What is “Buyer Beware”? – Balding Blog

Hello, my questions is about your terminology of “buyer beware”. That is you often say all these over the counter medicines are “buyer beware” does that indicate that you believe there are some non FDA approved supplements etc. that actually do work on an extremely small percentage of people. In essences have you ever seen someone benefit from any non FDA approved treatment?

The best example of an herbal that is popular for treating hair loss is saw palmetto. There is a suggestion that there are some positive hair effects, but without clinical studies you will not see me endorse it. I’d need to see the proof beyond isolated reports by anonymous people on the internet. I’ve yet to see a patient here that had positive hair loss treatment results from an over the counter supplement.

Expectations are everything and you don’t want to have your time wasted by trying new approaches over and over again with no value as you continue to lose your hair forever. Readers of this site and of course my own patients expect me to be straightforward and not point them in a direction that could be a waste of time when there are proven safe and effective medications. Hair loss is a progressive process and every man who has it and does not take proven medication is destined to be balder and balder over time. Safety is another issue and from time to time we see the FDA take a stand and get some product pulled from the market for safety reasons.

“Buyer beware” is just a reminder to be smart about what you’re buying. It’s a notice to folks to use common sense and be more cautious before wasting your money on some truly obvious scams. If some product claims 100% success in regrowing hair, don’t you think everyone would know about it? I’d have no reason for this site if just one of these garbage products had the 100% results that are claimed, because there would be your hair loss cure.




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Balding Forum - Hair Loss Discussion

Hair Loss InformationAderans Expands Clinical Studies – Hair Loss Information – Balding Blog

I´ve found updates from Histogen and Aderans. What can you say about this? Thank you.

Histogen: Hypoxia Induces Stem Cell Gene Expression, Protein Production and Cell Surface Markers

Aderans: Aderans Research Expands Clinical Studies

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Thanks for sending these links. Each press release speaks for itself. The Histogen press release isn’t specifically about their hair loss treatment (they have multiple products unrelated to hair loss treatment), but the Aderans Phase 2 clinical trials expansion is for hair regeneration. Once the studies have concluded, they will hopefully be published with the FDA and then we will know better about what is offered.

Hair Loss InformationRogaine, Unda Drops, and Alopecia? – Hair Loss Information – Balding Blog

(female) Hello.
I’ve been diagnosed with AA. Have tried several “remedies”. Most recently began using the Unda drops, 9, 40 and 243. I actually, for the first time in 3 years so a marked decrease in shedding and my hair felt better over all. Recently though, (2-3 weeks ago) I began using Rogain 5% as recommended by my dermatologist. nearly three weeks into it I’m seeing a huge amount of shedding. more than I’ve ever experienced. My fear is that the rogaine will not work and the shedding will continue at this rate.

question. Can Rogaine make matters worse? If my stress factor allows, how long should I remain on the rogaine to see results and how long can I expect this increased shedding to continue? I’m so tempted to just throw in the towel and just continue the unda drops and biotin hair/skin/nail formula.

Thank you

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UndaUnda drops are homeopathic remedies and I am not a homeopathic doctor. I do not know the utility of what you are using, but if something worked for you why would you want to do something different? Many men and women report initial loss or shedding of hair after starting Rogaine (minoxidil) in the first month of its use, but the shedding should stop unless there are other underlying issues not related to the medication. Generally you need to use Rogaine for a minimum of 8 to 12 months before seeing the effects.

Rogaine may work for alopecia areata or androgenic alopecia (I’m not sure which you meant by your diagnosis of “AA”). It does grow hair, but I doubt it will grow back the hair you once had and if the problem is underlying alopecia areata, then you should be under the treatment by a good dermatologist who can often help with the process.

Hair Loss InformationQuestions About Topical Hair Loss Treatments – Hair Loss Information – Balding Blog

Dr. Rassman,

I have several questions about hairloss. I´m 22 and have receding hairline and thining hair, less than NW2. Please tell me about preparations containing minoxidil with liposomes and topical finasteride.

  1. What are exactly liposomes? How do they work?
  2. Topical finasteride, effectiveness? Would be effective a home made lotion mixing crushed up proscar pills (i read about how to make it in a blog)and “shake” the bottle? I think that´s a
    waste of money. But adding liposomes in the same or a similar lotion could make the finasteride worked topically. I´m right?
  3. I´m currently applying minoxidil 5% twice a day and 15-20 minutes after night application y apply retin-a cream (0.05%) only at temples and hairline. I agree with you that tretinoin burns
    the scalp so I prefer apply it separately from minox and only on temples at night. Do u think it´s a safe way to use tretinoin?
  4. And finally, is nizoral 2% the best way to keep you scalp free of sebum? Does minoxidil penetrate better on this way?

I ask your advice also after being on propecia for 1 month I quit the medication because typical side effects, but fortunately they disappeared and i´m going to go back on 0.5 mg propecia EOD (every other day) within a pair of month. What do u think about this issue? Thanks Dr. Rassman, I hope your answer and it helps to other people.

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If your hair loss is less than a Norwood 2, are you sure what you’re seeing is actually hair loss and not just a mature hairline?

  1. According to Wikipedia, “A liposome is a tiny bubble (vesicle), made out of the same material as a cell membrane. Liposomes can be filled with drugs, and used to deliver drugs for cancer and other diseases.”
  2. Some have marketed topical finasteride, but I have yet to see a good study that indicates if it even works. It is a good way to sell a product to those who do not want to (or are too scared to) take it orally. Don’t let liposomes fool you, but in my opinion it is a brilliant marketing idea.
  3. I do not think tretinoin (Retin-A) helps with any hair loss treatment. Some use it with minoxidil apparently for better absorption, but I don’t know if that is truth or wishful thinking. I do not recommend doing this.
  4. Nizoral is a shampoo. They did a great marketing campaign to promote it to people with hair loss. There are various shampoos that work for removing the oily sebum from the scalp, but I can’t say which one is better than the other. I haven’t seen a study that shows minoxidil works better after a shampoo.

I am sorry to hear you had side effects while taking Propecia, but I am glad your side effects are gone. As you said, you can try 1/2 dose or take it every other day and see if it helps. You might also wish to try 1/4 of a pill each day instead of 1/2 a pill every other day, as the half life of the drug is about 4-5 hours.

Hair Loss InformationNew Results from Histogen Announced – Hair Loss Information – Balding Blog

Dr. Rassman

I´ve found this new updates from Histogen(with pictures) and all this sounds very promising from my point of view. What is your opinion on this? Thank you for your time.

Histogen.com

An interview with dr. Gail Naughton: here

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The new Histogen Hair Stimulating Complex (HSC) results come from a pilot study of 24 people, but I have no idea how many of those were treated with a placebo, how many actually saw results, if the results were sustained over time, if there were adverse reactions, etc, etc. Their site says Histogen will present the study at a conference in May, so I guess these questions won’t have an answer until at least then.

Using Toppik to Cover a Transplant Scar? – Hair Loss Information – Balding Blog

Hey dr. How are you on this fine day ?

i was just wondering on your opinion on using toppik to camouflage a transplant scar so buzzing hair down to a number 1 would be an option with the addition of the use of a trichophytic closure. would this be a viable route for someone who appreciates short hair?

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ToppikI am fine. Thank you for asking.

Some people use Toppik, DermMatch, black marker, or even permanent tattooing with reasonable results. I am not sure if you already have a linear scar or are thinking of having a hair transplant and worried about a scar, but really, successfully camouflaging a scar on the scalp all depends on the scar itself. If the scar is wide (despite a trichophytic closure) a number 1 clipper haircut may still show it somewhat.

Dry Scalp Contributing to Hair Loss? – Hair Loss Information – Balding Blog

I notice my hair has been thinning quite quickly the past few months and my scalp has been awfully dry which I’m sure is a contributing factor. When my hair falls out I can usually see the “roots or follicles” at the end. I have taken notice of your responses regarding alcohol and hair loss. While I usually over indulge on the weekends, I wouldn’t call myself an alcoholic.

My main question is, I am taking Milk Thistle supplements to try and maintain healthy liver function, but if I were to start taking Zinc and Gingko Biloba supplements, do you have any knowledge of these helping? Thank you much!

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If you have a zinc deficiency then taking zinc supplements might be helpful. Otherwise, zinc and ginkgo biloba are used in some hair products to promote healthier hair, but they won’t stop genetic hair loss if that is what you are experiencing. Also, a dry scalp will not likely accelerate your hair loss.

Increased Hair Loss from Laser Comb? – Hair Loss Information by Dr. William Rassman

I have used propecia for over a year with good results but then I bought a hairmax laser comb. Now I using both the comb and propecia for hair loss. However since I started with the Hairmax laser comb, I am experiencing more hair loss and that is now for a year.

Have you ever heard of anyone having side effects for the Hairmax laser comb? Is it possible for the laser comb to cause increased hair loss? I know this is not normal shedding because it cannot last for a year.

LasercombI personally do not think any laser works for treating hair loss, and I think what you are seeing could be a coincidence. I have not heard of increased hair loss from a using a LaserComb.

Propecia is a great medication, but you will still lose some hair as you use it. The point is that you are losing less hair than if you are not taking Propecia at all. For some people it works just beautifully, others will have mixed results. As I’ve said many times, no medication will work exactly the same for everyone.


Balding Forum - Hair Loss Discussion

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Dimethicone and Rogaine – Hair Loss Information – Balding Blog

I’ve recently read on a couple of websites that the silicone compound Dimethicone, an ingredient in most shampoos and conditioners, could impede the absorption of topical minoxidil products (eg. Rogaine). The theory is that this ‘slilcone oil’ leaves a thin film on the scalp (even after rinsing) that prevents the topical solution from penetrating. Could this be the reason that many men see little or no result from Rogaine, while a minority of patients see significant regrowth of hair? Should all Rogaine users ensure that their shampoos and conditioners are dimethicone-free?

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It is, of course, just a theory that dimethicone impacts Rogaine (minoxidil)’s absorption…. but if you’re concerned about it you can buy dimethicone free shampoo. I do not believe that any single process or product will be responsible for drug absorption or modifying the results of specific drugs. Men have seen variable results from this medication since it was first released as a topical for hair growth. I don’t have an exact explanation why, though.

I’ve actually posted something about this before — Is Dimethicone in Shampoo Preventing Minoxidil Scalp Penetration? — and the commenters at the bottom have some added information that you might be interested in.

Edible Hair Treatments? – Coconut Oil, Eggs, and More – Hair Loss Information – Balding Blog

Hi Dr.Rassman,

I understand that there are products in the market that can slow down the hair loss. What do you think about coconut oil, and also I have seen people using hair mask with Egg and yogurt and lemon?

Are these good for for scalp treatment and conditioning? thanks

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EggsThose all sound delicious, but they won’t slow down your hair loss.

Coconut oil is used as a hair conditioner (apparently this is common in India), and I read that the yogurt/egg combo is also used as a conditioner by some. I can’t vouch for how well they work as hair conditioners, as I just use a bottled brand.