Guest Post — Popular Baldness Causes and the Lack of Evidence

This post comes from Dr. Richard Shiell:

    Dr Masumi Inaba, who wrote a book on Androgenetic Alopecia (Springer 1996), was firmly convinced that the increase in Western style animal fats was causing an increase in baldness in young Japanese males. I am not sure that his statistical method would stand rigid scrutiny however.

    The same lack of good statistics applies to all the popularly believed “causes” of baldness. Forty years ago when I was a young HT surgeon, the patients all blamed the wearing of hats in the Army or Police Force as the cause of their baldness, when I am sure that it was just that they entered these institutions at the precise age that severe AGA usually kicks in (19-21 years old).

    I certainly believed throughout my career that “gym-jocks” lost hair more quickly than their “lay-about” brothers and cousins. The problem is that many were taking steroids and other “dietary supplements” so it was a very confusing issue to ascertain causality.

    I had one of a pair of 25 year old “identical” twins who had lost significantly more hair than the other. When I spoke to the more hirsute twin about it he laughed and said it was because his brother was married with a child and mortgage, and had more stress. So there you have undeniable evidence from a large series of ONE case!!

    Hair loss is the results of many complex things. For example, dietary supplements like whey and a variety of branched amino acids including creatine, push up men’s testosterone levels (and their DHT levels), which in turn accelerate hair loss. We are what we eat, I just wish I understood all of the complexities of diet as it impacts the hair loss we see.


2012-07-02 11:51:43Guest Post — Popular Baldness Causes and the Lack of Evidence

Growth Hormones in Milk

I emailed a professor at Colorado State who knew about growth hormone and IGF-1. He said there is a difference between GH that is injected and turns into IGF-1 and IGF-1 that is consumed orally. GH that is consumed orally is orally inactive and is a protein hormone that is digested completely by the stomach, while GH that is injected into the bloodstream is the only way for GH to take effect on one’s body. And theoretically even if GH was not digested by the stomach, he said there is not enough GH in milk for example to cause any difference. He did not know about anything related to GH and balding though.

Good point and your diligence is appreciated. The stomach does inactivate many things that we eat because of the high acid content. I don’t know what else I can add to this. For those curious about the growth hormone / milk saga, see DHT and Milk.


2008-06-16 16:38:28Growth Hormones in Milk

My growth from FUE

Surprisingly my hair transplanted grafts started to immediately grow after about two weeks. I still had crust on my head from the transplant and the hair started to peek through. I was doing my research intensively before that and haven’t found one with almost instant results as i did. I was told from my doctor that it could take up to a year to see the full effect. It definitely met my expectations but the other non transplanted hair isn’t immune to DHT so this could lead to dissatisfaction again in a couple of years.

Most hair appears to grow immediately, but falls out in 2-4 weeks. About 1 in 20 people get instant growth that continues from the day the transplant was done. Most are somewhere between the two examples I discussed above. As hair loss is a progressive process, you should consider another FUE and if you are satisfied with your surgeon, go back and see that surgeon for an opinion about another FUE.


2020-03-04 15:42:01My growth from FUE

Does All of the Hair Grow Out at the Same Time? I Am Now 4 Months from My FUE.

Hair grows at different times in the growth cycle. At four months, some will be growing out, with more in the fifth and sixth months. This is why I tell my patients that the average person has 80% of the growth in eight months to a styling length of about one and a half inches. It varies with individuals, some earlier and some later. You clearly have growth now and it will only get better, longer, and thicker.


2018-06-26 12:53:03Does All of the Hair Grow Out at the Same Time? I Am Now 4 Months from My FUE.

Growing Hair from Body Fluid Injections to the Scalp?

I heard of a technique where your own bodily fluid is injected into the male pattern balding spot and is supposed to grow hair. Can you tell me what you know about this treatment? Is it for real, is it permanent, is it for the frontal part of the scalp etc.?

I don’t know of injecting body fluid (???) in your scalp to grow hair… but I do know some clinics offer platelet rich plasma (PRP) into the scalp in hopes it will provide faster healing after a hair transplant. Some dentists use it for faster healing after a dental procedure. I asked a few dentist friends, one of which is a professor at UCSF, and she believes PRP is controversial even in the dental field.

In the end, this method has never really been proven to grow hair on a bald scalp. If anyone can find a well controlled study for hair growth from PRP, please let me know. Some doctors charge hundreds or thousands of dollars for PRP, but I remain a bit skeptical. The patients we’ve viewed in the office haven’t had the results their doctors promised.

Growing Blonde Hairs After Using Minoxidil

Hello Dr.!
I have some questions about minoxidil. Is normal that you get blond hairs on scalp after using minoxidil 5%. Is this possible Telogen effluvium? I shed a lot after using a minoxidil for 18 days, now i have blond hairs to. What should i do? Thank you for your time.

I do not know if you were a blonde to start with, but new hairs may be more translucent (not usual). Some people report shedding when they start the minoxidil. If this is happening to you, just wait it out for at least 3 months and the shedding should stop.

Growing Bangs After a Hair Transplant?

Is it possible to style your hair with bangs after undergoing a hair transplant? In most “after” photos, the men dont have any bangs. Is this just because they want to show off the new hairline or does the new hair tend to not want to lay flat?

Hair normally grows forward, so bangs are not a problem. When I perform a hair transplant, I point the hair in the forward direction at an angle almost horizontal in the first 1/8th inch and then slowly lift the angle. This is the way all the hair grows in normal men and you can see it when you clip the hair short.


2013-06-18 11:49:30Growing Bangs After a Hair Transplant?

Group of technicians did this surgery and got necrosis (photo)

By law, only physicians are performing hair transplant surgery in the US and most European and Asian countries. Necrosis is a terrible complication of a hair transplant and necrosis reflects some lack of understanding of anesthesia and/or technique in the surgery. In the 16,000+ surgeries my group has done over the past 29 years, we never had a case of necrosis


2020-12-01 21:22:57Group of technicians did this surgery and got necrosis (photo)

Green Tea to Treat Hair Loss

Hi,
I am currently 24, I have been orphaned since 4 years old. so I have no idea if this problem of mine is linked to genetics. At about 16 years old I notice my hairline receeding, I was kind of ignorent then. About a year ago someone mentioned the (dreaded fact) since then I’ve been looking for alternatives to Medical drugs. I came across an article written about the 5-alpha Reductase inhibitors found in EGCG (green-tea)I was wondering if you know if and when there might be conclusive evidence with American Science, I do hope I don’t come off sounding like a (Jack-ass), but it really scares me to think that especially in (starting my own family )is lost due to the American Standard. Oh yeah on the Norwood Diagram, I am currently Type II.

What should scare you more is letting the hair be lost while you, as an amateur, try to do what hair professionals do every day. You need a diagnosis (even more important for you, because your genetic family line is unknown) and you need your scalp mapped out for miniaturization to find out if you are balding from genetic causes.

As far as green tea is concerned, I frankly do not know. If it really worked, more and more people would be using it and telling me about it. Just something to think about. I am curious, does one drink it or pour it on their head? Ha!


2005-12-08 09:18:26Green Tea to Treat Hair Loss