Dr. William Rassman – Page 1574

September 17, 2007

I’m Across the Country — Can I Get a Proscar Prescription From You? – Hair Loss Information by Dr. William Rassman

I use propecia and I dont know exactly if it works, but I took a pic a year ago and now and it appears to be working, but who knows, Im sure I should have seen someone to measure. Is there any other process that I can do now to tell if it works (besides stop taking it? – guess that would work huh? – haha)

Anyway, I wanted to switch to Proscar rather than Propecia. You mention in the blog I can get a prescription from you? What is the process for this? My prescription for propecia is up and I only have about a weeks worth of doses left. No medical history and no problems in terms of the sexual drive etc.

Thanks for your help

We will take you on as a patient over the distance. This requires a telephone consultation and that you send me photographs. We will discuss the steps over the phone. You can call us at 800-NEW-HAIR to setup a phone consultation.

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September 17, 2007

Propecia and Muscle Development – Hair Loss Information by Dr. William Rassman

Please Dr., answer this as clearly and thourghly as possible. Does propecia stop muscle growth, slow muscle growth, or effect muscle growth in any way? I am getting paranoid and very anxious with all the different responses on the net. One source says dht is essential for muscle development. I simply just want the truth. Please respond as quickly as possible. Thank You.

To my knowledge and from what I read, Propecia (finasteride 1mg) should not stop muscle growth. I also have not received any complaints about muscle issues from my patients that are taking the drug.

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September 17, 2007

Toprol, Welbutrin, and Propecia – Hair Loss Information by Dr. William Rassman

I take Toprol XL for high blood pressure & Welbutrin. Would propecia interfere with these medications? Thank you

Propecia will not interfere with these medications. Raise these concerns with your prescribing physician.

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September 14, 2007

Playing the Stock Market with Intercytex Shares – Hair Loss Information – Balding Blog

Dr. Rassman

I understand you are a doctor, not a financial advisor, but I thought this question was worth mentioning anyway. Currently Intercytex stock is trading around 52 British pounds per share, giving the company a value of about 42 million British pounds. This means that the company is valued at around $83 million. Lets be serious, the success of the cloning procedure is worth way more than that. Lets say there is a 1 in 5 chance of success along with FDA approval within 10 years, the company could be worth a couple billion I’d say. So I would think the stock is a decent bet, at least for those willing to speculate. What do you think?

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You are correct in stating that I am a doctor, not a financial adviser. Risks are a matter of timing and intelligent selection. If I knew what to do with discounting the long delays in a financial sense, then it might be worth the gamble. In other words, your best bet is to ask a financial adviser.

September 14, 2007

How Can I Tell If I’m Seeing Regrowing Hairs or Miniaturizing Hairs? – Hair Loss Information by Dr. William Rassman

Doc Love the site!

Do you know any way that you can tell the difference between regrowth and hairs that are currently miniaturizing? I have lots of shorter hairs that are growing on my hairline and at least an inch back, they seem to be the same thickness as the other hairs but am worried that they are miniaturizing, I recently started avodart which I have heard can cause frontal thinning. Any response would be greatly appreciated!

New hairs that grow out from the normal telogen cycle have a normal shaft width, while miniaturized hairs are finer hairs reflecting decrease hair shaft width.

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September 14, 2007

I Want a Hair Transplant, But I’m Prone to Forming Keloids – Hair Loss Information by Dr. William Rassman

i’m an 19 year old girl suffering from androgenetic alopecia. i’ve been losing much hair and tried everything(rogain 2%, hormone therapy) but didn’t see any major results. i’m considering of having FUE on my frontal hairline, the problem is, my skin is prone to forming keloids. I know that keloid will probably form on the donor area but is there any possibility at all that keloids will grow on my hairline??

Yes, you are at risk of forming keloids on your recipient area (frontal hairline), but the risk is low. In all of my years, I have never seen a keloid in the recipient area. At a medical meeting some years ago, we polled the audience of about 300 hair transplant doctors to ask them to raise their hands and tell us if anyone ever saw a keloid in the recipient area. No one raised their hands.

You must also consider that androgenic alopecia in a 19 year old female is very rare and make sure that you have the correct diagnosis along with realistic expectation of what you are trying to accomplish and the fullness that you are going to have from a transplant. In other words, you must weigh the risks versus the benefits and you absolutely need a diagnosis by a competent doctor.

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September 14, 2007

Minoxidil in Older Men – Hair Loss Information by Dr. William Rassman

Minoxidil question:

My situation: age 60, hair thinning on top, no baldness, with a general appearance of a full head of hair. My primary concern is simply stopping hair thinning/loss.

Will minoxidil achieve this, and if so, for how long, (assume that I will live another 20 years.)

Minoxidil directions all call for application twice daily. What will result from application once daily, or: some days once, and some days twice, or: sometimes missing a day? Missing 2 days?

Is it a good idea to use a hair brush after application, to ‘brush the scalp,’ assuming that invigoration will aid absorbtion-?

Thank you!

Both of the FDA approved medications for treating hair loss (minoxidil and finasteride) are mostly effective during the active hair loss age (generally early 20s to late 30s). It does not mean that it can not help people over 40 years old, but the rate of hair loss is more gradual and the positive effect of the medication may not be clearly seen as well at higher ages. Generally, more miniaturized hair means active hair loss and more potential benefit from these drugs. If you use the minoxidil or finasteride and get good response you are committed to continue using it for the rest of your life.
The studies show the optimum results are achieved when minoxidil is used twice a day, but once a day may be better than nothing or it may not give you any results making any efforts a waste of time and money.
I don’t believe brushing the scalp change the absorption of the medication significantly.

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September 14, 2007

Recommended Age for Hair Transplant – Hair Loss Information by Dr. William Rassman

Hey Doc! I’m 22 With Norwood Class 3 (with some thinning in the crown) and I was wondering at what age do you recommend one does a transplant. I have noticed that most of the patient photos are from people older than 40. I really don’t want to wait that long. Do I have to? Thanks!!

I generally do not like to perform a hair transplant on someone whose pattern is not clearly evident based upon miniaturization studies when I map out the scalp and hair. Men under the age of 25 generally fall into that category, but clearly I have done hair transplants on men under 25 when there is frontal hairline loss or a clear pattern that has advanced such that the medications like Propecia and Rogaine will probably, in my opinion, not work. Everyone deserves a personal assessment. In other words, there’s no set age.

A good one-on-one examination and the building of a Master Plan with each patient is critical. It seems like you are too early for a hair transplant and should get good results in the crown with Propecia. Get your baseline mapped to you know where you are going and do it yearly.

Warning: It is quite unfortunate, but there are many unethical doctors who recommend hair transplants on young men who are easily swayed by the power of their MD and their fear of going bald. Although this is an important warning for men under 25, it also applies to all men considering hair transplantation. Be sure that the recommendations are in your best interests at all times, not in the interest of the doctor’s mortgage or fancy car payment.

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September 14, 2007

ScalpMed Made My Hair Brittle and Dry – Hair Loss Information by Dr. William Rassman

Hi Doc..I am a 47 yr. old male and I have thinning on the top and crown of my head. i have been using an herbal shampoo ( superhair engenizer) and 1 mg. finestaride which made my hair and scalp healthier and more manageable. I wanted to add more density and decided to give scalp med, a try…used it for 2 weeks and it made my hair brittle and dry …also had some hairloss. I stopped using the product and have been off it for two weeks…but hair still feels dry and brittle…my question is how long will the effects last from the scalp med. which contains minoxdil, last and will I recover the hair that I have lost

It is impossible to tell if your dry hair was due to ScalpMed or just coincidence. Either way, it is also not possible to tell when your hair will regain the loss you suffered. I do not have any personal experience with ScalpMed, but with respect to topical minoxidil it can sometimes cause scalp irritation as an unfavorable side effect.

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September 13, 2007

Is a Hair Transplant Really Permanent? – Hair Loss Information by Dr. William Rassman

Hey doc, hows it going? I was reading some of the posts and was wondering if a hair transplant really is completely permanent? Or will that area bald again and another transplant of hair to the same area will be needed? Thanks.

Permanency of the transplanted hair depends upon the donor hair that is used. Since most men never lose the hair in the back of the head (the typical “donor area”), they will not lose the transplanted hairs that are used for transplanting from this area. However, if that donor hair is diseased (alopecia, for example) and a hair transplant is performed, that hair will still fall out, even in its new home elsewhere on your scalp.

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