Androgenic Alopecia and The 50% Rule

Today's episode is about hair loss and the 50% rule.
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Dr. Vikram Jayaprakash
Level 2, 148 Glenferrie Road,
Malvern, Vic 3144, Australia
0395761465 atlantismedica...
IG: @atlantismedical.melbourne
[e-mail]
Dr. Russell Knudsen
Level 2, 45a Bay Street, DOUBLE BAY NSW 2028
1800 685 399
www.knudsen.com.au
#androgenicalopecia #hairlossproblems #hairlosstreatment

[@kellygreen9423]

Fantastic explanation in a short video when other physicians are producing 26 min videos that are not as understandable. Thank you!

[@TheHairLossShow]

Glad it was helpful!

[@brijeshsahu816]

My own hair growth progress and success, I myself adhered to this daily regimen: Take morning sunlight every day for essential vitamin D. Eat vegetables of all colors. Applying paraben-free and fragrance free shampoo and massaging two times per week with hair oil by litttleextra's cocooonion oil. Important to keep in mind that hair growth is affected by overall health as well as circulation and diet.

[@Chief-vf6lf]

You never had hair loss, have you?

[@mayankmahasuri6766]

​@@Chief-vf6lfthat's a spam bot account

[@Rajangolu2]

My hair fall is decreasing everyday , thanks to using cocconnioon oil and shampoo

[@Chess_Enthusiast]

Why is nature so cruel to us. I am only 21!

[@dv9239]

Same bro

[@user-j6q2mx1p80]

Im 14 and had this since 8, I feel u:')

[@Ricky00786]

I am 18

[@prerectonbeyonder6969]

Bro what you did,I am 15 I had it from 13 though ​@@user-j6q2mx1p80

[@user-j6q2mx1p80]

@@prerectonbeyonder6969 idk man genetics ig

[@BenLovrien]

So how come ive completely regrown hair in an area of my temple, from an area where I havent seen hair in years, from no hair to full density with just microneedling alone? Are the effects of finasteride and minoxidil amplified when adding micro needling? And can that overcome the 50% rule?

[@christopherlarge6087]

This is maybe why it can sometimes feel as though finasteride is not working. The problem areas that caused us to use the finasterade in the first place are already below the 50% mark. They dont get any better and may even continue to miniaturise. So it seems like its not working. But in reality, all your healthy hairs beyond those are now thriving and staying put!

[@carlosbedregal4757]

The best channel for this topic, no doubt!

[@DiannJ]

I would love for you to talk about women with androgenic alopecia, and what our best options are to improve our hair growth please. Also, can you do an exact demonstration of the best way to apply liquid minoxidil please?

[@russianlitnerd5265]

That would really be helpful

[@imaima1170]

😢

[@ganeshbhaskar5503]

Thank you doctor for giving us lot of information and knowledge....we are very thankful to you sir.... God bless you sir

[@karlasanchez-om5vo]

Well that's a relief because somebody on Reddit scared me saying it's so bad for the scalp but I believe a doctor more

[@melgibbs1458]

good luck with that. you would be amazed at how quickly that changes if something goes awry, suddenly there are zero answers.

[@ritankardas6801]

Thats not true actually .Unless your hair follicles are totally dead ,you can reverse those hairs back to their original form doesnt matter how miniaturised they are .If you some hair regrowth videos due to finesteride,you will realise it

[@CharlieKeiser]

There's always got to be that one pro fin boy to tout the drug...

[@Janeway1269]

I had a woman on a Facebook group explain that finasteride is causing cancers in many woman which are being ignored, because it converts to estrogens and results in estrogen buildup in menopausal women taking it for AA, but they don't know this so they aren't taking progesterone to counter the effects. Thoughts?

[@ElmuO9]

Don’t touch that trash.. it does worse to men

[@PadmaDorjee]

Thanks for the awesome and simple explanation.

[@abhishekdey2233]

Always videos of great knowledge Thank u 🙏

[@SuperDodoe]

That's why it's best not to live in denial and get on finasteride and minoxidil as soon as possible or you'll be contemplating a turkish hair transplant trip, if you've any doner hair available

[@TheTamago]

Denial or not, some people just can't take it because of allergies or side effects

[@SuperDodoe]

​@@TheTamagoas long as the side effects aren't imagined by all the fear mongering from the online forums

[@sandeejohnson1713]

Hi, I have Androgenetic Alopecia. Would I be a good candidate for a hair Transplant if the hair is taken from the non affected areas?

[@shrutipatel965]

How much time is required to stabilize hairfall after using finasteride or dutaseteride

[@ArganRyan]

I'm torn when hearing well supported 'news' such as this. On one hand, I get it, it makes sense, and there are thousands of mostly bald people on finasteride supporting the information. On the other, we see the occasional person (like the wacky daily microneedling guy) who have managed to go from straight bald to nearly a full head of hair without surgery. There's that old 80's story of the bald old man who full thickness burned his head and came back for a checkup with a full head of hair. It certainly seems that it's *possible* to regrow hair, but we can't prescribe a pathway to make it happen for the average person at this point.

[@sushanth6039]

Prevention is better than Cure

[@Ascorbicon]

No I think The Cure has better songs tbh I love Friday I’m in Love

[@MetricButtload]

​​​@@Ascorbicon mildly good joke, but Friday I'm in love is an incredibly stupid song, unless you're a simp I suppose.

[@highwaytohell2557]

@@Ascorbicon 😂😂😂

[@catherineohara5996]

@@Ascorbicon Hahaha funny

[@Wickedjumbos22]

No cure is waaaay better but prevention is all we got right now so I’ll take it.

[@sachinsmasher38]

How. Much time does it takes to get to that 50% mark thinning of the hair (in years) since you first noticed thinning ? Doc is it 2or 3 years ?

[@GodofStories]

I wish I knew all this science while I was dealing with Hairloss for years. Made the move to Finasteride+minoxidil, and have stabilized it, and regrown a little, but still have a lot of minaturized hair. Needed to start it 3 or 4 years earlier. Hope we get a cure, or able to clone our existing hair for transplants soon!

[@johncatalano7101]

How old are uoy

[@manlikeak]

Side effects?

[@puvanaramaloo2631]

Hi any side effects after using those medicines?

[@amitloutube]

what are the best vitamins that actually work and treatments non invasive

[@user-lr9cw9bb3k]

Protein, vitamin b. I’ve had alopecia since mid school and I’m late 20s and still suffer but when I don’t take my vitamins or eat properly, I get it: and stress too.

[@billiefox1398]

I have hair loss from PCOS and it is significant.

[@sunilkamoji9555]

Good explanation, thanks

[@usamahameed62]

Plz some video on seborrheic dermatitis

[@amjeethm]

I have a large affected area on my head. Can I take both Oral and Foam Minoxidil at one time for recovery?

[@destro_playz5322]

You would have to keep using it untill you dont care

[@CometComment]

"It's Time to Sound the Alarm on Finasteride" - Abdulmaged Traish.

[@duncanmacleod7287]

What alarm? tons of people take it without sides, and the possible rare sides are on the label.

[@CometComment]

@@duncanmacleod7287 Bro if you can't even type it into a search engine then I will spell it out for you now... Liver damage!

[@liamflynn6180]

😊wonderful informative videos. In my 50's with moderate loss. With Prostate cancer in my family I'm slow to want to take meds that may alter my psa and possibly complicate readings and understanding of results. Can you do video explaining how meds would affect people like me and how I could have confidence in psa levels and results moving forward.

[@smellypooper6969]

You're lucky. Here i am turning 19 and norwood 3 already

[@melgibbs1458]

you are already smarter than anything you will be told if you already know these things. I would steer clear from FIN at all costs especialy if youre prone to prostate cancer

[@prizmere]

What happens with a hair that was at 50% diameter before the use of minoxidil and has by now thickened up, when minoxidil is stopped? Is it still a viable choice to save that specific hair by starting up finasteride, even if you stop using minoxidil? Or would it be too far gone regardless? I'm curious about this process, because as far as I'm aware, minoxidil isn't preventative like finasteride, BUT the hair diameter is still increased. Would it return to the size it would've been without the use of minoxidil?

[@dossta]

same thing happened to me years ago, stopped minoxidil for 8 months and all the hair I grew back shed again losing all of my progress then actually worsened to the point where my hair was better when I hadn't used any treatment. so if you have managed to thicken up your hair by minoxidil, its better to stay on it cuz it will eventually shed again or u could also use finasteride which prevents the hair thinning.

[@christianblake3997]

Prizmere, stop asking people on this channel questions. Their experiences are their own and not yours. Don’t listen to people who had bad or good experiences. You’re an individual and everything about you is unique. Take note of these people at your peril, you may end up doing something or taking something which will make your condition worse! Always ask a specialist, not some moron on this channel!

[@dr.ingoletzen-dicht6614]

That is what i am wondering actually that if i can boost with minox and then conserve it with fin.. yet i never find the answer.. im currently 2 month post op and on fin and thinking about boosting with minox but not sure if i should start it. Yet i want to increase some of the minituarized native hair

[@SuperDodoe]

@@dr.ingoletzen-dicht6614 What do you mean? Fin for prevention and min for the win!

[@MrRohanThomas]

@@dr.ingoletzen-dicht6614 it won't work like that, minoxidil growth hair can only be sustained with minoxidil, finasteride will just give your hair extra protection from DHT = miniaturization

[@sarahbartlett1196]

Presenter here is very lucky (at his age) to not have the "balding gene" as such. There are many more caucasians than Indians and asians that have this gene. Not to say no asians or Indians go bald but its not as prevalent. Alot of Indian and Asian men keep their hair for life, they may lose a bit at the end due to circualation issues which happen as we age but a lot keep most of the thickness of their hair. I think the populatiosn that has the most balding is the people of UK, Irish, Scottish background - some beleive it may be due to Vitamin D ie balding makes people absorb the Vitamin D more readily......... The pure Australian Aboriginals do not have any balding at all - because there is so much burning sun that Vitamin D gets through and also if people were balding - even with dark skin their skin would burn so that makes sense.

[@Billy.J]

Native americans and native South Americans don’t go bald either, it’s like people and ethnicities connected more to the natural and sun go less bald

[@sarahbartlett1196]

@@Billy.J Its to do with sunlight. People from sunny countries don't as they get plenty of vitamin D and there head would burn. That is why a lot of English and Europeans have it - a theory is it opened them up to absorbing more Vitamin D and reducing risk of burnt head. Nothing to do with "natura' we are are connected to natural. Its climate and genetics based.

[@Jpe-vr7xi]

nope a lot of Indians go bald

[@MrRohanThomas]

I think vitamin d plays a part to balding, especially for indians

[@timothycarry]

What stops male pattern baldness? Can you know how far it is going to go? For example my dad's hair thinned until his late sixties but stayed that way until his nineties.

[@snehalmishra7549]

Androgens production becomes limited as you age so obviously hair thinning would be slowed significantly after 60s

[@trickerdgaming]

So, can you go from 30 to 80? or does it just stay at 30? I mean is the rule you can only gain 50 back? if so then A 20m could get to a 70m hair shaft at best? or is it once it drops below 50m it cannot ever improve up at all?

[@ahmadktaish5721]

Once it drops below 50 it cannot ever improve up at all

[@Light-xb7qg]

Sir 20 year old have a strong hairline have good hair not bad not that good but it is good, i am on accutane, for 5 days. And now in the 3rd day of accutane i have noticed like 10 15 hair whenever oil my hair

[@bestcomment3589]

doc do video on radiation therapy hairloss

[@ayushgarg8396]

i am 26 year old male. i was very stressed when i was 21 and therefore hair thinning started and hair became super super thin when i was 22 . then after that my stress level decreased significantly and therefore hair thickness improved little bit without doing any treatment. still i havent regained my original hair thickness . my family history is like my father is 57 and has full head of hair which are super thick ,my grandfather too is 90 and has thick hair, same is the case with my fathers brothers . my mother although lost hair when i was born because she took hormonal injections during pregnancy . my maternal uncles had good hairs till 35-40 and started loosing hair after 40s . can any one guide me

[@tomshaji]

Yes don't have gentic baldness,that doesn't mean you cant get bald . focus on your health, sleep and lifestyle

[@ib3e]

I am in the same situation as you, but I am 19. Hair is quite dense but not dense as before, lost a lot of hair during my exams, now it reduced quite a bit but still i find some hair falling out.

[@pooravsankhyan7700]

Damn this is relatable dude

[@bumpak]

Just eat healthy and your hair is ok

[@aidanmohrman9493]

Are your hairs miniaturizing? Do you see some tiny much thinner hairs when you part your hair under the bathroom light?

[@kingdev0077]

so what you are suggesting is that if my hair is less than 50 percent thing it’s impossible to grow it back?

[@stevewise1656]

Excellent summary!

[@bettybunbun9664]

I don't understand how finasteride repairs hair follicles when all it does is block DHT? Is it that hair follicles above 50% thickness will naturally heal themselves once DHT in the scalp falls beneath a certain threshold? Does that I mean that, as someone who isn't normally susceptible to MPB, if I take something that raises my DHT levels (like Tongkat Ali), to the point where it damages my hair follicles, taking a break from it will naturally allow the follicles to repair (because like a MPB sufferer who is taking finasteride, my scalp DHT levels will again have dropped into safe range)?

[@biroldjoshan3745]

Good sound information

[@meeer9838]

Sir what do you say about hair serums like Redensyl, can they help equally?

[@frizer-ni7rz]

I want you to ask you a question that none1 know the answer(even my hair transplant doctor) i m curently on minoxidil 5mg pill(7.5mg per day) and minoxidil topical applied at night on frontal half of head. Question is ....i want to stop the topical but since i m on pill form minoxidil will i encounter the shedding again or do i lose the frontal part where it was stimulted with topical?

[@Ukepa]

not what I wanted to hear but that's life!

[@musicwithrudranil2352]

He seems to be an Indian but his accent ❤

[@GAMERBOI-lh1ef]

This is how my doctor explained this 💯

[@duncanmacleod7287]

If you start losing progress on fin after yrs of use, will increasing the dose a bit help?

[@roberth.5995]

Depends on your dose, otherwise Dutasteride might be an option :)

[@abdullahalsayeri8722]

Can minoxidil effect or cause varicocele ?

[@SG-vh3ze]

Thank you Dr.Jayaprakash. How long does the initial hairfall continues after starting typical minoxidil?? Is it normal??

[@Vishal_paliwal79]

Mine was 4 weeks

[@SG-vh3ze]

@@Vishal_paliwal79 how are the results now?? Hope all good 👍🏼

[@Vishal_paliwal79]

@@SG-vh3ze no results until now bit of thickening

[@Vishal_paliwal79]

And if you have started don't leave it immediately or all it will affect badly

[@SG-vh3ze]

@@Vishal_paliwal79 thank you for the heads up... How long has it been since you started??

[@sarahfayaz]

I have cats, minoxidil is extremely toxic to cats, what should I use?

[@jflsdknf]

This doesn't fit results that I've seen though, some people post pictures of being able to fill back in their very thin parts or other areas, and that thinning appearance surely would have been caused by the hairs having completely gone through the cycle of miniaturization right?

[@rod6722]

Damn, I wasn't aware of that, it might be good news for me! I'm 26 years old and still pretty much Norwood 1 but I've been loosing quite a bit of density since about the age of 19. Luckily, I started out with very thick hair so even now I probably still pass off as someone with a full of head of hair in most people's eyes, but my loss of density is starting to become more and more noticeable when my hair is wet or when there's a lot of light. My hairline is still basically straight across, though, so there might be hope that a lot of that hair I've lost is still above that 50% threshold. Finasteride kinda scares me given the potential side effects. Minoxidil, though, I'm open to trying. Do you think it could be effective in a case like mine?

[@v.5442]

I was scared of taking finasteride too, so I didn't take it. 4 years down the line and my hair loss was progressing, despite doing everything (minoxidil, dermapen, topical and oral organic DHT regulators, etc.). So eventually I made my own topical finasteride (inexpensive) by crushing pills and putting that into minoxidil. Now I am exposing myself to 0,1-0,2mg of minoxidil a day by applying it topically. Perfect Hair Health has a long video on the exact dosage and the risks of side effects.

[@niharikasachdev8606]

I have exactly same issue as you

[@pranaychowdaryputhumbaka9986]

I contacted a dermatologist in man matters she is saying antrogenica alopecia i haven't losed more than 50 percent can I get my hair back what medicine I have to use can some one say about this syndrome

[@milanpaudel9624]

Bullshit. I'mma grow my full hair back.

[@SuperDodoe]

if your cool with back hair go for it

[@AnilSingh-tt5eg]

Is it reversible

[@Kyle_Bu]

Studies that prove this?

[@pankajchandel7797]

sir im under 50% but its been 8 month since im using minoxidil but it dosent changed anything , should i go for topical finasteride

[@Luna_Boy]

Can stem cell therapy safe a hair that’s less than fifty percent?

[@SwapnilRMore]

Is this curable doctor? Thanks in advance.

[@inderjeetcharak8259]

How is androgenic allopacea different to others

[@saqibshah9623]

Any idea about herbal supplements for dht blocker like pumpkin seeds,setirol & grape extract

[@Wickedjumbos22]

Has decent results for some people but it isn’t as consistent compared to min and fin

[@SuperDodoe]

stop wasting time...fin and min are both safe and taken successfully by millions.

[@RugvedhTallapudi-lk9jy]

I am just 18 😭😭😭😭

[@Imi1917]

and if i start to take finasteride before signs of hairloss? Will i never lose hair?

[@icaroparra1717]

How do I know in wich phase is my hair?

[@mnd7381]

Now how do I know if some of my hair hasn't reached the bottom 50% stage

[@williamfields8452]

Dose this work in a similar way with beard hair?

[@djfhfh]

Mines did basically happen overnight 4 months after having my second baby , I keep getting told it's telogen effluvium but I have thinner hairs growing in 😢 i wish it did happen overnight i think seeing it slowly fade away is worse, were should i apply minxodil then ? Because my part looks like it always did but upclose under micoscope theres thinner hairs how do i know this isnt happening all over im so frightened and confused

[@jflsdknf]

Same but mine was majorly triggered by covid

[@zaklinden8786]

Yeah its funny because im 6 months jnto growing my hair out, and the only hairs i seem to be losing are small hairs and not the longer hairs....

[@suezahra9762]

Minoxidil is enough or I have to wash my hair forced

[@DiannJ]

Great explanation!!

[@TheHairLossShow]

Glad it was helpful!

[@bhagatabhi8552]

Sir i am at first step is there any reason to thick naturally without minoxidil plzz reply

[@toulagatoula3633]

Im trying to heal my hairloss with scalp massages (daily) ik not sure of jt helps and rosemary oil but you have to give yourself a year of doing it

[@onukamrul]

Hi, sir how are you I have androgenetic alopecia. My doctor prescribed me topical minoxidil 5% and dutasteride 0.5mg and I start using this medicine last 1.5 months. my doctor also told me that 1st 3 months my hair will fall even more. But I noticed that since I started using minoxidil 5% and dutasteride 0.5mg my hair fall totally stopped. why did my hair fall stop in 1st 1.5 months?

[@SuperDodoe]

Youre lucky some experience less shed.

[@abdullaal.shammari2775]

Any problem in libido

[@theunknownanonymous2027]

Ok I know these things.But um every human have different ways to regain their hair.And hair regrow is possibe even it is on the lowest in miniturized. But have to spend lots of money without hair transplant.

[@Pihu5184]

I dint comb hair for four days and kost 360 on fourth night...😢 This is happening for last 15 years

[@noahkeis3082]

Hi Doctor Can you make a video about finasteride and explain how it can give depressive symptoms fore some individuals?

[@vivi4140]

is there no chance at all to reverse it if it is below 50%?

[@sofimochi]

I’ve definitely seen absolutely bald people get hair back

[@austinzizzi1142]

But telegen effluvium can also miniaturize correct?

[@ItalMiser117]

apparently no

[@katekotlarska2517]

Can u use Finesteride for woman? In uk they refuse to prescribe it to woman :(

[@rustyshackleford5186]

Yeah you can I guess, but for a female with excess androgens, you'd just take something like spironolactone that lowers both DHT and testosterone, there's no real reason to selectively eliminate DHT and leave testosterone high.

[@RugvedhTallapudi-lk9jy]

Bro , I started using minoxidil from last four months but i applied it once a day and now more hair is falling,I don't know whether it is shedding or not . I am just 17 years old. studying b tech first year i got some bald due to androgenetic. Can i get my hair back plz reply bro plz 😭😭

[@yslv.k8907]

update

[@RugvedhTallapudi-lk9jy]

@@yslv.k8907 now my scalp is better than before bro , my friends said, but hair density it fore head is very less , now I started applying minoxdil at fore head also

[@RugvedhTallapudi-lk9jy]

@@yslv.k8907 if u don't mind I am not rich , can u buy a minoxidil or any medical resource for my hair, please 🥺 bro

[@skyking6989]

Guess I hit genetic lottery. 37 with zero hairloss. Same hairline I had at 16..😁

[@risenphoenix4893]

Hey Doc. Can topical min give you a glaze over your eyes or have an effect on tear ducts?

[@jkarthik177]

Yes topical min has affected my eyes and i had to stop due to that.

[@risenphoenix4893]

@@jkarthik177 What specifically happened?

[@jkarthik177]

@@risenphoenix4893 within few days I have started feeling constant pressure & pain behind my eyes, also my eyes were red and had tears most of the time. It was quite scary and after stopping min i recovered soon

[@Onwatchhh]

But sir, the problem is hair become dependent on this medicine.

[@jflsdknf]

Yeah but it is what it is, there is no cure unfortunately unless they are suppressing it to sell product, which is possible.

[@Onwatchhh]

@@jflsdknf exactly

[@tiffanyhorvath7720]

Yes No Hope!!

[@timontide6404]

And what about treatment for post-finasteride syndrome?

[@justinscaffidi3570]

Progesterone and pregnanalone. Basically just to recover the neurosteroids that regulate emotion and libido that finasteride lowers and can still be low after using it. PFS is a real thing but it is reversible if you understand what finasteride does to the brain. Definitely get a blood test too if you want to make sure.

[@justinscaffidi3570]

You can buy them at health stores usually in cream form since they absorb better. Good luck and you’ll feel better don’t worry just give it some time.

[@exactly1176]

​@@justinscaffidi3570PFS doesn't exist . It's a fairy tail. It's all nocebo effect.

[@raphaelfernandes5195]

Dutasteride doubled my Testosterone, and increase my dht! How is it posible?????

[@yashmishra47]

Can drinking whey aggravate hair loss by increasing DHT ?

[@Rithik_Kapoor]

Bhai roz gym jaa aur whey le isse kuch ni hota, mai roz finasteride aur whey leta hu hair loss is in control

[@yashmishra47]

@@Rithik_Kapoor bro but what if one is not on finasteride and takes whey , can it increase harmone levels of DHT?

[@SuperDodoe]

get on the fin and min and stop reading the bs on the net

[@yashmishra47]

@@SuperDodoe I am on it but topically only as got bad sides with oral fin

[@user-it5po2dq9w]

Yes. There's a threshold dht blockers work upto but drinking supplements is gonna boost your hormones and you end up like Zidane or Rock.

[@RamakrishnanSRM]

I am at 15% 😶

[@andyjcoop]

Go bald, be brave.

[@marclaprade9153]

Nobody is stopping you from being the best thumb you can be, bald cafe is the ultimate cope for that and will hold your hand and provide a shoulder to cry on and tell you you're beautiful it's society that's wrong.....

[@meeer9838]

Sir what do you say about hair serums like Redensyl, can they help equally?