24 y/o male diagnosed with “very early AGA” & TE - what should I expect in the next years? (Photos)

Felon - first I will say that, based on these 4 photos, you have a very full head of hair. Its difficult to say from these whether hair loss is even present. A closer examination would be necessary to tell for sure. But let's just assume that there is early and very mild hair loss present. Seeing miniaturized hairs along the hair line is usually a sign of hair loss so you may be right, it just can't be seen in these 4 photos.
In general hair loss that starts early in a patient's life (such as in their 20s or before), is in fact associated with more aggressive hair loss compared to when it starts later in life (such as 40s or later). Every patient is different and its impossible to know what the trajectory of hair loss will be for sure. But there are highly effective treatments available which are capable of dramatically slowing down the progression of hair loss, sometimes even appearing to stop the progression for many years, even decades. Usually, there is still some progression of hair loss over a patient's life even when on maximum prevention, but there's no doubt that it is dramatically less than without effective prevention. The earlier a patient with hair loss starts on effective daily prevention, the more hair they will keep in the long run. All this to say, that if you do have early AGA present and you start on prevention, you stand an excellent chance of keeping your hair for many many years.
When it comes to prevention there are several angles that we address it from. One is medications, such as finasteride and minoxidil. In my opinion its important to use both of these. You can use them orally or topically. The medication angle plays the biggest role and it may be all that is required if your hair loss is mild at this point. You can follow it closely over the next few years and as long as you don't see progression of hair loss, you can just continue that. If there is progression, you can add something from the other two angles. One is photobiostimulation or Low Level Laser Therapy and the other regenerative medicine, like platelet-rich plasma treatments. You probably have too much hair at this point for a LLLT to be effective as the laser energy has to hit the scalp, but sometimes even with a lot of hair if you wet it and comb it back it will expose enough scalp to be effective.
So if you in fact have hair loss present, there are things you can do to get ahead of it.Hope this helps!
Dr Wetzel

When it comes to the common question of how hair loss progresses, there's no one-size-fits-all answer. Each individual's situation is unique, and various factors play a role. To gain insights, it's important to consider your specific circumstances.

If your family history indicates early onset progressive androgenetic alopecia (AGA), your hair loss journey might be faster-paced. However, it's worth noting that recent research highlights the significant impact of a healthy lifestyle on hair loss outcomes.

Implementing certain positive actions, such as adopting a Mediterranean diet, engaging in regular exercise, and practicing stress relief techniques, can effectively slow down the hair loss process. By being proactive and making these adjustments, you're already taking a step in the right direction.

Being informed about your diagnosis is empowering. Early intervention is key, and treatments like minoxidil, platelet-rich plasma (PRP) therapy, and Keralase treatments, when initiated promptly, have been shown to effectively decelerate hair loss progression.

In summary, understanding how your unique circumstances contribute to hair loss progression is essential. Embracing a healthy lifestyle and considering early treatments can make a significant difference in managing hair loss.