Can I Tell If I Have MPB By Pulling?

I was wondering how to actually notice hair loss. When I was 25 I remember visibly seeing hairs in the shower and in my sink. Since then I have slightly receded but that is it. I am now 31 and I notice one or two hairs when I put gel in my hair and a few on the floor in my bathroom. I also notice I can slightly tug a few hairs out every once and a while. It just as easy to pull them from my sideburns as the top of my head. No one on either side (first and second generation) is bald in the back of the head. All related men do have recession and slight thinning (which I think is common). It looks like pattern 2. Is the fact that I notice the hair in my sink, tub and by pulling a sign of hair loss or MPB?
Thank you!!

No, you cannot tell if you have male pattern balding (MPB) by simply pulling on your hair. It is normal to lose 100 hairs a day. You may be able to see MPB pattern under a hair densitometer, which is a special microscope for the hair, by demonstrating miniaturization of hair. To make the actual diagnosis, the patterns of thinning and miniaturization can be mapped out for predictive purposes.


2006-07-18 12:27:14Can I Tell If I Have MPB By Pulling?

naNOx9 Supplement and Hair Loss

I was wondering if you could answer a question for me. I am a 26 y/o male who is very much into working out (running, weight training, etc). Unfortunately, I am in the beginning stages of MPB as well. I really have changed my whole life around to maintain the hair I have. That being said, I am very cautious about what I put into my body. I came across a supplement at GNC called naNOx9. I was wondering if you knew anything about this supplement, and if so…will it accelerate my hair loss or is it completely healthy? The ingredients are listed below….if you could answer this question for me I would really appreciate it. Dr Rassman, thank you for creating this blog…..I have gained much knowledge about hair loss that I would not ever know otherwise.

Serving Size 3 Caplet(s)
Servings Per Container 60

Amount Per Serving % DV

naNOx9 3520.00 mg **

L-arginine*-xanthinol nicotinate **

L-arginine-ketoisocaproic acid-yohimbine HCl **

** Daily Value (DV) not established

Other Ingredients: hydroxpropryl cellulose, Silica, Artificial Flavor, Magnesium Stearate, Microcrystaliline Cellulose, Croscarmellose Sodium, Polyvinylpyrrolidone, vegetable stearine, coating (Polyvinyl Alcohol, Polyethylene Glycol, FD&C Red #40, Talc, Titanium Dioxide, FD&C Blue #2)

Here is the link to the product as well:
https://www.gnc.com/product/index.jsp?productId=2486356&cp=2348700.2325087&parentPage=family

Thanks again Dr. Rassman!

Sorry, I do not know of naNOx9. For that matter, I don’t even know how to pR0noUNcE it. The list of ingredients are substantial and I can not attest to how one ingredient impacts another. You have to have faith in the product and the manufacturer and can not just look to a website for such assurance.

I’ll quote myself from a previous blog entry: Millions of dollars are spent on marketing supplements to a health conscious society and it gives a skewed perspective on our health and subliminally gives us the message that we need to take these extra supplements to make us better (lose weight, grow hair, increase our sex drive, build muscle, feel happy, get smarter, reverse aging). As long as things are not done in the extreme and it seems to help, there is nothing wrong with taking supplements. There is no hard medical science supplied which would support the majority of the claims.


2010-07-16 08:31:56naNOx9 Supplement and Hair Loss

Can Loneliness And Social Isolation Shorten A Person’s Life? Can Hair Transplantation Address This Problem In Some Men?

A recent paper published in “Perspectives on Psychological Science” indicates that people who spend less time alone and are less socially isolated might live longer and this has been found to hold in all ages of people. The study was done at Brigham Young University analyzing 3 million participants from a variety of health groups. The metrics included socioeconomic status, age, gender, and pre-existing health conditions and the study suggests that a lack of social connections presents an added risk. People with relationships had showed greater health.

Specifically, “the mortality risk is increased by 29 per cent for socially isolated individuals and by 26 per cent for lonely people. Individuals living alone have a 32 per cent higher risk of dying prematurely.” When one adds excessive drinking and smoking to the mix, the numbers may be worse. “In essence, the study is saying the more positive psychology we have in our world, the better we’re able to function not just emotionally but physically,” said Tim Smith, co-author of the study.

We see in our hair restoration practice, men who lose their mates. Many feel lost and some seek hair transplants to get their hair back with an anticipation of dating again, We see this with great frequency as men want to look more desirable, and appear certainly younger. Adding hair to a balding head, makes this happen. I distinctly remember three patients; one a 68 years old, who sat with his dying wife for 4 years as she eventually succumbed to breast cancer. He rarely socialized while she was dying. When she died he visited me and told me how difficult life was during those 4 years, but he loved her a great deal and appreciated her though the end. He was missing the hair in the front of his head and got, in just one session, terrific glistening silver hair. Once the hair grew out, he went on a cruise by himself and met a beautiful 29 year old Japanese woman and by the end of the cruise they decided to marry. He came to visit me two years later to introduce her to me. His smile was radiant. He told me that being alone, just was not for him. The second man was 86, and he lost his wife and thought he looked too old, so he got a hair transplant with great results in just one session. It did not take him long to find a new wife. At 86, there were more single, available women than men by a long shot so the hunt did not take long. I think that the women hunted him out. The third patient was 55, his wife left him and he refused to date until he got a hair transplant. After just one session, he came back and told me that dating was great. He met many women on the internet and loved the attention he was getting, but he did not marry again, at least not in the first year that his hair grew out. Maybe he could not find ‘Miss Right’.

In conclusion: Hair makes a man feel more confident, younger and more able to tackle the world of ‘available women’. It also has a major impact on careers. Many Hollywood celebrities that I worked on before they became famous, developed the confidence in themselves that boosted their careers. They often felt my contribution to their ‘look’ was one of the main reasons they made it professionally. From the article referenced above, it appears that maybe hair transplanted patients will live longer, who knows. Life’s value, a man’s confidence and maybe life’s length are related.


2015-03-20 09:33:07Can Loneliness And Social Isolation Shorten A Person’s Life? Can Hair Transplantation Address This Problem In Some Men?

Necrosis of recipient area in Turkey patients (photos)

Here are two photos which show two different patients who developed necrosis of the recipient area. These patients had their surgery in Turkey and will have to get wound care where they live. The area of necrosis will not grow hair. My clinic has performed over 16,000 hair transplant over 30 years with many doctors. We have never had a case of recipient area necrosis. I believe that these men had errors in their anesthetics that caused the problem. Turkey is no bargain when you don’t get a competent doctor doing your surgery. There are some very good doctors in Turkey and I doubt that the good doctors in Turkey get this complication.


2021-08-21 07:13:38Necrosis of recipient area in Turkey patients (photos)

Can My Traction Alopecia Reverse?

i’m a 15 yr old girl and i have traction alopaecia-i have really long hair and i’m not allowed to cut it so i braid it really tightly every day- if i change my hairstyle, will it grow back?

Traction alopecia may not reverse if it has been a chronic problem. Some hair may grow back, but there is no guarantee. If you are worried about hair loss from traction alopecia the best advice is to stop the offending cause (stop braiding your hair). Your circumstance may not be as easy as words of advice, but at the least do not braid your hair so tightly.

Can Propecia Elevate Dopamine?

In early 2011 I had a rare adrenal tumor removed called a pheochromocytoma. Doctors also removed the affected adrenal gland the tumor was attached to. This type of tumor spontaneously, without provocation, releases epinephrine, norepinephrine and dopamine. Chemicals collectively referred to as catecholamines. These are your fight or flight chemicals and when the tumor releases them you feel very “wound up”. After the tumor was removed, my catecholamine levels went back to normal and I again felt normal.

In late 2011 I started Propecia. I started on .5 milligrams per day and later reduced that dose to .5 milligrams 3x per week, which I am currently taking. A dose much lower than the standard dose of 1 milligram per day. Almost immediately after starting Propecia, I began to feel like I did when I had the tumor. Spontaneously “wound up” even in the absence of external stimulus.

Recent testing reveals my catecholamine blood levels are back up and my oncologist suspects another tumor. Appropriate scans for tumor detection are occurring “as we speak”.

Are you aware of any evidence that Propecia can cause elevated levels of epinephrine, norepinephrine or dopamine? I have read numerous claims that Propecia can cause anxiety. If this is true, could this anxiety then trigger a “chemical cascade” in which catecholamines are released at high levels.

Thank you for your expertise in this matter.

I know I must sound like a broken record, but you really need to discuss personal medical issues with your doctor.

I wouldn’t expect Propecia to have anything to do with dopamine or other catecholamines. Propecia is a 5 alpha reductase inhibitor, which works to diminish the conversion of testosterone to dihydrotestosterone (DHT).

In my experience, the anxiety caused by Propecia are in those men who read too much about Propecia’s side effects on the Internet without discussing the issues with their doctor. Then again, anxiety could indeed be a rare symptom associated with Propecia, but it’s something that needs further study. The studies that I’ve seen which link Propecia to anxiety or depression were based on interviews with men from a Propecia complaint forum, and the bias is something I’ve discussed before.

New Report that finasteride does not cause sexual side effects when compared to controlled group

I always tell my patients that the risk of sexual dysfunction or loss of libido was between 2-4% but this article suggests that these side effects were not seen in their study of over 600 men from all age groups. This suggests a strong psychological impact that could be the cause of the sexual complaints reporting “there is evidence of a nocebo effect (an adverse side-effect that is not a direct result of the specific pharmacological action of the drug)“. The link below is a copy of the article which should be read by our audience. The main thrust of the article, however, was that “recent research … suggests that men with alopecia may be inherently more susceptible to sexual dysfunction regardless of treatment and that sexual dysfunction is not uncommon in the general population regardless of alopecia status.” I personally know the first author, Dr. Robert Haber and he is an honest and diligent clinician who I trust.

https://onlinelibrary.wiley.com/doi/epdf/10.1111/jdv.15548?author_access_token=D24c_h79HLymV8uMhMZjRIta6bR2k8jH0KrdpFOxC64P8g8jjA3oxKEtIH6uG2i3wzguPsCnGEXe1jO-tZhF84ZrGEXnIpW-Wt9_oexeaNFlCp1ZbNfymVRdrP5xtRuy&


2019-05-29 07:46:16New Report that finasteride does not cause sexual side effects when compared to controlled group

Can Rogaine Cause Impotence and ED?

I have a question about taking Rogaine. I read a lot of people saying that when they took topical Rogaine that they noticed soft erections and impotence. Is this possible and do you hear a lot of people reporting this? thanks

I personally never heard of this from any of my patients. Moreover, I do not believe erectile dysfunction or impotence is a side effect of Rogaine (minoxidil).