Your Comprehensive Guide to Oral Dutasteride

Happy Head's dermatologists formulate prescription-grade hair loss treatments with Dutasteride as an active ingredient, made to block hair loss. Learn more about this active ingredient and how it tackles hair loss and prevents future loss while promoting hair growth.

If you’re experiencing male or female pattern baldness, your dermatologist probably recommended a Dihydrotestosterone or DHT blocker. There are a few different types that you may have heard about. Finasteride was the first DHT blocker on the market and the oral version is FDA approved for male pattern hair loss. Dutasteride is a newer medication that’s often used off-label to treat hair loss. If you’re unfamiliar with Dutasteride as a primary ingredient in hair loss treatments then you’re in the right place. We’re going to share everything you need to know about oral Dutasteride in this comprehensive guide and how it can help you achieve successful hair growth. 

Dutasteride is a DHT Blocker

Let’s start with the basics. Both men and women have an enzyme called 5-alpha reductase in their liver and skin. It can also be found in men’s prostates. The enzyme is responsible for converting Testosterone produced into dihydrotestosterone (DHT). Healthy levels of DHT are needed to support sexual development in both men and women. When a person’s DHT level gets too high during adulthood, however, it can cause prostate enlargement in men and hair loss in both men and women. High levels of DHT shrink the hair follicles and shorten the hair growth cycle resulting in hair loss.   

Dutasteride is Designed to Prevent Hair Loss 

DHT blockers like Dutasteride prevent Testosterone from converting into DHT in th

e first place. When production is inhibited, the amount of DHT that can attach to your hair follicles is significantly reduced, limiting the effects on your scalp. 

Dutasteride is a Newer DHT Blocker

Finasteride was the first DHT blocker on the market in 1992. Dutasteride was developed a few years later and patented in 1996. The medication was marketed to treat benign prostatic hyperplasia, another name for enlarged prostates, under the brand name Avodart. In 2015, Dutasteride’s patent expired, making the medication more widely available. Although Dutasteride is not FDA approved for treatment of male or female pattern hair loss and is used off-label in the United States, it has been approved in South Korea since 2009 and Japan since 2015. At Happy Head, every formula we create is thoroughly tested and found to have effective results by our board-certified dermatologists. 

Finasteride and Dutasteride Both Treat Androgenetic Alopecia, but Work Differently

Like Finasteride, Dutasteride inhibits 5a-reductase (5AR). The difference is the number and types of enzymes inhibited. Finasteride selectively inhibits the Type 2 isoenzyme, and Dutastride inhibits both Type 1 and 2. A research study published in the National Library of Medicine on 576 men confirmed that Dutasteride is an effective option for men who don’t respond well to Finasteride. So if you’ve tried Finasteride before without success, just let your Happy Head dermatologist know and they’ll find an effective solution for you or craft one from prescription-grade ingredients just for you. 

Is Dutasteride Stronger 

Than Finasteride?

According to research findings, Dutasteride is a stronger ingredient. In one study on men with Androgenetic Alopecia (male pattern baldness), Dutasteride improved hair growth by over twelve percent after 24 weeks, compared to just seven and a half percent in the group that took Finasteride. However, anecdotally, some dermatologists find that while some patients respond better to Dutasteride, other patients achieve better results with Finasteride. It’s difficult to predict which medication will work better without trying each. 

Dutasteride Has Long-Lasting Effects

Dutasteride remains in your system for a long time after the medication is stopped. It can be detected for up to four to six months after your last dose. In comparison, Finasteride only lasts in your system for five to eight hours. 

Why Not Try Dutasteride First?

When prescribing medications for genetic and other types of hair loss, dermatologists often start with lower strengths and dosages and bump up to higher ones as needed. The system gives you the most effective formulas at the lowest possible dosages to help avoid side effects. After all, Finasteride, which is usually used as a first-line treatment, effectively treats many patients experiencing male and female pattern baldness. Some people never need another DHT blocker. There are times, however, when Finasteride doesn’t do the trick. In those cases, Dutasteride is often prescribed next. 

Are Side Effects Common with Dutasteride?

DHT blockers can cause sexual side effects, such as decreased libido and erectile dysfunction, so some people, especially men, may be hesitant to try them. The truth is that side effects due to Dutasteride are not typical, and most people do not experience them.  According to a study from the National Library of Medicine, eighty-five percent of men who use DHT blockers don’t experience any side effects. Side effects usually dissipate over time after the medication is discontinued.  

What Conditions Does Oral Dutasteride Treat

Dutasteride is most often prescribed to treat male and female pattern hair loss, also known as Androgenetic Alopecia. The condition is genetic and occurs when an overproduction of DHT attacks the hair follicles. Dutasteride stops the flow of DHT to prevent further hair loss and allow new hair to grow. Oral Dutasteride is also prescribed for conditions such as frontal fibrosing alopecia and as appropriate for other forms of alopecia. 

How Long Will It Take to See Results?

Oral Dutasteride may start working immediately, but it will take approximately six months to a year to see a noticeable difference. 

Oral Hair Growth treatments formulated by dermatologists and delivered to your door using Dutasteride, Finasteride, Minoxidil, and more.

Can Oral Dutasteride Be Combined With Minoxidil and Other Hair Loss Treatments?

Not only can Dutasteride be combined with Minoxidil, but it is also recommended. The two medications work differently and together can maximize your hair growth. Here’s how. When people experience androgenetic alopecia, the hair follicles shrink, resulting in shorter and thinner hair. Over time, the hair follicles can completely close, so that hair will no longer grow. Dutasteride blocks DHT from shrinking the follicles, and Minoxidil enlarges the hair follicles, allowing thicker, healthier hair to emerge.  

How to Get Oral Dutasteride

Oral Dutasteride is only available by prescription and should be taken under the supervision of a licensed dermatologist. Be sure to follow-up as recommended by your doctor. As with any medication, Dutasteride should be monitored regularly. 

If you have been diagnosed with male or female pattern baldness and are interested in learning more about Dutasteride, Happy Head can help. Not diagnosed for hair loss but feel like you’re losing hair? You can get a FREE consultation with our board-certified dermatologists and get prescribed the treatment you need online by taking our quick questionnaire here and telling us about your hair. We have licensed dermatologists available in every state to answer your questions and determine whether Dutasteride is right for you. We also help make Dutasteride affordable, whether or not you have insurance. Use code GOHAIR for 50 percent off of your first order. 

Resources:

(01) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388756/

(02) Khandpur, S., & Suman, M. (2014). Dutasteride improves male pattern hair loss in a randomized study in identical twins. Indian journal of dermatology, 59(6), 630-633. doi: 10.4103/0019-5154.143571

(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5023004/#:~:text=Sexual%20adverse%20effects%2C%20such%20as,the%20symptoms%20improve%20over%20time.

 

Why You Shouldn’t Ignore Beard Hair Loss

Woo hoo! You got an enthusiastic “yes,” and your date is tonight. It’s time to get spiffy. So you pull out your razor, glance in the mirror, and just as you begin to lather up, you notice something strange. A tiny little circle where your beard hair is missing. Is that a bald spot? Was that there yesterday? Will my date notice? Will the hair grow back? Whoa, stop for a minute. Here’s the deal. Beard hair loss can often be treated, but the process takes time and requires a dermatologist’s supervision. Although you shouldn’t panic, you should seek treatment as soon as possible to prevent further beard loss. Here’s what else you should know and why you shouldn’t ignore beard hair loss.  

Why is My Beard Hair Falling Out?

Let’s start with the basics. It’s important to understand why your facial hair is falling out. Most of the time, facial hair loss is due to an autoimmune condition called Alopecia Barbae.  The condition occurs when your body attacks your hair follicles, causing small, circular patches of hair loss. Alopecia Barbae is usually seen along your jawline, but it can affect any part of your beard. Hair loss can be isolated to one patchy area, or it can be widespread. 

If you’ve heard that having one autoimmune disease predisposes you to more, that’s true in this case. The same autoimmune disease that causes Alopecia Areata, which causes patchy round circles of hair loss on your head, causes Alopecia Barbae. People who have Alopecia Areata are more likely to experience Alopecia Barbae. That doesn’t necessarily mean that you will see hair loss on both your head and beard. You can get one without the other. The condition is unpredictable, which can make management extremely frustrating. Having thyroid disease, diabetes, lupus, or psoriasis can also make you more susceptible to beard hair loss.  

Did I Miss the Symptoms of Alopecia Barbae?

How is it possible that you had a full beard yesterday and today you’re finding bald spots? Did you miss something? Could you have prevented the beard loss? Unfortunately, there isn’t a way to predict Alopecia Barbae. As a non-scarring form of Alopecia, there isn’t any redness, itching, or inflammation waving a red flag. There isn’t a way to know what’s to come until your bald patches appear.

Will My Beard Grow Back?

Yes, the hair on your beard may grow back. Alopecia Barbae is non-scarring, meaning that your hair follicles aren’t permanently damaged. Hair can regrow, sometimes spontaneously. Other times, treatment is required. To help boost hair growth all around, you can try to incorporate a hair supplement into your hair care routine. 

How Do Dermatologists Diagnose Alopecia Barbae?

Diagnosing Alopecia Barbae takes experience and skill. You definitely shouldn’t ignore beard hair loss. The condition’s distinguishing traits require a dermatoscope or biopsy to see. The first are small hairs that look like exclamation marks. They are wider on top than on the bottom near the hair follicle. Your dermatologist will also look carefully around the bald patch for signs of short vellus hairs. Vellus hairs tend to have a grayish-whitish color and a fluffy texture. Your dermatologist may also see small hairs that break off just underneath the skin. The hairs may look like small black, white, or yellow dots. 

Happy Head custom hair loss treatments are made for you and your unique hair loss condition and pattern. We base this formula off of your unique responses to our questionnaire and your consultation with your dedicated board-certified dermatologist. You shouldn't ignore beard hair loss when you have solutions to keep it.

What Treatment Options are Available?

If your beard doesn’t regrow on its own, your dermatologist can offer treatment options to help jump-start the process. No treatments are FDA approved, however, dermatologists commonly prescribe medications off-label. Treatment typically focuses on simultaneously calming the immune system and stimulating growth, so you may find yourself using multiple medications at the same time. Because everyone’s body chemistry differs, it may take some experimenting to determine the right mix of medications for you. 

Topical or Injected Corticosteroids

Corticosteroids are often used as a first-line approach to suppress your body’s immune system. It may take time for your body to calm down, so be prepared for treatments to be spread over a few months.

Topical or Oral Minoxidil

You may be familiar with Minoxidil for regrowing the hair on your head. Minoxidil can also be safely used to stimulate beard growth. The treatment is often combined with corticosteroids and is a fast, easy, and accessible option for many men.

Platelet-rich Plasma

Platelet-rich plasma treatments have been in the spotlight for many different applications ranging from sports treatments to hair loss therapy. During a PRP treatment, platelets are extracted from your blood, concentrated, and reinjected to stimulate growth. While PRP gets mixed results for other applications, research indicates that PRP therapy produces promising results for treating beard loss. (01)

JAK Inhibitors

Exciting breakthroughs have been made in the past few years using JAK inhibitors to stimulate hair growth among people with severe cases of Alopecia Areata. JAK inhibitors are immune-modulating medications that inhibit the enzymes responsible for causing your body to attack itself. Topical treatments or oral pills are prescribed based on a patient’s needs. At Happy Head, we create custom topical hair loss treatments that are made just for you and your particular hair loss needs. 

Anthralin

Anthralin, a topical medication prescribed to treat psoriasis is being used off-label to treat Alopecia Barbae. Although not much research has been conducted on the effectiveness of facial hair, findings indicate that the medication shows promise in treating Alopecia Areata. (02)

Diphencyprone

Diphencyprone has been used since the 70s to treat Alopecia Areata. Like Antralin, there’s limited research on the medication’s use for Alopecia Barbae, but it has demonstrated efficacy in treating Alopecia Areata. It is not unusual for dermatologists to prescribe the medication off-label to patients experiencing severe beard hair loss. 

What Else Can Cause Beard Hair Loss?

Keep in mind that neither Alopecia Areata nor Alopecia Barbae is common. A very small percentage of the population is affected. Some men are never able to grow a full beard. For them, sparse facial hair is normal. Stress, medications, poor diet, hormonal imbalances, and other factors can cause beard hair loss. So, before you assume the worst, check in with your dermatologist. There may be an easy fix to get your beard back into shape. 

What You Can Do About Beard Hair Loss (Besides Panic)

Beard hair loss is aesthetic, and fortunately, it doesn’t affect your overall health. That said, any alopecia can affect your self-esteem and confidence. While you wait for your hair to grow back, temporary fixes to camouflage the bald spots in your beard can make you feel better. While a close shave may not be your ultimate goal, it can bridge the gap until your hair grows back. Depending upon the size of the bald spot(s) you may also be able to use a little hair cover-up powder. Some creative guys have also found success experimenting with a fine point liquid eyeliner pen in a color that matches their hair. 

Stressed about patches in your beard? Don’t have a dermatologist? Can’t get an appointment for months? Happy Head has board-certified dermatologists licensed in every state who can advise you on your beard hair loss as well as scalp hair loss. Simply complete a brief questionnaire to learn whether you are a candidate for our topical Minoxidil or other hair loss treatments that can help regrow facial hair. We can even customize a formula just for you. You shouldn’t ignore beard hair loss when you can find a solution that’s easy to add to your daily routine. 

Resources:

(01) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7193229/

(02) https://pubmed.ncbi.nlm.nih.gov/3314718/

 

7 Modern Hairstyles for Men With Thinning Hair

Happy Head Inc customer getting his hair cut in a more flattering way to help hide his hair thinning while he continues his hair loss treatments.

When hair starts to thin, finding the right hairstyle becomes challenging. Your old tried and true hairstyle becomes more and more difficult to achieve with thinning hair. To add to the problem, your go-to haircut doesn’t do your bald spots and thinning areas any favors. Sound familiar? Don’t worry. You can achieve a stylish, modern haircut and mask your thinning hair at the same time. We’ve found 7 modern hairstyles for men with thinning hair to help you find a solution before your next event.

Fashion Forward Hairstyles for Your Thinning Hair

If you are experiencing thinning hair, it’s important to choose a haircut that flatters your face shape and helps to make your hair appear fuller and thicker. Here are some haircut tips for men with thinning hair.

1. The Crew Cut

The crew cut is both modern and classic, worn by the likes of Channing Tatum to Elvis Pressley. This cut is a shorter hairstyle that’s perfect for men who have thinning hair. Depending on the specific crew cut you’re looking for, this style involves cutting the hair short on the sides and the back. The top, however, remains slightly longer. 

What makes the crew cut work is that it gives the hair some movement but hides any thinning areas – especially at the temples. This creates a clean, polished look that’s easy to maintain and style. For a versatile option, try the crew cut if you have thinning hair. 

2. The Combover

The comb-over gets a bad rap, but it’s an extremely effective way to mask thinning hair or bald spots. A short comb-over, in particular, is the quintessential business look that also helps to disguise any thin patches. This style involves combing the hair over to one side to hide bald spots.

A comb-over requires hair products to keep hair in place. Typically, a comb and hairspray (or other hair product) are all that’s necessary to make a comb-over look flawless. A larger area to comb over may call for longer hair, therefore, a comb-over needs some time for hair to grow long enough to cover over the necessary areas. 

3. The Slicked-Back Look

Slicking back your hair can create the look of full locks. The slicked-back hairstyle involves combing the hair straight back, away from the face. This helps to create the appearance of fuller hair on top while also giving the hair a polished, sophisticated look. 

The slicked-back style can also be easily styled with a little bit of hair product, making it a great option for men who want a low-maintenance style. This look works well with a streamlined, modern wardrobe. So, if you already have an affinity for fashion, a slicked-back hairstyle might be right up your alley. 

4. The French Crop

The French crop is called the “white T-shirt of haircuts” because it looks great on most face shapes. This style also seems ready-made for men with receding hairlines or thinning hair. The hairstyle calls for a crew cut-like cut, but the hair is combed forward at the top. Because the hair is styled slightly forward, the strands can shield a receding hairline from view. 

When wearing a French crop, it helps to use a bit of pomade or gel to keep the hair combed forward and flattened. Also, a shorter cut at the front means frequent trims. Allowing the hair to grow long at the forehead can make the cut look like bangs, so be sure to keep the look on the shorter side!

5. The Messy Textured Crop

The messy textured crop is a modern hairstyle that is perfect for men with thinning hair. This style involves cutting the hair short on the sides and back while leaving the hair slightly longer on top. The hair on top is then styled with a bit of texture and volume, creating a messy, tousled look, perfect for men who want a more relaxed, casual look.

The hair flows forward in this hairstyle, so it helps to cover up any patches of receding hairline or bald areas. This haircut is also low-maintenance, as it doesn’t require precision or accuracy when styling. Just dab some hair product onto your hands, tousle your hair, and you’re good to go. 

6. The Short Quiff

The short quiff is a more modern hairstyle that’s convenient and very doable for men with thinning hair. This style involves cutting the hair short on the sides and back while leaving the hair slightly longer on top. Though it may be mistaken for a pompadour, a short quiff, and a pompadour are two very different hairstyles. 

While both the short quiff and the pompadour involve styling the front of the hair to add volume, a short quiff is much shorter and brushed forwards. So, while a pompadour calls for longer, thicker hair, a short quiff works well with thinner hair. This style also offers the illusion of movement and density, making it an excellent hairstyle for someone with thinning hair. 

7. The Faux Hawk Mohawk

There’s no need to let thinning hair keep you from being edgy and modern! If you’re feeling adventurous, then a faux hawk or mohawk is for you. The faux hawk is a variation of the classic Mohawk, but it’s less extreme and much easier to wear. To create a faux hawk, ask your barber to cut your hair shorter on the sides (but not shaved all the way) and longer on top. Style your hair by using a styling product, such as pomade or wax, to create height and texture.

A Mohawk, on the other hand, calls for a complete shave on the sides of your head and leaves a strip of hair on top. Style your hair by using a styling product, such as pomade or wax, to create height and texture. If you’re feeling rebellious, style the hair into spikes or ask your barber to dye your hair a vibrant color. This should create a definite distraction from your thinning hair! 

Customer looking in the mirror at their thinning hair.

What Causes Hair Thinning? 

Before you change your hairstyle, you may want to confirm that you’re actually experiencing hair loss. According to the American Hair Loss Association, a person typically loses 50 to 100 hairs a day. When a person loses more hair than that for a prolonged period of time, however, it can result in excessive hair loss which causes thinning or balding. (01)

Here are some of the most common causes of hair loss in men:

  1. Male pattern baldness: Male androgenetic alopecia, also called male pattern baldness, affects up to 30 to 50% of men by the age of 50. The condition is the most common cause of hair loss in men. (02) This type of hair loss is typically caused by genetics and hormonal changes and typically results in a receding hairline and thinning hair on the crown of the head.
  2. Medical conditions: Certain medical conditions can also cause hair loss. For example, scalp infections, autoimmune disorders, and skin conditions like psoriasis can all lead to hair loss. (03)
  3. Medications: Many medications can cause hair loss in men as a side effect. Some of the most common medications that have hair loss as side effects include chemotherapy drugs, blood thinners, and antidepressants. (03)
  4. Nutritional deficiencies: Nutritional deficiencies, particularly in iron, zinc, and biotin, can contribute to hair loss or thinning. (04)
  5. Stress: Stress can also contribute to hair loss in both men and women. Chronic stress can lead to hormonal imbalances and nutritional deficiencies that can result in hair loss.
  6. Hairstyles and hair treatments: Some hairstyles and hair treatments can also contribute to hair loss in men. For example, tight braids, weaves, and ponytails can cause traction alopecia, a type of hair loss caused by pulling on the hair follicles. Chemical treatments like perms and relaxers can also damage the hair and cause hair loss over time. (05)

As you can see, hair loss in men can be caused by a variety of factors. So, if you suspect that your hair is thinning, you may want to speak with a dermatologist to confirm your suspicions. You can also take our quick questionnaire here to tell us about your hair loss, share some photos, and a Happy Head dermatologist can create a custom hair loss treatment just for you. All online. No office visits needed. 

You can also try our Happy Head Thickening Shampoo and Conditioner. Developed specifically with hair loss in mind, our hair care products contain high-quality ingredients like Saw Palmetto and Biotin. Our special hair thickeners add volume and length to your strands and keep your scalp healthy. Subscribe and save on your purchase! 

Resources: 

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

(02) https://www.ncbi.nlm.nih.gov/books/NBK278957/

(03) https://www.aad.org/public/diseases/hair-loss/causes/18-causes

(04) https://www.aad.org/public/diseases/hair-loss/causes/18-causes

(05) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380979/

(06) https://www.ncbi.nlm.nih.gov/books/NBK470434/

Topical Spironolactone for Women: 2023 Insights & Benefits

 

Spironolactone is the perfect hair growth option for women under 50.

Hair loss isn’t a “male only” or “female only” issue — it’s an “everyone” issue! Most people will experience some hair loss as they age. The most common cause of hair loss for both men and women, after all, is the same condition, called androgenetic alopecia. And this hair loss disorder affects 40% of women. (01) Despite this fact, however, most hair loss treatments cater to men. Fortunately, women have their own “women only” medicated treatment in their arsenal to combat women’s hair loss — Topical Spironolactone.

What is Spironolactone?

Before discussing topical Spironolactone, we should get familiar with the oral version. Oral Spironolactone, an FDA-approved medication, is typically prescribed for blood pressure treatment. The medicine is a potassium-sparing diuretic (water pill) that prevents low potassium (which is essential for the heart). (02)

Another off-label use for Oral Spironolactone is as a women-only treatment for hair loss. Spironolactone is an excellent treatment for women’s hair loss because it blocks Testosterone and prevents Dihydrotestosterone (DHT) from forming. DHT is the culprit for both male and female pattern baldness and hair loss. Topical Spironolactone generally has fewer side effects than Oral Spironolactone.

Does oral Spironolactone have side effects?

As an oral medication, the effectiveness of Spironolactone is highly dose-dependent. This also means that the side effects of Spironolactone are dose-dependent, also. (03) So, although higher doses of oral Spironolactone are much more effective, those higher doses also result in more severe side effects. In many cases, the individuals stop treatment due to the side effects of oral spironolactone.

The possible side effects of oral spironolactone in women include: (04)

  • Painful periods
  • Painful cramping
  • Irregular periods
  • Breast tenderness
  • Breast enlargement
  • Fatigue
  • Reduced libido
  • Headaches
  • Dizziness
  • Menstrual irregularities

Hyperkalemia is likely the most concerning side-effect caused by oral spironolactone. (04) While hyperkalemia in a healthy young woman is not a significant concern, the condition may pose a danger for older women and in women with heart problems or kidney disorders.

How is topical Spironolactone different?

While oral Spironolactone is ingested, topical Spironolactone is administered onto the skin or scalp. Because topical spironolactone skips the digestive system and doesn’t enter the bloodstream, the topical version’s side effects are milder (or none) but with the same hair growth efficacy. Topical Spironolactone also acts directly on the area that needs attention the most — hair follicles. Oral Spironolactone, on the other hand, must journey all throughout the body to get to its intended destination.

How does topical Spironolactone affect hair follicles?

Hair follicles are critical to hair growth and maintenance. Healthy hair follicles produce and keep hair according to the hair’s natural growth cycle. Too much DHT, however, causes hair follicles to shrink over time until they no longer grow hair.

Spironolactone encourages hair growth by preventing the development of DHT and other androgen hormones. Topical Spironolactone also targets the DHT receptors at the hair follicles, preventing — and sometimes reversing — the shrunken follicles.

Why is topical Spironolactone for women only?

The exact process that makes Spironolactone so successful (blocking DHT and androgens) is also what makes the medication unpleasant for men. Testosterone, for example, is primarily an androgen hormone found in males. Blocking androgens like Testosterone in a healthy male may cause undesirable side effects.

To make a vital point, exceptionally high doses of spironolactone are often prescribed to men wishing to undergo gender transition into women. Therefore, oral or topical spironolactone is typically prescribed for women only.

Is spironolactone an effective treatment for women’s hair loss?

Two studies highlight the effectiveness of spironolactone for hair treatment on women. A 2015 study found that 74% percent of research participants with hair loss found an improvement in hair growth. (05) The authors concluded that spironolactone is an effective treatment for women’s hair loss, especially for those with high levels of androgen hormones.

Another study compared topical spironolactone to topical finasteride. A sample of 32 patients was treated with one of either topical solution for six months. When surveyed after treatment, 100% of participants were satisfied with their results. (06) However, topical spironolactone was a viable alternative to topical finasteride, as finasteride generated more side effects.

How long does topical Spironolactone take to work?

As with most hair loss treatments, results may take time. Topical Spironolactone may take as early as three months and up to six months of consistent treatment for results to show. Sometimes, waiting for changes in hair loss is frustrating, but the results are worthwhile.

Is topical spironolactone safe for women?

Topical Spironolactone is safe if taken correctly and under a doctor’s supervision. To avoid side effects or contraindications, women should tell their doctor if they are pregnant or breastfeeding. In addition, women should inform the doctor about any history of:

  • Liver disease
  • Kidney disease
  • High potassium
  • Addison’s disease
  • Electrolyte imbalance

Individuals with kidney (renal) conditions should not take spironolactone. Because the medication is a diuretic (which causes people to urinate), it affects the kidneys and can cause dehydration. (07)

People who take spironolactone must remain hydrated, especially during hot weather. When taking spironolactone, it’s essential to be on the lookout for signs of severe dehydration like: (01)

  • Infrequent urination
  • Dark-colored urine
  • Confusion
  • Extreme thirst

Spironolactone affects the balance of the sex hormones, causing “feminizing” characteristics in men, including erectile dysfunction. In women, however, this topical spironolactone is much less likely to cause such side effects, making topical spironolactone an ideal women’s hair loss medication.

Does topical Spironolactone cause weight gain?

Because hormones play such a significant role in weight, people often wonder whether specific medications that affect hormones cause weight gain. One side-effect of spironolactone is weight loss, particularly in women who hold a significant amount of water weight.

Spironolactone is a diuretic, therefore the medication flushes out excess water. Reducing fluid retention within the body can result in weight loss. But this weight loss is not the same as healthy weight loss using diet and exercise and may not be sustainable.

How can I place an order from Happy Head?

At Happy Head, topical Spironolactone for women only is prescribed by a physician after a free consultation with purchase. The consultation consists of a short medical survey, and a physician will review your medical history. A Happy Head physician will collaborate with you to determine your eligibility and find the appropriate medication.

The topical spironolactone dosage is as follows:

  • Spironolactone 1.0%
  • Minoxidil 6.0%
  • Retinoic acid 0.01%
  • Hydrocortisone 1.0%

After approval, a Happy Head physician authorizes your prescription, sent electronically to a pharmacy. The medication is sent to you in a discreet package with FedEx’s 2-day delivery. As part of your package, you’ll also have support from our physicians and staff for any questions and concerns.

 

Topical spironolactone has been studied as a potential treatment for hair loss, specifically androgenetic alopecia (male and female pattern hair loss). Spironolactone is an aldosterone antagonist, which means it blocks the effects of the hormone aldosterone. In addition to its use as a diuretic, it has been found to have anti-androgenic properties, meaning it can block the action of androgens like dihydrotestosterone (DHT), which is a key contributor to hair loss in androgenetic alopecia.

If you are considering using topical spironolactone for hair loss, it is important to consult with a dermatologist or healthcare professional. They can help you determine if this treatment is appropriate for your specific situation and provide guidance on potential side effects and monitoring.

Yes, there is a topical version of Spironolactone. Topical spironolactone is a formulation of the drug that can be applied directly to the skin. It has been studied as a potential treatment for hair loss, acne, and other skin conditions related to hormonal imbalances.

Spironolactone gel is a topical formulation of Spironolactone medication designed to be applied directly to the skin. It has been studied for treating various skin conditions related to hormonal imbalances, such as acne, hirsutism, and androgenetic alopecia (hair loss).

Topical Spironolactone has been studied for its potential benefits in treating various skin conditions related to hormonal imbalances, such as acne treatment, hirsutism, and androgenetic alopecia (hair loss). Some benefits of using a topical formulation of spironolactone may include:

  1. Targeted Hair Loss Treatment: Topical spironolactone is applied directly to the affected area, which may allow for more targeted treatment of specific skin conditions.
  2. Reduced systemic effects: Topical formulations generally have lower systemic absorption compared to oral medications. This means that the drug is less likely to cause side effects throughout the body, as it is not absorbed into the bloodstream to the same extent as oral spironolactone.
  3. Anti-androgenic properties: Topical spironolactone has been found to have anti-androgenic effects, which means it can help block the action of androgens like dihydrotestosterone (DHT). Androgens play a significant role in conditions like acne and androgenetic alopecia, so blocking their action may be beneficial in treating these conditions.
  4. Potential alternative for those who cannot tolerate oral spironolactone: Some individuals may not tolerate oral spironolactone due to side effects or contraindications. Topical spironolactone may provide an alternative treatment option for these individuals.

Sebum is an oily substance produced by the sebaceous glands in the skin. It is composed of lipids, including triglycerides, fatty acids, wax esters, and squalene. Sebum has several functions, including moisturizing and protecting the skin and hair, maintaining skin flexibility, and providing a barrier against water loss and external irritants.

Sebum production can be influenced by various factors, including hormonal fluctuations, genetics, and environmental factors. Overproduction of sebum can lead to oily skin and scalp, which may contribute to certain skin conditions such as acne. However, sebum production is not a direct cause of hair loss.

Hair loss, specifically androgenetic alopecia (male and female pattern hair loss), is primarily caused by a combination of genetic predisposition and hormonal factors, particularly dihydrotestosterone (DHT). DHT is a more potent form of testosterone that can bind to hair follicles, causing them to miniaturize and eventually stop producing hair.

While sebum itself does not cause hair loss, excessive sebum production can create an environment that might exacerbate existing hair loss conditions or make the scalp more prone to issues such as dandruff or scalp inflammation. These factors may indirectly affect hair health, but they are not the primary cause of hair loss in androgenetic alopecia.

Maintaining a healthy scalp by regularly cleansing and using hair care products formulated for your specific hair and scalp needs can help manage sebum oil production and promote overall hair health. If you are experiencing hair loss or concerned about your scalp health, it is best to consult with a dermatologist or healthcare professional for personalized advice and potential treatment options.

Acne vulgaris, commonly known as acne, is a skin condition that occurs when hair follicles become clogged with oil (sebum) and dead skin cells. The formation of various skin lesions, including blackheads, whiteheads, pimples, papules, pustules, and nodules, characterizes it. Acne is most commonly seen on the face, chest, back, and shoulders, although it can also occur in other body areas.

Another similar type is hormonal acne which is triggered by hormonal fluctuations, often characterized by breakouts around the chin, jawline, and cheeks. It’s commonly experienced during puberty, menstruation, pregnancy, or due to conditions such as polycystic ovary syndrome (PCOS).

Primarily, acne happens by hormonal fluctuations, increased sebum production, and Propionibacterium acnes (P. acnes) on the skin. However, other factors, such as genetics, stress, and diet, may also contribute to the development of acne.

While acne vulgaris and hair loss are different conditions, they may be indirectly related in some cases:

  1. Inflammation: Inflammatory acne lesions, such as papules and pustules, can cause localized inflammation and damage to the skin and surrounding hair follicles. This inflammation may weaken hair follicles and contribute to hair loss. However, this would typically be limited to the area directly affected by acne lesions.
  2. Hairstyling and hair care products: Some hair care products, such as heavy oils and styling products, can contribute to acne if they come into contact with the skin and clog hair follicles. In these cases, hair loss might be indirectly related to acne, as hair products may cause both conditions.
  3. Psychological stress: Acne can be a source of emotional distress for many individuals, and stress has been linked to various forms of hair loss, such as telogen effluvium and alopecia areata. In this context, the relationship between acne and hair loss would be mediated by psychological factors rather than a direct effect of acne on hair follicles.

 

 

Resources:

(01) https://www.americanhairloss.org/women_hair_loss/introduction.html
(02) https://medlineplus.gov/druginfo/meds/a682627.html
(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3315877/
(04) https://www.ncbi.nlm.nih.gov/books/NBK554421/
(05) https://doi.org/10.1016/j.jaad.2015.06.063
(06) https://pubmed.ncbi.nlm.nih.gov/15787815/
(07) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3370349/

Normal vs. Excessive Hair Loss: Here’s How to Tell the Difference

Happy Head customer brushing his hair after using a custom topical finasteride solution for his hair loss.

“Nooooo! Don’t let her use my bathroom. She gets hair everywhere!” screams my son every time my daughter asks to use his tub.  Yes, it’s true. She has long, thick hair and leaves a trail. That’s always been the case, and shedding is the norm for his sister. Is that the case for everyone? How do you know whether the daily amount of hair you lose is normal? After all, determining whether the number of strands you see in the sink is okay can be tricky. You don’t want to be paranoid, but you also don’t want to gloss over the situation if your hair really does need some extra attention. When it comes to normal vs. excessive hair loss: here’s how to tell the difference.   

You Naturally Lose a Certain Amount of Hair Each Day

Your hair goes through a growth cycle that includes a stage when hair rests and then sheds. That’s a fancy way of saying that it falls out. So, losing a certain amount of hair each day is normal. Here’s how your hair’s growth cycle works, along with the approximate timing of each stage:

Growth phase (3-5 years)

About 90 percent of the hair on your head is in a growth phase at any given time. During this stage, hairs push out of the follicles and continue to grow until they’re cut, or they reach the end of their lifespan. 

Transition phase (10 days)

The transition phase comes just after the growth phase. Only a small amount, about five percent, of your hair is in the transition phase at any given time. This is when your hair follicles shrink, and growth slows down a bit. Hair doesn’t shed quite yet.

Resting phase (3 months)

Next comes the resting phase, which affects about 10 to 15 percent of your hair. Your hair doesn’t grow during this phase but doesn’t shed either. That’s why it’s called a resting phase. 

Shedding phase (2-5 months)

Some scientists believe there are three phases of the hair growth cycle rather than four. The reason is that it can be difficult to distinguish between the two stages. People can lose anywhere from 50 to 100 hairs per day when their hair sheds. Yes, that seems like a lot of hair, but it’s completely normal.

There are Times When You Lose More Hair Than Normal, And That’s Okay

Losing hair for any reason is enough to send you to the mirror searching for thinning areas or bald spots. There are some perfectly rational reasons why you could lose more hair than normal, though. On those occasions, you’ll have to try not to panic. Your hair will grow back. When your body goes through any trauma, the hair growth cycle can get disrupted, triggering the resting stage earlier than expected. The disruption can occur if you’ve had COVID-19, the flu, or any other illnesses. Surgery, stress, weight loss, pregnancy, and other events that temporarily shock your body can have the same effect. Not to worry, though. Normal growth patterns will return on their own over time. Stress is one of the primary contributors to hair loss, so try your best to reduce your stress levels when you can.  

Other Times, You’re Losing Too Much Hair

So here’s the big money question. When are you losing too much hair? Let’s start with this. So far, the discussion we’ve been having is about shedding. When your hair sheds, it usually grows back on its own without any intervention. Hair loss is a different story. Hair won’t grow back on its own without intervention or hair growth treatment.  

Woman looking at her part in the mirror, trying to decide if she's losing too much hair.

If you’ve racked your brain and there hasn’t been anything unusual that could have disrupted your hair’s growth cycle, it’s time to schedule an appointment with your dermatologist.  There are many causes for hair loss, and they can help you determine why you may be losing excessive hair.  Some common reasons why include the following:

1. Genetic hair loss

If Mom, Dad, Grandpa, Aunt Betty, or any other blood relative on either side of your family has a history of thinning or balding hair, you may have inherited their hairline. Androgenetic alopecia, a.k.a male or female pattern baldness, is the most common form of hair loss among men and women who have gone through puberty. If this is the case for you, don’t worry. A lot of progress has been made in researching, identifying, and developing effective regrowth treatments.  The most effective oral and topical treatments, including Minoxidil, Finasteride, Dutasteride, Spironolactone (our women’s formula), and other DHT blockers, are available by prescription.  Lower doses of topical Minoxidil are available over-the-counter.  

2. Autoimmune hair loss

Many different types of autoimmune diseases can lead to hair loss. Some people may be more predisposed to autoimmune hair loss if they have other autoimmune conditions such as Hashimoto’s thyroid disease or Lupus. There are many types of autoimmune hair loss. One is alopecia areata which manifests as small, circular bald spots on various parts of your scalp. It’s a tricky condition because it’s unpredictable. Hair sometimes spontaneously grows back. Other times, the condition goes into a long remission and reappears years later. There’s also lichen planopilaris and other types of scarring alopecia that behave exactly like their names. Little scars grow over your hair follicles, cause your hair to fall out, and block new hair from emerging.  

Autoimmune hair loss is rare. Yes, we’ve been hearing more about it since celebs started sharing their stories. But, that doesn’t mean that you have it. Let your dermatologist diagnose you rather than using WebMD.  

3. Environmental hair loss

All the hair loss we’ve discussed so far stems from inside your body. Environmental conditions can cause direct damage to the outside of your hair, making it break or fall out. Let’s start with hair styling. Bleach, color treatments, perms, and other chemicals may give you immediate gratification, but over time, they can cause structural damage to your hair. When the outer cuticle gets lifted, the bonds inside your hair weaken and break. Dreadlocks, tight braids, and ponytail holders can cause traction alopecia resulting in temporary or permanent hair loss. Trichotillomania, compulsive hair pulling, can also cause hair loss. If you manage the factors contributing to the damage early enough, your hair can grow back. Deep conditioners, regular trims, and, in some cases, Minoxidil will help.  

Here’s What to Do if You Think Your Hair Loss is Excessive

It never hurts to get a professional opinion if you’re stressed out about the hairballs you’re finding on the shower floor. Don’t worry. Your dermatologist won’t think you’re an alarmist. They’ve seen it all.  If you are losing hair, an early diagnosis and immediate treatment will minimize hair loss and get you on the road to regrowth faster.

Don’t want to wait for an appointment? Let Happy Head help, all of our services are done online and without appointment. Fill out a short questionnaire about your hair loss, and one of our board-certified dermatologists will determine whether you will benefit from prescription-grade hair regrowth formula. You can also skip the pharmacy and have your prescription delivered directly to your front door in discreet packaging.    

 

Debunking the Myths About Hair Loss

Happy Head board-certified dermatologists are debunking the myths about hair loss. It's never too late to treat it.

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 too 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. 

Happy Head products help promote hair growth and combat hair loss at the root. Choose from custom-made topical treatments to super strength orals and more at HappyHead.com.

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/health/baldness-gene
(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

Happy Head customer with thinning hair reviewing his progress with our custom topical treatment made my board-certified dermatologists.

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.

Topical treatment by Happy Head, being piped out of the glass pipette. Each topical treatment is customized to your patient profile.

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.  

Happy Head's Oral Minoxidil pill that you can take at the highest strength for the best hair growth results.

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

Your top tips for battling female pattern hair loss with Happy Head.

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.  

Topical Custom Treatments formulated with FDA-approved ingredients for clinically proven results. Happy Head dermatologists are ready to help you get started on your hair growth today.

 

 

 

 

 

 

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?

 

Happy Head customer looking at his hair regrowth progress after using custom hair loss treatment from his board-certified dermatologist.

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. 

Happy Head offer custom formulated topical treatments to help you regrow your hair and get back to you. Take the questionnaire to get started today at happyhead.com/start

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