Multiple articles suggests that creatine does contribute to hair loss: see here: https://www.ncbi.nlm.nih.gov/m/pubmed/19741313/
2021-04-22 02:14:092020-12-07 12:15:10I’m 22, taking creatine and worry about hair loss
Search Results for “cycling” – WRassman,M.D. BaldingBlog
https://www.nature.com/articles/s41598-020-80624-3.epdf This article is highly technical and discusses hair cycling and identified some of the mechanisms for this process.
Search Results for “redness” | WRassman,M.D. BaldingBlog
when i microneedle i achieve redness all over the scalp, but within the hour the redness goes away and by the morning it’s completely gone and i feel no pain at all. am i doing it wrong? is there no inflammation? Some people have Histamine positive skin which turns red easily. If you scratch your […]
2020-07-28 03:10:272020-07-27 15:21:50Micro needling redness
Search Results for “twins” – WRassman,M.D. BaldingBlog
Why did my brothers hair start thinning two years before mine. Also I think he got telogen effluvium and then two years after I got telogen effluvium which accelerated our hair loss. I was diagnosed with telogen effluvium but I didn’t get a scalp biopsy(it was a pull test). I want to know if I […]
Search Results for “avodart” – WRassman,M.D. BaldingBlog
Will the use of avodart can damage the making of a child? Can it cause misdevelopment if the semen has traces of dutasteride? I have not found anything on this subject online, except women should not use it themselfs. Best not to be on the drug when you are trying to get your wife pregnant
DHT Levels How To Use Finasteride (Propecia) – Balding Blog
I am writing this post from the ISHRS annual meeting in Chicago. I have just heard a wonderful and informative discussion on the use of of the drug finasteride. As we know, the hormone DHT is 40 times as powerful an androgen as testosterone. The treatment of genetic hair loss is to address blocking the DHT hormone. One of the worlds experts, Dr. Mohit Khera from the Baylor College of Medicine, told me privately that when DHT levels are in the low normal range, the use of DHT blockers such as finasteride will have little value and may not be effective in the treatment of genetic hair loss. With this as a suggestion, we will now optionaly offer DHT blood tests for any person who wishes to have this test prior to going on finasteride (Propecia). If the blood levels are low, we may not advise the use of this drug as the goal of using this drug is to drop DHT levels, which may already be low. This lecture is based on considerable research both in animals and human studies but it is not absolutely definitive as there was much controversy at the meeting that the doctor may have had a conflict of interest in the opinions he drew.
Nizoral, Seborrheic Dermatitis Alopecia Areata – Balding Blog
I have a question regarding exclamation point hair. Or more specifically thinned proximal shafts (Picture linked at the end). Age:18,Gender:Male
Online sources say that exclamation point happens when you lose hair in patches or in non traditional MPB ways but I am suffering diffuse style MPB (pattern) and the hair that falls off is really thin at the root with a white bulb thick at the top. I also have seborrheic dermatitis. I was prescribed 2% nizoral which then caused me to lose almost 50% of my hair in the span of one year (or maybe it was meant to happen?). Could nizoral cause scalp inflammation that leads to MPB?
The online source of “exclamation point” hair shaft from Am Fam Physician. 2009 Aug 15;80(4):356-362 is describing Alopecia Areata which is a disease process where your body’s immune system “attacks” your own hair causing hair loss.
Male Pattern Balding is a genetically inherited condition where men lose hair in a typical “pattern”.
Seborrheic dermatitis is an inflammatory condition which causes scaly patches on the scalp/skin which may cause hair loss from the inflammatory process.
Nizoral is a shampoo with antifungal properties that is used to TREAT Seborrheic Dermatitis. Some people may have an allergic reaction to this and a rare side effect is hair loss.
All of the above are separate and unrelated causes for hair loss and it is understandable you are searching for a unifying answer.
The simple answer is that Male Pattern Balding is genetic and unrelated to Nizoral, Seborrheic Dermatitis, or Alopecia Areata.
For a more complete answer you need to follow up with your doctor to find out the cause of your hair loss especially if you are having side effects with the medication you were prescribed.
Hair Loss InformationCan I Add Dutasteride With My Existing Daily Finasteride? – Hair Loss Information – Balding Blog
Doctor Rassman, one last thing if you don’t mind, for someone like me who has been on finasteride for like 4 years with good results, im thinking of adding dutasteride 0.5mg to my regimen every other day, not because I want more hair because im happy with what I have its because I want to destroy dht even more, and who know I might get more benefits who knows. I know eliminating all of dht is not the answer but I just want to. there was a study where a man added dutasteride 0.5mg once a week to a finasteride regimen and got better benefits. is it redundant to take both? to be honest side affects are the least of my worries, as with finasteride I have experienced non at all. even if I dot get sexual side affects I don’t mind as my hair is more important LOL. that’s just me lol. When I asked my doctor he said if I want to get hair greedy to add rogaine, but I don’t like topicals at all and I rather add duatseride, he said no, to only take either finasteride or dutasteride. but he is a regular GP, not a hairloss expert like yourself. I read a lot of forums where people take both as well, not sure. can one medication offset the other if taken together. thank you so much, your awesome.
If every thing is working on finasteride, why risk new side effects by adding dutasteride?
I’ve Been Taking Propecia But I Still Have a Bald Spot – Hair Loss Information – Balding Blog
I’ve been taking Propecia for many years (generic over the last year), and my hairline has remained stable ever since. I just noticed a nickel-sized bald spot on my crown. I thought Propecia worked better on the crown than on the hairline, so what gives?
Propecia is a medication for the treatment of genetic male pattern balding also known as androgenic alopecia. It works best for treating the thinning / balding on the top and crown areas of your scalp. It does not work as well for the front hair line. Propecia is not a cure and its response is different in each individual. You may still have thinning or continue to lose hair. The point is that it should slow down the hair loss. There is no cure for genetic balding.
You should see your doctor. A bald spot the size of a nickel could be the result of other causes like alopecia areata. A clearly defined bald spot is not a presentation of genetic male pattern balding so you must be assessed by your doctor.
I Have Been Using Finasteride Inconsistently, And I Continue To Lose Hair – Hair Loss Information – Balding Blog
Hi,
I’ve been reading your blogs for a while now but have finally got the nerve to send you an email to ask a question. I’m 28 yr old male. I have been taking Propecia since I was 24 yrs old. Actually I first started taking Propecia, I was told by my dermatologist to take it just three times a week because he felt that my hair loss was very minor. I did that for about 3 months or so then I went on one pill a day from the time I turned 25 and took a pill a day for about 1 year and a half. By the time I was 26 and half, I was reading that Propecia could affect my ability to have children so I stopped taking the pill. I started to see heavy amounts of shedding of my hair but I thought it might be due to the amount of stress I go through. However, after a six month stint off Propecia, I met with a doctor and decided to go back on it until now. Since the time I started back on it last February (2007) I’ve noticed my hair is substanitally thinner than it was last year even though I’ve been taking Propoecia. Its thin to the point where I can see my scalp in most angles of light. Does this mean that Propecia is not working for me? I’m actually going through a stressful time in my life right now, does that have anything to do with it or cause Propecia not to work? I lose about 30 hairs everytime I shampoo my hair and there is basically hair everywhere over my pillow case. Are there any suggestions you may have for me?
Thanks
You cannot expect results when you take a medication inconsistently. The recommended regimen for Propecia is to take the medication daily. You need to stick with a knowledgeable doctor and maintain taking the drug daily if you want a chance at some results. Taking Propecia is also a lifetime commitment so you need to understand this before embarking on taking the medication. Anything less will eventually push you into what I have discussed many times on this blog — “catch-up hair loss”. There is also no comparable “catch up hair growth” that equals the value when you first started to take the drug and during the first full year of treatment. Today, doctors have an instrument which measures your hair bulk and hair miniaturization so you can see, over time, if you are winning or loosing the hair loss battle. My best advice has always been to go see your doctor in person to address your concerns.
Regarding whether Propecia is working for you, you should be able to ask your prescribing physician, who I hope has measurements of your hair loss at the time you restarted the drug over a year ago to be able to compare them to now.