What Is the Best Way to Use Minoxidil?

The best way to use Minoxidil is to apply it at night after a hot shower, so the pores of your scalp can absorb the drug. Then, wash it off in the morning, so you can style your hair normally. It will take up to a year to see the value of this drug.

What Is the Best Technology for FUE?

You should never select a technology. A technology is only as good as the doctor who uses it. I have seen disastrous results with good technology. Instead, you should find an outstanding surgeon who has performed many FUE procedures and sees his patients by meeting them one-on-one, as I offer in my clinic to all prospective patients every month.


2018-09-14 08:31:52What Is the Best Technology for FUE?

Better Sperm with Boxer Shorts for Men

Men who wore boxer shorts had a 25% higher sperm concentration and 17% more swimming sperm in a single ejaculate than men who wore other types of underwear. For those couples who are having trouble conceiving, this is an important scientific observation.

Source: New Scientist 28 August 2018


2018-08-24 06:50:27Better Sperm with Boxer Shorts for Men

Beta Sitosterol and Propecia

Hi Dr. Rassman , I have been taking one Tab. Beta sitosterol (375 Mg containing Total Plant sterols at 1000 Mg ) along with Propecia / Finasteride ( 1 Mg )every day daily , as I wanted to combine the Natural with the Prescription , Please note that I am taking Generic Finasteride .I have been doing this from the pat 4 months in the effort to Stop my Hair Loss , recently last few days I am Noticing quiet a bit of “Hair Shedding” in my shower , I am quiet Upset , Can you please tell me if the Beta sitosterol and Finasteride combo is Lowering the DHT Too Much and that is in effect worsening My Hair Sheds? OR do you think they both have No Connection with each other in terms of Action and Pathways of blocking DHT are different !? Can Too Low DHT cause the hair follicles to shed OR as Beta sitosterol Lowers Cholosterol also , Maybe the Lower Cholesterol is causing the sheds? Please Help me on this , I am in Real Distress !

According to WebMD, “Beta-sitosterol is a substance found in plants. Chemists call it a “plant sterol ester.” It is found in fruits, vegetables, nuts, and seeds. It is used to make medicine”. It is not a drug.

In general hair loss in men is genetic and there is no stopping it. There are medications such as Propecia (finasteride) to slow it down, postpone, or even grow hair in the short term, but in the long term the genetic predisposition will win out. This time course is variable for each individual.

I do not think drug interaction has much to do with genetic hair loss. Sometimes people try to explain or blame their hair loss with certain events or medications, but the most obvious cause is that it is just the way you were per-programmed when you were born with the genes. If you want to take this any further, the best recommendation is that you seek a doctor for an examination and possible treatment options.


2015-03-19 08:23:50Beta Sitosterol and Propecia

Better for Treating Hair Loss — Eating Dietary Staples or Herbal Supplements?

There is an herb called black cohosh in my DHT blocker blend. I researched it and it seems to increase blood flow in the pelvic region, but no one has pinpointed exactly the mechanism of action is or what the hell it really does, or if there are side effects. I saw a study that it might block DHT. My question is this, if we’re going the natural route for hair loss, would we be better served eating foods that are considered staples in our diets (fish, rice, potato, chickpeas, vegetables, fruits, soy, and so forth) or consuming supplementary herbs? Would these herbs REALLY make a difference?

The best natural treatment for hair loss is take what you want (dietary staples or herbs) and then, assuming you have genetic hair loss, watch as the hair loss continues. In other words, there are no natural cures for hair loss, but there are a lot of places that will try to sell them to you anyway. No amount of vitamins or herbs will bring your hair back.


2009-03-26 14:39:31Better for Treating Hair Loss — Eating Dietary Staples or Herbal Supplements?

Beware of claims like: you can achieve density with a low graft count

I’ve heard of new “DPI” hair transplants that are supposed to look even more natural. Does anybody have any opinions? I heard the biggest advantage is the density you can achieve with a low graft count. I just want to reconstruct my temples (I am 25 and they are just starting to go). If I could do this with only 500 or so grafts so I have more when I am older that would be fantastic.

DPI? When a new name is invented without a real new validated technology, it is a marketing ploy. There is no such thing as: ” advantage is the density you can achieve with a low graft count” other than to get your money. Use your brain and read my blogs at: https://baldingblog.com/ to educate yourself.

Beta Blockers, Shampoo and Female Hair Loss

(female) Hi my question relates to the previous question you received regarding hair loss and the use of head and shoulders shampoo. I have used this product for about 10 years now and have over the last month or so noticed my hair thinning. I have switched to the Loreal Elvive Anti Dandruff shampoo now but the volume i once had to my hair does not seem to be returning. My hair used to be very thick and wavy now it is limp and lacks volume. I also am currently taking the medication beta blockers, would these be contributing to what is happening, rather than the shampoo?

I clearly can not tell you what, if anything, will help you. Too many changes at the same time confuses the issues. Go back to do what you were originally doing and then after some months, make one change at a time to see if there is an effect and note what that effect is.

Be sure that you have a medical work-up for the diseases that impact women (first choice) before jumping to conclusions that this is a simple matter just involving shampoos. Hair loss in women can sometimes be caused by underlying medical conditions, so it is important for you to be evaluated by your own physician. If clinically appropriate, the following disease processes should be considered: anemia, thyroid disease, connective tissue disease, gynecological conditions and emotional stress. It is also important to review the use of medications that can cause hair loss, such as oral contraceptives, beta-blockers, Vitamin A, thyroid drugs, coumadin and prednisone. The following laboratory tests are often useful if underlying problems are suspected: Estradiol, FSH, LH, SHBG, Prolactin, T4, TSH, ANA, Iron, TIBC, Ferritin, Free and Total Testosterone. It might help to print this page out and show this to your family physician.

How to better grow your hair?

One of my patients did this search in Medical News Today. This is a kick off place for you to search further on the various subject below. The links are active below and many of these remedies have been addressed in previous balding blog posts over the years.

Apple cider vinegar for hair growth: Does it work?13 Sep 2017 What is apple cider vinegar and can apple cider vinegar boost hair growth? Learn if it is safe to use and what the proven health benefits of vinegar are.

Hair growth stimulated using stem cells14 Aug 2017 Using 3-D organoids made from stem cells, scientists managed to uncover a six-step process by which hair grows and stimulated hair growth.

Study provides new insights into male pattern baldness13 Jul 2017 New research maps hair growth patterns across the entire body, providing new insights into male pattern baldness and excessive hair growth.

Can I use vitamins for hair growth?12 Jul 2017 Health experts agree that eating a well-balanced diet that contains the 13 essential vitamins can help maintain the health of your hair.

Alopecia: Hair growth restored with new drug26 Sep 2016 Clinical trials conducted by Columbia University Medical Center find that JAK inhibitors may trigger hair regrowth in people with alopecia areata.

Drug promises robust new hair growth23 Oct 2015 Researchers have found that two drugs already approved by the FDA for other conditions can help strengthen hair growth, offering hope for people with baldness and alopecia.

Researchers generate new hair growth using human pluripotent stem cells 28 Jan 2015A new treatment for hair loss could be on the horizon; researchers have found a way to generate new hair growth using human pluripotent stem cells.

Mouse study finds immune system could promote hair growth 24 Dec 2014Cancer researchers have found an unexpected association between the macrophages of the immune system and regenerative skin stem cells.

Arthritis drug helps bald man grow full head of hair 20 Jun 2014Using an arthritis drug, doctors have restored hair growth in a 25-year-old man left bare of body hair from the uncommon disease alopecia universalis.

Signals That Prompt Hair Growth Discovered, May Pave Way For Baldness Treatment 05 Sep 2011Molecular signals that trigger hair growth have been discovered by scientists from Yale University, according to an article published in Cell.

Reversing Baldness – Clue May Lie In Stem Cell Signals That Trigger Hair Growth 02 Sep 2011By studying mice, researchers found that stem cells in the fatty layer of the skin send signals that trigger hair growth, and suggest the discovery could lead to new treatments for…

Adverse effects of common prostate enlargement and hair growth drugs: A review 26 Aug 2015Twenty-five percent of men currently taking Finasteride or Dutasteride, popularly known as Proscar and Avodart, for the treatment of benign prostate enlargement (BPH), appear not to benefit from…

To boldly go where few mice have gone before…27 May 2015Prolonged exposure to space conditions may induce skin thinning and cause profound alterations in the hair growth cycle according to a study in three mice published online in the first issue..

Positive clinical study results for Cellmid’s hair growth product using novel FGF5 inhibitor 17 Apr 2015Cellmid Limited has received strong positive results in all measured areas of its independently conducted, randomized, blinded and placebo controlled human clinical study of the évolis ONE…

Hair growth in mice promoted by honeybee hive sealant 16 Dec 2014Hair loss can be devastating for the millions of men and women who experience it.

Bilateral Varicocele and Propecia

Yes, another Propecia question for you. Sorry 🙂 I am 37 and have a bi-lateral varocele, grade 2 on the left and grade 1 on the right. If I started on propecia, could its side effects be more potent or affect my condition? From what I remember, the Merck studies did not get into the issue of results or drawbacks of people with Varocle.

This is a question you must ask the doctor who is following your problem. There is no obvious answer, other than you cannot just correlate any medical issue with a side effect. I am not a urologist nor do I treat varicoceles, so I am probably not the one to answer the question.

Big Problem – Unfinished Hair Transplant Work

When it comes to hair transplants, some people don’t always finish what they start — perhaps due to money issues or just not wanting to go that route ever again because of disappointment in the results, failures of the surgery, or severe pain with the surgery. The pain and costs of more surgeries is a real turn-off for many of these people, but times have changed. Surgery is rarely painful, prices have come down, the results are not detectable as being any different from your natural hair, and alternatives are available… so exploring the sum of today’s options may be worthwhile.

Patients with an unfinished hair transplant hasn’t really been a problem in our practice, because we get personal with all of our patients and get to understand their goals, never promising them a rose garden, but setting up realistic expectations with regards to how many surgeries they will need to hit their targeted goals. In the old days (1980s) one rarely saw a finished hair transplant patient and few, if any, looked normal. I ran a large hair transplant practice in 1989-90 (before founding the New Hair Institute) and I was amazed that I never really saw a finished job while I worked there. Today, that is not the case as many completed hair transplants are undetectable.

If you are one of those individuals who did not finish their hair transplant work to meet their expectations and still look like an unfinished piece of poorly done art, I would suggest that you look at the Scalp Micropigmentation (SMP) process as a surgical alternative for thickening. This could possibly be a way of thickening up the appearance of your hair transplant without having another hair transplant. SMP works to camouflage even some of the old type of plugs when done properly.

For many people, SMP can contribute to completing the process, but a consultation with us is critical to defining your needs and the ability to achieve your objectives at a reasonable cost.