Can Minoxidil Be Taken Internally? – Hair Loss Information by Dr. William Rassman

Dear Dr. Rassman and Medical Staff

I had used minoxidil 5% for 2 years without good result So I switched to Provillus a month ago. Can minoxidil be taken internally? Most of them are sold as topical product. Would Scalpmed work for me? Thank you

Minoxidil was originally an oral preparation for the treatment of high blood pressure. It was unreliable for its intended use, but the observation that some women grew facial hair while taking this caught the attention of the drug company. Good drugs are often discovered this way and through serendipity, the observations are made and new applications evolve. The oral form of the drug is not available nor is it approved by the FDA today.

Provillus and ScalpMed apparently use minoxidil as their active ingredient, and both products have been discussed on this site before.

Dr Rassman Named Pioneer of the Month by ISHRS – Hair Loss Information – Balding Blog

Hair Transplant Forum International is the official publication of the International Society of Hair Restoration Surgery (ISHRS), and I’m pleased to announced that I was just named the Pioneer of the Month (Volume 18, Number 1)! The article, written by Dr. Jerry Cooley, is presented below. It serves as part biographical, part information that hasn’t been found elsewhere on the Internet until now. I hope it gives you an insight into my background and goals for the future.

William Rassman, MDAs a young man, Bill Rassman had “one focus in life, to make a difference.” To say he’s made a difference to the specialty of hair restoration may be one of the greatest understatements ever. Creative and controversial, Bill has made his mark and it’s hard to imagine how hair transplantation would have evolved without him. Because of Bill, our lives are very different indeed.

Bill was born in 1942 in New York. He grew up in Brooklyn, the son of Russian immigrants. After medical school in Virginia, he entered general surgery residency at the University of Minnesota and Cornell. This was interrupted by military service in Viet Nam. Before military service, he did a cardiovascular fellowship where he played a key role in pioneering and commercializing the intra-aortic balloon pump. After returning, he finished his surgery residency at Dartmouth. Bill entered private practice in Vermont where he practiced for six years. He then relocated to Hawaii, practicing surgery there for four years.

Feeling bored and in need of adventure, Bill left medicine and became an entrepreneur, starting a company that developed commercial applications for windmills. After this became a multi-million dollar business, he sold the company. With the money he made, Bill funded his next adventure, a start-up computer software company, which did not progress the way he wanted. After four years of working to develop this, he decided to reenter medicine.

ISHRSBill joined Bosley where he soon became its president. Unhappy with the state of hair transplantation at that time, he left Bosley and in 1991 began visiting prominent surgeons, such as Walter Unger and Emmanual Merritt. During this time, he developed his ideas about procedures with large numbers of small grafts, the “megasession.” Bill began doing hair transplants, which in the beginning meant only 400-500 grafts where he did all the cutting and placing himself.

With increasing staff came increasing session sizes. More staff also allowed Bill to focus on further innovations, such as the Densitometer to quantify donor hair and help estimate the number of grafts that could be harvested. It also allowed him to open more offices, including one in New York where he met Bob Bernstein. Together, they developed the concept of using naturally occurring follicular units as the fundamental building block of hair transplantation.

In the mid-90s, Bill’s practice was booming and he was very busy. One issue that became obvious in the “megasession” era was the dependence on large numbers of well-trained staff. To give the surgeon more control over the procedure, Bill began experimenting with follicular unit extraction and new tools to automate the procedure. His interest in FUE continues and he reports that he may introduce a new tool that “reflects a completely new paradigm” for FUE. His interest in automation led to the development of the Carousel Implanter (1997), and instrument he still thinks works great. Unfortunately, he was unsuccessful getting a company to manufacture a reliable instrument.

Bill’s current activities include maintaining his Balding Blog on the Internet, he he daily gets 5,000 visitors and 700 emails. Bill also enjoys writing and is currently working on a book entitled “Hair Loss for Dummies,” which is part of the popular consumer book series.

Another current interest is completely outside the field of hair restoration. Bill is founder of a company (Maven Technologies) focused on “personalized medicine,” with proprietary technology used in a diagnostic instrument to rapidly assay thousands of abnormal proteins, glycoproteins, and disease markers in patients for early disease detection and staging. Eventually, he hopes that this technology will become a backbone instrument used by pharma for the development and testing of new drugs. He refers to this project as one of the most exciting things he’s ever done, which is quite a statement in light of all his career accomplishments.

When he has free time, Bill likes to scuba, ski, read, and compose music on the piano, as well as spend time with his four grown children.

Today Show – A Cure for Baldness? – Hair Loss Information by Dr. William Rassman

There was a segment on the Today Show today about research involving scar tissue in mice, stem cells, and hair follicle neo-genesis at the University of Pennsylvania. You can see the video clip on the Today Show website. The Today Show medical expert claims that something will probably be on the market in the next few years. The new hair on the mice is white and appears to be very fine relative to the natural/original mouse hair.

I found the video you’re talking about on the Today Show site — here. Unfortunately, I have no real information on this outside of what the references say. I won’t hold my breath for a treatment anytime soon, but I’m not purposely trying to be a naysayer here. It’s just that I’ve seen many “breakthroughs” over the years that have gone nowhere. Let us hope!

Balding Forum - Hair Loss Discussion

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Mexis – Hair Loss Information by Dr. William Rassman

Hi,

Have you ever heard of Mexis? I have read about it in a couple of magazines, but can’t find much more info than that…it looks appealing as an anti-hairloss solution.

www.mexis.gr

It would be interesting to find out what ingredients are in the product, since their site doesn’t say anything about what Mexis contains. I am always skeptical of anything that guarantees 100% results. They do not quote any clinical studies to back up their claims. This is concerning, yet they state that it is a safe product. Once again, where are the studies to back this up? I would be extremely cautious about this product. Sound like a lot of bells and whistles and no substance.

I Quit Smoking Pot and Now I See Rapid Hair Loss – Hair Loss Information by Dr. William Rassman

Just recently I have noticed a rapid increase of thinning on the front of my scalp. I have recently quit using marijuana on a regular basis, could this be the reason for my sudden intense loss?

I am 20 year old, I have been noticing a receding hair line since my late teens. Thank you.

Hair loss is complex. I wish I could just say that this is or is not the cause, but it isn’t that simple. Genetic hair loss has its own cycles and stress can precipitate it. If you found great stress from going off the pot, perhaps the stress induced genetic hair loss. I suggest that you get yourself examined by a competent doctor who can do miniaturization mapping on your scalp. From that, you should have an idea why you have hair loss.

Hair Won’t Grow Longer — Is It Just Breaking Off at the Ends? – Hair Loss Information by Dr. William Rassman

I have shoulder length hair that is naturally black and curly i had it chemically straightened two years ago, use a straightener every week and bleached it to blonde in the past 6 months. I take care to use correct treatments etc. What I’ve found is that the hair is growing fine, but it hasn’t changed length this year and i haven’t cut it at all. Obviously it must be breaking off at the ends constantly is there anything I can do to prevent this? Why is it only breaking at the ends so I constantly have the same length of hair all year without cutting it?

The most common cause of breakage is damage to the hair shaft from straightening and chemicals used on the hair. Dyes are in that category. The easiest approach is to stopping doing things that will damage the hair that you are doing. It may mean going back to your original color if your hair cannot take the dye. Dry and damaged hair comes from over-processing and lack of conditioning, so using a good conditioner will help by returning the natural oils to your hair. Try a few different ones and look for those that claim to stop breakage. Check with your stylist, as he/she will likely know what is best on the market. Be sure that your diet is good, that your protein intake is adequate, and that you keep yourself hydrated. The dry hair shaft brakes easier — and the longer you let your hair grow, the more it is exposed to air and heat, which may make the ends more fragile.

Balding Forum - Hair Loss Discussion

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Best Non-Surgical Hair Replacement? – Hair Loss Information – Balding Blog

What is the best system of non-surgical hair replacement? And are there any that Are there any that just cover part of scalp rather than try to give you back a full head of hair?

Thank you

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WigYou have to look at many factors to determine which one will be non-surgical hair replacement option suits you best. This will include price, quality of product, ease of use, and what creates the most natural appearance.

Hairpiece / hair system:
Hairpieces start with with a section of netting called the foundation, which is cut and molded to the approximate size of the bald scalp area. The highest quality hairpieces are custom made and can cost thousands of dollars each. They might be made of human hair. These usually only last for a few years and need regular maintenance and upkeep, washing, and repairs. Sooner or later (usually less than 2 years) the hairpiece needs to be replaced. Most people have two hairpieces — one to use when the other is being washed or in repair.

Weave:
Weaves are another option. In this method, strands of the client’s own hair are pulled through openings in the foundation (mesh) of the hairpiece, tightly securing it to the foundation. This commonly causes traction alopecia and results in more hair loss from the constant pulling.

Hair Loss InformationI Was Diagnosed with Mild Alopecia Areata After I Was Prescribed Propecia – Hair Loss Information – Balding Blog

Im 24 and I noticed my hair thinning approximately two years ago. However it was hardly noticable. My dermatologist said it was due to hereditary and put me on Propecia. About three months later my hair began to fall out rapidly (about 200 plus hairs in the shower alone) from all over my head. It later slowed down to around 80 plus in the shower and has been consistently falling out at this rate for around a year. It seems to be affecting the top of my head more that the sides but it is hard to tell since it is diffuse loss. I saw a hair specialist who diagnosed me with mild diffuse Alopecia Areata. He prescribed a topical to apply once at night which in a few weeks stopped my hair loss completely. My question is will the hair I’ve lost ever grow back?

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The diagnosis of diffuse alopecia areata is best made with a skin biopsy. Have you had that done? You have two diagnosis of genetic balding and alopecia areata…. both are not good from a hair loss perspective, but both can be treated. You need a confirmed diagnosis first and foremost. The treatment of alopecia areata is highly specialized. Some doctors use steroids to suppress the reaction in hope that the autoimmune process can be reversed. I wrote about a special treatment for this disease before — see Alopecia Areata in a Patient with a Miracle Cure (with Photos).