Any Data for 2mg Finasteride Benefits? – Hair Loss Information – Balding Blog

I understand that a 1mg dose of Propecia is recommended. What I want to know, however, is how much more hair grew at a 2mg dose vis-a-vis the 1mg dose — 10% more? 15% more? I know these data exist. So, what incremental improvement might there be with a 2mg dose?

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While it’s quite possible that the data for 2mg finasteride hair loss treatment benefits exists, I don’t have it, I don’t recall seeing it, and I’m not sure if it was ever made available to the public.

I do know that there were studies that looked at high dose and low dose finasteride (prior to Propecia becoming available) for treating hair loss. More is not better and I am not aware of a 2mg study showing any additional benefit. The stories that I do hear are anecdotal.

Can Sleep Position Cause Eyebrow Hair Loss? – Hair Loss Information – Balding Blog

Hello Dr,
Is it true that the position you sleep (i.e on your face or side) can cause hair loss in your brow? I have heard this before and was wondering if its an old wives tale or if its true? I know a few people who have sworn this is the case with them, and want your expert opinion as a hair loss specialist. Thanks!

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I’ve never seen eyebrow hair loss from sleeping on your face before, nor have I even heard of this occurring. It probably is an old wives’ tale, but I’m open to ideas others might have about this.

What If There Was an Unlimited Donor Supply? – Hair Loss Information – Balding Blog

If an unlimited supply of donor hair were available, could transplant surgeons give a patient the 200 hairs per cm squared that the average human head has or would a new tool smaller than the .5mm tool im aware need to be created to achieve this look?

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I suppose you can achieve 200+ hairs per cm squared (which is about the average for a non balding Caucasian male), but I find most people who are obsessive with hair per square centimeter don’t understand the full story and are mislead by all the discussion groups on the Internet.

You can have 100 hair per cm squared and still look like someone with 200 hairs per cm squared, as this is not a numbers game. Furthermore, hair transplant is NOT about the numbers and density. It is about the art of creating a natural looking hairline with minimal number of hairs you harvest.

With respect to graft survival, there may be some issues of the grafts surviving such close packing in ONE surgery. Now 200 hairs in a square centimeter is possible with multiple surgeries to the same area… but again, numbers do not translate to how it looks overall.

Hair Loss InformationDid Finasteride Stabilize Dr Rassman’s Hair Loss? – Hair Loss Information – Balding Blog

Hi.

I seem to recall reading a message of yours where in a reply to a reader you mentioned that you personally discontinued your usage of finasteride. You felt it had stabilized your hair loss.

What confused me is that you seemed to imply finasteride stabilized your hair loss and you could thusly stop treatment. (or at least chose to and wasn’t any worse for it). It was my understanding that hair-loss will always resume once treatment is discontinued. Is this not true? Or did I misunderstand your message?

Thanks.

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SeniorYou’re right that once you discontinue Propecia (finasteride 1mg) treatment, your hair loss resumes. For me though, since I originally had crown loss, I tried finasteride to see if I could increase the hair in the crown. At that point, my crown was clearly stable and I did not gain anything from the finasteride.

Considering that I was about 60 years old when I started taking the drug, I probably had as much hair loss as I could expect for my age. There are advantages of being a senior besides discounts in the movie theaters and on public buses. I hope that clears up any confusion!

Hair Loss InformationDilantin, Neurontin, and Hair Loss – Hair Loss Information – Balding Blog

I am a 38 year old male who has always had full head of hair. I also have been on the drugs Dilantin and Neurontin for many years.

After issues with Dilantin caused bone loss, I was tapered off that drug and now only take Neurontin. Since, ending Dilantin I have had numerous side effects, including hormone issues (increased Prolactin levels, lower end bioavailable testosterone, etc) and increased hair loss.

My hair still covers my head but it feels thinner and I notice alot of it in the drain of the shower. Over the past year off of Dilantin, the Prolactin levels have dropped back into the normal range. However, I still notice the hair loss.

Is it possible that these hormonal issues have caused my hair loss, or could it be the Neurontin acting on its own ?(my Neuro says I am having other effects from the Neurontin that may have been masked when I was taking it with Dilantin, so I wondered if hair loss could be included with that.)

As I haven’t had a seizure in many years, I am going to get off Neurontin too if all goes well, but I wanted an opinion on this hair loss before I go bald. By the way, my dermatologist doesn’t seem to have much of an opinion, is there another type of specialist I should look for who might help?

Thanks.

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You need to speak with your doctor and read the label material that comes with the drugs, which will have comments about hair loss if it is a known side effect. I’d expect your prescribing doctor, who you should always talk to before changing your medication, would be the best person to ask. That being said, here are some past posts that may be of interest to you —

  1. Dilantin and Hair Loss
  2. Dilantin and Male Hair Loss
  3. Neurontin (Gabapentin) and Hair Loss
  4. Neurontin and Hair Loss

Hair Loss InformationAlcohol and Testosterone Levels – Hair Loss Information – Balding Blog

Dr. Rassman,

Below is a study that links alcohol and testosterone levels- Does an increase in testosterone levels necessarily accelerate hair loss in men who are predisposed to lose their hair? Thank you-

Study abstract: Alcohol Clin Exp Res. 2003 Apr;27(4):682-5. Testosterone increases in men after a low dose of alcohol.

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We have known for some time that alcohol is metabolized by the liver, as is testosterone. I can not connect the dots between the casual drinker and the hair loss victim.

Hair Loss InformationFDA and False Advertising on Product Labels? – Hair Loss Information – Balding Blog

Hi Dr. Rassman. You’ve talked about the FDA cracking down on “false advertising” in the past, specifically on labels. I was wondering why Head and Shoulders can put on the front of their bottle “Improves Hair and Scalp Health Guaranteed”. This is a loosely based statement lacking specifics; i.e. how it improves my hair or scalp health. I can understand it clearing up dandruff, hence improved scalp health, but hair?

People may associate improved hair health with thicker, stronger hair which I believe no magic shampoo has been factually proven to do so.

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I asked FDA consultant Norman F. Estrin, PhD, Managing Partner at Estrin Consulting Group LLC, to answer this one. The following response was what he sent me –

FDAImproves Hair and Scalp Health” is a claim that the FDA would call “puffery”. Puffery is allowed for cosmetic claims. You correctly pointed out that it is a loosely based statement lacking in specifics”. This is characteristic of puffery. It just as easily could have said “livens up your hair” even though we all know hair outside the body is not alive.

Head and Shoulders is an OTC drug because it treats dandruff. It is also a cosmetic as well and its cosmetic claims are regulated by the FDA Office of Cosmetics and Color Additives, while the drug claims are regulated by the Center for Drug Evaluation and Research (CDER). The Federal Trade Commissions also monitors fraudulent claims, especially in advertising. Here are some other examples of puffery:

  • Best shampoo ever!
  • Energizes your hair
  • Eye awakening
  • The skin you want
  • Safeguards your beauty
  • Age Control
  • Helps restore youthful zones
  • New life for your hair

Since these claims are qualitative descriptions rather than hard facts, the FDA cannot regulate such claims because they are so hard to define. If, however, a cosmetic company claimed “Proven to increase collagen synthesis”, the cosmetic company would be in trouble because any product that does so would meet the FDA definition of a drug:

(A) articles intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease
(B) articles (other than food) intended to affect the structure or any function of the body of man or other animals

In this example, increasing collagen synthesis in the body would be an effect on the “structure or any function of the body of man”.

Hair Loss InformationViviscal for Women? – Hair Loss Information – Balding Blog

Hello,I am a 31 years old female and a mother of one child. I am currently losing hair on the top of my head, you can actually see scalp. My hair has become very thin. I have always had fine hair but it is curly so I can cover it up very easily. I have been looking around for something to help me and came across Viviscal. Would you recommend this for a woman who has excessive body hair? If not what do you recomend? I thought of Rogaine but I hate the idea of having to take it forever.

Thank you

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ViviscalI don’t recommend Viviscal, as it hasn’t been proven to my satisfaction to treat hair loss. It also isn’t FDA approved, as it is just regarded as an over the counter supplement. The key ingredient appears to be a marine protein extract, so if you’ve got a fish allergy you should steer clear. Another key ingredient is vitamin C. While the product might help nourish your hair, I don’t know that it would treat hair loss, particularly if it is genetic in nature. Otherwise if you wish to use it, that is your choice to make.

For women, your options for treating hair loss are unfortunately rather limited. Have you seen a doctor to find out what the possible cause of your hair loss is? We compiled a partial list of female hair loss causes here.

Hair Loss InformationPlagiocephaly and Hair Transplants? – Hair Loss Information – Balding Blog

I have plagiocephaly and feel very uncomfortable with my head ever since I started to bald. I feel that since it has bothered me more with my balding, is hair transplantation a good solution?

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Flatened headFor those that aren’t familiar with plagiocephaly, it is when the skull is misshapened and flat. This usually occurs when a baby spends too much time laying on his/her back in one position.

As you’re aware, this condition can be hidden by good hair styles… so a hair transplant is an excellent approach to your problem. Whether or not you’re a candidate, I couldn’t say without an examination. But generally speaking, transplantation should help you become more comfortable with your appearance.

Hair Loss InformationAllergic to Shampoo? – Hair Loss Information – Balding Blog

Hi,

I think I may have an allergic response to many shampoos. I’m getting a lingering burning sensation for about 30mins after washing it out.

Are there any other alternatives for washing hair? Or should I just not worry?

Thanks

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I’d see a dermatologist to try to figure out what you’re allergic to. There’s probably some common ingredient amongst the shampoos you tried, but I’d have no way to know what that could be.