Elevated Bilirubin Levels from Finasteride?

I am a 51 y/o male. I have been taking Finasteride for the past 4 yrs. I also take Lovastatin for my cholesterol. My latest blood test showed elevated levels of Bilirubin. My doctor stated that it might be from the Finastride and that it is a possible side effect of the drug. I can’t find any info on this claim and I find it hard to believe that it all of a sudden is causing this.

Can you help me? I don’t want to stop taking the Finasteride and lose the results. I also must add that Dr. Pak did a procedure on me just about 2 yrs. ago and I love the results. Thank You.

I’m glad you are enjoying the results of your hair transplant!

I would ask your doctor to look for another cause of liver dysfunction. I have not heard or read about finasteride causing this type of problem. Lovastatin and similar medications do report elevated bilirubin levels as a possible side effect, however.

Scratching My Scalp So Much That I Have Bald Spots Now

About a year ago I started getting some scalp problems, primarily an itch. I would scratch the itch so hard I would develop some raw areas on the scalp that would scab over. Yet I continued to scratch and pick at the scabs until I noticed patches of bald areas on the top of my head where I had been scratching and picking. Will these areas grow back hair in time? Have I damaged the roots to the point no hair will re-grow in these areas? It looks horrible. Thanks.

You are clearly developing traction alopecia and these areas may stay bald. This is an obsessive/compulsive disorder and you should see your family doctor about his/her recommendations for treatment.


2007-07-09 08:33:05Scratching My Scalp So Much That I Have Bald Spots Now

Erectile Dysfunction may be precursor of heart disease in young men

Erectile dysfunction might well be the “canary in a coal mine” of men’s health, indicating that men need to “metaphorically evacuate” before they develop life-threatening disorders, said Arie Parnham, MD, from the Christie NHS Foundation Trust in Manchester, United Kingdom.

More than half of all men 40 to 70 years of age have experienced erectile dysfunction — defined in EAU guidelines as “an inability to attain or maintain an erection sufficient for sexual performance” — according to the Massachusetts Male Aging Study.

Many of these men have multiple comorbidities, the most prevalent of which is coronary artery disease, Parnham explained during his presentation at the European Association of Urology 2020 Congress.

The link between erectile dysfunction and coronary artery disease was first made by Italian researchers in a 2003 study of 300 men with acute chest pain and angiographically documented coronary artery disease. The prevalence of erectile dysfunction in the study cohort was 49%, and in 70% of those men, the onset occurred in the 40 months preceding their diagnosis of coronary artery disease.

Then, a 44% increase in the risk for cardiovascular events, a 62% increase in the risk for myocardial infraction, and a 25% increase in the risk for all-cause mortality were seen in a 2013 systemic review of 14 studies — a pool of 92,757 men with erectile dysfunction — with a mean follow-up of 6.1 years.

“Younger people were at higher risk” the systemic review showed, said Parnham, which “highlights the importance of screening in this group.”

Source: Medscape, Erectile Dysfunctin: A Urologic ‘Canary in a Coal Mine’ by Ingrid Hein, July 21, 2020


2020-07-23 12:17:59Erectile Dysfunction may be precursor of heart disease in young men

Severe eczema drug grew hair

The article reported “total lack of scalp hair – along with eczema, experienced significant hair regrowth while being treated with dupilumab, a drug marketed under the brand name Dupixent”.

Here is the article: https://www.eurekalert.org/pub_releases/2018-10/mgh-edr100718.php


2020-06-18 14:59:42Severe eczema drug grew hair

Exercise and hair loss

I want to start going to the gym but I heard that doing exercice can accelerate my hair loss and therefore making the finasteride useless.. Is that true or can I start going to the gym?

Exercise all you want while on finasteride. No problem

 

Shampoos with Sulfates (Sodium Lauryl Sulfate) and Hair Loss

First of all, many thanks for this great blog. I’m a regular reader.

My question is about mild shampoos. I often read contradictory comments about whether or not washing your hair on a daily basis could cause hair loss particularly when these extra mild shampoos contain ingredients like Sodium Lauryl Sulfate, Sodium Laureth Sulfate and all parabens, that may cause skin irritation, drying, and hair loss due to follicle damage. So if someone has to wash his hair every day, is using a shampoo without those ingredients is better for the scalp and the follicule ?

Shampoos and washing your hair does not cause hair loss in general. In men genetic traits (androgenic alopecia – male pattern balding) causes hair loss. In women hair loss can also be genetic or hormonal (example: menopause).

Shampoos have ingredients that can irritate the skin/ scalp in some people and that can be an issue, but it is not the main cause in terms of hair loss. Sodium Lauryl Sulfate and its likes are just detergents that wash way dirt in the most basic sense. Some believe these chemicals may be too harsh and there are other alternative (more expensive) shampoos that do not contain such chemicals. If you believe your shampoo has something to do with hair loss then it is rather easy to change your shampoo over reading through blog posts and conflicting Internet information.

In general, if you have the genes for hair loss (male pattern hair loss) washing your hair with or without the Sodium Lauryl Sulfate as it’s ingredient will likely not be a factor. There is, however, a multi-billion dollar industry that will try to convince you otherwise.

Eyebrow Transplants, Revisited

Here’s two more eyebrow transplant-related emails I’ve received…

In 2002 I cut my eye brows off. But they grew back very thin some parts did even grow back, like the ends. Only the inner part would grow but not so thick. Anyway to date they are not growing at all. My hair line has also thinned out about an inch. I do not know what is going on but I am tired of drawing it on. Please help.

Eyebrows can be successfully transplanted, if the eyebrows you had have not returned after a couple of years. The eyebrow hair is taken from the scalp hair, and as such will have to be trimmed about three times a week and cut on an angle for hair shape. I posted a blog entry recently about this: Eyebrow Transplants. You need to be evaluated for the hairline loss. Read my responses addressing female hair loss, as they do apply to you.

I am considering eyebrow hair transplantation and I have many questions. Does having permanent makeup interfere with the procedure? Should it be removed first or will it cause scarring to the follicle? Also, does the transplant have to follow the original eyebrow hairline or will it grow in any follicle (if I wanted it slightly raised for a more youthful appearance for instance)? Do eyebrow transplants yield a high success rate? I noticed you listed some special summer prices but they were specified for the strip method. What is the cost for the FOX method. Finally, I live near Riverside Ca, zip code 92313, is there an office near me?

Permanent makeup is cosmetic tattooing and is permanent by its nature. It will not impact an eyebrow hair transplant. You should be evaluated first, before any surgery is considered. Eyebrows can be angled for more lift, but it is difficult to angle them for less lift. The success of eyebrow transplants are high. NHI’s summer fees have been reduced by 10% but the FUE approach has not been discounted and still is priced at about twice the price per hair/graft as a traditional strip method of transplantation. Our closest office to you would be in the Beverly Hills area.