I have been on Proscar now (1.25mg/day) for nearly 10 months, rogaine foam 1 to 2 days a time and Nizoral shampoo a few times a week. unfortunately, the shedding never stopped. When I shower, I still see 10-15 hairs on my hand when I shampoo and another 5-10 after I comb my hair after I shower . . . and then another 10-15 when I style my hair with gel in the mornings. I’m going to switch to name brand Propecia and try that out for a few months but I think I may just not responding to this treatment. My hair is absolutely more thin than it was before I started treatment. My thinking is that I go another 3 months on name brand propecia and if that doesn’t work, try Avordart. Thoughts?
To us, that meant any product with zero proven ingredients, case studies, or FDA clearance — which shrunk our list by a whopping 180 contenders. That’s right, there are only three treatments that have actually been cleared by the FDA and supported with clinical studies: finasteride (commonly marketed as Propecia), minoxidil, and laser treatments. And, since finasteride is prescription-only, it left us with two.
in clinical studies of mostly white women aged 18-45 years with mild to moderate degrees of hair loss, the following response to minoxidil topical solution 2% was reported: 19% of women reported moderate hair regrowth after using minoxidil topical solution 2% for 8 months (19% had moderate regrowth; 40% had minimal regrowth). This compares with 7% of women reporting moderate hair regrowth after using the placebo, the liquid without minoxidil in it, for 8 months (7% had moderate regrowth; 33% had minimal regrowth).
This hair regrowth product is a one of a kind organic shampoo formulated with plant stem cells. The rare stem cells from Switzerland help to combat hair loss in an innovative and effective new way by encouraging cells that regrow to be stronger than ever. This shampoo has a mild formula which is gentle on the scalp, making it a perfect option for men who want to steer clear of topical chemical treatments while getting the same results.
My scalp is dry, itchy, and irritated everywhere. I’ve been using H&S Clinical Strength shampoo for 2-3 years and its been pretty good at keeping it under control. I’ve been using rogaine for about 1 year now and I’m trying to avoid propecia if possible. Recently my hairline has quickly recede, and I’m not sure what to do. My friend said to start using nizoral every couple days. Do you recommend Nizoral for every few days? If so, what conditioner do you recommend and what shampoo do you recommend for the other days of the week when not using Nizoral? Thanks for your help – great site.
NuNutrients Advanced is a potent serum that works at the root of hair loss. It revitalizes hair follicles, helps reduce hair loss, and reduces inflammation, while regrowing hair by reducing the level of DHT (which can degrade hair follicles and inflame the skin). Voted a #1 trusted brand in 2013 and 2014, this effective treatment uses Biochanin A (extracted from Red Clover) to produce results that can’t be achieved with other products. Biochanin A is a natural inhibitor of DHT, subdues hair loss, and modulates free radical damage to the skin and scalp. This helps the hair stay rooted much longer, while increasing the size of the hair follicle for better volume. It also uses Acetyl Tetrapeptide-3 Biomimetic peptides to stimulate the extracellular matrix proteins for stronger hair anchoring. It also prevents hair from falling out and improves the scalp’s health, while adding more volume and increasing the size of the hair follicle.
You may have hereditary hair loss, but you don't need to live with it forever. Women's ROGAINE contains topical minoxidil, the only FDA-approved over-the-counter ingredient clinically proven to regrow hair. ROGAINE works by getting inside your scalp to revitalize follicles and stimulate hair regrowth. That's why ROGAINE is the #1 dermatologist-recommended product for hereditary hair loss in women. The sooner you start, the better your chances of regrowing your hair.

1. Minoxidil. It’s the only FDA-approved topical nonprescription medication that can claim to regrow hair — and it should be part of any hair-loss plan if you have serious thinning, says Rogers. Minoxidil has loads of research to back it, but it requires commitment. If you quit using it, your hair will start to lose ground again. Use a 5 percent strength, like Women’s Rogaine 5% Minoxidil Foam ($30), once daily to see results in three to four months, says Rogers.

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Thanks for your response and awesome article! Do you recommend sticking with minoxidil for a period of time (i.e. 6 months) before starting finasteride or do it all at once? I would be on finasteride now if I wasn’t nervous about the potential side effects so my plan was to wait to see if minoxidal does anything for me over the next 3 months or so (at that point I will have been on it ~ 6 months). My shedding has certainly reduced so hopefully it is starting to work. I’m in the very early stages of hair loss. No one would notice (except me and my wife). Just looks my hair part on the top of my head even though it really is thinning.
"Others are taking hair follicles out of human scalp and growing them with dermal papilla cells," Cotsarelis says. "If they grow in culture, you might be able to recombine them with skin cells and form new follicles. This would let you expand the number of follicles you get for a hair transplant. This may not be that far off -- five to 10 years, maybe. There's very good evidence you will be able to do that."
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I have taken Propecia for 5 years. The first couple of years the side effects were minimal, but after they became more severe. Lacking morning wood, reduced ejaculate, reduced penile sensitivity are real issues. You’re be hard pressed to accuse some of suffering the nocebo effect in these instances. In which case you’re telling the person to just ignore the problems.
During this procedure, surgeons remove a narrow strip of scalp and divide it into hundreds of tiny grafts, each containing just a few hairs. Each graft is planted in a slit in the scalp created by a blade or needle in the area of missing hair. Hair grows naturally this way, in small clusters of one to four follicles, called follicular units. As a result, the graft looks better than the larger "plugs" associated with hair transplants of yesteryear.
It may seem a peculiar American vanity that men have in-boxes full of hair loss treatment offers and spend billions of dollars on hair loss treatments each year. Not so. As Gersh Kuntzman illustrates in his book Hair! Mankind's Historic Quest to End Baldness, chrome-dome anxiety has tormented us for ages. Caesar's laurel wreaths? Classic red herring, Kuntzman says.
Cimetidine, brand name Tagamet, belongs to a class of histamine blockers used mainly to treat gastrointestinal ulcers. The histamine-blocking action prevents the stomach from producing excess acid, allowing the body to heal the ulcer. Cimetidine also has a fairly powerful anti-androgenic effect and has been shown to block dihydrotestosterone from binding the follicle receptor sites.
The follicles on the sides of the scalp are more genetically resistant to DHT, which is why male pattern baldness often results in a “crown” of hair. But its downsides are serious. “With women, finasteride is not an option,” says Dr. Wolfeld. “It’s not FDA-approved for women to take, so we don’t prescribe it.” In fact, due to the drug’s effect on hormone levels, pregnant women are advised to not even touch broken or crushed tablets.
Ketoconazole is another off-label treatment that stands out for treating hair loss. Ketoconazole is the active ingredient in Nizoral shampoo, and 2 percent strength is often prescribed to treat dandruff -- a 1 percent formula is sold over the counter, but reviewers say that it's not as effective. Many men choose to triple-treat their hair loss with minoxidil, Propecia and Nizoral shampoo. Studies show promising results with ketoconazole, though not any better than minoxidil or Propecia, but experts insist that further study is needed.

Please help. My hair has always been my pride and joy. I figured since it is pretty damn healthy, it could deal with some bleach damage. And I figured the master stylist who did all the color-corrections would know how much would be too much. I was wrong, and now I want to burst into tears every time I look at my hair or touch it. I just don’t know what to do. My hair has also NEVER been shorter than this and it breaks and falls out. What should I do to regrow hair?
This hair loss treatment for men from the company Kirkland Signature is a topical solution and comes with a six month supply. Each month, a 2 oz. the bottle will be used by applying the solution to the scalp. The bottles can be sprayed onto the scalp, but the solution works more effectively if applied to the fingertips and massaged into the scalp directly.
As with transplants, the word toupee conjures an outdated and disagreeable image. The 70s-style rugs have mostly been traded in for spiffier "hair replacement systems." But the basic concept -- a foreign object atop your head -- can only evolve so far. Of course, the effectiveness of hairpieces is tough to evaluate. You may spot an awful one now and then, but the ones you do spot are just the awful ones. Who knows how many masterpieces slip undetected under the radar?
If you’re a gentleman who’s been noticing a receding hairline or is worried about balding, the first step is to schedule a visit with a doctor or dermatologist and make sure your hair loss isn’t a sign of a more serious health issue. “Not all hair loss is male-pattern hair loss,” explains Dr. Marc Glashofer, a board-certified dermatologist specializing in hair loss and practicing in northern New Jersey. A thyroid disorder, an autoimmune disease, or even a scalp issue could be making you look like Bruce Willis in Die Hard 2. But most hair loss is androgenetic alopecia, also known as male-pattern baldness, and fortunately (or not, depending on your perspective), it’s just a symptom of getting older.
The best fix by far for replacing lost hair is a transplant. Back in the day, docs used plugs that resembled cornrows (definitely not natural looking). Today, guys have more options. You can go for “the strip method” where a doctor surgically removes a strip of hair from the back of your head, dissects every hair graft under a microscope, and then plants the individual grafts onto hair-thin areas of your scalp with tiny incisions.
However, certain over-the-counter topical treatments and supplements can help stimulate hair growth and prevent further shedding, so you can have a fuller head of hair in as little as two months. A trip to your doctor or dermatologist can provide you with more solutions, but we’ve covered some of the most effective hair growth products for men to get you started.

Laser treatments are the latest frontier in staving off hair loss, and they’ll be the first choice for fans of sci-fi. As silly as they may sound, these treatments do work — the American Journal of Clinical Dermatology in 2014 reported a “statistically significant difference” in hair density with no “serious adverse events” or side effects.The bad news: Laser treatments tend to be expensive, progress is slow, and they don’t always produce stellar results.
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In addition to its effectiveness in treating certain types of hair loss, a growing number of patients are drawn to PRP because of its comfortable, quick and non-invasive nature. This outpatient procedure takes about one hour and requires no downtime for patients, which means you could literally have it performed during your lunch hour and return to your activities of daily life immediately.
There are no parabens or sulfates in the bottle. Instead, the shampoo contains biotin to strengthen hair and caffeine to stimulate the scalp. There’s also argan oil and allantoin to moisturize skin. Then, the conditioner contains another dose of caffeine plus rosemary, vitamin D, lupin protein, glycerin, and niacinamide. When used together, the shampoo and conditioner nourish strands and encourage new growth.
A separate study, published in Skin Therapy Letter — a professional reference site for dermatologists — found that women also benefit from using the more potent 5 percent minoxidil treatment. “Patient-reported improvement in hair volume and coverage appears to be greater with 5 percent minoxidil foam,” reads the report. Plus, because the 5 percent treatment is stronger, women only have to apply it once a day to get the same results as they would with the 2 percent treatment applied twice daily.
Iron supplements. In some women, iron deficiency could be a cause of hair loss. Your clinician may test your iron level, particularly if you're a vegetarian, have a history of anemia, or have heavy menstrual bleeding. Iron supplements are recommended if a woman's iron level is less than 70 nanograms per milliliter. However, there's no reliable evidence that iron supplementation is helpful for female pattern hair loss.

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Coconut oil contains fatty acids that penetrate inside the hair shaft and reduce protein loss from hair. Coconut oil can be used either before or after you wash your hair depending on your hair type. If your hair tends to be oily, you can do a leave-in treatment overnight or for a few hours before you wash it. Massage coconut oil into your scalp and all of your hair. If your hair is dry, you can also use it as a leave-in treatment. There needs to be more research on coconut oil as a promoter of hair growth, but it’s been shown to improve the health and luster of hair and has been used for centuries.
But in November, after 10 years of research, Rogaine introduced a new 5 percent minoxidil formulation for women. It’s a mousse (instead of a liquid) that needs to be applied only once a day instead of twice, which means that it can be more easily incorporated into a woman’s evening skin-care routine. Teal replaces the blue and silver palette of the men’s Rogaine, and the packaging bears a lotus flower. (Also last year, Pantene introduced its Hair Regrowth Treatment for Women, which is 2 percent minoxidil.)
Fish oil contains omega-3 fatty acids that perform multiple functions when it comes to healing skin issues. Your scalp is an extension of your skin. When this skin is distressed, it affects your hair growth. When fish oil supplements are taken, this stress is taken away by the anti-inflammatory activity of the omega-3 fats. These fatty acids also ensure the healthy development of the skin’s various layers and also their hydration and nourishment (59, 60). Take fish oil supplements on a daily basis for healthy skin and hair growth. You can take cod liver oil supplements instead of the fish oil ones as they also contain the same omega-3 fatty acids (61).

Carrots contain a wide range of vitamins (C, K, E, B1, B2, and B6) and minerals (potassium, manganese, molybdenum, and phosphorus). They also contain carotenoids that act as antioxidants. All of these revitalize the hair follicles and make your hair longer and thicker (51). Apart from the topical application, add carrots to your diet in the form of juices or simply eat them raw.
The easy-to-use spray bottle allows you to apply the serum directly to your scalp, or you can spray it onto your hands to rub into parts of your scalp. Each bottle offers a three month supply and should be used twice daily. It has outstanding reviews online, partly because it does not leave a sticky residue or cause preliminary hair shedding like most other regrowth treatments.
in clinical studies of mostly white women aged 18-45 years with mild to moderate degrees of hair loss, the following response to minoxidil topical solution 2% was reported: 19% of women reported moderate hair regrowth after using minoxidil topical solution 2% for 8 months (19% had moderate regrowth; 40% had minimal regrowth). This compares with 7% of women reporting moderate hair regrowth after using the placebo, the liquid without minoxidil in it, for 8 months (7% had moderate regrowth; 33% had minimal regrowth).
The trick about all of these hair-loss products and treatments is that they’ll stop working as soon as you stop using them. “They have to be ready for a lifetime commitment,” says Rieder. But, just like brushing your teeth, as long you keep on keeping on with the scientifically proven preventative treatments, those hairs on your head should be just fine.
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