Dandruff Shampoo, Ethnicity, and Other Hair Loss Questions – Hair Loss Information – Balding Blog

Hi, I’m a 21 year old male of white American (european?) and Bangladeshi (father’s side) descent. I feel that I’ve been shedding hair at a fast rate, but I honestly can’t tell. Hair loss does run in my family. My father is bald and some distant relatives on my mother’s side are as well. I’m a fairly hairy person overall, and I’ve been wonder if that’s also correlated with scalp hair loss.

I tend to have a lot of dry scalp problems for reasons that I’ve never understood. Often, showering using new water makes my head so dry that the area of dry skin creeps to more apparent parts of my forehead. On the whole though, it usually doesn’t — staying on upper scalp area overall (as opposed to sides and back).

There was a time that I suffered a few anxiety attacks and I lost an IMMENSE amount of hair that time and was sure I was experiencing hairloss. I hope that’s enough background. Here are my questions:

  1. Is there a particular pattern of male-patterned-baldness that I should be looking at? From looking at me, at least not to my eye or anything else’s, I have a full head of hair. However, I’ve been losing a lot of hair lately, and I definitely do feel that it’s noticeable in the front crown area.
  2. Do you think I am a decent candidate for propecia?
  3. Do you have any idea why anti-dandruff shampoo works sometimes and not others? Does that impact my hairloss?
  4. Generally speaking, is the hair on the back and sides of a head always thicker than that on top? I don’t know how to view my ethnicity in this regard, because of the mix.
  5. Does length of hair affect hair loss?

Thanks.

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  1. You may inherit the genes from one side of your family, so what you can expect will reflect the inheritance pattern, which varies widely in different family lines.
  2. Young men with hair loss (and miniaturization) will find that Propecia (finasteride) will slow down the genetic component of hair loss. I can’t specifically say whether you’re a good candidate without seeing you first, at least in photographs.
  3. There are different types of dandruff shampoos. If one doesn’t work, try another one. Some are just more effective than others (see Wikipedia for treatments). Dandruff does not cause hair loss.
  4. The hair in the back and sides of your head will not miniaturize and therefore, if you have genetic balding of any degree, will be thicker than on the front and top.
  5. Hair length does not dictate how much hair you will lose unless you abuse it.

Wet Hair Weakness – Hair Loss Information – Balding Blog

Is hair really weaker when wet?

Also, I’ve read you shouldn’t brush your hair when wet, but use a comb. But either way, it would seem to stress the hair if there are tangles.

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In Chapter 3 of my book, Hair Loss and Replacement for Dummies, it discusses the status of wet hair, combing the hair and tangles. You are correct in that you should not do much with wet hair, as it is fragile. Using a wide-tooth comb is in your best interest. Drying is best naturally, and using a blowdryer can damage the hair. But I will not steal the thunder of Chapter 3, so buy the book or if you visit my office, I will give you a copy just for making the trip.

Hair Loss InformationAre You Sure Sebum Doesn’t Cause Hair Loss? – Hair Loss Information – Balding Blog

I’ve read in many instances here that sebum does not cause hair loss. While I believe this, a small part of me has some doubts. Is there any definitive proof you can convey to us here?

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What sort of proof are you looking for? Sebum is an oily substance secreted by the sebaceous glands. We all have sebaceous glands and we all secrete sebum. Sebaceous glands secrete the oil to give your hair the healthy shine, coating and protecting it from the environment so your hair does not get brittle and break off. Sometimes excess sebum can cause oily skin/hair. You can treat this by washing your hair with shampoos that address oily hair. If you do not wash your hair and let sebum build up you can have bacteria growth that causes a foul smell or even clogs up the pores to cause pimples and cysts. But this will still not cause hair loss, just poor hygiene. If sebum caused hair loss, there would be many more balding women out there.

Hair loss in men is caused by genetics 99% of the time. It occurs in specific patterns, thus the term “male pattern baldness”. Its not called sebum-baldness.

Hair Loss InformationStress, Hair Loss, and Finding a Doctor without Health Insurance – Hair Loss Information – Balding Blog

I asked a question about my hair loss a couple of months ago, and I said that I thought my hair loss was too aggressive to be male pattern baldness. I think my hair is following the general pattern of MPB (so i’m guessing it is MPB).

How much of an effect can stress have on people with MPB? My hairline is very thin, but I am not quite a NW2 yet on the scale. I still have a reasonable amount of hair on the top of my head, I believe it just might be miniaturized.

I found a picture of myself in February of this year, and I was still a NW2 (I think it’s just a mature hairline), but my hair was really thick. A full month later my hair on top was completely thin. Maybe I had very early miniaturization in the first picture, but it looked very thick. I don’t understand how my hair could get so thin so quickly. It hasn’t progressed much since then, but it is probably still thinning.

I have been struggling with bills and dealing with unemployment. I’ve been so depressed (thoughts of suicide, etc) because we have been struggling to keep the bills paid. We went a few months without running water, electricity. Without oxygen my father will die, and his oxygen machine runs on electricity. So this adds to the stress. Meanwhile my father’s health deteriorates and I’m only 19 so it’s very hard for me to step up and support our family. (And now on top of this my hair starts falling out)

Will this kind of stress accelerate MPB? And will hair loss from stress (even though I probably have MPB) grow back?

Last question, sorry for the long life story message:
There is no way I can see a doctor, I do not have health insurance, what can I do about my hair loss? It’s possible I could get finpecia or propecia. I’ve read that finasteride works best for people who are still in the miniaturized state. How well do you think propecia could work for someone my age with early hair loss (advanced miniaturization).

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Hair loss from stress could shift your natural MPB timeline forward (basically kick starting hair loss that wouldn’t otherwise happen until later). Although each person will handle stress differently, your situation does sound extremely stressful and very well could accelerate your MPB.

I’d try to find a local hair transplant clinic with a free exam. Some offer a free 1st time consultation. I’m not suggesting to rush out for surgery, but these docs will know more about diagnosing hair loss than many other doctors will. Try to find one in your area by using the physician search at ISHRS.org — but find out pricing for the consultation beforehand, of course. Not all of them are free. If you can not find a local doctor offering a free consultation, send good digital pictures to me here along with a phone number to reach you and I will try to help you over the phone. My probable solution will be finasteride, but let me see those photos first… or let a doctor decide that after an in-person exam.

Tugging on Hair to Stimulate Growth, Applying Garlic to Nurish the Hair Root – Balding Blog

i have evidence that there are methods to reverse hair loss without paying money for chemicals like minoxidil or for surgery. however, because these methods are completely natural and can’t really be bought or sold, there is resistance to publish this information or no incentive to pay for clinical tests to produce results that they work.

examples include:
1) topical application of garlic, onion and olive oil to the scalp to nurish and clean the hair root;
2) using store bought saw palmetto to block dth;
3) stimulating hair by tugging on it gently, etc.

over a duration of 2 months results can be seen because dormant follicles begin sprouting hair again.

Delicious garlicHow did you unlock these secrets that medical professionals have been hiding for years?! Let’s dissect this…

  1. Garlic can create a unique pheromone, so tell us in another email if it helps with the ladies. It sounds like you’re making a pizza.
  2. Saw palmetto has been shown to slow hair loss in some men, but it is not consistent. Dosages are not controlled by the FDA (it is an herbal), so you never really know what you purchased.
  3. Pulling on the hair in the same place causes hair loss (traction alopecia) in some people depending how often and how hard you pull in it. Any advice on how to pull on your hair? I hope nobody is takes that seriously, because tugging on your hair won’t reverse hair loss.

Congratulations, I have given your message to thousands of readers. Hope it helps someone.




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Hair Loss InformationAvoid the Scam – Unethical Graft Counting! – Hair Loss Information – Balding Blog

Scam AlertThis week I met with two patients who reported having large transplant sessions, both with extremely disappointing tales I want to share.

Patient 1: The first patient reported two surgical sessions totaling 4800 grafts both done in Los Angeles. He had a very low hair density and a moderately tight scalp based upon what I measured, so I doubted that he had that many grafts transplanted. He also felt that the doctor did not give him the number of grafts that he paid for. Is it a case of a doctor ripping off a patient? Could be, but unfortunately I can’t say with 100% certainty. I’m fairly sure, based upon my counting of the grafts…

Patient 2: The second patient was just 1 week out of surgery and so the grafts were all clearly evident. I counted them and estimated that there were less than 1000 present, yet the doctor said there were 3000 grafts (about 2000 that were purchased and another 1000 that were above the number sold on the morning of the surgery). In this case, I’m much more certain about the patient being ripped off, because I could count the results relatively soon after the surgery.

My complaint:
I am seeing more and more cases where the hair transplant doctors are not delivering upon the contracted graft numbers. These doctors are an embarrassment to the medical profession. What they are doing is not only immoral, but illegal (fraud is a criminal problem), and if the patients take the appropriate action, the state medical board should be notified and the doctors prosecuted. Hopefully these doctors will lose their medical licenses if they are swindling patients. It seems that many patients are shopping for the best price (which is reasonable), but that assumes that what they are buying is really what the doctor can deliver. When fraud comes into play, the patient becomes a victim. With these scams, prices may be quoted as low as $1-2/graft, but when the accounting is in, the actual prices may be many times based upon what the patient actually received. Keep that in mind when you’re looking at the doctor with the bargain bin pricing. I still don’t understand why anyone would have cosmetic surgery based solely upon the cheapest price. Would you travel to Tijuana for dental work because it’s cheaper?

Avoid the scam:
How do you tell if your doctor is giving you what you purchased? First, get to understand the scam. Second, learn about graft auditing and how it is done. Third, ask the doctor to allow you to have a friend or family member at the surgery to audit his graft counting process. This is an accounting issue and your observer needs to be educated on what to look for. For all of you wanting to understand the process better, come visit us on an Open House day when we allow visitors in the surgery theater. The auditing process we employ should be similar to the one that the doctor you may be considering. It is not unusual for some of our patients to bring in family members to observe the surgery. Although none have asked for auditing rights, we generally show off our auditing process while we educate the visitors.

Further reading:

Hair Loss InformationCould Chemicals Applied to the Hair PERFECTLY Still Cause Hair Loss? – Hair Loss Information – Balding Blog

I don’t think my question about chemical relaxers causing baldness was answered, or perhaps I didn’t ask it right. If the professional never messes up the chemical relaxer on hair, can that cause baldness? I’m not talking about the occassions when they might mess up and burn our scalp, I’m referring to the chemical being applied perfectly to the hair.

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I have heard many accounts that chemical hair relaxers have caused hair loss from the chemical stress/burn. Most of what is lost usually grows back, but it can take over a year. There is no such thing as PERFECT in real life and everyone has a different impact from chemicals, even a different impact over time (what worked in the past could damage your hair in the future).

Hair Loss InformationIn the News – Pill to Stop Hair Pulling? – Hair Loss Information – Balding Blog

Snippet from the article:

Most everyone plays mindlessly with their hair from time to time. But for some people it becomes such an uncontrollable compulsion that they end up with bald patches or eyebrows plucked bare (called Trichotillomania).

If it’s any comfort, animals too suffer from “grooming compulsions.”

Though the behavior is documented in the Bible and ancient medical texts, treatment for hair-pulling has not been studied much. But now a University of Minnesota researcher might have found an answer in a common, over-the-counter nutritional supplement that costs about $15 for 100 pills.

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Read the rest — Pill could end urge to pull your hair out

If this is true, it would be a great, inexpensive way to treat this obsessive behavior. I’ll wait for the larger study to be complete, but the small 50 person study is promising.

My Hair is Shoulder Length and I Haven’t Had a Haircut In Almost 30 Years! – Hair Loss Information – Balding Blog

I am not sure what type of doctor to see, my hair has always been very thin, and getting thinner and thinner. I don’t think I have had any hair regrowth, ever. I have never had a haircut, except before my mothers death at age 7. My life has been ALWAYS very stressful, so I don’t know if that has something to do with it. My hair has Never grown past my shoulders. I am 44 and down to my last bit of hair, and getting worried. What type of doctor do I need to see? thank you

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Our hair grows to a fixed maximum length and if your is shoulder length, that is your maximum length. I am sure you have seen hair loss over the months and years since your last haircut when you were 7 years old. Men usually have a shorter maximal length than women, but everyone is different. Maximum length may be as high as 7 feet in some women (see Rapunzel! Let Down Your Long, Golden Hair).

If your hair is suddenly getting thinner and thinner, I’d see your general doctor about a variety of possible causes (those are listed here).

Learn How To Select Your Hair Transplant Doctor! – Balding Blog

Dr RassmanEach and every day, I receive emails from readers asking about individual doctors’ and their reputations or even wondering if the doctor they just met with is a good doctor. Most doctors care about you and are competent and ethical, but there are a few who really don’t give a damn about you and look at you as a way to simply make more money. The unethical doctors often push men who are too early to have a transplant (like most 20 year olds) into getting one when they don’t need it, or they expand the number of grafts in a transplant procedure into areas that do not have hair loss under the guise of performing preventive hair transplants which happen to push their fees higher. Unfortunately, there are too many unethical doctors doing hair transplants and while I’m always willing to help when I can, I’m disappointed when I hear how some doctors take advantage of people in an attempt to line their pockets with your money.

In the years I’ve been posting on BaldingBlog, I’ve accumulated a lot of content about avoiding doctors that don’t put patient welfare as priority #1. I’m outspoken when it comes to patient advocacy, so I’ve also written much about how to select your hair transplant doctor. Most of my comments have been put on the daily responses I write to questions posed to me, but I’ve never put all the information in one easy-to-find place and organized it in a way that makes the job easier for the reader. So with that being said, I now present you a new “How To” type of series. These are MUST READ articles for those interested in having hair restoration surgery.

Selecting a Hair Transplant Doctor

How to Avoid Dishonest Doctors

 

TravelI also write about why it’s important to shop around for the best doctor before committing to a hair transplant. Don’t be afraid to have to travel to get a surgery that is PERMANENT and on your head! Don’t settle for someone you’re not comfortable with just because it is convenient. At NHI, we offer travel discounts, so factoring travel and hotel costs into your surgery should not be a concern.

Why Should You Visit Us?

 




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