Hair Loss InformationSpironolactone as Hair Loss Treatment – Hair Loss Information – Balding Blog

Dear Doctor,

there are many people suffering from hairloss, who use topical spironolactone as dht blocker. Do you think that it is an effective treatment against MPB? Is this a safe treatment or is spironolactone absorbed through the skin resulting in side effects? I thank you in advance.

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Spironolactone can have significant sexual side effects in men. Finasteride 1mg (Propecia) works best with the least amount of side effects. I’ve written about spironolactone use here and reported on a clinical trial in Australia that recently started to treat hair loss in women here.

Hair Loss InformationDermatologist Suggested Cortisone for Stress Hair Loss – Hair Loss Information – Balding Blog

(male)
I experienced a lot of stress in 08 and now have a patch of hair missing on top left portion. A dermatologist on two occasions injected cortisone and I went to another who said I did not need another injection and gave samples of luxiq. Small stubbles are growing back but does not appear to be terminal hair like on the right side. Any suggestions or just wait and see?

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I am not a fan for the use of steroid injections into the scalp to treat any form of hair loss that is not an autoimmune disease. Stress does not qualify as an indication for such treatment, as these injections often causes more permanent hair loss than it helps. Good luck.

Vitamin Supplements – Problem for My Hair? – Hair Loss Information – Balding Blog

Hello – I recently added some new supplements to my daily routine and wanted to know if any them or the amounts could be potentially damaging to hair?

  1. vitamin b6 – 200mg – is this excessive? I have read that a lot of b6 could potentially stimulate hair growth in men. Have you heard of this?
  2. vitamin d – 2400IU – again, I feel that this is a necessary vitamin that is often overlooked. But how much is too much?
  3. magnesium – 900mg

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Vitamin B6 — Recommended dosage is between 1.3mg-2mg daily, depending on age and sex; Maximum dosage is 100mg… so you’re taking double the maximum. (source)

Vitamin D — Recommended dosage is around 200 UI, though it varies depending on age. The upper limit is 2000 IU. Again, you’re taking more than the maximum recommended. (source)

Magnesium — Recommended dosage is between 300-400mg, depending on age, weight, and sex. (source)

Now I do realize that when taking supplements the Recommended Daily Allowances (RDA, also known as DRI) are many times thrown out the window, but you should talk to a doctor about the potential side effects of taking too much of any particular vitamin. I’ve read that excessive about of vitamin B6 or vitamin D can help with hair loss, but that’s not been proven (and keep in mind it’s just what I’ve read online, not in a medical journal). Magnesium can help with healthy hair growth, but generally it is deficiencies in these vitamins that can cause problems. I’ve never told a patient to take excessive amounts to help their hair, though. I can’t find any information that shows potential damage to hair, but again, you should consult with your physician about taking so much of these supplements on a daily basis.

Eating a Marijuana Brownie After a Hair Transplant? – Balding Blog

Doctor,

I asked you this question in a very log winded fashion the other day without a response, pls let me be more brief….as I am sure you are quite busy and I do realize you have answered somewhat similar but certianly not the same questions. If you are uncompfortable answering these questions I understand so pls let me know and I will not bother you, but i LOVE the blog!!!!

Would you think I would impact my hair transplant yield or donor scar if I eat marijuana(this is all legal) in a brownie or take it in a “marinol” pill via prescription a few times a week? Or have 1 TINY 5 second inhale of smoke daily? Pls let me know, I would love to have my hair and enjoy my life as well.

FYI I am 31 and in pretty good shape.

Thanks

I have no experience with this situation, but I would guess that there will be no impact from the marijuana (legal or otherwise *cough*) on a hair transplant growth rate.

For the record, brief emails do help (as long as the pertinent facts are there), but I wasn’t avoiding your email because it was lengthy. I just get a lot of messages and can’t get to all of them.




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Balding Forum - Hair Loss Discussion

How Long Should I Wait Between Hair Transplants? – Hair Loss Information – Balding Blog

Hi Dr. Rassman,
I recently had a hair transplant in February and have a few questions:

  1. How long do you recommened waiting before having another procedure? I’m thinking a year (to see results), but would any sooner hurt the transplanted hair?
  2. If you have additional procedures, can the newly transplanted hair be affected by shock loss?
  3. How often do your patients stop using Finasteride after having hair transplants?

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  1. I generally recommend waiting between 8-12 months between hair transplants as 80% of the hair will be at styling length by the 8th month.
  2. Shock loss is rare in a second hair transplant within 2 years of the first.
  3. I generally think of Propecia/finasteride as a lifetime decision, because stopping it would allow the progressive nature of hair loss to show and evolve. So I don’t recommend stopping Propecia once it is started. I don’t have statistics on how many patients stop using the medication after a transplant, though.

My Doctor Told Me To Wait Up to 2 Years to See Results from Propecia – Hair Loss Information – Balding Blog

8 months ago I was at Dr. Bernstein and under miniaturization he said I have MPB. Right now I’m a NW2 but with early frontal hair loss. And I’m 22 1/2 years old. I been on Propecia daily for 8 months and everything is about the same. I keep reading that you should see all of your results by 8 months! I called Dr. Bernstein today and asked him if what I see are my final results and he said I gotta wait a full year and it may even take up to 2 years to see the full benefits. This is exciting to know but why do you always says 8 months is the optimal time for full results!?

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I tell patients not to expect results from Propecia for 8 months, but suggest a 1-2 year waiting time for maximum results. Merck (Propecia’s maker) has a chart that shows when to expect results, though they show that by month 3 you could get some slowing of the hair loss. See Propeca.com for more.

Remarkable Result from 2 Years on Propecia (with Photos) – Hair Loss Information – Balding Blog

This patient has been taking Propecia for 2 years and not only did the hair growth fill in the crown, but even the miniaturization study showed significant microscopic benefit. This is what I keep talking about in this blog, there is the measurements of science behind what the eye sees.

Miniaturization mapping (captured with video microscope):

Propecia - Before / After

 

Before photo on the left / After photo on the right (2 years on Propecia — no surgery). Click to enlarge:

 

Is Once a Day Rogaine Better Than No Rogaine At All? – Hair Loss Information – Balding Blog

I saw Dr. Pak in Summer. I am now on Propecia and will do a procedure once again in future. My question is, in addition to Propecia and Nizoral, I’d like to add a once-a-day regimen of Rogaine (only because I do not like to do in morning as I exercise and it sweats into my mouth during the day. Is once a day Rogaine better than no Rogaine in your opinion?

Also, does the recent lift on stem cell research limits add possible hope for hair cloning?

Thank You

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Once a day Rogaine may be better than no Rogaine at all if you do get a response from this medication (about half of men will).

We are all hopeful that stem cell research will solve our problems, but it takes lots of time to get to such a solution.

Does an Area of Scalp Need to Be Completely Bald Before It Can Be Transplanted? – Hair Loss Information – Balding Blog

I’m curious – in your response you state “Transplants should never, ever be used to build up what you may lose in the future.” Why is this?

Also, does this mean that an area that’s thinning but not totally hairless (in my case, the frontal scalp, or “forelock”) can’t be thickened up until it’s gone completely bald, or nearly bald? I’m confused.

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Just to clarify for readers, the above email was received in response to My Crown Is Starting to Thin and I Want to Thicken It Up With a Hair Transplant. Now that we’re all on the same page, I may not have been clear in that posting so I’ll attempt to fix that now.

Some unethical doctors use hair transplants in areas which are not balding and show no miniaturization on the anticipation that it may happen. I do not approve of that practice, nor do I approve of transplanting an area that has minimal cosmetic balding without first using a course of Propecia (finasteride 1mg).

Assuming that you have lost 50% or more of the frontal hair and are obviously thinning, transplants can be done. In this case, Propecia is good to prevent shock loss to the existing hairs. You do not have to go bald before having a hair transplant.

Can I Use Rogaine and Continue to Relax My Hair? – Hair Loss Information by Dr. William Rassman

I have been experiencing some thinning of my hair in the top. My dermatologist suggested that I use Rogaine. I relax my hair and wanted to know if it is safe to use the rogaine while continuing to have my hair relaxed.

Yes, relaxing your hair and using Rogaine (minoxidil) is fine.

Balding Forum - Hair Loss Discussion

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