Dr. Rassman,
I am very concerened about my hair. I am 18 years old and I noticed that I could slightly see my scalp through my long hair about a year ago. I have been taking propecia for about 4-5 months and just recently I’ve been seeing my scalp more. Is this due to my recent routine of using head and shoulders dandruff shampoo every other day? or is it that there are more bathroom mirrors with lights above them? or is it my unhealthy diet from college food? or a mixture of everything? I also notice that I see a lot of scalp when I get out of the shower and my hair is wet. Please e-mail back. I’m really worried. Thanks a lot.

There are numerous causes for hair loss in your cases, like male balding pattern, stress from school, and dieting. You must realize that you can normally lose up to 100 hairs per day. I am not convinced about shampoo causing your hair loss.

You need to read the many entries here for hair loss in young men (see Age category). There is no substitute for getting evaluated by a good doctor who will map out your head for miniaturization and make a diagnosis for you. Do not be foolish and try to save pennies while you lose your valuable and irreplaceable hair. See a good doctor ASAP. Since you are in the Los Angeles area, it would be a good idea to call 800-NEW-HAIR to setup an appointment at my L.A. office if you’d like a free evaluation.

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