If it really bothers you, you can address this with Scalp Micropigmentation relatively easily, see here:https://scalpmicropigmentation.com/thinning-hair-gallery/#!
Covid-19 and androgens with DHT blockers
In an interesting article in the Hair Transplant Forum by Nicole Rogers, M.D., has a review of the association of the existence of androgens in men who were infected with severe cases of Covid-19 suggested a relationship between the two. “This protease has a 15 base pair androgen response element, and in humans, androgens are the only know transcription promoters for the TMPRSS2 gene. The ACE2 receptor, which is also a route of COVID entry, is also mediated by androgens.”
Men with balding may have had an increased risk to the Covid-19 virus and severe disease. Women, of course, don’t have the androgens and it is possible that their estrogen protects them against the virus. There is also a suggestion that men who take androgen blocking medications like finasteride, dutasteride, Spironolactone, Enzalutamide and even canabidoil might help mitigate the severity of the disease. This is all hypothetical as there is no direct evidence for this in studies that have been done to date. The date has probably been collected but not looked at with this in mind.
2020-08-18 09:10:042020-08-18 09:10:45Covid-19 and androgens with DHT blockers
Counting Hairs in the Shower
I am not sure if you have been asked this, but could you explain the hair counting thing? Does counting the hairs that come out in the shower really tell you anything? Thats not really a good indicator of anything is it?
Counting the hair in the shower (hair by hair) would mean that you are likely obsessive about hair loss. It would be logical that if you are losing hair, the hairs lost in a single shower would vary by time of day, the vigor of your washing and massaging, the number of times you actually apply shampoo in a single shower, etc.. Generally all non-balding people lose about 100 hairs a day. If you see a change in number of hairs (a gross change) over a long time frame and keep all of the things you do constant, you may be losing hair.
Counterpoint to Dr Rassman’s War on Drugs Opinion
This was received in response to my post — The Economic Impact of Illicit Drug Use on American Society:
I am surprised to see your post on the issue of The War On Drugs. I believe there are a lot of opinions on this matter some in favor of yours (Ron Paul for example) and many who would disagree with you mainly people of a substance abuse history who are now recovering. You use the words lives lost and lives ruined. These words can fit perfectly with a opposing argument in which lives have been lost and families ruined from a love one overdosing or simply using certain drugs.
I for one do not believe legalizing and taxing and distributing meth or any other lethal drug would solve the ultimate problem at hand. And that is that our nation at its present state could possibly have the biggest drug abuse problem in the world, and this is not counting the millions on prescription medication. Its a shame that government has to step in and help us or hurt us, depending on how you look at it, but do you really think that having a legal distributor supplying an addict with a harmful substance and making money so we all can benefit from it is such a good idea? I was taught that the bad guy was the drug dealer and that drugs ruin lives.
There is no easy answer. Our prisons are filled with drug victims and I would not want to promote that we let them out of prison and then encourage them to overdose on legalized drugs. I know that we can not stop people from doing what they will do, one way or the other, legally or illegally. I just see what is not working… and what we are doing is not working.
I agree with you that our drug dependent society goes all the way into the doctor’s office. People demand the prescription medications that they see advertised on TV and some of the problems like “restless leg syndrome” were not even taught to me in my medical school curriculum, yet the industry that surrounds all of the restless legs out there is growing and growing and growing.
When I see patients in my hair transplant practice, I encourage the use of Tylenol, aspirin, and other non-narcotic medications to use after surgery and with the power of my suggestions, my patients seem to manage without heavy use of narcotics. Some of my patients call to ask for antibiotics when they sneeze, sniffle, or cough and I tell them that their body can handle the sneeze, sniffle, or cough without prescription antibiotics, as most of the sneezes, sniffles, or coughs are caused by allergies or viruses that will not respond to antibiotics. I try to be proactive.
2011-06-22 15:01:212011-06-20 07:33:46Counterpoint to Dr Rassman’s War on Drugs Opinion
Couldn’t it be said that some people do no need so much DHT inhibition as others to fight balding?
I think that the response to DHT blockers is not proportional to the speed of hair loss in many people. I always use the analogy of a tug of war: the genes for hair loss pulling on one side and the DHT inhibitors pulling on the other side. The strength of the pull determines the effectiveness of the drug. The blocking effect is fixed while the pull for hair loss varies with your genetic makeup.
2017-08-03 09:01:302017-08-03 14:50:48Couldn’t it be said that some people do no need so much DHT inhibition as others to fight balding?
Could You Tell If I’m Going Bald Based on Hairline Photos?
I was just wondering if I sent you a few pics of my hairline do you think you could give me an answer to if I’m going bald or not?
We do not diagnose people on BaldingBlog, as that would be a poor practice of medicine. If you want to send in your pictures for me to post and comment on, feel free. If you want a virtual consultation, you can send good photos, I will look at them, and then established a dialogue with you over the phone.
In general, hairline pictures do not tell me much with respect to predicting the balding process. It’s kind of like sending a picture of your hand and asking me if you will have arthritis later on in life. I am not a fortune teller (or misfortune teller).
Could You Stop Taking Finasteride If You Plan to Become Pregnant?
This is the directions I have been giving patients up to now: “You can stop the drug one week after your wife starts her period for a period of 2 weeks. If your wife has a normal 28-30 day cycle, then she will ovulate when you have a zero finasteride blood level, yet maintain enough finasteride in your hair to prevent withdrawal hair loss.”
UPDATE: Now there is some evidence that finasteride does cross into the uterus so the drug may not be safe, see here: https://baldingblog.com/more-on-finasteride-risks-in-pregnancy-from-reddit/ and here: https://baldingblog.com/responses-from-finasteride-can-cause-birth-defects-post/
2020-04-03 04:00:372020-04-05 09:41:21Could You Stop Taking Finasteride If You Plan to Become Pregnant?
Could you imagine your hair transplant might look like this (photo)
Make sure that the doctor you choose is well credentialed and experienced. Always ask to meet some of the surgeon’s patients and then, if you meet someone like this, you know to run for the hills. Anyone can tell this is a bad hair transplant. This is a female whose doctor tried to create a rounded female hairline with mult-haired grafts in an even distribution without any sense of the needed quantity, the need for single hairs in an irregular irregular pattern in the frontal area and a shape that is normal appearing.
Could Transplanted Hair Fall Out Months After a Successful Procedure?
Dear Doctor
Is it possible that some transplanted FUs were rejected and (the respective hair) fallen some months or even years after a successful HT? I had an HT on a completely bald area. i had nice results, but i’m pretty sure the area looks thinner now than 8-10 months after the HT. My doctor says its my idea. I seriously doubt that. thanks for your time
On very rare occasions I have seen the “permanent” hair lost some years after a hair transplant. I don’t understand it, but I have seen this complaint. You are not crazy! You’re only 10 months out from a hair transplant — so how soon did you see the results that eventually disappeared?
Could Transplanted Hair Fall Out? — Follow-Up
I was wondering if you could expand on your entry “Could Transplanted Hair Fall Out Months After a Successful Procedure?”
Does all of the transplanted hair fall out or just some of it? How long after the HT have you seen this occur? From what you’ve seen does it happen in younger or older patients? Most importantly can you re-transplant new grafts into the area? Would the same thing happen again or could there have been a mistake made during procedure?
I am not sure about your question. The newly transplanted hair usually falls out in a month or so after the surgery and it comes back 2-5 months after in waves of hair growth. Once you’re past the 7th month, everything should be stable and your transplanted hair should be there for the rest of your life. If transplanted hair falls out, it may reflect hair that was not taken from the permanent zone and in that case it may reflect an error from the surgeon.