70 Year Old Man Losing Transplanted Hair – Hair Loss Information – Balding Blog

Dear Sirs: am a 70 yr.old white male- have had many,many,hair transplants over the yrs.; were doing as well as expected until about (2) months ago – lack of volume, & just a general more thinning look -been using a good brand shampoos, Lanza products etc.,plus minoxidil “on occasion” – have started using Nioxin products, (2) wks ago, no results “as yet’- my medications include Xanax (hyptension), Symbicort “has corticosteroid”, (asthma), Lortab (arthritis), Testosterone shots “on occasion”

Question,is it possible one of my medications is the cause, or is there a cleansing “shampoo etc.” that may be of help. Regards

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I can’t say without a more detailed history and examination. In general, testosterone shots can accelerate androgenic alopecia. The medications you listed aren’t generally known to cause hair loss, but each person will react differently to a drug, so it could be a very rare side effect. I understand that you have had hair transplants in the past, but you may also be noticing increased native (non-transplant) hair loss which occurs in men your age (senile alopecia). If you had this, it would show up in the donor area as well. I would need to examine you.

DUPA vs Senile Alopecia – Hair Loss Information – Balding Blog

Hi dr Rassmann, What is the differance between dupa and senile alopecia if any. Also my nape of the neck hairline has always been very high, my son has the same. Never been able to cut my hair really short at the back hair line, looks abit funny if i do. question is my father had senile alopecia, is the high nape of the neck hairline a symptom, or problem, when you look for dupa in a patient. Currently im a norwood 3 to 4 with good donor dominence, on meds,at 39 years old. Thanks great blog.

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Both diffuse unpatterned alopecia (DUPA) and senile alopecia take on the same appearance. The former is a diagnosis made in younger men while the latter is in older men. The hair loss on the nape of the neck reflects a genetic factor present in some family lines. You can try to see if minoxidil helps with the loss of hair in the nape of the neck.

Hair Loss InformationHigh-Fat Diet and Hair Loss? – Hair Loss Information – Balding Blog

Hello doc,

I found this text on a website recently “If you look at Japan, male pattern baldness was almost unheard of prior to World War II. The Japanese diet is now far more fatty and Westernized, and Japanese men are going bald everywhere. It’s clear that a high-fat, meat-based diet raises testosterone levels, and that may adversely affect hair follicles.”

– Do you have any information about this? Could this be true?

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CheeseburgerWhile it is true to some degree that we are what we eat, hair loss comes about because of four components. Our food intake (if normal nutrients are ingested) is not one of those four. They are:

  1. Genetic elements for balding
  2. The male hormone in adequate quantities for healthy men
  3. The time the hormones and the genetic defect interact
  4. The amount of stress in the life of the person

I have a problem when someone is comparing early 20th century assessments of hair loss and modern 21st century assessments of hair loss. I also have a problem with the comment that ties healthy diets to hair loss in any way. The “authority” seems to originate from a talented man and nutritionist, Michael A. Klaper, M.D. He does not cite any evidence for his opinions and uses the term “may” when commenting on the connection between meat in the diet, testosterone, and hair loss. In my opinion, a statement like, “male pattern baldness was almost unheard of prior to World War II,” really can not be based upon any reasonable scientific observation and if I am wrong, I would want to see it. Who would be making such an assessment in a closed, almost feudal society like pre-war Japan? Balding is big business in modern Japan, which supports the largest hair wig manufacturer in the world. Many of the people of Japan still maintain the more traditional diets (they are not hamburger freaks) yet they lose hair. Studies have shown that there is little difference in balding statistics between races.

The website which originated these comments appears to be MotherNature.com and it does not show any convincing evidence to support the posted statement. Show me the science and I would be willing to change my mind.

However, it is documented that daily vigorous exercise (like endurance training) and lower fat/total calorie intake will decrease the free testosterone and DHT levels, and you can assume that this can decrease hair loss (see Relationship between stress hormones and testosterone with prolonged endurance exercise). Does a low fat diet alone decrease the levels of testosterone and DHT? That is not clear.

Hair Loss InformationDo Miniaturized Hairs Turn White and Curly? – Hair Loss Information – Balding Blog

Hi Im a 23 y.o male (using propecia for slight receding hairline)
Over the course of a year random hairs have started to shrink, turn curly and white from hairline to crown, sometimes in clusters. Its not noticable to strangers and I have been able to pluck them out so far. Of course I thought that this might be normal miniturization but my hair has a thick white base with a thin tip instead of the “beige/straw colored fading away” I identify with miniturization. And of course I have considered whether this is normal graying, but you see many full heads of gray hair and if this keeps up I will instead be left with a head of small white wiry growth. Any suggestions ?
Thanks

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As you are in Los Angeles, I would be happy to do a miniaturization study on you and let you know if what you are observing is the beginning of the balding process. I have an office in Los Angeles. Generally, miniaturizing hairs don’t change color. I’m not sure what you’re seeing.

Writing Off Miniaturization as MPB When There’s a Possible Disease Causing It? – Hair Loss Information – Balding Blog

Hey Doc,
Today you mentioned that there are other causes of miniaturization besides mpb. If so, then how would you be sure it was caused by mpb as opposed to a disease? Couldn’t you theoretically write off miniaturization as mpb when there’s a more serious underlying issue? What diseases might cause this? How do you tell the difference? If there’s a receding hairline at the temples and thinning in the crown is this defenitely mpb? What about if it’s diffussed thinning? Just wondering how one might tell. Thanks!

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The easiest answer is that genetic hair loss in men occur in patterns… and these patterns are almost always diagnostic of genetic hair loss (male pattern baldness) and follow the Norwood classification chart either with thinning or frank balding.

The rest is the art of the practice of medicine and that is why a doctor adds value when you are being evaluated. Hair loss occurs with many other diseases, such as alopecia areata, ringworm, a variety of autoimmune diseases, drugs, etc…

A Week After Highlighting, I Have a Bald Spot! – Hair Loss Information – Balding Blog

(female) I had my hair highlighted approx 1 week ago, i thought everything was fine, but i now have a very sore bald patch at the top of my head,do you think this was caused by the hairdresser at all,i have had my hair done in this way many times ,but have never had anything like this happen before!

Thanks

PS, im really scared that all my hair is gona fall out!!!

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Ouch! Chemical burns from dyes start off just like you’re describing. You may want to see a dermatologist to find out if the burn did indeed go deep enough into the skin to cause the problem.

Testosterone Boosters and Propecia – Hair Loss Information – Balding Blog

i have recently started taking propecia. I was wondering if i can continue using testosterone boosting supplement for working out?

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I don’t know your individual history, so you’re best off asking your prescribing doctor. Anabolic steroids are illegal to use without a physician monitoring your use. If it is a natural supplement claiming that it boosts testosterone, it is OK from a legal perspective, however you may be more at risk for androgenic hair loss. It is your body and you need to make a judgment call.

Scalp Flexibility and Lack of Blood Flow – Hair Loss Information by Dr. William Rassman

Hi,

I’ve noticed that my thinning area’s scalp is also very thin and stretched very tightly onto the skull, unlike the area where I have no thinning which has a thicker scalp with more cushion and flexiblity. What causes this? Is it the lack of bloodflow to the area? This only occurs on the thinning areas…

You are very observant. The loss of hair produces the loss of infrastructure, which is all of the associated parts of the hair organ including blood vessels, dermal fat, collagen, nerves, and muscles associated with the hair that take space and causes that cushion you are noticing.

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Hair Change After Chemotherapy – Hair Loss Information by Dr. William Rassman

why does your hair change after chemotherapy. hair is a genetic code in your DNA so does that mean that it changes your DNA?

Hair has a very high metabolic rate just like the cancers you are treating with chemotherapy. These chemotherapeutic agents get to cells that have a high metabolic rate, which include: hair, elements of bone marrow, intestinal cells. So when you get chemotherapy, it gets to all of the fast growing cells. That is why people become anemic on chemotherapy, or get diarrhea from damage to the intestinal lining of the stomach and intestines, so I would expect that if the hair is not forced into its telogen cycle, the hair growing out would not be normal.

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Hair Loss InformationWeightlifting and Hair Loss – Hair Loss Information – Balding Blog

I found this on Regrowhair.com concerning weightlifting and hair loss. What is your opinion on this statement? regrowhair.com

Ive seen this debate a million times, and i do lift weights..However, i also take propecia, and have been for about 9 months.

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You can lift weights and exercise and you will not lose more hair. If you lose hair it is most likely due to genetic causes which you cannot control. I don’t know what else I can add to the topic.