Minoxidil (Rogaine). This is an over-the-counter (nonprescription) medication approved for men and women. It comes as a liquid or foam that you rub into your scalp daily. Wash your hands after application. At first it may cause you to shed hair as hair follicles. New hair may be shorter and thinner than previous hair. At least six months of treatment is required to prevent further hair loss and to start hair regrowth. You need to keep applying the medication to retain benefits.

The earlier you begin treating hair loss, the more effective the treatment will be. Androgenetic alopecia is a condition that gradually worsens over time, so the general rule is that the earlier you seek treatment, the better. “If you’re losing your hair and you have genetic hair loss, using medication such as Propecia or minoxidil is most effective when started early,” says Dr. Robert M. Bernstein, Dr. Wolfeld’s colleague at Bernstein Medical – Center for Hair Restoration. Because not everyone loses hair on the same timeline, you can’t rely on statistics to tell you when you should start treatment. Some men start to notice thinning in their early 20s, while others maintain a thick head of hair well into their 50s. If you suspect that you’re starting to lose your hair and want it to stop, act quickly.
Instead, you may want to add vitamin D (about $15) to your shopping cart. A vitamin D deficiency can exacerbate hair thinning and make it almost impossible for any over-the-counter product to reverse hair loss, says Dhaval Bhanusali, a dermatologist in New York City, who recommends taking 5,000 international units of D3 a day (and it’s generally beneficial for bone health in women over 40). “There’s also a link between low iron and zinc levels and temporary hair shedding, called [telogen] effluvium,” says Rogers.
Cyproterone acetate is not available in the U.S. Doctors consider it one of the last resorts for treating female pattern hair loss because of its possible toxicity and long-term side effects. As with any drug, side effects other than those listed on the package may occur. Contact your doctor if you notice a side effect that is unusual or particularly bothersome.
The Lipogaine for Men one month intensive treatment is intended for men only. It features the best combination of natural ingredients and effective Minoxidil to aid in hair loss, hair regrowth, and beard growth. It can also reduce DHT level, provide follicle nutrients, strengthen the hair you have, improve the scalp health, and fill in thinning areas around the scalp and frontal hairline. The comprehensive and holistic approach has made Lipogaine the first hair growth formula that combines Minoxidil with Biotin and a proprietary herbal blend of natural DHT blockers with saw palmetto, beta-sitosterol, fatty acids, and many other vitamins. The advanced liposome delivery system can deliver ingredients precisely to the target area for maximum results.
The second member of “the big three” and another extremely effective FDA approved hair loss treatment is minoxidil. Minoxidil was originally an oral medication for high blood pressure. But after a while, patients started reporting hair growth — all over their bodies. And not much longer after, the minoxidil topical solution for treating hair loss was born.
Both minoxidil and finasteride require a lifelong commitment, but for users looking for a treatment with permanent results, hair transplant surgery may be the solution. Over the years, surgeons have developed techniques to deliver natural-looking results that are a far cry from early hair transplants, which had a cornrow-like appearance. These procedures are costly and may require multiple sessions depending on the patient.
Thank you. This has been the most helpful article I have read! Very much appreciated! Last question (I won’t bug you with anymore after this) . . . I was tested by my doctor and came out perfectly healthy so it is either stress or MPB. My job is extremely stressful so it could be that but I have no way or knowing for sure. As such, do you think there is any harm on me taking finasteride even if it isn’t MPB and is just stress? I suppose if the medicine didn’t work, I would know it was stress and not MPB. Also, I assume this is something I would continue to take for life right?
I'll start by saying I actually don't have a serious hair loss problem. However, I have always had calics along my hairline, so I wanted to fill them in a little before my sister's wedding. I started using this product about a month ago. I hate that it never seems to dry, so I ended up throwing my hair in a slick bun to hide the sticky look on a number of occasions. But just last week a coworker pointed out that my hairline was filling in, which is when I finally realized that it was working! The wedding is over, but I plan on using it over the course of the next three months to see if I can obtain more permanent results. So far I'm pleased, but the results take time and it's a little pricier than I would like to admit. The twice a day thing is kind of a pain in the arse.
Results from clinical studies of mostly white women ages 18 to 45 years with mild to moderate degrees of hair loss report that after using minoxidil for eight months, 19% of users had moderate regrowth and 40% had minimal regrowth. Of those using a liquid without active minoxidil (a placebo) during the same time period, 7% reported moderate hair regrowth while 33% had minimal regrowth.
It works quite well to prevent hair loss and trigger regrowth for most men, and it may work for some women, although women must not take it if they are pregnant. Also, women should not get pregnant while on the drug because of the risk of birth defects in a male infant. Less than 2% of men have transient sexual side effects, including erectile and libido difficulties, while taking finasteride. However, in women these side effects do not occur.

Green tea is rich in antioxidants that prevent hair loss and boost hair growth (25). Many other herbal teas possess similar properties and can be used just like green tea to rinse your hair. Tea rinses have been tested and tried by many people for hair growth, and the results have been positive. Some of the other teas that you can use are bamboo tea, nettle tea, sage tea, or even regular black tea. Just steep the tea bag or a tablespoon of the dried herb in hot water and use it as described above.

The general medical consensus around laser treatments — caps and combs alike — is that low-level laser light therapy stimulates the cells within the hair follicle. These devices may also increase cell metabolism to promote thicker and more durable hair shafts, something that neither minoxidil or finasteride can do. To use the HairMax Ultima, all you have to do is glide the device over your scalp slowly. Treatments should take about eight minutes, and you should do it three days per week for the best results.


It's for this reason that people can be quick to try any remedy that promises results. And we get it; those before-and-after photos will really get to you. The technology behind hair growth and anti-loss treatments has improved in recent years, too, though it's worth noting that some of these treatments can be expensive and unsustainable. Because not everyone can afford to drop 80 bucks on a bottle of growth supplements (or hundos on an in-office treatment), many people turn to natural and DIY alternatives.
2. Oil-rich conditioner. “Oils improve hair’s tensile strength,” says Paradi Mirmirani, a hair-loss specialist and dermatologist in Vallejo, California. In other words, oils make hair less likely to break under pressure, which is especially important for thinning hair that’s prone to snapping when brushed or styled. Mirmirani recommends using a conditioner fortified with natural oils, like Burt’s Bees Very Volumizing Pomegranate Conditioner, which contains avocado oil ($8), or Honest Company Conditioner with coconut oil ($10). That one’s got an added benefit: “Coconut oil has been shown to penetrate hair,” says cosmetic chemist Randy Schueller, so it makes your hair stronger from the inside out. (Just don’t load up on pure coconut oil. “You might overshampoo your hair to get it out, and then you’ll end up drying your hair and undoing any benefit,” says Fusco.)
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.
Again, you’ll want to visit your doctor to get a blood test to check your levels in these vitamins. For example, women who have iron levels lower than 70 nanograms per milliliter are considered deficient. From there, work with your doctor to find an appropriate dose according to your deficiency level. Excessive or unnecessary supplementation can be dangerous.

Thanks for the help Domen. I currently use keto about once a week but I will ramp up to 3 times a week. I hear that helps for Sebum reduction. Do you agree? In terms of shedding, I shed very consistently . . . .about 15-20 hairs I notice in the shower when I shampoo, 15 hairs when i come out of the shower and comb my hair, another 5 every morning on my pillow and random hairs throughout the day that I notice on my desk.
Results can take awhile to become apparent, so it’s important to be patient and follow the regimen exactly. It is best to begin using these products at the first signs of balding or hair thinning for the best results. Drinking more water, eating a balanced diet, taking a daily multivitamin, and taking advantage of additional supplements like Biotin can also help speed up hair regrowth.
Since birth control pills decrease the production of ovarian androgens, they can be used to treat women's androgenetic alopecia. Keep in mind, however, that the same cautions must be followed whether a woman takes contraceptive pills solely to prevent contraception or to treat female pattern baldness. For example, smokers age 35 and older who take the Pill are at higher risk for blood clots and other serious conditions.
When it comes to prescriptions, Propecia (finasteride) stands as the strongest oral option for treating balding. If used consistently, this hair-loss treatment stops the progression of pattern hair loss, caused by genetics, for most users -- no messy application necessary. Although the drug has yet to earn FDA approval for treatment of women, recent studies have shown that it is both safe and effective for female users. See our full review »
You can maximize your results from minoxidil by dying your hair after two to three months of treatment. Minoxidil tends to create very fine hairs at first, and dying the hair increases the contrast between the hairs and the scalp, making the new hair growth area look denser. This is one common technique in before/after photos for hair loss treatments.
Beware online stores selling Propecia without a prescription.Finasteride is FDA approved, but buying it online without a prescription can be illegal and dangerous. Prescription-free online stores have a reputation for selling placebos or dangerous replacements. We recommend speaking with a doctor about prescriptions or sticking to save over-the-counter treatments.

First, reduce your stress. It will improve your ability to cope with hair loss as well as help solve the problem. You might find relief with deep breaths, performing physical exercise, or laughing at cat videos online. If your stress level is high because you’re upset about losing your hair, experiment with keratin hair fibers to disguise the thin spots. It’s an inexpensive way to feel better about a tough situation.


Defy hair loss with ROGAINE®, the #1 dermatologist-recommended, FDA-approved brand with a clinically proven formula to regrow hair. Unlike thickening shampoos that temporarily coat the hair, ROGAINE® penetrates deep into your scalp to revive follicles and increase protein production so you can grow new, fuller, thicker hair. The revolutionary formula begins to work on contact with patented Tricho-Prime™ Technology, a proprietary combination of ingredients that primes your scalp for optimal hair regrowth.


Most women with pattern hair loss don't get a receding hairline or bald spot on top of the scalp as is common in men. Instead, there is visible thinning over the crown. In men and women, hairs are miniaturized because of a shortened growth cycle where the hair stays on the head for a shorter period of time. These wispy hairs, which resemble forearm hairs, do not achieve their usual length.
Domen, I was reading some articles and also the links you’ve provided in your other comments above – they say both Finesteride and Minoxidil only check further hair loss and thicken existing hair – but both can’t re-generate hair that’s already gone from bald spots. I guess the effectiveness of these 2 medications are quite proportionate to age of the native! At 42, I guess, I am old 🙁 Atleast according to Indian standards!!
If you think over-the-counter hair loss shampoos are for you or just want to promote growth and strength, Dr. Schwieger recommends formulas with antioxidants such as vitamin E and ginseng, amino acids, and B-vitamins to help rebuild hair and reduce environmental damage. She cautions against those with parabens, sulfates, and fragrances, which can irritate hair and reduce moisture. Ahead, eight vetted hair loss shampoos to try.
3. Hair fibers. The best (and easiest) way to hide a widening part or sparse patch is with hair fibers. They’re tiny, charged fibers that adhere to your scalp (until your next shampoo). Toppik Hair Building Fibers ($25) come in a range of colors so you can easily find one that matches your own hair. (In a pinch, you can also brush a powdered eye shadow that matches your hair color along your part.)
When using this product do not apply on other parts of the body avoid contact with the eyes. In case of accidental contact, rinse eyes with large amounts of cool tap water. some people have experienced changes in hair color and/or texture it takes time to regrow hair. You may need to use this product 2 times a day for at least 4 months before you see results. the amount of hair regrowth is different for each person. This product will not work for everyone.
3. Scalp tonic. Serums with peptides or procyanidins (a class of antioxidants) such as niacinamide can help support overall scalp health and reduce inflammation, which is a major component of hair loss, says New York City dermatologist Doris Day. Try René Furterer Triphasic Progressive Concentrated Serum ($82), Julien Farel Magnifique Delay the Gray Hair & Scalp Serum ($135), or Day’s own Rapid Regrowth Serum ($55) once daily before massaging a minoxidil product into the scalp (there’s no need to wait for it to dry in between). “In addition to being anti-inflammatory,” Day says, “scalp tonics help minoxidil penetrate the scalp better and can minimize potential irritation from it.”
Advecia Hair Loss Vitamins, Alter EGO Energizing/Prevention Shampoo for Hair Loss & Growth, Amazing Jasmine Hair Cream Shampoo/Conditioner, Amplixin Intensive Growth Serum, Amplixin Stimulating Hair Growth Shampoo, Apivita Propoline Tonic Shampoo for Thinning Hair for Women, Art Naturals Organic Argan Oil Hair Loss Prevention Shampoo, BeanStalk Hair Loss Treatment, Beauty Facial Extreme Maximum Strength Hair Regrowth Conditioner, Beauty Facial Extreme Maximum Strength Hair Regrowth Shampoo, Bio-Hair Advanced Hair Support Formula Vitamins, Biofusion 100% All Natural Hair Loss Shampoo, Biohair-Care Biotin Hair Loss Prevention, Biotopic Bald Spot Treatment, Biotopic FolliclePLUS 27+ for Men, Biotopic FolliclePLUS 27+ for Women, Biotopic Regrowth, Bloom Krans Anti Hair Loss Shampoo for Women, Bloom Krans Full Bloom Hair Growth Vitamins for Women, Bloom Krans Full Bloom Hair Rejuvenating Conditioner, Bloom Krans Hair Growth Vitamins for Women, Bosley Revive Starter Pack, By Natural Scalp & 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3. Surgical hair replacement. If you opt for hair transplantation (which runs $5,000 and up), your dermatologist or hair-replacement surgeon will remove single hair follicles from the back of the head, near the nape of the neck, where your hair is fullest. Once those follicles are harvested, they are then dissected and reimplanted into an area of the scalp where hair is thinning. The procedure takes anywhere from three to six hours, and newly implanted hair will usually begin to grow on its own 3 to 12 months after the treatment session. Traditionally, hair transplantation required removal of an entire strip of scalp, Sadick says, but this new follicle-by-follicle technique looks more natural when it heals and allows patients to get heads of hair as dense-looking as before they started losing it.
In our research and our conversations with experts, one name kept popping up repeatedly: Rogaine. As the first topical brand FDA-approved to help regrow hair (all the way back in 1988), Rogaine benefits from more than 20 years of clinical trials and consumer feedback. Rogaine was the first brand to offer a 5 percent minoxidil foam solution when it debuted Men’s Rogaine Unscented Foam in 2006, and virtually every treatment developed since (for both men and women) has been an imitation or derivation of that formula.
While biotin is a type of vitamin that plays a functional role in hair growth, there are other vitamins that can help improve the overall health of your hair. Vitamin E is one such key vitamin that acts as an antioxidant and helps to reduce the oxidative stress on your scalp. This greatly affects hair growth, and this was proven by a study published in the Tropical Life Sciences Research journal (2). Another vitamin that is useful is vitamin C. It removes the dead cells build-up from the scalp and unclogs the hair follicles. This can improve hair growth as well (3). Vitamin C tablets can be added to a carrier oil and used to massage the scalp. Internal supplements of both these vitamins also help.

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.

Hair transplants will likely lead to better results in the long run (you are introducing new hairs to the balding areas), but you’ll still need to use minoxidil or finasteride after surgery to maintain the results. Like all hair loss treatments, hair transplants are best when combined with other methods, and you’ll want to speak with your doctor to see what combination is best for you.
Other options include microneedling ($1,200 and up per treatment) and platelet-replacement therapy (also $1,200 and up per treatment), which are usually offered in conjunction. Your scalp will be numbed first so you don’t feel the pinpricks involved in microneedling. They promote hair regeneration by spurring wound healing, and platelet-replacement therapy involves injecting growth factors into those wounds. “Combination therapy typically works better than monotherapy and usually yields results after three monthly treatments,” says Sadick, and should be teamed with an at-home minoxidil treatment.
It's for this reason that people can be quick to try any remedy that promises results. And we get it; those before-and-after photos will really get to you. The technology behind hair growth and anti-loss treatments has improved in recent years, too, though it's worth noting that some of these treatments can be expensive and unsustainable. Because not everyone can afford to drop 80 bucks on a bottle of growth supplements (or hundos on an in-office treatment), many people turn to natural and DIY alternatives.
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.
Some treatments in development hold particular promise for women. Angela Christiano, a hair geneticist and Columbia University professor of dermatology, is hoping to begin clinical trials in a year or two on a procedure in which she dissects hair-follicle stem cells, grows them in the lab until she has several million, then injects them into the scalp, where, a very small study done with a human skin model has shown, they induce new hairs. 

We spend so much time and money piling on the products that it’s easy to forget where hair growth starts: namely, your scalp. A simple way to stimulate hair growth at home is to give yourself a scalp massage—this will increase blood flow to your scalp, enhance the strength of your roots, and help nutrients get to your follicle faster. You can give yourself a scalp massage with dry hair, but adding a nutrient-rich oil to the mix will only double the benefits (just keep it to once a week if you have oily roots). Rosemary oil, in particular, has been used for centuries to stimulate hair growth. It dilates blood vessels and, in turn, stimulates your follicle to produce new growth.
A bathroom covered with loose strands or an ever-scrawnier ponytail can be startling but doesn't necessarily mean anything's wrong. By age 50, half of women will complain of hair loss. "As we age, overall hair density changes and individual strands become finer," says dermatologist Doris J. Day, MD. But just because thinning is natural doesn't mean you have to accept it. Here are 13 solutions to help you keep the hair out of your brush and on your head.
From what I’ve seen and read they can be quite effective–but come with several risks (scarring and unnatural-looking hairline come to mind). I haven’t dwelled much into it, but basically got FUT (follicular unit transfer), FUE (follicular unit extraction) and DHI (direct hair implant)–which is the newest, similar to FUE, most costly and provides the best results in most cases.
2. Volumizing shampoos and treatments. Typically, these work by depositing ingredients, like wheat protein and keratin, that adhere to the hair shaft to a) thicken it and b) create spaces between hairs so you look like you have more of it. Try Kiehl’s Rice & Wheat Volumizing Shampoo ($18) with hydrolyzed wheat protein; Rogers likes Redken Cerafill Defy Shampoo and Conditioner ($20 each) with ceramides that bulk up hair.
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.
Stimulate new strands with the Equate Hair Regrowth Treatment for men. It is made with a special formula that helps combat general thinning on the top of the scalp. It is also suitable for other degrees of hair loss. Offered as a pack of three, this extra-strength hair regrowth treatment for men comes in a handy bottle. It also includes a child-resistant dropper in each pack for easy application.
Making the right health decisions can be challenging. With a complete range of products and simple solutions, Equate allows you to take care of your family with confidence.

And don’t bother reading those types of articles, they will just get in your head and make you experience side effects psychologically. If finasteride would be so detrimental to your health, it wouldn’t be available to the general public. There are millions of men taking it with no side effects who just go on about their lives, without reading paranoid articles on online forums.
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.
Thanks for the article with great info. I’ve been taking minoxidil 5% for the last 2 years. I’ve tried a generic minoxidil brand and also Kirkland to no effect. I’ve been hoping it’s maybe slowed the hair loss process. The hair around my crown just keeps getting thinner. Do you think changing to another “better quality” brand like Lipogaine or Rogaine could work? Or does it appear that any minoxidil brand is not going to work?
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