is accutane hair loss a real thing and cause of concern?

[prher]

want to hop on accutane for skin. I use 2.5mg Dutasteride and RU for hair. I’ve seen some reports of some people complaining about hair thinning and hair loss after starting accutane. Is this an actual cause of concern? What’s the mechanism of this? Was thinking of just running 10-20mg ED. Gear is at 175mg a week Test atm (recovering hair and skin and blood markers and stopping some body fat atm).