I am 40 years old male and have decent hair, I am in pretty good shape I lifts weights 5 days a week and do cardio. My hair started receding on the sides slowly when I was 35, right about that time is when I really started having anxiety and constant stress so I dont know if it was age that caused my problem or just my age. I still have the hair on top and the sides a slowly receding but not to bad but I have really bad dry burning itchy scalp on the vertex, i saw a dermatoligist and he said it was dandruff. I have tried every shampoo and home remedy (apple cidar vinager, ect..) possible. From reading your article, I am thinking I may have a problem with my liver due to cronic stress and anxiety. I kind of got peranoid when my hair started receding on the sides and I have been taking avodart for about a year and half now and it has been maintaing my hair pretty good, I still notice lately that it has been getting thinner and when I was tested last my esotrgen levels were very high, this is a normal side effect of avodart and I was recommended to take progesterone supplements to couter act the estorgen. I know I need to get my stress and anxiety under control, I have been taking passion flower drops and gaba and they have been helping a little. I really want to get off of the avodart but I am scared that my hair will start to get worse. Is there any recommendations you have for someone in my situation. I dont think MPB runs in my family, I never new my dad but my moms dad is in his seventies and still has all his hair. Is it possible for a person that is not prone to MPB to get it due to long term stress and anxiety? I try and take all the good hair supplments (biotin, multi-vitamin, vitamin E, Fish Oil, ect…) any suggestions or comments you have would be greatly appreaciated.