Using Vaginal Cream on the Scalp to Grow Hair? – Hair Loss Information – Balding Blog

Dear Dr Rassman
Question about Monistat Vaginal Cream. I have read that this is helping woman to thicken there scalp hair. Is there any truth to this and if so can you tell me how it works and can it be of any help to men? Thanks

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MonistatMonistat is used to treat fungal infections in the moist vagina which, in some women, has a tendency to produce yeast infections. There is no basis whatsoever in using this medication for the treatment of balding, though.

One of the ingredients (miconazole nitrate) is considered by some to be a hair growth agent, but I’ve yet to see a study that gives that theory any legs. There’s a great blog post at HairBoutique about this very issue.

Alternative Hair Therapies Are Worthless – Hair Loss Information – Balding Blog

Note: I’ve received quite a bit of negative feedback about my views on the various hair lotions and potions that are for sale and while I take it in stride, I received this great post from a longtime reader. He’s contributed some fine posts about hair lasers and the FDA in the past, and really, his post below sums up my thoughts on the issue:

Post by Guest Writer

    Worthless hair productsI am a physician, scientist, patient, and someone who has brought several therapies for life-threatening diseases to market via my work in the biotechnology industry. I enjoy your blog. In response to posts oddly critical of your views of “Propecia, Merck, and the FDA”, I wish to add some unsolicited comments.

    Occasional readers take you to task for their perception that you discredit alternate therapies. You do nothing of the sort. You simply ask, “What is the evidence for Product X’s safety and effectiveness?” To some, hearing someone say something wonderful about Product A is adequate. Unfortunately, the history of medicine is full of examples of useless products (and invasive, unsafe therapies), which fortunately have fallen out of favor after being subjected to rigorous, lengthy, and costly scientific scrutiny where adequate comparison groups (placebo) and other controls are used.

    In general, alternate hair therapies are worthless and little evidence exists showing any effectiveness. Because many of these therapies are made of natural substances, they do not qualify as drugs and fall outside of the realm of the FDA (where unsupported claims of drugs can not be made without penalty). Unlike these bogus products, where there is no evidence to support their value, drug manufacturers make the summary data on the thousands of patients that underwent clinical trials supporting approval of a drug publicly available (See Drugs@FDA).

    Your readers who fret about some undeclared and irreversible side effect occurring years from now for a drug can make their own decision after reading the studies that go into their approval (and supplemental postmarketing safety info). No such data exists to make informed decisions about these “alternative” therapies. And, before hearing “conspiracy theories” about how the FDA is financially beholden to drug companies, the reality is that scientists who develop therapies over many years are salaried and make no additional money based on the success of development (although obviously the drug company does). Do you think the health care proponents of alternative therapies are similarly financially removed?

Hair Loss InformationZenagen Shampoo – Hair Loss Information – Balding Blog

I’d like to bring to your attention another product making wild claims – Zenagen Natural Hair Loss Shampoo

Presumably you have a similar attitude towards it to other similar products?

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ZenagenOh boy. I’d say anything that bills itself as a “natural hair loss shampoo” already falls under my “buyer beware” list. But, let’s review the product’s site anyway…

The first thing my eyes were drawn to on the site is the big “1,000,000,000 hairs protected” graphic. I wonder how long it took them to count all billion. Then as I scrolled down the page, I noticed the lovely “As seen on Los Angeles Times and Chicago Tribune” graphic at the bottom. Often the only mention for products like these in major publications is in the form of a paid advertisement or reprinting of a press release. I’d love to see what the LA Times actually said about the product, if anything. I assume that if there was a real mention in those newspapers, there would be links to the articles (of which there are none). The photo results are equally laughable. Look at the “Results” page to see an example of a guy with a mostly-shaved head as the “before” and with his hair grown out as the “after”. You can clearly see he’s got a prominent and strong hairline in the both photos.

The makers offer zero proof and zero science to back up their statements, yet their site insists, “Based on science and research, the unique formula makes Zenagen shampoo the number one rated hair loss product“. It’s always the #1 rated products that nobody has ever heard of and offer no basis for their claims, right? Ha! Of course, you’re welcome to try the product for yourself, but until I can see a bit of proof of this shampoo’s efficacy, I’d say it’s not going to do much of what the maker claims it will. I am not impressed.

Laser Clinic Claims a 95% Success Rate? – Hair Loss Information – Balding Blog

Hello,

I am 23 years old and already begin to thin around the crown of my head. Starting to notice hair on my pillow and when I shower. Thinning spot has been getting progressively more noticeable over the last 6 months. I have been using Rogaine for the last couple months without very much success. I am quite certain that stress and genetics are both major contributors to the early hairloss I am experiencing.

I have now begin to look at alternative treatment options and came across a laser therapy center claiming they have had 95% success rate over the last couple years. Laser therapy for a year was quoted just over $4000. That includes 15 mins under a laser helmet once a week for 12 months, a laser comb and topical solution for the 12 month timeframe. I have been advised that after the 12 months I would have to purchase topical solution for the rest of my life to avoid build up of DHT again which will progressively begin hair loss again. ($150/bottle every 7 months). According to the clinic they guarantee success or your money back (not something I would trust unless I see it in writing)

I would like to gain some insight into this type of treatment and see if anyone has had similar treatment with success. I am more than willing to spend the cash as my hair is an important part of my image and I have no desire to be bald by the time I am 30. Just want to make sure that the money is being well invested and that this is not a Scam.

Could you please provide me with some information on this type of hair loss therapy? Results? Studies? Success Stories? or anything else that can help in my decision. Thanks

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Guarantee?I have written extensively about the use of lasers as a hair loss treatment — and simply stated, they do not work as claimed. To tell a client they have a 95% success rate — well, it depends on how they define “success”. If only 5% of their customers ask for a full refund, perhaps their judgment of success was that they were 95% successful in retaining your money. If they advertised a 95% success rate in regrowing hair, they’d probably be in violation of consumer fraud or advertising laws.

There was a recent case of a laser clinic in Chicago that was sued for refusing to honor their money-back guarantee when the laser treatment was found to be worthless, so just be sure to look out for these types of practices.

Here are some laser links worth reading:

  1. What Percentage of a Chance Do You Give Laser Treatment of Working?
  2. Reader Adds to the LaserComb / FDA Debate
  3. Reader Checks in with His Thoughts on the Latest LaserComb Study

American Crew Hair Recovery System – Hair Loss Information – Balding Blog

What are your thoughts on the American Crew Trichology “NEVER LOSE” system? Any potential benefits from the ingredients incorporated in the patch or concentrate solution?

Thank you for your time and consideration.

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American Crew TrichologyI think “Never Lose” is part of American Crew’s marketing for their “Hair Recovery System”. I wonder if it is in violation of advertising and marketing laws to suggest you’ll “never lose” hair by using their shampoo and a patch. To never lose would suggest a cure for hair loss, which I can guarantee you that this is not. Turns out, the patch contains rosemary, swertia japonica, hops, and silica — so I have no clue where they get off suggesting that this will regrow your hair. The ingredients for the concentrated serum are listed as acrylates copolymer, humulus lupulus (hops), extract, rosmarinus officinalis (rosemary) extract, swertia, japonica extract, silanediol salicylate, panthenol, butylene glycol, triethanolamine — and again, what research are they using to suggest rosemary and hops will regrow your hair?

Their site is in Flash, so it doesn’t allow linking directly to the Hair Recovery section. If you don’t mind jumping through hoops to check it out, start here and then click Trichology on the left.

Does Dr Rassman Only Endorse Big Pharma? – Hair Loss Information – Balding Blog

Dr. Rassman,

Strictly for the sake of playing devil’s advocate with you here —

When you imply that products offered by non-“Big Pharma” companies are likely bogus or that you don’t buy into their efficacy because the only proof of their viability is based on their own self-promotion basically (i.e. your posts about Drs. Lee or Proctor or even laser product makers), isn’t that slightly hypocritical? I mean, your career and business is of course enhanced by people foregoing these alternate methods, so shouldn’t people just as much suspect an ulterior motive on your part?

I understand your usual answer that, without personally seeing the research, you cannot recommend one way or another on something. But frankly, were you physically present for the Big Pharma trials on minox or finasteride? I’m assuming not. Going a step further then, I assume you base your support for those “proven” products on the basis that you read their documentation — so how much documentation is necessary for you to believe a product is in fact what is says? Some of those non-Big Pharma products people have written in about have “some” documentation, though certainly not to the extent of the FDA mandated trials I’m sure. Where do you (or do you at all) draw the line?

Or is your ultimate argument that, “If [said product] were that good, a Big Pharma company would have picked it up?”

Thanks for your time, love your site (though I had to plead ignorance to my girlfriend when I recognized you on her favorite show “Jon and Kate Plus 8”, haha), your replies on these sort of issues just sometimes irk me — aspirin was discovered by a non-Big Pharma guy, after all.

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Boy scoutOh boy. I never said I needed to be there during the research study of a product to know it was true or not. No, I wasn’t physically present at the trials of the finasteride or minoxidil, but those medications are proven to work and FDA approved. The problem with many of the products I’m asked about is that they come out of nowhere — old wives’ tales, myths, etc. Most of them offer testimonials or mentions of a study, but offer zero evidence that the study was even conducted or if it was even valid. People write to me at this site every single day asking for solutions to their hair loss. Should I tell them to just go ahead and potentially waste their time and money on an unproven product while they lose more hair that they can’t get back… or should I let them know about medications that are proven to be effective?

I have no bias to solutions produced by the large pharmaceutical companies. I look at everything that is offered in this field by the evidence that is produced for me to review. I have, for example, evaluated the hair laser and found that the actual research was inadequate to recommend that patients use the laser for hair growth. I even took it one step further and acquired a large laser system and tried it for 12 months at my cost for as many patients as I could find willing to be studied (for free). The results were clear that the Low Laser Light Therapy (LLLT) had no value to those patients that were studied by me. If I would have found otherwise, I could recommend this treatment and charge for its use (making money), but I can not do that if I am not convinced that it will work. I learned from the days I was a boy scout that “honesty is the best policy”, and I guess I am an old-fashioned clinical scientist.

Actor Jon Cryer’s Hair Loss? – Hair Loss Information – Balding Blog

If you haven’t yet had a chance to watch it, the November 23rd episode of Chuck Lorre’s _Two and a Half Men_ has a scene with Alan spraying on a fictional “Captain Terry’s Spray on Hair”, taking some untested hair growth pill and going on J-Date. These are all things I have done in my life and I found it particularly amusing. It’s interesting that they wrote this in since Jon Cryer seems to use some kind of concealer in real life. His hair looks too thick on screen.

Of course, I suspect a lot of actors use concealers, even the ones who do not have balding.

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You’re not alone. Tabloid site TMZ did a quick double take on Jon Cryer’s hair situation about a year ago — see here. He could very well be using a product in his hair, or perhaps the producers of the show have him do it to maintain consistency or youthfulness in the character. There does appear to be something going on with his hair, but I really don’t know for sure.

And yes, I’d guess that your suspicion is correct about many actors using concealers. A youthful look is something many people strive for, and of course those celebs have many reasons to look their best.

Supplements and FDA – Balding Blog

All the over the counter products (segals , foltene , viviscal , revivogen) keep on saying that FDA wont approve any vitamin and mineral supplements and thay also say they dont have enough money to do that is it true? Is getting FDA approval that much an expensive process.(One distributer of segals solutions told me that shortage of funds prevents them from proving the effectiveness of Saw Palmetto as DHT blocker)

FDAThat is not entirely true. There are of course costs involved, but most dietary supplements don’t require FDA approval before they come to market. The key issue is that there is no patent on saw palmetto, so these supplement companies don’t have an exclusive right to sell it. They’d just be spending money to try to prove a supplement worked as claimed, only to possibly allow any company to reap the benefits of their costs. Plus, if that money was spent and it turned out that saw palmetto didn’t work as they claimed, sales of the supplement as a hair loss treatment would plummet.

I’ve written about a lot of this before, but the FDA oversees claims by any company or person who sells nearly any type of health-related product. The key to the FDA is that the products comply with good manufacturing practices (a term of art as used here) and that any claims can be substantiated with good science. Effectiveness and safety must be proved by the supplier when making any claims about benefits.




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I See a Decrease in Gray Hairs Since Starting Propecia – Balding Blog

Dear Doctor. Thank you for this blog. It has come in handy several times!

I have two questions.

1. I’ve been on propecia for about 4 months now. My dad started growing gray hair in the beginning of his twinties, and now I also see some gray hair. I’m 21. But I’ve seen a decrease in gray hair since starting on propecia. Do propecia has an effect on gray hair?

2. My doc. also gave me nizoral shampoo and some nizoral creme for my chest. But I was wondering…At some website they wrote that nizoral has a small effect on DHT. Not much, but some. Does it make any sense to apply Nizoral creme on your scalp?

Best regards

I’m glad you find the site useful!

  1. Propecia (finasteride) does not usually cause gray hair to revert to its original color, so this is an unusual finding.
  2. Nizoral (ketoconazole) has no proven impact on DHT that I’m aware of, but I’ve read of people putting the cream on their scalps to treat hair loss. I have no clue of their results, though.




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In the News – Hair Laser Ad in Australia Pulled for Being Misleading – Balding Blog

Snippet from the article:

Australian cricket great Shane Warne has found himself at the middle of a storm of controversy surrounding his latest campaign for a hair replacement company.

Advertisements featuring Warne and former England captain Graham Gooch have been banned by an advertising watchdog over their misleading content, reports Eurosport.

Advanced Hair Studio’s advertisements have for years been centred on Warne and Gooch’s strand-by-strand replacement success, but the new ad implied that laser hair treatments produced the same results.

Read the rest of this article at Yahoo Sports — and more info at Guardian UK

I don’t follow Australian sports so I’m unfamiliar with the spokesmen mentioned, but this seems like another case of a company getting caught attempting to mislead the public about hair loss treatments and the results they can offer. The problem was in the wording of the advertisement, and although these ads were limited to Australia, it shines a small light on false marketing in this industry.


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