Hair Loss InformationDHT Serum Test? – Hair Loss Information – Balding Blog

Hi,
Thank you so much for answering my question: After Taking Propecia for 2 Years, Suddenly I’m Shedding

I have an important update. My primary care Dr. said I was most likely shedding from stress (I’ve been experiencing EXTREME stress at work and even in my personal life). The diameter of my hair feels thinner, even in the back of my head down to where my hairline is at my neck. Classic symptoms of TE, I believe. So, I had my Dr. do a DHT serum test and here are the results:

DHEA, Unconjugated 224 Normal in males is 180-1250 ng/dl.
Testosterone, Total 580 Normal is 241-827

So, since my DHT levels are on the lower side (224, probably from the propecia), is there a good chance my hair loss has been halted or greatly slowed down??? I’d appreciate your professional opinion. Thank you so much and keep up the GREAT work!!!

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DHEA (dehydroepiandrosterone) can increase DHT (dihydrotestosterone) levels, but the DHT reflects testosterone and I would expect that the more testosterone you have, the higher the DHT levels would be. DHT levels have no significance by itself for addressing your problem and it makes no sense to me to obtain DHT blood serum levels.

While I have no doubt that one can get this test, I have to wonder why someone would want it and what it would really do for you. Regardless, I don’t run these types of tests routinely, and thus I am not knowledgeable enough to give you the information you are looking for.

Although there is a direct connection between circulating DHT levels, tissue fixation of DHT and hair loss, I do not know what constitutes an effective drop in DHT. Certainly there is no way to determine if it is working on your hair without mapping out the hair for miniaturization and looking for a reduction of miniaturized hair over time.

Hair Loss InformationReputed Homeopathy Clinic Swindled Me! – Hair Loss Information – Balding Blog

Doctor, this is an amazing story that I’d like you to read! Please read, and you’ll be amazed at how some clinics are misleading people into spending hundreds of dollars to cure hair loss.

I’ve had a receding hairline for the past few months, and I’m only 18 years old. So I visit a really reputed homeopathy clinic,and this is what they tell me. ‘Your hair loss is due to bad water in your locality. The water in your locality is too harsh’. Is this true? Does hard water really cause hair loss? If so,then why don’t more and more people lose their hair in my area? I ended up reading a couple of your posts on water quality and understood more.

Then,here was their second reason. ‘There is also a lot of pollution in your area,which is causing this hair loss. You need to be careful about smoke. Also,try not to smoke or inhale smoke, it causes rapid hair loss’. This startled me very much. I felt like everything in this world causes hair loss. They did no miniaturization or pull-tests on me,just directly gave me reasons why I was losing hair-without first checking if I actually was losing or not.

They charged me $100 for this non-sensical stuff.

Now here were the solutions. They prescribed a weird shampoo which was going to combat all my hair loss woes. The shampoo claimed to restore any man’s “crowning glory” within 30 days. This shampoo cost $60. Secondly, they told me to use some strange-smelling oil that cost $35 for a 50 ml bottle. They then prescribed a second sitting a month from the first one.

A friend of mine went to this same ‘reputed’ clinic and told them he smoked. And immediately, they told him that smoking was causing his hair to grey at the age of 18. My friend never knew his hair was greying! And then they tell him that a lot of his hair would grey by the age of 21. They then prescribed him the same shampoo that they prescribed to me.

I’m glad I didn’t listen to them and did not buy any of those strange products. I did go to them for my second sitting (it was included in the cost of the first one). I then told them what I learnt from your blogs-like the only drug approved for hair loss was Propecia, and then asked them about tests for miniaturization and such, and they were dumb-founded. They only mentioned to me that their products were ‘herbal’ and ‘safe’,and that a lot of patients had good results with them. They then showed me before and after pictures of some patients, which looked quite fake.

I then decided to go to a ‘real’ clinic, with internationally acclaimed trichologists. And they told me that I wasn’t even losing hair after doing the tests. They said that I currently had a normal hairline, albeit matured, but it wouldn’t be wise to think that that would be the same for the rest of my life, and told me to get a test done once I turned 19 to see if I need any Finara (which is Finasteride here).

It pains me to see people get fooled this way, and those who actually spend money on the weird products sold. I did waste roughly $100 on stupid things, but well, it was educational after all!

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Thanks for sharing this with us. As I have said over and over again, let the buyer beware! This is an important lesson you have learned, and I hope your story helps others. Some people, however, need to learn the same lessons on their own.

Hair Loss InformationHow Can I Tell if Propecia is Working for My DUPA? – Hair Loss Information – Balding Blog

Hello Dr.Rassman i have been taking propecia for 8 months in the hope that it will help my DUPA hair loss, and i was wondering how i can tell if its working? i wear a light woolie hat on most of the time, would the hairs on the hat after each day be a good indication of if its working? because i don’t notice more that 15 or 20 a day.

well thank you for your time doctor

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The right answer is a twofold approach:

  1. Follow the photos of your hair from various perspectives with the hair cut to the same length — and do this yearly.
  2. Rely on the science of metrics (measurements), which is best done with mapping out your scalp for miniaturization and then get a number each year on what is happening with the miniaturized hairs.

If your diffuse unpatterned alopecia (DUPA) is responding to treatment, the number of miniaturized hairs will be proportionally less.

Hair Loss InformationLaserComb Stops DHT? – Hair Loss Information – Balding Blog

i have a few questions. i have been taking propecia for about a year now and it has halted my hairloss. however i have also been taken adderall and have noticed my hair is getting really thin on top and in the front. If i stop taking adderal, will my hair get thicker and start to regrow or have i just screwed myself. also i just bought a hairmax laser comb that is suppost to stop DHT…. Should i still take propecia?

for my last question. i have an appointment with a dermatologist to have my scalp looked at. what should i ask them in regards to my current hair loss

thank you for your time.

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Adderall is known to cause hair loss or thinning in some people. I can not even guess what will happen to you over time. Do not stop taking prescribed medication without discussing it with your prescribing physician. Taking Propecia is good and one way to halt your hair loss. The LaserComb, to my knowledge, does not impact DHT production nor is it claimed to do so.

Get your dermatologist to map out your hair for miniaturization and measure with an appropriate caliber, the thickness of your hair shafts in different parts of your scalp.

Hair Loss InformationAllergies and Minoxidil? – Hair Loss Information – Balding Blog

Dear Dr. Rassman:

I am a fifty year-old female that has been experiencing hair loss radically over the last year. I have tried minoxidil several times, but can not continue on a regimen due to the
development of red, painful, fluid-filled bumps on my scalp. Are allergies common in the use of minoxidil, and are there any valid natural alternatives (plants/herbs, etc.)?

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It does seem that you are allergic to minoxidil. However, you may also be allergic to the non-active (non-minoxidil) ingredient in the solution. You may want to try Rogaine Foam, which is formulated differently with different non-active ingredients, but place it only on one small area to make this an allergy test. Otherwise, there are no valid natural alternatives to treat hair loss that I would recommend.

Hair Loss InformationMustache Problems – One Spot Is Growing Slower Than the Rest! – Hair Loss Information – Balding Blog

Hi, I’m 19 and I am trying to grow a mustache. However, theres this one little spot that takes longer than the other hairs to grow out. I can see little hair in that particular spot and it also seems very faint in color. I was wondering what would that mean? Would that spot ever grow out to be the same length as the other hairs or is it always going to be like that? Why is it like that? And does shaving have to do anything with it, like if i shaved that spot more, it’ll come out faster? THANK YOU!

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At only 19 years old, you will see one part of your beard grow differently than the other parts. In ten years, you will wish it never grew out! It is possible you had a scar or burn in that area, or that your genetics are at play here. Shaving it will not get it to grow faster.

Hair Loss InformationMy Daughter Has Alopecia Universalis – Hair Loss Information – Balding Blog

I have a daughter that has had aolpecia universal for the last 10 yrs. Her hair completetly fall out and then regrew back with help of cortizone shots, lasted 2 yrs and than fall out again. Since then her hair has never returned. Now, at the age of 30 and the devasation of no hair and self esteem are at rock bottom. What would you suggest.

Thanks

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There are dermatologists that specialize in this condition. There is a doctor here in Los Angeles that might be able to help her — Dr. Richard Strick is at UCLA and I’ve written about him before. He’s done remarkable work with alopecia areata patients (see Alopecia Areata in a Patient with a Miracle Cure), and although your daughter has a different form of alopecia, it is worth perhaps contacting Dr. Strick.

Hair Loss InformationTransplanting Hair While Still In the Early Hair Loss Stages – Hair Loss Information – Balding Blog

Hi,

Why do you say it is such a bad idea to thicken up an area that you may lose in the future? Say if you had hair that was 50% of it’s original density and thinning continually, could you not get 50% of the original transplanted into the thinning so that as the remainder eventually thins out and has gone your still left with what was transplanted earlier?

Thanks!

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Shocked!If your hair loss is in its early stage and a hair transplant procedure was in that early stage there are problems with that approach. I have little doubt that in the young man with early hair transplants, the hair that is destined to fall out, may fall out at a faster rate than they would have had a transplant not been done. I am not talking about hair transplant shock alone (which is short term by months), but rather mid and long term by years from a time frame point of view.

Even though Propecia (finasteride 1mg) works in most men to prevent hair transplant shock, there is no better treatment for hair transplant shock than not having a transplant into areas of early thinning. So if you transplant hair that causes native hair in the vicinity to fall out, you could possibly wind up just replacing miniaturized hairs with a lesser number of transplanted hairs. The net effect may be zero and the preventive hair transplant would have been unnecessary and wasteful. Hair transplantation is a permanent process and it must fit the Master Plan of your hair loss process.

I do not believe surgery is in their best interest for younger men thinking about getting hair transplantation when the hair loss is just starting. All hair taken from the donor site is ‘finite’ which means that transplanting donor hair depletes the donor supply. If a person had 6000 grafts in his lifetime and he uses 2000 of them in an attempt to anticipate what might happen, the reserves for treating what will happen will be less than had the person had no surgery. The young patient can always delay the decision to have a hair transplant. Perhaps meeting again 8-12 months after your initial consultation will allow your physician to reassess the Master Plan to see where your hair loss is going.

Hair Loss InformationWhat If I Take 5mg of Finasteride to Treat Hair Loss? – Hair Loss Information – Balding Blog

Pretty basic question i think:
I have a prescription for finasteride 5mg which i usually divide into fours. This, of course means on a normal day i take about 1.25 mg. My question is, if due to time constraints or other circumstances i find myself not having time to split the pill and i take a 5mg pill, what side effects can i expect? are there any at all? Will it speed up the process that is already happening since i’m using the medication regularly? Thanx for the response.

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KnifeTaking finasteride 5mg (Proscar) daily will not have any benefit over the finasteride 1mg (Propecia) in the treatment of androgenic alopecia (AGA). The increased dosage was studied when Propecia was released by the FDA. The higher dose will have an increased potential for side effects (there is a list of potential side effects for 5mg of finasteride here.)

My advice to you would be to just take the 30 seconds out of your day to split the 5mg pill into four pieces to get the proper dose. There are pill cutters available at your local pharmacy, and even a sharp knife would do the job just fine.

There Should Be An Anonymous Survey of Propecia Users About Side Effects – Hair Loss Information – Balding Blog

Hi Dr:
I have read several of your postings regarding men on propecia and a decrease in penis size. It has happened to me also. I can clearly say that propecia has had an effect on libido and penis size while flacid. I have always been very sexually active, but since I began propecia all has changed. Getting aroused is more difficult – but i do get there eventually. My erection seems normal. I am 50, in shape and in good health. Patients confronted in person may not be apt to disclose that their flacid penis has shrunk. I wouldn’t. We’re men. Perhaps there should be a nation- wide anonymous survey of propecia taking men to once and for all prove that there is an effect.

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Thanks for your comments.

I generally ask my patients on finasteride about their libido and the ability to get erections when I see them. I couldn’t say for sure whether everyone is being 100% truthful, but I do get some very candid, honest responses and I like to think that there is a good doctor/patient relationship and everyone is being honest.

Perhaps many men would be embarrassed to discuss these issues amongst friends, but not everyone is embarrassed about these issues when it comes to speaking to a physician. I will consider adding a question about flaccid penis size to my regular questions and report back in a future blog posting.