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What You Need to Know About Thyroid Imbalances & Hair Loss

Your hair is noticeably thinning, and it’s stressing you out. So, you visit your dermatologist, and they order blood work, including markers for Thyroid Stimulating Hormones (TSH), T3, T4, and thyroid antibody tests. Why are they doing that? What does your thyroid have to do with the strands you’ve been cleaning out of the sink each morning? Is there something more sinister causing your hair loss than you thought? Before you jump to conclusions and fear the worst, here’s what you need to know about thyroid imbalances and hair loss.

Thyroid Conditions Often Go Undetected

Consider this. Most hair loss is caused by male or female pattern hair loss, which is genetic. It doesn’t affect your health, just your hair. Thyroid conditions, however, can also cause hair loss, especially if untreated. According to the American Thyroid Association, more than twelve percent of the U.S. population will experience a thyroid disorder at some point in their lives. Up to sixty percent of those people are unaware of their condition. (01) That’s why dermatologists routinely run thyroid panels on their patients experiencing hair loss.

Your Thyroid Affects Your Hormones

Let’s talk a little bit about what the thyroid is and its purpose. There’s a butterfly-shaped endocrine gland in front of your neck. That’s your thyroid. Its main job is to produce hormones that control your metabolism and how your body uses energy. When your thyroid is out of whack, your hormones go haywire too. That’s where the problems begin.

Different Types of Thyroid Conditions

A few different conditions can cause thyroid dysfunction. Iodine deficiency is one. If you don’t get enough iodine in your diet, your thyroid may grow larger into a goiter. This is because your thyroid wants to hold onto enough iodine to produce enough thyroid hormone.

Autoimmune diseases can also cause your thyroid to go haywire. When this happens, the immune system attacks the thyroid. Hyperthyroidism, also called Graves Disease, can occur when the thyroid overproduces hormones. Underproduction can lead to hypothyroidism or Hashimoto’s disease. Other causes of thyroid dysfunction include a virus or bacteria, nodules, medications, medical treatments, and some genetic disorders. In some cases, pregnancy can trigger or exacerbate thyroid issues.

Having one autoimmune disease also puts you at risk of having another. For example, it’s not unusual for someone with Graves disease to experience alopecia areata or lichen planopilaris.

Weight Gain or Loss is Just One Symptom of Thyroid Imbalance

Symptoms of thyroid imbalance will vary based on the cause. Hypothyroidism may make you feel sensitive to the cold or gain weight. Hyperthyroidism causes the opposite — weight loss and often feeling warm. Other symptoms may include:

Exhaustion
Constipation
Depression
Muscle weakness
Muscle cramps
Brain fog
Hair loss

Thyroid Imbalances Disrupt the Hair Growth Cycle

Now that we’ve reviewed some basics about thyroid disorders let’s circle back to where we started and discuss how your thyroid affects your hair. When your hormone production is disrupted, other processes in your body are affected too. That includes your hair. If your hair’s growth cycle is interrupted, your hair could fall out, and new growth could be halted. Thinning of your hair and eyebrows could result. Some patterns to look for include:

Changes in your hair’s texture — Hair may become coarse and dry with hypothyroidism. It can become very soft and fine with hyperthyroidism
Loss of facial hair — Hypothyroidism could cause hair loss on the outer edges of your eyebrows
Smooth, circular bald patches in discrete parts of your scalp
Diffuse hair loss or thinning across your entire scalp

There are Ways to Regrow Your Hair When You Have a Thyroid Condition

If your lab work comes back and indicates that you have a thyroid condition, your dermatologist will likely refer you to an endocrinologist. Endocrinologists specialize in treating glands and the hormones they produce. Often, once your thyroid is back in balance, your hair will grow back. While you’re in the wait-and-see mode, thickening shampoo and conditioner, and hair growth supplements may make your hair healthier, stronger, and shinier. They may also help reduce shedding.

If your thyroid is balanced, it’s been six months or longer, and your hair doesn’t seem to grow, it’s time to check in with your dermatologist. Depending on your diagnosis and gender, your dermatologist may recommend prescription vasodilators or DHT blockers. Hair loss medications enlarge your hair follicles and block DHT to support your hair’s growth. If you’re on thyroid medication and are concerned about taking multiple pills, easy-to-apply topical Minoxidil, Finasteride, or Spironolactone are available. Topicals are often more appealing because they are not systemic, don’t interact with other medications you are taking, and don’t cause sexual or other bothersome side effects.

It’s time to recap. Dermatologists routinely check their patients experiencing hair loss to rule out thyroid imbalances. Since so many people go undiagnosed, it’s not a stretch. If your thyroid is an issue, your hair will often grow back once your thyroid is back in balance. The right shampoo, conditioner, and supplements may help in the meanwhile. If your hair doesn’t grow back within a few months, it’s time to touch base with your dermatologist to determine if you have another conditions besides thyroid disease.

Dermatologists who are also hair loss specialists are not always easy to find. f you need a consultation, Happy Head is here. All of our doctors are board-certified dermatologists who specialize in hair growth. They are qualified to perform telemedicine and are here to help. Simply fill out a short questionnaire to get started.

Resources:

(01) https://www.thyroid.org/media-main/press-room/

Get Ahead of the Shed & Regrow Your Hair for the Holiday Season

Christmas, Hanukkah, and Kwanza in June? Summer is here, and it’s time for flip-flops, beach trips, and cookouts. Winter holidays are probably the last thing on your mind. Who wants to think about shopping for gifts, deciding what to wear to your office party, and figuring out what you’re bringing to your family’s annual holiday bash when all of that is still six months away? Those things may not top your “to-do” list now, but here’s something that will get you in the holiday spirit.

If you’ve noticed that your hair is thinning, now is the perfect time to start regrowing your hair. Why now? Growing hair is a process. Sure, it would be awesome if we could regrow hair overnight. Let’s be real, though. If you ever had a bad haircut that seemed like it took forever to grow back, you know that doesn’t happen. It takes a while. It takes even longer if you have male or female pattern baldness or another form of alopecia. Don’t stress, though. Starting now will get you ready just in time for winter holiday parties and gatherings. Here’s what you need to know and a timeline leading up to the holidays to help you get ahead of the shed.

Before You Get Started

How Fast Does Hair Grow?

Before we get into what you need to do to start regrowing your hair in time for the holidays, let’s talk about why it seems to take so long. On average, hair grows about a tenth of an inch per day. That equals approximately one-third of an inch per month. It will take a little over three months to grow a full inch. Every hair grows from a single follicle during your hair’s growth cycle. Those follicles need to be healthy, and the growth cycle needs to function properly for your hair to grow. If stress, hormone imbalances, or anything else interrupts the growth cycle, your hair can stop growing and can fall out. This brings us to why your hair is shedding, thinning, or balding in the first place.

Why is My Hair Thinning?

To regrow your hair, you need to figure out why there are collections of hairballs on your shower floor, or your hairline is receding. One of several conditions may be to blame. If you are over 20, the most common reason is typically male or female pattern baldness. It’s a genetic condition that happens to both men and women when their bodies convert testosterone to an androgen called Dihydrotestosterone (DHT). DHT attacks the hair follicles and interrupts the hair growth cycle.

In the past, people with male and female pattern baldness had no options. Many got buzz cuts, shaved their heads, or accepted their bald spots. Today, DHT blockers and other treatments are available and effective, especially if the condition is caught early and the hair follicles are still viable.

Your Hair Regrowth Timeline

Do Now: Find the Right Hair Loss Expert

Whether you just noticed that your hair is shedding, or you’ve been experiencing hair loss for a while but just decided to do something about it, you need to start in the same place. You’ll need an appointment to determine what’s causing your hair loss. Not all doctors are trained to diagnose the cause of hair loss, though. You’ll need to consult with a dermatologist.

In addition to diagnosing skin conditions, dermatologists are trained to treat hair and nails. During your appointment, your dermatologist will ask about your and your family’s medical history. They may also ask about your hair care routine, diet, and stress level. Some conditions like androgenetic alopecia (male and female pattern baldness) and telogen effluvium can be diagnosed through your medical history, a visual exam, and a simple pull test. During a pull test, your dermatologist will gently tug on some individual hairs to see how many and how easily they come out to determine what stage of the shedding process you are in. If your dermatologist suspects a different condition, they may use light microscopy to examine some of your hair to see any hair shaft disorders. They may also order bloodwork or take a small scalp biopsy. It could take ten days to two weeks to get the results.

If you don’t have a dermatologist or a hair specialist you trust, Happy Head can help. We have dermatologists licensed in every state to help diagnose your hair loss. Through Happy Head, you can get the most effective prescription hair loss treatments on the market from the comfort of your home. We’ll even ship directly to your front door.

While You Wait for an Appointment or Test Results

What’s making my hair thin? When will I get some answers from the dermatologist? Are certain products making my hair loss worse? Waiting to find out your hair’s fate can be stressful. Take heart, though. There are some things you can do in the meanwhile that will make you feel better and make your hair look better. Here’s how to get started:

Hair growth supplements with essential vitamins and minerals can help strengthen your hair while making up for deficiencies you may have. Ingredients such as saw palmetto and caffeine act as DHT blockers, while biotin, collagen, and keratin help your hair grow stronger and shinier.
Thickening shampoos and conditioners clean your hair while keeping it hydrated and healthy. Look for formulas that include ingredients such as argan oil, biotin, and keratin that moisturize and strengthen.
Hair-healthy nutrients can be found in lean protein, fresh vegetables, fruits, nuts, and whole grains. Free-range chicken and eggs, unprocessed, hormone-free meats, whey protein concentrate, almonds, and avocados are good sources of protein that serve as building blocks for healthy hair.
Blowing off steam by hitting the gym, heading outside, or listening to music can help make your hair healthier. The reason why is that stress can contribute to hair loss by pushing your hair into a resting phase where new hair isn’t produced. Managing your stress will help keep your hair in tip-top shape.
Snapping a selfie will give you a baseline photo for comparison after you begin treatment. Since hair grows slowly, you may not notice changes for a while. Taking and comparing photos over time will help you see subtle and not-so-subtle differences.

Summertime: Months 1-3

You’ve been diagnosed and you have the prescription hair growth treatments needed to get started. Taking your medications as prescribed is the best way to ensure they will work effectively. If you’re not good at remembering, there are some tricks to help. Try setting your phone’s alarm as a reminder. Putting your medication somewhere you will see it is helpful, too.
Remember to photograph your hair on the same date each month.
Don’t lose hope if you don’t see the growth you hoped for. It’s still early in the game.
If you have any side effects, be sure to reach out to your dermatologist for advice. At Happy Head, your dermatologist is just a quick e-mail away if you have any questions or need your formula modified for any reason.

Fall – Winter: Months 4-6

This is when most people begin to see growth. Start comparing photos from now to the ones you took before you got started so you can see the difference.
The holidays are upon us. Continue to make healthy dietary choices, destress, and enjoy the festivities.

Winter – Spring: Months 7+

Continue your treatments and mark your progress with photos.
If you feel like you’re hitting a plateau, speak with your dermatologist and consider adjusting your treatment plan.
Remember, body chemistry varies from person to person. It may take some trials to determine the right medications for you.

Ready to avoid the stress of worrying about how you will look at your next holiday gathering? Now’s the time to start treating your hair loss. Simply follow our step-by-step guide, and you’ll be on your way.

Don’t want to wait for an appointment with your dermatologist or make a trip to your pharmacy? Happy Head is here to help. Contact our hair growth experts for information on the best treatment option for the type of hair loss you’re experiencing. Get customized formulas based on your needs, and have your prescription delivered directly to your front door. Use the code GOHAIR and get 50 percent off on your first order.

How Does Happiness Lead to Hair Growth?

Does your hair feel thinner during times of severe stress? If it does, you can rest assured that you’re not imagining things. According to medical research, stress can cause hair loss. So if you want to keep as much hair on your head as possible, it’s essential to maintain your happiness and keep your stress levels to a minimum.

The Science Behind Hair Growth

Hair plays a significant role throughout lore. From Samson and his power-imbued hair to Repunzel and her long braids, hair has always been the stuff of magic and mystery. However, current research has cracked the code about human hair. It turns out that there’s no sorcery behind how hair grows. Hair growth is all about science.

What is Hair Made of?

Human hair is not alive. The hair shaft that we see and touch is made up of dead, keratinized cells that have been pushed up and out of the hair follicle. On the other hand, the hair follicle and scalp are living structures responsible for producing and nourishing the hair shaft.

The scalp contains blood vessels and nerves that provide nutrients and sensation to the hair and skin. Furthermore, the scalp includes sweat glands, sebaceous glands, and hair follicles. These follicles are structures responsible for producing hair.

Therefore, while the hair strands are not alive, they’re affected by a variety of factors, such as diet, medical issues, environmental factors, and chemical treatments, which can impact the hair’s health and growth.

Your Hair’s Growth Cycle

A person grows and loses hair strands through a natural growth cycle. The growth cycle of hair consists of three primary phases (01):

Anagen Phase
Catagen Phase
Telogen Phase

During the anagen phase, which may last from two to eight years, hair grows from the follicle. The length of this phase determines the maximum length of hair growth. At any give time, about 90% of the average person’s hair is in the anagen phase. In the catagen phase, which lasts about two to six weeks, the follicles shrink, and hair growth slows.

Finally, during the telogen phase, which lasts about three months, the hair is shed, and the follicle remains dormant until the next anagen phase begins. New hair then replaces the hair shed during the telogen phase, starting the cycle anew.

Good overall health and nutrition allow hair to grow at its peak rate and maintain its natural growth cycle. Each strand of hair on the head can be at any differing point of the growth cycle, limiting the shedding that can occur at once.

What is Typical Hair Loss?

On average, it is normal to lose between 50 to 100 hairs per day as part of the typical hair-shedding process from the growth cycle. (02) However, if hair loss exceeds this amount, it may indicate an underlying condition such as alopecia or telogen effluvium.

Alopecia is a condition that causes hair loss and is due to a variety of factors, some of which include genetics, autoimmune disorders, or hormonal imbalances. Telogen effluvium is a condition where atypical hair shedding occurs due to a disruption in the hair growth cycle. This can be caused by severe nutritional deficiencies, certain medications, illness – or significant stress.

The Link Between Happiness and Hair Growth

The connection between mental and physical health is undeniable. According to the Centers for Disease Control and Prevention (CDC), for example, depression ups the risk for chronic medical conditions like diabetes and heart disease. Similarly, these same chronic conditions can increase the risk of mental health problems. (03)

As evidence of this connection, a study was published in the American Psychological Association’s research journal Health Psychology. The study of 15,000 participants found that participants with severe cases of anxiety and depression were: (04)

65% are more likely to have heart condition
50% are more likely to be diagnosed with high blood pressure
87% are more likely to develop arthritis

So, because of this close interplay between mental and physical health, it’s no surprise that mental health can affect hair growth.

How Does Stress Impact Hair Growth?

Stress is a common experience that can affect many aspects of our health, including our hair growth. Stress can affect hair growth in a variety of ways, including altering the hair growth cycle, causing hair loss or thinning, and affecting the quality and texture of the hair.

Stress Disrupts the Hair Growth Cycle

One of the ways that stress can affect hair growth is by affecting the hair growth cycle. During periods of stress, the body releases stress hormones such as cortisol, which can interfere with the normal functioning of the hair follicle. Stress can push the hair follicle to enter the telogen phase earlier than usual, leading to increased hair shedding and thinning.

Hair Follicles Under Stress

Experiencing chronic stress can also directly impact the hair follicle’s health. For example, stress can cause inflammation in the scalp, which can damage the hair follicle and inhibit hair growth. Stress can also affect the blood flow to the scalp, impacting the delivery of nutrients and oxygen to the hair follicle, leading to weaker and thinner hair.

Stress Weakens Your Strands

In addition to affecting the hair follicle, stress can also impact the quality and texture of the hair. Stress can cause the hair to become dry, brittle, and more prone to breakage and split ends. This can be exacerbated by hair care practices such as excessive heat styling or chemical treatments, which can further damage the hair.

It is also important to note that stress can exacerbate existing hair conditions, such as alopecia areata, which causes patchy hair loss. Stress can trigger or worsen this condition, leading to more severe hair loss.

Stress May Cause An Urge to Pull Out Hair

Have you ever heard anyone say they were so anxious that they were “pulling out their hair”? The saying stems from a condition called trichotillomania. This condition is an irresistible urge to pull out hair from the scalp, eyebrows, or other body parts. For people diagnosed with trichotillomania, pulling out hair reduces feelings of anxiety, discomfort, or frustration. (05)

Uncontrolled stress adversely impacts health in general. Specifically, though, it may also cause you to lose hair. Happiness can’t cure everything, but it may help prevent hair loss. In short, managing stress and fostering happiness can prevent or slow hair loss.

Tips for Cultivating Happiness and Healthy Hair

Managing stress is vital to maintaining healthy hair growth. The following are several strategies that can help to reduce stress and promote healthy hair growth.

Exercise. Not only does regular physical help to manage stress, but it also improves blood flow to the scalp, promoting healthy hair growth.

Mindfulness meditation. Mindfulness practices such as meditation can help to reduce stress and promote relaxation, which may benefit hair health.

Adequate sleep. Getting enough sleep is essential for overall health, including hair health. Sleep deprivation can increase stress levels and lead to hair loss.

Healthy diet. A healthy diet rich in vitamins and minerals such as iron, zinc, and biotin can help to promote healthy hair growth.

Avoiding harsh hair treatments. Excessive heat styling, chemical treatments, and tight hairstyles can all damage the hair and exacerbate stress-related hair loss.

Seeking professional help. If you are experiencing excessive hair loss or other hair concerns, it is important to seek professional help from a dermatologist or hair specialist who can get to the root of the issue. They’ll help you find a solution that works for you, whether it’s a topical treatment, oral solution, or a combination of both. Furthermore, your mental health can also benefit from speaking with a therapist to help manage chronic stress.

Managing stress and fostering happiness isn’t just good for your hair, it’s good for your health. Making lifestyle changes that create calmness, promote physical health, and allow for sufficient rest encourages happiness and keeps more hair on your head.

Get Happier With Happy Head

A healthier head of hair can boost your self-confidence and improve your well-being. Happy Head’s proprietary hair formula is customized to fit each and every customer. Developed by our in-house world-renowned dermatologists, Happy Head’s formulas improve hair growth with minimal side effects. Contact us and fill out our questionnaire to start growing your hair back now and get happy with Happy Head!

Resources:

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

https://journals.biologists.com/jcs/article/119/3/391/29231/The-hair-cycle

(02) https://www.aad.org/public/diseases/hair-loss/insider/shedding#:~:text=It’s%20normal%20to%20shed%20between,this%20condition%20is%20telogen%20effluvium.

(03) https://www.cdc.gov/mentalhealth/learn/index.htm

(04) https://psycnet.apa.org/record/2018-63710-001

(05) https://www.mayoclinic.org/healthy-lifestyle/stress-management/expert-answers/stress-and-hair-loss/faq-20057820

Pregnancy, Hair Loss & What to Expect

Baby weight. Check. Nausea? Check. Shedding hair? Huh?

You knew that your body would undergo some major changes during your pregnancy. Morning sickness, extra pounds, and swollen feet are probably a few that you expected. Hair loss, though? Probably not on your “things to watch out for” list. But it can happen. Hormonal changes due to pregnancy affect your whole body, including your hair. From, “Wow, my hair looks amazing,” to “Ugh, why does my hair look so stringy,” here’s the lowdown on how your hair may be affected during your pregnancy. And, we’ll share some tips on what to do if your hair begins to thin.

Planning for Baby

You know those prenatal vitamins your OBGYN recommended? They help your baby grow healthy and strong, and they’re good for your hair too. Many prenatal vitamins include biotin. Biotin, also called Vitamin B7, is a keratin builder. Keratin is good because it’s a protein that makes up your hair, nails, and skin and keeps them healthy. Prenatal vitamins are also good if you have any vitamin or mineral deficiencies. Deficiencies are known for making your hair look dry, thin, or even fall out. The iron, vitamin D3, vitamin A, calcium, and other supplements will fill any voids and help your hair look silky and thick.

First Trimester

During the first trimester of your pregnancy, your estrogen and androgen levels peak, which affects your hair. Some women find that the texture of their hair changes. More curls, less curls, more oily, aren’t unusual. Thicker, shinier, healthier looking hair is also likely. That’s because the higher estrogen levels prolong hair’s growth phase. Less hair falls out, leaving your hair looking thicker and fuller. Woo hoo!

Second Trimester

You made it through the morning sickness and thankfully you have more energy now. Not only are you feeling better and have that pregnancy glow that everyone talks about, but you may also find that you’re having a lot of good hair days thanks to less than normal shedding.

Third Trimester

Since estrogen levels decline in the third trimester, some women start seeing hair loss or shedding. The hair that was in the growth phase moves into a resting and shedding phase which causes the hair to fall out. If this happens to you, don’t freak out. It’s common and usually temporary as the hair follicles return to a normal growth cycle.

Postpartum Hair Loss

Your baby is three to six months old and you’re noticing that your hair is thinner than it used to be, even before you got pregnant. What’s happening? Hormonal changes, combined with the physical stress of giving birth, can trigger a condition called telogen effluvium. Telogen effluvium usually goes away on its own over time and doesn’t need any treatment. Thankfully, you should see improvement within six to twelve months after having your baby.

A Healthy Lifestyle Leads to Healthy Hair

The best way to support hair health from when you think about getting pregnant until after your baby is born is to maintain a healthy lifestyle. Here are some of our top tips:

1. Eat well

Did you know that the condition of your hair reflects your diet? It’s true, especially after having a baby and if you’re nursing. Eating lean, grass-fed protein, fresh vegetables, fruit, and whole grains will ensure you get the vitamins and minerals needed to support healthy hair growth.

2. Ask about prenatal vitamins

If your OBGYN hasn’t already made the suggestion, make sure you ask about prenatal vitamins. Your hair will love biotin, folic acid, and other vitamins and minerals.

3. Be gentle with your hair

Perms, bleaching, flat irons, tight ponytails, braids, and other harsh hair styling techniques can pull and cause breakage.

4. Manage stress

Being pregnant and becoming a new mom can be stressful. You’re in a new role trying to figure out the rules of the game as you go. You’ve probably heard these tips before: sleep when the baby sleeps, let your partner watch the baby while you take a hot shower, and find other ways to relax. You’ll feel better, and your hair will look better too. Being stressed out can cause telogen effluvium, so the more you can decompress, the better you’ll be able to minimize hair loss.

What if Your Postpartum Hair Loss Seems Excessive?

So there’s postpartum hair loss, and there’s hair loss. If the amount you’re losing seems excessive, there’s no downside to having your dermatologist take a look. It’s good to get peace of mind. After all, your body goes through a lot of changes during pregnancy. Thyroid and autoimmune conditions can often appear post-pregnancy. He or she can rule out these and other conditions that may be affecting your hair.

What if it turns out that your hair loss is due to some type of alopecia such as female pattern baldness or alopecia areata? Take a deep breath and know that treatment is available. Your dermatologist may prescribe treatments such as Minoxidil to help you regrow your hair. If you’re done having kids, oral or topical DHT blockers such as Finasteride, Dutasteride, or Spironolactone may also be prescribed.

What if You Can’t Leave the Baby to Get a Hair Loss Consultation?

Leaving the house after you’ve had a baby can be difficult. If you’re unsure whether your hair loss is normal or extreme, Happy Head is here to help. Simply answer a few questions about your medical history from home and one of our licensed dermatologists will consult with you remotely. If you’re experiencing normal postpartum shedding, hair growth supplements and thickening shampoo and conditioner may help support your hair’s growth as your body regulates itself. If treatment is needed, medications can be prescribed and shipped directly to your front door.

You Should Get Patchy Hair Loss Checked Out. Here’s Why.

You’re brushing your teeth, look up, and notice a patchy round bald spot on your head. Wait, that wasn’t there yesterday. Was it? Should I wait a few days and see what happens? Could it get bigger? This can’t be happening. Can I just pretend that it’s not?

Yes, it’s normal to lose some hair each day. And, yes, you may have inherited your Mom, Dad or Grandparent’s hairline. Genetic hair loss happens gradually over time, though. Sudden, excessive, or patchy hair loss is another story. Get to the root cause and find out if treatment options are available. And finally, yes, you should get patchy hair loss checked out by a dermatologist, here’s why:

1. To Rule Out Underlying Medical Conditions

Alopecia areata is a medical condition that occurs when a person’s immune system attacks his or her hair follicles resulting in hair loss. Although alopecia areata is rare, only affecting about two percent of the world’s population (01), patchy hair loss is often a symptom. Hair usually falls out in small, round patches the size of a quarter. Some people experience more extensive hair loss, though. With alopecia areata, you may not have any other symptoms besides hair loss.

Alopecia areata is a non-scarring form of alopecia, meaning that the hair follicles are left intact. Hair may spontaneously regrow. While some people have recurring hair loss, others only have one episode. The condition is unpredictable.

Not all patchy hair loss is due to alopecia areata, though. Patchy hair loss can also be a sign of another autoimmune disease. Lupus and thyroid disease can both cause hair loss. Infections, hairstyles, and hair treatments such as straighteners and perms can also be to blame. Visiting a doctor will help you rule out these causes and any others. Identifying and treating the underlying condition early in the game can help prevent further hair loss.

2. Diagnosing Hair Loss Isn’t as Simple as It Seems

Distinguishing one type of alopecia from another isn’t something you can do yourself. While androgenetic alopecia, male and female pattern baldness, can be diagnosed by a dermatologist during a visual exam, scarring and other types of alopecia require a closer look with a magnifier called a dermatoscope or a biopsy. Happy Head’s dermatologists can diagnose online, but in some cases may recommend scheduling an in-person appointment. To get a free consultation with a Happy Head board-certified dermatologist, take our quick questionnaire here.

3. Treatments Can Be Customized

Medications and treatments vary based on the cause of your hair loss, so your dermatologist needs to nail down the underlying condition to develop an effective treatment plan. Telogen effluvium, temporary alopecia due to stress, illness, medications, or other causes, doesn’t require any treatment. Hair typically regrows within six months to a year. A different approach is required for alopecia areata. Depending upon the severity, treatments may include steroid injections, JAK inhibitors, which are a new class of medication showing great promise (02), and oral or topical medications such as Minoxidil, Finasteride, or Dutasteride. Just as not every case of hair loss is the same, not every person responds the same to hair loss treatments. It may take some time to determine the right mix of medicines for you.

4. Emotional Support & Guidance

Although seeing bald patches may be new, upsetting, and embarrassing to you, dermatologists see cases like yours regularly. Not only do they know what to do to help you, they know what to say. You don’t have to worry that they will think you’re being an alarmist. Instead, your dermatologist can offer reassurance and help you navigate the psychological aspects of losing your hair. They also may be able to refer you to a support group or other resources to help you deal with the emotional challenges you may be facing. Remember, that you don’t have to do it alone. Hair growth is a journey.

5. Prevent Further Hair Loss

The last thing you want is for your alopecia to progress, so early intervention is key when it comes to patchy hair loss. In some cases, once you’ve lost a certain percentage of hair, it’s more challenging to manage or reverse the effects. Early treatment minimizes long-term damage by keeping the hair follicles viable, preventing further hair loss, and jump-starting the growth process.

If you notice patchy hair loss, it’s not only okay to seek treatment; it’s recommended. A dermatologist can determine whether you have alopecia areata or another form of autoimmune hair loss, offer treatment options, and help you wrap your head around what’s happening.

If you have patchy hair loss, thickening shampoo, conditioner, hair growth supplements, and oral or topical medications such as Minoxidil, Finasteride, Dutasteride, or Spironolactone may complement your treatment plan. Visit us to see the array of products available. Need help making a selection? We have dermatologists licensed to practice in every state who can make recommendations. Simply fill out a brief form with your medical history to get started.

Resources:

(01) www.ncbi.nlm.nih.gov

(02) www.ncbi.nlm.nih.gov

What is DHT & Why Does It Cause Hair Loss?

Look into the causes of hair loss, and you’ll inevitably come across DHT, also known as Dihydrotestosterone. Whether you’re male or female, DHT is a likely cause of your thinning hair and bald spots. But what exactly is DHT? And why does it lead to hair loss?

What is Dihydrotestosterone?

Dihydrotestosterone (DHT) is a hormone produced in the body as a byproduct of Testosterone. DHT is formed when an enzyme called 5-alpha-reductase converts Testosterone into DHT. DHT plays a significant role in the formation of male characteristics, like facial hair, a deeper voice, and more muscle mass. Unfortunately, DHT is also responsible for hair loss in both men and women. (01)

How Does DHT Cause Hair Loss?

DHT bonds itself to hair follicles, causing them to shrink. The hair follicles then become smaller and smaller. Eventually, these follicles are unable to grow or hold onto the hair. This process is known as miniaturization, and it’s the primary cause of male and female pattern baldness. (02)

In addition to miniaturization, DHT encourages inflammation in the scalp, which further contributes to hair loss. This inflammation may damage hair follicles and prevent the circulation of nutrients, limiting the scalp’s ability to grow hair.

An excess of DHT also shortens the anagen (growth) phase of the hair cycle. Typically, hair grows for several years before entering a resting phase, after which it falls out and is replaced by new hair. However, when DHT attaches to hair follicles, it causes hair strands to enter the resting phase earlier than usual, resulting in shorter and thinner hair. (02)

Several other factors can contribute to the overproduction of DHT, including genetics, a person’s age, and hormonal imbalances. Men are also more likely to experience hair loss due to DHT because they have higher testosterone levels than women. However, it’s important to note that women can also experience hair loss due to DHT.

What are DHT Blockers, and How Do They Work?

Medications that block DHT’s effects belong to a category of drugs called Dihydrotestosterone blockers (DHT blockers) or 5-alpha-reductase inhibitors. The following are two of the most commonly used DHT blockers:

Finasteride
Dutasteride

DHT blockers work through four primary methods. (01)

Inhibition of 5-alpha-reductase. DHT blockers work by targeting the production of DHT through the suppression of 5-alpha-reductase. This enzyme converts Testosterone into DHT. Therefore, by blocking this enzyme, DHT levels are reduced.
Decreased DHT levels. By reducing DHT levels, DHT blockers help interrupt hair follicles’ miniaturization process.
Extended hair growth phase. DHT blockers extend the active phase of hair growth called the anagen phase. DHT blockers prolong the anagen phase, allowing for longer, healthier, and thicker hair growth.
Maintenance of existing hair. When hair loss occurs, protecting the hair that’s present is essential. DHT blockers can help maintain existing hair by preventing further miniaturization of hair follicles.

For the most part, DHT blockers are more effective for individuals experiencing androgenetic alopecia (pattern hair loss) because this condition is primarily influenced by DHT. Androgenetic alopecia can impact up to 50% of men and women. (03) Other types of hair loss can also be impacted by factors such as nutritional deficiencies or stress; these conditions may not respond as effectively to DHT blockers on their own. In these cases, a multifaceted approach may be required.

Why are DHT Blockers Prescribed for Hair Loss?

One of the primary reasons why DHT blockers are prescribed for hair loss is their effectiveness. DHT blockers work! Studies have shown that DHT blockers can significantly reduce hair loss and even promote hair regrowth in some cases. Because DHT is the primary cause of male and female pattern baldness, blocking its production can help to prevent further hair loss. (02)

Another reason why DHT blockers are prescribed for hair loss is their ease of use. Most DHT blockers are available in the form of oral medications, often taken as a once-a-day pill. This makes DHT blockers a convenient option for individuals who don’t want to use topical treatments or undergo more invasive hair restoration procedures.

DHT blockers are also considered to be safe and well-tolerated by most people. Unlike other hair loss treatments, DHT blockers typically do not have significant side effects. Their lack of major side effects makes them a popular choice for a safe and effective hair loss treatment (02)

Is Blocking DHT a Bad Thing?

Individuals looking into DHT blockers may have questions about whether blocking DHT is a bad thing. The production of DHT is a natural process. Therefore, doesn’t the body need DHT? Is blocking DHT a bad thing?

Although there is no cut-and-dry answer, blocking DHT is not inherently bad. However, as with any other medication, DHT medication does come with some side effects. These potential side effects must be considered when starting any DHT blocker for hair loss.

Because DHT plays important roles in the body, including the development of male sexual characteristics and other bodily functions. Therefore, blocking DHT can potentially affect these functions. DHT may cause: (02)

Sexual side effects. Some individuals may experience sexual side effects when using DHT blockers. These side effects are generally rare but can occur in a small percentage of users.
Hormonal imbalances. DHT blockers may cause alterations in hormone levels, resulting in changes in mood, energy levels, and overall hormonal balance.
Prostate health: Because DHT is involved in the growth and maintenance of the prostate gland, blocking DHT can potentially affect prostate health. It’s crucial to discuss any concerns with a healthcare professional, especially if you have a history of prostate issues.

It’s essential to consult with a healthcare professional before starting any medication or treatment for hair loss. They can provide guidance based on your situation, conduct a thorough evaluation, and discuss DHT blockers’ potential benefits and risks.

Are There Different Ways to Target DHT for Both Men and Women?

While blocking DHT production is a common approach to treating hair loss and works for both men and women, the process may differ. For example, while oral DHT blockers like finasteride are primarily prescribed for treating male pattern baldness, they have been used off-label in some instances of female pattern hair loss. Therefore, women may benefit from DHT blockers for hair loss, but they must also consider the following when utilizing DHT blockers for hair loss.

Hormonal Effects

DHT blockers can affect hormone levels in the body, potentially leading to hormonal imbalances. Hormonal balance is particularly important for women, and altering hormone levels may have unintended consequences on various bodily functions. (04)

Pregnancy and Breastfeeding

Women who are pregnant or planning to become pregnant and those who are breastfeeding should avoid using DHT blockers. These medications can potentially interfere with fetal development and may have adverse effects on the baby.

While men typically require higher doses of DHT blockers to achieve effectiveness, a little goes a long way for women. This is because men have higher levels of Testosterone, which means they also have higher levels of DHT. In contrast, women have lower Testosterone levels and do not require the same amount of DHT blockers for effective hair loss treatment. Women may also benefit from using a DHT blocker topical, which may have a lower risk of side effects than an oral DHT blocker.

For women considering oral DHT blockers, it is crucial to consult with a knowledgeable healthcare professional, such as an experienced dermatologist or a hair loss specialist, who can thoroughly evaluate and discuss the potential benefits, risks, and alternatives. They can provide personalized guidance to help make an informed decision about the most appropriate treatment options for hair loss.

Are DHT Blockers Right for You?

Happy Head’s proprietary hair growth formula was crafted by the work of our world-renowned hair loss pioneers: Dr. Ben Behnam and Dr. Sean Behnam. Both our founders are widely published in the Journal of American Academy of Dermatology, Journal of Drugs in Dermatology, Journal of Organic Chemistry, Cutis, Expert Opinion in Pharmacotherapy & others. With Happy Head, you know you’re receiving high-quality and well-researched hair loss products with your safety in mind.

Every individual’s situation is unique. That’s why it’s essential to discuss the use of DHT blockers with a licensed dermatologist who can evaluate your specific situation, provide appropriate guidance, and monitor your progress. Happy Head’s experienced hair loss experts can help you determine the most suitable treatment options. Our experts can also walk you through each medication’s potential risks and side effects. Contact us to develop your individualized hair loss treatment today.

Resources:

(01) https://www.ncbi.nlm.nih.gov/books/NBK557634/

(02) https://www.ncbi.nlm.nih.gov/books/NBK555930/

(03) https://www.ncbi.nlm.nih.gov/books/NBK430924/

(04) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5419033/

The Impact of Hair Loss on Mental Health

“My hair is my everything. When I started seeing it get thinner, it destroyed me. I was really nervous about taking Finasteride orally. Happy Head’s topical solution gave me my confidence back!” – Jordan

Why is losing your hair so tough psychologically? Guys aren’t supposed to care about their looks. But, the truth is that we care about our appearances just as much as women do. Not that we would ever admit it. Here’s proof, though. A survey conducted by Men’s Health magazine found that 70 percent of men believe that their physical appearance affects their overall happiness and well-being. When we look good, we feel good. When our hairline starts to look like Grandad’s, well, we stress.

If you’ve spent more than 30 minutes trying to distinguish a cowlick from a bald patch or parted your hair three different ways before meeting your friends for a drink, this one’s for you. It’s time to get real about the impact of hair loss on your mental health and what you can do to regain your confidence.

Hair Loss Is More Common Than You Think, Especially Among Men

Odds are that most of us will have to deal with hair loss at some point after puberty. Here are the stats according to the American Hair Loss Association. (01) 25 percent of men start losing some hair before their 21st birthday. By the age of 35, two-thirds will see some thinning or balding. By age 50, that number jumps to 85 percent. That’s just for male pattern baldness. Those numbers jump even higher once you add alopecia areata, cicatricial alopecia, and other hair loss conditions.

Why is Hair Loss Feel Like Such a Big Deal?

Given that hair loss is almost a rite of passage for us, why does it feel like something we should hide? Why the shame? Because in our society, we view aging as a stigma. Looking, feeling, or being perceived as old is negative. I’m 53, but when I look in the mirror, I still expect to see a 25-year-old me staring back. When I see my hair thinning and shiny spots glaring at me where my thick dark curls used to be, I think “huh, who the heck is that guy?” Let’s just say that it’s not exactly an ego boost.

Male Pattern Baldness Can Mess With Your Head

Hair loss takes us out of our comfort zone. It can trigger insecurities about our looks. It makes us think that people will judge us based on our lack of hair. We feel like we’re losing our youth and that others won’t find us attractive. Worst of all, there’s not much we can do to control our fate. As much as we want the shedding to stop, it takes time. It’s not a quick, snap-of-the-fingers proposition. It’s no wonder that men with hair loss have a higher risk of anxiety and depression compared to those without any type of alopecia. (02)

How Can You Feel In Control When You’re Not?

I have some friends who proudly shave their heads and end up strutting around with the looks and bravado of Vin Diesel at the first sign of recession. The rest of us, well, we don’t fare quite as well. With my luck, shaving my head would leave me looking more like an eraser cap than the Rock. Not to mention that I might pass out the minute I hear the buzzer near my head. So what else can we do to feel like we’re in control of our thinning hair when in reality we aren’t?

First, Stop Stressing

Sure, staying calm is easier said than done, especially when you’re staring down at a shower floor covered in your precious strands. Fretting won’t help, though. Stress can actually contribute to hair loss by producing adrenaline and cortisol that can push your hair follicles into a resting phase and halt your hair’s growth. Over time, your hair can fall out more easily. Instead, try these activities to help you calm down:

Go Outside

If you’re bummed about your hair loss, grabbing your sneakers and getting outside can help you keep your wits about you. According to the Proceedings of the National Academy of Science, participants in a study who went on a 90-minute walk reported lower levels of repetitive negative thoughts than people who walked in a city. (03)

Hit the Gym

When you’re feeling insecure about your appearance, the last thing you may feel like doing is going to the gym. Here’s a good reason to grab your bag and go anyways. A study conducted by the University of Maryland School of Public Health found that exercise helps you better manage stressful situations immediately after and for an extended time after your workout. (04) Exercise can actually buffer the negative effects of emotional events.

Write it Down

Many of us go through a grieving process when we lose our hair. After all, we’re losing a part of our image and identity. It makes sense. So how can we get out of our heads and into a better emotional space? Make a list to help you keep perspective. Make one column to write down the negative stuff you tell yourself. Write down alternative things you could say in a column next to it. When you see how you’re beating yourself up, you’ll realize it’s time to think differently.

Get Your Zzzzs

When you’re tired, the parts of your brain that contribute to excessive worrying and anxiety go into overdrive. A good night’s sleep helps you stay calmer so you can put your hair loss into perspective.

Take a Deep Breath

You may not be able to control your genetic predisposition to hair loss, but you can control your breathing. And, when you feel in control of even one thing, it can help you feel better overall. Try deep, controlled, slow breathing to relax the physiological symptoms of stress.

Play With Your Pet

Did you know that petting a dog can lower your cortisol (a stress hormone) and increase oxytocin, the feel-good hormone? It’s true. When 84 percent of patients experiencing post-traumatic stress disorder were paired with service dogs, not only did they report a significant reduction in symptoms. Forty percent were able to decrease their medications. (05)

Have a Jam Session

Ever hear of the Mozart effect? It’s real. Although scientists don’t understand why, music has been proven to help reduce anxiety and depression. (06) So, the next time you feel down about your changing hairline, pump up the jam to help you feel calmer and more centered.

Research Hair Loss Treatments

If you aren’t aware of the hair loss treatments that are available, getting up to speed might help you feel more in control. If your hair follicles are still viable, prescription medications have been proven to help reduce hair loss and promote growth within six months to a year. Top treatments include:

Minoxidil – Increases blood flow to the hair follicles to help stop shedding and stimulate hair growth.
Finasteride – First-line DHT blocker. DHT blockers prevent testosterone from converting to Dihydrotestosterone which is to blame for hair loss. Oral Finasteride is FDA-approved for male pattern hair loss. In one study, Finasteride stopped hair loss in 83 percent of men who took the medication. Over two years, 66 percent of men experienced growth. (07)
Dutasteride – A stronger DHT blocker used off-label for male pattern hair loss. Because Dutasteride blocks two enzymes, whereas Finasteride blocks one, Dutasteride is more effective for many men. (08) Dutasteride may cause more side effects, so many men opt to try Finasteride first.

Minoxidil, Finasteride, and Dutasteride all come in both oral and topical formulas and are commonly prescribed by dermatologists. Topical Finasteride and Dutasteride have been proven to work as effectively as pills, so you can use either. (09)

Hair supplements containing biotin, keratin, saw palmetto, and vitamins like A & D3 can also help curb shedding while giving your hair a healthier appearance. The right hair loss shampoo and conditioner can help as well.

If your dermatologist has determined that you’re not a candidate for hair loss medications, hair pieces or a permanent hair transplant may be an option. Thanks to advances in the field, both solutions can give you a natural look to help you feel ready to face the world.

Find What Works Best for You… Mentally and Aesthetically

Remember that grieving process we mentioned earlier? It really does happen when you lose your hair. It’s normal to be anxious or depressed, and it will take a minute to accept your evolving look. Taking care of yourself and exploring different treatment options are good ways to help you cope. Over time, you’ll find what works for you.

Meanwhile, Happy Head is here to help with hair loss solutions. Simply fill out a brief questionnaire and one of our board-certified dermatologists will make recommendations based on your hair loss history and goals. The process is easy, and best of all, completely private. Give Happy Head a try and get 50% off your first order with code GOHAIR at checkout.

Resources:

(01) www.americanhairloss.org

(02) www.sciencedirect.com

(03) www.pnas.org

(04) sph.umd.edu

(05) www.hopkinsmedicine.org

(06) journals.plos.org

(07) pubmed.ncbi.nlm.nih.gov

(08) www.ncbi.nlm.nih.gov

(09) pubmed.ncbi.nlm.nih.gov

Should You Worry About Seasonal Hair Loss?

Seasonal changes come with standard expectations: new weather patterns, new wardrobes, and holidays. What you don’t expect is hair loss. So should you worry about seasonal hair loss? Unfortunately, it can cause confusion and distress. Let’s find out if you’re experiencing seasonal hair loss and how to prevent it.

What is Seasonal Hair Loss?

Losing a bit of hair each day is entirely normal. According to the American Academy of Dermatology Association (AADA), the average person sheds 50 to 100 hairs daily. (01) There’s one time of year, however, when you may find yourself losing more hair than usual. This condition is called seasonal hair loss. With seasonal hair loss, a person loses more than the average amount lost through regular shedding.

Some people may lose up to 150 hairs a day during the fall months, more than the usual amount. Although the reason for this seasonal hair loss is not yet well understood, it’s thought that the condition may be linked to your hair’s growth cycle.

Seasonal Hair Loss and the Hair Growth Cycle

Hair doesn’t stay on your head forever. Instead, hair grows using a cyclical pattern of growth. Every strand goes through distinct phases and eventually falls off your head naturally, after which another new strand grows in its place.

Anagen Phase: In the anagen phase, hair emerges from the root and undergoes a rapid period of growth. Also known as the “Growth Phase,” hair grows about 6 inches a year for 2 to 8 years in the anagen phase. (02)
Catagen Phase: Unlike the anagen phase, the catagen phase lasts for a brief 10 days to 6 weeks. During this time, the hair follicle shrinks and starts limiting nutrients to the hair, slowly halting hair growth. (02)
Telogen Phase: Also known as the “Resting Phase,” the telogen phase lasts about 2 to 3 months. Hair follicles in this phase completely stop delivering nutrients, thus completely stopping hair growth. At the end of the telogen phase is the “exogen phase,” which is when the strand falls out of the follicle, accounting for the 50-100 hairs lost daily. Events that cause stress, however, can result in a condition called telogen effluvium, in which more hair falls out than typically does in the telogen phase. (02, 03)

An analysis published in the British Journal for Preventative Dermatology found that the risk for seasonal hair loss was higher during the summer and autumn months. According to the data, the temperature transition from summer to autumn likely triggers seasonal hair loss.

What Causes Seasonal Hair loss?

The cause of seasonal hair loss has not yet been confirmed. However, most professionals believe that the rapid temperature change between seasons can trigger stress-induced hair loss (telogen effluvium) in some individuals. Telogen effluvium is a diffuse hair loss that happens during times of trauma or severe stress.

Seasonal hair loss is most likely a form of telogen effluvium as a response to temperature and weather changes. Anything from psychological trauma, illness, medication or external factors like temperature can lead to the development of telogen effluvium. Approximately 30 percent of hair follicles transition prematurely into the telogen phase during telogen effluvium, causing more hair shedding than usual.

While temperature changes are thought to be the primary cause of seasonal hair loss, a variety of other factors may also be responsible. For example, the autumn and winter seasons also include the return to the school year and the busy holiday season. The added stress could result in telogen effluvium in the form of seasonal hair loss.

Is Seasonal Hair Loss Permanent?

The good news is that seasonal hair loss is temporary, like most cases of telogen effluvium. However, it may recur with the seasons. Fortunately, there are steps you can take to prevent seasonal hair loss. Here are a few things you can do below:

Take Care of Your Scalp
- Keep your scalp clean and hydrated, especially during the dry fall and winter months.
- Make sure to massage gently when shampooing. The activity encourages blood flow and keeps follicles healthy.
Pay Attention to Your Hair
- Keep your hair hydrated during cold or dry weather. Dry weather pulls moisture, so replenish it with a leave-in conditioner or do a deep condition.
- Limit the use of heat styling tools and restrictive hairstyles that pull at your hairline, particularly at times when you notice seasonal hair loss.
- Use shampoos and conditioners that are free of sulfates like our Happy Head Thickening Shampoo & Conditioner.
Nourish Your Scalp & Hair
- Nutrients help to strengthen your scalp and strands. Consume foods and supplements containing the following: vitamin A, vitamin D, saw palmetto, keratin, and probiotics.
- Shampoos, conditioners, and hair treatments that “thicken” hair are often infused with nourishing ingredients to help grow and strengthen hair.

Keep in mind that seasonal hair loss is temporary and should subside as the months go by. So long as you care for your hair, you should see regrowth in a few weeks to a month. In some cases, however, what you think is seasonal hair loss could be something more serious.

What If It’s Not Seasonal Hair Loss?

A case of seasonal hair loss might be worrisome, but it’s not usually something to lose sleep over. Your hair might be thinner, but you can rest assured that your hair will grow back. What if you have a more permanent condition? How can you tell? To identify the signs of severe hair loss, be on the lookout for: (05)

Hair that feels lighter.
Bald patches and a more visible scalp.
A change or recession in the hairline.
A more visible scalp.
An increase in strands found on hairbrushes, bedding, or drains.
Signs of a bacterial or fungal infection, like itching, burning, or scaly patches.

Seasonal hair loss usually occurs diffusely throughout the scalp, with hair falling in an even fashion. You may be experiencing something other than seasonal hair loss if you experience:

Patterned Hair Loss: Progressive balding at the top of the head, temple, or hairline is categorized as patterned hair loss. Hereditary conditions like androgenetic alopecia (also known as male pattern baldness) typically see patterned hair loss, like balding at the top of the head. (06)
Focal Hair Loss: Focal hair loss typically occurs as bare patches on the head, face, or body. This type of hair loss is usually seen in autoimmune conditions like alopecia areata or type 1 diabetes. (06)

Whether your hair loss is temporary (like seasonal hair loss) or “permanent” (like androgenetic alopecia), there are always steps you can take to take control of the situation. Furthermore, the earlier you can identify and treat your hair loss, the better your chances of seeing regrowth.

Treating and Preventing Hair Loss with Happy Head

If you suspect your hair loss is more than seasonal, contact a licensed dermatologist at Happy Head. We can help you determine the cause of your hair loss and develop an individualized treatment plan that’s right for you.

But Happy Head does more than regrow your hair, we help you care for the hair that you have. Our gentle yet effective hair-thickening shampoo and conditioner are infused with hair-strengthening argan oil and biotin. We also offer hair supplements that ensure your scalp and hair get all the nutrients needed to grow healthy and strong. So get started on your hair regrowth journey today with Happy Head here and take our questionnaire.

Resources:

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

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

(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709511/

(04) https://academic.oup.com/bjd/article/178/4/978/6602544?login=false

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

(06) https://jamanetwork.com/journals/jama/fullarticle/2795266

Minoxidil Liquid Or Foam: Which One Is Right for You?

Once you’re on the path toward hair restoration, you’ll be faced with a variety of choices. For example, you may find yourself with the option of using foam or liquid Minoxidil like our customizable liquid topical Minoxidil treatment here at Happy Head. While the purpose of the medication is the same, they both differ in terms of application and absorption. Learning about the differences between Minoxidil foam and Minoxidil liquid can help you make an informed decision when the time comes to make your choice.

What is Minoxidil?

According to the National Library of Medicine, Minoxidil is a medication that’s commonly used for treating hair loss. Minoxidil is a vasodilator–a medication that widens blood vessels. Because of its ability to expand blood vessels, oral minoxidil was initially approved by the Food and Drug Administration (FDA) for the treatment of severe high blood pressure. However, people who were prescribed the drug for their blood pressure began reporting a welcome side effect – hair growth! As a result, doctors started prescribing minoxidil throughout the 1980s as an off-label medication to treat hair loss clients.

Topical Minoxidil—available in 2% and 5% concentrations—is an effective hair loss treatment for both men and women. Minoxidil is a vasodilator, which means it works by widening the blood vessels in the scalp, which then increases blood flow to the hair follicles. This increased blood flow delivers more nutrients and oxygen to the hair follicles, helping to stimulate hair growth. In addition, Minoxidil increases the size of hair follicles, which can lead to thicker, healthier hair. By “feeding” hair follicles, Minoxidil results in improved hair growth, healthier follicles, and longer strands. (01, 02)

Is Minoxidil an Effective Treatment for Hair Loss?

Several clinical studies have investigated the efficacy of Minoxidil for the treatment of hair loss. One study published in the Journal of the American Academy of Dermatology found that topical Minoxidil was effective in promoting hair growth in men with androgenetic alopecia, a common form of hair loss. The study involved 984 men with mild to moderate hair loss who were randomly assigned to receive either 5% topical minoxidil, 2% topical minoxidil, or a placebo. After 48 weeks of treatment, both the 5% and 2% minoxidil groups had significantly more hair growth than the placebo group. (03)

What Types of Hair Loss Does Minoxidil Treat?

Although topical Minoxidil has received approval from the FDA for the treatment of specific hair loss conditions, the medication is also used to effectively treat a variety of hair loss disorders. (04)

The FDA currently approves topical Minoxidil for the treatment of these hair loss disorders:

androgenetic alopecia
female & male pattern hair loss

However, Minoxidil is also successfully prescribed off-label for:

alopecia areata
beard and eyebrow growth
central centrifugal alopecia
chemotherapy-induced hair loss
frontal fibrosing alopecia
telogen effluvium

Minoxidil is available in both topical and oral forms. The topical formulation is applied directly to the scalp or other affected areas, while the oral medication is ingested in tablet form. When applying the topical version, users will have to choose between foam or liquid Minoxidil. At Happy Head, our board-certified dermatologists offer both oral and liquid forms of Minoxidil, so after reading this article you can set up a free consultation with them online here.

Minoxidil Foam Or Minoxidil Liquid?

When deciding between foam or liquid Minoxidil, users may need to consider a few factors. While both formulations are effective in promoting hair growth, there are some differences between them that may influence which one is best for a particular individual.

Minoxidil Liquid: Pros and Cons

Minoxidil liquid is the tried and true original formulation of the medication, and it has been available since the 1980s. This liquid version is applied directly to the scalp using a dropper, typically twice a day. One advantage of the liquid form is that it allows for more precise application to the scalp. This can be especially useful for individuals who have a specific area of the scalp where they are experiencing hair loss, as it allows them to target that area more effectively.

Furthermore, some individuals may prefer the liquid formulation because it can be easier to spread evenly over the scalp. The liquid version of Minoxidil slides freely between hair strands. It also flows through the scalp’s dips and valleys much more thoroughly than the foam version., ensuring adequate coverage. Liquid Minoxidil also offers dry scalp or brittle hair some moisture, improving hair health.

Along with these advantages comes a few disadvantages. The liquid version of Minoxidil can make an oily scalp look greasy. In addition, oily hair may look even oilier when using liquid minoxidil. Another disadvantage of the liquid formulation is that it can be messy and time-consuming to apply.

Some people find it challenging to control the amount of medication that’s dispensed from the dropper. The solution to this problem is to use a dropper that’s calibrated and specific to the topical. Lastly, the liquid can take some time to dry after application. For individuals who are in a hurry to get out the door, waiting for the liquid to dry can be a small inconvenience.

Minoxidil Foam: Pros and Cons

Minoxidil foam is a newer formulation that was introduced in the early 2000s. Much like hair mousse, the foam is applied directly to the scalp using a nozzle. One benefit of the foam formulation is that it makes application a breeze and the foam dries quickly. Minoxidil foam is less messy than liquid formulations.

Because the foam is applied using a nozzle, it is easy to control the amount of medication that is applied, and there is less risk of accidentally spilling or wasting the medication. In addition, the foam is less likely to drip or run down the scalp, which can be a problem with the liquid version.

One significant disadvantage of the foam formulation is that it’s not as easy to target specific areas of the scalp. Because the foam is applied using a nozzle, targeting a specific area of the scalp is challenging. In addition, the foam tends to sit on top of any hair rather than flow to the scalp area. Therefore, foam requires a few extra steps to massage the medication directly onto the scallop.

Which is More Effective?

In terms of effectiveness, both the liquid and foam formulations of Minoxidil have been shown to be effective in promoting hair growth. Several clinical studies have investigated the efficacy of Minoxidil for the treatment of hair loss, and most have found that both formulations are effective in promoting hair growth and improving hair density.

One study published in the Journal of the American Academy of Dermatology compared the efficacy of 5% minoxidil foam to 5% minoxidil liquid in the treatment of androgenetic alopecia in men. The study included 45 men who were randomly assigned to receive either the foam or the liquid formulation. After 24 weeks of treatment, both groups showed significant improvement in hair count and hair thickness. Therefore, both foam and liquid are effective treatments for hair loss. (05, 06) As mentioned, at Happy Head, we’ve found our patients to use less product when using the liquid topical form of Minoxidil since the liquid gives you more control over the placement of the liquid topical medication as opposed to losing most of it in the hair when using a foam version.

Minoxidil Foam & Minoxidil Liquid Side Effects

Both Minoxidil foam and liquid have similar side effects. Because both formulations are topical, the most common side effect is skin irritation. Along with irritation, redness, itching, and dryness of the scalp can also occur.

While these symptoms can be bothersome, they are generally mild and usually resolve on their own with continued treatment. A few rare side effects include fluid retention, blood pressure changes, and electrolyte imbalances. For the most part, Minoxidil topical, both foam and topical, is safe and effective for promoting hair growth in both men and women.

Which One Should You Choose? Foam Or Liquid

Happy Head’s liquid Minoxidil is made with a special base solution, which is designed to soothe the scalp and minimize the appearance of side effects. Unlike other Minoxidil formulations, Happy Head’s gentler formula reduces skin irritation. Are you wondering which topical hair loss treatment is right for you? Consult with our board-certified dermatologists to develop an individualized hair regrowth plan with you in mind.

Resources:

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

(02) https://pubmed.ncbi.nlm.nih.gov/15034503/

(03) https://www.jaad.org/article/S0190-9622(03)03692-2/fulltext

(04) https://www.ncbi.nlm.nih.gov/books/NBK482378/

(05) https://www.sciencedirect.com/science/article/abs/pii/S0190962210018116

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

An Honest Review of Happy Head’s Thickening Shampoo & Conditioner

Is your shower lined with bottles of partially full shampoo and conditioner? Mine is, and it drives my partner crazy. So, when I decided to try Happy Head’s new Thickening Shampoo and Conditioner, I got the “Really? Like we need more clutter” look. Of course, I had a good reason for wanting to try it.

About 13 years ago, I was diagnosed with Lichen Planopilaris. It’s an autoimmune disease and a type of scarring alopecia that occurs when your body attacks your hair follicles. Inflammation causes scars over the follicles, eventually closing them off so hair can no longer grow. You have to play beat the clock to get the inflammation under control so the hair follicles stay open. I was fortunate that my dermatologist was able to get my hair into remission and the damage was isolated to areas that I can cover with a good haircut. I was off all of my medications and done with treatments for over 10 years.

During Covid, though, my hair loss reared its ugly head. My dermatologist put me on a regime that included Finasteride and Minoxidil. Thankfully, the shedding slowed, and new hair started to sprout. For some reason, though, my hair felt really dry and didn’t look the healthiest. So, I decided to try out Happy Head’s shampoo and conditioner to see if it would help. Here’s my honest review.

I Tried Other Thickening Shampoos & Conditioners First

Weary paying a small fortune for my stylist’s overpriced recommendations that never seemed to work, I started cruising Facebook groups to see what fellow alopecia warriors were recommending. I finally settled on Bondi Boost after reading a lot of positive reviews about the brand. And, at first, I was happy with the choice. I really liked the peppermint scent and the clean, tingly feeling that the suds gave my head. My hair felt super soft, too. That all changed in the following weeks, though. I found that the shampoo left a film that was hard to wash out, and before I knew it, the build-up made my hair look just as dried out and blah as it did before I started using it.

Ingredients Matter When it Comes to Hair Care Products, Especially When You Have Alopecia

Curious about whether Happy Head’s shampoo and conditioner would make my hair look healthier, I researched the formula. Sure enough, I found plenty of intel on the ingredients that made me think, “Aha, this stuff might work.” Here’s what I learned.

The active ingredients in Happy Head’s shampoo and conditioner formulas are selected specifically for people dealing with thinning or balding hair. Every ingredient has a purpose. Let’s start with saw palmetto. Extract from saw palmetto, a tree with palm-like leaves that grows up to ten feet tall, acts as a DHT blocker. It works like a mild, all-natural version of topical Finasteride to prevent Testosterone from converting to Dihydrotestosterone (DHT).

Collagen and keratin help thicken, volumize, and protect your hair. As you age, your body produces less collagen, which is responsible for helping your skin and hair maintain its elasticity. When applied topically, collagen can help replenish the cells in your dermis, keeping your scalp and hair follicles healthy, allowing for thicker, stronger hair to grow.

Keratin is a fibrous protein found in your hair, skin, and nails. One research study published in 2017 in the Journal of Investigative Dermatology found that a keratin-based treatment significantly improved hair growth among men with male pattern baldness. After 24 weeks, the mean hair count increased by over 29 percent in the treatment group compared to almost 10 percent in the placebo group. The keratin-based treatment also significantly improved hair thickness and density. Then, there’s argan oil and biotin, known for moisturizing and strengthening.

Happy Head’s Shampoo & Conditioner Duo Made My Hair Feel Softer and Look Shinier

After my experiences with other shampoos and conditioners, I had low expectations for Happy Head. Months later, though, I’m still using the Happy Head products and am pleased with the results.

Here’s what I found:

Happy Head’s shampoo and conditioner have a mild, fresh scent. I find the scent relaxing and peaceful, like a product you would find in an upscale spa. The system also gave me the results I was looking for in terms of making my hair feel soft and sleek, even months after using it. You know how gray hairs have a wiry texture that’s different from the rest of your hair? They proudly stick out, announcing to the world, “Hello! Here I am!” Thankfully, Happy Head tamed those too.

I Didn’t Expect Happy Head’s Shampoo & Conditioner to Reduce Shedding, But it Did

Now, here’s the best part. When I started using Happy Head’s shampoo and conditioner, my dermatologist told me my hair loss had stabilized. From her perspective, I was out of the woods, and she wasn’t concerned about shedding.

My bathroom sink was telling me a different story, though. Every time I brushed my hair, I would find about 15 strands waiting to be cleaned up. A few weeks after using Happy Head’s thickening shampoo and conditioner, I noticed that the 15 strands were reduced to about three to five.

There Are Some Tricks & Tips You Can Use to Help Make Your Hair Look Healthier

I used Happy Head’s thickening shampoo and conditioner as any other. The bottles come with handy pumps for easy dispensing. My hair is short, so I only need one pump. If your hair is long, you may need two pumps. Massage the shampoo evenly into your wet hair and scalp, and rinse. Then, apply one to two pumps of the conditioner and massage it into your hair. This time, don’t rinse right away. Let the conditioner sit for a few minutes to let the formula absorb, then rinse.

If you’re like me and wash your hair every day and occasionally twice on the same day, you may want to rethink that. According to Dr. Ben Behnam, board-certified dermatologist, and Happy Head Co-Founder & Chief Medical Officer, washing so often will strip your hair of essential oils that are needed to protect your hair against breakage. He suggests washing every other day instead. If you’re like me and exercise a few times a week or are active, the idea of not washing your hair may make you think, “blech.” If that’s the case, rinsing with water will do the trick without drying out your hair. You can also rinse with water and use conditioner without shampooing.

Shampoo & Conditioners Are No-Risk Products

When you’re dealing with male or female pattern hair loss, alopecia areata, or any other type of alopecia, it’s only natural to question whether you should use certain products. The idea of doing anything that could result in further hair loss is nerve-wracking. I’ve been there.

Here’s a reality check, though. The odds of shampoos and conditioners causing problems are minimal, if at all. You don’t have anything to lose. I’m glad that I tested out Happy Head’s new shampoo and conditioner, and recommend you try them too. There’s even a special introductory offer for 30 percent off on your first order when you add them to your cart.

Disclosures: Although I’m a writer, I’m pretty busy and rarely write product reviews. Between juggling work and family, I just don’t have the time. However, when we launched our thickening shampoo and conditioner, I was curious to see how the products would work. I had already tried so many. What was one more? Happy Head gladly gave me a set of complimentary bottles to try. Happy Head, however, did not ask me to write this review. I volunteered to write it because I truly believe in these products.

Now, I can’t guarantee that my results are typical and everyone will have the same experience. As mentioned earlier, besides Happy Head’s shampoo and conditioner, my protocol includes Finasteride, Minoxidil, and other medications designed to stop my hair loss and promote growth. As frustrating as it is, there are different types of alopecia (male and female pattern hair loss, alopecia areata, frontal fibrosing alopecia, etc.) and people’s body chemistry varies, which can affect the efficacy of hair loss products.

If you decide to give Happy Head’s shampoo and conditioner a trial run, we’d love to hear from you. Be sure to contact us and let us know what you think.