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.


If proper treatments are not carried out, the dry conditions can lead to other serious common hair problems such as frizzy hair, split ends, thinning hair, hair loss, and hair breakage at an early age. Therefore, it is important for you to moisturize and hydrate the hair strands. High- quality conditioner is strongly required for those common hair problems. Some types of essential oils can be perfect choices for you by making your dry hair shiny and soft again. Remember not to comb your hair if it is still wet to avoid breakage and split ends.
The psychology of hair thinning is a complex issue. Hair is considered an essential part of overall identity: especially for women, for whom it often represents femininity and attractiveness. Men typically associate a full head of hair with youth and vigor. Although they may be aware of pattern baldness in their family, many are uncomfortable talking about the issue. Hair thinning is therefore a sensitive issue for both sexes. For sufferers, it can represent a loss of control and feelings of isolation. People experiencing hair thinning often find themselves in a situation where their physical appearance is at odds with their own self-image and commonly worry that they appear older than they are or less attractive to others. Psychological problems due to baldness, if present, are typically most severe at the onset of symptoms.[11]
While there is no catch, finasteride doesn’t completely cure male pattern baldness. Instead, it blocks the hormone linked to hair loss in men (DHT) and is only effective for as long as you take the medication. No matter how successful your treatment is and regardless of how much hair you’ve managed to grow back, if you stop taking finasteride abruptly, you’re not going to like the result. More often than not, the hair you grew back will fall out and the balding process as a whole will resume where it left off.
Generally, hair problems, especially hair thinning and hair loss, occur around the anagen phase or the resting phase. As we age, the length of the anagen phase also decreases as the hair follicles receive less and less nourishment from the body. The result is hair that is weaker and thinner after every cycle. In some cases, the hair enters the resting phase too early (or the catagen phase is too short) and this is when excessive shedding also happens.
The third and fourth stages are known as telogen and exogen, respectively. In telogen, the hair is supposed to be at "rest" until it finally detaches itself from the follicle and enters the exogen or shedding stage. Once the hair is detached from the follicle, the follicle remains inactive for about three months, after which a new cycle begins again. 

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.
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).

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.
If proper treatments are not carried out, the dry conditions can lead to other serious common hair problems such as frizzy hair, split ends, thinning hair, hair loss, and hair breakage at an early age. Therefore, it is important for you to moisturize and hydrate the hair strands. High- quality conditioner is strongly required for those common hair problems. Some types of essential oils can be perfect choices for you by making your dry hair shiny and soft again. Remember not to comb your hair if it is still wet to avoid breakage and split ends.
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.
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The scalp contains a natural oil called sebum, which helps keep the skin lubricated. Sebum is produced by the sebaceous glands. Sometimes these glands work overtime and produce too much oil, leading to a greasy scalp. Greasy hair can look dull, limp, and lifeless, and it may be more difficult to manage. To treat greasy hair, try washing with a gentle shampoo that is specially formulated to control sebum.
Acupuncture is a form of Chinese medicine that has been practiced for thousands of years. Its applications are many, and some researchers believe that it may help with hair loss from alopecia areata. How? The needles inserted into the scalp may help stimulate hair follicles and promote regrowth. More research needs to be done in this area, but consider asking your doctor for a referral to a licensed acupuncturist if this treatment sounds appealing to you. (Learn more about acupuncture for hair loss.)
We all lose hair on a routine basis, shedding as many as 100 hairs per day across the entire scalp. Normally, these hairs are replaced with time. If you have thyroid disease, however, you may experience hair loss more than others—so much so that your hair on the whole looks to be thinning. Having autoimmune thyroid disease in particular also puts you at greater risk for alopecia areata—excessive and rapid hair loss in specific parts of the scalp that can advance to baldness and also effect other parts of the body, like the eyebrows. Most cases of thyroid-related hair loss are temporary and treatable.
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.
Turns out low stomach acid results in malabsorption of iron (which as you know is necessary for maintaining our hair) and many other essential nutrients. Thanks to this article I discovered my own issues with low stomach acid and found help with Pure Encapsulations Betaine HCL with Pepsin. This has also helped me with heartburn, gas, acid reflux, and bloating. I know what you are thinking, all of you with heartburn and acid reflux are taking antacids to do the opposite – reduce, neutralize acid. Hmmm. Maybe the real source of your discomfort is too little acid and the real solution is increasing acid instead!
The general medical consensus around laser treatments — caps and combs alike — is that low-level laser light therapy stimulates the cells within the hair follicle. These devices may also increase cell metabolism to promote thicker and more durable hair shafts, something that neither minoxidil or finasteride can do. To use the HairMax Ultima, all you have to do is glide the device over your scalp slowly. Treatments should take about eight minutes, and you should do it three days per week for the best results.
Multiple vitamins, including biotin, have been promoted for hair growth, but solid scientific studies for many of these claims are lacking. While taking biotin and other supplements marketed for hair, skin, and nails probably won't worsen anything, it may also not necessarily help the situation. Therefore, advertised hair-regrowth supplements should be approached with mild caution. There is only anecdotal evidence that oral or topical application garlic, onion juice, saw palmetto, coconut oil, evening primrose oil, apple cider vinegar, creatine, and pumpkin seed oil are of benefit for hair loss.
“For hair loss, I routinely recommend multiple vitamins, and especially evening primrose oil. If there’s any sex pattern to it — if a woman is losing hair in partly a male pattern – -then, the problem is there is excessive conversion of testosterone to dihydrotestosterone (DHT) at the level of the hair follicle. Evening primrose oil is an inhibitor of that conversion. So almost anybody with hair loss probably will benefit from evening primrose oil.”
Beyond that, things get more controversial, with some doctors saying there's inadequate evidence for other treatments. Saxena thinks there is enough scientific evidence to support some of the alternatives and recommends them to patients. But they are not for women on tight budgets. There's Nutrafol, a "nutraceutical" that costs about $80 a month. Women can also get injections in the scalp of platelet-rich plasma made from their own blood. The first four treatments cost about $2,000 at Saxena's practice in Fort Washington or Lansdale. Maintenance injections, done every three to six months, cost $515 each. Women can also buy Theradome, a light-emitting helmet, for $895 online.  Saxena, who has hair loss herself, said she has had the injections and currently uses minoxidil, spironolactone, and Nutrafol.
Minoxidil typically comes in 2% and 5% dosage. With the former, hair growth is not visible up until the fourth month (16 weeks) of use, but it could be faster with the 5% dosage.This is most effective especially if you haven't been bald for more than 5 years, your bald patches are less than 10cm across, and most of all, if the bald spots still have some tiny, fine hairs. Studies found that people who have used minoxidil have observed at least minimal to moderate hair growth. The new hair is typically downy soft, but with continued use, it will grow in thickness as the rest of the hair.
Traction alopecia - certain hairstyles such as when you pull on your hair tightly can cause scarring of the hair follicles. If pulling is stopped before scarring to the scalp then your hair will grow back normally. Nervous habits such as continual hair pulling or scalp rubbing can also cause scarring and ultimately permanent hair loss. Excessive shampooing and blow-drying can also cause hair loss.
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.
"The thyroid gland helps to regulate the body's metabolism by controlling the production of proteins and tissue use of oxygen. Any thyroid imbalance can therefore affect hair follicles", Anabel explains. Also, if hypothyroidism is left untreated it may result in anaemia, which - as we've just discussed - is another condition that can impact the hair (or lack of it).
My hair began to thin when I was 28 years old. Now I am 44 and the top of my head is bald. Recently, I considered using medicine to treat my hair loss and see if any hair would regrow. After reading the literature and talking to my doctor, I decided not to take medicine because it is unlikely to make a huge difference in my hair—and I don't want to take medicine forever!
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.

Alopecia areata - starts suddenly and causes hair loss in patches anywhere in the body in children and young adults. This condition is also known as ‘spot baldness’. This condition is observed to run in families and experts believe this condition could be the result of autoimmune disease, where the immune system of the body mistakenly attacks the hair follicles.

Dull hair will be the next one on the list of common hair problems that are mentioned in this article. The dull hair will not only make you uncomfortable but also make you look older than your real age. Dull hair can be caused by chemical damage, heat styling damage, improper styling techniques, and sometimes environmental soils as well as stresses, which can roughen the hair’s cuticle.
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.
Consider other factors besides color. Color is important - your wig or hair piece should match your natural hair to look natural. However, consider also texture. You wig should feel like real hair; it should have a smooth and silky feel. For those that need full coverage, choose a wig that bounces to give the illusion of volume. A wig that has a lacing that fits your natural hair also helps in making sure that you have a more natural looking hairline.
Although many medications list "hair loss" among their potential side effects, most drugs are not likely to induce hair loss. On the other hand, cancer treatment (for example, chemotherapy or radiation therapy) and immunosuppressive medications commonly produce hair loss. Complete hair loss after chemotherapy usually regrows after six to 12 months.
Disruptions in the normal length of each phase, which can cause hair loss and hair thinning, may be the result of a number of internal and external stimuli. These are also what we call the triggers and causes of your hair loss. As a quick example, dieting can leave the body stressed and in need of important nutrients. Because of this stress, hair growth may be cut shorter than usual and there is an early onset of telogen or shedding of hair.
There’s also a women’s version (Women’s Rogaine Foam) — but a three-month supply costs $22 more online. The only difference between the two products are the instructions; women are instructed to apply once a day instead of twice. If you’re a woman who doesn’t feel like paying extra for marketing, the men’s product will suffice. A cheaper generic version is Kirkland Signature Minoxidil Foam, but with a longer history on the market and more customer testimonials, Rogaine is our first choice.
*all photos are models and not actual patients.If you are interested in a prescription product, Hims will assist in setting up a visit for you with an independent physician who will evaluate whether or not you are an appropriate candidate for the prescription product and if appropriate, may write you a prescription for the product which you can fill at the pharmacy of your choice.
Thinning hair in women is worth investigating for more than its impact on physical appearance. While many conditions that lead to temporary hair loss will go away without treatment or with simple lifestyle measures, others may be signs of potentially irreversible loss or health conditions. Others yet may respond well to treatments to promote regrowth, so starting sooner rather than later is key.
Hair grooming, but more importantly, having a head-full of hair is as important to men as it is to women. To women, it may be an important accessory of beauty, and for men, it adds to a sense of manliness, enhances their looks and makes them more appealing and attractive to women. Balding to men is associated with aging (only old men are expected to lose hair) and therefore, having hair on one's head is a sign of virility and masculinity.
While thinning generally worsens after menopause, doctors said hormone treatments typically do not improve hair growth. Minoxidil lotion or foam, which can be purchased over the counter, is the first line of treatment. About half of women who use it have not lost more hair a year later, Cotsarelis said. Spironolactone, a blood-pressure drug, can also help, doctors said. Some may also try finasteride — approved to treat baldness in men — off-label. The evidence that it works in women is weak, Patel said.
There are many hair growth supplements in the market that help thicken hair and curb hair fall. Even certain vitamin supplements go a long way in improving the health and volume of your hair. However, do not start taking any supplements without consulting a healthcare professional first. Minoxidil (Rogaine) is one of the most effective, FDA-approved and commonly prescribed medications from doctors worldwide for arresting hair fall and treating alopecia-related problems.
Always shampoo and condition your hair regularly. Let your hair breath by avoiding wigs that are made with cotton and nylon caps that absorb moisture and lead to drier and more damaged hair. Instead, choose those with netted caps. Make sure your wig isn't too tight. Secure it with hypoallergenic double-sided tapes. Do not put your wig on over wet hair to avoid the growth of mildew and bacteria.
Symptoms of hair loss include hair loss in patches usually in circular patterns, dandruff, skin lesions, and scarring. Alopecia areata (mild – medium level) usually shows in unusual hair loss areas, e.g., eyebrows, backside of the head or above the ears, areas the male pattern baldness usually does not affect. In male-pattern hair loss, loss and thinning begin at the temples and the crown and hair either thins out or falls out. Female-pattern hair loss occurs at the frontal and parietal.
Being stressed affects nearly every aspect of our life—even your strands. “Stress affects hormonal levels, specifically cortisol, which then causes hair loss, which only adds more stress to an already stressful situation,” says Penny James, IAT-certified trichologist and owner of Penny James Salon in New York City. “The positive side to all this is once you reduce the stress in your life, your hair will grow back to normal.” She recommends incorporating activities such as yoga or meditation to reduce stress levels. Here’s how to repair damaged hair with items you already own.
2. Pyrithione zinc shampoo. Traditional volumizing shampoos will give the hair you have a lift so it looks fuller (we like the sulfate-free L’Oréal Paris EverPure Volume Shampoo, $8). But some research suggests shampoos with the antidandruff ingredient zinc pyrithione can mitigate hair loss that’s caused by conditions like dandruff, says Mirmirani. Try Head & Shoulders Deep Moisture Shampoo ($6), and use a conditioner without silicones — they can make hair appear limper, especially if it's applied near the roots (we like Love Beauty and Planet Coconut Water & Mimosa Flower Conditioner, $9).
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]
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.
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.
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’.
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.
When it comes to hair health, what you put in your body is just as important as what you put on your hair. Maintaining a healthy and balanced diet becomes crucial as soon as you notice hair fall. Foods that are rich in Zinc, Iron, Vitamins A, B complex, Vitamin C, Vitamin E, omega-3 fatty acids, and proteins should be consumed. These foods by themselves may go a long way in curbing hair fall as more often than not, hair fall is directly related to a vitamin/mineral deficiency. A healthy diet will also help keep your hair moisturized and nourished, leading to lesser hair fall, fewer split ends, and curbed breakage.
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].
As I mentioned before, the causes of hair fall are innumerable, and so it becomes crucial to get to the root of the problem. The best way to go about dealing with the problem would be to get the correct diagnosis to begin with. This can be made simpler by finding the areas where thinning is most prominent and also monitoring how much hair you are losing whenever you comb or shampoo. Consult a physician to find out whether you have any underlying medical issues causing the hair fall.
It is estimated that 90% of people with hypothyroidism have the thyroid autoimmune condition known as Hashimoto’s Thyroiditis. Hashimoto’s is an autoimmune condition in which the body attacks its own thyroid gland. Despite the prevalence of Hashimoto’s, thyroid antibodies are often NOT tested. You may have Hashimoto’s and not even know it. There are two thyroid antibodies to test for Hashimoto’s: Thyroid Peroxidase Antibodies (TPOAb) and Thyroglobulin Antibodies (TgAb).
Initially used to treat high blood pressure, minoxidil was the first medication approved by the FDA to treat male pattern baldness. By applying Rogaine (or a generic version) directly to the scalp twice a day, a man in the early stages of hair loss can often stimulate growth. The American Hair Loss Association points out that results of treatment with minoxidil are limited, but it still endorses using it in combination with other treatments or as an alternative if finasteride doesn't work.

Because hair concealers work like wigs, choosing one that's right for you is important. More than anything, it should be as natural looking and as subtle as possible. Pick one that matches your natural hair color. Most hair fibers come in nine colors, and if you want to achieve a good color fit, you can blend two colors. Apply first the dark color and then the lighter color.


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. 

Hair styling products from shampoo, conditioner, to hair dye, bleach, gels and perm and straightening products may contain chemicals that can damage the scalp and cause the shaft to break, resulting in hair thinning. Beware of these products that contain toxic chemicals such as arsenic, thallium, meadow saffron (colchicum autumnale), and lead. These chemical ingredients can manipulate and disrupt the natural hair growth cycle, for example, shortening the anagen phase of growth. Hair procedures like hair relaxing and permanent waving, while do not lead to permanent hair loss, can damage the quality of the hair and make it more prone to hair breakage.
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.
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