My Son Became Vegan And Started Losing His Hair – Hair Loss Information by Dr. William Rassman

My 17 year old son became a vegan (6 months ago) and now his hair is falling out in an alarming manner. He eats fruit,nuts,beans and soy products. He has lost 15 lbs and was only 120 to begin with. Tired all the time and now depressed. I took him to a dermatologist and he said nothing was wrong. Can you help us?

From your description of your son’s condition (weight loss, lack of energy, depression, hair loss), there may be an underlying health issue. He should be seen by his primary care doctor who can evaluate his health (not just his hair loss). Of note, a vegetarian diet lacks certain vitamins such as vitamin B12. Anyone starting a new diet should be evaluated by a medical doctor and receive proper nutritional eduacation. Mal-nutrition is a known cause of hair loss.

Lyme Disease and Hair Loss? – Hair Loss Information – Balding Blog

Hi there….I am a female with diffused hair loss for almost 19 years. Eventually it will all be gone. I have been tested for all the diseases that cause hair loss. Could Lyme Disease cause hair loss? If so what kind of hair loss is seen with the disease? Hopefully you can help me, thanks!

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You should be evaluated by a qualified hair transplant doctor or a dermatologist. You may have a condition known as diffuse alopecia areata , a variety of conditions (search women’s hair loss on this site) and you may have DUPA.

With respect to Lyme disease causing your hair loss, you would have many other medical problems if you had this disease for 19 years. It is conceivable that Lyme disease may cause hair loss, but it would be very non-specific, as many other disease states and stressors can affect hair loss. Therefore, I suspect your hair loss of 19 years is not related to Lyme disease.

From my nine years working with Dr. Rassman, he has taught me a simple way to approach any cause of hair loss. Hair loss can be divided in to five causes:

  1. Genetics – such as male pattern baldness
  2. Stress – such as emotional, disease states, or trauma
  3. Hormonal – such as hypothyroidism
  4. Age – we all lose hair with age
  5. Medical diseases including unexplained weight loss

By Dr. Jae Pak

Cosmetic Tattoos on Eyebrows for Men – Hair Loss Information – Balding Blog

Hi, I was wondering about how you felt about cosmetic tattooing for the eyebrow in the case of a male that is looking to add SOME density. I have also been considering eyebrow transplantation but I am unsure about having to trim them a couple of times a week. I heard of a new procedure where they use the hair from your leg as the donor hair. This would be cool since the hair on my leg does not grow as long as the hair on my head. Any insight ?

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Tattooing the eyebrow to create the illusion of hair works nicely for the short term, but it needs hair present at some level of density to make it look like an eyebrow. For a man in particular, the regular appearance of a tattoo which is neat and linear, will appear artificial and feminine if there is not enough hair present to give it some bushy structure to it. After many years, the tattoo color will fade and often turn green and the shape will change. People will notice the tattoo right away if they come close to you without make up and you will end up either using an eyebrow pencil to cover the green hue or get an eyebrow transplant. Tattoos work better for women because they wear make up and eye liner all the time, but sooner or later they will have to deal with the color change of the tattoo. If you are a man, can you see yourself putting on make up for the rest of your life to hide a green tattoo so that people don’t notice it easily? Hair transplants work nicely for eyebrows (see Eyebrow Transplants). Hair from an eyebrow transplant is your natural hair (from your head). The only inconvenience is that it must be trimmed a couple of times each week for a man, more for a woman as you won’t want a ponytail growing from your eyebrows.

Advecia – Balding Blog

I am using advecia and I am wondering if it safe for my health. Does it have any side effects? Is it a dangerous medicine which I should stop taking? What are the success rates when taking it?

Thanks

Advecia is an herbal medicine which has not been proven with true scientific studies to treat hair loss. There is no scientific facts or data for me to support this drug and without good science, I do not know the issues of safety (crossover with other medications/herbals, toxic effects short and long term, etc.) that you are asking me about. I always need to question how a drug/herbals like this works and was studied.




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Finasteride is Banned in Sports – Hair Loss Information by Dr. William Rassman

I currently use propecia and need to know how long it takes to be out of your urine. If one was getting tested for anabolic steriods the finasteride cannot be in the urine because it is banned

I am not familiar with the testing of finasteride in the blood stream or the intricacies of exactly what chemical they are looking in the testing. I do know basic drug dynamics and the mechanism of finasteride. The half life of finasteride is 8 hours. This means if you took it at 7am, 50% will be in your body by 3pm. Then 25% will be in your body by 11pm, etc. I think you get the picture.

Now this is if you took one pill of finasteride only once, but I suspect you have been taking finasteride for a good while. This means that your body has a steady state of finasteride bound by proteins circulating in your blood (you can think of it as a reservoir). So it may be a bit more complex than just a half life value. I read an article on the web that says it takes 4 weeks for finasteride to bring DHT levels back to 20% baseline. I have no way of validating this claim, but you can use it to make an informed decision.

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Heater Causing Female Hair Loss? – Hair Loss Information by Dr. William Rassman

I am a 69 year old retired female. I live in a one bedroom apartment in a block of 12 apartments. Unfortunately my apartment is situated over the boiler unit that heats this entire block of apartments. Last winter I began noticing my hair falling out in February. This continued throughout the early Spring. Testings have eliminated thyroid and testosterone problems. I’ve been diagnosed with female allopecia. However, during the warmer months and summer I stopped losing hair and regrowth began. However, two weeks after the boiler unit was restarted in November, I experienced more hair loss during every shower and combing. I now have to wear a wig due to huge losses. I do have an appointment with a Dermatologist next week. However, I do not think it a coincidence that my hair falls out only during heating season. I believe it is related to the combustion process of this boiler or a malfunction of some sort. Management will be no help without proof of some sort. Any info would be extremely helpful. Is the chemical Chloroprene involved in this process? Thank you

Humans have asynchronous hair cycling, which means that we do not shed hair like other mammals that lose hair in the summer and grow their hair/fur in the winter months. In your case though, it sounds like the heat of the boiler running in the winter is contributing to your hair loss, despite what I have just said. Sorry, but a visit with a good doctor is needed to evaluate the many causes of hair loss in women. This is one of those situations where too many factors which could lead to female hair loss might be in play, preventing me from giving a more specific response.

Low Iron and Hair Loss – Hair Loss Information by Dr. William Rassman

Hi, Im am 35 Female. Last summer I started to have a swollen feeling near my tonsils. I have difficulty swallowing. I always use couph drops because its a relief for my swollen feeling. It doesn’t hurt, just feels swollen. A few months later around Sept, I noticed my hair getting really really dry. Now its falling out and has been since Dec. It falls out in handfulls everyday. I lost over 100 hairs in one day and this is a daily thing now. I went to the doctors, My ferriton level was the only thing out of range. Everything else is within normal limits. My ferriton is at 7 So Im on Iron suppliments as well as B12 and a Multivitamin. I had rapid heart rates, but I think its calmed down since the Iron therapy. The doctor told me to gargle with peroxide. She didn’t really focus too much on my throat problem, and actually she didn’t even look in my mouth. Could this be something else other than anemia? And could throat thing be the main reason that caused my hair to fall out? and why Im not getting the Iron I need?

Thank you for your time

Low iron indicates anemia may be present, a known cause of hair loss. Being sick brings on phyical and emotional stress which could lead to hair loss as well. The cause for iron deficiency could be from improper diet or even by worms and other blood born parasites (unlikely in North America). I can not comment on the topic of your throat problem and its relationship to hair loss.

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My Doctor Told Me To Sleep A Certain Way for 6 Months After Transplant – Hair Loss Information by Dr. William Rassman

i had a hair transplant 2 month ago. the doctor advised me to sleep in a certain way for 6 month, to wash my hair only with baby shampoo. unfortunately, after a month and half after the transplant i started doing foolish things, sleeping the way i always sleep, washing my hair with neutrogena and nizoral shampoo, sometimes even putting pressure on my head. do you think that i could have affected the transplanted grafts . i already see new hair coming out;however, it is not even. also i have noticed that a lot of my hair in the front is falling. headaches are also present.

I like to joke with my patients and tell them, “No sex for 6 months after your hair transplant surgery”. Back in 1992, I had a patient come from Asia and I told him this joke with a laugh in my voice (I am now convinced that the laugh was not translated by the translator as the patient only spoke Korean). At about 3 months, I got a call from Korea by a different translator telling me that my patient passed a message to me: No hair transplant is worth giving up his sex life. Then, I realized that my humor does not work for non-Americans so I now always qualify my jokes being sure that what I say is understood clearly. I may joke with my patients about their sex life and every one of them confirm that they would rather just go bald, so the laugh is mutual.

Joking aside, you can sleep normally a few days after surgery. You can use normal shampoos. You can resume normal activity (yes, even sex). You can even (gently) scratch your head if it itches, run a marathon at the 5th day and do whatever aerobic exercises you want at the 5th day as well.

I suggest that you educate your hair transplant surgeon.

Removing Pitting from Previous Transplant – Hair Loss Information by Dr. William Rassman

Do you have any suggestions for removing pitting, other than removing the hair and suturing the site. I had a corrective procedures several months ago to remove cobblestoning. The cobblestoning was successfully removed, but the surgeon’s team simply replaced alot of the cobblestoned areas with pitting where they placed the grafts too low. Don’t get me wrong my head looks alot better than it did before. I would rather not go back to the doctor who created the pitting. He is rather callous, you almost feel like he paid you to see him. You barely have time to ask this guy a question. You recommended that I go back to him. Nonetheless, what are the options?

This is one of those answers that only has validity if an evaluation is done in person. I’m sorry to tell you, but you have very few other options. I do agree that a second opinion is in order, though, especially because so much depends on what is there right now and on the physical exam that the doctor does when you are there in the office. Find yourself another doctor who you trust, who has good skills, and a good reputation, and ask him or her what they think your options are. Good luck!

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