Mood Stabilizers and Hair Loss – Hair Loss Information by Dr. William Rassman

My husband is 40 and until recently had a head full of thick black hair, I noticed when he turns his head that you can clearly see his scalp and it has thinned out tremendously. He is on mood stabilizers for bipolar disorder and I know these will affect hair and cause hair loss. Will anything help his hair come back if this is related to his medication.

Medications to treat bipolar disorder (such as lithium) can cause hair loss. Just because you stop the offending medication, it does not guarantee that the hair will come back. More importantly, you should discuss any change in medication with your prescribing doctor. Sometimes, these drugs precipitate the genetic hair loss process. A good dermatologist (or a good doctor that specializes in hair, like myself) can make a diagnosis that will define any genetic component of what is happening to him. The drug Propecia (finasteride 1mg) might then help, at least by slowing or stopping the process. Try to surround the diagnosis. Some people who actually have hair loss from genetic causes, do not notice it until it gets more advanced. Could that also be the case?

Anticoagulants and Hair Transplants – Hair Loss Information by Dr. William Rassman

What if your on coumadin, do you have to wait until your off the medication? I am told yes.

Just to clear it up for the readers out there, I believe you’re referring to waiting until you’re off coumadin before having a hair transplant.

It is wise to reduce or stop coumadin (an anticoagulant) prior to having a hair transplant. I have had the misfortune to do a hair transplant on a number of patients on coumadin (it can be reversed with Vitamin K) and on Plavix (can not be reversed). There was very mild bleeding from the recipient site the night of the surgery. The surgeon must understand why a person is on these medications and weigh out the safety of stopping them or staying on a lower dose of these medications. Each case is medically evaluated independently.

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Hair Loss InformationHair and the Effects of Flat Irons – Hair Loss Information – Balding Blog

Hi I am 29 years old, male. Do flat irons cause permanent hair loss? My hair dresser started using a flat iron on my hair 3 years ago, since my hair was wavy, he showed me how I can make it straight. About 2 months after using it (usually once or twice a week) I noticed that my hair was drying out. I stopped, only to use it once in a while. Today I find that my hair is receding on the sides and my crown is thinning. Is this from the use of the flat iron? I’ve stopped using it for about 6 months now but I still find that my hair falls out everytime I wash and style it. I researching on the net about the side effects of flat irons but never found any concrete proof about the consequences of using them. I hope I didn’t ruin my hair for good! What can I do?

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Let’s think logically about this. When hair has grown beyond the scalp, it is no longer a living tissue. Only the hair organ below the skin is living. Hair is made of compressed fibers and a shingle type of structure made up of shed skin cells called cutin. These shed skin cells are in effect the same ‘stuff’ that produces the scales we see in dandruff and may reflect higher turnover of the skin on our scalps. As these shed cells are compressed above the fibers in the hair shaft, they form a layered array just like the shingles on a roof would form to keep out the water. But below the skin, the hair organ puts lipoproetin layers into these scales of cutin that give the hair the character that you have. The presence of fat on the outside of the hair shaft is what brings out ‘luster’ in the hair. Once the hair exits the skin as it grows , it enters the hostile environment of air, wind, weather, heat, etc… and it no longer is subject to what your body can do for it. As the hair exits the surface of the skin, the sebaceous glands secret a waxy sebum that may find its way onto the hair shaft, giving some people an oily hair.

When you iron your hair with heat, you do change the character of the hair and change the configuration of the varying layers of compacted cutin and the fibers that make up the structure of your hair. Heat takes away the luster (shine) from hair, burns away the waxy covering, may denature the lipoproteins on the surface of the hair shaft and it is this that protects the hair from the environment. Heat may damage the core of the fibers inside the hair as well. High heat applications can damage the hair so that it cracks, breaks, and even become fragile, producing broken ends from hair that breaks too easily. Take a look at this illustration of an enlarged hair shaft here (illustrated by Norm Nason). Note the layering of the cutin shingles. Look at the center of the shaft and see the fibers that form the backbone and the strength of the hair shaft. When these fibers are broken, or the shingled cutin is removed, damaged or burned, a pealing process may begin which would reflect the damage to the foundation of the hair shaft, and it can become permanent. When the hair is damaged, then gentle handling is critical to maintain and hold it on your head. You can, of course, cut it off and new hair coming from below the skin which should not grow out damaged, will eventually replace the weak hair. The hair exiting the skin is normal and undamaged so you can and should expect that once you cut off the damaged hair, the new hair will grow to whatever your normal should be. Good cosmetology can hydrate the hair and it might bring back some of its luster and strength. For those of you interested in high powered microscopic views of the hair system below the skin, see here.

So, if you have hair loss or thinning of new hair, it is possibly a new problem, and you need to have your hair analyzed by a doctor like me.

Hair Loss InformationJust Started Losing Hair a Year After Pregnancy – Hair Loss Information – Balding Blog

I am a 31 year old female with a 17 month old son. At about the time he turned one, I started to notice hair loss. It’s all over my head, and has caused my hair to thin a lot. It is still happening. I have been to the doctor and was tested for thyroid. It was negative. What I am wondering is, could this hair loss still be related to my pregnancy? It has also been an extremely stressful time – but could this long period of hairloss be related to stress? Will my hair grow back? And can continued stress mean continued hair loss?

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Hair loss in women can sometimes be caused by underlying medical conditions, so it is important for you to be evaluated by your own physician. If clinically appropriate, the following disease processes should be considered: anemia, thyroid disease, connective tissue disease, gynecological conditions and emotional stress. It is also important to review the use of medications that can cause hair loss, such as oral contraceptives, beta-blockers, Vitamin A, thyroid drugs, coumadin and prednisone. The following laboratory tests are often useful if underlying problems are suspected: Estradiol, FSH, LH, SHBG, Prolactin, T4, TSH, ANA, Iron, TIBC, Ferritin, Free and Total Testosterone. Your scalp should also be mapped out for miniaturization to define patterns in genetic hair loss that are typical for women. Pregnancy can activate genetic hair loss in some women.

Man Unaware of Shock Loss After Transplant – Hair Loss Information – Balding Blog

I am 37 years old male and I had hair transplant with 800 grafts four years ago. after hair transplant i lost my original hair which i had before transplant and now i left with only the hair which i transplanted. i have two question. first, is it normal for everybody that once you did hairtransplant you will lose your original hairs due to shock that our scalp get. my other question is regarding after transplant. since last year after getting shower the next day when i touch my scalp i notice the dead hair bulb ( i think it is called hair bulb or hair follicule, the material which hair grows from it ). it scared me alot. i have oily skin and when i touch my scalp i notice them it is like more then 10 per day. would you please give me some idea that why i lose my hair bulb besides my hair. and what should i do to prevent it.
thank you

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Shock loss after a hair transplant occurs in some patients and it is best prevented by taking Propecia (which I prescribe to everyone having a hair transplant just to minimize this possibility). It is probably related to the degree of miniaturized or weak hairs that were in active loss phase when you had your transplant.

Regarding your second question of a ‘dead hair bulb’, I do not know what you are describing. It is normal to lose up to 100 hairs a day. What you are probably seeing is a hair shaft with a little sebum (mucus) plug attached at the end.

Can I Get a Consultation Even If I Do Not Want a Hair Transplant? – Hair Loss Information – Balding Blog

Hello, I am 26 years old and in the last 6 months have experienced thinning of hair on top of the scalp especially in the front hairline? Is this normal? and because of this problem can I get a consultation with New Hair Institute even though I do not want a transplant?

Thank You

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Yes, we offer free consultations, even to those that do not want a hair transplant. It is a goodwill gesture. We will map out your hair for miniaturization so that you know what the future has in store for you. Please call our office at 800-NEW-HAIR to schedule.

Musician Moby Talks About Hair Loss – Balding Blog

Some things worth noting after reading this article –

Shaving your head does not cause hair loss and vitamin E does not prevent it. Hair loss has four causes in men:

  1. The genetic balding defect, whatever that is
  2. The male hormone
  3. Stress of all types
  4. Time of exposure to #1 and #2

The sum of 1, 2, and 3 working together in some manner causes less hair loss if a person is not stressed. Without both #1 and #2, stress will not cause hair loss over any period of time. Propecia works wonders at preventing hair loss or slowing it down in those impacted genetically who may become baldwe over time.




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How Long Could I Keep My Results from Minoxidil? – Balding Blog

Hello, I cant seem to find a good answer for my question, I seem to get different answers, every where.

My question:
Im 24 year old, and suffer from mpb, i get bad sideeffects from propecia, my libido disappears.

So im only on minoxidil, 5%, and I have some really good results. But how long can I keep these results without a DHT blocker?
What would you recommend, as an topical dht blocker?

Thank you

There are no FDA approved topical DHT blockers. If Propecia kills your libido, try a half pill a day and then if that does not work, try a quarter of a pill per day. There will be some benefits for DHT block at that lower dose. Just like Propecia, you will lose the effect of minoxidil if you stop using it, but minoxidil, when it works, can last for years and years. The new Rogaine foam is reported to produce better skin absorption and blood levels than the standard minoxidil. That should mean that Rogaine foam may be more effective than the standard minoxidil.




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Hot Flashes from Propecia? – Hair Loss Information by Dr. William Rassman

First of all i would like to thank you for setting up such a great site for MPB sufferers. My question to you is, I’ve been on propecia (1mg finasteride) for almost a year now and about a few months ago i’ve started developing hot flashes as a side effect and it has reached a point where it started bothering me alot. My GP said the only way to solve the problem is for me to go off the propecia for awhile but that also mean i’ll turn bald sooner. What should i do Dr. Rassman? The majority of my thinning happens in the frontal region with a receding hairline(a norwood III vertex). I am 26 y.o.

I hope that I am correct to assume that you are a male. Hot flashes are mostly seen in menopausal women and in men following castration or using anti-androgen medications. Hot flash is a result of an imbalance of sex hormones. In studies with Propecia, no clinically meaningful changes were detected in the levels of FSH, LH, and lactogene that are associated with hot flashes. Hot flash is not a reported side effect of Propecia.

You have been on Propecia for almost a year and just started to experience hot flashes a few months ago. You should be aware of some other medical problems that mimic hot flashes, including thyroid disease. After excluding the other medical problems and if you continue to have hot flashes, you may stop taking Propecia for a month, as most of it will be out of your body in a few days. If there is any association between the symptoms and the drug, the symptoms should go away quickly. If there is no impact of the drug, there is no point to stop using it if it helps maintain your hair. If you continue to have hot flashes, it should be considered a rare side effect, and you may discontinue Propecia and start using topical minoxidil instead. Discuss this with your prescribing doctor before making any changes to your medication, however.

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Corticosteroid and Propecia – Hair Loss Information by Dr. William Rassman

Good Day Dr. Rassman,

I am a male in my early twenties and suffering from genetic hair loss. I was wondering if applying a topical Corticosteroid like Clindamycin 2% in Gen-Clobetasol for treating my scalp irritation would have any negative impact if I start taking Propecia? Also, is there any data available showing the benefits of using a shampoo like Nizoral or Neutrogena T-Gel while on Propecia?

Thank you for providing this service, I appreciate your time and expertise in responding to my questions.

You should not be experimenting with drugs. Clindamycin is an antibiotic and using strong steroids can have a balding side effect. To my knowlege there have been no clinical studies showing synergistic benefits of using special shampoos and Propecia.

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