Hair Loss InformationI Have a Head Ache – Oops, I Mean a Hair Ache – Hair Loss Information – Balding Blog

White knightI often wondered why so many people crowd dentists offices to get their teeth worked on. Today I had the chance to speak with a very prosperous dentist who told me it was due to the fact that most people starting with a dentist come when they have a tooth ache. It is the pain that drives them to the dentist’s office. At the time of the visit, they get loved (by the good dentists who understand nurturing patient loyalty) and the plan to end pain is defined. Short term relief is given and any relief brings on appreciation. The more the love that the patient senses, the more the loyalty. The dentist then checks his teeth and most people who were less than ‘good’ about dental care, get diagnosed with a variety of cavities, get recommendations on that chipped tooth that they had for some time and as they might even have dental insurance. They get a good dental hygiene program and then get educated on the need for regular dental care. They may start off with 800-DENTIST to find the dentist, that white tooth knight that will make their pain go away. With most people who have tooth decay (because of bad gum management and no flossing), constant dental care is critical and thousands of dollars goes from the patient’s pocket to the dentist’s bank account. The pain from a tooth ache is often precipitous, and emergency care often starts the process.

Imagine Joe Smith, coming into the emergency room. He says: “Doctor, my head aches”. “Well,” says Joe, “the pain came on this morning when I was about to shave. I put lather on my face and realized that the dome of my head was empty. Then I knew that the pain which has been building for some time, caused my hair dome to shine. Doctor, what can I do about my hair ache? It now bothers me all of the time.” The doctor probes his head, asks more and more about his symptoms and then finds out that what he is actually describing is a hair ache.

As the doctor who first meets him, I find out that his insurance does not cover hair aches (it is not a known, defined benefit of health insurance). “But,” says Joe, “I have the best insurance that money can buy!” Now Joe is in a quandary — does he have to go into his wallet and pay real cash to fix that hair ache? Does he put off his new car, that vacation he is planning for next summer? Joe thinks about it and he realizes, unlike a tooth ache which keeps him from sleeping, his hair ache can be ignored. That baseball hat seems to work well and his hair does not ache as much when he wears it. He could wear his hat when he shaves in the morning and maybe the hair won’t hurt. Joe finds out that the costs of putting back the hair on the front of his dome will be about the cost of some veneers on the frontal teeth that his dentist recommended, or a tuneup on his Jag (and he loves his Jag). The only good news about Joe’s hair costs are that once the hair is put back, the hair lasts forever. Best of all, he doesn’t have to worry about brushing his hair after every meal, hair decay or even flossing his new hair. Those veneers, however, need to get replaced from time to time and they may fall off once the tooth behind them decays again.

Hypoandrogenic Effect and Propecia – Hair Loss Information – Balding Blog

I read this in the hair loss help web site about shedding and propecia.

If you experienced an increased amount of hair loss almost immediately after taking Propecia it is likely that you are experiencing a hypoandrogenic effect and not a shed. If this is that case then you should see a physician about possibly discontinuing the drug.

I have never heard of this. What is a hypoandrogenic effect?

Block Quote

You are not alone, as I have not heard of this hypoandrogenic effect either. If you consider androgen as the cause of hair loss, hypoandrogenic effect should be a good thing and should slow down or prevent hair loss.

It is believed that increased shedding immediately after starting on finasteride (Propecia) is due to the acceleration of the hair cycling process. This phenomenon may cause miniaturized hair to shed and it is thought that these follicles eventually get replaced with new hair, which may be thicker than the original.

If you experience increased shedding a few weeks after starting finasteride, don’t panic and don’t stop the medication. The shedding will usually slow down and finally stop within a few weeks.

I Have a Hard Time Rejecting the FDA Approval of the LaserComb – Hair Loss Information – Balding Blog

In the world of hair loss, sufferers quickly learn to veer on the side of caution when approaching new “remedies.” It is for this reason that I stand behind your skepticism of the Hairmax lasercomb, despite recent FDA approval. But something about this really bothers me. If we can’t even trust the FDA when they tell us that something grows hair, who can we trust? How can we pick and choose which of their approvals to accept? The lack of any real clinical data might make the comb especially fishy, but I have a hard time just rejecting the FDA stamp. They wouldn’t lie to us, would they?

Block Quote

Please see my previous posts on the subject —Why Are You Suspicious of the FDA and the LaserComb Now? and HairMax LaserComb Receives FDA Approval?.

Even though the stationary laser has some scientific documentation in the European literature, thie stationary lasers are far more intensive a treatment than a few strokes of a comb, which I can not believe will produce any long term effect such as is reported. It’s not that I don’t want it to work, I really would like to be wrong on my stance, but I don’t believe in ‘fairy tale’ miracles. The cost to the individual consumer is not great (between $500-700), but the doctors and the company that is promoting it stand to make a fortune. There are many such fortunes made in various hair solutions on the market that just don’t work, so this now joins the group of what may be another successful marketing product. Only time will tell if it works. I really can not endorse the hair comb at this time, but alas, it is a Buyer Beware issue. The good news is that the buyer will not risk much more than his dollars to find out the answer for him. I can see no down side, other than potential disappointment and loss of money if it doesn’t work as you’d hoped — but really, that goes with along with most things in life. Balding men seem to chase rainbows when there is a potential cure available. Many disappointed people may eventually come to see me because of such comments and with honesty as the best policy, maybe it will benefit the practice of honorable doctors in the hair restoration field who can really put their hair back. I hope that people who can benefit from drugs like finasteride (Propecia), don’t put off treating their hair loss while they wait for the comb to do its thing, the thing that may not happen.

Lost Weight, Moved, and Now My Hair is Falling Out – Hair Loss Information – Balding Blog

I’m almost 20 and I’m a male. In the past 6 months, I’ve lost about 30 pounds, and had no sign of hair loss, most recently (January) I moved to Ohio and shortly after settling in I started noticing hairs in the sink, and that when I run my fingers through my hair about 5 or 6 hairs come out every time. It’s probably nothing to worry about but it’s never happened before either. I’m thinking its either the stress of moving and starting a new job or the drastic change of temperature (I moved from southern California). I don’t really feel stressed anymore since I was able to find a job and I’m financially stable, but I’m still losing hair. I don’t have any bald spots or receding hairlines. Is this something I should see a doctor about? Thanks in advance.

Block Quote

ScaleYou should not assume that the cause is one thing or another. Starvation diets or poor nutrition can cause hair loss. For men in your age group, you should have your hair mapped out for miniaturization first to see if you are genetically balding. You really need a diagnosis first.

Most people with controlled, good diets and weight loss will not experience hair loss.

Hairline Lowering Doctor Recommendation? – Hair Loss Information – Balding Blog

I am very interested in having the hairline lowering procedure. Do you know of any doctors in the OK area or anywhere close?

Block Quote

A hairline lowering procedure is done by plastic/cosmetic surgeons and a small number of doctors in the hair restoration business. You might check locally with those in this area of specialty. If you want to travel to California, I would be happy to consider doing this procedure, or I would recommend Dr. Sheldon Kabaker in Oakland, California.

Is Propecia Effective in Your 50’s? – Hair Loss Information – Balding Blog

Hi Doc,

2 questions. Still have good hair with balding at crown. Is propecia effective in your 50’s? Heard it wasn’t. Age 54.

Also, after a few days on Propecia noticed brain fog and anxiety attacks. Any experience with propecia causing anxiety?

Thanks

Block Quote

It works best when the hair loss is more recent. Men in their 50s generally have already passed the rapid hair loss phase, so the impact of this drug in the 50s is not as much as in the mid-20s. Anxiety is a known stress that makes genetic balding more rapid in many men, even 50 year olds.

Limitation for a Perm in an Aging Woman? – Hair Loss Information – Balding Blog

I am peri-menopausal (50 years old) and was wondering if getting a perm would hold, as with all the hormonal changes I am and will be facing may affect this?

Block Quote

Having a ‘perm’ should add body to your hair and make it easier to style. The hormonal changes you are experiencing and will experience in the future should not be a factor in your stying decisions (to have or not have a perm).

I Had My Scalp Mapped for Miniaturization – Hair Loss Information – Balding Blog

Hey Doc, I have visited your site quite a bit over the last year reading various posts on MPB. I am a 21 year old male who has been noticing a receding hair line over the last year. I have been to many hair experts and one actual doctor regarding this issue. My doctor who I saw in December told me it was too early to tell if my hair was balding or just a maturing hairline. He told me to start using rogaine as a first step. However, I recently visited a Hair Club for Men just to see what they had to say about my situation. They mapped out my head for miniturization and it was very clear and apparent that my hair in the frontal area was miniturizing, aorund the temples and such. Moving backwards there was very little signs of miniturization on the top and none towards the back. They wanted me to start their extreme hair therapy which costs close to $2000 for six months. I obviously do not want to go that route and am very curious as to how you feel about my situation. My grandfather is bald and I have uncles who are bald and a 28 year old cousin who has already had hair transplants. How do you think my situation looks right now and what would you suggest as a plan. Thanks so much.

Block Quote

I could have helped you more if I knew precisely what Extreme Hair Therapy is. Just from looking at the Hair Club website, it appears to be some shampoo, conditioner, herbal pills, and topical minoxidil. Assuming that you have a high degree of miniaturization in the frontal area, the best treatment is finasteride 1mg daily which should slow down, halt, or possibly reverse hair loss. This is not “extreme therapy” and I charge $85 for an office visit and to write a prescription for the drug (if I find that you have genetic hair loss). The consultation is free, though. Miniaturization mapping at my office is also free. Anything else would not be good medical care in a 21 year old with miniaturization. Some of the essentials for establishing a long term plan that your doctor should comment include:

  • Family history of baldness
  • Miniaturization mapping
  • Pattern of baldness
  • Characters of hair
  • Donor hair quality
  • Other medical conditions

This does not cost $2,000.

What Does A Poor Reaction to Propecia Tell Us? – Hair Loss Information – Balding Blog

Hi, i’ve been on Propecia for 10-12 months now, and I would say that it has slowed it down maybe 90-95%.

However there’s something that i’ve been wondering for a while now. If the rate of loss AFTER one has been on Propecia for this long was still quite fast *even though it would be a lot better than not being on it at all*, would this indicate:

1) That without Propecia, the hair loss would have been very aggressive?
2) That the person has not been very receptive to the drug.
3) Both.

I’ve always wondered, what does a less than average reaction to the drug tell us?

Block Quote

The answer to your three questions is Yes, Yes, and Yes — all are possible.

There is no guarantee that Propecia will work. We see better results with the drug on young men with more relatively short term hair loss. This is a drug that is known to be effective at slowing down, stopping or reversing the hair loss, but what that means is clearly uncertain. Here’s stats from the official Propecia website’s FAQ:

A 5-year clinical study demonstrated the effectiveness of PROPECIA.

  • 9 out of 10 men on PROPECIA had visible results (either regrowth of hair, 48% [134 out of 279], or no further hair loss, 42% [117 out of 279]) vs 25% (4 out of 16) on placebo (sugar pill), according to an assessment of photographs by an independent panel of dermatologists.
  • 2 out of 3 men on PROPECIA regrew hair, as measured by hair count. All the men in the study who were not taking PROPECIA lost hair.
  • A majority of men on PROPECIA were rated as improved by doctors: 77% (210 out of 271) vs 15% (2 out of 13) with placebo.
  • A majority of men on PROPECIA reported their bald spot getting smaller, their hair loss slowing down, and the appearance of their hair improving.

What’s more, in the first year of the study, 86% (587 out of 679) of men on PROPECIA maintained hair or increased the number of visible hairs vs 42% (282 out of 672) on placebo.