Hair Loss
September 3rd, 2010 at 08:19pm
Under Hair Loss
While it’s true that not every cause of thinning or balding can be avoided, hair loss prevention is often increasingly feasible than citizens think. Battling the inevitable and winning is not out of the question.
Some of the steps both men and women can take to help prevent hair loss include:
• Eating right – Malnutrition is a common cause of hair loss in both men and women. When the body is not properly nourished, every system can be impacted. A well-balanced diet that is high in nutrients can work well for hair loss prevention.
• Reducing stress – Stress can and does cause hair loss in both men and women. Major traumatic events might not be avoidable, but little stressors that can add up by instance are often easy to avoid or offset. Exercise, mediation and lifestyle changes can compose a big difference.
• Hormone therapy – Male hormones are known to contribute to some forms of hair loss. Women who take birth control pills, for example, can often stave off that structure of hair loss.
• Selecting the right hair styles – Believe it or not, some hairstyles lend themselves to causing hair loss. In some cases, the loss can be permanent. Styles that pull the hair tightly can, by day, cause shedding and thinning.
• Taking the right supplements – There are a number of herbal ingredients that can help promote growth and work in hair loss prevention. Stinging nettle, saw palmetto and ginkgo are among some of the increasingly common herbal treatments.
Hair loss prevention is possible in some cases. When men and women take a proactive approach to the issue, they often find maintaining a full head of hair is feasible.
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Original post by ma1210
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September 3rd, 2010 at 05:57pm
Under Hair Loss
Hello Dr.,
A little back-story: I’ve been on generic propecia (1.25mg) for the final 9 years. I am a 32 year old male. When i started taking it, I was a Norwood 1.5. Presently, my hairline is the same and i’m still a norwood 1.5. My father is not bald. However, my maternal grandfather was.
Unfortunately, for the final 2 years or so, i’ve noticed a severely lower libido. I suspect that it might be the finasteride, although i am not 100% positive.
Hoping to get off of finasteride by confirming whether i have (or will develop) MPB, i decided to take the HairDX genetic tryout. My results stated that i was: “Low Risk” (Negative for the “short” CAG allele; CAG >= 24)
In my report, it stated that a score greater than or equal to 24 had about a 60% chance of NOT developing male androgenetic alopecia.
Doctor, should i get off finasteride? In your view, am i reasonably safe from developing MPB? I would like to get my libido back. Do you think i need a miniaturization analysis to truly CONFIRM whether i am at a risk for MPB?
Any thoughts would be greatly appreciated, kind sir!
The HairDX genetic test for balding is not a simple yes/no analysis. It provides a percentage factor, which is why in my humble opinion, it only confuses patients (as it seems to have done for you).
So basically the HairDX tryout said you have a 40% chance of developing MPB… and now you’re asking me whether that means you should stop taking Propecia. With all due respect, I am not your doctor. You must have a discussion with your prescribing physician before starting or stopping or changing your medication.
Having said that, there is no such thing as a Norwood 1.5 (which I guess means nearly a NW 2?), but for some men that could just be considered a mature hairline. In other words, it isn’t balding. Could it be that you didn’t need the medication to start with? Or could it be that the medication halted the early loss from progressing? I do not know the reason for the utility of finasteride for a non-balding man, but I will defer that judgment to your doctor.
You took the medication for 9 years, and for 7 of those years you didn’t see any sexual side effects. The libido issue might be unrelated to the finasteride. For example, up to 25% of men in their 30s may experience erectile dysfunction. Lower libido can come with age, or it can additionally be a sign of other serious medical issues (not related to medication). See your doctor.
Original post by William Rassman, MD
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September 3rd, 2010 at 03:50pm
Under Hair Loss
Hi Doctor,
Thanks in advance for reading.
I have a pretty urgent question that I would love to get feedback on. I’ve been on rogaine for about 5 to 7 years and I do believe it has helped preserve my hair; but unfortunately, it has not been up to the task of keeping it 100% regular. Due to my thinning, about a year ago, I decided it’s date to consider propecia. I’m in my 30s.
For various reasons (my wife was prego), I decided for about a year on propecia and try natural supplements first and other topicals first. So, I purchased a specific type of shampoo (I’m drawing a blank on the name) and soy isoflavones. I took those for about one or two months and stopped considering my sister (who’s had breast cancer) told me excess soy can cause cancer.
At that point, I heard good things about saw palmetto. So, I bought a bottle of saw palmetto. I took that for roughly 3 or 4 months, although I gained some weight and had normal decline in libido (watery semen)… that really did seem to build my hair thicker. I don’t remember the dosage. But, it was purchased at a pharmacy.
At about month 4, I noticed a swelling on one side of my chest. I got it checked out mammogram, and they said it was unilateral gynecomastia. I quickly stopped the saw palmetto usage.
So, it’s now 8 months later and my hair is still thinning. My chest is now improving to the point it’s no longer really noticeable, other sides are reversing too. I’m considering waiting a few increasingly months to see whether it returns 100% back to normal completely, and considering propecia again at that point.
Am I crazy for doing so? What would you recommend?
Thanks
It seems you are self-treating and experimenting without a clear focus and understanding of what is going on. I realize saw palmetto is available by the counter, but there is still side effect potential that citizens tend to disregard.
I am really not in a place to recommend a specific treatment plan for you, as I don’t know ample about your hair loss history and I’m not your doctor. I would recommend you see a doctor for your hair loss issues and discuss your concerns. Together, you can come up with a Master Plan.
Although I have no direct experience with saw palmetto, I would not be surprised that breast enlargement could occur on rare occasions. I must point out that one of the rare side effects of Propecia is gynecomastia and whether you switched to that, you may additionally have the same problem.
Original post by William Rassman, MD
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September 3rd, 2010 at 01:46pm
Under Hair Loss
Hi Doc,
im 19,and I have been having good hair in my domestic country,since i have moved in dubai,i have been noticing my hair thinning and falling.Is the climate to blame or the water?
I’ve been thinking to take some nutritional tablets like Wellman’s Tricologic, But i guess propecia would me increasingly effective. Would it be ok to take proscar 5mg and break it into 4 pieces as suggested by you. Will it cause any side effects.
Thank you so much for your concern
Proscar/Propecia is a prescription medication. I can’t say whether you’re a candidate for taking it. That is up to a doctor to decide after you are examined.
Climate and water shouldn’t be to blame, but I don’t know what is in the water. Mercury or lead from old pipes could contaminate water, for example. Chances are, your move is coincidental to the start of your genetic hair loss, as genetics are the number one cause of hair loss in men. But again, I can’t form that shout without an examination. See a doctor!
Original post by William Rassman, MD
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September 3rd, 2010 at 11:47am
Under Hair Loss
I lost all my hair in the sample of NW 6 at 28 yrs old. Not a hair in sight, smooth as a babies bottom. It remained that way for 20 yrs. After which i used minoxidil 5% and Finasteride 1 mg I regained full coverage including the hair line.
So i don’t agree with the Doc’s Statement that hair follicles die. They are just being kept in a resting phase by dht.
Thanks for the comment and sharing your experience. The experience is certainly very, very rare. I’d love to see before and after photos, as I’ve never seen a patient have such a aftereffect from medication after being completely bald for decades.
Original post by William Rassman, MD
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September 3rd, 2010 at 11:00am
Under Hair Loss
Out of control hair, that’s what I felt when I got ready for work yesterday. I quickly looked at the hours that my normal gal works on Mondays, and since the shop is only a few blocks from the office I thought, “PERFECT! I can go by lunch to get it trimmed up!” I was sadly wrong – her hours changed, and I was informed that she would be in about an hour later so I went back to work for an hour. Upon my return she was teaching a lesson. Now, I understand the importance of the course, but I was just a little disappointed that the other public working did not tell me that when I was in previously. I decided I just couldn’t wait and got in with the next available person. I, of course, had to go through the entire part of warning him that I didn’t want to go TOO short so that the little bit of scarring didn’t show and of course he asked about it. It still somewhat surprises me when hair stylists don’t have a clue what I am talking about when I say, “I had Bosley Hair restoration.” I had to explain the entire process to him, and he was very interested in hearing about it. I have to say, he did an amazing job on the haircut. I felt a little naughty going astray from my normal gal, but now I feel I have another person I can go to whether the other isn’t available.
Original post by Michael Shelangoski
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September 3rd, 2010 at 08:42am
Under Hair Loss
When you are faced with the problem of losing your hair, you start to look for ways to
prevent any increasingly losses. One hair prevention product that you can use is shampoo that
contains biotin. Biotin is fundamental for healthy hair and skin and is one of the ingredients
in hair products such as conditioner, shampoo, styling gels. The scalp absorbs the biotin
and keeps the hair follicles supple and growing.
Scientists have determined that DHT is the most common cause of hair loss in both men
and women. Even whether your hair loss is inherited, there are preventative steps you can take
once you notice that your hair is starting to fall out. First of all though, you do need to
have a doctor ascertain that there is no medical cause for the hair loss. whether so, the doctor
can prescribe a medication or product that will stop the process and help you regain your
full head of hair. Not all medical causes will outcome in hair regrowth once you start taking
medication. The doctor can prescribe treatments for you to use that will help stop the
balding sample.
These treatments include the use of Rogaine, Propecia and Provillus. The process for all
three involves washing your hair with special shampoo and using lotion on your scalp. It
is fundamental for you to realize that these are not miracle cures and do not work overnight. It may take up to a year before you see any results and it is unlikely that either of these will invent any difference to a receding hair line at the temples.
There are many products that your can use at any moment to help prevent any hair loss. Hair loss prevention shampoo, for example, is a product that anyone can use at any duration. It is best to start using such a product as soon as you start to experience hair loss and before it starts to get out of control. These shampoos and conditioners are available in pharmacies and online and are reasonably priced.
Original post by ma1210
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September 2nd, 2010 at 09:04pm
Under Hair Loss
One of the major factors behind hair loss is inadequate nutrition. A poor diet can contribute to an increase in falling hair by making it brittle and slowing the growth of new hair. In order to address these problems, a proper diet with increasingly fundamental vitamins for hair loss prevention needs to be adopted. Below are some of the principal nutrients needed by the body to address baldness and food sources for them.
The B vitamins are among the most crucial for the continued health of the scalp. When the body doesn’t get adequate of these vitamins, there is reduced blood flow to the scalp resulting in increased hair loss, damaged hair and slow growth of new hair. The most critical B vitamins and their recommended daily intake for adults are B6 (2 mg); folic acid (400 mg); B3 or niacin (50 mg three times a day); B5 or pantothenic acid (100 mg thrice a day) and B6 or pyridoxine (50 mg three times a day). B6 can be found in protein-rich foods such as soybeans, red meat, poultry, as well as whole grains, nuts and cereals. B12 is additionally found in red meat and poultry, as well as eggs and dairy products such as milk. You can get folic acid from leafy green vegetables, avocadoes, orange juice, broccoli and beets. Other foods which are rich in the B vitamins include beans, peas, cauliflower and carrots. Biotin is another fundamental B vitamin; biotin deficiencies, however, are rare since it is already naturally produced by the body. You can get increased amounts of biotin from baker’s yeast, green peas, brown rice, lentils, sunflower seeds and walnuts. Some hair care products are plus enriched with biotin.
Other vitamins for hair loss treatment and prevention include vitamin C, copper, iron and zinc. A vitamin C deficiency can conclusion in hair fitting brittle, while copper and iron enhance the delivery of oxygen in red blood cells to the scalp and other parts of the body. Zinc maintains the oil-secreting glands in the scalp, thus preventing dandruff. The reference level for the daily intake of vitamin C in an average adult is 60 mg, while for copper it is 2 mg, iron 18 mg and zinc, 15 mg. Foods rich in vitamin C includes citrus fruits and green leafy vegetables, berries, tomatoes, potatoes and pepper. Copper-rich foods include organ meats (liver in particular), seafood, nuts and seeds, while iron-rich foods include red meat, spinach, bran and red kidney beans. Foods that are rich in zinc include red meat and seafood.
Supplements that you can take in addition to the above vitamins for hair loss treatment include Conenzyme Q10 (CoQ10), which improves scalp circulation, L-Cysteine and L-methionine. CoQ10 is a nutrient produced by the body which is essential for the proper functioning of cells while L-Cysteine and L-methionine are amino acids that prevent hair loss and improve growth and texture of hair. Take 60 mg a day of CoQ10 and 500 mg each twice a day of the amino acids. And don’t forget to drink at least eight glasses (8 oz) every day to ensure that the body is properly hydrated, which is vital for healthy hair.
Original post by ma1210
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September 2nd, 2010 at 06:01pm
Under Hair Loss
I’m 25 years old from Israel and I’m a big fan of your website and very impressed by the elaborate answers you give. As part of my research of treating my own hair loss, I read a lot about dutasteride (Avodart) and ran into that clinical trial.
It looks like GSK is doing the final phase before taking it out to the market as a hair loss product. What is your opinion about that study:
Avodart Phase 4 Protocol Summary
Thank you for bringing that to our attention. I really don’t have anything to add, as that Phase IV study just started in April and isn’t scheduled to end until 2013. There’s not much info available beyond what is listed on that summary page.
The US ClinicalTrials.gov glossary describes the four phases of clinical trials: “Phase I tests a new drug or treatment in a small group; Phase II expands the study to a larger group of humans; Phase III expands the study to an even larger group of society; and Phase IV takes place after the drug or treatment has been licensed and marketed.”
The glossary further defines Phase IV as: “Post-marketing studies to delineate additional knowledge including the drug’s risks, benefits, and optimal use.”
So while Phase IV trials are generally done after the drug is already approved by the FDA (at least in the US), perhaps things are different with the phases outlined by the Korea FDA. Searching the Korea FDA site isn’t proving too helpful. I do know that Avodart (dutasteride) isn’t approved for treating hair loss yet in the US, though. Any readers out there with some knowledge about the various clinical trial phases and how they might different by country, please feel free to set me straight in the comments section.
Original post by William Rassman, MD
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September 2nd, 2010 at 03:49pm
Under Hair Loss
Hello Dr,
I used to have very thick eyebrows and due to by plucking for many years, one of them is incredibly sparse. I heard that using minoxidil daily will help to compose them look fuller. My question is, are there any potential side effects? I have read online that using minoxidil can cause permanent hair on your brow and face and other ghastly things, are these true? additionally, whether the treatment does work, will I have to continue using it forever? And is there a chance it will cause me to lose the hairs I currently have as well? Thank you for your moment, it is greatly appreciated!
If you plucked your eyebrows and they are sparse, the hair lost from the overplucking probably will not return. Hair transplants work well to fill in the lost hair in the eyebrows.
Minoxidil will probably not help grow new hair at the eyebrows, but I suppose you can give it a shot. whether it works, you will have to use it forever. Side effects would be the standard minoxidil risks found here.
There are other treatments available that may additionally be worth a shot, like a obvious gel with fibers to give the illusion of fullness, Latisse (the eyelash medication), and an eyebrow conditioner that may or may not do what it claims. Check out the write up at NY Times — After Overplucking, It’s moment to sign the Professionals.
Original post by William Rassman, MD
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