Hair Loss InformationMy Hair Continues to Thin, So Should I Try Microneedling? – Hair Loss Information – Balding Blog

Hello Doctor
Thank You for your time and effort spent on Balding Blog, it is very informative, I check it daily. I am a 51 yr old male that has had several transplants over the years. I currently use Finasteride and Rogaine daily. I have continued to thin in spite of making every effort, which is extremely stressful. I was interested in Microneedling. Is this something that one may do at home or does this require a visit to the doctors office. I live on the east coast just out side of Boson Ma. I would like to learn more about the treatment.

Thanks very much!

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No doubt that my posting about the small microneedling trial piqued your interest. Unfortunately, I have little experience with the technique you asked about.

You can contact doctors in the Boston area and see if someone has experience with it. To find a doctor in your area, check out the physician search at ISHRS.org.

What Else Should I Be Doing to Treat My Early Hair Loss? – Hair Loss Information – Balding Blog

Hey Doc,

I started suffering from hairloss round the age of 21, I noticed some thinning and loss in the right side of my temple (strangely enough not the left). Anyways, I decided to act. I am now 24 and still have that hair loss on that side of the temple and also moderate thinning in my crown. So I went on a strict rampage of everything. I got Revita & Nirozal Shampoo, a 3 month supply of Rogaine, MSM and Biotion tablets. Is there anything else I should be doing?

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You should have seen a doctor, gotten a diagnosis, and then probably started on finasteride (Propecia). A doctor’s prescription is required, but it would have probably stopped or at least slowed down the hair loss. Young men with early hair loss often have the best results from Propecia.

The rest of what you used and did was a waste of money and time, possibly aside from the Rogaine on your crown. Shampoos and supplements aren’t going to regrow your hair if you have genetic hair loss.

Study – Microneedling with Minoxidil for Treatment of Genetic Balding – Hair Loss Information – Balding Blog

Snippet from the study:

Hundred cases of mild to moderate (III vertex or IV) androgenetic alopecia (AGA) were recruited into 2 groups. After randomization one group was offered weekly microneedling treatment with twice daily 5% minoxidil lotion (Microneedling group); other group was given only 5% minoxidil lotion. After baseline global photographs, the scalp were shaved off to ensure equal length of hair shaft in all. Hair count was done in 1 cm 2 targeted fixed area (marked with tattoo) at baseline and at end of therapy (week 12). The 3 primary efficacy parameters assessed were: Change from baseline hair count at 12 weeks, patient assessment of hair growth at 12 weeks, and investigator assessment of hair growth at 12 weeks. A blinded investigators evaluated global photographic response. The response was assessed by 7- point scale.

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Read the rest — A randomized evaluator blinded study of effect of microneedling in androgenetic alopecia

DermarollerThere is an interesting pilot study that looked at the use of minoxidil and wounding in 100 balding men. Using a microneedling instrument (a dermal roller) and 5% minoxidil the following results were reported:

In the Microneedling group, 41 (82%) patients reported more than 50% improvement versus only 2 (4.5%) patients in the Minoxidil group. Unsatisfied patients to conventional therapy for AGA got good response with Microneedling treatment.

I was not surprised that some value for this combined treatment showed some effectiveness. I personally wonder if this is the type of service I should offer. I would appreciate your feedback.

Could I Be Allergic to my Chemical Hair Relaxer? – Hair Loss Information – Balding Blog

Hello,
I am experiencing hair loss in the crown of my head the size of a quarter. I am an african american woman. When I keep my hair braided with no chemicals, the hair grows back, so I know that it has the ability to grow. When I put a relaxer on my hair, I experience itching from within in only one area, then a month or so later the hair will fall out, but it only comes out in the same area. Could I be just allergic and sensitive in only one section of my hair. What do you recommend?

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Yes, an allergy would be highly probable. It might also be a chemical burn. I have no suggestions other than speak with your stylist or your dermatologist.

Hair Loss InformationPress Release – iGrow LLLT Helmet Receives FDA Clearance – Hair Loss Information – Balding Blog

Snippet from the press release:

Apira Science, Inc. recently earned 510(k) clearance from the U.S. Food and Drug Administration (FDA) for its iGrow® Hair Growth System, which is indicated to promote hair growth in males with androgenetic alopecia who have Norwood Hamilton Classifications of IIa to V. The iGrow is currently available by prescription only.

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Read the rest — Apira Science’s iGrow In-Home, Hands-Free Hair Growth System Earns FDA Clearance

Just another low level light laser. There must be money in selling these! Remember, FDA clearance is different from FDA approval. All this is saying is that this can be sold because it is safe, not that it is effective.

Hair Loss InformationCould Using Baking Soda Instead of Shampoo Interact with Minoxidil Foam? – Hair Loss Information – Balding Blog

Hi Dr. Rassman,

What are your thoughts on the “No Poo” method of washing your hair, that is using baking soda, rather than commercial shampoos?

I recently tried this and liked the heavier texture it gave my otherwise fine, thinning hair. After about a month, however, I feel my hair looks thinner. Do you think the extra build up of oils could actually cause an issue with the hair follicle? I use minoxodil foam as well- could there be some reaction?

It could be my imagination, but I think I’ll just take the blue pill on this one and go back to regular shampoo. Still interested in your opinion though!

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I honestly don’t have a clue. I don’t recall ever reading anything about minoxidil and baking soda having any interaction issues, nor have I had any patients tell me that was their regimen. If it works for you, then it works for you. If the baking soda isn’t giving you the desired texture, I guess you can go back to shampoo. I don’t have an opinion on this one!

Hair Loss InformationViviscal and Horsetail Extract – Hair Loss Information – Balding Blog

Hello Dr. Rassman,

I’m 23 and beginning to develop a receding hairline. I have recently started to take Viviscal. I know you don’t rate it highly however I’m in the early stages of hair loss and am not keen on going down the route of prescription drugs yet. My question is regarding the safety of viviscal as it contains 30mg horsetail extract which has been deemed unsafe by the FDA. Should I discontinue use of the supplement because of this?

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As far as I am aware, when taken orally horsetail extract might cause a thiamine deficiency over time. I don’t know what it might do to be unsafe as a topical, nor do I know that the FDA deemed it unsafe. Viviscal is sold over the counter in many large pharmacy chains, so I would expect if there was a safety issue, it would be pulled from shelves.

That said, the efficacy is something I’d be equally concerned about, since you’re wasting time and money as your hair loss progresses before you realize that this treatment likely isn’t helping. You’re in the early stages of hair loss, and time is ticking.

Hair Loss InformationPress Release – Biologix Hair is Suspending SEC Reporting – Hair Loss Information – Balding Blog

Snippet from the press release —

Biologix Hair Inc. announced that it filed a Form 15 as notice of suspension of the duty to file periodic reports under Sections 13 and 15(d) of the Securities Exchange Act of 1934 with the Securities and Exchange Commission (“SEC”) August 1, 2013. The Company is thereby voluntarily suspending its reporting obligations under the Securities Exchange Act of 1934.

As a result of filing Form 15, Biologix will no longer be required to file annual and quarterly reports with the SEC. The Company took this action in order to maximize management efficiency and cost effectiveness during its fast-paced development stage. The Company also aims to benefit from new capital-raising exemptions contained in the JOBS Act, which will allow registration exempt companies to raise up to $50 million in any 12-month period from accredited investors.

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Read the rest — Biologix Hair Inc. Voluntarily Suspends SEC Reporting Obligations

A few months ago, a company called Biologix Hair had a heavy PR campaign going to announce their “breakthrough” hair loss treatment. As a result, their stock was at one point approximately $5.00/share. It closed last week at 11 cents a share and they are being delisted from the NASDAQ. What does that tell you about the product/company?

I can’t help but wonder the number of people who got caught up in the hair treatment frenzy from this company, which you can learn more about at their site.

Hair Loss InformationHow Do I Use Creams for My Seborrheic Dermatitis Without Leaving Residue? – Hair Loss Information – Balding Blog

I’ve recently been prescribed hydrocortisone & nizoral creams for my seborrheic dermatitis. I’ve had issues in the past w/ residue. When I tried washing it off it seemed difficult to me. Do I need to use shampoo or something when I wash it to make it come off easier?

Lastly, does leaving the cream on longer, say overnight make it more likely to leave residue that is difficult to remove? The pharmacist I recently spoke to said there might be a solution or an ointment or foam that may leave less residue that would be welcome…

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Residue could remain with the use of creams like hydrocortisone or Nizoral (ketoconazole), but I would imagine that most people massage them into the scalp until they disappear. Some shampoos work better than others at removing these residues and grease from the scalp. If you wash your hair before you put on the creams and use hot water (not to burn your scalp) then you will increase the circulation of the scalp and get more absorption of the medicines in the creams.

If you choose to keep the creams on overnight, then using a good shampoo with a decent detergent is helpful, though I’m not sure if keeping it on overnight would make it more difficult to remove.

I’m not sure which solutions or foams your pharmacist was referring to, so it might be best to ask him/her again.

Hair Loss InformationMy Hair Appears Thinner After Using Dry Shampoo – Hair Loss Information – Balding Blog

Hi Dr. Rassman,

I have been using Batiste Dry Shampoo Dark Brown for a few months. I noticed that shedding has increased since then. I’m not sure if I am just experiencing a heavy shed due to MBP (i have been slowly thinning for 10 years) or if this stuff is actually aggravating my hair loss. It’s too bad if the dry shampoo is causing it, because it makes a great concealer and adds body to my thin hair. At any rate, it is noticeably thinner in just a matter of a month or two.

I love the blog!

Thank you

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I generally like to separate the issues before me and organize them.

If you are shedding, it almost certainly has to do with genetic hair loss (which you say you have). The shampoo you use will have no impact on the shedding, as the cause of genetic hair loss impacts the hair below the skin. As you use different shampoos and conditioners, the hairs that are damaged might be impacted with an apparent shed, but that can only be seen on a daily basis. Over a long term time period, the hair loss more reflects the genetic condition rather than the daily issues of shedding.

Take whatever feedback you sense, apply common sense, and react accordingly.