Category: Uncategorized

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South Africa Doctor Recommendation?

im from south africa. im 22 years old and losing hair from the front to the back.im busy using minoxidil.its working a little bit but not to much.do you know of any good hair doctors in south africa as good as you for hair implants? i would really appreciate your help. thank you and best regards

Rogaine / minoxidil does not work well for the frontal area, while Propecia does work nicely at preventing hair loss in a person of your age. The effects of Propecia will probably impact the entire head if you catch it early enough.

I do not know of any doctors in South Africa that I could recommend. I always go to the ISHRS (International Society of Hair Restoration Surgery) website for physician searches, but after such a search there, it did not turn up a doctor recommendation. That does not mean that there are no good doctors in South Africa. If you do find local hair doctors, please remember to conduct interviews with each physician before making any decisions about having surgery. You might also consider coming to the US, but frankly at 22 years old, I would expect that your response to Propecia is worth exploring BEFORE you consider a hair transplant.


2005-12-29 14:43:36South Africa Doctor Recommendation?

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Finasteride & Dutasteride may cause Type 2 Diabetes

The article shown here published in a respected medical journal discusses the influence of Finasteride and Dutasteride in the appearance of diabetes in men with enlarged prostates treated with these drugs

CCBY Open access

Research

Incidence of type 2 diabetes mellitus in men receiving steroid 5 alpha-reductase inhibitors: population based cohort study

BMJ 2019; 365 doi: https://doi.org/10.1136/bmj.l1204 (Published 10 April 2019)Cite this as: BMJ 2019;365:l1204

Authors: Li Wei, associate professor in epidemiology and medical statistics1,, Edward Chia-Cheng Lai, assistant professor2, Yea-Huei Kao-Yang, professor2, Brian R Walker, pro vice chancellor (research strategy & resources), Thomas M MacDonald, professor of clinical pharmacology and pharmacoepidemiology5, Ruth Andrew, professor of pharmaceutical endocrinology3

Author affiliations Correspondence to: R Andrew ruth.andrew@ed.ac.uk (or @RuthAndrewMSEd on Twitter)

  • Accepted 11 March 2019

Abstract

Objective To investigate the incidence of new onset type 2 diabetes mellitus in men receiving steroid 5?-reductase inhibitors (dutasteride or finasteride) for long term treatment of benign prostatic hyperplasia.

Design Population based cohort study.

Setting UK Clinical Practice Research Datalink (CPRD; 2003-14) and Taiwanese National Health Insurance Research Database (NHIRD; 2002-12).

Participants Men in the CPRD who received dutasteride (n=8231), finasteride (n=30?774), or tamsulosin (n=16?270) were evaluated. Propensity score matching (2:1; dutasteride to finasteride or tamsulosin) produced cohorts of 2090, 3445, and 4018, respectively. In the NHIRD, initial numbers were 1251 (dutasteride), 4194 (finasteride), and 86?263 (tamsulosin), reducing to 1251, 2445, and 2502, respectively, after propensity score matching.

Main outcomes measure Incident type 2 diabetes using a Cox proportional hazard model.

Results In the CPRD, 2081 new onset type 2 diabetes events (368 dutasteride, 1207 finasteride, and 506 tamsulosin) were recorded during a mean follow-up time of 5.2 years (SD 3.1 years). The event rate per 10?000 person years was 76.2 (95% confidence interval 68.4 to 84.0) for dutasteride, 76.6 (72.3 to 80.9) for finasteride, and 60.3 (55.1 to 65.5) for tamsulosin. There was a modest increased risk of type 2 diabetes for dutasteride (adjusted hazard ratio 1.32, 95% confidence interval 1.08 to 1.61) and finasteride (1.26, 1.10 to 1.45) compared with tamsulosin. Results for the NHIRD were consistent with the findings for the CPRD (adjusted hazard ratio 1.34, 95% confidence interval 1.17 to 1.54 for dutasteride, and 1.49, 1.38 to 1.61 for finasteride compared with tamsulosin). Propensity score matched analyses showed similar results.

Conclusions The risk of developing new onset type 2 diabetes appears to be higher in men with benign prostatic hyperplasia exposed to 5?-reductase inhibitors than in men receiving tamsulosin, but did not differ between men receiving dutasteride and those receiving finasteride. Additional monitoring might be required for men starting these drugs, particularly in those with other risk factors for type 2 diabetes.

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Stagnation in Baldness Research?

Why is it that, despite the astounding leaps in cosmetic surgery, and in stem-cell research, we still are nowhere near the ability to give me back a full head of hair? I have recently read that scientists can now change someones eye colour for cosmetic reasons, and re-grow teeth. It seems bizarre considering the amount of money that is put in, and yet almost no treatment exists, yet other fields are advancing brilliantly so.

Are you familiar with the romantic spy movie that came out a few years ago called “Duplicity“, starring Julia Roberts and Clive Owen? The plot of the movie included an attempt to steal a secret formula, which is documented step by step. What is the secret formula, you might ask? What does this have to do with baldness research? The secret is — it’s a cure for balding.

I understand your frustration, but the movie does show the value business puts on a cure for baldness. There is a great deal of money to be made by any group that comes up with a successful treatment. Hair loss is not necessarily government backed research, as much of it is carried out or funded because the motivation is strictly for profit. There is a lot of research looking for the cure, and we must be patient and believe in the capitalistic model to see what I hope will be a truly effective treatment for balding sometime in our future.

Just don’t ask me when.

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Finasteride increases hair weight

https://pubmed.ncbi.nlm.nih.gov/16781295/

This article demonstrates that finasteride has more of a beneficial effect on the thickness and length of hair growth than on the number of new hairs


2021-02-01 08:55:38Finasteride increases hair weight

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Statistics on FUE (Follicular Unit Extraction) / FOX Negative Patients

What are the statistics of FOX test negative patients ? Is any ethnicity ,age , hair color or hair character more prone to be more FOX negative ?

Follicular Unit Extraction (FUE) when it was popularized in 2002 at the ISHRS meeting (Follicular Unit Extraction: Minimally Invasive Surgery for Hair Transplantation) did not have a popularized name. We thought FUE (“foo-yee”) was not a very sexy name. Thus we called it FOX (FOllicular unit eXtraction). We identified many patients where FUE or FOX techniques did not work. We published the problem in 2004 with “FUE Megasessions – Evolution of a Technique“.

Over the last 10+ years many doctors have (and continue) to improve the FUE method but the FOX negative patients still remain a challenge. Some (patients) are not the best candidate for the FUE method of donor hair extraction with a high percentage of transection. This is true with even the new ARTAS (robot FUE). Techniques and instruments may improve but the patients are still FUE-negative where their transection rate is too high.

There is no firm data or statistics we keep. There is also no collective data of information by doctors in the hair transplant field. In fact, many would say they don’t really have FOX negative patients for the sake of their reputation and marketing.

In my private practice, our techniques have improved and we have our own proprietary instruments. We also have the ARTAS system. There are still FOX negative patients and we still do the FUE/ FOX test to screen patients before surgery.

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Steroids with Proscar

Hey guys, so I’m 24 and NW 2. I just started Proscar about 2 weeks ago. No sides as of yet! (I know this is a popular question) I want to ask about using steroids with Proscar. I’ve stayed away from steroids since I know I’m vulnerable to balding. Now that I’m taking Proscar, will I be able to without worrying about the balding?

Adding steroids with Proscar will cause hair loss. Not a good idea.


2018-06-22 10:34:51Steroids with Proscar

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Finasteride plus minoxidil added value (photos)

This man was on finasteride for 5 years, then added topical minoxidil 1 year ago when the before picture was taken. He switched to oral minoxidil 6 months ago. The addition of the oral minoxidil took a stable but receded hairline and corrected the recession in just one year.

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I Stopped Rogaine and Lost My Hair (Photo)

I used Rogaine for 1 year. I thought it wasn’t helping and my shed picked back up 8 months in. I quit Rogaine this last December and about the last month have had huge shed. Sometimes 300-400 hairs. I am a 45-year-old female with FPHL. Should I go back on Rogaine? Will that decrease shed, and can I take Fin as I have had a hysterectomy? My temples and sides are the worst – losing density.

Going back on Rogaine may return the hair, and it may not. A Hair transplant is a reasonable option that will absolutely put the hair back where it was lost.


2018-05-22 10:08:05I Stopped Rogaine and Lost My Hair (Photo)

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My finasteride story for the past 6 years

I read a lot in forums that if loses its effectiveness after 10 years. I’ve been on the drug since I was 19 at the first signs of miniaturizing. I may have confused the miniaturizing with a mature hairline. I’ve now been on the drug for 6 years and I’ve kept exactly everything I ever had, I had a Norwood 1 with small amount of thinning.

Maybe you were never balding and misjudged your situation. If I were to have seen you years ago, I would have done a HAIRCHECK test and if I didn’t detect hair loss with this accurate instrument, I would never have prescribed the drug to you.