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Since I Had Shock Loss Before from Hair Transplant, Would I Be Likely to Have it with SMP?

I have had several large hair transplant procedures. Subsequent to my last 2 hair transplant procedures I experienced a good deal of shockloss from existing hair which took months to grow back. I am interested in having SMP and was wondering, if because of my previous shockloss experiences from the last 2 hair transplants, would I be suseptible to shockloss from the SMP procedure?

Thank you

If you are considering Scalp Micropigmentation (SMP), you would need to arrange a consultation with us. Shock loss after SMP is rare, but is a risk you should consider.

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Since Hair Cloning Hasn’t Happened By Now, Are Statements Made in Years Past Considered Unethical?

Several years ago, Bosley Medical Director and Aderans Executive Vice President Ken Washenik, M.D. declared with supreme confidence that the Aderans hair- multiplication procedure would be available to the public by 2007. As we know, this has not happened.

Simply put, although I fully appreciate that medical science is far from exact, it seems plain to me that these statements were made with the understanding that the predicted timelines were utter fantasy. Thus, I have little choice but to conclude that the statements were made with an eye toward self-interest, to wit, raising the firm’s profile and ultimately soliciting additional investment capital.

My question is this: If a doctor or a medical practice deliberately or recklessly declares the imminence of a cure when it knows or should know that the statement is materially false, should that be considered a breach of medical ethics?

Come on now, I’m sure that he believed that the solution would be at hand in 5 years or so. If a weather man predicted a sunny day tomorrow, and tomorrow came with heavy rain, would you call that unethical behavior? There are limits as to the predictability of the future. In our capitalistic society, the entrepreneur believes that his inventions will work, will take less time than it really takes to develop a marketable product, and he often puts his hard earned savings into that business. Not all businesses succeed, not all ideas work and when they do not, it is the entrepreneur that usually pays the price for it. I am sure that Dr. Washenik was humbled by his failure to predict the timeline for cloning correctly. I personally commend him and Aderans for their persistence in working on the problem.

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Since I Have Been on Finasteride, I Lack Orgasms.

My ejaculate hasn’t reduced at all really. The only symptom I have is lack of orgasm. I’m 100% sure it’s not psychosomatic as I had a wet dream a few days ago and came in my sleep, and it didn’t wake me up because I literally didn’t feel anything.

You may be right. If you have an ejaculate and no orgasm, it must be psychological as the ejaculation almost always accompanies orgasms. If it occurs during sleep, it is called nocturnal emissions, a common occurrence in young men.


2019-02-14 11:40:06Since I Have Been on Finasteride, I Lack Orgasms.

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Silibinin and Propecia

Is it true that Silibinin inhibits cytochrome P450 enzymes? I take Propecia but also make my own herbal tea from milk thistle seeds and loose horsetail, mainly for the health of my liver and to get some extra silica. If Silibinin does inhibit cytochrome P450 enzymes then is a waste of time taking propecia? Moreover, do you know of any other plants that inhibit cytochrome P450 enzymes. Any comments would be appreciated.

Sorry, this is out of my scope of expertise. The best I could do is offer you some links I found via Google (like here or here), but I’m sure you could do the same thing. I’m not familiar with silibinin or the cytochrome P450 enzymes.

One thing I can point out though is that the statement in Wikipedia about silibinin inhibiting the P450 enzymes is unsourced, meaning there is no valid reference explaining where that information came from. I assume you (or someone on a forum) saw that mentioned in Wikipedia, which prompted your initial email. Just food for thought.

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Sikh Man Has Been Losing Hair Since Early Teens

Hello,

I am a 23 year old Sikh Male. I have always had long hair my whole life. And I have been suffering from either traction alopecia or eczema on my head but I am not sure what it is. I am seeing my doctor soon to diagnose it. My doctor has given me 2 different types of shampoo and a liquid clear acid application that burns the skin after I shower. And nothing works, I’ve had this for nearly 10 years now. Any suggestions? I have tried everything BUT wear my hair out in the open and or cut it. Cutting the hair wouldn’t be a great loss for me considering that I am not religious. But do you think that would help? I also work out at the gym and do physical activities through out the day so I am always sweating. So my head really never gets air. Please get back to me, I really need to make a decision. Thanks

The common cause of hair loss in Sikh men is traction alopecia from the use of the turban, which pulls on the side and frontal hair. The turban is tightly applied to the head and the traction of it against the skin causes traction alopecia. If you have hair loss on the front and the sides above your ear, then that should be the diagnosis.

Treatment is often best with hair transplants. If you are losing hair elsewhere, your doctor should be able to map out your scalp for miniaturization to determine if you have genetic hair loss.

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Signs of DUPA?

Hi Dr Rassman,

Ive been reading your blog daily for a short while now, and im curious, if you were to look at someone how would you know if they had dupa, what are the symptoms that you would be able to diagnose that with?

Thank you.

Diffuse unpatterned alopecia (DUPA) is a condition where miniaturization is present all over the head, even in the areas that hair transplant surgeons think is sacred (the back and sides of the head). Thinning in the donor area where there was no thinning before, would make me suspicious of DUPA. You should get your hair mapped out for miniaturization and that would clearly give you the diagnosis.

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Significant Hair Loss on Propecia

Hi Dr. Rassman,

About two years ago, I started taking Propecia for my hair loss and stopped after three months because at that point i noticed a drastically increased rate of hair loss, and assumed that I was reacting negatively to the drug(one hair loss specialist suggested that it is possible that my tissue became hyper sensitive to DHT because of the drug, but I did not experience any increased acne or libido, which he said would also be indicative of that rare kind of reaction to Propecia). Eventually I decided to try Propecia again, and now I have once again reached the three month mark, and once again, like clockwork, I am seeing significantly more hair on my pillows, in the shower, etc, than what I had when I was off the drug, but no acne or increased libido. I am wondering if you think this means the drug wont work for me or if it is just a temporary phenomenon that I should wait out, and that I will probabely still benefit from Propecia. I understand that some people experience sheds while on Propecia that are a sign the drug is working, but have heard that this should happen within the first two weeks of using the drug, not so long as three months into it. Thanks very much for your time.

I believe you must stay on Propecia for 8-12 months. Stopping and starting your taking of the drug is not a good idea. There have been some reports that hair cycling changes in a small number of people with Propecia, such that more of the effluvium (loss) side occurs at the beginning but the anogen (building stage for hair loss) will follow in 6+ months. It does not sound like you have given it enough time. This is a most unusual complaint, one that I have personally not seen in my practice but one that has been reported by some of my colleagues.

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Significant Amount of Small Hairs Growing 1 Month Post-Surgery

Dr,

I know that after transplantation one can expect to start seeing growth after 2-3 mo. It is only one month post-op for me and there are a significant amount of small hairs already emerging. Does this mean that I can expect better than average results, or that the total amount of hair will just come in sooner.

PS – I am taking propecia. Thanks for your help doc

I am not sure what you are looking at. The transplanted hair appears to grow for the first few weeks before falling out in 95% of patients. In 5% of patients it grow and keeps growing. Be patient and wait. You will soon know what will happen.

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The Other Side of the Finasteride Story of Long Term Problems Discussed by a Well Informed Person

Dr. Rassman’s Comments: I fully understand the clinical science that is stated below; however, this reflects a minority of patients who take this drug who report side effects. Many people have no side effects and great results from the drug finasteride. Despite this, everyone on this drug should read these comments carefully because his concerns are real and as he said, if you are the one that is impacted, it is 100% for you.

The fact that this poison is still being regularly prescribed undermines the legitimacy and perceived objectivity of the American medical system and the pharmaceutical industry. There have been plenty of publications that have come out over the decade that have shown 5 alpha reductase inhibitors to be dangerous, even to those who appear to respond well to them, which I’ll link at the end of this comment. I am glad that the FDA was objective enough to deny the approval of these drugs as chemo-preventative therapies – who knows how many lives would’ve been destroyed if they’d been approved for that – and that they decided to finally label the drugs with serious warnings, but it’s not enough.

The risk of full-blown Post Finasteride Syndrome, while apparently low, is not something to dismiss. Additionally, the odds of developing side effects increases with time. These drugs have been shown to chronically lower neurosteroid levels, the most significant of which being allopregnanalone, which is responsible for anxiolytic, anti-depressant, pro-sexual, and other important effects. And as it turns out, DHT isn’t useless after puberty like many people seem to claim. There is no way to screen for who is at risk for post-5ARI syndrome and who isn’t. Even if the odds are low, you’re playing with fire. And many men who don’t develop the condition will still eventually have milder side effects, like a loss of morning erections, weaker erections, lower libido, increased anxiety or depression, etc. all to save a few thousand hair follicles. How do physicians justify this? It’s one thing to prescribe it for a hyperplastic prostate (and even that’s questionable), it’s quite another to prescribe it for vanity. Any physician that considers prescribing this drug for hair loss, as far as I’m concerned, should never be allowed practice medicine again, and should be sued for malpractice and negligence. Clearly they’ve never considered “first do no harm”.

Many physicians’ ignorance of what they’re prescribing is astounding, and the denial of a very real condition when it happens is, at the very least, cruel and pathetic. This sort of science-denial is akin to climate change “skeptics” or evolution deniers. I don’t think I need to explain why this is a terrifying trait to see in a licensed physician. The science is in and has been for years now.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4064044/

https://www.sciencedirect.com/science/article/pii/S0960076017301024

https://www.researchgate.net/publication/308996540_Exploring_the_neural_mechanisms_of_finasteride_A_proteomic_analysis_in_the_nucleus_accumbens

https://www.ncbi.nlm.nih.gov/pubmed/28289563

https://link.springer.com/article/10.1007%2Fs11930-015-0061-y


2019-03-18 23:56:21The Other Side of the Finasteride Story of Long Term Problems Discussed by a Well Informed Person