WRassman,M.D. BaldingBlog
    • Menu

    Does Long Hair Shed More?

    Mar 31, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    I grew out my hair a while ago and noticed way more hairs falling out in the shower and kinda freaked out too. It turned out that I was just noticing it more because it was longer 99% sure the answer is no, but wanted to ask just in case. I’ve been on finasteride for almost 10 years now and it’s worked really well, but around a month ago I decided to grow our my hair a little (it’s still pretty short, just longer than before) and I’ve noticed considerably more shedding when washing my hair, on the pillow etc. Is it just coincidence? Am I just noticing it more because it’s longer? Did anyone else experience actually more shedding with longer hair?

    When hair is miniaturized, long miniaturized hairs are easier to pull out if you brush or comb roughly.

    Do DHT Blockers Produce More Dementia or Other Conditions?

    Mar 31, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    Dementia tied to hormone-blocking prostate cancer treatment

     July 5, 2019 by Lindsey Tanner
    prostate cancer
    Micrograph showing prostatic acinar adenocarcinoma (the most common form of prostate cancer) Credit: Wikipedia

    Alzheimer’s disease may be a risk for older prostate cancer patients given hormone-blocking treatment, a large, U.S. government-funded analysis found.

    Previous evidence has been mixed on whether the treatment might be linked with mental decline. But experts say the new results stand out because they’re from a respected national cancer database and the men were tracked for a long time—eight years on average.

    Among 154,000 older patients, 13% who received hormone-blocking treatment developed Alzheimer’s, compared with 9% who had other treatment or chose no therapy, the study found.

    The risk for dementia from strokes or other causes was higher: It was diagnosed in 22% of those who got hormone-blocking treatment, versus 16% of the other patients.

    The results, using perhaps one of the largest and most reliable databases, suggests there truly may be a connection, said Dr. Sumanta Pal, a prostate cancer expert with the American Society of Clinical Oncology. Pal was not involved in the study.

    The analysis from University of Pennsylvania researchers was published Friday in JAMA Network Open.

    The results aren’t proof but experts say they underscore the importance of discussing potential risks and benefits when choosing cancer treatment.

    The researchers analyzed data from a National Cancer Institute database of cancer cases and treatment and covers almost 30% of the U.S. population. The study focused on men in their 70s, on average, with local or advanced prostate cancer diagnosed between 1996 and 2003. They were followed until 2013. Medicare records indicated dementia or Alzheimer’s diagnosis.

    Hormone-blocking treatment can include testes removal to reduce levels of testosterone, which fuels prostate cancer growth. But it more typically involves periodic drug injections or implants that achieve the same result.

    Most U.S. men who receive this treatment are in their 70s or older. It’s sometimes used in men who might not be healthy enough to tolerate other cancer treatments including surgery to remove the prostate and radiation.

    It’s unclear how the treatment might be linked with mental decline. The researchers noted that it can lead to diabetes, which also has been linked with dementia—perhaps because blood vessel damage from diabetes can restrict blood flow to the brain. Hormone treatment also raises risks for heart diseaseand depression, which both have been linked with dementia.

    Researcher Grace Lu-Yao of the Sidney Kimmel Cancer Center in Philadelphia, said the potential dementia risks from hormone-blocking treatment may outweigh any benefit for younger, healthier patients with longer expected life spans.

    While the study doesn’t prove that the treatment causes dementia, she said, it is important to tell patients “because of the potential impact of Alzheimer’s disease or dementia on the quality of life of patients and their family.” She was not involved in the study.

    More information: Ravishankar Jayadevappa et al. Association Between Androgen Deprivation Therapy Use and Diagnosis of Dementia in Men With Prostate Cancer, JAMA Network Open (2019). DOI: 10.1001/jamanetworkopen.2019.6562

    Journal information: JAMA Network Open

    © 2019 The Associated Press. All rights reserved

    Finasteride competes with DHT at the receptor (graphic)

    Mar 31, 2020/by William Rassman, M.D./0 /Hair Loss Causes
    For the scientists in our group who are interested in how the drug works, finasteride is a competitive inhibitor to DHT and the effectiveness of this is shown in the graph below. Note that the inhibition works even at lower doses.   The degree of inhibition at the AR receptor does not correlate directly with the effectiveness of the dose based on clinical finding; however it is nevertheless close to the degree of inhibition.

    45 year old male before and after hair transplant (photo)

    Mar 30, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    I gave him two choices of hairlines and he selected the lower one and that is what he got.

    Beware of claims like: you can achieve density with a low graft count

    Mar 30, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    I’ve heard of new “DPI” hair transplants that are supposed to look even more natural. Does anybody have any opinions? I heard the biggest advantage is the density you can achieve with a low graft count. I just want to reconstruct my temples (I am 25 and they are just starting to go). If I could do this with only 500 or so grafts so I have more when I am older that would be fantastic.

    DPI? When a new name is invented without a real new validated technology, it is a marketing ploy. There is no such thing as: ” advantage is the density you can achieve with a low graft count” other than to get your money. Use your brain and read my blogs at: https://baldingblog.com/ to educate yourself.

    Predicting a Class 5A pattern before it happens

    Mar 30, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    This is an easy pattern for an expert’s eye to predict as outlined (in the right photo I marked up the left photo). The Norwood Class 5A pattern has a narrow crown component and when this man completes his balding pattern he will be bald back to the top of his crown (indicated on the photo). What is significant is the persistent forelock which has hair that is stronger than the surrounding hair. These forelocks tend to run in families and if this man keeps his forelock until he is 35, it is likely he could maintain it in the long term.  Looking back at his family patterns, he should see if his father or grandfathers had this persistent juvenile hairline into older ages.  From a transplant perpective, when this man’s balding becomes significant enough to require a hair transplant, having an “A” pattern is good news because almost everyone with the ‘A’ type patterns always have enough hair to get a full head of hair restored.

    Gynecomastia or nocebo effect?

    Mar 30, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    So I started taking finastaride on Saturday the 22nd of June. And here is what I have taken.  Saturday 0.25mg Sunday missed a pill (hurt my leg playing football and was in hospital for scans) Monday 0.25 Tuesday 0.25 Wednesday 0.25

    So here’s my question. I have taken in total 1mg of finastaride and last (Thursday)I have started to have an irrated nipple to the point where it feels like it has been chaffing on my T-shirt’s( I was wearing a rough embroider shirt) I’ve had no other sides (for now) and I am well aware that this could be in my head and I am a massive over thinker in these types of situations but the things that are swaying me to thinking gyno is:

    1. I had gyno as a pubescent teenager (had the full lumps and everything during puberty, it wasn’t bad and it didn’t make it look puffy but it was there I think)

    2. I had a doctors appointment today and i mentioned my symptoms and how I was feeling, I was had told my doctor I had been on finastaride for 2 weeks (obviously a lie, was a brain lag it’s not even been 1 week) and she felt around my pectoral area and she said my left hand side (which is the tender/irrated one) is slightly fuller than my right. But my right is also a bit fuller.

    So my question is, do you guys believe this could be gyno? My doctor recommended to stop for 2 weeks and see what happens to the symptoms.  I’m just unsure how fast gyno can happen??  I really don’t want to lose my hair so I’m debating whether taking a SERM with finastaride??

    Thanks a lot for listening and I’ll be very grateful to listen to anything

    After a single dose or a limited dose, I doubt that the gynecomastia would get worse. Considering your history, I would think that you are too much focused on this side effect and .what you are experiencing may be a nocebo effect. Seeing your doctor is a good idea.

    This Hair System Will Eventually Pull out All of His Frontal Hair (Photo)

    Mar 30, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    This man posted his photos on Reddit.com, and although it looks ok, it still looks like a wig. It will eventually pull out all of the hair from the glues used to attached it to the scalp, and the overall cost will eventually be more than a hair transplant

    I am considering an FUE transplant, what does ‘dense extraction’ mean?

    Mar 28, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    I’m considering to get a procedure done and was wondering if there are difference between FUE procedures or are they all about the same?  What are some important questions to ask when deciding on a doctor besides ‘how long have you been doing this’?

    FUEs vary between doctors because each doctor uses a different type of hand ‘punch’ and smaller ones (up to a limit), leave smaller, less detectable scars. The problem with FUE is that the number of grafts removed safely is absolutely related to the density of the hair in the back of the head. The higher the donor hair density, the more FUE grafts can be taken, while in a person with a low donor density (a typical Asian, Indian or middle easterner) might have a normal lower hair density than a typical Caucasian from Northern Europe.  This rule also applied to the Hair Mass Index of the hair, the higher the index, the more FUE grafts can be safely removed.  If a doctor takes too many hair grafts out, then you can get balding in the back and sides of your head from the FUE (see here: https://baldingblog.com/collection-victim-photos-internet-harvested-depleted-donor-areas/ ) which is something that the doctors don’t have to live with, you do. Worst, 90% of the people doing the FUEs in Turkey are not doctor so that certainly with an non-professional person doing your surgery may be VERY common in people receiving surgery in Turkey.

    I was the person who pioneered the FUE in 2002 when I published the first paper and presented it at the first meeting all in the same month. I gave out 600 DVDs showing what an FUE looked like. Then, within a week, doctors from all over the world started doing it and doing it very poorly. My video was only 2 minutes long and it was not made to teach the doctors all of the nuances of the FUE. Even today, many doctors don’t understand it well. I, with my partner Dr. Pak, also invented the robot that does the FUE holding two patents for the technology. We licensed it to the company that made the ARTAS robot. Here is our original article that opened up the FUE business: https://newhair.com/wp-content/uploads/2018/11/mp-2002-fue.pdf

    You must find a doctor who is skilled in the process and you can tell by asking to meet some of his patients and then look carefully at the donor area for the type of scarring that is evident (my link above shows it). Ask your doctor for his measurement of your original donor density and his assessment of how many grafts he believes you can support in your lifetime. Too many doctors take out too many grafts with FUE causing the problems I demonstrated above.

    Corona Virus – How to handle foods (video)

    Mar 27, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    This is a very comprehensive video that might save your life and your parent’s lives

    More on finasteride risks in pregnancy (from Reddit)

    Mar 27, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    Problems with the recent Finasteride/Pregnancy posts from tressless

    This Man Got His Head Accidentally Cut by a Barber (Photo)

    Mar 27, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    It took years to control the infection on him. It came from dirty cutting sheers.

     

    Is Washing Hair Everyday Bad for Hair?

    Mar 27, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    Washing your hair daily is never a problem–just be gentle with it. When you are too vigorous, you pull out the miniaturized hairs very easily.

    Is this Traction Alopecia?

    Mar 27, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    I am a 21 year old female suffering from traction alopecia. Unfortunately, due to my work I have to wear my hair in tight ponytails. I believe this has caused me to lose hair around my temples. What are my options ?

    I would like to know if it is present on the other side as well. Sometimes a condition called Triangular Alopecia can cause a pattern of hair loss like this, but not as large. As your history is consistent with traction as a cause, then a hair transplant is the perfect answer, regardless of the cause.

    Why we need a microscope for hair transplant surgery (photo)

    Mar 27, 2020/by William Rassman, M.D./0 /Hair Loss Causes

    If the doctor or his staff were not using a microscope, they would have missed the extra hairs in this graft, possibly killing it by cutting it out rather than leaving it in the graft when the hair transplant was done. This is probably a new anagen hair developing.

    123
    Older Entries
    Page 1 of 8

    Videos

    Podcasts

    Ask Dr. Rassman

    * Your questions may be published (without your contact information).

    [contact-form-7 id=”27935″ title=”Sidebar Contact”]

    Over 21 million women and 35 million men in America suffer from hair loss. For many of these people, the psychological impact on their life is debilitating.

    Dr. Rassman is a world leading expert in hair loss with over 25 years of experience and over 50,000 satisfied clients.

    About

    This site exists to educate about hair loss and hair restoration.

    William R. Rassman, M.D.

    Categories

    • ACell
    • African American
    • Age
    • April Fools
    • Density
    • Diseases
    • Drugs
    • Drugs (Cause Hair Loss)
    • Favorites
    • Female Hair Loss
    • FUE
    • Hair Cloning
    • Hair Loss Causes
    • Hair Pieces / Systems
    • Hair Products
    • Hair Transplantation
    • Hairlines
    • Megasession
    • Other
    • Other Surgical Procedures
    • Personal Stories
    • Photos
    • Pigments
    • Podcasts
    • Post-Operative
    • Repair
    • Repost
    • Scalp MicroPigmentation
    • Scarring
    • Thinning
    • Tidbits
    • Training
    • Videos

    Archives

    • June 2023
    • May 2023
    • April 2023
    • March 2023
    • February 2023
    • January 2023
    • December 2022
    • November 2022
    • October 2022
    • September 2022
    • August 2022
    • July 2022
    • June 2022
    • May 2022
    • April 2022
    • March 2022
    • February 2022
    • January 2022
    • December 2021
    • November 2021
    • October 2021
    • September 2021
    • August 2021
    • July 2021
    • June 2021
    • May 2021
    • April 2021
    • March 2021
    • February 2021
    • January 2021
    • December 2020
    • November 2020
    • October 2020
    • September 2020
    • August 2020
    • July 2020
    • June 2020
    • May 2020
    • April 2020
    • March 2020
    • February 2020
    • January 2020
    • December 2019
    • November 2019
    • October 2019
    • September 2019
    • August 2019
    • July 2019
    • June 2019
    • May 2019
    • April 2019
    • March 2019
    • February 2019
    • January 2019
    • December 2018
    • November 2018
    • October 2018
    • September 2018
    • August 2018
    • July 2018
    • June 2018
    • May 2018
    • April 2018
    • March 2018
    • February 2018
    • January 2018
    • December 2017
    • November 2017
    • October 2017
    • September 2017
    • August 2017
    • July 2017
    • June 2017
    • May 2017
    • April 2017
    • March 2017
    • February 2017
    • January 2017
    • December 2016
    • November 2016
    • October 2016
    • June 2016
    • May 2016
    • April 2016
    • March 2016
    • February 2016
    • January 2016
    • December 2015
    • November 2015
    • October 2015
    • September 2015
    • August 2015
    • July 2015
    • June 2015
    • May 2015
    • April 2015
    • March 2015
    • February 2015
    • January 2015
    • December 2014
    • November 2014
    • October 2014
    • September 2014
    • August 2014
    • July 2014
    • June 2014
    • May 2014
    • April 2014
    • March 2014
    • February 2014
    • January 2014
    • December 2013
    • November 2013
    • October 2013
    • September 2013
    • August 2013
    • July 2013
    • June 2013
    • May 2013
    • April 2013
    • March 2013
    • February 2013
    • January 2013
    • December 2012
    • November 2012
    • October 2012
    • September 2012
    • August 2012
    • July 2012
    • June 2012
    • May 2012
    • April 2012
    • March 2012
    • February 2012
    • January 2012
    • December 2011
    • November 2011
    • October 2011
    • September 2011
    • August 2011
    • July 2011
    • June 2011
    • May 2011
    • April 2011
    • March 2011
    • February 2011
    • January 2011
    • December 2010
    • November 2010
    • October 2010
    • September 2010
    • August 2010
    • July 2010
    • June 2010
    • May 2010
    • April 2010
    • March 2010
    • February 2010
    • January 2010
    • December 2009
    • November 2009
    • October 2009
    • September 2009
    • August 2009
    • July 2009
    • June 2009
    • May 2009
    • April 2009
    • March 2009
    • February 2009
    • January 2009
    • December 2008
    • November 2008
    • October 2008
    • September 2008
    • August 2008
    • July 2008
    • June 2008
    • May 2008
    • April 2008
    • March 2008
    • February 2008
    • January 2008
    • December 2007
    • November 2007
    • October 2007
    • September 2007
    • August 2007
    • July 2007
    • June 2007
    • May 2007
    • April 2007
    • March 2007
    • February 2007
    • January 2007
    • December 2006
    • November 2006
    • October 2006
    • September 2006
    • August 2006
    • July 2006
    • June 2006
    • May 2006
    • April 2006
    • March 2006
    • February 2006
    • January 2006
    • December 2005
    • November 2005
    • October 2005
    • September 2005
    • August 2005
    • July 2005
    • June 2005
    • May 2005
    • April 2005
    • June 202
    • May 202

    Links

    Disclaimer

    This site is intended to educate the public on hair loss topics based on personal experience and opinions from Dr. William Rassman and contributing physician editors. Information provided on BaldingBlog.com should not be used for the purpose of medical diagnosis or treatment.

    Scroll to top