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Nizoral and Seborrheic Dermatitis

(male) I was recently prescribed Nizoral 2% and clobex lotion for a condition of moderate seborrheic dermatitis. I was told to use each once per day for a month. At the time of my doctors visit, i made a point of telling the doctor that my hair has been chemically processed quite a bit over the past few years (coloring and bleaching) and that I was concerned that he give me something that would not damage it. Within a couple of days, my hair was dried out to the point of being like straw and was breaking off near the roots. Since then I have been experiencing an abnormal amount of hair fall on a daily basis. All of the literature I can find on the 2% Nizoral seems to say that is should be used only once and then on a very intermittent basis. I am wondering what you think of the dosage that was prescribed for my condition? I should add that I have since changed doctors and have been told to use Fluocinolone acetonide 0.01% which has cleared my scalp condition in only 2 weeks. So now my scalp condition is better but my hair is stlll breaking off and falling out. Any advice?

My response to such questions requires a face-to-face meeting and an examination. The practice of medicine is an art form that caring doctors in the ‘hair’ field base their views on such issues as yours after a direct examination of the hair and scalp. Nizoral should not be abused and should always be taken as directed. If a doctor recommended a more frequent use, your probe of the problem should be directed to that doctor. Chemicals that seep into the hair follicles can damage them. Questions that an examination of the hair and scalp would point to include the differential diagnosis between telogen effluvium and cyclical genetic hair loss. I am happy to hear that your seborrheic dermatitis has resolved.


2008-03-11 14:47:36Nizoral and Seborrheic Dermatitis

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Can I Take Testosterone and Finasteride at the Same Time?

I’m 23 and I started losing hair since 18 but not in an aggressive way. I am still an NW 2/3. Recently, I’ve started TRT because my Testosterone results came back a bit low. For the past two months. I have been thinking about hopping on the big 3 minox/fin/niz since I still have a good amount of hair, but I am really hesitant to start Finasteride because of the horror stories I have read and heard about the side effects.

So, what do you think?

Men who take testosterone and have the genes for hair loss lose hair regardless of taking Finasteride. Additionally, young men should not take testosterone.

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Can I Use Hair from Under the Chin?

The best donor hair is from the back and sides of the head (scalp hair). The next best spot, if the donor area is depleted, is under the chin. The chin area can yield as many as 3000 grafts in some people with heavy beard densities. I would not want to use this hair for the frontal hairline because it would be too coarse and not look natural. Beard hair taken from under the chin can’t really be seen when placed well behind the frontal hairline. Other body hair has short growth cycles, unlike beard and scalp hair which have long growth cycles, so it is not as good.


2018-06-22 09:58:28Can I Use Hair from Under the Chin?

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Norwood Class 3A using finasteride and minoxidil (photo)

You have been using finasteride and minoxidil for only 45 days and these photos suggest that your hair is sensitive to finasteride and minoxidil. Your pattern of balding is a Norwood Class 3A with a huge forelock. The hair loss is around the forelock that is solid and not balding. You already show signs that it is reversing with the finasteride and minoxidil. Keep up the good work and make sure that you stay on it and let’s see what it looks like in 6 months from now.


2020-09-18 11:01:40Norwood Class 3A using finasteride and minoxidil (photo)

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Can you control the DOT size with SMP

The dot size is controlled by the operator (hold time in the skin and how deep they were placed) as well as their skills and the size and needle configuration in the hand piece of the device; however, many of the dots spread because of the size of the pigment particles themselves dictate the spread. The new laser tattoo device has even more precise control over it, if the operator is not as skilled and doesn’t have the years of experience, see here: https://newhair.com/wp-content/uploads/data/docs/pubs/Tattoo%20Pigment%20Delivery%20with%20a%20laser_final.pdf


2021-10-19 07:17:59Can you control the DOT size with SMP

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Not Hair Loss News – Exercise and Cardiovascular Disease Linked?

Snippet from the article:

Two new studies published this week lend credence to the idea that when it comes to exercise, there apparently can be too much of a good thing.

In the first study, led by Dr. Nikola Drca (Karolinska University Hospital, Stockholm, Sweden), and published online May 14, 2014 in Heart, investigators report that men 30 years old, who exercised for more than five hours per week, had significantly higher risks of developing atrial fibrillation later in life compared to men who exercised less.

The report also showed that older adults who walked or rode their bicycle for about an hour per day had a significantly lower risk of atrial fibrillation compared with older adults who almost never participated in such recreational physical activity.

In the second study, led by Dr. Ute Mons (German Cancer Research Center, Heidelberg, Germany), also published in Heart, researchers studied the association of self-reported physical activity in 1038 subjects with stable coronary heart disease and confirmed previous findings of an increased risk of adverse events among inactive patients. However, they also found those who participated in daily “strenuous” physical activity had an increased risk of dying from cardiovascular causes.

Read the rest — Too Much Exercise: Studies Report J-Shaped Link Between Exercise and CVD Risks

I guess it boils down to: “Bike riding for older folks is good. Exercise for 30 year olds is bad.”


2014-05-20 13:44:52Not Hair Loss News – Exercise and Cardiovascular Disease Linked?

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Not Hair Loss News – Truck Drivers at Risk for Aggressive Prostate Cancer

Snippet from the article:

Long-haul truck drivers already face an increased risk for left-side skin cancer because of the increased exposure to ultraviolet rays through their driver’s side window. But according to new research, the risks don’t stop there. Now, scientists say truck drivers have a greater chance of developing aggressive prostate cancer, and the latest theories point toward prolonged vibration as a possible suspect.

Presented at the American Association for Cancer Research, the findings also linked aggressive prostate cancer risks with men who worked in garden shops and in construction and finance. Conversely, they drew no link between cancer and men who worked as exterminators, landscapers, or animal caretakers. Those who were truck drivers faced an aggressive prostate cancer risk four times greater than educators — a profession the researchers used as a baseline, as they presumed educators faced none of the same “whole body vibrations” as truck drivers.

Read the rest — Truck Drivers At Risk For Aggressive Prostate Cancer: A Theory Of Vibrations

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Can’t control my hair loss with medications

21 y/o M Currently been on fin 1mg ED for over a year and a half. Closing in on one year oral min 2.5 mg ED. Got some great results from the combination until about February time I’ve slowly started to get worse and worse. Im still above baseline but I’m starting to consider other options. What do y’all think. Not just my case in specific but in general would it be bad to get a transplant because of shock loss etc?

Male Patterned Balding is not a problem that stays fixed after you treat it with finasteride. It is a progressive problem and continues with age until you reach your final inherited balding pattern. Generally, that pattern can be estimated best when a man is over 26; however, in some cases, the final pattern can be determined with 80% accuracy) with an experienced hair surgeon. Circumstances do occur when I transplant someone of your age. Still, I require a relationship between the patient and me so I can determine factors like (1) examination elements to determine donor density and donor hair mass), (2) maturity, (3) stable mental state, (4) the finances to finish a worst case scenario if you start going that route and (5) worst case patterned balding that you might develop over the next 5 years. By worst case, I mean hair loss acceleration after a hair transplant (something I usually can predict before the transplant) and the use of medications like finasteride, or oral minoxidil, or topical liposomal finasteride (which mostly stays in the scalp.