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  1. #1
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    Unhappy New Member in need of advice

    Hi Folks,

    I am a 28 year old man and I'm very concerned I'm losing my hair. Recently I've been noticing a lot of hair coming out in the shower (the other day I counted about 20 in the drain) and on my pillow (sometimes as many as 10 after a single night). It sometimes seems like I can't even lightly pull on any hair on the top of my head without it coming out. I've had some loss already in the temple regions, and while I'm not ecstatic about that, it wouldn't be a big deal unless it progressed further. I guess that makes me a Norwood 2 at this point.

    My family history of baldness is varied. My mother's father had a completely full head of hair his whole life. My mother's mother's father was bald by the time he was 25. My dad is bald. My dad's brother has always had a full head of hair. My dad's father basically had a full head of hair, except a slightly receded hairline his whole life. Not sure about anyone beyond that.

    I'm not sure whether hair type matters, but I do not have hair like my dad and I always assumed this would mean I wouldn't end up bald. His was curly and red, mine is straight and anywhere from light brown to dark blonde, sometimes with reddish highlights. I guess I thought I was going to end up like my dad's dad, with just the receded hairline, now I'm having doubts.

    I recently went to the doctor who took a look at the top of my head, said it was still thick, and was very reluctant to prescribe Propecia for me. He wants me to return in a year for an update.

    I'm scared of what an entire year will do to me. I wish I could be the type of guy to just embrace it, but truth be told, I've always used my hair as a sort of security. I've had my head shaved before and it looks terrible. My ears kind of stick out and the rest of my head ain't all that attractive to begin with.

    So what should I do? Should I schedule an appointment to make sure this isn't hyperthyroidism or a diet deficiency? Start on Minoxidil? Your collective wisdom is appreciated.

  2. #2
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    If your hair loss is not too apparent, most doctors will have no idea what to look for. They can not tell from a cursory look if you have MPB. You need to be checked out by a hair loss specialist under magnification. They will be able to tell if your hair is miniaturizing and to what degree. If it is, then you should start treatment ASAP.

  3. #3
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    Thanks Winston. Can anyone recommend a hair loss specialist in the greater Philadelphia region?

  4. #4
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    Found one in Marlton, NJ. I have an appointment for evaluation tomorrow. Will post results.

  5. #5
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    Lightbulb

    And now for the results! I had my consultation with Ernesto at Dr. Pistone's office in Marlton, NJ. Ernesto is a very personable fellow and was able to answer all the questions I could throw at him.

    I told him my situation, that I was shedding much more than I noticed and was afraid it could be me starting to thin all over. He did some pull-tests and said I was losing a normal about each pull (apparently people with Telogen Effluvium lose significantly more than a couple hairs per pull). He then checked me out under the scope and said I had a miniscule amount of miniaturization. He said that this is normal and that I did not have MPB in this area. Of course my hairline is a different story, which I also saw under the scope. Lots of miniaturization there for sure, but of course I knew that already

    He "diagnosed" me with simply having excessive shedding, mentioning too that ethnicity can be a factor in when people shed throughout the year. I suppose that makes me a summer shedder, which may be relevant info for any people here of Irish descent like myself).

    So what can I say? I have hope!

  6. #6
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    I think I'm in the same situation like you....what medications did he suggested to you?

  7. #7
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    look into the Dr. Gho threads under "future treatments"

  8. #8
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    Quote Originally Posted by gsk View Post
    I think I'm in the same situation like you....what medications did he suggested to you?
    He said I would be a good candidate for Propecia, in order to counter any loss that might happen in the future, since I had already had some recession in the hairline, but that recommendation was not directly related to the shedding.

  9. #9
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    Quote Originally Posted by DontKnowWhatToDo View Post
    Hi Folks,

    I am a 28 year old man and I'm very concerned I'm losing my hair.

    I recently went to the doctor who took a look at the top of my head, said it was still thick, and was very reluctant to prescribe Propecia for me. He wants me to return in a year for an update.


    So what should I do? Should I schedule an appointment to make sure this isn't hyperthyroidism or a diet deficiency? Start on Minoxidil? Your collective wisdom is appreciated.
    thats not a bad idea, but don't stress too much that isn't good either.

    do you eat well? There is a ton of chemicals in todays food and health matters. It certainly isn't the only factor but it is one you can control.

    Dont even think of a HT at this time.

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