Acne, Dandruff, Hair Loss, and the Unexplained Mysteries of the World

I believe acne and dandruff and hair loss are related. They are all caused by cells that go through their cellular life cycle at much faster rates than normal. How can this be denied?

I believe Bigfoot, the Yeti, and the Loch Ness monster are all related. They’re unexplained mysteries that can’t be proven. How can my claim be denied?

Honestly, it is very easy to deny something and much harder to prove something. Show me scientific proof and I won’t deny your theory.

Adding Avodart Once a Week to My Daily Propecia?

Doctor Rassman, I am sure you get this questioned asked alot, but in your opinion as a hair restoration expert, do you think by adding 0.5 mg avodart once a week to a every 1 mg propecia regimen can make a difference in loss of hair or even gain?

There was a study of a an individual who took one avodart pill once a week to a propecia everyday regimen and he saw substantial growth. The study was only on one person, but its not a conicidence that it happened when he added the low dose of avodart once a week? or do you think avodart and finasteride at the end of the day still produce the same outcome? I know at the 2.5mg it produces the best results, put more of a high side affect profile, and very expensive.

Both Avodart (dutasteride) and Propecia (finasteride) work in a similar mechanism by blocking the formation of DHT, but I have often stated that treating androgenic alopecia is not only about blocking DHT. I do not believe if you block DHT 100% you will stop or reverse the balding process.

I’m not sure which study you’re referring to, but if it was an anecdotal report on ONE patient, it isn’t something I would put a lot of stock into. Please note that just because there is study results available, it doesn’t necessarily make it the golden truth. Now with that said, many doctors believe Avodart is a better medication for stopping hair loss than Propecia, but I am concerned about sexual side effects and the few reports of sterility that came from Avodart.

A few patients that I treated with Avodart did get a response after Propecia stopped working as well for them. That is as much as I know. I couldn’t tell you if adding a single Avodart dose per week will make a difference, though.

Lactic Acid in the Scalp

I read the item about hair foliclle damage because of lactic acid secretions on the scalp. Well, I was told the same thing, and given a lotion to neutralize the acid. I can confirm this situation does occur when subject to unpresidented levels of stress. When i say stress, stress at such a level I was physically ill with it, for a long period of time. Halucinations etc

One day I notice that my incredibly thick hair was going fine and curly. Finasteride made no difference, and I was shown hairs from my head, that had no outer sheath on them. Also prior to seeking advice the affected area became hot, itchy and greasy- when i was stressed, and this is where the hair follicles have died.

Lactic acid is not a cause of hair loss. Whatever you read about lactic acid secretions on the scalp causing hair loss is false. I found some message board that talked about it, but I don’t think it went beyond speculation. It wasn’t mentioned in any medical journal that I could find.

Without knowing what dose or how long you took finasteride, I don’t know that I could agree that it “made no difference”. I don’t know enough information to give you anything beyond generalities, but if you’re balding in a pattern, it’s not stress. Stress could be exacerbating the loss, but it’s ultimately your genetics. I wouldn’t expect a “hot, itchy, and greasy” scalp to be normal from stress, and it’s certainly not normal to have hallucinations, no matter how much the stress. You need to seriously see a doctor.


2011-01-25 14:50:07Lactic Acid in the Scalp

African American with Donor Site Depletion

Your donor area may show some donor site depletion from the FUE. This is not unusual if you had many grafts harvested.

The average African American hair density is generally low, so it limits the FUE procedure to about 1500 FUE grafts.


2018-11-01 06:45:15African American with Donor Site Depletion

After a Year on Propecia (with Photos)

This patient came to our office a year ago showing a Norwood Class 3 pattern of hair loss. Dr Pak prescribed Propecia to this young man and after a year of taking it every day, the patient returned to our office to show off his results. He had no hair transplant surgery. The results shown (in the photo on the right) are strictly from a daily Propecia pill.

Before on the left, after on the right. Click the photos below to enlarge.

 

Age Limit for Using Rogaine?

After using regaine foam extra strength for few years, am now told at over 49 years old i cant anymore. Any problems if carry on?

I do not know of any age limit for using Rogaine (minoxidil). The packaging may include information about studies being done on people aged 18-49, which just means that it wasn’t studied as a hair loss treatment for those 50+ (not that you necessarily have to stop at that age).

Lipodrene SR and Hair Loss

Dear doctor, I started using Lipodrene Ephedra-free formula since 3 days and I’m getting scared because of the hair-loss thing. I would like to know if this problem is caused only by ephedra or there is the possibility to loose hair even with the s-r formula? Thanks for your attention, I look forward to hera from you soon.

Lipodrene SRThe pill doesn’t seem to contain anything that would cause hair loss (ingredients here), but as it is a weight loss supplement, in general it has the potential to lead to an unhealthy diet… and that could cause hair loss.

In your case though, you’ve only been taking Lipodrene SR for 3 days, and I wouldn’t expect any major reaction that quickly and I’d look into other possible causes. I’d discuss your concerns with your doctor, which you should do before starting any new diet regimen anyway.