Hair Loss InformationRegrowing Hair from Years Ago and the Power of Positive Thinking – Hair Loss Information – Balding Blog

Hi Dr and thanks for your time.

I am a 34 year old male and have been thinning for roughly 12-14 years. I feel I used to shed ridiculously bad- I would tug at the hair kind of obsessively and lose around, I dont know, 100-200 per day. This went on for 10+ years but I have since slowed the loss to tolerable levels, say 5-25 hairs per day with improved diet (which I swear had a lot to do with it) and minoxidil 5% 1X per day. My main thin spot is on the vertex, or top of the head, not bald, but somewhat thin, where I really want regrowth. For the past 6-8mos I have been applying minoxodil 2X per day, and recently I decided to take propecia at .5 mg every other day.

I know people say it is hard to regrow hair lost years ago, but I have read of people who do it using finasteride and minoxidil. Have you witnessed this and if so what is the oldest hair lost you have seen men regrow? I have heard of people in their 40s doing this from 5-10 yr old hair loss… I am aware that all meds work better on people who have lost hair recently, and are younger. Also, if the placebo effect worked in some finasteride trials, (even if slightly) what is the power of positive thought here? Thank you very much.

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I believe in positive thinking, but I can not say that I have seen it grow hair lost years ago. I think that everything you did has worked for you a little here and a little there — and by that, I mean the medication you’re using and when you stopped the pulling on your hair.

As for the oldest regrowth from finasteride that I’ve seen, well, I have a 79 year old friend who went on Proscar for his prostate and had the great unexpected cosmetic benefit of hair growth when taking a medication for his health. Generally speaking, this is a rarity.

Hair Loss InformationCreatine Increases DHT? – Hair Loss Information – Balding Blog

Based on the questions and answers on your excellent blog, you seem to have taken an ambivalent position on creatine and hair loss in the past. I am 25 and very athletic, and I have a medical background so would never consider taking steroids or other dangerous substances. Creatine is a safe and effective athletic supplement that I have been taking for some time, but a recent study published in the Clinical Journal of Sports Medicine found that creatine raised serum DHT by 40 percent when taken at the moderate dose of 5 grams per day. In addition, creatine has recently been shown to increase the ratio of DHT to testosterone in young athletes. Do you think this is sufficient evidence for young hair loss sufferers to entirely avoid this otherwise excellent ergogenic aid?

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I found the study you’re referencing — Three Weeks of Creatine Monohydrate Supplementation Affects Dihydrotestosterone to Testosterone Ratio in College-Aged Rugby Players

The study was very limited (only 20 men) and the amount of creatine taken can vary wildly amongst those that use it, but I would avoid creatine if it indeed increases DHT levels in the body and you’re worried about possible hair loss. The study itself concludes, “Further investigation is warranted as a result of the high frequency of individuals using creatine supplementation and the long-term safety of alterations in circulating androgen composition.

I appreciate you bringing it to my attention.

I Scrubbed Off Part of My Mustache! – Hair Loss Information – Balding Blog

I seemed to have damaged a small area of my mustache, and I’ve waited 6 months and the hair hasn’t grown back.

I was using 1 of those luffa (loufa) facial scrub pads, and went across my mustache, when I looked at the pad, I noticed complete hairs on the scrub pad, and the bottom tips of them were wait. And now there is a clear small bald spot in my mustache to the point that, I’ve decided to shave my mustache completely off. It just looks ridiculous with that patch missing.

My question is, is the area forever damaged, and what can be done to regrow the hair. My wife misses my mustache as much as I do.

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If your mustache does not come back in another 3 months, the only way you can get it back is to transplant it. Hair transplantation works well in facial beard defects. At that point, you can make a trip to my LA office (you indicated you weren’t too far away) for a free consult. I’d give it some more time though to regrow on its own.