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?

Hi, great article. I have an aggressive form of MPB. I am 23 year old with a NW2 hairline, diffuse thinning over the top and crown. Been on 5% Minoxidil and 2% Keto for about 9 months. Went through a period of shedding which has reduced somewhat in the last couple of months. I don’t see any appreciable increase in density anywhere but I do see plenty of thin vellus hair at my hairline. I am waiting for the 1 year mark to see the full effect of this regime. Is there like a test you can do to assess hairfall? Or do we just have to count the hair lost in the shower? Do you reckon I should start the Fin to hold on the the hair I have? Like most guys (actually a bit more than most guys seeing that I am young) I worry a lot about being in the 2% who experience disastrous sides from Fin. I do plan to check my DHT levels before I start, if I do at all, to see if I naturally have high/low DHT. That should tell me what to expect, to an extent.
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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.
Our other recommendation is the HairMax Ultima 12 LaserComb. The comb uses low-level lasers to stimulate hair follicles and modulate dihydrotestosterone (DHT) — a hormone that causes the most common type of hair loss. While it sounds like something from a sci-fi movie, the treatment works, and the dermatologists we consulted reported that their patients saw thicker and longer hair when combined with our top pick. The only catch: The comb isn’t as effective as minoxidil treatments, and at nearly $400, it’s a much bigger investment. Still, it’s the best option if you’re looking for a non-invasive, non-chemical treatment.

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).
Alopecia areata: Researchers believe that this is an autoimmune disease. Autoimmune means the body attacks itself. In this case, the body attacks its own hair. This causes smooth, round patches of hair loss on the scalp and other areas of the body. People with alopecia areata are often in excellent health. Most people see their hair re-grow. Dermatologists treat people with this disorder to help the hair re-grow more quickly.
Castor oil, as some might already know, is one of the most popular all-natural "panaceas." Go ahead, Google it: What you'll find is article after article about how the viscous oil can help with shedding, breakage, and regrowth. But unlike rosemary oil and vitamin B5, both of which have studies that back up their aid in hair growth, scientific evidence surrounding castor oil is lacking. (Any testimonials about castor oil for hair growth are anecdotal, coming mostly from blogs, Reddit, and YouTube.)
You can also get a hair-loss kit from Hims, which comes with both minoxidil and finasteride. Keeps has one, as well. And though it might seem like overkill to take two different hair-loss treatments at once, this is one of those rare instances where more is actually better. McAndrews calls the combination of orally administered finasteride and topically applied minoxidil a “full-court press” against hair loss. “That’s doing the most you can for preventative medicine.” Rieder notes that taking both drugs together is more effective than taking either one alone.
Pay attention to the foods you eat and how much you’re eating. For example, eating a variety of whole foods that are rich in vitamins and minerals will help fuel your body and the areas responsible for hair regrowth. If you suspect you may be deficient in certain vitamins, visit your doctor to get a blood test and address other dietary issues, such as eating disorders or health conditions that might block nutrient absorption.

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.

The causes behind other types of hair loss -- including alopecia areata, telogen effluvium, anagen effluvium and traction alopecia -- and their treatment can be dramatically different. Hair loss is best treated in association with its underlying cause; therefore, it's recommend to seek medical help. Abnormal hair loss can also be a symptom of a more serious disease -- early diagnosis is strongly suggested in these cases.
Hair loss is part of the natural aging process but can also be genetic or caused by a medical condition. It’s crucial to choose a treatment that won’t dry out your hair, will give it volume, and will keep your scalp healthy. If hair loss is caused by hereditary baldness, the FDA has approved minoxidil (Rogaine) at 5%, which is available over the counter. Other hair loss treatments for women contain natural ingredients like tea tree oil and flower extracts. Some products need to be used daily, but others can be used less often. Some take weeks to show results while others help hair growth within days. Some hair loss treatments are more suitable for certain types of hair (dry, oily, combination, or colored).
You can also get a hair-loss kit from Hims, which comes with both minoxidil and finasteride. Keeps has one, as well. And though it might seem like overkill to take two different hair-loss treatments at once, this is one of those rare instances where more is actually better. McAndrews calls the combination of orally administered finasteride and topically applied minoxidil a “full-court press” against hair loss. “That’s doing the most you can for preventative medicine.” Rieder notes that taking both drugs together is more effective than taking either one alone.
A commonly prescribed treatment for women is hormone replacement therapy (HRT). HRT is only prescribed to women with AGA during menopause or women who have low estrogen and/or progesterone for other reasons. These female hormones suppress male hormone production and seem to keep hair loss at bay. Physicians, however, do not recommend long periods of HRT treatment because of the increased risk of breast cancer, heart disease and stroke.

You may have seen the ads in the back of men's magazines, you've heard the commercials on the radio, and you've seen the infomercials promoting miracle treatments for hair loss. The bottom line is that most advertised "treatments" do not work for the prevention and treatment of hair loss. If a hair loss treatment is not approved by the FDA or recommended by the American Hair Loss Association, chances are you are wasting your time and money.
Alright, review time. Oh boy did this not work for me! I don't want to give this one star just based on it not working for me, I would rather give my story instead. I have always had thin hair. (Thanks Mom and dad!) Two years ago I started taking progesterone (hormones) and my hair started thinning. I stopped after 3 months and My hair continued to thin and never grew back. (Thanks Doc!) Last month I decided to try rogaine after it was recommended by a friend. (Thanks buddy!) That was probably the worst mistake of my life. In two weeks time 50% of my thin hair had fallen out. (I mean every time I would shampoo or brush, handfuls would fall out.) I followed the instructions to a T and prepared myself for the "shed". I had to stop after two weeks when I held a mirror up and could see bald spots in the back. (This isn't good.) After quitting the shedding has continued. (This could stop at any time.) It has now been a three weeks after quitting, and my hair has finally stopped falling out besides the normal hair loss. (Yay!) You can see my scalp through my hair at the top of my head. (Nooo.) The hair that is left up there is hiding bald spots. There isn't a style I can fix my hair into without seeing a bald spot. (Super sad face.) I was slightly depressed going into this about my hair, now I spend all day stressing about other people having to look at it. (I feel like Quasimodo!) So, besides the hair loss my scalp is super itchy, and I now have dandruff. Two things I never really had before. (The story gets even better!) Went to my family doctor. After he had the opportuniy to examine my hair, he said I looked like a chemo patient. (Again, thanks Doc!) I have started taking a vitamin regime of biotin, iron, and a hair-skin-nails pill. I haven't notice any new growth yet. I imagine it will be a while though. To sum up this experience as depressing is an understatement. I have cried many times but that won't bring any hair back unfortunately. (I haven't gone and looked at wigs yet.) To bring this story to an end I would like to say that it didn't work for me personally. If it works for you congratulations!
I would not take propeciahelp seriously. The website is far far too bias. The testimonies against finasteride are unverifiable anecdotes, not to mention the drug itself is not powerful enough to elicit the side effects some of these people are claiming. I have suspicions that it is run by a competitor of finasteride, as I have seen the same kind of tactics used against other FDA approved hairloss drugs. Its harder to sell snake oils when their are legitimate drugs out there.
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.

P.R.P., considered a nonsurgical treatment, is not covered by insurance, and clinical studies about its effectiveness (and longevity of results) are not conclusive because different doctors use different mixes. But P.R.P. has a long (though also inconclusive) history of use elsewhere in the body. Athletes like Kobe Bryant have received the treatment in an attempt to heal injuries.

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Baking soda can remove the excess product and chlorine build-up from your scalp and hair (56). Such build-up usually clogs your pores and stunts hair growth. Massaging with this versatile powder can also exfoliate your scalp, get rid of the dead skin cells, and improve blood circulation to the scalp (57). As baking soda is antifungal, it will also treat any fungal infections that may be present (58).
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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.
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