Domen, This is really great hair loss information for your visitors. Thank you for including my information on FUE hair transplant techniques using the ARTAS robotic-assisted system and the latest SmartGraft FUE device. If your visitors have any questions about hair transplants, PRP using ACEll or BioD placental-derived ECM, laser therapy for hair regrowth, or powerful topicals like Formula 82M, etc. they can post them here on your page or at http://www.baumanmedical.com/ask-a-question and I would be happy to answer them. Regards, Dr. Alan J. Bauman, MD, ABHRS, FISHRS, IAHRS – Bauman Medical Hair Transplant & Hair Loss Treatment Center


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.
Part your hair in the area of hair thinning/loss. Follow the instructions below for using the dropper applicator and apply one mL 2 times a day directly onto the scalp in the hair loss area. Do not use more. Spread the liquid evenly over the hair loss area. If you use your fingers, wash hands with soap and water immediately. Each bottle should last about one month, if used as directed. Use a mild shampoo if you wash your scalp before applying minoxidil topical solution 2%.

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.


If you do decide to start treatment to save your hair, a good place to start is with minoxidil, more commonly known as Rogaine. Don’t expect this hair-loss treatment to create luscious locks; minoxidil is better at slowing down or preventing more loss rather than promoting hair growth. But, according to Dr. Amy McMichael, professor and chair of Wake Forest Baptist Medical Center’s Department of Dermatology, it is effective “if used as recommended, with evidence of improvement seen around six to nine months.” Simply massage the foam or solution into your scalp once or twice daily, and for best results, use a formula with 5 percent concentration.
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!!

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.
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.
Hair loss can be devastating for both men and women, even more so when there are loads of products on the market that don't work. According to the American Hair Loss Association (AHLA), two thirds of American men experience some degree of hair loss by the age of 35. By the age of 50, approximately 85 percent experience significantly thinning hair. Balding is commonly associated with aging, but for 25 percent of men the process begins before the age of 21. What's more, hair loss is not limited to men: The American Hair Loss Association reports that women make up about 40 percent of hair-loss sufferers in the United States.

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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.
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.
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
Finally, if these tests come back normal, your dermatologist may suggest a scalp biopsy of a couple of two-millimeter sections taken from your scalp under local anesthesia ($400 and up). It can determine whether genetic hair loss, telogen effluvium (a condition in which hair falls out from stress or rapid weight gain), or a disease (such as lupus) is the cause of your shedding, and your dermatologist can treat you accordingly.

Utilize caution when utilizing a compost tumbler, however, because hair does not appear to compost completely in them. Hair exists in a number of textures. Cutting the hair also might be an indication of mourning. Human hair is among those important things that form the idea of beauty. Human facial hair grows faster than every other hair physically.
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.
Men’s Rogaine Extra Strength Solution is the liquid version of our top pick. It didn’t make our final cut because it includes propylene glycol, which causes irritation in roughly one-third of its users. With that said, Dr. Wolfeld finds that it can be even more effective in practical daily use. In his experience, “the solution can penetrate and get into your scalp a little bit better” than the foam — especially if you’re not taking the time and effort to apply the foam correctly. This seems crazy to us since the foam so quickly dissolved into a liquid in our tests, but if you’re worried, try a one-month supply of the liquid and make the switch to foam if you notice any irritation.

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.
A separate study, published in Skin Therapy Letter — a professional reference site for dermatologists — found that women also benefit from using the more potent 5 percent minoxidil treatment. “Patient-reported improvement in hair volume and coverage appears to be greater with 5 percent minoxidil foam,” reads the report. Plus, because the 5 percent treatment is stronger, women only have to apply it once a day to get the same results as they would with the 2 percent treatment applied twice daily.

Every woman desires thick, long, and lustrous hair. From teenagers to oldies, everyone loves their hair because of the pivotal role it plays in defining one’s face and looks. Luscious hair that has enough shine, length, and strength is what everyone tries to achieve. Unfortunately, hair fall, hair loss, and impaired hair growth are common hair issues that people face. Hectic lifestyles, pollution, and adulterated hair care products are to blame. If you want an effective, safe, and easy solution for your hair growth problems, this article can help you.

Joseph Greco, Ms. Telford’s practitioner, who shares a patent for a process to remove growth factors from platelets, said he gets results in 80 percent of patients, more than half of whom are female. Roughly half of them fly in and out, often on the same day, he said, because the procedure doesn’t require downtime and has minimal side effects. (Small clinical studies suggest further research is necessary but acknowledge the procedure’s “excellent safety profile.”)

The big three are still the best anti-hair loss regime for most men who just started losing their hair. They are safe, inexpensive, take little time to apply, and best of all, they work. However, If your hair is beyond the Norwood 3 scale, you might want to be looking into other solutions, like a hair transplant. The big three are much more effective at keeping your hair, not regrowing it.
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.

At the same time you supplement your diet with nutrients for hair growth and treat your scalp to stop hair loss, it’s a good idea to switch to a better shampoo and conditioner. For example, shampoos without sulfates are rapidly gaining in popularity. People now realize that sulfates strip essential oils from their scalp and leave their hair fragile and dry.
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.
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.
When it comes to a hair growth shampoo, you have two options: prescriptions or over-the-counter treatments. Prescription shampoos like ketoconazole are anti-androgenetic, meaning they prevent testosterone and dihydrotestosterone (DHT), two hormones associated with hair loss by targeting hair growth at the site of the follicle and helping to interrupt the hormone cycle locally that causes thinning,” explains Dr. Schweiger. “Over-the-counter growth shampoos typically contain amino acids and antioxidants to provide the components to rebuild hair as well as reduce damage and inflammation.”
These are products designed specifically to stimulate hair regrowth in balding areas. Some are shampoos formulated with essential oils and keratin in the ingredients, which make hair healthy and resistant to breaking and thinning. Some are tablets which contain the proper vitamins to nourish hair back to a healthier state and promote newer, healthier hair to grow where the balding has occurred. And some are topical scalp treatments that include the medicine Minoxidil. Minoxidil absorbs into the scalp and stimulates the hair follicles to begin growing new hair as well as to prevent any further hair loss from occurring. These results will only last for as long as the medicine is being used. With so many choices, choosing the best method can prove to be overwhelming. Below, we have listed the 10 best hair growth products for men currently on the market and reviewed each one. There is definitely a product out there for everyone regardless of the cause of hair loss and whether or not a chemical or medicated treatment is needed.
What is your opinion on laser combs? I went to the Men’s Club yesterday and they recommended I spend ~$800 to buy a laser band, comb or hat. What is your opinion on how those work? Sounds like snake oil to me. They also recommended I go to my dermatologist to get a prescription to reduce sebum in my hair. I have been on Fin for 11 months, Minox foam 1x/day yet hair shed hasn’t stopped. I do have a prescription for Ketoconazole shampoo but rarely use it. I read in your article that this shampoo does help with Sebum build up so I will try that. Any other recommendations for sebum reduction?
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.

At the same time you supplement your diet with nutrients for hair growth and treat your scalp to stop hair loss, it’s a good idea to switch to a better shampoo and conditioner. For example, shampoos without sulfates are rapidly gaining in popularity. People now realize that sulfates strip essential oils from their scalp and leave their hair fragile and dry.


Coming in at the fourth position is the all-natural, plant based organic shampoo from PhytoWorx. The shampoo is formulated with plant stem cells to promote hair growth and tackle DHT. Rare plant cells from the plant Malus domestica, along with various essential oils, promote a healthy roots. The shampoo formulation is very easy to use and is completely hassle free. If you are looking for an all-natural formulation, this is one of the best.
In men, finasteride (originally marketed as Proscar) is approved for hair loss associated with androgens. In one study, 62% of women also taking oral contraceptives containing the synthetic progestin drospirenone reported improvement. So it may be effective for female hair loss in the setting of increased androgen. But studies are limited and it is harmful to the male fetus so should not be used by women thinking about becoming pregnant or who are pregnant.
The most common side effects are itching and other skin irritations of the treated area of the scalp. Minoxidil topical solution 2% contains alcohol, which would cause burning or irritation of the eyes or sensitive skin areas. If minoxidil topical solution 2% accidentally gets into these areas, rinse with large amounts of cool tap water. Contact your doctor if irritation persists.

These anti-androgenic effects can be used to help treat hair loss. Nizoral shampoo contains 2% ketoconazole and is prescribed not only for the treatment of scalp conditions, but also in combination with other treatments for androgenetic alopecia. A 1% version is now available over-the-counter, but it may not be as effective as the 2% prescription strength. There are no significant side effects.
In February, though, Ms. Telford, 46, flew from her home in London, Ontario, to Sarasota, Fla., for a new $1,400 hourlong treatment known as platelet rich plasma (P.R.P.), which is said to stimulate dormant hair follicles. The procedure involves drawing blood, spinning it in a centrifuge to extract the plasma, adding various nutrients (like more protein), then injecting the resulting mixture in one-inch intervals in a grid on the top of the scalp, which has been numbed with a local anesthetic.
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.
"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.

Unfortunately, there has been little research into female-pattern baldness. The AHLA says, "While many drugs may work to some degree for women, doctors are reluctant to prescribe them, and drug companies aren't exactly falling over themselves to test existing or new drugs specifically for their ability to prevent and treat female-pattern baldness." The only FDA-approved treatment for hair loss in women is 2 percent minoxidil, although some doctors will prescribe other drugs off-label.
There’s no cure for baldness, but there are ways to hold on to what you've got. The six dermatologists and the clinical studies point to three methods: minoxidil, laser treatments, and prescription finasteride. The key is finding the combination and hair loss regimen that works for you. A doctor is your best bet for that kind of guidance — but we found a few trustworthy products that will work for most people.
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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?
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.
“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.
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.”
How to use minoxidil: Be sure that your hair and scalp are dry. Using the dropper or spray pump that's provided with the over-the-counter solution, apply it twice daily to every area where your hair is thinning. Gently massage it into the scalp with your fingers so it can reach the hair follicles. Then air-dry your hair, wash your hands thoroughly, and wash off any solution that has dripped onto your forehead or face. Don't shampoo for at least four hours afterwards.

Women with androgenic alopecia may consider trying prescription ketoconazole at a strength of 2 percent. This drug comes in the form of a shampoo and also goes by the name Nizoral. It’s an antifungal agent and may help reduce the body’s production of testosterone and other androgens that lead to hair loss. You can also find 1 percent strength at your local pharmacy, but it may not be as effective.
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.
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