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Hair Loss From Steroids.com
The #1 resource on the Internet to learn about and prevent androgen-related hair loss.
Information based on academic, professional and nearly a decade of personal experience.
I am not a doctor and this is not medical advice. Neither is this an acceptable alternative for the opinion of a physician. The is merely my 10+ years of experience combating androgen-related hair loss and the clinical research I have gathered..
By viewing this website you are agreeing to our Medical Disclaimer.
My Video Channel -------------------------------------> 
Lots and lots of videos about my experience, what works, what doesn't, prevention, performance enhancing drugs potential regrowth, seldom discussed hair loss issues, etc.
The Science
Ketoconazole Will Help Prevent Hair Loss From Steroids.

As of July 2011, ketoconzole is the only shampoo ingredient that clinically proven to prevent hair loss from DHT.

In this study published in the journal of "Dermatology," 
Belgian scientists state that ketoconazole is as effective as 2% minoxidil in preventing hair loss and recommend it for the "long-term treatment of androgenic alopecia".

In this study published in the 2005 "Journal of Dermatology" by the Department of Dermatology at the Juntendo University School of Medicine, researchers found that ketoconazole can actually help stimulate hair growth. The mechanism that stimulates hair growth or hair regrowth is unclear however.
The Products I Use & Recommend to Prevent Hair Loss From Steroids
Sorry the Website is ghetto. I made it a few years ago when I had no experience.
I personally use all of these products.
I DO NOT work for any of these companies that sell the products that I recommend.
These products with be effective regardless if you use anabolic steroids. 
The Best Formula For Preventing Hair Loss
(DISCONTINUED January 2012)

Most guys, especially those most prone to male pattern baldness, have very little success with topical minoxidil formulas. I am no exception. Some of the newer formulas (w/ Azelaic Acid) are actually pretty effective however. 

As of July 2011, I believe that Perfect Image's 15% Minoxidil w/ 5% Azelaic Acid (discontinued) is the best topical formula for eliminating DHT on your scalp and preventing hair loss from steroids. It significantly reduces hair loss for me.

I have tried at least 20 different minoxidil products. This is the best. It dries quick too.

Update- April 2012
The Perfect Image formula was discontinued. 
So I recommend the NEW Lipogaine 5% Minoxidil w/ 5% AA

Azelaic Acid Can Help Prevent Hair Loss
The "magic" ingredient the high quality Azelaic Acid that can inhibit up to 100% of BOTH types of DHT in your scalp - as detailed by a 2005 study published in the "American Journal of Clinical Dermatology"

I believe that Azelaic Acid is the best topical anti-androgen, FAR BETTER than Spironolactone.

High Quality Minoxidil Makes a Difference
Although myself and most men have experienced limited regrowth with minoxidil, I believe it reduces hair loss - especially while washing your hair. You just have to be consistent with it and use it daily. 

A study discussed by the International Society of Hair Restoration Surgeons actually confirms my hunch: 
Men who used 5% minoxidil for a year lowered their hair loss from washing (when taking a shower)from a mean of 69.7 hairs to 33.8 hairs. I certainly lose a lot less hair while showering if I am using just about any minoxidil product - but especially this one.  
Best Shampoos For Preventing Hair Loss From Steroids

After trying about 15 different "anti-hair loss" shampoos while using steroids, I feel any of these 3 Ketoconazole shampoos will help equally as significantly. 

I recommend these 3 shampoos over Nizoral (the shampoo most familiar to the bodybuilding/fitness community) for 2 reasons:

1. Any of these shampoos will be much easier on your scalp so you can use it every day. Nizoral is actually a high powered anti-dandruff shampoo and gives a lot of guys dry scalp.

2. These shampoos all contain ingredients [such as salicylic acid] that help ketoconazole and minoxidil absorb better.

The 3 Best Shampoos Are:
Perfect Image Hair Loss / Regrowth Shampoo 6 oz $19.99 (click for amazon.com reviews)*
Regenepure DR Shampoo 8 oz $25.00 (click for amazon.com reviews)
DS Laboratories Revita Shampoo 6.08 oz $25.69 (click for amazon.com reviews


I don't feel you can go wrong with any of them.
Seriously, these 3 shampoos all beat Nizoral for daily use. I think you'll find that as well.

For more details about the "Best Hair Loss Shampoos" check out this page.
... most topical formulas suck - but there's a few that actually work pretty well.
Plan your cycle out (make sure your doctor approves). 
Avoid overly androgenic steroids. 
Review (Specific Steroids and Hair Loss) for a list of the best and worst steroids for hair loss.
Discuss and get a prescription for finasteride from your doctor. 
You can get Propecia (1mg finasteride) or Proscar (5mg finasteride, much cheaper) and cut them into fourths with your doctor's approval. Finasteride will prevent hair loss from testosterone-based steroids.
See below (bottom of the page) for my thoughts on finasteride and the potential side effects.
Get a ketoconazole shampoo. Use it every day or every other day.
Ketoconazole is clinically proven to inhibit the synthesis of scalp DHT.
My only suggestion is Regenepure DR (more info below)
Since 15% is no longer available, get a topical 5% minoxidil. Use it at least every 12-24 hours.
​This is the product I use in the morning is Lipogaine 5% Minoxidil w/ 5% Azelaic Acid.
Unlike generic minoxidil, Lipogaine isn't oily and dries super quick.
This is the BEST topical formula since Perfect Image's minoxidil was pulled by the FDA.

January 13th 2012
Hey whats up guys.  

If you’ve been a loyal user of the Perfect Image 15% Minoxidil or Minoxidil Max’s 15% minoxidil (with 5% azelaic acid) formula I got some lousy news for you – it seems like the FDA, likely with the support of Rogaine (the brand name minoxidli manufacturer) and/or Merck (the brand name Propecia manufacturer) has demanded the discontinuation of all the 15% minoxidil with azelaic solutions under the guise “not proven safe”. 

The real reason obviously was that these formulas worked extremely well and likely took business away from mentioned companies. What a bummer.

I don’t know if they will come back. It may have to reach the higher courts similar to the temporary ban on ephedrine. We’ll see.

While the FDA/DEA can take away our right to buy a premade minoxidil with azelaic acid solution, they cannot take away our right to buy the two ingredients separately. That is what I’ve been doing and so far so good. 

While the discontinuation of the Perfect Image products are annoying. I’m actually not too worried about it. I’ve found a routine that has worked fine to re-grow and preserve my hair. It may be even better - we'll see.
This is what I’ve been doing: http://anabolicminds.com/forum/steroids/190433-saturated-my-head.html

I’ve recently switched over to generic 5% minoxidil*

*I use the Spectral DNC minoxdil if I’m going out, it dries fast and it’s not oily like generic minoxidil. Spectral has always been good, it was the product that restored my faith in minoxidil.

I may sound like a broken record but- back 4-5 years ago, I used to think minoxidil was worthless and maybe the older formulas were. Sometime after, I started using it again when the formulas became less expensive. I noticed that I was losing less hair in the shower. 
Then while working for Livestrong.com, I came across this study discussed by the International Society of Hair Restoration Surgeons (ISHRS): ‘Men who used minoxidil daily for 12 months lower their hair loss when washing/showering from an average of 69.7 hairs to 33.8 hairs’. That’s is over a 50% reduction in hair loss. That is significant. Again, the key is consistency.
Source: http://www.ishrs.org/articles/minoxidil-study.htm

My current routine (and recommendation) is this-
This is EXACTLY what I do (April 2012)-

In the morning (after showering)-
  • Finasteride (1mg – 1.25mg every day, or 2.5mg every 3 days)

Before bed- (since I still have a few more bottles/tubes of generic minoxidil and azelaic acid)

I also use, but optional-
  • (Nioxin doesn't stop hair loss, however, it's REALLY good at giving volume/thickness to your hair. One bottle will last 4-5 months.)
  • N2 Shampoo (optional, but recommended: a bottle last for like 3+ months if you don’t use it everyday, it smells good too!)

I’ve been doing that exact routine for over a month now and it’s working great. 
I’ll check back in at the 2 month mark to let ya know how it’s going. 

Here’s a few more notes:
Regenepure is the best ketoconazole shampoo. Unlike the former Perfect Image Ketoconazole Shampoo, it doesn’t contain sodium laurel sulfate. Sodium laurel sulfate is a cheap ingredient that makes shampoo/soap foam up. 
While I think that the concerns about sodium laurel sulfate are probably overblown, sodium laurel sulfate does cause inflammation in “frequent moderate-long” exposures. Inflammation is a lesser-discussed catalyst of hair loss. Let’s put it this way- inflammation doesn’t ‘cause’ hair loss but it accelerates it. Ideally, your using your ketoconazole shampoo daily or every other day and keeping it on your head for 5 minutes or the duration of your shower. That might constitute “frequent moderate-long” exposure. So it’s probably better to avoid sodium laurel sulfate products.

Instead, Regenpure has aloe vera, an anti-inflammatory- a better choice than sodium laurel sulfate. 
My only knock on Regenpure is that for some reason, my hair seems to have slightly less ‘volume’ after I use it. Sometimes, it seems sort of ‘flat’- if that makes sense. If you already have thin hair, it’s not ideal. 

My solution is to also use or alternate with a volumizing shampoo that improves the appearance and fullness of my hair. I use currently use Nioxin shampoo (33.8oz bottle costs $28.50 and lasts like 8months). I’ve also used Tricomin Conditioning Shampoo, which is better, but more expensive (8oz. bottle costs $21.27 and lasts like 3months). If you get that one, make sure you get the conditioning shampoo, it’s both a conditioner and shampoo. I thought it was better than the ‘revitalizing shampoo’ which is simply the shampoo.
Some guys don’t care about how ‘full’ their hair looks, but I assume that guys that are trying to prevent hair loss probably care. So those are my recommendations to have a fuller head of hair and if Regenpure leaves your hair ‘flat’. 

Truthfully, if you are trying to save money, all you need is generic 5% minoxidil, 5 or 10% azelaic acid and Regenepure. 
It’s super cheap for a big supply.
An important note to you
I recommend Regenepure Shampoo
Updated Video!
New Lipogaine Formula w/ MicroNeedle Roller + Regenepure = Best Thing Going
Chris discusses the new Lipogaine formula and has couple more thoughts.
If you just want to know what works here it is-  
Updated: November 15 2016 (See Hair Loss Guide Below)

As mentioned on the main YouTube page and in some of the videos

I started this site in 2011.
I have had minor-small hair transplants in 2007, 2009 to restore my hair line.
The treatments I suggest have certainly prevented further loss. 
My hair looks as good it did since 2009, if not slightly better.
If you are under the impression that the treatments regrew ALL my hair - 
They did not. They will be quite helpful for prevention for most guys though.

(See below for a comprehensive discussion and explanation for the products I recommend)

**Quality 5% Minoxidil**
High-End Minoxidil - Nutrastim 5% Minoxidil

Best Hair Loss Prevention Shampoo 
Lipogaine Big 3 Ketoconazole Shampoo (click for Amazon.com reviews)

Lipo from Chris on Vimeo.

Old Content from 2013-prior
Below is some old stuff. I've left it up in case some of it helps you out. 
My current recommends are above.
"Good Looking Loser Guide to Hair Loss Prevention"
"Good Looking Loser's Guide to Hair Loss Prevention"

This guide is the most comprehensive guide to hair loss prevention on the entire Internet. 

I hope it helps you!

1. What Causes Hair Loss? (How to Stop Hair Loss Guide - Part 1)
2. How to Stop Hair Loss For $1.33 a Day (How to Stop Hair Loss Guide - Part 2)
3. The Best DHT Blocker Stack For Male Pattern Baldness (How to Stop Hair Loss Guide - Part 3)
4. The Best Hair Loss Concealers - Toppik & Dermmatch (How to Stop Hair Loss Guide - Part 4)
5. Preventing Hair Loss While on Steroids (How to Stop Hair Loss Guide - Part 5)
6. My Hair Transplant Before and After Results (How to Stop Hair Loss Guide - Part 6)