Hair Loss InformationSubstantial Non-FDA Testing on Avodart? – Hair Loss Information – Balding Blog

I am 24 year old currently on propecia for the last 8 months. While the results have been satisfactory, I am not thrilled. I have had zero side effects from the medication. I am looking into taking avodart .5 mg. I know you are not legally permitted to condone the use of it for MPB, but is it more effective than propecia? I am looking to get a little regrowth that i have not seen with propecia. Is it safe to use for MPB and is there substantial non FDA controlled testing credibility regarding regrowth? Please Advise

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There are no FDA studies on Avodart related to hair regrowth, but Avodart has been studied for prostate problems and it is safe in the older population. To my knowledge, there are no good studies on Avodart with a hair loss focus either. If any readers out there are aware of such studies, please feel free to send me links to the address on the Contact page. Please follow past blog entries related to Avodart by using the search.

Hair Loss InformationMassive Hair Loss in 15 Year Old Girl – Hair Loss Information – Balding Blog

im only 15years old (female) and every time i wash my hair its falls out in massive clumps, i used to frequently straighten my hair, but thinking this was the cause over the past fortnight i have not been straightening it. My hair is still falling out as bad as ever what could be the cause and the prevention as i really dread washing my hair now!? many thanks

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For our American readers, a fortnight is about 2 weeks. Something serious is wrong. If you used something to straighten it in the past few weeks, that could account for chemical damage. If you can not account for it by something you did, then you need to see a dermatologist. Before you panic though, look carefully at what you might have done to damage you own hair. Chemical damage should reverse over a few months.

Hair Loss InformationRecent Transplant in 19 Year Old – Hair Loss Information – Balding Blog

I would like to get some information on hair loss. I’m 19 and lost my hair on the temples. It’s not that bad because I can cover it. It’s the only hair loss problem.I had hair transplants in that area done by Dr [name removed], 250 grafts on each side. it’s been 2 and a half month’s now,can’t see any results yet. also the Doctor prescribed propecia for me but he say’s it only stops the hair loss in the crown area and there my hair is full and is in my family as well!!! I have been taking it for 5 months now and am not sure if should continue taking it!!! What would you recommend? I don’t want to lose anymore hair and also after I see the results from the transplant I had and want to still fix my hairline I really like what you are offering!! Please email me on your suggestions!! Thank you

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If it has only been a few months since the transplant, you must wait this out. I suspect that you had 250 grafts in each corner, similar to a Norwood Class 3 pattern. The full benefit of Propecia will take 8-12 months, and the transplant should show 80% of the benefit in 8 months. Keep on the course you have started and do not stop the Propecia.

I am concerned that you had a transplant at the age of 19. If you are in Los Angeles, please come by and introduce yourself for a second opinion. You need to have your scalp hair mapped out for miniaturization and you need a Master Plan in hand, particularly now that you already started the process.

Prednisone and Hair Loss – Hair Loss Information by Dr. William Rassman

I recently read that prednisone is usually not related with hair loss in women, but I am a 35 year old female who has ulcerative colitis. I spent 2 weeks in the hospital where they gave me prednisone intraveniously as well. I have been on oral doses starting at 55mg and over a course of about 5 months, have gone down to 5mg and will soon be off. I am also taking Asacol which may also be contributing to my hair loss. I have also been losing A LOT of my hair and it is really starting to affect my confidence. I have been hospitalized 3 other times for this condition where I also lost hair due to the meds and it did return. I just don’t remember it being as extreme. Is there a product I can take to help me grow it back and is it the Prednisone that has caused this hair loss? Thank you for your time.

Your hair loss can be attributed to multiple causes, such as malnutrition from Ulcerative Colitis, the medication in Asacol, and stress from your recent hospitalization. Steroids have androgenic properties and can also be the cause of your hair loss. I do not know if the hair loss is reversible, certainly as long as you are on many of these medications. If the medications have precipitated genetic hair loss, you may not get benefits even if you are off of the medications.

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Does Hair Gel Cause Baldness? – Hair Loss Information by Dr. William Rassman

I have been using gel for 5 years now. People say that using gel will make u go bald. Is this true? And if so is their a gel that will prevent this?

No, good commercial-grade hair gels will not cause hair loss.

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Healthy Lifestyle and Hair Loss – Hair Loss Information – Balding Blog

Hello, I am 24 years old, around a year and half ago I noticed a lot more hair coming out when I combed and in the shower drain. Prior to that and pretty much up till now my lifestyle was poor: gained weight, bad diet, no exercise, smoking marijuana, bad sleep… Also I was dealing with depression (and still am in some ways), took Wellbutrin, a common anti-depressant, for a little bit, but stopped when I noticed my hair thinning fearing that it was the cause. Things are better now and I am getting back in shape, gradually and getting my life back together. My hair is nowhere near as thick as it used to be, so my question is: Will living a healthier lifestyle now get my hair to the way it was at all, or are the hair follicles just dead and this is as thick as it will ever be? Thank you very much for your time.

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Often, men with genetic hair loss will accelerate it when they live the lifestyle you’ve described above. The drug Wellbutrin does have hair loss as a side effect. Living healthier is clearly better, but if you are undergoing aggressive dieting, it will not help your hair loss as that is another cause of hair loss. Eating a healthy diet and consistency on that diet is the key. Get a good hair doctor and find out if you have genetic hair loss, get a diagnostic mapping of your scalp for miniaturization to confirm if it is actually male patterned balding and then being smarter you can decide what, if anything, you need to do.

Losing Hair in the Middle of My Hairline – Hair Loss Information – Balding Blog

Hi Doc,
I have noticed that i have started receding slightly on the sides of my head. Could be as you say just a muturing hairline, but recently I have noticed a little divit in the very middle of my hairline right between the eyes. I have always had it a little bit..bit it has recently gotten worse. Is this male pattern balding?

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Without pictures it is difficult to make a diagnosis. These divots in the hairline that you are referring to may be the early part of hair loss in a forelock. Some genetic patterns have weak forelocks. I need to know your age, see pictures and get a family history from you. When this happens in the forelock, you often can see the same pattern in the family. If you are above 30 years old, these changes reflect a less aggressive ‘progressive’ hair loss that may be controlled by Propecia. If you are under 25, then this could be a reflection of a more aggressive pattern of hair loss and as you record the degree of miniaturization that is present around it, a good doctor can predict what may actually happen to you and estimate the time-frame it may occur. If you send me good photos, they will be kept private (a medical record requires privacy by law) and then we can arrange a time when we can speak and I will personally give you a private consultation. Without seeing you in person, such a consultation may or may not fully address the diagnosis, but it is a starting point.

Finasteride Makes My Nipples Erect – Hair Loss Information – Balding Blog

This question is related to sidew effects from Finasteride. I have been on Fin for about 5 months. Over the course of that time I have experienced nipple erection/chapping and irritation several times. Mainly in the cold weather and mainly when I don’t wear an undershirt. Is this a tell-tale sign of gyno? I am pretty fit, so I think I would notice breast enlargement. With that said, when i wear a tight t-shirt, my nipples and aereola seem much more noticable than they used to. Is this in my head or am I starting to develop gyno? Please answer my question, I have spent a great deal of time and money on my prescription and doctor’s visits, as most have…I’d really like to put this issue to rest.

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The Propecia website states that “In general use, the following have been reported: allergic reactions including rash, itching, hives and swelling of the lips and face; problems with ejaculation; breast tenderness and enlargement; and testicular pain. You should promptly report to your doctor any changes in your breasts such as lumps, pain or nipple discharge. Tell your doctor promptly about these or any other unusual side effects”.

I would suggest that you get your chest (breast) examined by the prescribing doctor. It may be that what you are experiencing has some lump below that is causing your nipples to appear erect.

Switching from Rogaine Back to Propecia – Hair Loss Information by Dr. William Rassman

Dear Dr,
Thank you for a most informative web site. I wanted to ask a question on how to progressively reduce reliance on Rogaine, which as you have noted gradually looses its effectiveness.

I am 40 and had mild thinning over the crown and frontal areas..just becoming noticeable. I used Propecia for an initial 3 mths period only in 2004 then stopped, then continued on with Rogaine (5%) for the past 14 months with good response. It now seems to be slowly loosing effectiveness with hair shedding.

Is there an option to restart taking the Propecia on a daily basis and then slowly reduce the application of Rogaine? Or after close to 1.5 yrs do you feel the hair would have become conditioned to it? I would welcome your advice as I would like to ’switch over’ to Propecia and one day cease the Rogaine if this is an option.

Thank you for your advice.

Sounds like you have lost the benefits of Propecia. Go back on it. As you are already on Rogaine, stay on it, at least until the process has stabilized. Then work with a good doctor to put together a good Master Plan for you.

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Interesting Letter From Patient – Balding Blog

So, Dr. Rassman, it’s the day after my surgery and I don’t think I’ll be able to sleep for a few days. No, it’s not because of any pain or discomfort; rather, what you and your team did today will forever change my life.

As you know, my journey began in late 1993 in Beverly Hills. One scalp reduction and two 100-graft sessions later, even I could tell my ‘Master Plan’ at the time was bunk, BS, a no-go situation. And I’m no doctor, mind you.

Because I was still losing hair and now my large grafts began to show, I entered the world of hair systems ala Hair Club for Men two years later in the fall of 1995. The cover charge for entry into Sy Sperling’s party was a steep $2625.00, however, and that took me by surprise. Funny thing is, I now look back at those photos from that period of my life, and the hair looks shiny and oh-so-fake. Kind of like a horse’s tail. Maybe it was? No, that’s too harsh. I’m sure it was farmed from ladies in the far east, stripped of its cuticle and dyed to my hair color. It just had this otherworldly sheen to it and in no way did it appear real. Man, I wonder how many people knew?

Flash forward to the year 2000. I joined the Directors Guild of America (DGA) that year, was making union wages as an Assistant Director, and then stepped up a notch to a Richard Farrell hair system. Farrell reminds me a lot of you. He blows the lid off the hair replacement industry, and has a completely transparent salon. His systems are indeed the best, but no matter how much they appear to be growing out of your scalp, they are not. Further, they never will. My first two systems in August 2000 were just over $3000.00, reasonable for the quality I was getting. Since the lace bases were very sheer, they eventually ran their course and were replaced. In 2005 I did just that, except the cost of two systems at that time was $5000.00 (inflation of course). So, that’s $8000.00, excluding the monthly servicing, coloring, hair additions and haircuts I received. When you include those items, I spent $16,2000 from August 2000 through January 2006. OUCH!

Of course, the sad truth is I work in the film industry on set as an Assistant Director. I had the good fortune of working with Scorsese, Coen Brothers, Clint Eastwood, and directors of that caliber who attract similarly-accomplished crew members. I was unfortunately busted wearing a hair system by the hairstylist of a prominent Hollywood actor by none other than George Clooney’s personal hair stylist, a guy named Waldo Sancez. He is a cool cat, and he personally didn’t make fun of me or even let one that he knew (a class guy). He simply relayed to me that the entire hair and make-up trailer was abuzz because they were convinced I wore a hairpiece. When I was in the dressing from, he looked at my hairline the entire time, and never asked me if it was true. Conclusion: They all knew. OUCH!

Don’t get me wrong, if I were an accountant, mortgage broker, etc, I could have gotten away with a system of Farrell’s quality. It’s a completely different story, though, when you are standing eye-to-eye with an Oscar-winning hair and make-up artist giving warnings to the actors sitting in the chair getting ready for set.

After Waldo’s revelation, I was never the same AD. My self-confidence deflated like the proverbial balloon. I wore a ballcap every single day on set since 2000. All the while paying thousands of dollars to upkeep the systems that were supposed to allow me to NOT wear a ballcap. Irony anyone?

Flash forward to today, Feb 23, 2006. NHI is the real deal! You are every bit as caring and accomplished as any doctor I’ve met. I’d even hire you as my primary care physician if you moonlighted on the side. Bottom line: Your patients come first; your company’s earnings are secondary to the end result (and safety!) of those who enter 9911 Pico Blvd. looking for help.

I CAN NEVER THANK YOU FULLY for what you did for me-hell, and my career, for that matter-today. I am in the queue for a HUGE movie later this fall, and I know my confidence will be at an all time high. You can’t put a price tag on that. It’s about value, and what you’ve done for me far exceeds the “price” of what I paid NHI yesterday.

This fall, I can’t wait to knock on the trailer door, look the hair department head in the eye and proclaim, “Camera will be ready in 10 minutes. What’s your best guess on having actor _______ ready?”

I edited this letter before publishing it here, because it contained things that should not be the focus of such a letter (even for humor). I always believe that if you have nothing good to say about someone/something, best not say it. This man was a delight to work with and we bonded in a very special way (I always seem to develop a special bond in this strange world of the hair transplant repair process). Many repair patients have a unique type of pain that they live with, a type of pain that fortunately does not happen much with the modern techniques used today. The bonding requires building trust where none existed because of the history of the bad experience, well defined by this patient. I was humbled by reading his letter as I am every day working in this field.

William Rassman, M.D.




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