Hair Loss Information at Balding Blog

Your hair loss questions, answered daily.


Includes snippets from Wall Street Journal Article: Crucial to the hair-growth and balding process, scientists have found, vitamin D and the microscopic receptors that bind to it in skin as essential to good hair growth. These elements have become the focus for several research teams. (Supplements might offer health benefits for people lacking enough vitamin D, but they won’t bring back lost hair, researchers say.)

Some researchers, including those from the San Francisco Veterans Affairs Medical Center and Harvard Medical School, have identified molecules besides vitamin D that appear to activate the receptor and hold potential for future hair loss treatments. Japanese researchers demonstrated in animals that adding vitamin D helped the process of using stem cells to generate new follicles. Found in the Wall Street Journal — The Search for a Baldness Cure

My friend Dr. Richard Shiell commented:

“Plenty of sunlight and Vit D here in Australia (world’s highest rate of skin cancer). From my observation, our baldness rate and pattern-type is pretty much the same as elsewhere.

We are seeing Vit D deficiency in some Muslim women and children who cover-op and do not take advantage of our sunlight. I have not heard of any increase in hair loss. Kids at the beach these days are covered from head to knee as in the Victorian era so, if the author is correct, we should see more baldness in the future. I don’t believe it.”

It’s important to highlight the sentence from the article that states: “Supplements might offer health benefits for people lacking enough vitamin D, but they won’t bring back lost hair“.

In response to this news, some hair restoration doctors stated that they often recommend vitamin D as part of the treatment for women with balding or thinning hair. There does not seem to be a downside to this use, but I wouldn’t get too excited just yet about calling this a “cure”.

Tags: vitamin d, hairloss, hair loss, wsj


A recent article in the International Journal of Cardiology showed that baldness is tied to Heart Disease (coronary artery disease, the metabolic syndrome,hyperinsulinemia,insulin resistance. higher cholesterol, higher triglycerides, and higher systolic and diastolic blood pressures (high blood pressure). The article summarized 31 studies involving 29,254 subjects with alopecia and found these relationships. They pointed out that such measures such as weight loss, smoking cessation, and other modified risk factors should be the way patients fight for their health.


Hi I had a hair transplant in Mid July of 13, and I have had no growth in the frontal and the crown where the transplants were done. I have been keeping track of the transplant with pictures and it has gotten a little better in the front, still not the kinda of results I was hoping, but in the crown area there has been absolutely no growth. In fact the small hairs that were inserted never fell off nor did they grow, they are still there I can actually feel them when I run my fingers through. Is this normal that the hair sometimes doesn’t grow?

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What you described should not be normal. There are autoimmune diseases that appear in some patients that can kill the hair transplants. These diseases are more often recognized in the frontal area, but you did report some growth there suggesting that the skin and scalp is probably normal. This may reflect a technical failure in the surgical process. A hair transplant failure is something you need to discuss with your hair transplant surgeon.

Tags: hair transplant, crown, hairloss, hair loss, failure


I have FUT surgery scheduled in late late December. I am planning on taking propecia in is this long enough to prevent shock loss. I do not want to go through this shock loss that others have reported.

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The longer the better, but 4-6 weeks should cover you. Even a shorter period will work, but taking it is critical particularly if this is your first hair transplant and you are under 30 years old. Shock loss is most common in young men and after the first hair transplant. Stay on the medications until all of the results are achieved and then consider staying on the drug for life. Talk with your doctor about this.

Tags: propecia, finasteride, hairloss, hair loss, shock loss, hair transplant, hairtransplant


I had lung cancer and my last chemo treatment was in July of 2012. I finished radiation in October December 2012. I had some balding prior to the Chemotherapy that you might classify as a Norwood Class 6 pattern, but there was still hair throughout the head. It was just thinning. It has been almost two years and now my hair loss pattern is very clear and all of the thinning hair has not come back. I have a few sparse hairs all over my head, but they are very sparse. I am off my medications at this time. Will my hair come back and what can I do to help it. I have used Nioxin for two years and just recently started uses minoxidil. Are there vitamins to help? Just what can I do?

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I do not know how to help you. You clearly had male pattern balding that was not complete and the chemotherapy stressed your fine, miniaturized hairs and finished the balding process in them. One of our patients had used the ‘Cold Cap’ when the took Chemotherapy and lost less than half of the hair. Few doctors are aware of this treatment. At this stage, I believe that you can expect that hair regrowth will not occur. We have a treatment that may be worth looking at, called Scalp Micropigmentation ( Many patients convert from a Class 6 or 7 pattern to a full looking head of hair by taking on a shaved look. Just like the star of Breaking Bad, many men look great with the shaved look and your case does parallel the main character’s appearance. This is something to consider. Many times I ask myself if SMP was available when I started to treat my hair loss, would I have chosen this option. The answer is yes, but at my age, this is not something that I would do considering that my hair loss is gone and my hair transplants were 100% successful in addressing by large crown loss.

Tags: chemotherapy, chemo, hairloss, hair loss, cancer


Hi,I m 46 years old and a norwood class 6/7.I have atrial fibrillation and take a beta blocker and warfarin,is it possible to have a hair transplant(if a good candidate)with this condition or is it not an option?many thanks.

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It depends on the individual patient as well as the the individual doctor who may or may not consider surgery. You would likely need clearance from your cardiologist as well. In other words each patient and case is different. We have performed surgery on patients with atrial fibrillation that is controlled as well as patients who are on warfarin.


I’m 20 year old male from the England and I have rapid thinning hair loss on the top of my head and slightly on the back. It’s all happened over the past two months, I spotted a slight gap in my hairline and was getting a little scared about it. I started counting the hair after washing to see if I was losing it. It was only about 20-30 and rapidly its been increasing to 50 then 100 and now for the last 5 weeks its 150 to 200 everyday. It itches a lot through the day, I’m starting to get dandruff (which I’ve never had before) and my scalp is becoming clearly visible, especially under bright lights. When I comb my hair I lose about 10 per area of my head including the sides and back. I went to see my doctor 4 weeks back and he said there is nothing any of us can do to stop it. I started Propecia a week ago in fear that if I don’t do something now I will lose it forever, the hair loss is still around 150-200 a day though. I know its no miracle worker but if my hair loss doesn’t stop now I fear it will be gone in two months. Its totally destroying my life and its making me completely depressed. I would provide photos but I think I’m the only 20 year old who doesn’t have a camera

Thanks for the great blog and I hope to hear from you soon, Thanks

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Wow !!!
That is something !!!
You must be the only 20 year old without a camera (even on a phone) !!!

On a serious note, you should think about getting a camera.

With respect to hair loss you may be experiencing, I am glad you were able to see a doctor and you have a treatment plan. The doctor should perform a ‘HAIRCHECK’ on you for measuring your hair bulk. This is the most accurate test available to follow changes in your hair and hair loss across the board. Aside from that, I really cannot help you much other that give you a generalized fact that genetic male pattern balding starts in your 20’s, even in teens as early as 14.
There are medications such as Rogain and Propecia to help. There are also procedures like SMP and hair transplant surgeries which can help but there is not one thing along that will solve your hair loss problem. A good Master Plan is important, especially if you are in your teens or 20s as the wrong approach can be disastrous. There are too many horror stories about young men who took actions too early, like hair transplants in your teens or early 20s.


I have questions about hair loss. We know that hair loss can be the cause of stress, poor diet, Hair products, and other various known symptoms, especially most heredity (MPB) in men as people say.

Considering male hair loss which actually is hereditary, the scientist have evidence that heredity hair loss in men caused by most Skull expansion (bone growth), anything that it say that the skull develops and shapes, ie, bone grows on our heads, and then slowly approaching scalp tissue, slowing the small capillaries and strangling the blood supply needed to grow hair.

It doesn’t interpreted as someone with a big skull will lose hair and some with a small skull not. Skull expansion simply means that, for those with certain skull shapes, their skull bones will grow and change shape (to be somewhat larger in the process). These include parietal bones and frontal bones aside with DHT.

It is DHT that is responsible and encourage bone formation, not just in our heads but also in our body as we age.

That is how DHT Hormone do, it stimulate hair growth, muscle growth and bone growth, not hair loss.

This is recognized as a true genetic traits.

It is clear why your MPB regions feels tight, hard and bony.

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I am amazed at the questions we receive at times.
How does one come up with these things? Late night watching Star Trek?


Hair loss in men that is androgenic alopecia (genetic male pattern balding) is due to the genes. Not the shape of one’s skull or growth of skull shape. You can have a big head or a small head and if you have the genes for hair loss, you will have hair loss. If you don’t have the genes for hair loss then you can have a giant head and still have hair!

The person you referenced that came up with this hypothesis is trying to sell a book for $29.95. Everyone wants to make a buck.

Skull shapes do not have an impact on DHT.


I had a hair transplant done over a year ago (3500 grafts) and all in all I’m very please with the results. Definitely looks better than it did. However, one side came in much thicker and fuller than the other side. But when I now run my fingers through my hair on the lesser filled in side I can feel this stubble growth sticking through that’s about 1/8 to 1/4″ in length. The thing is, its been over 13 months since I had the procedure done but its been at least 8 months feeling this same stubble length on that one side. It just doesn’t seem to want to grow any longer than it is now. So my questions is… is it normal for some of the implanted grafts to not necessarily fall out and not grow at all but they’ll never really take and grow past this stubble phase? If so, what would be some of the reasons for this dilemma? I’ve been taking the prescribed Propecia (finasteride) but is there something else I can do or try or something you might recommended trying to somehow kick start the growth again on my thinner side so my overall hair growth will look more even?

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I always advocate that if you had surgery and you are having issues, that you should always follow up with your surgeon. They are the best equipped to answer any issues arising from surgery since every surgery is different and not all results are the same.

In general if you are still feeling the same stubble a year after the surgery those may be just old hairs left in your scalp that are not growing. Think of it like a foreign body. If you gently pull on them it may just slide right out. I cannot say if the surgery was a success or if hairs will grow from that spot. Only your doctor can best explain this to you. Final note: I am just guessing all of this based on generality. If one side is fuller than the other, and the same number of grafts were place on both sides of the head and if both sides were equally bald, the a HAIRCHECK measurement may tell you if there is a difference in bulk/ growth.

As far as what I would recommend is deferred to your doctor who you have a relationship with. They should be better equipped than me to answer that question because they have examined your and know your specific situation.


This is a review of a SMP procedure performed at New Hair Institute Medical Group. This is a female patient who had traction alopecia from wearing her hair pulled back too tight. She also had a component of triangle alopecia. SMP diminished the contrast between skin and hair. Note: patient also colored her hair on the after photo.

SMP to traction alopecia

SMP to traction alopecia

Tags: traction alopecia, triangle apolecia, smp alopecia repair


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