This refers to the habitual pulling or twisting of one's own hair. The scalp and eyelashes are often affected. Unlike alopecia areata patches, which are perfectly smooth, hair patches in trichotillomania show broken-off hairs. Treatment is often entirely behavioral. One has to notice the behavior and then consciously stop. Severe or resistant cases may require stress counseling with a therapist or psychologist or medical treatment with a psychiatrist. Several antidepressant or anti-anxiety medications can help with this condition.
None of these need be life threatening, nor does hair loss usually follow them. (Moreover, it can happen after one pregnancy, but not the next.) But when the hair falls out, it's all over the place -- covering the pillow, clogging the drain, and so forth. Paradoxically, the more dramatic the hair loss, the better the prognosis, because when the body gets back into normal rhythm, most if not all of that hair comes back; these people need no special treatment. Normal shampooing can continue, because this only loosens hairs that were going to come out anyway.
It took me a while to decide to write this review because I wanted to have facts and not just hope. That meant waiting more than 30-60 days to comment. I am a 59 year old male. My father had male pattern baldness but until I hit about 56, I assumed I inherited my mom’s hair traits. But when I started noticing shedding I started doing research which led me to using minoxidil for about 2 years. In Jan I decided it wasn’t helping much because the shedding was still happening, so did additional research. My hair was not only thinning but the follicles were getting finer and finer. It turns out scientists don’t know all reasons for hair loss, but two common ones in men are reduced blood flow in the scalp (minoxidil is for this) and elevated levels of DHT in the scalp. It seems that if you don’t inherit the gene for hair loss then these issues don’t cause it, but if you did, then goodbye hair! After a blood test showed that I had high DHT levels in my system, I concluded that I likely had that issue in my scalp so bought Lipogaine shampoo which is supposed to block DHT and stopped using minoxidil. After 2 months the shedding was so bad I started getting very worried and restarted with minoxidil, and was using both now. By May but hair loss was so extensive that I had to wear a hat to avoid sunburn on my scalp! I hated swimming because as soon as my head was wet it was evident how thin my hair was. This led me to discovering Hair Growth Essentials and giving it a try. My wife took a picture of my receding hairline and crown on Memorial Day so we could compare for improvement. By Jun 30th my shedding had greatly decreased and I was suspecting my hair follicles were getting thicker. At that point my wife started taking it also because of her thinning hair. By Jul 30th I was pretty certain I was seeing a lot of improvement. By Aug 30th there was no question and it is a dramatic change when compared to the picture taken just 3 months earlier. My hair was thicker and denser. My wife’s hairdresser commented that she also had a lot of new hair growing in.
Medications and vitamins: Cancer chemotherapy, which attacks hair follicles in its attempt to kill all fast-growing cells around the body, is a well-known reason for hair loss. Other medications’ side effects include hair shedding as well, such as some that treat high blood pressure and gout (a painful joint condition caused by a buildup of uric acid). Excessive levels of vitamin A also contribute.
“While nutritious eating isn’t going to bring your hair back by any means, eating plenty of protein-rich foods and healthy fats can make the hair that you still have look thicker and shinier.” Skimping on the B vitamins in particular can interfere with the formation of hair cells and, therefore, hair growth. The best sources of Bs are protein-packed foods like chicken, fish, eggs, and pork, as well as leafy greens such as spinach. (These foods are also good for melting belly fat, so it’s a win win).
There are several different types of medication you can buy to help treat hair loss. Procepia and Finasteride are currently the only approved drugs you can take that will effectively treat hair loss. The active ingredient in both treatments (finasteride) works by blocking DHT (the male hormone dihydrotestosterone) that causes hair loss by shrinking hair follicles on your scalp. It has been proven to lead to hair regrowth or to stop hair loss in around 9 out of 10 men in clinical trials. 
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