Eucapil – Comments from the Inventors – Hair Loss Information by Dr. William Rassman

I received this comment to my post from last month about Eucapil from M. Sovak, M.D., University of California Medical School –

Response from the inventors of Eucapil:

We understand that a comment by Dr. Rassman was published on the site consecrated to the surgical hair loss restitution. We therefore understand that plastic surgery will remain the priority of its practitioners.

We nevertheless have to correct a number of statements which are erroneous:

1. Eucapil is not a cosmetic available only in “the Czech and Slovak countries”. Eucapil was approved as a cosmetic in the Czech and Slovak Republics and thus under the EU Law of Cosmetics can be made available in all EU countries.

2. The definition of a cosmetic in Europe is not the same as in the US and the producer of Eucapil, Interpharma Praha, is not making any medical claims whatsoever. In the EU, a cosmetic is a product which acts on the skin and its appendages without having any systemic effects.

3. It is not clear what “good things for the appearance of hair” means. To state that there is no suggestion or proof that Eucapil can reverse hair loss is simply untrue. We refer the reviewer to the appropriate scientific presentations and articles in peer-reviewed journals on the website, www.eucapil.com (Sovak M, Seligson AL, Kucerova R, Bienova M, Hajduch M, Bucek M. 2002. Fluridil, a rationally designed topical agent for androgenetic alopecia: first clinical experience. Dermatol Surg 28:678-685, with an erratum on p.971; Bienova M, Kucerova R, Hajduch M, Fiuraskova M, Sovak M. Efficacy and Safety of Eucapil Gel in hirsutism (Pilot Study). Proceedings of 14th Congress of European Academy of Dermatology and Venereology, London, October 12-16, 2005; Kucerova R, Bienova M, Novotny R, Hajduch M, Fiuraskova M, Seligson AL, Sovak M. Eucapil in Female Androgenetic Alopecia: Efficacy and Safety after 9-month use. Proceedings of 14th Congress of European Academy of Dermatology and Venereology, London, October 12-16, 2005).

4. Everybody in hair dermatology knows that the reversal of hair loss can occur only if the follicles are still viable and this applies to systemic therapy such as one with finasteride (Propecia) or the topical material such as minoxidil (Rogaine). We agree, however, with Dr. Rassman that the ultimate and best way of dealing with hair loss which can no longer be reversed is to use implants and other plastic surgery approach which today has been developed to excellence.

5. Eucapil IND has recently been filed with the US FDA with all relevant preclinical and clinical information. We should perhaps state that the primary endpoint of the studies is arrestation of hair loss of those who suffer from continuous effluvium (hair fall out) and that as a secondary point and based on clinical observation there is a statistically significant increase in the hair diameter which may be responsible for the overall improved appearance of the hair. We wish to be sure that the readers of this response understand that Interpharma is not a “producer of natural supplements” which pushes “claims that may not be valid”. Interpharma works strictly under good manufacturing practices (GMP) and publishes its findings in recognized journals. More information for anyone who would wish to read scientific abstracts is contained at the Eucapil website, www.eucapil.com.

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Prevail by Pfizer – Hair Loss Information by Dr. William Rassman

Hello again Dr. Rassman.

Just wanted to ask about Prevail Hair Growth Treatment by Pfizer. Is this the much talked about Minoxidil foam? Why is it so expensive, what gives?

I look forward to the last two parts of the video interview series; it was very nice to hear your voice!

Thanks.

It appears that Prevail Hair Growth Treatment contains 5% minoxidil topical solution. The rest of the treatment seems to be a shampoo, conditioner, and a volumizing mousse. A minoxidil foam may be easier to apply than traditional Rogaine, but I do not have direct experience with it. If anyone has tried it, please feel free to post a comment to let your experience be known.

Thanks for your nice words. The final 2 parts of the video interview are now up on the site in the video section, with many more videos to come.

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Hair Loss InformationMiniaturization or Gimmick? – Hair Loss Information – Balding Blog

Dear Dr. Rassman.

I have a 3-in-1 question for you. Thanks for answering my previous question about Propecia. I am trying to cover my loss by all available means (Propecia, supplements, Minox and finally a transplant.)

First, I noticed you talk about getting one’s head mapped for miniaturization. I have spoken to five dermatologists here in Arizona, including two who specialize in hair transplants, and none of them have an idea what “mapping head for miniaturization” is. One of them even went as far as suggesting it was just a gimmick to get people to go on with the surgery. (Which I doubt.) I absolutely need to know to what degree my loss might be, so I can plan for the future, transplant and money-wise. The dermatologist who prescribed Propecia for me only took a 30 second look at my hair and gave me the prescription. I think that was a bit wrong, as it might be something else what’s causing my loss, though there is a history of it in my family. So…

Is there a doctor you can refer me to, who can perform the mapping, here in Az? The doctor who mentioned the “gimmick” said such analysis is pointless, as one miniaturized hair might be non-miniaturized by the next cycle. (I doubt it.)

Second. Another concern is how much it can evolve. I know balding is a progress, but I would like to know if a mapping can ascertain if I’ll be a say, class 4 for the rest of my life as it can be obvious some hairs are not affected by DHT, or if it will only tell me what class I am at a certain point in time, with the potential for more balding.

Third. I am concerned I might not have enough hair to leave me satisfied with my appearance even after a transplant. My main concern is thinning, as the recession is not that noticeable. I am curious to know if you can transplant hair from other parts of the body like chest or belly. I have long enough hair there that looks identical to my head hair, save for not growing longer than 1 or 1 1/2 inches. I wonder if this hair can be successfully transplanted to provide thickness, or work as “guard hairs” for the frontal hairline. I noticed my brother’s frontal hair is just like that. Other doctors in Australia (Who happen to follow your procedures and credit you with the techniques they use) have been successful in patching people up with body hair, with amazing results.

Sorry for the long post, and if some of my questions are not too clear. Keep up the good work, doctor, and hope to be stepping up into one of your offices soon.

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I just answered a similar question a couple of weeks ago, but I’m going to get a little more in depth this time…

The hair transplant medical field is not as standardized as one may think. There is the International Society of Hair Restoration Surgery (ISHRS), but not all hair transplant doctors belong to the society or practice the same way. Some doctors do not use microscopes for dissection. Some doctors do not use hair densitometers to determine miniaturization. Some doctors do not use follicular units. These should be the standard of practice in my opinion, but there is really no way to enforce these practices. Unfortunately, hair transplantation is not a highly regulated medical field. There are doctors who coin new terminology to promote their expertise. There are doctors that even claim that they were the ones who invented certain procedures by subtly changing minor details. It is alarming, but these things happen. To be fair, it happens in other industries as well. It is the basic theme of “buyer beware” that I often state in my posts here.

Your question on minaturization is an example of such variation in clinical practice. Hair generally loses its shaft thickness as it is lost. This thinning of the shaft is called miniaturization, a standard term in modern dermatology. Miniaturization occurs at different speeds in different areas of the scalp and over time it is (in men) often progressive. By getting a picture of the degree of miniaturization by area (a snapshot of the health of your scalp hair in each area), it allows the physician to determine not only the health of the hair in each paticular area, but it allows the physician the ability to follow the progression of the miniaturized process by area caused by the genetic process — or the improvement when a person is treated with drugs like Propecia.

Miniaturization measurements do not predict your future hair loss or the rate of that hair loss with certainty, because there are many factors involved in hair loss. It does give a trained doctor an extra set of vital information on the progression of the individual’s hair loss by monitoring and quantitatively documenting the effectiveness of medical treatments such. There is no science or measurement in when a doctor runs their fingers through your hair. Contrary to popular belief, mapping for miniaturization is often used to deter what is going on and allows the doctor to refine the diagnosis. Women have unique miniaturization patterns that differ from men and men each have different miniaturization patterns depending upon the extent and speed of their hair loss. Men who are not balding should show no miniaturization present (see example here).

With respect to body hair transplants, I am fully aware that there are internet advertisements and post-operative pictures with doctors proclaiming success. My reservation is that pictures do not always tell the truth. You need to meet these patients face to face and see their results and see the scars from their donor sites. At NHI we have monthly Open House events where we encourage all potential patients to come and see actual patients and learn and see a real hair transplant surgery. Furthermore, body hairs grow at different rates and have different (longer) dormant cycles where its transplantation may not be of clinical benefit (see Transplanting Chest, Leg, and Thigh Hair). Finally, hair transplants and even body hair transplants will NEVER restore your hair back to its childhood densities. It may be hard to believe, but you only need about 30 percent of your original hair density to preserve the same appearance.

Head Lice and Hair Loss – Balding Blog

Lice

Hello, recently i got head lice.. ive tried treating it many times but i just ordered liceX product . My questions is why has my hair been shedding great amounts on my clothes, shower etc. it was not like this last year. please help i do think its a main cause of stress.. please help asap this has destroyed me mentally and physically

You should see a good dermatologist or a general primary care doctor to treat your head lice. They can prescribe stronger medications that may not be available to you. Take care of your head lice and hopefully your hair, your mental, and your physical state will return to baseline. There is not substitute for a good doctor in your situation.




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Using a Combination of Laser, Vitamins, Propecia, and Shampoos – Hair Loss Information by Dr. William Rassman

Hello Dr Rassman,
i have joined a program of preventing a hair loss, and i am using a combination of products ( low level laser comb, scalp scripts, vitamins, propecia, and a shampoo ). now i cover 6 month period of using these products and i have seen some results on the back of my head.i have a thinning hair at the front of my head (not too much). anyway at front no particular results. they say from this center that i need at least another 3 months in order to see good results at the front of my head. What is your opinion about this problem , and why is taking so long to see results at the front of my head? is that normal?

thank you.


I have given my opinion many times on alternatives to the only two medications that are known to have value (Finasteride and Minoxidil). I am not sure if the other treatments really work from a medical point of view and there is no proof for me to endorse any of such productsn,because there is no clinical science to show that it has been medically proven. But if it works for you than you may want to continue it.

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ThymuSkin Shampoo – Hair Loss Information – Balding Blog

Dr. Rassman,

I have written in before but i have a question concering hair loss shampoos. I have been researching Revivogen and ThmusSkin Shampoos. What are your thoughts on these topical hair treatment agents? I am 22 years old and have a full head a hair and show no signs of balding but it does run in my family. Would these be effective in keeping my hair that i have? People have told me to not worry but its difficult. I would like a “security blanket” to assure no hairloss will take place. Please Help!

Thankyou

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The following is what I wrote about Revivogen back in December, 2005:
Revivogen seems to make claims about ‘proven’ DHT blocking and ‘Doctor formulated’ natural ingredients. Kevis has minoxidil as an active ingredient. There is clear value to minoxidil, but you can buy this over the counter at substantially less money than with the Kevis formula and Revivogen has made claims that are not widely accepted although it has been around for years with some good reports by some consumers. I have made comments on non-FDA approved medications and claims about safety and effectiveness in the past (see Scalpmed and ViTrichol for examples).

With respect to ThymuSkin, their website does not disclose any active ingredient that I can find. As I have stated countless times on BaldingBlog, it is a “buyer beware” market. If you want a medical advice, the only medical treatment proven to work is topical minoxidil and oral finasteride.

Millions of people like you want their “security blanket” and spend millions of dollars annually on hair products. It is not my place to tell you how to spend your money. If you wish to try the products, keep me posted on how well it has worked or not worked.

Copper Peptides Are Cure for Hair Loss? – Hair Loss Information – Balding Blog

Here is a press release for another magical cure (*cough*) for hair loss. Actually, they try to make this sound like some grand new discovery, but once you get to the last paragraph you realize they are just selling a shampoo called Follipro. I have used copper peptides in my practice for the impact on wound healing in some of my patients. It seems to have value in minimizing post-operative pink discoloration in some patients. The company which sells it does claim hair growth benefits, but I have never seen these benefits.

Press releases need to be looked at carefully, for they do not always tell an accurate story.

Whole Raw Eggs for Hair Loss – Hair Loss Information – Balding Blog

hi
i am writing this letter to you asking for advice .

I have been eating whole raw egg for the last two years for good health. Suddenly after two years i realized sudden slow hair loss. i used minioxidil but its still falls out. kindly advise me with what to do.

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Whole raw eggs are good if you like your protein and fats that way. The relationship between raw eggs and hair loss are not there. Minoxidil is not the best first approach to genetic male hair loss. Get your hair mapped out for miniaturization and then with a diagnosis in hand, you can be smarter about your hair loss and approach it correctly.

Mane Tail Groom Contains Sulfur – Hair Loss Information by Dr. William Rassman

Hi there Dr. Rassman,
I had some serious breakage due to over processing. The stylist I went to used bleach on tons of hair rather than a “10 hair test strand” as she called it. The test strand was done because I told her my hair was previously bleached and processed since then and that I was too scared to do what she recommended. Her so called “10 hair test strand” turned out to be some 50,000 hairs after she was done! My hair is now super thin and I had to cut off a foot and still thin. I even have a bald spot in front where it has receded. So I read that M-T-G (not mane and tail at the drugstore) used on horses can help with the growth process. But I am worried because the 1st ingredient is sulfur. And the 1st ingredient in color removers/strippers is also sulfur. And yet I was told that color removers are harsh on damaged hair and *will* caused very processed hair to break. So now I am worried about using Shapley’s M-T-G. What do you think? Thanks!

Be careful who you listen to. When I do not know something, I say so. I do not know much more about MTG products than I stated here. I don’t like the concept of using sulfur in any form on damaged hair. Be careful, you may be taking to many risks as you experiment with your hair.

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Ultra Nourish Hair – Hair Loss Information – Balding Blog

I am taking a GNC product called Ultra Nourish Hair which contains 1200 grams of biotin along with other vitamins, and the box says to take 2 pills a day. My question is, would this product help me alot to grow my hair longer, faster, and stronger? Please let me know if I’m using a good product or not!

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I don’t have personal experience with Ultra Nourish Hair, so I can’t tell you for sure if this will help your hair grow stronger or faster, but there are plenty of online reviews that seem to be positive. Keep in mind that there are numerous products out there that claim to give the best hair growth results, so finding one that actually does what it says can feel like an impossible task. While I really have my doubts about many of the commercial products out there on the market making hair growth claims, Ultra Nourish does contain biotin in it (which has marginal value, if any, in people who are well nourished).

Please note that this product will not treat male pattern baldness (genetic hair loss), but aims to grow your existing hair faster.