Hair Loss InformationSince When Does Platelet-Rich Plasma Need FDA Approval? – Hair Loss Information – Balding Blog

I read your last post about PRP but now several well establish hair transplant doctors are now offering the procedure with positive results. In addition, this doesn’t need to be FDA approved because it’s from your body to your body. I actually had this done yesterday. Let’s hope this turns out to be a good thing for hair loss.

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PRPThere have been various reviews by different doctors on the use of platelet-rich plasma (PRP) and few of those that used it are convinced that they have seen benefit. This technology has been used for bone grafts, especially by dentists. It drives up the costs of the procedure and proof of safety and effectiveness with regard to hair transplantation is not at hand. Any claims of safety or effectiveness do fall under the purview of the FDA, although the FDA is too busy managing its other problems to become involved in what individual doctors offer and claim with regard to this process. It is a complex process with many variables depending upon the doctor’s style. A patient’s blood must be harvested, separated from the cell portion (red and white cells) and then used in some manner to get it to the transplant.

Some doctors inject it into the scalp, some soak the graft in the PRP before implantation into the body, and the process must be carried out with impeccable sterile techniques (managing this process is not something normally found in a hair transplant practice as these procedures are not done with true sterile technique, but rather clean techniques). Can you imagine an infection that arises in a patient who underwent such a treatment? I know that my malpractice carrier would not approve as they may look at it as human experimentation (falling outside my policy coverage).

Can I Lower the Temperature of Rogaine Foam? – Hair Loss Information – Balding Blog

Hi, you will probably think this is a dumb question, but I’ve been using Rogaine Foam for about a month now and I can never tell if I applied the foam to all the proper areas of the vertex. I’ve started putting the rogaine foam can in the refridgerator. After it has cooled down, it applies (without dissolving in my hand) onto my head quite well and the coolness is a good indicator of where it has been applied. MY question is, will the lower temperature effect the potency of rogaine foam? Thanks.

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RefrigeratorI had a patient tell me about his trick with Rogaine Foam — if you keep your hands cold (put them under running cold water for a moment) when applying the foam it doesn’t melt as easily… but I’ve not heard about using the cold as an indicator. I think it is a clever idea, but I do not know the answer.

I doubt a colder temperature would affect the potency of the minoxidil, but I’m unsure if the packaging is made to withstand the very cold. Proper storage of Rogaine Foam is at room temperature, between 68 and 77 degrees Fahrenheit. You can try getting better info from the source by writing or calling the maker of Rogaine via their website.

I Took Propecia for 3 Months Then Stopped — When Will Catch-Up Loss Occur? – Hair Loss Information by Dr. William Rassman

How long do you have to be taking Propecia to then quit and see “catch-up” loss? I only took it for 3 months and quit due to sides. My hair loss never really stopped, and I heard it took a year for a real effect. Is that enough time to cause accelerated shedding/loss thru the catch up process as opposed to the regular speed of the balding process? I mean, my “real” pattern three months on should not be that much worse.

I believe you are probably safe, as you have not taken the drug long enough to get the benefit you would lose by stopping it.

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In the News – Gray Hair Caused By Cell Stress – Hair Loss Information by Dr. William Rassman

Snippet from the article:

Work or personal stress may make you want to pull your hair out, but it’s cellular stress that actually turns it gray, a new study has found.

That’s because DNA is “under constant attack” by damaging agents, such as chemicals, ultraviolet light, and ionizing radiation, according to study lead author Emi Nishimura of Tokyo Medical and Dental University.

A single mammal cell can encounter up to 100,000 events a day that damage DNA, Nishimura added in a statement.

The stem cells within hair follicles responsible for color are the most impacted by this irreparable DNA weathering.

Read the rest at National Geographic — Gray Hair Caused by Stress (Cell Stress, That Is)

Essentially, the stem cells that produce pigment in your hair follicles dry up as you age. The study was done to learn more about aging in general, and the findings could eventually lead to an anti-gray-hair lotion. For now though, stick with hair dye.

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More About Topical Finasteride – Hair Loss Information by Dr. William Rassman

Dear Dr. Rassman:
I have a question about finasteride as a topical solution. There is much speculation that topical usage of finasteride is as effective as oral administration. I even heard that some chemists are grinding finasteride and dutasteride into some vehicle like alcohol and apply it topically. There is also a company (www.hairgrowthmd.com) selling combined minoxidil and finasteride as a spray product and claiming the success with no side effects. Considering the fact that finasteride has large molecule size ( C23H36N2O2 with a molecular weight of 372.549), it is hard to predict that the topical form is to have any effect on the hair follicles (they have to penetrate the epidermis and enter the capillaries in the dermis and subcutaneous layer). As far as I know, FDA has approved only oral administration for 1mg a day for male patterned hair loss.

Do you have any opinion or suggestion regarding to use finasteride in a topical form?

P.S. There is also one publication on this: “Hajheydari Z, Akbari J, Saeedi M, Shokoohi L. Comparing the therapeutic effects of finasteride gel and tablet in treatment of the androgenetic alopecia. Indian J Dermatol Venereol Leprol 2009;75:47-51″

thanks

I would like to believe that the problem is solved with topical finasteride, but I need a good solid peer reviewed article to make these claims credible. The study you mentioned does conclude with, “Finally, we suggest replication study of more samples, with longer period and assessment of patients’ satisfaction after treatment.” — and I agree that it needs more work done before one could reasonably conclude that a topical finasteride is as good as the oral treatment. The problem I see is that if it is not effective and you take the topical preparation instead of the oral proven medication, you will lose hair irreversibly the longer you delay treatment.

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My Trichologist Gave Me Saw Palmetto, Which Made Me Dizzy – Hair Loss Information by Dr. William Rassman

Hi doc,
I am a 30 year male with seborrheic dermatitis. I have been shedding some hair for the last 3 years. My doc said that I am Norwood scale 2.

I went to a trichologist some days back and she gave me some “so called” FDA approved Saw palmetto capsules. I got some pain in the arm and dizziness after using the capsules. I have now discontinued the medicine. I know Minoxidil is the way to go for me but considering that I have SD, would it aggravate my SD? What other options are good for me?

Thanks again

Saw palmetto is not FDA approved, as it is a supplement. If your trichologist said it was FDA approved, she’s mistaken. It has known effects on reducing hair loss in some men, but it is inconsistent and it will not help seborrhea.

On the other hand, minoxidil will aggravate seborrhoeic dermatitis. Option-wise, Propecia is the only other FDA approved medication for treating hair loss (along with minoxidil), but it is available by prescription only.

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Benicar and Minoxidil – Hair Loss Information by Dr. William Rassman

I am a 62 yr. old woman who has been using Minoxydil for about 15 years since I had always had very thin hair and its usage really helped prevent fallout and even made my hair a bit thicker.

About 3 months ago, my doctor prescribed a blood pressure medication (Benicar) and it appears to be causing terrible hair loss (even though I am still using the Minoxydil). I will speak to the dr. about the hair loss but is it harmful to continue using the Minoxydil if I am taking BP medications? I am hoping to find a medication that will not have this side effect. I look forward to your answer as this is very depressing and worrisome

BenicarBenicar causes hair loss in 1% of patients… so it is quite rare. Speak with your doctors and see if there is an alternative medication that he/she would consider. The blood pressure impact of topical minoxidil should not be enough to impact your blood pressure management, but again, discuss this with the physician that is already treating your blood pressure.

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Female Hair Loss After Appendectomy? – Balding Blog

Dear sir,

about 3 months ago, my girlfriend (33 years old) was submitted to a surgery in order to remove a benign uterine myoma, treat an inguinal hernia and remove the appendix. Now she is having some hair loss localized at the top of her head where we can see about 3 cm of her scalp (there is no hair loss at the sides or front). she went to a dermatologist and he asked for a blood test to see if she is anaemic (the test is ok, she isn’t anaemic) and says that this situation is temporary due to the surgery, but I’m a little sceptical after what I have read in this blog and in other web sites as well.

Her mother, father and sister don’t have hair loss, but on the other hand a few years ago she started to have a few hairs in her chin.

So my questions are: what kind of tests do you suggest her to do , and is this a case for a dermatologist or an endocrinologist?

thank you

I would start with a primary care doctor who can do some basic tests to rule out anemia and thyroid causes. You said she’s been tested for anemia though and was OK there… but the primary care doctor will then be able to refer your girlfriend to the appropriate specialist if other basic tests are done. In other words, my advice is to start with the primary care doctor and take it one step at a time.

Generally, major surgeries or general anesthesia can sometimes precipitate hair loss (called telogen effluvium) in some men and women, but some of the autoimmune alopecias can be stimulated from the stress of a surgery as well. The hair loss is generally temporary and can take as long as a year to normalize. It is thought that such surgery or general anesthesia is a “triggering” factor in a genetic predisposition to hair loss. If this is the case, you won’t know for a year or so.




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I Met a Consultant and Was Told I’d Meet the Doctor on the Day of My Hair Transplant – Hair Loss Information by Dr. William Rassman

I have been considering a hair transplant for some time now and after having recently moved to Austria, I decided to have a consultation in Vienna. I was told that the procedure, in my case, would require between 800-900 FU’s and that the total cost would be 7,300 euros. As I am new to this and have not had the opportunity to meet with any other clinics, wanted to know if this price is exorbitant or fair and what is the quality of the clinic’s work?

Also, I did not meet with the doctor during my consultation and was told that I would meet the doctor on the day of the procedure shortly before the transplant. Is this normal? I would have felt more comfortable speaking to the doctor during the consultation than a rep/sales person.

Many thanks for taking the time to answer this.

I personally believe that not meeting with a doctor and getting surgical recommendations from a consultant (AKA “salesman”) is just plain wrong! Ask yourself this question — why would you trust a salesman to diagnose you (which only a doctor can do) and accept his recommendation of a treatment plan? That’s ridiculous! Would you have heart surgery that way? If you can’t meet with the doctor before the day of surgery and get his opinion, I’d look elsewhere.

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My Transplanted Hair Never Grew, But Also Never Fell Out – Hair Loss Information by Dr. William Rassman

Hi,
I had a hair transplant about 7 months ago. What I noticed is that the transplanted hair which never shed has remained but I have yet to see any other growth. The hairline looks sparse and not what I was told that they would achieve, which is thickness. Can the transplants still develop or will I expect to see no more improvements.

Thank you

At 7 months after surgery, I would expect to see most of the growth. Wait a few more months and if there’s still nothing, then ask your doctor what went wrong (I am taking what you said at face value).

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