Your hair loss questions, answered daily.

 

“I’m seeing a few hundred hairs in the shower drain every day. I really don’t think I am balding, but I came to ses you because I wanted to be sure that if I was balding, you could transplant my hair and keep it looking good.”

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This comment reflected the comments, one way or the other, of many men who visit me, but this particular day, this 26 year old actor who just finished his first role in a major movie came to me with the above comment. He looked like a typical hairy 26 year old male and I thought that after I measured his hair bulk, that I would reassure him that he was not balding. Much to my surprise, the numbers from the tests surprised me but shock him. The tests indicated that he already lost 50% of his hair bulk in the front of his head just behind his hairline, and 40% in the top (between his ears) and crown (back) of his head. He came apart emotionally. “This can’t happen to me”, he said. “I am going to hit it big time in Hollywood, I have an interview coming up for my second film, now a leading man, and I just can’t go bald”.

I tried to calm him down. At 26, he could go on the drug finasteride and probably stop most of his hair loss, so that was the ‘good news’ I told him. But despite my reassurance, he had difficulty letting go of the idea that his career was going to be ruined. “They won’t take me on if they knew”, he said. Again, I tried to reassure him that the drug might very well buy him years on keeping his hair, but he would not, could not focus on what I said. Over and over again he said “It over, my life is over”.

Hair loss is devastating for many young men and they don’t have to be heading to the top of the Hollywood scene to feel the way this man did. Although the drug often turns out to be effective in 26 year old men, the reality is that some day he will have to face balding. Although preventive hair transplants are a terrible and improper decision for him now, if and when he starts losing his hair, this may become an option. He left very unhappy and even unwilling to consider taking the drug finasteride. I asked him to return to see me, but he was from out-of-town and not easily accessible, but I called him a week later anyway and he promised to see me in 4 months on his return to Los Angeles. I wonder if he will deny what I told him or if he will think this matter through and make the logical decision to try to slow down the balding process and fill the prescription I gave him.

 

Thank you for taking time to read this and I love how this site is very informative. I have always been wondering if there is anyway to let baby hairs grow into normal hair. Lots of my hair stops growing at a very short length and it gives the impression of the lack of hair. Hope to hear from you! Thank you!

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Baby hairs you are referring you vellus hair or peach fuzz on your skin. It is actually all over your body except on your palms, soles of feet, and lips. It does not grow to normal terminal hairs. If someone can find a way to turn these hairs into longer terminal hairs, the results may not be what you expect or desire. or example, there is a condition called Hypertrichosis where there is abnormal amount of hair growth all over the body. I am not aware of any mediation or treatment that can change the morphology of the vellus hairs or target its growth specially.

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This questions was actually asked of a patient. Would I Put Hair On My Tattoo Of A Horse So That IT Has a Real Hairy Tail?

This came in through an email as many of our patients do to get access to us. After considerable thought, I thought through the process and I would be happy to meet with this patient and then make that judgment. Doing something like this is easy for me; however, I would not want to do it if the patient was mentally unstable and did not fully comprehend the significance of what they were asking for. This would not be irreversible if he eventually changed his mind as he could have it removed in one or more laser hair removal sessions.

Cosmetic surgery is purely elective surgery. It happens when a patient and a surgeon agree on goals and realistically under the risks that all surgery impose, not matter how simple. People have died from allergic reactions to Xylocaine or have had spontaneous heart attacks having nothing to do with the surgery, but things happen. So an interview is critical to making a decision to go forward from my perspective. I even thought, why not create a hairy mane as well.

If you are interested in reading about a horses mane, click here: http://en.wikipedia.org/wiki/Mane_%28horse%29

 

So I started Proscar (1.25mg for AGA) in a hope to prevent/slow down any possible hair loss (25 years old male with NW2, only a receded hairline and I have mid-back length of thin curly hair).

After my very first dose, I (after like 17 hours) felt some discomfort in the breasts/chest/upper abdomen, is this even possible? I gave it a try for 4 days and it’s still persisting (it’s not a full blown pain but rather a discomfort), I stopped the drug out of fear of Gyno, was this a sign of Gyno? This is my 3rd day off-drug and the discomfort is still there, what should I do? I really should take Finasteride and I am planning to restart it at 0.5mg once the discomfort resolves, is this the correct action?

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If you believe you are having negative side effects, why would you want to continue the medication? The correct action is speaking to you doctor about this.

Anything is possible but it seems improbable. Gynecomastia from Propecia use takes several week if not months of use.

Finally a Norwood 2 is not generally considered balding and Propecia only treats the vertex (crown) area of the scalp – (not the front corners). We routinely offer actual tests to determine if you have genetic pattern balding routinely on every patient coming in to see us who are like you. We don’t want people on drug that do not need them.

 

More and more healthy adults are raising the issue of “rational suicide” and we are ill prepared for this concelt. Doctors have thought about it for themselves if they should get very sick an terminal. Doctors are just people with the same concerns and at the American Association for Geriatric Psychiatry (AAGP) 2015 Annual Meeting, there was a session dedicated to the issue “aimed to provide guidance to clinicians who may be faced with elderly patients expressing a desire to die by suicide while they are still relatively healthy and cognitively intact”.

If you saw the movie Still Alica where Julianne Moore played a woman who knew she had early onset Alzheimer Disease and while she was rational, she made a tape in the hope that the ‘Alice of the future’ would see. She recognized that the Alice of the Future might be unable to take her life, so she created this video, step by step, on how to overdose herself with a bottle of pills she hid and tole that Alice how to find and what to do with it. OF course, as Hollywood or the writers would have it, she was incapable of following even the simplest instructions and failed to do what the rational Alice (the same person who should have been able to control her destiny, wanted.

I am 73 and healthy. My Great Grandmother lived to 114 and one Grandfather to 102. I hope that I will never be confronted with Alice’s problem whatever my age. If the terminal cancer patient who lived a good life and rationally wants to move on, he should be given the choice between suffering and a rational death. Death is something that we all will face and we should have the ability to face it with the dignity we want, particularly if we are rational and at the end of our lives. Governments should not only, not tell us how to live, but not interfere with our choices at the end of our lives.

 

Dr Joe Greco of Greco Med Group Florida claiming 80% success rate with infusing growth factors from ones own platelets into the scalp to regenerate hair. Really 80%? How can doctors make claims like this? Any safe treatment that had an 80% success rate would be duplicated all over the world wouldn’t it?

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Anyone can claim anything. It may be true. I do not know. I cannot verify the claim personally. If these treatments do work, you are likely correct in stating that these treatments would be duplicated and offered all over the world – especially because it is such an easy and inexpensive thing to do. By that I mean, in essence, someone takes a vial of your blood and spins it down in a centrifuge to separate out the PRP (platelet rich plasma) from the red blood cells and injects it back to your body part (scalp).

I do know many doctors advertise Platelet Rich Plasma PRP therapy and discuss it in terms of regenerative therapy or stem cell therapy which definitely catches the attention of many consumers.

I also know that there are many articles and journals that publish positive results of these types of therapy but I have not found one that is truly a well designed research that has been replicated. What I mean by a well designed research, is called a Double Blind Randomized Control Study.

When reports come out that you get an 80% improvement, what does that mean? An improvement of what? If we get 90% of the hair to grow without it, does that mean that we can get 98% of the hair from a hair transplant to grow instead of 90% with it? There has never been a study done that shows value. We would have no objection to using PRP and may even do so one day, but as I believe that if a doctor needs to get an 80% improvement of their results by using PRP, then they have a problem in their technique and I would doubt that PRP would help them solve such a deficiency. I have seen doctors inject PRP into the scalp of balding men and women, but they do not do this as a charity, they charge for it, and charge they do. If we start injecting PRP which would be a push, we would not charge for it unless we demonstrated real value.

 

I currently take Propecia, 1 mg., and am paying $86 at Costco for a one month’s supply. I have been told by a pharmacist that the generic has the same ingredients as the brand name. The generic sells for $22 for the same amount. My question is – are the results the same? If the brand name works better, I’ll gladly pay the extra money. Am I paying too much? I could really use a professional’s opinion. Thank you.

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Genetic drugs are same as brand name drugs in its efficacy. The difference is the price and the shape or color of the pill and its packaging. Even the 5mg version which you cut in 1/4s will give you the same results. The 5mg version costs about $6 a month and I believe that Costco will sell you a 3 month supply for $28 which is quite a cost saving.

 

I have a question about the relationship between oily scalp and genetic hair loss, as I read a lot of your posts, it seems that the main reason of men hair loss is genetic factor, but I also heard that most balding men have a oily scalp, so my question is what the relation between oily scalp and hair loss? Thank you.

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Oily scalp does not cause balding. Genetics cause male pattern balding. Other genes are likely responsible for oily scalp.

 

Long time reader, first time poster. As an avid reader of your excellent blog i just wanted to post a few pictures and get an indication of where you think my hair loss is? I have been receding for a while now however over the last year I have become very concerned with the progression of my front hair loss. My father is essentially bald with a small island of hair in the middle of his scalp. My mothers side of the family also has been deal the unluck card male pattern baldness. Now I was on propecia from 20 to 25 then got off it for God knows what reason.. I guess I was just worried that I wasn’t going to be able to have kids one day (fertility issues have always been a major question for me with regard to finasteride), I guess this stems from the fact that there are no clear studies indicating if this is the case or not? And if it is then I am none the wiser. I am currently taking minoxidil tablets aswell as applying minoxidil to my hair line (I know that it is not that effective on the bi-temporal area, however I just thought I’d give it a go.. This coupled with the minoxidil tablets could be a start in my quest to beat MPB). I guess if this doesn’t work I can always go back to finasteride.

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Thank you for being a avid read of Bladingblog. I generally do not give diagnosis or opinions on hair loss. We are however planning to start a new website AmIBalding.com where you can post your photos for anyone to comment. If you want a doctors opinion, you need to see a doctor (in person).

Finally, you really need to see a doctor before experimenting with drugs. Minoxidil tablets is not something you take to treat male pattern balding. It is a blood pressure lowering medication when taken orally. So for a normal person without high blood pressure, taking a blood pressure lowering medication such as oral minoxidil (by mouth) can have severe life threatening consequence and even death.

 

What question do you get tired of being asked the most on this forum?

I’m guessing it’s about propecia. I think you should have a Q&A page on the drug on this site.

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When I first started BladingBlog, I thought the same thing. You’d be surprised how many different ways one can ask a question on Propecia and hair loss in general.
I believe we have at least 800 different questions and answers on the topic of Propecia: see HERE and HERE

You can also search for “Best of Balding Blog” on top and popular Topics on the right side of the screen.

 

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