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Placebo Effect of Finasteride Can Be Induced by ‘State of Mind.’ I Had a Large Scar After My 2600 Grafts, Why and What Do I Do About It? (Photo)

Thanks for this info. I have been to my dermatologist and physician to consult with them before taking Propecia. They assured me it is an overall very safe drug, and it works. For a few weeks before taking this drug, I even monitored ball ache and (paranoia induced) sexual performance issues; related to the worried anticipation of taking this drug. I did so to remind myself to see if these feelings had occurred before taking the drug. I literally took my first pill today and I have been feeling the slightest but (seemingly) very real presence of a mildly annoying ball ache. I know (as a Dr. who has no idea who I am) you can’t make any determination as to what is going on with me. However, is this common? Do you know why one’s balls might ache on Finasteride? Is there anything I can do to try and combat any potential nocebo effect? Is it realistic to get sides after 1 pill? Thank you to anyone who can provide insight.

It would be highly unusual to get sexual side effects of any type on a single pill. However, you seemed primed for a placebo effect on the side effects which are about 100% if you psych yourself up about this process.


2018-06-22 06:34:31Placebo Effect of Finasteride Can Be Induced by ‘State of Mind.’ I Had a Large Scar After My 2600 Grafts, Why and What Do I Do About It? (Photo)

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Daily Hair Loss – What is Normal?

Dr.Rassman,
I heard from somebody that the average person loses 100 hairs a day. This seemed really high to me, is it true?

Yes, this is true. It is believed that the average person has about 100,000 hairs on their head and the life cycle for a hair (before going into its cycle shut down and regrowth) is 3 years. Wtih that said, that means 35,000 hairs lost per year or about 100 (rounded) hairs per day for 3 years will equal the total number of hairs on the head of an average Caucasian Male.

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Demodex Folliculorum and Hair Loss

I recently read about Demodex folliculorum. From what I understand it is a parasite that lives in the hair follicles and feeds off the sebaceous glands. I have also read reports stating that this infestation may cause diffuse hair thinning.

Is this true? How common is this condition, and how is it treated?

Demodex folliculorum is a tiny mite, less than 0.4 mm long, that lives in pores and hair follicles. It is usually seen on the nose, forehead, cheek, and chin, and often in the roots of your eyelashes. Demodicids look like worms. People with oily skin, or those who use cosmetics heavily and don’t wash thoroughly have the heaviest infestations, but it is not uncommon for adults to carry a few demodicids.

Follicular inflammation produces edema and results in easier epilation of the eyelashes. Loss of lashes may happen when there are abundant mites located near one hair follicle. Demodex are harmless and don’t transmit diseases, but large numbers of demodex mites may cause itching and skin disorders, referred to as Demodicosis.

Diagnosis is through a high index of clinical suspicion. This condition usually doesn’t cause any symptoms. If symptomatic, patients may experience itching and local (not diffuse) hair loss. Treatment for the symptomatic cases include cleansing the area and even antibiotics for severe cases.

Image: jashbotanicals.com

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Post Dutasteride Syndrome Suffer Speaks His Mind

3 years ago, we exchanged a friendly conversation on my troubles with Post-Finasteride Syndrome. I followed your advice back then and went to several specialists, who couldn’t help. Since then, I am still suffering tremendously (numb deformed genitals, zero arousal, severe ED, other physical symptoms such as a thinning beard…) after exposure to 5ARi treatment.

I’m honestly baffled that knowledge about this condition readily exists and NOTHING is happening to help those people who are suffering from it. My life ended when I developed PFS and I have been left to rot by the medical community.

Would you be willing to raise awareness about this rare iatrogenic condition in the medical/dermatological community or publish a case report as to bring PFS in the medical literature? I don’t think this would damage reputation anymore since some credible studies have been published since, and, sorry for being so candid, I personally believe it’s your responsibility to help those who’ve been harmed by a drug you are promoting online.

I don’t mean any offense or disrespect. But I’m only trying to give a voice to thousands of young man who have been severely harmed by this drug and have lost all hope. Last year, we lost a young man to suicide, because he couldn’t bear the bodily destruction anymore that PFS has wrought.

Please, consider helping us bringing awareness to this rare iatrogenic disease. We have a moral obligation to not turn a blind eye to those in need.

Thank you

This syndrome, also identified with long term finasteride users, is devastating for those impacted.. Can you imagine giving up your sex life for the rest of your life? There is presently not much understanding about these syndromes and certainly over the past decade, not much has been offered in effective treatments for these men. The purpose of posting this man’s plight is to let you know that if you are on finasteride or dutasteride and have significant sexual side effects and/or impotence in the short term, speak with your doctor about stopping this drug. From my experience, I am not aware that taking this medication for a short time and stopping the medication because of these side effects will produce this syndrome.

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Depleted Donor Area from FUE Over-harvesting

This patient had a localized harvest of his donor area with FUE. The area extended outside the permanent zone of hair which means that the patient has had hair moved from areas which are not permanent and that the harvest with FUE may have been too great. We see this complication of large FUE sessions, that some of these patients develop a ‘balding’ of the hair in the back of their head. I have spoken against over-harvesting for many years since I originally defined FUE

 

 


2017-04-09 06:06:22Depleted Donor Area from FUE Over-harvesting

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Dermotave and Minoxidil?

dear rassman sir thanks for the blog. i am 21 years old male. having hair loss for 2 years. from last 2 months i use minoxidil 2% and now my doctor suggests i use minoxidil 5%. using 5% for 10 days and i’m facing hair loss at shampooing my hair or when i apply minoxidil 5%. my doctor suggested me to use dermotave scalp application. my question is that is dermotave effecting minoxidil’s work because i use dermotave after 4 hours of applying minoxidil 5%. when i wet my hair it looks so thin.

1. will minoxidil work for the frontal and back side of head?
2. should i take propecia?
3. does propecia and monoxidil 5% regrow hair or they just help to maintain the hair i have at my head now?
4. what is the best medicine to regrow hair at the frontal and back side of head?
5. masturbation has any effect at hair loss?

i’m so depressed with my life. i lost my girlfriend and friends. they insult me. i cry n cry. i tried for commit suicide. dont know how to get my lost hair. for god’s sake please doctor help me. help me. i leave in bangladesh that is why cant get a good hair transplantation in my country..please answer my question and help me. please

Dermotave’s active ingredient is clobetasol propionate, a very powerful corticosteroid, and not to be taken for balding. I have no idea why you were prescribed this, but if it was to treat male pattern hair loss, your doctor was horribly mistaken. To answer your questions:

  1. Minoxidil may work at the front and crown, but there is no guarantees to what extent you might see regrowth.
  2. I can’t determine if you should take Propecia without seeing you. At 21 years old with early hair loss, Propecia would be a good medication if you do have male pattern baldness.
  3. They can regrow hair, but each person reacts differently.
  4. Propecia and minoxidil.
  5. No, masturbation has no effect on hair loss. See the many, many posts about this here.

It seems like you need help if you are suicidal. This type of depressive feeling, although maybe enhanced by your possible balding problem, should bring you to a good doctor to address this problem. Speak with your parents and let them know how you feel. With good medicines like Propecia, young men with early balding can be very successfully treated and transplantation is the last thing you need to have.

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Press Release – Biologix Hair is Suspending SEC Reporting

Snippet from the press release —

Biologix Hair Inc. announced that it filed a Form 15 as notice of suspension of the duty to file periodic reports under Sections 13 and 15(d) of the Securities Exchange Act of 1934 with the Securities and Exchange Commission (“SEC”) August 1, 2013. The Company is thereby voluntarily suspending its reporting obligations under the Securities Exchange Act of 1934.

As a result of filing Form 15, Biologix will no longer be required to file annual and quarterly reports with the SEC. The Company took this action in order to maximize management efficiency and cost effectiveness during its fast-paced development stage. The Company also aims to benefit from new capital-raising exemptions contained in the JOBS Act, which will allow registration exempt companies to raise up to $50 million in any 12-month period from accredited investors.

Read the rest — Biologix Hair Inc. Voluntarily Suspends SEC Reporting Obligations

A few months ago, a company called Biologix Hair had a heavy PR campaign going to announce their “breakthrough” hair loss treatment. As a result, their stock was at one point approximately $5.00/share. It closed last week at 11 cents a share and they are being delisted from the NASDAQ. What does that tell you about the product/company?

I can’t help but wonder the number of people who got caught up in the hair treatment frenzy from this company, which you can learn more about at their site.

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DHT Blocking Foods?

You mentioned in a tidbit that there were people who blocked DHT with eating large quantities of dht blocking foods. What might those be, and could we get similar results by ingesting these foods. By the way, thanks very much for doing this blog. It is extremely interesting and informative.

To the best of my memory, the drug finasteride was derived by work done in primitives who ate a tuber that was unique to the rain forest and contained this drug. I am not familiar with other foods that contain it. The high incidence of hermaphrodites in the population is what clued explorers into the uniqueness of the foods these people ate, mainly because the food was eaten by pregnant women, blocking the effects of DHT which is required to differentiate the sex of the offspring. If you find hermaphrodites somewhere eating large amounts of some unique food, that might be a good clue.


2006-01-19 12:33:40DHT Blocking Foods?