“I think their effectiveness is not as significant as finasteride or minoxidil,” says Dr. Wolfeld, “however, it’s something that can be used quite easily by patients at home. If they use it two or three times a week, I tell them it can help to thicken their hair.” Results can take up to 18 months to show up, so Dr. Wolfeld stresses that patience is a virtue.
The other main hair-loss treatment that was recommended by all four dermatologists I interviewed is finasteride, often called by its brand name Propecia. This FDA-approved medication is only available with a prescription, but these days, it’s found as a generic and ordered online after a virtual consultation, through start-ups like Hims, Keeps, and Lemonaid.
Not surprisingly, treatments with 5 percent minoxidil work better than treatments with 2 percent minoxidil. A randomized clinical trial published in the American Journal of Clinical Dermatology in 2002 found that, in men with androgenetic alopecia, “5 percent topical minoxidil was clearly superior to 2 percent topical minoxidil and placebo in increasing hair growth.” The difference was actually pretty astounding — after 48 weeks, the men who used 5 percent minoxidil experienced 45 percent more hair growth than the men who used the 2 percent treatment.
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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."
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The only nonchemical option offered up by the dermatologists I spoke with — short of a surgical hair transplant or platelet-rich plasma therapy, which is like Kim Kardashian’s vampire facial but for your scalp — was the laser comb. First cleared by the FDA in 2009, the HairMax LaserComb is a handheld laser device that is designed to promote hair growth. As the manufacturer explains in a letter to the FDA, “The device provides distributed laser light to the scalp while the comb teeth simultaneously part the user’s hair to ensure the laser light reaches the user’s scalp,” which, in turn, stimulates the hair follicles.
Well, there you have it, folks. Without legitimate clinical evidence, there's no way of telling whether castor oil is the hair-care cure-all some people claim it is. That being said, as long as you consult your doctor first, there should be no problem with you experimenting with it on your own to see how and if it works for you. At the end of the day, we're not calling anyone a liar, but facts are facts, so until there's more science-backed information on the subject, it's best to take any glowing tesimonials with a grain of salt.
Working just like a precise microsurgical extension of the human hand, SmartGraft’s all-in-one ergonomic handpiece and storage system was designed to help accurately separate, extract and store FUE grafts during hair transplantation. Fewer steps, less handling, and manual transferring of grafts allows the FUE procedure to be accomplished at a faster speed, reduced risks of graft failure and poor growth quality as well as with improved patient comfort.
Regrow thicker, beautiful hair with Women's ROGAINE® Hair Regrowth Treatment, Once-a-Day Foam. Containing 5% minoxidil, this foam reactivates hair follicles to regrow hair. The only once-daily hair regrowth treatment for women approved by the FDA, this formula is proven to help regrow hair in 81%* of women, with clinical results in as little as 12 weeks and visible results with continuous daily use after 24 weeks. From the #1 dermatologist recommended brand, the once-a-day applied foam can fit into your regular beauty routine. This package of Women's ROGAINE® Foam includes one 60-gram can, a 2-month supply.
Some women find that the minoxidil solution leaves a deposit that dries and irritates their scalp. This irritation, called contact dermatitis, is probably caused not by the minoxidil itself, but rather by the alcohol that is included to facilitate drying. A 5% solution (available only by prescription and approved only for men) is more effective than the 2% formulation and may be prescribed off-label for women. The 5% version comes in a foam, which appears to cause less irritation than the liquid.
As with any new technology, there is still a lot of educating that needs to happen, at both the physician and consumer level, when talking about robotic hair transplants. Some people have the misconception that the ARTAS robot is operating on it own when, in reality, the robot is simply an extension of the operator, working within parameters programmed by the surgeon. Its effectiveness, therefore, is tied directly to the expertise of the surgeon and the end result — as with any hair transplant — is only as natural as the artistic skills of the surgeon behind the machine.
Folic acid is also known as vitamin B9. Folic acid supplements are often recommended to improve hair growth and treat hair fall. It plays an important role in the formation and function of red blood cells in the body. These cells are responsible for transporting various nutrients, enzymes, and hormones to different parts of the body, including the scalp and hair (18, 19). Supplements can be taken for this on a daily basis to help in hair growth.
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? 

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SOURCES: George Cotsarelis, MD, director, Hair and Scalp Clinic, University of Pennsylvania School of Medicine, Philadelphia. Andrew Kaufman, MD, assistant professor, department of dermatology, University of California, Los Angeles; medical director, Center for Dermatology Care, Thousand Oaks, Calif. Tom Barrows, PhD, director of product development, Aderans Research Institute Inc., Atlanta. Cotsarelis, G. and Millar, S.E. Trends in Molecular Medicine, July 2001; vol 7: pp 293-301. American Society for Dermatologic Surgery web site. American Academy of Facial and Reconstructive Plastic Surgery web site. American Hair Loss Council web site. Springer, K. American Family Physician, July 1, 2003; vol 68: pp 93-102. Hair Loss Help web site, "Interview with Dr. Ken Washenik from Bosley." Fuchs, E. Developmental Cell, July 2001: vol 1: pp 13-25.
Am an Af/Am women 49y.o. almost 50 in a week. Anyway, last april, I removed a weave and saw that around the perimeter of my hairline the hair was so thin, it was virtually bald. I presumed it was due to the weave rubbing against my fine hair; but I later reviewed pictures over the past 8 years and saw how my hair had progressively thinned. My sister and mother confirmed that despite my youthful appearance, the hair thining was likely genetic. I am a can do kinda girl so I sought options. Was evening considering hair replacement "Bosley-style". Long story a little shorter, I boutht this Equate Hair Regrowth after reading just about all of the reviews. Worse thing that could happen was NOTHING, so I would be exactly where I was...thining disappearing hair at the edges. I have used the Equate Hair Regrowth since April 2013 and the hair has regrown around the perimeter and I couldn't be more pleased. I bought for my elder sister 56 y.o. and she had significantly more hair-loss, almost bald edges in fact; now she too has experienced regrowth and was so pleased she recommended it to my mother 74 y.o. and I bought it for her also (she will start applying by the end of the week). Highly recommend this product and note that I have also been taking biotin supplements since April 2013. So, buy Equate Hair Regrowth and biotin for best results. Price can't be beat. Excellent
Did you know the average woman is born with about 100,000 hair follicles on her head--and she keeps them for the rest of her life? Most women lose between 50 and 100 hairs a day. If your hair is healthy, it will grow back on its own. But if you're one of the 30 million women in America who experience hereditary hair loss, you may be losing 150 hairs or more a day--hair that doesn't grow back as thick and healthy as it once was.
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.
When men have hereditary hair loss, they often get a receding hairline. Many men see bald patches, especially on the top of the head. Women, on the other hand, tend to keep their hairline. They see noticeably thinning hair. The first sign of hair loss for many women is a widening part. In rare cases, men see noticeably thinning hair. And in rare cases, women can see a receding hairline or bald patches. The reasons for this are unknown.
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.
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?
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.

Some companies market special hair growth vitamins and supplements that you can buy to make it easier for you to stay healthy and help prevent hair loss. In general, however, all you need to do is make sure that you are getting enough protein in your diet (eating lots of protein-rich foods like dark green leafy vegetables, fish, eggs and beans), and the right levels of iron, zinc and vitamin A. B, C and folic acid. 
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 truth is, the amount of propylene glycol in hair loss treatments is not likely to cause any real harm and the FDA has given the chemical approval for many uses. But even though it is safe, we wanted to ensure that our top picks would be as comfortable to use as possible. So when Dr. Khadavi told us that “a third of my patients get irritated from minoxidil products because of propylene glycol,” we decided to cut any treatments with it. In any case, it’s the minoxidil that helps curb hair loss and not the propylene glycol.


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.
Just letting go is possibly the most challenging of the available options. It’s also the cheapest and ultimately the most effective in the struggle with hair loss. Given the imperfections of surgical, medical, and technological options, there are many who advocate simple acceptance. (BaldRUs.com is one of several sites devoted to embracing the scalp's natural fate.) What's more, the health benefits of happier mirror time -- and fewer years of harmful anxiety -- just might offset the loss of those Samson-like powers.
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