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Ask HN: Coping with Hair Loss

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Re: Ask HN: Coping with Hair Loss

#41
> Prescriptions or miracle cures that actually work?

First, it should go without saying, but I'm not a doctor. I'm just a random internet stranger offering pointers. Consider that anything I say may be wrong. Do your own research, and talk with a real doctor.

That being said, there's minoxidil[1], although it doesn't require a prescription. The original commercial name is Rogaine. It's a foam you apply twice a day. As I've heard, you'd lose all your hair in the first 6 months, and then it would regrow fuller. You'd have to apply it for life. If you stop, then you would go back to the amount of hair you had before taking it.

You may evaluate differently, but personally I don't think it's worth it. It's not a trivial expense, not easily available worldwide, and seems too bothersome.

Another medication is finasteride-1mg[2], many times sold under the brand names Propecia/Proscar. It's a pill taken daily. AFAIK, it only works to prevent further baldness and not to restore hair that's already been lost. It may or may not require a prescription depending on where you are, but you should check with a doctor to see if they think it'll work for you. Not all forms of baldness are the same. The 1mg version can be expensive, so I hear some people buy the much cheaper 5mg version and cut that in quarters for 1.25mg doses. A potential side-effect is possibly irreversible ED. You should evaluate on your own if the risk is low enough to be disregarded.

[1] https://en.wikipedia.org/wiki/Minoxidil#Hair_growth

[2] https://en.wikipedia.org/wiki/Finasteride#Scalp_hair_loss

Re: Ask HN: Coping with Hair Loss

#43

I never understood why people are so terrified of losing their hair, like they have a choice or a say in the matter. Your body is going to do what it was programmed by your dna to do, no matter how uncomfortable with being bald. Just own it and put your focus into something besides your own appearance. Yes I’m likely going to lose my hair too in the near future. Who cares?

It depends on how old you are. Going bald at 18-19 can be absolutely destructive and painful. It's almost completely out of your control too.

It also depends on how extensive the hairloss is. A receding hairline is one thing, "losing" your hairline entirely is another.

Re: Ask HN: Coping with Hair Loss

#45
post #21

Earlier quoted context omitted.

Empathy won't grow back any hair.

Can't argue with that, but in my experience it can help with the underlying issue: Feelings.

Hmm I think in some cases its actually a more empathetic advice to just get over it as a non-issue and think about other things.

Re: Ask HN: Coping with Hair Loss

#46
post #8

I personally would give nutrition a try for a year or two before turning to drugs. [1] I believe that prescriptions should be a last resort when all else has been tried and failed. [1] - https://www.youtube.com/c/DrEricBergDC/search?query=alopecia

It's pretty much a genetic thing, I recommend radical acceptance. Don't give hair hucksters your time or hard earned cash.

[deleted]

Re: Ask HN: Coping with Hair Loss

#47
post #21

Earlier quoted context omitted.

Can't argue with that, but in my experience it can help with the underlying issue: Feelings.

Hmm I think in some cases its actually a more empathetic advice to just get over it as a non-issue and think about other things.

Come on, I won't flag you but it seems clear doesn't need tough love. It rarely helps.

Re: Ask HN: Coping with Hair Loss

#48
That really sucks. I’m sorry. I went through the same thing in my early twenties; noticed my hairline was receding, remembered that it ran in the family, and realized what was happening.

I was devastated. I really felt like I didn’t have a future anymore. I’d never thought of myself as being unusually attractive, but I was horrified at the thought of being unattractive. I became deeply depressed. It really was a period of darkness for me.

There is no such thing as a miracle cure—yet—but you have options. It’s been twenty years since I first realized I was losing my hair, but I still appear to have a full head of hair. I’m doing the following:

- Propecia (or generic Finasteride). That’s probably the most effective thing on the market right now. Might require a prescription where you are, and absolutely talk to your doctor before doing this. Side effects can include erectile dysfunction, and I’ve seen some people on forums talk about “brain fog”. I think it may have impacted my libido in the beginning, but I’m nervous, chronically single, and sexually inexperienced (hey, this is my throwaway account) so I honestly can’t tell if it really did anything. (To be clear, my lack of romantic success is not related to my hair, I’m just deeply introverted and awkward.)

- Toppik. After you try it, you won’t leave home without it. Toppik is a powder made of microfibers that stick to your hair and make it look fuller. Obviously if you’re completely bald, it won’t work, but you can be noticeably thinning and Toppik will hide that completely. (I’m not affiliated at all with the company, but I’ve been using this for two decades and it works.)

- I use Nizoral shampoo. A lot of people on forums say it helps. Can’t swear to it, but it does reduce dandruff.

- I wouldn’t be thinking about hair transplants just yet. If you are, research the *hell* out of this. There are way too many bad doctors out there. From what I’ve read, you want to avoid the Follicular Unit Transplant technique; that’s where they harvest a strip, which leaves a scar. The approach I (briefly) considered was Follicular Unit Excision (FUE), since there was less chance of scarring, but it’s been a little while since I researched this. Don’t rush into anything; if you’re not Picard-level bald yet, you likely have better options.

Also:

- I’ve realized that women really do seem less concerned with appearance than I would have thought, especially as you/they get older. I know a number of women I find attractive are with guys who are partly or completely bald. Comments like “find a hobby and just be confident”, as glib as they are, have a grain of truth to them; if you’re a decent person, have stuff you care about, and are articulate enough to make it sound interesting, your appearance might not be as much of an issue as you think it will.

- While I’m hardly an authority on fashion, the following have never failed me: dark jeans, Chuck Taylor high-tops, and an illustrated T-shirt from someplace like threadless.com. Hipster? It sure is. But at least in my experience, an ironic Star Wars illustration makes you look more interesting than something you’d wear to the gym (although I’m a web dev/designer; if you’re a banker, that might not be a good aesthetic). Yes, you can still wear this when you’re over 40.

- In short: fix the stuff you can fix. Dressing better, keeping up your appearance, and doing interesting stuff (hiking, having an online art portfolio, exploring abandoned places, etc) goes a long, long way.

- Finally, I’d say don’t lose hope. I really do believe that hair multiplication techniques and improved topical treatments are pretty close. They’ll be expensive, but I don’t think baldness is inevitable for people our age.

Re: Ask HN: Coping with Hair Loss

#49
I just went with the flow and shaved my entire head as soon as I thought it wasn't looking very good. There was a phase of my life people went out of their way to tell me I look like Bruce Willis, so I guess it suits me. You've already decided that's not a good option for yourself.

Anyway, I wanted to say something more practical. I once saw a guy who's hair formed what looked like a thick "handle" straight across the front. Otherwise he was completely bald on top, and pretty much all the way back, George Costanza style. He regularly shaved that bar of hair off, but as it always grows back, you can see the pattern of plugs, which looks far worse than natural balding ever would.

Ends up he started with hair transplants to cover widow's peaks and "lower his forehead." It was fine for a few years, but later in life, most of the hair behind it receded away from the transplant areas, and he was unable to afford chasing after the continually receding hairline. So he resigned himself to having a really wonky looking hairdo for the rest of his life.

Keep that in mind, whatever solution you choose. Your current response needs to keep the future state of coif in mind.

Re: Ask HN: Coping with Hair Loss

#50

Hair loss "cures" do nothing else for your health, and are also unlikely to work. Exercising outdoors more, to become less "pale and pudgy", is good for your health, even if for some reason it fails to make you less pale and pudgy. Being outdoors, and exercising, also both improve one's mental health in a way that baldness "cures" will not. Speaking as a pale balding dude, I get what you're saying, but chasing baldne…

Finasteride is real medicine that delays baldness as long as you start it before you have already lost too much hair. Ask your doctor about it ASAP if hair loss is an issue for you

Agreed. I’m not sure why you’re getting downvoted. Finasteride isn’t snake oil; it’s been around for a while now, and is known to be very effective. I’ve been using it for twenty years, and I’m one of the few guys in my group of college friends who isn’t visibly balding.

It can have side effects, as I mentioned in an earlier comment. Talk to your doc and do your research, but I think Finasteride might be the first thing you would want to try here.

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