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.
Many physicians recommend that patients engage in a combination therapy that includes minoxidil and Propecia (Est. $75 per 1-month supply) with prescription. Propecia is an oral medication with finasteride being the active ingredient. Finasteride was originally developed by Merck to treat enlarged prostate glands. Excess hair growth was a surprise side effect of the drug and led to the development of Propecia, which was approved by the FDA for treatment of male-pattern baldness in 1997. It has not been approved for women.
But you must start these medical therapies before you lose all your hair. McAndrews likens it to brushing your teeth, in that both are preventative measures. “The sooner you start doing it, the better at slowing down this aging process,” he explains, adding, “Is toothpaste perfect? No, you’re still getting tooth decay with toothpaste, but you’re slowing down tooth decay.”

The main type of hair loss in both sexes — and the subject of this article — is androgenetic alopecia, or female (or male) pattern hair loss. In men, hair loss usually begins above the temples, and the receding hairline eventually forms a characteristic "M" shape; hair at the top of the head also thins, often progressing to baldness. In women, androgenetic alopecia begins with gradual thinning at the part line, followed by increasing diffuse hair loss radiating from the top of the head. A woman's hairline rarely recedes, and women rarely become bald.
Testosterone replacement is becoming popular for men. Cotsarelis warns that this may accelerate hair loss. Propecia might help -- but because it prevents testosterone breakdown, it might affect the dose of male hormone replacement therapy. Cotsarelis warns men taking both Propecia and testosterone replacement to make sure their doctor carefully monitors their testosterone levels.
That meant new products like Hims and Keeps were out.Hims and Keeps are relatively new companies that allow you to set up a subscription for hair loss treatments. Both offer finasteride (after an online consultation with a doctor) or 5 percent minoxidil. However, their minoxidil solutions contain propylene glycol, so we cut them from consideration.
If you can handle the smell of onion juice, you may find that the benefits are worth it. Onion juice has been shown to successfully treat patchy alopecia areata by promoting hair growth. Onion juice is also thought to improve circulation. Animal studies show improved keratin growth factor and blood flow to the cuticles. You can blend a few onions and squeeze out the juice. Apply the juice to your scalp and hair and leave in for at least 15 minutes. Then shampoo normally.
I have used monoxodil for hair loss now for about 6 years. It works. i no longer have bald spots and have a healthy head of hair. Originally I used the name brand, but i noticed that there was a store brand with the same ingredients. It cost about half of what I was paying. It is very economical to use and simple. I was hesitant at first but it performs beautifully. Once you start using monoxidil you must continue to use it to retain hair growth. Very Important. I took the time to share this because it is a good solution for us with little extra money to spare. Good luck!

The comment about Dutasteride causing more side effects is not correct. All studies performed to this date actually sight that Dutasteride has lower side effects. Especially in regards to decreases in sex drive. The only time Dutasteride has been shown to have greater side effects is when the dosage of Finasteride was well below the recommended dosage of 1mg. In comparison 500mcg of Dutasteride has been shown to be more effective than 2.5mg of Finasteride and 1mg has shown to be more effective than 5mg of Finasteride, the dose used to treat BPH. The research has clearly shown that Dutasteride reduces serum DHT levels much faster and has much higher success rates.

For example, if your hair is thinning because you’ve recently started a new medication or a diet, your approach might be to take an oral supplement or use a laser light device. But if you have hair loss from psoriasis or chemical treatments, you might try a new shampoo and invest in a moisturizing scalp treatment. Throwing everything possible at the problem might not be the most effective method.
Various essential oils can be added to carrier oils like coconut oil, almond oil, and olive oil to promote hair growth. Some of the best essential oils for this purpose are peppermint oil, tea tree oil, black seed oil, neem oil, pumpkin seed oil, grapeseed oil, avocado oil, eucalyptus oil, walnut oil, lemongrass oil, and onion oil. Essential oils are full of antioxidants and also contain pore cleansing agents – both these properties can improve hair growth.
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.
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.
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Protein: When the body does not get enough protein, it rations the protein it does get. One way the body can ration protein is to shut down hair growth. About 2 to 3 months after a person does not eat enough protein, you can see the hair loss. Eating more protein will stop the hair loss. Meats, eggs, and fish are good sources of protein. Vegetarians can get more protein by adding nuts, seeds, and beans to their diet.

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]
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.
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.
First things first: If you're struggling with hair loss or thinning, you're far from alone. It's extremely common, with American women accounting for 40 percent of Americans struggling with hair thinning or loss. It also tends to be most prevalent in your 40s and 50s. This can occur for a laundry list of reasons, including hormonal changes, Alopecia, and stress, so it's always best to visit your doctor to determine what's going on. Regardless of the reason, losing your hair can be extremely devastating for some — make that most — people, seeing as hair is an external factor that can greatly impact a person's self-image and confidence. (Thanks for that, societal pressure.)
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.
Finasteride inhibits an enzyme that converts testosterone to DHT, or dihydrotestosterone, the hormone that causes hair loss in men, and unlike minoxidil, this drug can actually help hair grow back, as well as prevent further loss. All you have to do is take one pill a day, and according to Dr. Evan Rieder, dermatologist in the Ronald O. Perelman Department of Dermatology at NYU Langone Health, two-thirds of men taking this treatment will see improvements in hair density over time.
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I started using rogaine about 2 years ago. It seems to work better on the top of my head than it does on my hairline. The thing I don’t like about rogaine is it makes my scalp very itchy and flaky. Do you think I would have anything to lose by switching to the lipogaine? And what products other than propecia would you roccomend I add to my regimine. Thanks man. Great article btw
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.
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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