1mg a day, then consider dutasteride.

Def add keto, was shown in trials to improve finasteride.
 

ctrl

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I would go back to the trial tested 1mg a day, then consider dutasteride.

Def add keto, was shown in trials to improve finasteride.

That's what I'm planning to do. However I'm not even sure anymore that my status wasn't already worsened last year. I just don't know anymore.

Guys, I can't believe how much this has wrecked me psychologically. I went from going out having self esteem and crushing it with girls a week ago to having panic attacks and checking my hair every 5 minutes in the mirror.
 

shulk

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Bit confused, your hairs don't show thinning by your own assessment, the Doctor says you are fine. Maybe you lost a bit of ground, that sounds logical due hairs becoming more sensitive to DHT over time.
It does not seem that you will be a baldy within a few years right? Maybe posting some of your pics might help.

Like Rhinestone said, if finasteride is not powerful enough anymore, you need something that suppressies DHT even more, like dutasteride.
 

ctrl

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Oh, I do think that my hair shows thinning. Though it has since I went on Propecia in 2001. But I think it has worsened.

The doctor said that my status is good, but it was the first time he saw me.

So here we go with the pictures:

2002 natural lighting, no hairgel, one year after starting Propecia. I took that picture, because I thought that it wasn't working:

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2009, natural light. The quality is not the best, but I think you can see the thinning:

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July and September 2015, with hairgel. These where taken by a photographer:

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These I took yesterday, hair slicked back with gel. I took it with a flash though in the bathroom harsh light it looked even worse:

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And these I took today in natural lighting, hair a bit unruly:

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I feel like in the ones from now my hairline looks like ****!

However, I also took one yesterday with hairgel and a but further away from the flash, there it looks pretty ok (can only attach 8 pics, so external link):

http://c78.imgup.net/top_now_gebd02.png



So, I do feel like i lost ground. I hope I can halt it at this!



EDIT: Sorry, for the huge pics! I wanted to set only thumbnails in the post!
 

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rlf

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I had to create another account, I couldn't log into my old one for some reason. I'm the threadstarter.

Another thing I noticed, I don't shed a lot of hair, usually there are 2-3 hairs in my hands after shampooing. But there are some hairs on my desk and shirt. They are short and kind of whispy looking, not like the normal hair on the top of my head. Definitly many of the hairs I lose are short, some are colourless and crooked, some have colour and are just shorter than the rest. What can that mean? Been on the 1mg dosage for 2 weeks and one week into ket.

Any advice, guys?
 
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rlf

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No, I didn't have any sides.

Relax and calm down, haha. I wish I could. And I would if I knew that my hair is stabilised now.
 

rlf

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So anybody knows what's going on with those short hairs that I shed?
 

rlf

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Well, I do feel that my hair in front looks absolutely **** these days, when in push it up with gel it's really see through! I wish it would look like in September last year, that is only 9 months ago!!!

Taking 1mg again for 3 weeks now. Ket 2x a week.At the moment I'm contemplating what to do. If it worsens in the next month I would eighter go on 2,5mg finasteride or dutasteride.

To be honest I'm pretty scared about taking dutasteride. The side and long term effects and also possible shedding.

I just don't know what to do ATM. Pretty crushed that after 15 years(!!!) my hair has taken such a dump!
 

davesmith420

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To be honest man you should just be super happy that you got 15 years of great hair out of Finasteride, that's like the goal/dream of a lot of the users here. I think honesty all you can do now is add minoxidil and/or dutasteride or just let nature take its course. You probably have better hair than most people your age.
 

TinTon

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Your hair isn't bad at all, in fact I wouldn't even think of you as someone going bald from the photos provided, if you panic with great hair I dread to imagine what you'll be like when you're actually visibly bald to the untrained eye.What I don't understand is why you were cutting down on dosage after 15 years of buying finasteride and having good hair, surely you would realise that buying brand name Propecia was expensive 15 years ago too no?? FYI times have changed since 2001 and now there's lots of 'generic' manufacturers of fully licensed 1mg available from high-street chemists in Europe which are a 4th of the price of Propecia.Another thing too: 15 years on finasteride and you had zero side effects, why are you so petrified of taking dutasteride? I'd expect that from a new-comer to the game, but not a 15 year finasteride veteran...
 

rlf

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Ive gelled my hair back today and took a pic in sunlight up close. It looks horrible! The hair in the front is all see trough!! I know for sure it wasn't like that a year ago. Yeah, I might have a full head of hair with the right hairdo, but I know better. If it keeps progressing at this rate, I'll have huge problems in a year.

Lowering the dosage was an absolutely stupid thing to do. I know about generics, but I always had doubt about them working the same like the original. Which is stupid, just like messing around with the dosage, lol.

dutasteride I feel is a whole other ballgame. There are no longtime studies like on finasteride and the probabilty of sides are much higher. Also the long half life. And also those horror stories about dutasteride causing horrible sheds on the front.

I guess I feel that I was so lucky for so long with having no sides on finasteride, that I don't want to tempt my luck on dutasteride.

- - - Updated - - -

To be honest man you should just be super happy that you got 15 years of great hair out of Finasteride, that's like the goal/dream of a lot of the users here. I think honesty all you can do now is add minoxidil and/or dutasteride or just let nature take its course. You probably have better hair than most people your age.
That might be true, but I don't compare myself to people my age. I get mistaken for being 10-15 years younger a lot, I often date girls half my age. I'm not the kind of guy with a belly sitting around on his couch on the WE. I'm jacked and good with women and going bald is not an option for me!
 

TinTon

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I know about generics, but I always had doubt about them working the same like the original.

This is precisely the reason why I made a promise to myself never to take Merck brand Propecia. One of my friends has been on Merck Propecia for 8+ years and I asked him a while ago 'why he doesn't just take the generic version for a 3rd of the price', he replied the exact same as you "he's worried his hair will go to crap on the generic versions" so now (like you) his bank account is eternally married to Merck, all for a psychosomatic hang-up. As I said, after hearing my friends response I immediately vowed to myself never to use Propecia brand, as I know that I would also fall into that very same mental trap.

dutasteride I feel is a whole other ballgame. There are no longtime studies like on finasteride and the probabilty of sides are much higher.

I'm not aware of any real long-term studies of finasteride, most I've heard about is a 10-year study which to the average GP/Doctor is not considered long-term at all, especially for a drug that needs to be taken on a long-term basis. Most medical professionals would only use the word "long-term" when referring to drug trials of a bare minimum of 20 years.

My view of dutasteride is quite different to yours, I think that dutasteride is pretty much in the very same ballgame as finasteride, that ballgame being to inhibit levels of DHT. Yes there are differences with the Type I and Type II 5AR, however they both essentially work on the same hormone group. dutasteride is more potent for sure but I wouldn't say there's a huge swing in the chance of side effects. From the best of my knowledge the side effects between finasteride and dutasteride are surprisingly very similar, both showing low percentages in the grand scale of things.

I've not tried dutasteride, I've only been on finasteride for 6 months. I would definitely try dutasteride though if finasteride doesn't work for me, I just wish dutasteride was more readily available for male pattern baldness in terms of both gaining prescriptions and filling the prescription at the chemists. It's just a hassle to get hold of legitimately right now, but hopefully that may change, if at some point in the future they (GlaxoSmithKline) complete the necessary phases to get it licensed for male pattern baldness.
 

4thojab

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You hair is brilliant for your age. You have done everything exactly as we all hope it will go for us.

I would consider chilling out as you say you are approaching your 40's or into them so really having a slight recession should be the least of your worries!

All the best
 

rlf

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I don't just have a slight recession! My front is thinned since this year. Under harsh light or sun I can see right through my frontal hair line!

And as I said I don't lead the life of a 40 year old and I don't look it! I don't want to go bald now when just last year I didn't have any problems with my hair!
 
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