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Debunking the Myths About Hair Loss

Legend has it that Samson, the biblical hero, needed his hair to give him his strength. After his hair loss, Samson was said to have lost his superhuman power. Although this tale has no basis in reality (no, your hair does not give you power), the Samson story may have added to the myth that long, thick hair was proof of virility and fertility. While most people know that the hair on your head is not directly related to your strength and power, there are other hair myths that remain. In this article, we’ll focus on debunking the myths of hair loss and affirm some facts along the way.

What Are the Facts & the Myths About Hair Loss?

Losing your hair can be caused by a myriad of factors, so preventing hair loss takes a multi-pronged approach. One example is a person’s diet. While specific vitamins and minerals are necessary for healthy hair, a poor diet won’t make you bald. It can, however, cause your hair to start thinning. Using the right hair products, consuming hair-friendly nutrients, and taking a proactive approach to hair growth, to prevent hair loss, can even help regrow your hair. Let’s explore seven common myths about hair loss.

1. Your mother is the reason for your hair loss.

The myth that you inherit baldness from your mother is false, at least half the time. While it’s true that genetics play a major role in male pattern baldness and female pattern baldness, you can inherit the condition from either of your parents. Androgenic alopecia, for example, is a hair loss condition with strong genetic links. But where that genetic link comes from is not that easy to explain.

For example, men get their X chromosome from their mother and the Y chromosome from their father. And although the gene most associated with baldness – the AR gene – is found on the X chromosome, there are 63 other genes responsible for hair loss. You may be surprised that only six of those genes are on the X chromosome. So, you might blame your mother for a lot of things during therapy, but hair loss shouldn’t be one of them! (01)

2. Baldness only happens with age.

Middle-aged adults do not have a monopoly on hair loss. Studies show that about 16% of young adult males ages 18 to 29 have moderate to severe hair loss, so losing hair can happen at any age. Some men can start losing hair in adolescence.

People who have a genetic predisposition to hair loss start losing hair as early as their teens or twenties, decades before most people expect the loss to occur. The signs are there decades before they may notice. So, if you suspect you might be losing your hair, it’s always advisable to consult a professional as soon as possible.

3. Hair suffocates under a hat.

Some people will tell you that wearing a hat leads to hair loss because headwear can “suffocate” your hair. First of all, your follicles and hair strands do not breathe. Therefore, you can’t suffocate the hair off your head.

You can, however, experience traction alopecia if your hat or hairstyle constantly pulls at your hair. Over time, repeated pressure or friction may lead to hair follicle damage or hair loss. In addition, a tight fit can restrict blood flow if worn daily, which may prevent vital nutrients from getting into hair follicles. While wearing a hat is fine, make sure to wear one that’s not constricting or abrasive to your scalp.

4. Only men experience severe hair loss.

Hair loss, even balding, is not a condition isolated to men. According to the American Academy of Dermatology, women also struggle with hair loss. Because, for all genders, the cause is typically genetic. Also, both men and women see thinning hair with age. The difference is how the person loses their hair. (02)

Men tend to lose hair in a very specific area, like at the hairline or the top of the head. On the other hand, women lose hair evenly and diffusely throughout the scalp. And, unlike men, women have historically had more options to disguise their hair loss in the form of wigs, weaves, and other cosmetic measures to cover baldness. In short, women also experience severe hair loss — albeit with significant differences.

4. Stress causes baldness.

Does stress cause baldness? This myth is a little tricky. While stress by itself doesn’t cause baldness, it does cause hair loss. Telogen effluvium, a common hair loss condition, occurs due to severe and persistent stress. Anything from job loss to illness can trigger a stress response, which may result in hair loss.

Telogen effluvium is also known as “club hair” due to the shape of hairs at the root. Hair loss happens throughout the head and does not typically cause complete baldness. The condition can impact any person at any age as long as they’ve experienced significant stress or sickness. Fortunately, in most cases, hair loss during telogen effluvium grows back after the stress has resolved. (03)

5. Men who go bald have too much testosterone.

Although it may provide some comfort to think you’re losing your hair because you’re too manly, the truth is not that simple. Elevated levels of testosterone do not lead to baldness. However, testosterone does play an indirect role when it comes to hereditary hair loss.

Dihydrotestosterone (DHT) is a sex hormone that’s converted from testosterone. Hair follicles are affected by DHT. And some people are genetically inclined to have follicles that are exceptionally sensitive to the hormone, causing hair follicles to shrink in size and unable to grow healthy hair. (04) To combat the conversion of Testosterone into DHT, you need a custom hair treatment that targets the hormone.

6. Certain hairstyles will cause you to go bald.

Your mousse and gel routine will not cause baldness, no matter how many bottles of product you go through. That said, some hairstyles may cause your hair to thin. For example, heated hair tools and tight braids can cause breakage, causing thinner hair. Once stopped, however, hair typically grows back normally.

Coloring, bleaching, or perming your hair also does not cause you to go bald, though it may damage the hair and lead to thinning. In most cases, the hair grows back once the coloring or perming ends. Remember, any hair products that cause severe scalp injuries can result in permanent bald patches.

7. Brushing your hair will encourage hair growth.

The myth about brushing your hair 100 times before bed stems from a time when hair conditioner wasn’t available to the masses. In the past, women (and some men) spread hair oils throughout the scalp by brushing repeatedly. This activity kept hair from becoming dry and brittle.

These days, the right shampoo and conditioner do the job that brushing used to do. Maintaining clean hair and a healthy scalp prevents hair loss. Brushing your hair too much, on the other hand, causes breakage and hair loss. While it won’t make you go bald, it may thin out your hair. (05)

The Truth About Hair Loss

Throughout history, hair has always had a mystical quality. Whether it’s the lock of hair placed into a boiling cauldron or Samson’s powerful mane, humans have always assigned myths to hair. Now that we’re done debunking the myths of hair loss, you know your hair isn’t magical — hair growth comes down to science.

Happy Head takes the mystery out of hair loss. All of our doctors are board-certified dermatologists specializing in hair growth. Our proprietary hair growth formula and hair care products were developed by world-renowned hair loss pioneers: Dr. Ben Behnam and Dr. Sean Behnam. Looking to prevent hair loss or regrow your hair? Take the questionnaire and get started your customized hair loss program today.

Resources:

(01) https://www.healthline.com/healtnetics-of-balding
(02) https://www.aad.org/public/diseases/hair-loss/causes/18-causes
(03) https://www.ncbi.nlm.nih.gov/books/NBK430848/
(04) https://www.medicalnewstoday.com/articles/68082#Hair-growth-and-hair-loss
(05) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5419032/

What the Experts Know About Alopecia

Did you know that dermatologists treat more than just skin issues? During their twelve-plus years of training, dermatologists are also taught how to diagnose and treat patients’ hair and nail conditions. That’s why a licensed dermatologist should be your first stop if you’re experiencing hair loss that seems more than the norm. Yes, it’s possible that Covid-19 or the flu temporarily shocked your hair, and it will grow back on its own. However, some types of hair loss require attention. If that’s the case, you don’t want to risk losing valuable time and hair when you could be in treatment.

So, if seeing hair everywhere but on your head is stressing you out, go ahead and schedule an appointment. Don’t have time to head to an office? Take our online questionnaire and we’ll match you with a dedicated dermatologist to help answer your questions. Don’t worry about your dermatologist thinking you’re crazy or an alarmist. They have seen it all. Meanwhile, here’s a sneak peek at what expert dermatologists know about alopecia and what may be in store for you.

Alopecia is a Broad Term

Type “alopecia” into Google, and what comes up? Lots of results on alopecia areata. Alopecia areata is one very specific type of alopecia (we’ll talk more about it in a minute). However, there are many different types of alopecia, ranging from there’s nothing you can do but wait for your hair to grow back to it’s time to get on some medication. Alopecia is more of a finding than an actual condition. The word is used by professionals whenever there is some disorder causing hair loss. If you’re losing facial hair, that’s considered alopecia too. So, if your dermatologist uses the word alopecia, don’t worry. It’s a broad term that encompasses many types of hair loss.

There Are Different Types of Alopecia

Hair loss is not one-size-fits-all. Symptoms and treatments vary based on what type of alopecia you are experiencing. Here’s a primer to help you understand what your dermatologist may look for during your consultation.

Temporary Hair Loss

Finding hair everywhere but on your head can be upsetting. Before you plan for the worst, though, consider this. Not all hair loss is permanent. Certain medications, illnesses, surgery, and even ultraviolet rays from the sun disrupt your hair’s growth cycle and cause a condition called telogen effluvium. Telogen effluvium is self-limiting, which means that peace will be restored to your scalp once the trigger is removed.

Insider Advice: Although hair usually grows back on its own within six months to a year, the waiting game can feel long. Supplements, thickening shampoos, conditioners, and regular trims can help support healthy hair growth while you wait.

Genetic Alopecia

Have you ever heard of androgenetic alopecia? Maybe not, but you’re probably familiar with Male and Female Pattern Baldness (MPB or FPB) which is the same thing. But wait! Isn’t that something that only happens to old people? Well, not exactly. Anyone who has gone through puberty can experience male or female pattern baldness, a form of genetic hair loss. As a matter of fact, many people who experience MPB or FPB realize that they started losing their hair before the age of 40. (01) Androgenetic alopecia is inherited through your family tree and occurs when testosterone converts to a substance called Dihydrotestosterone (DHT). DHT attaches to your hair follicles and gradually shrinks them until they close up. Hair falls out in easily distinguishable patterns that can be compared to a Norwood-Hamilton Scale to determine the extent of your hair loss.

Insider Advice: Don’t fall for any “grow hair fast” gimmicks. The most effective way to strengthen and regrow your hair is by using vasodilators and prescription DHT blockers. Topical or oral Minoxidil, Finasteride, Dutasteride, and Spironolactone are all good options. Don’t expect miracles overnight, though. You’ll need to be patient. It takes six months to a year to see results.

Autoimmune Hair Loss

Autoimmune diseases occur when your body mistakenly attacks healthy cells in your body. When your hair is involved, your hair follicles are attacked, leaving you scrambling to find ways to fight inflammation that blocks your hair follicles’ openings. Autoimmune hair loss falls into two different categories: Non-scarring and scarring. Alopecia areata is a non-scarring alopecia. Hair falls out in sporadic round or oval patches on the scalp. In some alopecia areata cases, hair will spontaneously grow back on its own.

Scarring alopecias behave differently and do what their name indicates. Scars grow over the hair follicles and close them off, leaving doctors and patients to play a game of beat the clock. The goal is to keep hair follicles open and to preserve existing hair before the hair follicles are shrunken to the point where they are closed off.

Insider Advice: Autoimmune hair loss can be tricky to manage. What works for one person may not work for another. Treatment may also require multiple medications. Be patient through the trial process while your dermatologist determines which combination of medications works best for you.

Facial Hair Loss

If you’re losing facial hair, it’s nothing to be ashamed of. It’s a real thing called alopecia barbae, and it’s usually autoimmune related. Alopecia barbae can cause hair to fall out in small round patches in men’s beards or mustaches. Hair can spontaneously regrow, or patches may stick around for a while. It’s difficult to predict the condition’s path.

Insider Advice: Don’t feel like you have to live with facial hair loss. Many of the treatments used to treat scalp hair loss can be used on your face too. These treatments may include steroids, topicals such as Minoxidil, or, in extreme cases, a class of medications called JAK inhibitors that calm the immune system.

Give Yourself Time to Grieve, Then Move On

It’s only natural to go through a grieving process, regardless of the type of alopecia you’re battling. For some people like Congresswoman Ayanna Pressley, hair can be part of your “brand,” something you’re known for. When that hair is gone, you can feel like you’re losing part of your identity. That’s completely normal. Although nobody wants to have any form of alopecia, keep in mind that the awful feeling you get during your diagnosis won’t last forever. Over time, you and the people surrounding you will get used to your new look.

If you have difficulty accepting your new normal, try giving yourself a time frame. Say something like, “Self, it’s been a while since I’ve been happy. ’m giving you one more week to be down in the dumps, and then I’m making an appointment for a new haircut. Then, I’m moving on.” If that doesn’t work for you, a support group or counseling may be what you need to get in the right frame of mind.

So let’s recap what experts know about alopecia. You’d be surprised how many people suffer from hair loss before consulting a dermatologist. If you think your hair is thinning or balding, get an expert opinion. Your hair woes may be nothing to worry about, or there may be something that can be treated. You won’t know unless you talk with a professional.

Tight on time? Happy Head can help. Our board-certified dermatologists are available to help answer your pressing questions and help you regrow your hair. Remember one-size-fits-all treatments are a thing of the past, so let’s create a custom treatment that’s formulated to your needs. Fill out our short questionnaire and add a few photos to get started.

Resources

(01) https://pubmed.ncbi.nlm.nih.gov/9865198/

Your Comprehensive Guide to Oral Minoxidil

If you are dealing with male or female pattern baldness, you’ve probably spent hours researching regrowth options for your hair. And, you probably learned about Minoxidil topical foams and liquid solutions. At Happy Head, we’ve created your comprehensive guide to Oral Minoxidil to answer all of your questions on your search. Two and five percent Minoxidil is sold at pharmacies and other retailers under the name Rogaine and by prescription in higher doses. You may have even given it a try.

But, you may not be aware that Minoxidil is also available as a pill. It’s only available by prescription, and it’s not advertised. A lot of people don’t know about it. But, they should. Some people who don’t respond to topical Minoxidil may have success with oral Minoxidil. Here’s everything you need to know about oral Minoxidil and how it works.

Oral Minoxidil Was the First Hair Regrowth Treatment

Back in the ‘70s, Minoxidil was only available in a pill format. Neither topical foam nor liquid existed. Here’s the background.

Minoxidil tablets were initially designed to treat high blood pressure. The medicine is a vasodilator that opens up the blood vessels and relaxes artery walls. During testing for hypertension, researchers discovered that one of the (not so) adverse effects was hypertrichosis, excessive hair growth. More testing ensued, word spread, and dermatologists began prescribing Minoxidil pills to treat their patients with male and female pattern hair loss.

In 1987, topical Minoxidil was developed and quickly became the go-to treatment for androgenetic alopecia and other types of hair loss. As topicals took off, the pills fell by the wayside. After all, topicals didn’t require a prescription. Everyone seemed to forget that pills were even an option to treat hair loss.

Oral Minoxidil Works, But Don’t Ask Anyone to Explain Why

Even today, doctors have yet to learn exactly why Minoxidil works. One hypothesis is that the medication increases oxygen and blood flow to the hair follicles. When that happens, the hair growth cycle’s anagen (growth) phase is prolonged and the telogen (resting) phase when your hair falls out is reduced. (01)

If you take the oral Minoxidil route, the odds of it working are favorable. In a study of over 19,000 people taking low doses of Minoxidil from .25 to 5 milligrams once or twice per day, 61 to 100 percent of participants saw significant improvement after taking oral Minoxidil. (02)

What’s also interesting is that oral Minoxidil may work when topical Minoxidil doesn’t. Here’s why. Many people have an enzyme called sulfotransferase. Sulfotransferase wakes up your hair follicles and activates Minoxidil. When people don’t have that enzyme in their hair follicles, they don’t respond to topical Minoxidil. However, those same people do have sulfotransferase in their livers, which means that people may respond to oral Minoxidil when they don’t respond to topical Minoxidil. (03)

Oral Minoxidil is Used to Treat Many Hair Loss Conditions

Dermatologists prescribe oral Minoxidil to treat various hair loss conditions, most commonly male and female pattern hair loss (androgenetic alopecia). Oral Minoxidil is also used for other types of non-scarring alopecia, including alopecia areata, traction alopecia, anagen effluvium, and severe telogen effluvium.

Here are the Reasons Why You May Want to Consider Oral Minoxidil

Why do people choose the oral route if topical Minoxidil is also an option? There are a few reasons. Topical Rogaine can sometimes contain propylene glycol, which can be irritating. Removing the ingredient can help, but people still sometimes develop a rash or an allergy. In this case, oral Minoxidil may be a better option. Pills are also an option if you’ve already tried topical Minoxidil for at least six months and the growth isn’t meeting expectations. Lastly, some people find that topical Minoxidil dries their hair changing the texture and causing breakage. Oral Minoxidil alleviates the issue.

1. Minimal Side Effects

Taking an oral medication designed for hypertension can seem scary. You don’t want to trade off one problem for another, especially when the issue you are trying to address is cosmetic. Not to worry. Minoxidil doses prescribed for hair loss are so low side effects are rare. Here’s what people have experienced:

Hypertrichosis – When oral Minoxidil makes your hair grow, it doesn’t distinguish between the hair on your head, body, or face. It can make all of your hair grow. Yes, it’s an annoying side effect, but it can easily be managed. Men usually aren’t as bothered as women, but hair removal (ironic, right?) and dosage adjustments are quick fixes if necessary.

Shedding – Yes, it’s true that just like topical Minoxidil, oral Minoxidil can also cause temporary shedding when first using the medicine. The reason why is that Minoxidil adjusts your hair’s growth cycle. If shedding occurs, it’s best to continue taking your oral Minoxidil as prescribed. Shedding usually happens within the first six weeks and resolves after four weeks.

Low Blood Pressure – Minoxidil is prescribed at much higher doses (10-40 milligrams) to control high blood pressure. Even though much lower doses are used to treat male and female pattern baldness, it is possible, yet not typical, for people to experience dizziness due to low blood pressure. If that happens, contact your dermatologist, who can adjust your dosage.

Other side effects may include swollen ankles, fluid retention, headaches, and a fast heart rate. Keep in mind that less than two percent of people using oral Minoxidil experience side effects, so the likelihood that you will have these or other symptoms are low. (04)

2. Keep Track of Your Blood Pressure and Heart Rate

Although it’s not likely that you will experience side effects from taking oral Minoxidil, some people do experience fluctuations in blood pressure, even at low doses. As a precaution, purchasing and using a home blood pressure monitor is a good idea. Take readings before you begin the medication and check again once each week. It’s a good idea to track the readings, keep a chart, and bring the results to appointments.

3. It’s Inexpensive

If you have health insurance with a prescription plan, oral Minoxidil is usually covered. If not, the retail cost is low. Depending upon where you fill your prescriptions, a 30-day supply of oral Minoxidil can cost less than seventy-five cents per pill.

4. It’s Easy to Take

Topical Minoxidil works well for many people without any issues. However, some people find that topical Minoxidil can cause irritation or be difficult to apply. Minoxidil works on the scalp, but the foam sometimes gets stuck in the hair. Liquids can be runny. Oral Minoxidil only requires one or two daily low-dose pills without any hassle or mess.

5. Low Doses are Available

As mentioned, the amount of Minoxidil necessary to treat male or female pattern baldness is significantly less than what’s required to treat high blood pressure. Whereas 20 to 40 milligrams are prescribed to treat hypertension, a range of .25 to 1.25 milligrams is often prescribed for androgenetic alopecia. If necessary, a 2.5-milligram tablet can easily be cut into quarters or halves with a pill cutter. Men sometimes take higher doses than women.

6. Can Be Combined with Other Hair Loss Medications

Always check with your doctor before combining medications, especially if you use other medicines that affect your blood pressure. That said, it’s generally safe to take oral Minoxidil with DHT blockers such Finasteride or Dutasteride like in our SuperCapsule™. Oral and topical medications can be combined as well. Research indicates that using Minoxidil and DHT blockers simultaneously leads to effective results. (05)

7. Take it Under a Doctor’s Care

You may not be aware of situations when it’s not safe to take oral Minoxidil. That’s why it’s important to have a doctor supervising your treatment protocol. You want to avoid aggravating drug allergies, liver conditions, adrenaline dysfunction, heart conditions, and other health issues.

8. It Isn’t a Quick Fix or a Hair Loss Cure

Like topical Minoxidil, oral Minoxidil is a long-term commitment. Once you stop taking Minoxidil pills, you can lose new hair growth. That’s why it’s important to use the medication under the supervision of a licensed dermatologist and be consistent.

9. Be Sure to Keep Your Follow-up Appointments

If you begin an oral Minoxidil protocol, it’s important that you follow up with your provider as he or she recommends. Initially, you may need to schedule appointments every three months. Once your dose is established and stable, you may only need to see your doctor every six months to a year.

Now that you know the benefits of oral Minoxidil, you may wonder if it’s right for you. That’s where we come in. Thanks to telemedicine, you can consult with one of our board-certified dermatologists without ever visiting an office or pharmacy. We’ll review your medical history and get a better understanding of the type of hair loss you’re experiencing. If oral Minoxidil is the way to go, we’ll ship your prescription in discreet packaging directly to your door.

Resources:

(01) https://www.aad.org/dw/dw-insights-and-inquiries/archive/2022/low-dose-oral-minoxidil-alopecia

(02) https://www.aad.org/dw/dw-insights-and-inquiries/archive/2022/low-dose-oral-minoxidil-alopecia

(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691938/

(04) https://pubmed.ncbi.nlm.nih.gov/33639244/

(05) https://cosmoderma.org/combination-therapy-with-oral-minoxidil-and-dutasteride-in-the-treatment-of-male-patterned-baldness-a-case-report/

Tips for Battling Female Pattern Hair Loss

Ladies, raise your hand if you’ve ever expected your hair to start thinning. Or even worse, fall out altogether. Nope, it probably wasn’t in your master plan. It certainly wasn’t in mine. So when I started seeing more and more of my ghostly white scalp shining through my rapidly widening part line, I did what any normal, rational woman would do. I started obsessing over my hair. To avoid what I went through, I put together my top tips for battling female pattern hair loss.

Obsessing Over Your Hair is Stressful

I’m sure friends and family started to notice it, but I was so focused on it that it stressed me out. There had to be something I could do. So, I went down a rabbit hole searching for answers. I wish I had a quarter for every hour I spent Googling “female pattern hair loss” and shopping for products to help me grow my hair back. I even started searching for photos of women who shaved their heads to get an idea of what I might look like in the future. And of course all of the stress had an affect on my hair loss and thinning.

You Will Learn to Live With a New Normal

I started treatment recommended by my dermatologist, and I let my hairdresser experiment with a new style he had been trying to convince me to try. Life slowly returned to my new normal, and I stopped dwelling on my hair. Yes, Finasteride and Minoxidil will be a permanent part of my daily routine, but my hair no longer rules my thoughts. Now that I know what I know, I would do things much differently. Here’s what I learned about coping with female pattern hair loss.

1. Get Diagnosed Early

If you think you’re losing more hair than you used to, you probably are. Don’t second guess yourself, and don’t worry about whether your dermatologist will think you’re crazy. Get an appointment ASAP.

If you have female pattern hair loss, you need to start treatment while the hair follicles are still viable. If you’re new to this hair loss rollercoaster, here’s what that means. Even though you’re a woman, your body produces a small amount of testosterone. In genetically predisposed women, some of that testosterone converts to a hormone called Dihydrotestosterone (DHT). DHT invades your hair follicles and shrinks them. Over time, the hair follicles can completely close up. So, you want to begin treatment while there’s still an opportunity to keep the hair follicles open and capable of producing new hair.

2. Don’t Overthink Your Treatment Plan

After confirming that you do indeed have female pattern hair loss, your dermatologist recommended using Minoxidil to enlarge your hair follicles and Spironolactone to block DHT from adhering to your follicles. She also told you that Retinol would help with absorption, and cortisone is available to treat any irritation you might get. What do you do? Run to the nearest compounding pharmacy to pick up your prescriptions?

Probably not. If you’re like many women, you start researching and reading. And, the more you read, the more apprehensive you get. Dread shed, dizziness, a lifelong commitment… before you know it, the list of cons piles up. Voice of reason here. Don’t go down that path. Take a deep breath and listen to the trained medical professional who has treated countless patients before you.

There are pros and cons to every medication. The truth is that every person responds differently to each treatment. You won’t know what treatments will work best to regrow your hair until you take the plunge and try them. Just because someone on social media didn’t respond to Minoxidil doesn’t mean you won’t. Just because Spironolactone made your best friend’s cousin feel nauseous doesn’t mean that it will happen to you. Dive in and hope for the best. Who knows, you may be the one on Facebook sharing your success story.

3. Be Patient

Waiting for your hair to grow back is really hard. You desperately want to look like you used to, and you have zero control over your hair’s growth. So, you wait. And wait. For sure, you’ll have a full head of hair again soon, right? Doesn’t it just take a few weeks? Not exactly. It takes about six months to a year to see results.

Even then, you may not realize how much progress you’ve made. It’s difficult to notice the changes when you see yourself in the mirror every day. The only way I knew that my hair was growing was because my dermatologist took photos every time I had an appointment. If your dermatologist doesn’t take photos, consider taking your own each month. Make sure you take pictures from the exact same spot and angle each time. That way, you have a solid comparison over time.

4. Be Open to Change

It’s been six months, and you aren’t getting the results you wanted. Your dermatologist isn’t ready to give up yet, though. Neither should you. As mentioned earlier, female pattern hair loss treatment can look different for every woman. You won’t know ahead of time what mix of medications will do the trick, and it may take some trials to figure it out.

There are a few different DHT blockers available. Switching from one to another isn’t a big deal. The formulas are different, and one may work better with your body’s chemistry. Here’s an example. If Finasteride isn’t strong enough, there’s always Dutasteride. Finasteride, which inhibits one type of enzyme responsible for converting testosterone to DHT, is usually the first-line medication because it’s pretty effective. If that doesn’t work, your dermatologist can prescribe Dutasteride which inhibits two enzymes. The moral of the story is to keep an open mind and be willing to experiment.

5. Have Realistic Expectations

Remember that treating female pattern hair loss means helping your hair follicles function as well as they possibly can, given the circumstances. Your hair may or may not look like it did five years ago. I was fortunate that my hair responded well to treatment. People who meet me can’t tell that I’ve experienced hair loss. However, since I didn’t get treatment immediately, the follicles closed off in a small spot on my scalp. Over the years, I’ve had to accept that it won’t come back. So, I cut a few layers to camouflage it.

Other people I know who were able to get enough growth to make their hair look fuller still use a little root cover-up on their part lines. It’s easy to apply and looks natural. You can’t tell it’s make-up. If you’re realistic about what medications can do for you, you’ll be more satisfied with the results. You may not end up with a supermodel’s hair, but you can still look and feel like one.

Staying calm when you’re losing your hair is not an easy feat. Hopefully, these tips will help you cope and feel confident about your decisions. If you need another opinion, Happy Head is here to help.

We have board-certified dermatologists licensed in every state to help women like you get the right treatment for your female pattern hair loss. Fill out our online questionnaire and schedule a FREE phone consultation to get started and regrow your hair today.

Is it Too Late to Treat Your Hair Loss?

If your hairline has already significantly receded or has severely thinned throughout, you might wonder is it too late to treat your hair loss? Are hair treatments still worth the trouble if you’ve already lost most of your hair? Before answering those million-dollar questions, let’s review some basic information about hair loss.

Your Hair’s Growth Cycle

At a glance, it may appear as though a full head of hair grows at the same rate. However, the truth about hair growth is more complex than it seems. Healthy strands of hair grow under a definite growth cycle consisting primarily of three phases; the anagen phase, the catagen phase, and the telogen phase (01). Let’s walk through each to help you find out if it’s too late to treat your hair loss.

1. Anagen Phase

The anagen phase is also known as the “growth phase.” About 90% of a full head of hair is in the anagen phase at any given time. This phase lasts the longest of any growth phase, lasting 3 to 5 years. Hair can sometimes remain in the growth phase for almost seven years. During the anagen phase, hair follicles push the hair out until the strand reaches the end of its lifespan.

2. Catagen Phase

Once the anagen phase ends, the catagen phase begins. Unlike the growth phase, the catagen phase, also known as the transition phase, only lasts about ten days. During this time, hair growth slows down, and the hair follicles shrink. The strands become disengaged from the base of the follicles but still remain in the same spot.

3. Telogen Phase

The telogen phase is also called the resting phase because it’s during this time that very little activity occurs for three to four months. At the end of this phase, hair naturally falls out. Sometimes, the natural process of shedding hair at the end of the telogen phase is called the “exogen phase.” The average person typically loses about 100 hairs daily. After the hair falls out, new hair growth appears, and the cycle starts over again.

As you can see, excessive hair loss is not a normal part of the body’s hair growth cycle. If a disruption occurs within any of these three phases, problematic hair loss can result. But is it too late to treat your hair loss? Depending your personal hair growth cycles and the type of hair loss patterns you’re experiencing, let’s find out why disruption occurs.

Why Are You Losing Your Hair?

Because your hair’s growth cycle plays such a significant role in the health of your hair, it’s essential to figure out at which point in the growth cycle is seeing a disruption. Many factors can lead to hair loss, but where in the growth cycle a change occurs can determine whether:

You experience hair thinning
Hair falls out gradually or suddenly
Your hair can regrow on its own

For example, a severe illness or stress lasting a few months or more can lead to telogen effluvium. With telogen effluvium, the anagen phase is cut short. Therefore, a more significant portion of the hair enters the telogen phase simultaneously, causing sudden and diffuse hair loss. Hair may regrow on its own after the illness or stress has passed (02). However, in some cases, hair restoration may be necessary.

In much the same way, disrupted hair growth can also lead to hair loss. For example, an unhealthy diet or reduced blood circulation can deprive hair follicles of oxygen and nutrients. Without enough sustenance, hair growth becomes disrupted, and the anagen phase shortens. Hair may grow slowly or may never reach a desired length.

Hereditary hair loss, also known as androgenic alopecia, occurs in both men and women. In men, the more common term for this type of hair loss is male pattern hair loss or male pattern baldness. In women, it’s called female pattern hair loss (03).

With hereditary hair loss, the hormone dihydrotestosterone (DHT) injures hair follicles, shortening as strand’s anagen phase (04). In addition, the damaged follicle also takes longer to regrow hair after the telogen phase. The hair follicle becomes smaller and smaller, resulting in follicular miniaturization. These smaller follicles produce shorter and weaker hair called vellus. Sometimes, these hair follicles may not grow hair at all without assistance.

What Does Hair Loss Look Like?

Each person experiences hair loss differently. For some people, baldness develops at the top of the head. In others, baldness starts at the temples. In many others, however, hair loss is spread throughout the head, causing thinning but no bald spots. Hair loss typically occurs in the following three patterns; focal, diffuse, or patterned.

People who experience focal hair loss typically have an autoimmune disorder, like alopecia areata. This type of hair loss occurs in patchy areas on the scalp or body.
Patterned hair loss often develops in people with androgenic alopecia. People with patterned hair loss have progressive balding or thinning at the top of the scalp or the hairline.

Individuals with diffuse hair loss lose hair evenly throughout their heads. Their hair becomes thin and falls out easily. Diffuse hair loss is typically seen in cases of telogen effluvium.

It’s normal to avoid acknowledging your hair loss at first. After all, hair loss can be a traumatic and life-changing experience. So, if you’ve spent months or years watching your hairline recede or your hair thin out without any intervention, you’re not alone. Once you’ve accepted your hair loss, however, is it too late to take action?

Is There Hope for Your Hair?

For a small slice of the population, they can accept their hair loss without stress or a loss of confidence. For most people, however, hair loss is distressing. Watching strand after strand go down the drain or a bald spot grow bigger can hurt a person’s spirit and affect their mental health. Moreover, a person can feel hopeless after losing hair for some time.

Fortunately, there’s good news. To answer the question, “Is it ever too late to treat your hair loss?” The answer is…it is never too late!

It’s always possible to slow hair loss or even regrow your hair. While there’s no magic bullet to stop hair loss, there are methods that can reduce your hair loss. With the proper treatment, you can start seeing results in a few months to a year. Topical and oral medications like minoxidil and finasteride help improve hair follicles and promote hair growth.

To determine the cause of your hair loss, however, it’s best to work with a trained hair loss professional. This person can provide you with a thorough assessment and recommend how to treat your hair loss. Furthermore, working with a trained professional ensures that your treatment will not only be effective but it will also be safe.

It’s Never too Late to Regrow Your Hair

If you’re searching for a hair loss treatment that fits your needs, Happy Head is for you. We customize your treatment based on your sex, age, and medical history. Happy Head’s proprietary formula is compounded monthly and not available anywhere else.

Hair loss treatments are not one-size-fits-all, and we recognize that our products may not be the best fit for everyone. Our products also come with a money-back guarantee. So, with Happy Head, you have nothing to lose and everything to gain. Take the questionnaire today and set up a consultation with a board-certified dermatologist. It only takes a minute and we’ll formulate a custom-made topical treatment that’s easy to apply daily. We also have lots of options if you prefer an oral solution like our 3-in-1 SuperCapsule™ to help you regrow your hair and feel great about how you look. And you can get 50% off your first order when you use code GOHAIR at checkout. It’s never too late to regrow your hair with Happy Head.

Resources:

(01) https://www.ncbi.nlm.nih.gov/books/NBK499948/

(02) https://www.aocd.org/page/telogeneffluviumha

(03) https://www.aad.org/public/diseases/hair-loss/types/female-pattern

(04) https://www.mdpi.com/1422-0067/21/15/5342

How to Talk to Your Partner About Hair Loss

Talking to your partner about hair loss can be tricky. What are you supposed to say? “Have you noticed that your hairline is receding?” After all, your significant other may be embarrassed, or be ignoring the issue. They may also fall into the category of people who genuinely don’t care about their appearances. Not to mention that you don’t accidentally want your partner to question whether or not you find them attractive. Aargh. Maybe you’re better off not saying anything?

Well, that depends on your approach. If you are supportive, raising the topic can be helpful. You can help your partner feel better, and you can also help give him or her the confidence needed to get treatment. Remember, it’s not what you say, but how you say it. Let’s talk about the best way to start the discussion.

Remember that Timing is Everything

Has your partner said anything about their hair loss? Made any jokes? If so, he or she is opening the floor to a conversation. Be careful not to raise the topic out of the blue or force the conversation. Doing so may make your partner feel awkward. You want to calm any insecurities rather than fuel them. What if they don’t give you an in? They just may not be ready to talk about it. Leave the topic alone for now and see if it comes up later.

Show Empathy

If you and your partner do discuss their hair loss, keep in mind that your partner may be feeling a whole array of emotions. Getting older, no longer being desirable, and fear of losing control over one’s body can go hand-in-hand with male pattern baldness, female pattern baldness, or other types of alopecia. Yes, these emotions are real and can be challenging to overcome. After all, hair is a big part of our physical identity. It’s not uncommon to refer to a person as the “guy with the blonde spiky hair” or the “woman with the long, dark, wavy hair.”

How can you approach the topic in a way that won’t diminish these feelings? Remember that compassion goes a long way. One way to do that is to acknowledge your partner’s grief. Let them know that you understand hair loss is upsetting and that you care. Avoid statements such as “maybe it will grow back” that invalidate their feelings. You may also want to ask whether your partner wants you to just listen or if he or she wants your input. Unsolicited advice may not be welcome.

Do Your Homework

If your partner does want advice, you’ll want to be prepared. Here are a few points that will be helpful to know. First of all, the most common reason why people lose their hair is typically due to androgenetic alopecia (male or female pattern baldness). It’s a genetic condition that occurs when a person’s body converts testosterone to a substance called dihydrotestosterone or DHT. DHT attacks the hair follicles, causing them to shrink and eventually close up. Existing hair sheds and new hair fails to grow. Many people don’t realize that androgenetic alopecia can be treated.

Minoxidil, known as Rogaine, is often used to keep hair follicles open. Finasteride or Dutasteride, DHT blockers, can be prescribed and used simultaneously. If your significant other is a guy and is concerned about sexual side effects, you can tell him not to worry. Pills are what can cause side effects. Topical formulas, which are just as effective, don’t carry the same risk profile. (01) Women don’t carry the same risk profile, although Finasteride and Dutasteride should only be used by women who aren’t pregnant or thinking about becoming pregnant.

Although male and female pattern baldness is the predominant type of alopecia that men and women experience, it’s not the only type. They can also experience temporary hair loss from illnesses or stressful events, alopecia areata, lichen planopilaris, and other types of alopecia. A trip to the dermatologist is the best way to find out for sure what kind of alopecia your partner has.

Offer Reassurance

Your partner may or may not decide to seek treatment for their hair loss. No matter where they stand on the topic, it’s important to let them know that their decision is okay with you. Self-confidence is what matters.

Build a Healthy Lifestyle

Does your partner eat right, exercise, or take any necessary supplements? If not, now is the time to make lifestyle changes that can promote healthier hair. Smoking, too much alcohol, poor diet, and stress all contribute to hair loss. As a couple, you have an automatic built-in support system to improve any bad habits. As a matter of fact, couples who quit smoking together are 5.83 times more likely to succeed than when only one partner quits. (02)

Lifestyle enhancements are more fun and longer-lasting when you make them together. Cooking, going for walks, and taking bike rides not only improve hair health but are also nice bonding opportunities. And, what’s more romantic than reading the back of protein powder labels together? Well. maybe that one doesn’t top your list of date night activities, but it is a good learning opp for both of you. (If you aren’t familiar with the benefits of protein powder for hair loss, check out Dr. Ben Behnam’s segment on Gillian Lockitch’s Growing Older Living Younger podcast.)

Help Step Up Their Style Game

Some people are into fashion, and some aren’t. If your significant other is open to some subtle (or not so subtle) changes, this may be the time for a new hairstyle or a shopping trip. A good barber or hair stylist will know what styles best camouflage bald spots or make thinning hair look thicker. The right clothes can strategically direct attention away from hair. Not to mention that a fresh cut, jeans that fit just right, or a new dress can do wonders for a person’s confidence.

Be There When They’re Ready

It’s no secret that many people would rather be anywhere other than a doctor’s office. If your partner falls into this category, that’s okay. See if they would like you to accompany them to their appointment. If not, don’t feel slighted. It’s not you, they may just prefer to go solo. If he or she is really skittish, telemedicine may be a better option. They can consult with a board-certified dermatologist and hair specialist from the comfort of their own home. Prescription medications can now be prescribed through telemedicine, and orders can be delivered in discrete packages directly to their front door.

Hopefully, by now, you’ve learned that you don’t have to be a psychologist to help your partner deal with his or her hair loss. You just need to be a good listener and offer helpful advice when wanted. You have the opportunity to be the voice of reason. The initial shock will wear off over time and your partner will either accept their fate or fight it. Remember, Happy Head is here to help. Contact us if you’d like more information about male pattern hair loss or how to get the strongest FDA-approved prescription medications delivered directly to your door.

Resources:

(01) https://pubmed.ncbi.nlm.nih.gov/34634163/#:~:text=Conclusion%3A%20Topical%20finasteride%20significantly%20improves,impact%20on%20serum%20DHT%20concentrations.

(02) https://cardiovascularbusiness.com/topics/clinical/vascular-endovascular/quitting-smoking-easier-couples-try-together#:~:text=At%20the%20end%20of%20the,partner%20was%20attempting%20to%20quit.

What Every Man Should Know About Male Pattern Baldness

Close your eyes and visualize a middle-aged guy. What do you see? Maybe a few distinguished worry lines? A slight bulge around the middle saying, “Hey, go back to the gym”? A receding hairline or a shaved head? Whoa, stop right there. Do all men go bald? Is that really your fate too?

While it’s true that data indicates over 50 percent of men have extensive hair loss by the age of 50, there are ways to avoid becoming part of that statistic. (01) There are many reasons why men go bald, and more effective treatments are available than ever before. If you’re a guy worried about losing your hair, read on. This one’s for you.

Why Do Men Go Bald?

If you find sacred strands of hair scattered in your sink every time you comb or brush, you may wonder why. Do you have a rare disease? Are you using your cell phone too much? Are there toxins in your water? Most likely not. The explanation is much simpler than you would think.

Most Guys Are Genetically Predisposed to Hair Loss

Genetics is the most common cause of hair loss among men. (02) If a family member on your mother or father’s side has experienced hair loss, you may have inherited a baldness gene that causes male pattern baldness. Let’s talk about what that means.

Male Pattern Baldness is a Type of Alopecia

Because of your genetic make-up, an enzyme called 5a reductase converts testosterone naturally found in your body to a substance called Dihyrotestosterone (DHT). DHT tells your hair follicles, “Hey, there’s an invasion. Close up shop and hunker down.” The hair follicles shrink, and healthy new hair can no longer grow.

What About Genetic Testing?

Are you thinking, “No problem, there’s genetic testing for just about everything these days, right?” If so, it’s true that genetic tests for androgenetic alopecia (aka male pattern baldness) exist. The only catch is that they aren’t quite perfected yet. So, what can you do if you think your hair loss has a genetic link?

First, consult with a licensed dermatologist who specializes in hair loss. If you’re anti-doctor and procedure-phobic, don’t stress. Male pattern baldness has specific hair loss patterns that allows diagnosis without any invasive testing. If it turns out male pattern baldness is causing thinning or recession, many treatment options are available.

Treatment Options for Male Pattern Baldness

The best way to treat male pattern baldness is to hit your scalp from different angles with various medications. One that you’ll want to consider is Rogaine. You’ve probably heard of it before. Rogaine liquid and foam is sold over the counter (OTC) to help open up your hair follicles. The generic version, Minoxidil, is sold by prescription in higher doses than what’s available OTC.

You’ll also want to use a prescription DHT blocker to prevent DHT from being produced in the first place. Finasteride and Dutasteride are the ones most commonly prescribed to men. Finasteride is effective in most men and is used as the first-line treatment. Dutasteride is a bit stronger and can be prescribed if Finasteride isn’t doing the trick. Retinol and cortisone are often added to the mix to improve absorption and prevent irritation.

Do Finasteride and Dutasteride Have Undesirable Side Effects?

Finasteride and Dutasteride are both prostate medications prescribed for men with male pattern baldness. Finasteride is FDA-approved and Dutasteride is used off-label. You may have heard friends or family members talking about the medicines. And, you may have rumors about some side effects like impotence that make you nervous.

Don’t worry, though. You don’t have to choose between your hair or your sex life. You can have both. If you’re thinking about taking oral Finasteride or Dutasteride, consider this. The percentage of men who experience side effects is really small. During Finasteride’s clinical trials, less than two percent of men taking the drug experienced side effects. (03)

If you’re worried about becoming one of the two percent, topical Finasteride or Dutasteride may be a good option. Topicals have been proven to be equally effective as oral DHT blockers (04) and don’t carry the same risk of side effects since they work at the scalp and aren’t systemic.

How do Topical Brands Compare?

It’s no great secret that the hair loss industry is booming. Prescription hair loss medications that used to only be available at a pharmacy are now available via telemedicine. Deciding which ones to use can be difficult. Are the formulas the same? Do the brands work differently? To help you answer those questions, Fin vs. Fin recently compared topical hair loss treatments based on active ingredients, ease of application, and price. Check out their review to see how industry leaders stack up.

Although Not as Common, Men Experience Alopecia for Other Reasons

Male pattern baldness accounts for most hair loss among men. However, other conditions can also cause alopecia. A small percentage of men experience alopecia due to autoimmune conditions. Alopecia areata is an autoimmune disease that causes small, round patches of hair loss. Lichen planopilaris can cause recession, smooth white patches, and an itching or burning sensation. It’s important to see your dermatologist for a diagnosis and treatment plan if you’re experiencing hair loss. If you have one of these conditions, early intervention is key to preserving your hair.

Thinning or Balding Can Be Temporary

When your body experiences sudden changes, temporary hair loss called telogen effluvium can occur. Covid, the flu, and having surgery can shock your body and cause hair in the resting state of your hair’s growth process to fall out all at once. Stress can cause the same effect. If continual conflicts at home or work burnout is an issue, finding ways to cope will help. You may also want to get your vitamin levels checked. Vitamin D and iron deficiencies can also lead to temporary hair loss.

So, let’s recap. Even if you are predisposed to balding, there are ways to preserve your hair. Get checked out by your dermatologist to determine the cause and know that treatments are available. If you need advice, we’re here to help. Happy Head has licensed dermatologists in every state who are available to answer your questions. We also offer tested hair growth pills, topicals, shampoo, conditioner, and supplements developed by hair loss specialists Dr. Ben and Sean Behnam.

Resources:

(01) https://pubmed.ncbi.nlm.nih.gov/9865198/

(02) https://pubmed.ncbi.nlm.nih.gov/16127116/

(03) https://pubmed.ncbi.nlm.nih.gov/9951956/

(04) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7648777/

Dealing with Hair Loss? Get These Hormones Under Control.

Here’s a fun fact: hormonal imbalances are the leading cause of hair loss. At least 50 percent of men are affected by the age of 50. (01) Ladies, this is true for you too. Those chemicals that send messages to your organs, skin, muscles, and other tissues are pretty powerful. They rule your emotions, your weight, your sleep patterns, and, yes, your hair. If your hairline is receding, or you’re starting to see bald patches on the crown of your head, it may be a sign that you need to get those hormones under control. Not sure how? Here are some tips and tricks to help.

Hormonal Hair Loss Triggers

Before we get into the nitty-gritty, let’s talk about the different types of hormonal hair loss. Not all hair loss due to hormonal imbalances is the same. Some hair loss is short-term. Once balance is restored, your hair will grow back. Other types are a bit more challenging to manage. In this case, medication can help stop your hair loss and jump-start the growth process. Fortunately, great progress has been made researching and developing medications designed to treat hair loss due to hormonal imbalances. Many effective oral and topical options are now available. So, what hormones cause temporary hair loss, and which create more long-term issues?

Testosterone

We’ll start with testosterone. Testosterone is the hormone that stimulates the development of male sexual characteristics. Testosterone affects men’s sex drive and sperm production. It also plays a role in bone and muscle mass, fat storage, blood cell production, and mood. Women also produce testosterone, but in much smaller amounts.

Typically, about ten percent of testosterone in men and women converts to an androgen called dihydrotestosterone (DHT) due to an enzyme called 5-alpha reductase (5-AR). Once DHT flows through your bloodstream, DHT attaches to the receptors on your hair follicles. The hair follicles then shrink, making your hair thin and eventually fall out, causing what’s known as male or female pattern hair loss.

Solution: Successfully treating male or female pattern hair loss often takes a multi-faceted approach. Enlarging the hair follicles while blocking the testosterone from converting to DHT is usually the best strategy. It can, however, take some trial to determine which medications and strengths are most effective for each person. Minoxidil is often used to open the follicles. Commonly used DHT blockers include Finasteride, Dutasteride, and Spironolactone. All of these medications are available in oral or topical formulas. Many people prefer topicals since they eliminate the risk of systemic side effects.

Cortisol

Who isn’t stressed out these days? Pressure at work, rising costs, and keeping peace at home can be a lot to handle. When you get stressed out, your body generates extra cortisol. Cortisol is produced and released in your adrenal glands which are located on top of your kidneys. Its job as a steroid hormone is to tell your body, ”Hey, you need to chill out!” When your cortisol level gets high, it can reduce the synthesis and speed up the breakdown of hyaluronic acid and proteoglycans in your scalp. The increase interrupts your hair’s growth cycle, which can lead to hair loss.

Solution: Breathe. Hair loss due to stress is usually temporary. Your hair will grow back on its own once the stressors are gone. Head outside for a walk, sign-up for a yoga class, or download a meditation app to listen to before bed. If the usual tricks for restoring calm in your life don’t work, seeking help from a counselor or therapist may be the way to go.

Triiodothyronine (T3) & Thyroxine (T4)

T3 and T4 are hormones produced in the thyroid gland. They control how your body uses energy and help regulate many functions from your metabolism to brain development. T3 and T4 are the markers typically used to help diagnose thyroid disorders. Too high or too low can be signs of hyper or hypothyroidism. Both hyperthyroidism and hypothyroidism can lead to hair loss with specific patterns. People who lose their hair due to thyroid issues usually see thinning over the entire scalp.

Solution: Treating the thyroid disorder usually leads to regrowth over several months. If you think your hair loss may be thyroid related, you’ll need an appointment with an endocrinologist. Once your thyroid is treated, your hair will slowly grow back.

Estrogen and Progesterone

Decreases in estrogen and progesterone levels have been proven to affect women’s hair growth cycles. (02) That’s why women tend to see their hair thinning or shedding after childbirth or during menopause. During menopause, a decrease in these hormones also causes an increase in androgens that produce DHT. DHT conversion happens for women as it does for men, resulting in female pattern hair loss. Hair lost after childbirth usually resolves itself and grows back over time. Hair loss due to menopause requires treatment.

Solution: If you’ve recently had a baby or are nearing menopause age, visit your dermatologist for a consultation and diagnosis. Postpartum hair loss and female pattern baldness can usually be diagnosed through a visual exam. There are very specific patterns of hair loss. You don’t want to assume that your hair loss is hormone-related, just in case another cause requires different treatment.

How to Treat Hormonal Hair Loss

If your hair loss is due to hormones, treatment options will be based on your condition. In some cases, your hair will grow back on its own. Other cases will require treatment. Here’s an idea of the different types available:

Minoxidil

Minoxidil, a popular hair loss medication, is sold over the counter and in stronger doses by prescription. It helps enlarge your hair follicles and allows healthy hair to grow. It’s best to have a board-certified dermatologist monitor your Minoxidil use. The reason why is because the medication must be continued once you start using it. If you discontinue Minoxidil, the hair you grow while using the medication can fall out.

DHT Blockers

When male or female pattern hair loss is an issue, preventing testosterone from converting to DHT is one of the most effective ways to stop thinning and shedding. A few different types are available, including Finasteride, Dutasteride, and Spironolactone for women. Prescription DHT blockers are available in pill or topical formulas. Each have pros and cons, so it’s important to work with your dermatologist to determine which medication and formula is best for you.

Supplements

Supplements alone won’t regrow your hair, but they can help treat the root cause of your hair loss. Iron and vitamin D deficiencies are common among people with hair loss due to hormonal imbalances. Collagen, probiotics, and other supplements can also help strengthen your hair and scalp.

Thickening Shampoo & Conditioner

The right shampoo and conditioner can help make your hair thicker, shinier, and healthier. Look for products infused with collagen, saw palmetto, keratin, biotin, and other ingredients that have been proven to support hair growth.

Whether you’re 15, 50, or 70, dealing with hormone imbalances can be a nuisance. However, thanks to research and technology, you have more reliable and accessible options than ever to deal with associated hair loss. You don’t even have to leave your sofa. Simply answer a short hair loss questionnaire and our licensed dermatologist will review your case. If you are a candidate for hormone-induced hair loss, we can make recommendations and deliver customized prescription medications directly to you. Want to learn more? Get in touch with us for an evaluation and personalized treatment plan.

Resources:

(01) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5817427/

(02) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432488/

Are You Losing Your Hair? What You Should Do.

Do you suspect you’re losing hair? Don’t panic. Take a breath and make a plan.

Time is on your side. Hair loss is very rarely something that happens overnight. For most people, hair loss is a slow and stealthy process. Hair loss takes time. Sometimes, it takes years or decades.

Also, you’re not alone on your hair loss journey. Losing hair is hard to talk about. The hair loss experience is a touchy subject, and friends and family may hesitate to discuss the topic. Fortunately, hair care professionals are available to discuss hair restoration with you. And best of all, these experts know how to create a game plan to slow your hair loss.

Steps to Take If You Suspect Hair Loss

Being concerned about losing your hair is not vain – it’s human! Your hair plays a significant role in your appearance and self-confidence. If keeping as much hair as possible is crucial to you, then treating hair loss is an integral part of your self-care strategy. With that said, the following are essential steps to take if you think you’re experiencing hair loss.

Learn About Hair’s Growth Cycle

According to the American Academy of Dermatology Association (AADA), every individual can expect to lose about 50 to 100 hairs daily. Hair undergoes a definite growth cycle, with a percentage of hair undergoing different portions of the growth cycle at any given time. At the end of each cycle, the strands fall naturally, and new hair grows in. The stages of hair growth are: (01,02)

Anagen (growth phase)
Catagen (transition phase)
Telogen (resting and shedding phase)

Excessive hair loss is not a regular part of this growth cycle. This type of hair loss occurs when there is a disruption in one of the three phases. For example, too many strands may fall simultaneously (in the Telogen phase) or fail to regrow after falling (in the Anagen phase).

Identify the Signs of Hair Loss

Spotting the signs of hair loss might take some investigating. To determine whether you’re experiencing excessive hair loss, keep an eye out for: (03)

The development of bald patches.
Hair that feels lighter.
A more visible scalp.
Foreheads or temples appear larger.
More hair than usual on bedding, hairbrushes, or in the bathtub.
Hair that doesn’t fall in your typical hairstyle.
Intense itching or burning (may be a sign of infection.)
Scaly patches.

Hair loss typically appears in three forms:

Patterned: People with patterned hair loss see progressive thinning or balding at the hairline, sides, or top of the head. Patterned loss is typically seen in hereditary types of hair loss, like androgenetic alopecia.
Diffuse: A consistent and even loss of hair throughout the scalp is called diffused hair loss. This hair loss usually occurs in cases of illness, nutrient deficiency, or during periods of severe stress.
Focal: Focal hair loss occurs as patches on the scalp, face, or the body, and is usually linked to autoimmune disorders.

Discovering hair loss is no doubt a distressing event. But it’s better to know so you can take steps to treat it. The earlier you can identify hair loss, the higher your chances for a successful hair restoration.

What’s Causing Your Hair Loss?

A few common causes of hair loss are:

- Age: Most people experience hair loss with age to some degree. Some people may see more loss of hair than others. Treatments may help to regrow hair or slow hair loss if caught early.
- Stress: Stress can cause excessive shedding. Often, hair will regain its fullness after reducing stress, or a stressful experience has passed. In some cases, treatment is necessary to regrow hair.
- Medical Conditions: Illnesses can lead to hair loss. Alopecia areata, as an example, is an immune disorder that attacks hair follicles, resulting in loss of hair. Thyroid disorders can also impact hair growth and cause diffused hair loss. (04)
- Hair Care Treatments: Chemical relaxers, hair dyes, and perms may injure hair follicles, preventing healthy hair regrowth. Hair restorations may help to regrow hair in many cases.
- Hormonal Imbalance: Women, in particular, may lose hair due to birth control pills, pregnancy, perimenopause, or polycystic ovary syndrome (PCOS). Medical care combined with hair treatments may help to restore hair.
- Friction: Frictional alopecia may occur when headgear or clothing repeatedly rubs against the skin or scalp. Hair typically regrows by removing the source of friction, but hair growth treatment may be necessary in some instances.
- Genetic Factors: The cause of thinning or balding may have a genetic cause if hair loss runs in the family. Androgenetic alopecia, also known as male-pattern baldness or female-pattern hair loss, is thought to have a genetic component. Hair growth treatments can help to regrow hair in cases of androgenetic alopecia. (05)
- Diet: A diet high in processed foods and low in nutrients is bad for your health and may even contribute to hair loss. For example, a 2020 study found that a nutrient-deficient diet may cause a hair loss condition called telogen effluvium. Telogen effluvium may also occur during times of severe stress or illness. A multi-targeted approach, like hair treatments, dietary supplements, and a healthy diet, may help counter the effects of a poor diet. (06)

Determine Your Options

Speaking with a hair restoration professional can confirm or correct your suspicions about hair loss. Once hair loss is confirmed, a hair expert can help you determine the appropriate treatment to restore your hair.

Medication: Hair strands grow from – and are held in place by – hair follicles. These follicles are sensitive to a hormone called dihydrotestosterone (DHT). DHT can injure and miniaturize these hair follicles, which causes hair to fall out faster. Furthermore, DHT impedes new hair growth. Medications targeting DHT limit damage by the hormone and may successfully regrow hair.
- Finasteride and Minoxidil are FDA-approved medications that help encourage hair growth and slow hair loss. Both Finasteride and Minoxidil are available as either a topical or oral medication.
- Dutasteride is another effective medication used to counter DHT levels. This medication suppresses the production of DHT, therefore reducing the overall amount of DHT. (07)
Hair Care: Harsh shampoos, oily conditioners, and thermal hair tools harm the health of your hair. Using hair products that cleanse and nourish the scalp, follicles, and hair strengthens each strand and keeps more hair on your head.
Diet and Supplements: A nutrient-dense diet full of antioxidants and protein increases the likelihood of thicker hair. Unfortunately, diet changes may not always be enough. In these cases, health supplements containing hair-boosting ingredients like keratin, saw palmetto, and vitamins A and D.

Remember that there’s no magic bullet to regrow hair. Furthermore, hair restoration treatments are not one-size-fits-all. Finding the appropriate treatments and balance of medications requires the help of an experienced hair loss professional.

Consult With a Happy Head Hair Loss Professional

If you think you’re losing your hair, contact our hair loss experts at Happy Head. Do you see more strands falling? Do you notice bald spots forming? There’s no need to worry, because Happy Head can help. We collaborate closely with you to halt your hair loss. Whether you need oral medication, a topical, or a nutrient supplement, our experienced hair loss professionals will work with you to determine the best path to meet your needs. With Happy Head’s wide array of hair products, you’re sure to find the right treatment to regrow your hair.

Resources:

(01) https://www.aad.org/public/diseases/hair-loss/insider/shedding

(02) https://www.ncbi.nlm.nih.gov/books/NBK499948/

(03) https://www.aad.org/public/diseases/hair-loss/insider/begin

(04) https://www.niams.nih.gov/health-topics/alopecia-areata

(05) https://www.aad.org/public/diseases/hair-loss/types/female-pattern

(06) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320655/

(07) https://pubmed.ncbi.nlm.nih.gov/28294070/

Is Your Medication Causing Your Hair Loss?

It’s not a shocker that medications have side effects. Read through the list on your medications’ inserts, and you’ll often see things like dizziness, headaches, sleepiness, or even worse, trouble sleeping. One side effect that isn’t often mentioned, however, is hair loss. Yes, some medications can cause hair loss over time. How do you know if your prescription medication is contributing to your hair loss? What should you do if you suspect that a particular drug makes your hair fall out? We’re here to answer your questions about drug-induced hair loss and share treatment options available to help regrow your hair.

Drug-induced Alopecia is A Real Thing

Many people experience androgenetic alopecia, male and female pattern hair loss. Androgenetic alopecia is the most common type of alopecia. Unless a person undergoes treatment, hair loss from male and female pattern baldness is permanent. Alopecia that occurs after taking medication is a different story. Drug-induced hair loss is called telogen effluvium (TE), which usually begins about three months after taking the medication. Fortunately, telogen effluvium is typically reversible once you stop taking the medication.

If You Think Your Medication is Causing Your Hair Loss, Consult With Your Doctor

If you think your hair loss is related to your meds, don’t stop taking them. You’ll need to consult with your doctor first. He or she is trained to help you determine whether your hair loss is from the medicine you’re taking or something else. It may take some detective work to know for sure. If your doctor confirms that your hair loss is due to your medicine, he or she can offer some options that will help. Simple tactics such as switching to a name or generic brand, changing dosages, or adding vitamins may make a big difference.

Eight Types of Medications Have a Reputation for Causing Hair Loss

Certain medications are more likely to cause hair loss than others. Here are eight that patients have reported:

Anticoagulants

Anticoagulants are also known as blood thinners. They are often prescribed to reduce the risk of strokes or heart attacks. Anticoagulants prevent or reduce the coagulation of your blood, which prolongs the clotting time. Well-known brands include Warfarin, Heparin, and Xarelto. Researchers believe that the mechanism that allows anticoagulants to thin the blood also contributes to telogen effluvium, but they aren’t sure exactly how or why. More data is still needed to understand the association. (01)

Antidepressants

Sertraline, marketed under the name Zoloft, is a well-known and used antidepressant. The medication increases serotonin levels in the brain. Although rare, hair loss has been documented as a side effect of Zoloft (02) and other antidepressants. Researchers believe that the medication pushes the hair follicles into a premature resting state, which makes users’ hair fall out. The exact reason why is unknown.

Anti-inflammatories & Arthritis Medications

It’s not unusual for Methotrexate, Humira, and other arthritis medications to cause hair loss. The reason is that the medication is designed to stop cells that cause inflammation from growing. In some cases, people’s hair follicles are affected cells. Some prescription NSAIDs including oxaprozin, ketoprofen, fenoprofen, diclofenac, and celecoxib, have been reported to cause alopecia as well. Over-the-counter NSAIDs taken in moderate doses typically don’t affect patients’ hair.

Blood Pressure Medications

Beta-blockers and ACE inhibitors are often used to lower blood pressure, control the heart’s rhythm, and treat angina. These medications change your body’s response to adrenaline and other stress hormones to reduce your heart rate and blood pressure. Incidentally, they sometimes also target the hair follicles in either the resting or new growth phase.

Cholesterol-lowering Medications

Hair loss is a rare side effect when taking statins. Researchers don’t know exactly why statins could cause alopecia, but they do know that cholesterol is a building block for steroid hormones. Those hormones play a role in your hair’s growth. More research is needed in this arena.

Medications for Severe Acne and Psoriasis

Accutane is one of the most well-known medications prescribed to treat severe acne. While Accutane is highly effective, about 10 percent of Accutane users experience hair loss. (03) The reason why is that Accutane affects the pituitary gland’s hormone levels. Those hormone levels are responsible for making your hair grow. Medications used to treat plaque psoriasis that calm the immune system can also cause temporary hair loss. Methotrexate and Remicade are two medications known for inducing short-term alopecia.

Epilepsy and Anticonvulsant Medications

If you’re taking medication for epilepsy and notice that your hair is thinning, you’re not alone. A 2015 study, hair loss was the second highest reported side effect of epilepsy medications after weight loss. (04) The study indicated that pregabalin, phenytoin, and valproic acid are the culprits. If you think you’re experiencing hair loss due to one of these medications, check with your neurologist about taking supplements such as calcium, magnesium, zinc, and folic acid or modifying your prescription.

How to Regrow Your Hair

If you think your medication is thinning your hair, there are things you can do to help it grow. Here are some short-term and long-term options:

Short-term Options

If you haven’t had time to schedule an appointment with your doctor yet, or are waiting for one, you can do a few things in the meanwhile. The most important is to ensure that you are practicing good self-care. Get enough sleep and eat a well-balanced diet with plenty of fresh vegetables, fruit, and protein. Moderate exercise will help the blood flow to your scalp. You may also want to consider a thickening shampoo and conditioner. One infused with vitamins and supplements will support your hair’s health and growth.

Long-term Options

If you’ve been working with your doctor and your hair doesn’t respond to adjustments in your treatment plan, topical or oral hair loss medications may be an option for you. With prescription topical hair loss solutions, you won’t have to worry about contradictions with other medications you are taking. Topicals are not systemic since you are not ingesting them. Topical medications such as Minoxidil, Finasteride, Dutasteride, and Sprinolactone work directly on the scalp to enlarge the hair follicles and block the hormones that make your hair shed. Topicals can also be customized based on factors such as your medical history, age, and gender.

If topical hair loss solutions aren’t right for you, Minoxidil, Finasteride, Dutasteride, and Spironlactone are also available as pills. If you go this route, your doctor will be instrumental in ensuring that new hair loss medications can be safely added to your existing medication protocol.

If you are experiencing hair loss that you think may be linked to the medications you’re taking, you probably have a lot of questions. It’s normal to want to know what to do, how to stop the shedding, and how to regrow your hair. If that’s the case, we’re here to help. Our dermatologists are board-certified medical doctors and can point you in the right direction. We’ll review your medical history, evaluate your hair loss, and make recommendations based on your specific needs. Best of all, you can access us easily and discreetly. Contact us to get started.

Resources:

(01) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4819463/#:~:text=Traditional%20anticoagulants%20are%20thought%20to,growth%20of%20new%20hair%20underneath.

(02) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4589582/

(03) https://pubmed.ncbi.nlm.nih.gov/21103844/

(04) https://pubmed.ncbi.nlm.nih.gov/25513768/