Category: Uncategorized

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Minoxidil in a young girl

I am 19 year old girl..started using minoxidil when my hair started falling at tremendous rate…i used it for around 3 months and then stopped using it…again hair started falling….and I again switched to minoxidil. Now, I have been using it for around 3 months. I read many stories about “after quitting minoxidil effects” and it really freaked me out. If I stop using it…will I really lose all my hairs…? Pleasssse someone answer my question… Is there any teeny tiny possibility of growing them back…?
Pleassse do reply…

When you use minoxidil and it grows hair, the hair that it grows will require the minoxidil to be used every day or the hair will fall out. Minoxidil grown hair is dependent upon minoxidil so once you get it working for you, you must stay on it.

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Do Birth Control Pills Cause Hair Loss?

Birth control pills are high on the list as a cause for female hair loss. When one pill doesn’t work, switching to another brand under control of your OB/GYN doctor who will address the hair loss issue is the route you should take


2019-03-24 11:02:10Do Birth Control Pills Cause Hair Loss?

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More BS with a focus on self promotion (see link)

This is a self promoting link. PRP has never been proved to be effective or lasting if there is any effect at all. There have been no double blind studies done on PRP with objective measurement devices such as the HAIRCHECK instrument and one has to ask why not. If it worked, there would be many such studies. The folks that wrote this link added nothing to the educational process for readers interested in hair loss.
The premise that hair transplants are not good and don’t last, are baseless. I have been doing hair transplants since 1991 and have seen many of my patients from the early 1990s, keep the hair that they got from the hair transplants. Are article does not pose new science, in fact any science, just claims that are without foundation. Yes, a few hair transplants don’t last the lifetime of the patient (less than2% of patients) but the large majority of patients who had either strip or FUE surgery show great results. One of my first patients who had FUE (see here: https://baldingblog.com/first-fue-patient-north-america/) still comes to our Monthly Open House events to discuss his hair transplant. This is his look today and that alone answers any challenges to the idea that hair restoration is not a good solution to hair loss.

https://www.prnewswire.com/news-releases/prp-injections-the-holy-grail-for-hair-regrowth-gets-a-makeover-for-2019-300819493.html


2019-04-08 13:13:35More BS with a focus on self promotion (see link)

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Blood Tests to Determine if Propecia is Working?

I’m 19 and have been experiencing hair loss for about 4 months now and been on Propecia for about 2 and a half months. Since going on Propecia I feel like I’ve been shedding more (which I’ve read may be an indicator that its working, and may not). I’ve yet to get my scalp mapped for miniaturization and my hairline is not receding, just overall very noticable thinning. I’ve been told, the effects of Propecia won’t become noticable for 3 to 6 months, but its a pretty helpless feeling not knowing if its actually working. Are there any blood tests to measure your body’s DHT level to see if the Propecia is infact blocking it well enough to stop hair loss?

There are no blood tests that will tell you that it is working. At 19, I am sure that you expect everything to happen on command, but patience is a virtue and you have no choice but to wait. If you want to know for sure if it is working, you should have your hair mapped out for miniaturization and then take readings 8 months apart. If you do not establish the metrics, then just wait patiently for the 8th month and you should see the shedding slow down or the hair loss stopped (other than the normal 100 hairs or so everyone loses each and every day).

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Motorcycle Helmets, Finasteride, and Guarantees in Life

Hi, I have a few questions regarding hair loss and finasteride.

  1. Does tight motorcycle helmet causes hair loss.I’ve notice increased hair loss since i regularly started wearing full face helmet which is a bit tight on my hairline and genera crown area.
  2. Could it be possible to experience hair loss due to lack of iron mineral?
  3. Propecia is being advocated very often but how is it logical not considering the loss of 70% of your DHT as a serious issue which is in essence the maleness hormone from a young age of 23?
  4. What is your opinion about the Swedish Medical Products Agency 2008 study that supports permanent side effects from the use of finasteride?
  5. I am prone to depression and sexual problems due to antidepressants from time to time, do you still recommend finasteride in my case?
  6. Can you guarantee from your expertise that side effects subside even if you quit the drug after e.g 3 years or more of continued use?

Thanks

  1. There is one patient I have seen that had traction alopecia from wearing a very tight fitting helmet everyday for a year. The hair loss did not look like genetic male pattern balding, but the balding area was where the helmet was rubbing on the side of the head. So it is possible, but not common.
  2. A lack of iron in your diet can cause anemia (low red blood cells). Your mucosal membranes (under the eyelids and gums) will be pale, you will feel weak, and you will have other serious medical issues before hair starts to fall out. Hair should be the last of your worries.
  3. Men in their early 20’s take Propecia without adverse effects associated with lowering of their DHT levels.
  4. If you believe in the study, do not use Propecia. Many of the reports that I read are on bulletin boards which are suspicious. I’ll point out some interesting tidbits about this in my next post…
  5. This is something you’ll need to discuss with your doctor. Assuming you would be a good candidate for Propecia based on your hair loss, your doctor will need to make the decision if you’re a candidate based on your history of depression. There shouldn’t be a problem with taking the medications together though.
  6. There really is no guarantees in medicine (or in life). Actually, the only two guarantees in life are death and taxes. I do not give reassurances to someone who is afraid to use a medication. This is something you need discuss with your doctor.

#4 continued here


2010-02-15 19:19:40Motorcycle Helmets, Finasteride, and Guarantees in Life

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Body Size of Patients Used in FDA Trials on Finasteride?

Hi there,
Can I just say that you have a great site! I’m a regular reader, and think that I have a question for you that may be interesting. I’ve searched through your archives and haven’t found a similar question, but if I have missed it, please accept my apologies.

Recently I have had a look through the FDA trial reports on finasteride, but cannot find any information on the body sizes and characteristics of the patients used in the study. Are such data available? (Histograms, Mean/median, SD, etc).

Whilst I am assuming that the effective dose of finasteride for treating MPB is related to body size, and that the occurrence of side effects increases with relative dose, could there be a case for smaller dosages being suitable for people smaller than the people used in the FDA study – Asians and orientals for example? As this blog is international, I feel that we “vertically challenged” of the rest of the world need to know! 🙂

I passed your question to Merck and I just got an answer. Essentially, the only thing that was studied was the average dose that is effective and it was not related to a person’s weight. Body size was not studied.


2007-05-10 14:32:19Body Size of Patients Used in FDA Trials on Finasteride?

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Must Hair Be Miniaturized Before Falling Out?

Hi Doc, I have a buring question, I am a 29 year old Asian made with very thick black and have very good hair coverage, my question is when i comb my hair I see thick black hair that come out approx 10-15 not what you would describe as minutrized hair. Must hairs be minutrized when they fall out as mine seem very strange becase they appear to be very health ‘normal’ hair?

Thanks doc

Norwood 4AI do not believe that hair must be miniaturized to be lost hairs in the balding patterns. Miniaturization does point to a problem, though, for as the DHT attacks the hair, the impact suppresses the hair growth to normal circumference (hence “miniaturized”). As the balding process probably reflects the number of cycles of a hair in any given location, a hair will only live out the number of cycles it is destined to live (for example, hair in the front might have 10 cycles in your lifetime of 3 years each). The hairs around the head usually will outlive you, while the hairs in the front for a Norwood Class 4A (see image at right) balder may last only 7-12 cycles, on average.


2009-09-17 08:56:12Must Hair Be Miniaturized Before Falling Out?

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brain fog and depression on finasteride

Is it true that fin really does alter people’s mental state (e.g depression) and altered their brain/cognitive functioning as well?

There does seem to be a small number of men who take finasteride and get depressed if they have a history of depression and there are reports of brain fog which has never been successfully explained. Brain fog or depression is a good reason not to be one finasteride.


2021-10-25 17:26:11brain fog and depression on finasteride

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My Boyfriend Is Concerned About His Hair

My boyfriend is 25 years old and has already started to go bald, he won’t leave the house without a hat. I can tell that it is really effecting his self-esteem. What can he do?

Your boyfriend has what appears to be early hair loss, an indication of male pattern hair loss. He should see a doctor who specializes in hair. He should meet with a doctor experienced in this field, get a HAIRCHECK test (invested capital for me ) to find out just how much hair loss he had and where it is, both what he can see and what he don’t see. Then with proper treatment, maybe he can stop the loss, possibly reverse it before he becomes bald


2020-01-24 14:47:49My Boyfriend Is Concerned About His Hair

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Broccoli and Hair Loss

Is it true that broccoli causes hairloss?

BushNo, there is no connection between broccoli and hair loss.

Broccoli causes a great deal of gas that seemed to bother even former US President George Herbert Walker Bush (aka Bush Sr.), who waged a war of sorts on the vegetable, famously saying “No more broccoli on the White House menu” after he took office. He’s also been quoted as saying, “I do not like broccoli. And I haven’t liked it since I was a little kid and my mother made me eat it. And I’m President of the United States and I’m not going to eat any more broccoli.”

But no, broccoli doesn’t cause hair loss. In looking at this photo (at right), I see that his corners are reflective of some genetic hair loss, which according to his many photographs was present for many years. I wonder if his hair loss reflected a deficiency of broccoli in his daily diet?