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  1. #1
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    Default hi

    2011 is the the year to get my ht i began to notice i was losing my hair when i was 19 that was 10 years ago now i cant even remember what it feels like to have hair i live 45 mins from nashville anybody knows any good surgeons in that area help please
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  2. #2
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    My friend, don't be afraid to travel. Don't let logistics be a limiting factor on finding the best doctor for you. Most reputable clinics offer a travel reimbursement.

    Look into Dr. Wong or Dr. Hasson of Hasson&Wong. They are located in Vancouver Canada. I have done a lot of research and they seem to be the best around. I live in CA and am planning on doing my procedure with Dr. Wong.

    I had a previous procedure with a local surgeon in San Diego (i too was looking only at local doctors), and that was a nightmare for which i am still paying the price.

    What are you looking at doing? strip or FUE?

    From your pic, it looks like you need a significant amount of transplants, for which strip is the best option.

  3. #3
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    Quote Originally Posted by HonestApe View Post
    My friend, don't be afraid to travel. Don't let logistics be a limiting factor on finding the best doctor for you. Most reputable clinics offer a travel reimbursement.

    Look into Dr. Wong or Dr. Hasson of Hasson&Wong. They are located in Vancouver Canada. I have done a lot of research and they seem to be the best around. I live in CA and am planning on doing my procedure with Dr. Wong.

    I had a previous procedure with a local surgeon in San Diego (i too was looking only at local doctors), and that was a nightmare for which i am still paying the price.

    What are you looking at doing? strip or FUE?

    From your pic, it looks like you need a significant amount of transplants, for which strip is the best option.
    thank you for a quick reply i hear a lot of good things about Hasson&Wong ht i might have to do that then thank u again

  4. #4
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    I live in memphis and I went to Dr. Jack Fisher located in Nashville. He is an IAHRS doctor. He did a pretty quick scan by just looking at me and said he could do 600 grafts. I decided 600 grafts would not be enough to show any improvements. He said if he were to do anymore,I was in for some shockloss.
    Goto Nashville and get a free in person consultation from him. I would be bery curious as to what he says. He has a good reputation. Hey its free man ,it can't hurt and he is an IAHRS certified doc.

  5. #5
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    Hi,

    Intially my advise ( and i am NOT a doctor) is stand fast, wait. Looking at the pics on the link you are in store for further loss unless to attempt to halt it via the meds. You want to make sure your loss is stable prior to embarking down any HT road. Even then take your time and be sure its for you given the risks involved.

    Look into Minoxidil, Propecia (proscr ) and nizoral shampoo - "The Big 3"

    spex

    Apologies for the various posts rather than one - the forum will not allow for some reason in one post..
    Last edited by Spex; 01-22-2011 at 12:10 AM.
    Vist my website : SPEXHAIR and watch and listen to regular segments and interviews on The Bald Truth UK show

    Surgeons I represent:
    Dr. Alan Feller, IAHRS Member
    Dr. William Lindsey, IAHRS Member
    Dr. Scott Alexander, IAHRS Member

    I am not a Doctor and all my posts are my own personal opinion based on 10 Hair transplants, SMP into my scar and 10 years consulting on and offline. Always consult with your own family doctor prior to embarking on any form of hair loss treatment or surgery.

  6. #6
    Dr Representative Spex's Avatar
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    The big 3 to beat DHT, THE CAUSE OF HAIRLOSS!

    - Propecia ( Finasteride ), Minoxidil and Nizoral

    Here is the thing you need to make sure you understand when it comes to MPB:

    The main known factor that causes hairloss is DHT. To form DHT your body's 5a-reductase enzyme converts free roaming testosterone DHT inside the hair cell follicle. The DHT then binds to the hair cell receptor and causes it to atrophy or shrink. Eventually your hair follicle stops producing hair and you lose that follicle.

    There are two types of the 5ar enzyme; Type I and Type II. Type II 5ar seems to be the main culprit in MPB as the type II enzyme is present in the hair follicles. Finasteride is a specific inhibitor of Type II 5ar inhibitor that reduces DHT produced by the type II 5ar by 85%-90% and reduces the overall DHT blood serum levels by 65%.
    Vist my website : SPEXHAIR and watch and listen to regular segments and interviews on The Bald Truth UK show

    Surgeons I represent:
    Dr. Alan Feller, IAHRS Member
    Dr. William Lindsey, IAHRS Member
    Dr. Scott Alexander, IAHRS Member

    I am not a Doctor and all my posts are my own personal opinion based on 10 Hair transplants, SMP into my scar and 10 years consulting on and offline. Always consult with your own family doctor prior to embarking on any form of hair loss treatment or surgery.

  7. #7
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    As you can see Finasteride (PROPECIA ) is extremely useful as a treatment for MPB as it directly attacks the problem. Nizoral shampoo is thought to help "dull" the androgen receptors in the scalp which the DHT binds to. Together they provide a synergetic effect.

    Minoxidil is a hair stimulant. It is the only FDA proven hair stimulant on the market. However stimulating hair and protecting hair from further damage are two separate actions

    Minoxidil will artificially augment your hair while you use the compound but it does NOT have any know effect on 5ar or the androgen receptors in the scalp.

    The best way to attack MPB is to:

    1. Stop further damage to your hair via DHT. You can accomplish this best by using Finasteride to inhibit the 5ar enzyme and Nizoral to "dull" the androgen receptors.

    2. **If** further thickening/regrowth is needed after the hair damaging DHT androgen is reduced then minoxidil can be used to further augment your existing hairs and perhaps even stimulant some dormant hair follicles to resume growing.

    Use all these 3 products together -

    1. Minoxidil 2 x a day - once in the am and once in the pm
    2. Finesteride (propecia/proscar) 1mg per day
    3. Nizoral 2 x a weeks (no more) - will dry your scalp out!

    Propecia is the best proven way to prevent further loss. If for some reason your not a responder theres Dutasteride/Avodart but i recommend you start off with Propecia/proscar and see how you repond.
    Vist my website : SPEXHAIR and watch and listen to regular segments and interviews on The Bald Truth UK show

    Surgeons I represent:
    Dr. Alan Feller, IAHRS Member
    Dr. William Lindsey, IAHRS Member
    Dr. Scott Alexander, IAHRS Member

    I am not a Doctor and all my posts are my own personal opinion based on 10 Hair transplants, SMP into my scar and 10 years consulting on and offline. Always consult with your own family doctor prior to embarking on any form of hair loss treatment or surgery.

  8. #8
    Dr Representative Spex's Avatar
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    FYI -

    Dutasteride and finasteride (PROPECIA) are both 5-alpha-reductase (5AR) inhibitors. Both treatments work by inhibiting 5AR, the enzyme responsible for converting testosterone to dihydrotestosterone (DHT). DHT is the primary androgen in the prostate. It is a primary factor in the development and progression of benign prostatic hyperplasia (BPH) and other prostate diseases and is also a major cause of hair loss.

    .5mg - 2.5mg of Dutasteride provides better results in hair maintenance/regrowth as opposed to Finasteride
    Vist my website : SPEXHAIR and watch and listen to regular segments and interviews on The Bald Truth UK show

    Surgeons I represent:
    Dr. Alan Feller, IAHRS Member
    Dr. William Lindsey, IAHRS Member
    Dr. Scott Alexander, IAHRS Member

    I am not a Doctor and all my posts are my own personal opinion based on 10 Hair transplants, SMP into my scar and 10 years consulting on and offline. Always consult with your own family doctor prior to embarking on any form of hair loss treatment or surgery.

  9. #9
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    However, the benefit likely comes from its higher inhibition of type II 5ar not its suppression of type I 5ar. Merck tested a specific type I 5ar inhibitor called "MK386" in a human trial and found it had no effect on balding.

    Jumping on the Dutasteride bandwagon before the Finasteride bandwagon is not a good idea. For most men Finasteride is enough to halt and even reverse MPB... In the off-chance your body becomes tolerant of Finasteride (over the years) you always have Dutasteride to fall back on...


    Side-effects on Dutasteride may be more common, any such sides would last longer as the half-life of Dutasteride is much longer then Finasteride, and unlike type II 5ar type I 5ar *is* present in brain tissue. Finally, keep in mind that DHT is not an evil androgen that just causes hairloss. Various bodily functions benefit from DHT. Finasteride inhibits 65% overall DHT levels leaving 35% for your body to use (most of that 35% is from the type I 5ar that isnt a big factor in hairloss). Dutasteride inhibits 90% or more overall DHT levels leaving 10% or less for your body...

    Basically, use Finasteride **first** and only resort to Dutasteride if you must - This is just my opinion

    Best
    Vist my website : SPEXHAIR and watch and listen to regular segments and interviews on The Bald Truth UK show

    Surgeons I represent:
    Dr. Alan Feller, IAHRS Member
    Dr. William Lindsey, IAHRS Member
    Dr. Scott Alexander, IAHRS Member

    I am not a Doctor and all my posts are my own personal opinion based on 10 Hair transplants, SMP into my scar and 10 years consulting on and offline. Always consult with your own family doctor prior to embarking on any form of hair loss treatment or surgery.

  10. #10
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    Quote Originally Posted by Spex View Post
    However, the benefit likely comes from its higher inhibition of type II 5ar not its suppression of type I 5ar. Merck tested a specific type I 5ar inhibitor called "MK386" in a human trial and found it had no effect on balding.

    Jumping on the Dutasteride bandwagon before the Finasteride bandwagon is not a good idea. For most men Finasteride is enough to halt and even reverse MPB... In the off-chance your body becomes tolerant of Finasteride (over the years) you always have Dutasteride to fall back on...


    Side-effects on Dutasteride may be more common, any such sides would last longer as the half-life of Dutasteride is much longer then Finasteride, and unlike type II 5ar type I 5ar *is* present in brain tissue. Finally, keep in mind that DHT is not an evil androgen that just causes hairloss. Various bodily functions benefit from DHT. Finasteride inhibits 65% overall DHT levels leaving 35% for your body to use (most of that 35% is from the type I 5ar that isnt a big factor in hairloss). Dutasteride inhibits 90% or more overall DHT levels leaving 10% or less for your body...

    Basically, use Finasteride **first** and only resort to Dutasteride if you must - This is just my opinion

    Best
    thanks for the options friend but the thing about products is over time if u stop taking it u will resume hair loss and a ht will pay itself ive been wanting to do something about this since 2000 now we in 2011 and hair getting worse its time to take action ht of my own hair is what im looking for thanks again for the advice

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