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Medical conditions and medications. A common medical condition that also causes hair loss is hypothyroidism, which can happen in both men and women. Patients suffer from an underactive thyroid gland, which is responsible for producing the hormone, thyroxin, which performs important bodily functions, such as the regulation of body temperature, proper utilization of carbohydrates and fats, and production of protein. Since protein is an important nutrient for the production of keratin, inadequate protein supply in the body due to an underactive thyroid means that hair growth in the follicles is slow. In men especially, hair loss is one of the first signs of hypothyroidism.
Disruption of the hair growth cycle. Some major events can alter the hair's growth cycle temporarily. For example, delivering a baby, having surgery, going through a traumatic event, or having a serious illness or high fever can temporarily cause shedding of large amounts of hair. Because the hair we see on our heads has actually taken months to grow, a person might not notice any disruption of the hair growth cycle until months after the event that caused it. This type of hair loss corrects itself.
These natural remedies, for example, apple cider vinegar can be very effective in flaky scalp treatment by restoring the pH level. The using of hair stylish products that contain harsh chemicals should also be eliminated. Moreover, the essential minerals and vitamin intake should be increased in the daily diet. You can also massage your hair scalp with natural oils such as extra virgin olive oil and jojoba oil. These natural hair masks from yogurt or other herbal ingredients can also work well to hydrate your scalp and provide moisture.
Sex hormone testing revealed that my estrogen levels were declining and that was making a mess of my hair. Another common sex hormone imbalance is estrogen dominance, too much estrogen relative to progesterone. Don’t forget testosterone testing too…yes high testosterone can cause hair loss but so can low testosterone. Harvard-trained MD Dr. Sara Gottfried had this to say about testosterone in her article The Horrors of Hair Loss for The Huffington Post:

Losing your hair can be distressing, but if it is caused by thyroid disease it is most likely reversible. In the meantime, try to stave off further hair loss by treating your hair gently. Avoid brushing it excessively, using harsh coloring products, and hairstyles that pull on the hair (such as a tight bun). If you feel self-conscious about having thin hair or bald patches, consider wearing a scarf or wig while your hair grows back.


Biotin is a very popular supplement recommended by many doctors, pharmacists, health food stores, TV shopping channels, health websites and more when it comes to hair loss. To find some of the best supplement brands for me to try in my quest for thyroid wellness, combing the internet for customer reviews of various brands has been an important part of my process. I’ve read mixed reviews about biotin. Some users love biotin and others find no improvement or they complain about adverse reactions like acne breakout. Biotin didn’t make a significant difference for me but it might work for you and some brands get incredible reviews like this one.
Combing your hair can be a nightmare when you are dealing with hair loss. This can be made easier by using the right comb. Use a wooden wide-tooth comb to untangle your hair; you can use your regular brush after this. This will reduce breakage and hair loss from pulling. It is also crucial to remember not to comb your hair while it is wet. Your hair is at its most vulnerable when wet, which increases the chances of breakage. You should also clean your combs and brushes every week. You can do this while you’re in the shower or while shampooing each week. Cleaning your combs is a necessary precaution to take for hair fall control.
Coconut milk / coconut oil. Coconut milk/oil, like aloe vera, is one of the oldest and most common natural ingredients for promoting hair growth and growing healthy, shiny hair. Coconut is rich in protein, iron and other minerals that promote healthy hair and prevent breakage. Apply the coconut milk/oil on your bald spots or all over the scalp, and leave it on overnight. Rinse the next day with cool water. You can do this every time you wash your hair.
Research is looking into connections between hair loss and other health issues. While there has been speculation about a connection between early-onset male pattern hair loss and heart disease, a review of articles from 1954 to 1999 found no conclusive connection between baldness and coronary artery disease. The dermatologists who conducted the review suggested further study was needed.[41]
I always advise clients to allow freshly washed hair to air dry until half dry at least once a week. By blow drying for just 50% of the time, you reduce the impact of heat styling without compromise on finish. Small change big difference over a year. We say, “Go Low Low” – use low heat and low speed, it’s the best way to work with a curl to achieve definition and the best route to a frizz free finish on a sleek straight look. Pick a hair dryer that works harder for you too – beyond just drying. My Infrared PRO hairdryer dries from the inside out, so it locks in moisture to keep that glossy finish, while the speed at which it dries minimizes the disturbance to the follicle and thus keeps frizz at bay too. 

Though, it is important to point out that a lot of these companies are developing procedures that involve implanting hair, which means there is a chance they will be expensive — as we mentioned before, traditional hair transplants are costly. But a few companies and products such as Follicum’s FOL-S-005 and Fidia Pharma’s Brotzu Lotion are being designed as topical treatments.
Just as pregnancy hormone changes can cause hair loss, so can switching or going off birth-control pills. This can also cause telogen effluvium, and it may be more likely if you have a family history of hair loss. The change in the hormonal balance that occurs at menopause may also have the same result. “The androgen (male hormone) receptors on the scalp becoming activated,” explains Mark Hammonds, MD, a dermatologist with Scott & White Clinic in Round Rock, Texas. “The hair follicles will miniaturize and then you start to lose more hair.” 

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.
It is likely that several genes determine susceptibility to baldness. Some of these genes come from your mother’s side and some from your father’s side of the family. Identical twins lose hair at the same age, at the same rate and in the same pattern. This indicates that genetic factors are more important than environmental factors in causing hair loss.
Get the right style. For men who are suffering from pattern baldness, the easiest way to manage hair loss is to ask your barber for a style that will draw less attention to the thinning hair. Shorter hairstyles can reduce the impression of thinning hair, while a longer one can emphasize it. Others often make the mistake of growing their hair on the sides of their head as a way to cover up the thinning at the crown. This is wrong - it only calls attention to the bald spot. Instead, a clean cut on both sides will be better. Avoid also combing over some strands of hair the bald patch as an attempt to cover-up - it only draws attention to it.

Hello,alopecia means patterned hair loss.if it is alopecia areata its patchy hair loss for which toical creams and intralesional injections would help.if it is androgenic alopecia that is male baldness treatment depends on grade of alopecia ranging from topical medications to hair transplant.prp treatment is one of the natutal treatment available for alopecia in which plasma from patient is taken and injected into scalp.underlying causes too should be evaluated before starting treatment.

Minoxidil (Rogaine) is available over the counter and available in 2%, 4%, and 5% concentrations. It may be something of a nuisance to apply twice daily, but it has been shown to help conserve hair and may even grow some. Minoxidil tends to grow very fine small hairs wherever it is applied. It is important to avoid running the liquid onto the face or neck where it can also grow hair. It is marketed for women at the 2% concentration but may be used in higher strengths as directed by a doctor.
The views expressed in this article intend to highlight alternative studies and induce conversation. They are the views of the author and do not necessarily represent the views of hims, and are for informational purposes only, even if and to the extent that this article features the advice of physicians and medical practitioners. This article is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice.
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 noticeable hair loss was a red flag for me that I needed to get to my doctor for thyroid testing. I’m on the natural desiccated thyroid Nature-throid plus a compounded time-release T3. My doctor did comprehensive testing including the essential thyroid tests TSH, Free T4, Free T3, Reverse T3, and thyroid antibodies. Turned out my Free T3 was middle of the range. I personally feel terrible when my Free T3 is low or even middle of the range. Optimal Free T3 for my body is when it reaches top quarter of the normal range, so adjusting my thyroid medication dosage was an essential piece to my thyroid hair loss. There are many different thyroid medication options. Finding a doctor open the treatment options to find what is right for you is key.
Congenital triangular alopecia – It is a triangular, or oval in some cases, shaped patch of hair loss in the temple area of the scalp that occurs mostly in young children. The affected area mainly contains vellus hair follicles or no hair follicles at all, but it does not expand. Its causes are unknown, and although it is a permanent condition, it does not have any other effect on the affected individuals.[24]
“The most common cause of hair loss in both men and women is androgenetic alopecia, which is genetic pattern hair loss,” explains Dr. Michael B. Wolfeld, a board-certified plastic surgeon and an assistant clinical professor of plastic surgery at the Icahn School of Medicine at Mount Sinai Hospital in New York. The root cause of this type of hair loss is dihydrotestosterone (DHT), a byproduct of testosterone that shrinks certain hair follicles until they eventually stop producing hair.
Minoxidil (Rogaine): This topical medication is available over the counter, and no prescription is required. Men and women can use it. It works best on the crown, less on the frontal region. Minoxidil is available as a 2% solution, 4% solution, an extra-strength 5% solution, and a new foam or mousse preparation. Rogaine may grow a little hair, but it's better at holding onto what's still there. There are few side effects with Rogaine. The main problem with this treatment is the need to keep applying it once or twice daily, and most men get tired of it after a while. In addition, minoxidil tends to work less well on the front of the head, which is where baldness bothers most men. Inadvertent application to the face or neck skin can cause unwanted hair growth in those areas.
There are few scientifically proven and FDA-approved treatments for hair loss. There are thousands of unproven claims and products to help with hair regrowth. Many conditioners, shampoos, vitamins, and other products claim to help hair grow in some unspecified way. Nioxin has been a popular brand of shampoo for hair loss, but there is no compelling evidence showing it is any more effective than regular shampoos. These products are usually harmless but generally not scientifically proven and therefore potentially useless. To slow down hair loss, there are at least four potentially effective, basic options. These include medications like Minoxidil, and Propecia, which are for long-term use. Stopping these drugs does not seem to worsen or exacerbate the prior hair loss. The patient will simply revert to the state he would have been in had he never started treatment.
Minoxidil (Rogaine): This topical medication is available over the counter, and no prescription is required. Men and women can use it. It works best on the crown, less on the frontal region. Minoxidil is available as a 2% solution, 4% solution, an extra-strength 5% solution, and a new foam or mousse preparation. Rogaine may grow a little hair, but it's better at holding onto what's still there. There are few side effects with Rogaine. The main problem with this treatment is the need to keep applying it once or twice daily, and most men get tired of it after a while. In addition, minoxidil tends to work less well on the front of the head, which is where baldness bothers most men. Inadvertent application to the face or neck skin can cause unwanted hair growth in those areas.
Take in natural supplements. If you aren't getting enough nutrients from the foods you eat, you can also try taking natural supplements to address your nutritional deficiencies. Multivitamins that especially contain vitamins A, C, and the B-complex vitamins can be taken once a day. Fish oil capsules that contain omega-3 fatty acids are also recommended.

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According to practitioners of traditional Chinese medicine, hair health is tied to two things: kidney energy and the blood, which nourish the hair. The solution: acupuncture and Chinese herbs. While there isn't a lot of hard science to back this up, Maureen Conant, a TCM practitioner at Full Bloom Acupuncture in Seattle, says that she's seen women's hair stop falling out and then gradually regenerate after a few months of weekly treatments.

With sufficient vitamin C, every component related to hair growth gets a boost, which enhances the effects of other essential nutrients. One study from 2006 analyzed patients with androgenic alopecia who were treated with vitamin C and found significant growth stimulation in the hair and scalp, which indicates a link between it and hair follicle growth.  In this study they also found that men with male pattern baldness (alopecia areta) saw significant results after supplementing with Vitamin C.
This is a short-term cure, applied while waiting for hair to grow, and therefore recommended for those with a mild to medium case of hair loss. In addition to being non-invasive, hair concealers and hair fibers are instant and affordable. Like wigs and hairpieces, they are used to effectively cover up balding spots while not getting in the way of growing hair. Compared to wigs, however, they are more natural looking and blend well with your natural hair, therefore drawing less attention when you're out in public.
A substantially blemished face, back and limbs could point to cystic acne. The most severe form of the condition, cystic acne, arises from the same hormonal imbalances that cause hair loss and is associated with dihydrotestosterone production.[9] Seborrheic dermatitis, a condition in which an excessive amount of sebum is produced and builds up on the scalp (looking like an adult cradle cap), is also a symptom of hormonal imbalances, as is an excessively oily or dry scalp. Both can cause hair thinning.
Contact immunotherapy. Another drug that can be administered for cases of alopecia areata is contact immunotherapy and is recommended for severe cases. Diphenylcyclopropenon (DPCP) is applied on the scalp every week, and the dosage of the drug is increased over time until a mild allergic reaction is observed, which signals that the drug is taking effect. Regrowth may be observed within three months from the beginning of treatment.
Laser treatments. Low-level laser therapy (LLLT) is used for the prevention and reversal of hair loss. Also known as red light therapy, cold laser, and soft laser, it is a form of light/heat treatment (therefore generally safer) that is used on cases of pattern baldness and alopecia areata. The procedure uses a device that emits light that penetrates into the scalp. The more commonly used lasers are the excimer, helium-neon and fractional erbium-glass. The procedure can increase the blood flow in the scalp to stimulate the follicles that are in resting or dormant phase to go into anagen, and at the same time, prevent the production of DHT, which destroys the hair follicles.
Surgical options, such as follicle transplants, scalp flaps, and hair loss reduction, are available. These procedures are generally chosen by those who are self-conscious about their hair loss, but they are expensive and painful, with a risk of infection and scarring. Once surgery has occurred, six to eight months are needed before the quality of new hair can be assessed.
Taking hair supplements can be helpful for anyone who is experiencing hair loss or hair thinning. Dendy Engelman, MD, a board-certified dermatologic surgeon at Medical Dermatology & Cosmetic Surgery in New York City, previously recommended Nutrafol, a research-backed hair supplement, to Prevention. "This uses highly concentrated botanicals to address every stage of the growth cycle," she says. Nutrafol's hair supplements include vitamin E and ashwagandha (an adaptogen that helps balance cortisol levels in the body), among others.
Pregnancy may cause many changes in the scalp hair. As the hormones fluctuate during pregnancy, a large number of women feel their hair thickens and becomes fuller. This may be related to change in the number of hairs cycling in the growth phase of hair growth, but the exact reason is unknown. Quite often, there may be a loss of hair (telogen effluvium) after delivery or a few months later which will eventually normalize.
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.

Alopecia areata - bald patches develop on the scalp, beard, and possibly eyebrows. eyelashes may fall out as well. This is thought to be an autoimmune disease, where the immune system attacks the hair follicles and leads to hair loss on the scalp and other parts of the body. However, the hair follicles are alive so there is potential for hair to regrow when the underlying problem has resolved. Growth may occur even without treatment and even after many years. In most cases hair loss only happens in a few places, leaving a few bare patches. In some cases though, the disease can advance to total loss of hair from the head (alopecia areata totalis) or complete loss of hair on the head, face and body (alopecia areata universalis).
“There’s people selling pills and creams and lotions and whatever else, and sometimes you can’t even trust what ingredients they have in there,” he warned us when we spoke to him over the phone. Key takeaway: The hair loss industry is crazy dishonest, so we eliminated any treatments (especially homeopathic methods) that aren’t based in concrete, peer-reviewed science.

Hypothyroidism (an under-active thyroid) and the side effects of its related medications can cause hair loss, typically frontal, which is particularly associated with thinning of the outer third of the eyebrows (also seen with syphilis). Hyperthyroidism (an over-active thyroid) can also cause hair loss, which is parietal rather than frontal.[23][unreliable medical source?]
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