Seeing Hair Loss After Using Nizoral – Hair Loss Information – Balding Blog

Hi Dr.Rassman, I have a question about Nizoral and hair shedding. Whenever I use Nizoral for my saborhea dermatitis the next day i have alot more hairs fall out then usual. Is this normal or can it cause permanent damage?

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Some people use Nizoral (ketoconazole) to minimize hair loss. Whether it works as a hair loss treatment hasn’t been proven to my satisfaction, though.

If you see a cause and effect relationship, then you can be the master of your own destiny. The simple act would be to stop using it. Perhaps a different dandruff treatment will work better for you.

NASA Pioneered Chemotherapy Hair Loss Prevention Decades Ago? – Balding Blog

Snippet from the opinion article:

I read with interest your article Chemotherapy Hair Loss Invention From Sweden Might Help Patients Keep Hair but it really is old news !

Around thirty years ago, Dr. Bill Williams, of NASA, conducted research on thermo control of body temperature (very important to astronauts in space suits). He patented his invention of the “Cool Head and Cool Neck Band”.

Read the rest at the Epoch Times — Chemotherapy Hair Loss Prevention Pioneered by NASA, Thirty Years Ago

The above is part of a letter by a retired NASA researcher, and it should be noted that it is in the opinion section.

It basically says that a NASA scientist helped develop a cooling system for helmets, and although the headline might lead you to believe there’s more info about hair loss and chemo, it only briefly mentions an “experiment to save the hair of chemotherapy patients“. But that’s it. Unfortunately, it doesn’t discuss the study or what that experiment was… and I’m coming up empty when trying to find if the study was ever published. Anyone?




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I Stopped Perming My Hair Months Ago and Still Have Bald Spots – Balding Blog

For the last couple of months my hair has been falling out all over my head. I have bold spots everywhere and i dont know what is going on. I stopped putting perms in for about 2 months know and i dont know what to do. Can someone please tell me something that i can do im young and i have a daughter.

If there’s chemical burns on your scalp from the perms, it could take up to a year to see regrowth… if it will grow at all. I have no idea what’s going in your particular case though, so I’d suggest you see a dermatologist in your area to get to the bottom of it. The bald spots could be related to the chemicals or could be something else entirely.


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Propecia and Healthy Sexual Function in Men? – Hair Loss Information – Balding Blog

Hi Doc, I had a question about finasteride, because I’m thinking of starting Propecia for hair loss and I’m worried about the sexual and other side effects. Basically, what is more responsible for healthy sexual function in males? DHT or testosterone? If testosterone is responsible, then shouldn’t Propecia help to increase sex drive – because speaking from a chemistry perspective, if Propecia reduces the forward reaction rate of the reaction that converts testosterone to DHT, then shouldn’t that lead to excess testosterone in the body? Unless Propecia inhibits testosterone as well?

Because I don’t understand how herbal DHT inhibitors like Procerin claim to have no sexual side effects, if they ultimately perform the same function. Unless of course there are other factors into play which I’m unaware of.

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We have written about this over and over. Here’s some bulletpoints:

  1. See your doctor (as only a physician can prescribe Propecia) and ask him/her these questions in detail after they take your history and examines your scalp to determine that Propecia is something that would be recommended.
  2. Propecia has a side effect of decreased erection/libido in 1 to 2% of men. This side effect has been greatly exaggerated on the Internet. Moreover, many other drugs that treat blood pressure from cholesterol lowering drugs (any many other drugs) can also develop depression and have a similar negative sexual side effect.
  3. If you have a negative side effect, talk with your prescribing doctor and you may choose to stop taking Propecia. The side effects are reversible.

We can all hypothesize about the biochemical reaction of Propecia and testosterone and DHT, but in the end it works for male pattern baldness… and ultimately it is your choice to take it. I do not mean to brush off or not answer your question on the mechanism, but it will spiral us down a never-ending hole of “if this” and “if that”.

Healthy sexual function in men has nothing to do with drugs, Propecia, testosterone, or DHT in normal men. If you are a healthy individual in a healthy relationship, then you should have a healthy sexual function with or without Propecia. Propecia will not enhance or impede your sex life or health in greater than 98% of patients. If you think it does, then talk to your doctor. Of course, if you have your testicles removed, then you will have reduced testosterone and DHT, and will have wiped out your sex drive. DHT comes from the degradation of testosterone in the body, so if you do not make testosterone, then you will have very, very low levels of DHT.

Procerin is not a medication or a drug. It is a clever marketing name for an over-the-counter herbal product (saw palmetto) that sounds similar in name to Propecia. Procerin is not regulated by the FDA, nor has it been proven to actually treat hair loss.

Hair Loss InformationMen’s Health Selects Bosley Shampoo for Thinning Hair? – Hair Loss Information – Balding Blog

Hello,
I recently purchased an issue of mens health and they were discussing shampoos for various hair types. They listed Bosley Professional Strength Nourishing shampoo as their shampoo of choice for thinning hair. The website for Bosley describes the shampoo as saying:

Gentle, sulfate-free cleanser that helps to recondition hair and rejuvenate the scalp. Cleanses and removes toxins such as DHT, a primary cause of thinning hair and hair loss, from the hair and scalp. LifeXtend complex contains Saw Palmetto extract to help promote healthy follicles. Pentapeptides help stimulate production of root-strengthening Keratin Protein. Soy Amino Acids help restore strength, thickness and volume. Vegetable Protein helps fortify hair shafts. Plankton Extract helps protect from photo-aging, frequent washing & damage from brushing.

Is there any benefit to purchasing this shampoo for around 20 bucks a bottle or is everything claimed false. Thanks!

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Men's HealthThe claims are extensive and suggestive, and the various elements in the shampoo have never been proven to treat thinning hair any better than other shampoos. If Men’s Health feels that the Bosley Pro is a good shampoo, it may be worth a try… but I truly doubt that it will treat hair loss in the way that balding men may hope.

Also, I have no idea if this was just a paid product placement or if there is some study the magazine conducted that lead them to the conclusion they made.

Hair Loss InformationLaser Hair Therapy Study from ISHRS Meeting – Hair Loss Information – Balding Blog

ISHRSI was flipping through the current Nov/Dec issue of the Hair Transplant Forum International (a print newsletter for the hair transplant industry) and wanted to share something I read. Dr. Paco Jimenez, the co-editor of the Forum, reviewed three oral presentations from the International Society of Hair Restoration Surgery (ISHRS) meeting in Boston a couple months back. His brief review of Dr. Hugh Rushton’s presentation on the efficacy of the laser hair comb therapy caught my attention.

Dr. Jimenez writes, “In this study Dr. Rushton found no differences between the laser treated side and the control side regarding length, density, and diameter of the hairs. The interesting aspect of this study is that I believe it to be the first well-designed blinded study I have come across in which the methods used for hair analysis and the hair counting could not be called into question.

It is important to call a spade a spade and with good science behind it, that is the best we can do.

Hair Loss InformationPress Release – Aderans Completes Part of Their Phase 2 Study – Hair Loss Information – Balding Blog

Snippet from the press release:

Aderans Research Institute (ARI) recently completed the first of seven protocols of a hair regeneration Phase 2 clinical study, and the results are in: more than half of study participants showed significant hair growth one year after the cell product treatment was administered. “The results indicate that our scientific approach, our research and understanding of follicular cell and hair regeneration is headed in the right direction,” said Vern Liebmann, Vice President Operations. “The fact that an increase in hair growth is apparent as far out as one year after treatment indicates our process has staying power. Nobody we know of has produced results like these.”

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Aderans ResearchRead the full press release — Half of ARI Study Participants See Hair Growth After 1 Year in First Protocol

Results like what are reflected in the announcement from Aderans are very exciting. It is a good thing that many different paths are succeeding lately and, like any lottery, there can be more than one solution to the hair loss problem.

I do not look at the various solutions that are presently being tested as a competition between one technology and another. I look at the millions of dollars that have been spent to solve the hair loss problem and the promise of an exciting future for better and possibly more natural solutions for the various forms of alopecia.

I know from speaking with many prospective patients that some men will now consider postponing traditional hair loss treatments (like the use of finasteride or hair transplantation) in favor of waiting for an “Aderans solution”, but it is important for those who are impacted with early balding not to ignore realistic treatments that do work. For example, a fast-moving balding problem in a young man who may be destined for an advanced hair loss pattern should not allow his loss to progress while he waits for future treatments to become reality, particularly when there are very effective medications available to slow the process down today.

Would Black Henna Block Minoxidil? – Hair Loss Information – Balding Blog

Dear Dr. Rassman,

As a female prone to hyperkalemia, I can’t use spironolactone so I can only use Rogaine. Since I have a pale scalp and thinning black hair, I was hoping to dye/stain my scalp black with indigo and henna to mask the hair loss. Do you think that this would block the absorption of minoxidil?

Thanking for your time

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HennaWith regular henna ink, I would not think so. Henna ink is essentially henna powder mixed with eucalyptus oil and coffee/tea, and none of those will stop the absorption. It’s commonly used for temporary tattoos (see right).

On the other hand, I’ve read about the dangers of black henna, which isn’t usually henna at all, but rather indigo mixed with chemicals. Ingredients of various black henna products can vary, and the FDA has sent warning letters (like this) about the dangers.

I’m not a henna expert by any means, but I’ve read that so-called black henna can cause severe allergic reactions and skin sensitivities, so I’d suggest researching this stuff a bit more before diving in. You don’t want to end up causing larger problems for yourself.

Hair Loss InformationPhytolium 4 – Hair Loss Information – Balding Blog

Hi Dr,

I read your blog everyday. It’s great. My question is simple: have you ever heard of a new treatment called Phytolium 4? [Press release here]

I’ve just seen a billboard ad in a bus stop and I guess it is being launched on a few countries (not sure if they’re already in the USA, I live abroad). They claim some numbers but I can’t find any real reviews online, so I guess we have to wait a couple of months to confirm the hype (if any).

I just wanted to check what is your opinion/expectations about this product. Thank you very much

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Phytolium 4I like to see what are called double blind studies and other controlled research that would prove value beyond a shadow of a doubt. The problem here is that there is no proof that I would define as objective, just claims that the product works.

This Phytolium stuff is a French-made, plant-based shampoo and lotion treatment, but regardless of the ingredients, they are marketing it as an alternative to the only two proven medications that grow hair (minoxidil and finasteride). And just like hundreds of other products, they claim no side effects and great results with this Phytolium 4.

The same maker of this product sells Phytocyane, which we wrote about here. I would love to believe these products work as promised, but I would need to see more proof than a slick website and the seller’s word. Please feel free to try it and report back, though.

Hair Loss InformationAidoo Aid? – Hair Loss Information – Balding Blog

I am suffering from male pattern baldness and was recently surfing through the internet looking for some breakthroughs in the hair loss area. I came across a webpage of an interesting company called Aidoo International and they had posted some very compelling information and results on their website claiming to have achieved a breakthrough solution in this area way back in 1997. Just wanted to know if you are aware of this company and it would be nice to know your thoughts on their claim.

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AidooAidI’m not familiar with Aidoo products, but if they really achieved some great breakthrough over a decade ago, I expect I would’ve become familiar with it by now. Or I would’ve at least heard of it.

I found their site, and there’s really no substance to it. The product appears to be a kit containing shampoo, conditioner, and some kind of lotion. I can’t find the ingredients, but I do see a bunch of outrageous statements with no science to back it up. Aside from the basic hair loss treatment claims I see all the time from products sold online, this one even boasts about curing alopecia totalis! If that were true, it definitely would’ve made headlines.

Hope springs eternal. If you do end up trying it, feel free to let us know in the comments.