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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?
George Cotserelis, MD, is director of the University of Pennsylvania's Hair and Scalp Clinic. He agrees that there's no evidence these alternative hair loss treatments have any effect. "If any of it did work," he says, "I'd be very worried about using that product. The fact that it’s working would mean it's doing something to the testosterone and could be having adverse effects."
A few studies support the use of red ginseng, sometimes called panax ginseng (about $25), for hair regrowth. It can have an anti-apoptotic effect on the hair, Rogers says, meaning it slows cell death so hair follicles can grow for a longer period of time. But before taking any of these supplements, it’s important to consult your doctor; a lab test can confirm whether you need a particular supplement or if taking it will just be a waste of time and money.

"This is an oral, prescription-only medication with the brand name Propecia that’s also FDA approved to treat hair loss," says Spencer. Male pattern hair loss occurs when a hormone called dihydrotestosterone (DHT) prevents hair follicles from getting the nutrients they need. Finasteride works by blocking the production of DHT, which protects the follicles.


To give yourself a hot oil treatment, massage the oil into your scalp, then apply it all the way to the ends of your strands. Pile your hair on top of your head, cover it with a shower cap, then blast your strands with a blow-dryer for 15 minutes. Feel free to jump in the shower and shampoo and condition as usual—you’ll notice softer strands instantly.
A clinician diagnoses female pattern hair loss by taking a medical history and examining the scalp. She or he will observe the pattern of hair loss, check for signs of inflammation or infection, and possibly order blood tests to investigate other possible causes of hair loss, including hyperthyroidism, hypothyroidism, and iron deficiency. Unless there are signs of excess androgen activity (such as menstrual irregularities, acne, and unwanted hair growth), a hormonal evaluation is usually unnecessary.

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?
"I LOVE YOUR PRODUCTS!! The hair growth treatments are an absolute god send & I love the sea salt spray & I plan on eventually buying your whole range cos it's amazing!! I must have recommended your hair growth treatment products to attest 50 people & I have tweeted about it endlessly informing people how great it is & as I have long hair myself (thanks to you) all my friends decided to invest in some lee Stafford hair growth treatment and have ALL come back saying how much they love it & that it genuinely works? So, thank you!!! "
Oral supplements like Viviscal Extra Strength dietary supplements (Est. $50 per month) have also been proven to have a measurable effect on hair regrowth; a double-blind, placebo-controlled study in the Journal of Clinical and Aesthetic Dermatology found that the nutritional supplement significantly increased hair growth among women with thinning hair.
Like minoxidil, finasteride, the active ingredient in Propecia, was originally created with a different purpose in mind -- to treat enlarged prostate glands -- and researchers observed it came with a side effect of hair growth. Unlike topical minoxidil, finasteride requires a prescription, is taken orally and addresses hormonal causes of hair loss. It inhibits the enzyme type II 5-alpha reductase, which converts testosterone into DHT. As it was the first truly effective treatment for hair loss that provided nearly guaranteed results, finasteride revolutionized the hair-loss-treatment industry.
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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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.

I am a 30 year old woman, after my second child, I noticed that my hair was thinning on the top of my head, I had read it was normal for hair to thin and to loose hair while breast feeding and all that, but my daughter is now 18 months and did not see my hair come back to how it used to, so I decided to try this product. I have been using it for about 22 days and I do see the difference, it is not very thick as it used to but I hope with time using the product it will get better. I also see some hair growth, so far so good!! BTW, you need to apply it twice a day, it comes on liquid form and it is very easy to use.


"Firstly, even the very good ones won’t get to the root of the issue - pardon the pun - and prevent or treat male or female pattern baldness which is caused by genetics, nor deal with hormonal issues at the heart of female hair loss. But they can help make the hair you do have stronger and healthier. And they can be useful in putting a hair loss regime in place, along with medication like Minoxidil or Finasteride and/ or a hair transplant.
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.
Minoxidil was the first drug approved by the FDA for the treatment of male pattern baldness. For many years, minoxidil, in pill form (brand name Loniten), was widely used to treat high blood pressure. Just like finasteride, researchers discovered a very interesting side effect of the drug. People taking the medication were growing hair in unexpected places, such as on their cheeks and the back of their hands. Some people grew hair on their foreheads.
About one-third of women experience hair loss (alopecia) at some time in their lives; among postmenopausal women, as many as two-thirds suffer hair thinning or bald spots. Hair loss often has a greater impact on women than on men, because it's less socially acceptable for them. Alopecia can severely affect a woman's emotional well-being and quality of life.

Eat hair-loss fighting power foods. Nutritional imbalances are often the cause for hair loss. Poor diet can lead to macronutrient (proteins, fats, carbohydrates) and micronutrient (vitamins and minerals) deficiencies which in turn can make your body unhealthy and cause hair loss. To support the health of your hair and your overall well-being, add some or all of the foods listed below to your diet:[14] 

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.
Other medical conditions — most commonly telogen effluvium and seborrheic dermatitis — can also cause hair loss, but most people can trace their follicular woes back to androgenetic alopecia, so we focused our search there. We started with more than 200 products, including all-natural solutions and high-tech gadgets, while skipping treatments that focus only on volumizing or thickening hair. We also limited our scope to the scalp, and left out specialty products designed only for eyebrows or beards.
To give yourself a hot oil treatment, massage the oil into your scalp, then apply it all the way to the ends of your strands. Pile your hair on top of your head, cover it with a shower cap, then blast your strands with a blow-dryer for 15 minutes. Feel free to jump in the shower and shampoo and condition as usual—you’ll notice softer strands instantly.
PRP for Hair Growth has become one of the most exciting recent breakthroughs in hair restoration, and is not only showing positive results as a stand-alone treatment, it has proved to be a valuable tool during hair transplantation as well. During the transplant process, PRP has been shown to strengthen non-transplanted hair, minimize donor scarring and accelerate wound healing. In addition, PRP has also been reported to improve graft survival and accelerate the growth of the transplanted hair.
"Castor oil will not grow hair," says cosmetic chemist and author Perry Romanowski matter-of-factly. "There is no evidence for it and no scientific theory supporting that it would work, so yes, it's a total myth." In better news, he says that castor oil is not damaging to the hair and can provide some conditioning that improves the flexibility of the hair fiber.
In either sex, hair loss from androgenetic alopecia occurs because of a genetically determined shortening of anagen, a hair's growing phase, and a lengthening of the time between the shedding of a hair and the start of a new anagen phase. (See "Life cycle of a hair.") That means it takes longer for hair to start growing back after it is shed in the course of the normal growth cycle. The hair follicle itself also changes, shrinking and producing a shorter, thinner hair shaft — a process called "follicular miniaturization." As a result, thicker, pigmented, longer-lived "terminal" hairs are replaced by shorter, thinner, non-pigmented hairs called "vellus."
For those concerned that the existing treatments lack a certain sci-fi quality, behold the Laser Comb. The Laser Comb recently became only the third hair loss treatment to receive FDA approval. And it is the first that doesn’t use drugs or surgery. By stimulating follicles with a low-level laser, the hand-held device was shown in test trials to increase hair volume in a majority of patients.
Lemons are rich in vitamin C and vitamins B1, B2, B3, B5, B6, B12, folic acid, and other nutrients. Plus, they are loaded with antioxidants. In addition to hair growth, lemon juice promotes smooth, shiny, dandruff-free hair. When applied on the scalp, it stimulates circulation and hence prevents hair loss. Do not use lemon juice in excess though, as it can lighten your hair color over time.
Physicians are reluctant to prescribe systemic treatments (pills or other form of treatment that affects your entire system) because they can tamper with your body's own androgen levels (see Causes for an explanation of androgens). The doctor will first want to confirm that the hair loss is due to an excess of androgen (another name for male hormones) in the system or a sensitized "over-response" to normal amounts of androgen. Therefore, physicians often choose topical treatments, which are applied directly to the scalp.
“I’m 43 years old and my hair has started to thin out a little bit. I started looking into a lot of these different products on the market that claim they can slow down balding in men and some of them even claim they can regrow your actual hair. As I went on the internet and started looking around, I kind of went down a rabbit hole into these different reviews and all sorts of different products from vitamins to topical solutions. Do any of these things do what they claim they can do?”
Side effects and concerns: Around the time new hair growth starts, some women experience folliculitis (inflammation of the follicle). This minor complication can be treated with compresses and antibiotics. A more serious hazard is shock loss, the sudden loss of hair that normally grows in the area of the transplant. Shock loss affects 30% to 50% of female hair-transplant recipients; fortunately, the loss is usually temporary, and the hair will regrow. One drawback is that there's a finite amount of donor hair, and it may not be enough to fill in the transplant site as densely as before, especially if the area of thinning hair is large. A transplant procedure can cost from $4,000 to $15,000 and is rarely covered by insurance.
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?

Procepia and Finasteride will only prevent hair loss and aid hair regrowth for the duration of your treatment. As soon as you stop taking them, any hair loss you would have had during that time will happen within a few months of ending the treatment. A doctor needs to check whether you can use either medication. You can order your treatment online from Superdrug and get your prescription from one of our online doctors, who will review your order.

Skeptics (among them, Dr. Wesley) are starting to come around after a 2014 randomized double-blind study published in the American Journal of Clinical Dermatology found a “statistically significant” difference in hair density for women who used a laser comb compared with those who used a sham device. (“Comb” is something of a misnomer. The device looks like a hairbrush crossed with a cordless phone; it is glided back and forth across the scalp, roughly a half-inch at a time, usually about 15 minutes three times a week.)
While you won’t find a miracle shampoo on the market, nioxin and some other products can help keep your scalp in tip-top shape to improve the look of any hairs you do have left on your head. In fact, feeding your hair with the proper nutrients both inside and out can make it appear healthier, so you might consider using products with natural herbs, such as rosemary and mint.

Men may also experience some sexual and emotional side effects while taking it: In a study published in the June 2011 issue of The Journal of Sexual Medicine, Dr. Michael Irwig of George Washington University found as many as 92 percent of test subjects reporting problems in the bedroom. The study also reported that “the mean duration of finasteride use was 28 months and the mean duration of persistent sexual side effects was 40 months,” meaning that side effects lingered long after subjects stopped taking the pill.


Reality is, if finasterise is so safe, why doesn’t merk market this drug as a vaccine for hair loss? For every man north of 18 to take this drug to prevent the possibility of balding? It’s safe, so why not? Truth is the science isn’t clear that either AR inhibition or DHT reduction is safe. All we know is that merk did a study and were able to publish data that suits their agenda.
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