Hair Loss InformationFo-Ti, PABA, and Solving the Gray Hair Problem – Hair Loss Information – Balding Blog

Hello Mr.Rassman.

I heard a lot about Fo-Ti which is a Chinese herb which gives colour to hair. We can Find it in so many websites now I have two questions.

  1. I am aware that grey hairs cannot be reversed . But If I take Fo-ti atleast can I prevent my existing hairs from truning grey??So many Fo-ti suppliments are available in the market. Please go through the following site which contains the reviews of an over the counter medicine called Shenmin. Folica.com and more information on Shenmin.com
  2. I also heard about PABA which also helps giving colour to hairs. I think that is an FDA approved medicine will it be of some help in preventing my hairs from turning grey? If it is what is the recommended dosage for adults?

Sorry for such a big question. But you know my questions are always long.

Block Quote

Gray hair

  1. I believe there are just as many Chinese men and women in this world who have gray hair compared to those of other races in other parts of the world, which makes me think that if something as simple as taking a fo-ti supplement really stopped gray hairs, there would be a disproportionate amount of the Chinese population with black hair. That being said, I’m not an herbalist and my opinion on these types of treatments has been generally poor, because there’s really not much regulation on them and most of the claims people attribute to them are old wives’ tales. Here’s an article about fo-ti on About.com that you might find helpful.
  2. Para-aminobenzoic acid (PABA) is a chemical found in the folic acid vitamin and also in several foods including grains, eggs, milk, and meat (source: RxList). PABA is reported to be used for giving color back to hair if the graying was caused by stress or malnutrition, but I can’t find any studies to back up the claims and I have no personal experience with it. Because PABA is a supplement, the FDA does not approve, endorse, or verify claims; I also do not approve, endorse, or verify those claims.

Feel free to try these supplements if you want, but always remember that it is a buyer beware market and there is a lot of money to be made on false hopes and promises. Reviewing supplement information online is often quite daunting due to the seemingly hundreds of websites using unproven claims to sell you things, which helps spread the legend and creates a blurred line between what is real and what is fantasy. For further reading, I’ve written about the problems with supplements before.

Photo: CNN’s Anderson Cooper doesn’t mind his gray hair.

Hair Loss InformationRestoring Damaged Hair Roots, Since It Hasn’t Regrown in Over a Year? – Hair Loss Information – Balding Blog

(male) Is there anyway to restore damaged hair root’s to their natural health after a long abuse of hair dye products + straightening? I used to have really thick curly hair but now there is nothing to it, no grasp of elasticity, also it is really fine etc and has been like this for over a year now.

Block Quote

If you have given your hair about a year to recover and nothing has happened, I suspect there is not much you can do. I suspect you might’ve chemically damaged your hair, but consider the possibility that you may also have a component of genetic balding. Mapping out your hair for miniaturization may help make that diagnosis. If this is the case, there may be medications that may help. See your doctor.

Hair Loss InformationCould Getting a Perm Trigger Genetic Hair Loss? – Hair Loss Information – Balding Blog

Big permI’m a 19 year old guy who has had a moderately high hairline and slight recession at the temples since the age of 15. It seems to progress VERY gradually and I have no hair loss anywhere else. I always dye, style, tease, crimp and straighten my hair and it doesn’t seem to effect it, but I’m after a bigger style and am considering a perm. My hair is fine, but not extremely so.

Is it safe to get a fairly loose perm done at a good salon? Will it speed up my hair loss?

Block Quote

If you’ve got the genetics to lose hair, any number of things (including chemical damage) could trigger an earlier onset of the genetic process. You’ll have to decide if it’s worth the risk. I doubt you’ve got much risk based on what you described, but if you do decide to have the perm done you should try to minimize the risk by having it done by someone professionally trained.

Hair Loss InformationCan a Straightening Iron Permanently Damage Hair? – Hair Loss Information – Balding Blog

Hi, would just like to say firstly that I have found your site really helpful and informative, thanks! I’m an 18 year old female, currently straighten my fringe every day and I’m really concerned that this will cause permanent damage. I know that straightening can make hair brittle, causing it to fall out until a new one grows, but I read somewhere that heat from straightening irons can travel up the hair shaft and burn the follicle, meaning the hair will never grow back. Is it possible to damage the follicles like this? I have had a look through the site but can’t find a definite answer. Thanks.

Block Quote

Straightening your hair everyday will make the hair brittle, as you already know. However, it will not kill your hair follicles, which are below the skin and not impacted by hot irons and the like. On the other hand, chemical straighteners could kill the hair roots if used improperly.

Hair Loss InformationShampooing with Nizoral – Hair Loss Information – Balding Blog

Doc

This might be a fairly prudish question (more hygienic implications than medical) but I will ask it anyway. How often do you recommend washing hair (for people with copious hair loss) with Nizoral.

secondly, I have been on 1mg generic finasteride for the past 6 months (although I started experiencing hair loss 7 years back, but did not pay heed to the thinning hair until recently). Do you think there will be any effect of the drug?

Thanks

Block Quote

NizoralI would think there should be usage instructions on the Nizoral bottle, and how often it is used depends on the strength of the shampoo. I’ve read that 1% can be used daily and 2% should be used twice a week, but you should double check what strength you’re using and look for instructions on the packaging just in case I’m mistaken. Nizoral contains ketoconazole, which some people believe has some hair growth abilities; I don’t believe that to be the case. I don’t recommend any particular shampoo for general hygiene, but Nizoral could work well if you’re experiencing dandruff.

I don’t know enough about your hair loss to be able to assume if you’ll have any effect from Propecia. I cannot say if it will work for you because I really do not know what you are treating. Get a good examination. Document what you are starting with and follow up with your doctor in one year to see if there was some benefit. Lets be scientific!

Hair Loss InformationDHT and Sebum Production – Hair Loss Information – Balding Blog

Dear Dr Rassman,

I have heard that DHT in the scalp is linked with overproduction of sebum, which is the main cause of seborrheic dermatitis. Does this make any sense to you? I have been diagnosed with seborrheic dermatitis, and I also have hair loss. The two dermatologists I have seen have tried various topical medicines, betamethasone, clobetasol propionate, selenium sulfide, Nizoral shampoo etc. All of these things have only inflamed my scalp even more, and my scalp continues to secrete way too much oil. Is it possible that DHT in the scalp is the underlying cause of this? Could taking propecia stop the overproduction of oil?

Block Quote

As I’ve written before, the sebum/DHT connection is not supported by science. Propecia will not stop oil or sebum production. Too much oil is best treated with more frequent washing and using shampoos that are specifically designed for oily hair (see labels).

The use of steroids (betamethasone, clobetasol propionate) is something I tend to stay away from as these steroids get absorbed into the body, a less than healthy process when such medications are used in excess.

In the News – Scalp Cooler for Chemo Treatments – Hair Loss Information – Balding Blog

Snippet from the article:

The machines work by lowering the temperature of the head and scalp by a few degrees before, during and after chemotherapy.

This reduction in scalp temperature restricts the amount of blood reaching the hair follicles protecting them from the effects of chemotherapy drugs in the bloodstream, meaning that hair loss is not inevitable.

Although the scalp coolers have been around for some years some hospitals still do not have them, or if they do, they do not have enough of them to save everyone’s hair.

Block Quote

Read the full story at BBC News

The article also mentions that this isn’t an appropriate treatment for all cancers or chemotherapy drugs, but I still would worry a bit about lowering body temperature due to the scalp’s very high blood supply. Just a thought though, as this is an interesting piece.

Shedding from Nizoral? – Hair Loss Information – Balding Blog

Helllooo Doc!

Been on propecia almost exactly a year, not great results but things seemed to be stabilizing. About 3 months ago i added 2% nizoral shampoo to my regime and my hair has really thinned out since then. Have you ever heard of nizoral causing a shed or hairloss?

Block Quote

Helllllloooooo!

I haven’t heard of hair thinning or shedding with Nizoral (ketoconazole), but there’s really no way for me to tell what you are experiencing. If you think the shampoo is causing this new loss, stop using it and see if the problem subsides. You said the Propecia was stabilizing things, so hopefully that will continue. A baseline miniaturization study would help in a situation like this, because you’d know where you were with some objective numbers (the basis of good clinical science).

Hair So Real – Hair Loss Information – Balding Blog

Hello Doctor

Are you familiar with the “Hair So Real” hair building fibers ? It is just like toppik , but much much cheaper. Which is what concerns me . Could it be cheaper because of inferior quality? I have tried H.S.R. and it does a very decent job .But what about its ingredients ? Are they safe to use ?

HairSoReal.com

Block Quote

Hair So RealHair So Real looks like it is similar to Toppik. I don’t know about the ingredients, so I can’t comment on that. Really, I am not endorsing or disapproving of these products. In general they all work pretty well in concealing thinning hair. Many of my patients often use these type of products and most of our experience is with Toppik or DermMatch.

I remembered that one of my staff members here in Los Angeles has mentioned that he tried Hair So Real, so I got his take on it. He said, “I used Hair So Real for over a year and know people who are still using it, and never had any problems. The price is great, but I switched to DermMatch recently because it seems to work better for my crown and back of the head.

So there you go.

Hair Loss InformationTwo Clinics Just Tried to Sell Me Shampoos and Scalp Massages! – Hair Loss Information – Balding Blog

Hi Dr. Rassman,

I went to two clinics for hair loss consultation and both places are selling things such as overpriced shampoo’s, scalp massages to help blood circulation to regrow hair. They also try and sell packages that analyze your scalp to determine if the condition is suitable for hair growth and come up with a plan for regrowth, wigs/hairpieces, hair transplants. Or special hair dressers that style your hair a certain way to cover hair loss. Is this common for most clinics to offer all these options? Or are these clinics which I feel are complete BS or operate in a grey area and try to rip people off. What it seems to me is these “clinics” seem to milk money from poor unsuspecting people and when all their hair is gone they charge them for hair transplants? My understanding is the only way your hair can comeback is either medication or transplants. I guess what I want to do is warn people of these things IF these clinics are truly scamming you! Thanks

Block Quote

Your warning is appreciated and you are expressing many of my opinions as well.

In my practice, I only sell hair transplants and Propecia (at cost). We do sell DermMatch (camouflaging agent), but suggest that this can be purchased through the internet without the small fee that we charge just to keep it in stock. I sell no shampoos, wigs, hair lasers, or any other hair aids.