Losing It
The Complete, Evidence-Based Guide to Male Hair Loss
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Losing It is a complete walk through male pattern hair loss, from the biology to the decisions. It covers what is actually happening at the follicle, why it happens to some men and not others, and what the published research does and does not support about slowing or reversing it.
You will find out how androgenetic alopecia works, the roles of DHT, 5-alpha reductase and the androgen receptor, and why genetics matter more than almost anything else. There is a full treatment section: finasteride, including an honest chapter on side effects and post-finasteride syndrome, dutasteride, minoxidil, microneedling, lasers, PRP, and hair transplants. There are chapters on supplements, diet, stress and sleep, the myths that refuse to die, and how to recognise a scam before you pay for it. The final chapters help you assemble a plan that fits your situation, your age, and your risk tolerance.
Where the evidence is strong, this book says so. Where a study is small, poorly controlled, or funded by someone with an interest in the result, it says that too. Several popular treatments turn out to rest on much thinner ground than their marketing suggests, and a few dismissed ones hold up better than expected.
Written by hair-loss researcher Philippe Boissard (M.Sc.), author of the preprint literature on 5-alpha reductase inhibitors in androgenetic alopecia.
Nothing here is a prescription or a substitute for individual medical advice. It is the background you need to have a much better conversation with the person who does write your prescriptions.
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