George Cotserelis, MD, is director of the University of Pennsylvania's Hair and Scalp Clinic. He agrees that there's no evidence these alternative hair loss treatments have any effect. "If any of it did work," he says, "I'd be very worried about using that product. The fact that it’s working would mean it's doing something to the testosterone and could be having adverse effects."
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.
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.

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.
However, ketoconazole is still not FDA approved for hair loss treatment, which means it cannot be endorsed or marketed as such. Put simply, ketoconazole likely curbs hair loss, but additional research is needed for the FDA to give it approval. While it is safe to use as a supplement to our top picks, we wanted to recommend products with as much scientific backing as possible. So, we stuck with FDA approved minoxidil or FDA cleared laser treatments. But we’ll keep a close eye on products like ketoconazole shampoos and update as new research appears.
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Both emotional and physical stress (such as a serious illness or recovery from surgery) have been associated with hair loss. It is possible that stress induces hormonal changes that are responsible for the hair loss, since hair loss is a known consequence of other hormonal changes due to pregnancy, thyroid disturbances, or even from taking oral contraceptives.

Do not subject your hair to frequent chemical treatments, excessive blow drying, ironing, and coloring, as it can lead to hair loss. If you color your hair and have been facing hair fall issues, it would be a good idea to take a short break before you put any more chemicals in your hair. Avoid hairstyles like tight ponytails, pigtails or braids on a daily basis. Using hair elastics to pull back hair tightly can cause hair fall.
Cicatricial or Scarring alopecia - hair loss occurs when inflammation damages and scars the hair follicle and replaces it with scar tissue. The inflammation that destroys the follicle is under the skin surface so affected areas of the scalp may show little signs of inflammation. It is not known what triggers or causes this inflammation. If the inflammation destroys the stem cells and sebaceous glands, then hair loss is permanent.
When men have hereditary hair loss, they often get a receding hairline. Many men see bald patches, especially on the top of the head. Women, on the other hand, tend to keep their hairline. They see noticeably thinning hair. The first sign of hair loss for many women is a widening part. In rare cases, men see noticeably thinning hair. And in rare cases, women can see a receding hairline or bald patches. The reasons for this are unknown.
Has your doctor told you that your blood sugar levels are too high? Low thyroid is one potential cause of diabetes, and it may be your red flag to have your thyroid re-evaluated. When my doctor once mentioned that my blood sugar was at the high pre-diabetic level and suggested starting diabetes medication, I asked for 6 months to try replacing my regular multivitamin with this one Designs for Health Metabolic Synergy (created by a nationally prominent doctor specializing in blood sugar) and by my follow-up appointment my blood sugar was completely normal and diabetes medication was not needed (what a relief).
Low ferritin (the stored form of iron) is one of the most common causes of hair loss in women. Given low ferritin is also a common problem for hypothyroid people, it is important to have iron testing including ferritin especially if you are experiencing hair loss. It is not enough to be told by your doctor that your iron levels are ‘normal’. Ferritin levels are not always tested. Get a copy of your lab results and be sure ferritin has been specifically tested. Even if ferritin is within the ‘normal’ range that doesn’t make it ‘optimal’.
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.

While pregnant, many women notice that their mane becomes thicker, fuller, and shinier, thanks to a surge of pregnancy hormones. However, once they deliver, this flood of hormones leaves their body at a rapid pace, often leaving them with little time to adjust. One side effect of this depletion of hormones is hair loss. Thankfully, for many women, their hair goes back to normal a few months postpartum. Check out these other surprising ways you look different when you’re pregnant.
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Male pattern baldness involves a receding hairline and thinning around the crown with eventual bald spots. Ultimately, you may have only a horseshoe ring of hair around the sides. In addition to genes, male pattern baldness seems to require the presence of the male hormone testosterone. Men who do not produce testosterone (because of genetic abnormalities or castration) do not develop this pattern baldness.
According to the idea of Ladies Home Journal, frizzy hair can be improved with silicone-based products, which can help fight off frizz while smoothing down the cuticle. Moreover, frizz-fighting products containing certain types of proteins, for example, soy or wheat protein can help with hydration. Lastly, there is something that should not be done in order not to worsen the condition, such as brushing dry hair or over- process hair [4].
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.
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.
Rogaine’s foam squirts out just like hair mousse and is applied with “cool, dry hands.” Applying means working the foam down to the scalp where you want to see thicker growth — for it to work, “it has to get into your scalp,” Dr. Wolfeld explains. “If it sits on your hair, it’s not really as effective.” Once massaged, it dissolves into a watery liquid that leaves a tingly sensation, “but no burning!” one of our balding testers was happy to discover.

It will be a mistake if lack of volume does not appear on the list of common hair problems. Happening for both men and women, lack of volume can be the factor that destroys one’s hair and affects his or her look. There are plenty of reasons leading to the lack of volume of flat hair, including thyroid problems, hormone-related conditions, low iron levels, and nutrition. It is believed that the wrong shampoo or inappropriate conditioner can make your hair too heavy and result in lack of volume. Sometimes, product build-up can be the hidden causes for most of the common hair problems, including lack of volume.


As long as the new hair that grows from that follicle is the same as the one it replaces, the hair density will remain constant. In patterned hair loss, hormones affect the follicle, making it smaller and the new hair becomes shorter and finer than the one it replaces. Eventually, the new hairs are so short and fine they become invisible and the scalp becomes bald.
“Once that hair has stopped shedding, it does regrow, at a rate of about a centimeter a month,” said Dr. Senna, who suffered from the condition after each of her pregnancies. She shares photos of herself with patients, to show she can sympathize. In one, her entire frontal hairline clearly is growing back in. “If I’d used a treatment, I would have thought it was a miracle drug,” she said. 

Some people come to serum as a way to find the shiny hair back but don’t know that it can attract more dust and dirt, making the hair worse. Once again, the best answer for all these common hair problems is using conditioner. This product can flatten the cuticle and make the hair shiner. Moreover, you can apply a clarifying shampoo once per week to get rid of the buildup and turn back the shiny healthy hair.
A good daily multivitamin containing zinc, vitamin B, folate, iron, and calcium is a reasonable choice, although there is no good evidence that vitamins have any meaningful benefit in alopecia. Newer studies suggest that vitamin D may be somewhat helpful and worth considering. Specific vitamin and mineral deficiencies like iron or vitamin B12 may be diagnosed by blood tests and treated.
Besides cost considerations, a hair transplant is generally prescribed as a last resort for permanent hair loss problems. It is also not allowed for people under the age of 25, those with a continuing problem of hair loss, as well as those with other health conditions like uncontrolled diabetes, serious heart problems and hypertension. Patients whose hair loss is caused by other factors, such as a skin or scalp disorder or who suffer from a psychological condition that causes them to pull at their hair are not recommended for this procedure. Since the procedure requires taking a sample from the back of the head, those who do not have enough follicles from this section that can be used for transplant are not also eligible.
Egg mask. Eggs are one of the riches sources of protein, which is the building block of keratin, as well as other minerals like zinc, iron, selenium, phosphorous and iodine. Mix an egg white with a tablespoon of olive oil and honey to make a paste. Apply it on your hair and leave on for 20 minutes. Rinse and shampoo using cold water. You can apply this egg mask on your hair once a week.
Certain other classes of medication may also promote hair loss. More common among them are certain blood thinners and the blood-pressure drugs known as beta-blockers. Other drugs that might cause hair loss include methotrexate (used to treat rheumatic conditions and some skin conditions), lithium (for bipolar disorder), nonsteroidal anti-inflammatory drugs (NSAIDs) including ibuprofen, and possibly antidepressants.
Certain foods have also been found to aggravate or worsen hair fall, such as sugar, which triggers the overproduction of the male hormone, androgen, which in turn causes the hair follicles to shrink in size and for hair to fall out or stop growing. Fish products that are known to contain high levels of mercury like tuna, mackerel and swordfish can also cause hair weakening and excessive hair fall. Studies have also found that fried foods are associated with the production of high levels of DHT.
The Rogaine rep we spoke to explained that the different packaging (and therefore different prices) has to do with the FDA-approval process: “We discovered in clinical trials that the hair loss patterns between men and women are different,” she said by way of explanation. “Men typically have that bald spot on the crown of their head, where women generally have a general thinning throughout, but concentrated more on the top of the head. So for FDA approval, we had to come up with two different, gender-specific products, so the directions were more explanatory.”
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.
The pull test helps to evaluate diffuse scalp hair loss. Gentle traction is exerted on a group of hairs (about 40–60) on three different areas of the scalp. The number of extracted hairs is counted and examined under a microscope. Normally, fewer than three hairs per area should come out with each pull. If more than ten hairs are obtained, the pull test is considered positive.[27]
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.
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.
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.
The cause of female-pattern hair loss is unknown, but doctors said there is a strong genetic component. The risk can come from male or female relatives. Though it looks as if the hair is falling out, that's not really what's happening. Cotsarelis said hair follicles are becoming smaller and producing hairs that may be so small that you can't see them.  Women tend to retain more normal, thick hairs than balding men do.
And though this treatment appears to be safe and somewhat effective, it’s hard to tell who will react well to this low-level light therapy, which is why the doctors I spoke with were hesitant to fully endorse it. “We’re not sure what the optimal power is, what the optimal wavelength is, we don’t even really know the mechanism of action of how this is working,” says Rieder. Plus, it doesn’t work on everyone. “There are subpopulations of patients who do respond to low-level laser light, but this is not easily predictable,” explains McMichael, though she adds that the risk of using the LaserComb is low.
Aloe vera. Aloe vera is one of the most traditional and common natural hair loss treatments. It is known to possess enzymes that promote hair growth and a healthy scalp by regulating the hair and scalp's pH level. Known as a hair miracle, it is also used to treat other hair/scalp conditions like scalp itchiness, scalp redness, and inflammation. It also helps in minimizing dandruff and making the hair shinier and stronger.
While trauma can come on suddenly and unexpectedly, you may be able to help manage ongoing stress in your life with exercise, like yoga, or mindfulness techniques, like meditation. Some researchers are even exploring these alternative healing modalities in relation to reversing hair loss. The idea is that yoga and meditation may help regulate blood sugar and enhance circulation, promoting regrowth.
Scalp reduction is the process is the decreasing of the area of bald skin on the head. In time, the skin on the head becomes flexible and stretched enough that some of it can be surgically removed. After the hairless scalp is removed, the space is closed with hair-covered scalp. Scalp reduction is generally done in combination with hair transplantation to provide a natural-looking hairline, especially those with extensive hair loss. 
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