End Of The Road? Please Give Opinion

[sop1rano]

Have done everything the last ten years, minoxidil, finasteride, shampoo, micro needle, vitamins etc? Anyway to actually fill this in or best it’s gonna get? It was scalp back when but is this worth it all? Thanks!!!

 

[Here For the Lulz]

Sorry man, but at this point, nothing you could do or try would do enough to justify the effort.

 

[BaldBearded]

I would shave it or cover it!

 

[Derelict]

HRT, shave or system. I would consider HRT before a system or shaving though, it's the only way you have even a remote chance of a decent recovery.

 

[Anatoly]

You have good amount of fine hair in the deceased zones. Your scalp is in a disastrous condition (which gives scope for improvement).
Before thinking about female sex hormones... you may consider intensifying your regimen and trying to control as many variables affecting hair loss as possible, consider a combo of:
1) minoxidil 15% + azelaic acid 5% twice daily
2) DMSO water-based solution 3-5% to moisten your scalp before minoxidil (it can make a huge difference provided all other components of the regimen are in place), effects of DMSO on your scalp should be seen within a week
3) dutasteride .5 mg
4) keto shampoo (e.g. Nizoral 2% daily) + detox-shampoo (with a peeling effect e.g. Vichy/Nioxin), do not use hair balm etc - only shampoo + massage at least 5 min
5) Isotretinoin low-dose - e.g. 10 mg daily to get rid of the apparent sebaceous hyperplasia, oily scalp and clogged hair follicles
6) a zinc supplement
7) tofacitinib (if affordable)
8) clascoterone (when available)

 

[sop1rano]

Thanks! Maybe I’ll try option 1. I’ve only ever used regains. Any best site to get it outside of googling it? Should I Have High hopes?

You have good amount of fine hair in the deceased zones. Your scalp is in a disastrous condition (which gives scope for improvement).
Before thinking about female sex hormones... you may consider intensifying your regimen and trying to control as many variables affecting hair loss as possible, consider a combo of:
1) minoxidil 15% + azelaic acid 5% twice daily
2) DMSO water-based solution 3-5% to moisten your scalp before minoxidil (it can make a huge difference provided all other components of the regimen are in place), effects of DMSO on your scalp should be seen within a week
3) dutasteride .5 mg
4) keto shampoo (e.g. Nizoral 2% daily) + detox-shampoo (with a peeling effect e.g. Vichy/Nioxin), do not use hair balm etc - only shampoo + massage at least 5 min
5) Isotretinoin low-dose - e.g. 10 mg daily to get rid of the apparent sebaceous hyperplasia, oily scalp and clogged hair follicles
6) a zinc supplement
7) tofacitinib (if affordable)
8) clascoterone (when available)

 

[sop1rano]

OH, I meant this option 1 - minoxidil 15% + azelaic acid 5% twice daily

 

[Derelict]

OH, I meant this option 1 - minoxidil 15% + azelaic acid 5% twice daily

If you have already tried needling along with minoxidil i doubt 15% minoxidil will make any difference, you could always ask your derm to get low dose oral minoxidil prescribed, honestly though you are past the point of no return for conventional approaches to be of any use and give you significant regrowth. I would just shave it or get a system. HRT is very extreme but also a choice if you don't care about sides, even that's not a guarantee though.

 

[sop1rano]

Yeah, Ive done everything for about 10-15 years now....wonder where I went wrong or my body just said thats enough, ha

 

[Guglielmo123]

Yeah, Ive done everything for about 10-15 years now....wonder where I went wrong or my body just said thats enough, ha

what was your hair like 10 years ago? when did you start finasteride?

 

[sop1rano]

what was your hair like 10 years ago? when did you start finasteride?

probably 2-3x better but not perfectly. Started about 10yrs ago.

 

[whatintheworld]

If you can save up some money, go for a transplant at least for the frontal third.

 

[joeblack2017]

Just buzz it off. Would look neat. You don't need to shave it all like a skinhead

 

[TheHairLossMaster]

What size dermaroller were you using?

 

[TomRiddle]

Lol at the idiots suggesting transforming into a woman to get some hair back, damn this f*****g clown world is unbelievable