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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

*Discontinued

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.
For even more protection from scalp DHT- 
Get a 5 or 10% azelaic acid cream. Use it at every 24 hours.
Since minoxidil with azelaic acid has been discontinued - you have to buy it separately.
Azelaic acid is clinically proven to inhibit type 1 and type 2 DHT.
This has been working really well most guys.
My suggestion is Aziderm's 10 or 20% Azelaic Acid. The tube lasts for a pretty long time.
Finasteride (Propecia or Proscar) - 
By Rx Only

Finasteride, the generic name for "Propecia", was the second of two FDA-approved treatments for androgenic alopecia. 

It is a pill that is available by prescription only for men.

How it works
Finasteride helps prevent hair loss by reducing the amount of DHT that is in your body. As of July 2011, DHT is thought to be the primary catalyst to genetic pattern hair loss in those predisposed to androgenic alopecia. When you reduce your DHT levels, hair follicles, that would otherwise be attacked by DHT will get the chance to survive. Additionally, if you lower your DHT levels, hair follicles that were previously under attack may be able to return to their prior size and thickness, provided the hair follicle is not too thin. The International Society of Hair Restoration Surgery further details the role of finasteride in combating androgenic alopecia.

Effectiveness
The American Hair Loss Association reports that according to a Merck study, the manufacturer of Propecia: 1mg of finasteride can lower your DHT up to 60% which stops the progression of hair loss in 86% of men. Although this Merck study, highlighted here, has been debated, the pharmaceutical company won FDA approval of Propecia with their clinical study. The American Hair Loss Association considers finasteride to be the single best option for prevent androgenic alopecia from the natural conversion of testosterone to DHT. 

My Experience
If you are prone to male pattern baldness, taking finasteride is a must if you want to prevent hair loss from steroids. Please be aware that finasteride will only prevent hair loss from testosterone-based steroids and will not reduce DHT or prevent hair loss from androgens, such as Dianabol or Trenbolone that convert to DHT by other means than the 5AR reductase.

For every 250mg of testosterone that I would take, I would take an additional 1.25mg of finasteride.*
* This was my personal experience, clinical research suggests that just 1mg should reduce your DHT by ~60% regardless of the amount of testosterone you are taking. I take 1.25mg of finasteride daily.

I highly encourage you to get a prescription for finasteride from your doctor and get it from an American pharmacy.

Products from "research" chemical vendors were simply not as effective for me.

Finasteride is a lifetime commitment, but a worthwhile one.
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* with the Aziderm's 10 or 20% azelaic acid cream and it’s working fine (surprisingly, if not better?). The key is consistency. 

*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
My thoughts on the potential side effects from Propecia-

Here's my thoughts on finasteride and potential side effects-

Understandably so, I get a lot emails about guys that are worried about the potential side effects of Propecia, while there is legitimate potential I don't think Propecia is any more 'dangerous' than any other Rx drug. 

Further, I just want to suggest that nothing with this drug is permanent and not to let a less than 1% chance of lasting side effects make you paranoid.

DHT eats on (progressively miniaturizes) hair that are genetically prone to hair loss (areas most prone are the crown and hair line)
propecia lowers DHT levels, if you lower them too much, your libido will lessen (or not exist)

for 99% of guys when you stop taking it, your DHT levels go back up (thats why its a lifetime commitment)

for the guys that have 'permanent' side effects, their DHT levels are too low to get/sustain erections 

simply giving them HRT (hormone replacement therapy) corrects this problem, synthetic testosterone gets their DHT back up
while being on HRT is not ideal for some guys (1 shot of testosterone every 10-14days), it's not the end of the world and it will negate any problems or hormonal imbalances that propecia has caused

my point is - the side effects from propecia won't be permanent. they are treatable with HRT if worst comes to worst

if you're already dealing with side effects, it would be wise to discontinue propecia

the guys that had their DHT permanently hindered likely experienced several short term side effects but continued taking the propecia

if you aren't experiencing side effects, you won't wake up one day and your dick with cease to work

propecia is basically like Arimidex - but works on DHT. If you stop taking Adex you estrogen will return to its natural levels. Same deal with Propecia.

i just want to assure you guys that the 1% chance is unlikely and if it does happen, it's reversible.                        

                                                                                            - Chris


Updated Video!
New Lipogaine Formula w/ MicroNeedle Roller + Regenepure = Best Thing Going
Chris discusses the new Lipogaine formula and has couple more thoughts.
My Thoughts on Finasteride
*Finasteride / Dutasteride*

This is where I (and numerous other guys on bodybuilding forums) have come across accurately dosed Finasteride. 

Even though you won't need a prescription to order (these are not controlled substances, obviously) please speak to your physician before ordering and make certain that you are not breaking any laws in your country. Most countries have guidelines that allow you to import non-controlled Rx compounds for PERSONAL USE.

Some people do well with 5-ar DHT inhibitors. 
I have done well with Finasteride with seemingly no side effects over 12 years.

I don't recommend buying either as a "research chemical," there's just too much margin for error in the dosing, even if the product is real.

With tabs, the dosing will be 99.9% accurate.

​International Pharmacy - Generic Finasteride 1mg (Appecia)
International Pharmacy - Generic Proscar 5mg (Finotop)
See below for my opinion, experience and thoughts on Finasteride

​International Pharmacy - Generic Dutasteride .5mg (Durprost)
Dutasteride inhibits both Type I and Type II DHT (ideal to combine with androgens)

See this Dailymotion Video for my opinion on Dutasteride.

This page describes the ordering process and the package you will receive. 

Again, check the laws in your region before ordering.  Although I have NEVER had or heard of an instance where Finasteride (for personal use) has been detained - you are ordering at your own risk and I have absolutely no liability if  unintentionally break any laws in your region.

Here is a comprehensive post of my opinion on Finasteride -
"Finasteride- My Experience, Opinion, Advanced Issues, etc."
If you just want to know what works here it is-  
Updated: August 13, 2014

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 2006, 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 are the BEST thing for prevention though.

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

**VERY Best 5% Minoxidil w/ Azelaic Acid Formula**
Lipogaine: 5% Minoxidil w/ Azelaic Acid and Saw Palmetto (click for Amazon.com reviews)
(Get This While It's In Stock!)

Best Hair Loss Prevention Shampoo 
Regenepure DR Shampoo 8 oz $25.00 (click for Amazon.com reviews)

Rx Anti-DHT Compound (Generic Finasteride That Works)
Lab-Tested Generic Finasteride 1mg (Appecia)
Popular Video 
Hair Loss on a Budget
'Save Your Hair for 84 Cents a Day'
Hey everyone, a lot of guys can't dish out $70/month for Rx Propecia and $25/month for a high-end minoxidil formula. 
So this stack is the next best thing and might work just as well - for a lot less money.

My "Hair Loss on a Budget Stack" will cost you ~$32 a month, about $1/day, maybe a nickel more. 
If you get Proscar instead Finasteride, it will be closer to 75 cents/day.

My recommendations for Hair Loss On A Budget
1) Generic Finasteride (this is the EXACT Generic Propecia that I have used)- 

2) Generic Minoxidil (12 months, super inexpensive)

3) Regenepure Shampoo 

*Optional, but definitely recommended if you are using the generics
Microneedle Roller (help the minoxidil absorb better, this is the EXACT Microneedle I have)-

Here is my opinion, 11 year experience w/ Finasteride-  (Video: Chris' Finasteride Experience)

Here is the American Hair Loss Association (Dr. Paul J. McAndrews, MD) opinion of Finasteride- 
(Dr. Paul McAndrews' thoughts on Finasteride/Propecia for Hair Loss)

Lipo from Chris on Vimeo.