- Reaction score
- 119
There is no way he has androgenetic alopecia. Finasteride is not working for him and he had juvenile hairline. Individuals with juvenile hairlines are NOT susceptible to androgenetic alopecia and never get this type of hair loss.
I’m going to go ahead and give the litany of specialists he has seen the benefit of the doubt and say they wouldn’t diagnose him by mistake. He doesn’t have it as horrific as most and he’s fortunate to only be feeling the effects now and consequently, looks better than pretty much everyone in his age group, but he’s got it.
But, regardless of that, you can absolutely lose your hair to AA, even with a juvenile hairline that lasts into adulthood. It’s rare that anyone keeps that hairline through adulthood, It’s a tiny fraction of men to begin with, which makes the fraction of that who lose their hair an even smaller number, and the fraction of those who go full bald renders it even smaller.
So yes, it’s extremely rare for it to happen, but that’s a function of how few there are with that hairline to begin with. Technically every person who experiences AA deteriorates from a juvenile hairline. AA is a function of genetics; there’s no set activation date and there’s no way of knowing the form it will take or the end result of the process.
Telogen Effluvium is making him think things are way worse than they are, but for someone at his age who hasn’t experienced it before and has an AA diagnosis, that is understandable. Add in his personality type and the subjective value he places on his hair and where he’s at makes even more sense.
The worst nightmare for a Type A personality is an unanticipated problem that they can’t solve; anxiety induced by unforeseen circumstances paired with a total lack of control is their version of the 9th circle of hell. Every member of my family, other than myself, is a full blown Type A. Every time I see something like this play out, I better appreciate how fortunate I am to have been cut from the Type B cloth.
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