Your Holiday Hair Loss Guide

‘Tis the season for parties, spending time with family and friends, and traditional holiday meals.  It’s the most wonderful time of the year, right?  Well, not for everyone.  Some people dealing with hair loss find that the holidays bring a whole new level of angst about their appearance.  You may plan to visit friends and family members you haven’t seen since last year, or even longer.  And, for sure, you’ll end up in some of those pictures posted on Facebook or Instagram.  Finding the perfect outfit is one thing, but trying to camouflage your thinning or balding hair is a whole different story.  Is that even possible?  Before you RSVP “no” to your next invite and pull out the flannels, take a deep breath and check out the following tips.  You can find joy during the holidays, even when battling male or female pattern baldness or another type of alopecia.     

Give Yourself a Break

It can be hard to accept that your looks are changing.  You may not look like you did last year.  Or, even like you did a few months ago.  That’s okay.  It’s time to stop comparing the new you to the old you.  You’re probably harsher on yourself than others would be.  When you see balding, thinning hair in the mirror, others may not even notice or care.  They’re more likely to remember the funny story or joke you told.  It’s true.  While someone may remember what you look like, research indicates that others are more likely to remember how you make them feel when you’re around. (01)  Do the best you can to turn off your inner critic, and remember that how you interact with others makes you uniquely attractive, not your hair.   

Go Out and Stay Involved

Arg.  Every time you look in the mirror, it seems like there’s more hair missing.  You’re grumpy and don’t feel like talking to or seeing anyone.  How can you go out looking like that?  So, instead of going to your friend’s holiday party, you put on your baggiest sweats and start binge-watching Dahmer while downing a pizza.  Good idea, right?  Nope.  According to the American Psychological Association, that’s the worst thing you can do. (02)  Social isolation can not only affect your sleep, but also cause depression and lower your immunity.  It can have long-lasting psychological effects.  You’re better off rallying and forcing yourself to go to the party.  Socializing will get your mind off your hair loss, even if it’s for a bit.  Talking to other people will also help you feel less alone and put you in a better mood.  

De-stress

Controlling stress is important for everyone’s health and well-being.  It’s especially important if you’re dealing with hair loss.  If you’re already experiencing male or female pattern baldness or another type of alopecia, you definitely do not want stress-induced hair loss too.  The holidays are a particularly tricky time for managing stress, though.  Family drama and searching for the perfect gift when there’s limited inventory can push anyone over the edge.  The good news is that there are ways to manage.  Here are some ways to help you de-stress:

1. Get enough exercise

Get outside or to the gym if your hair loss is giving you the holiday blues.  Physical activity not only makes your body feel better, but it’s also good for your mind.  Exercising may help increase your endorphins, putting you in a better mood after.  Bonus is that exercise increases the blood flow to your scalp.  This means that more oxygen and nutrients are helping kick your hair’s growth phase into full gear.  

2. Sleep

Not only does sleep calm and restore your body, but it can also help hair growth.  Your body produces melatonin primarily at night.  Some studies even suggest that melatonin supplementation helps promote hair growth among people with male and female pattern hair loss. (03)

3. Pamper yourself

We’re going to put this out there.  Sometimes the best way to relieve stress is to pamper yourself.  Whether that’s a massage, listening to holiday music, or reading a book doesn’t matter.  Whatever makes you let go and relax works.  

4. Set a budget and stick to it

It’s easy to get burdened with extra debt and associated worries about how you will pay for all of those gifts during the holidays.  Prevent that from happening by setting a budget and making sure that you stick to it.  

5. Set a schedule

So much to do and so little time.  The holidays will be here before you know it.  How are you going to get everything done in time?  Writing your to-dos down will help you manage your time and expectations.  You’ll find time for the most important tasks, and you might even schedule some downtime.  

6. Accept imperfections

Acknowledge that the holiday may not go as planned, and remember that imperfections are healthy and normal

7. Remember what’s important

Keeping perspective when you’re stuck in a long line or annoyed with a relative can go a long way toward keeping you calm.  Will another 10 minutes really change your day?  Does it matter that your sister wants to bring stuffing instead of pie?  

8. Be patient

You can’t change others’ behavior, but you can choose how you respond.   If a situation gets tense, take a few deep breaths and focus on an appropriate response versus a quick reaction.  

Get a New Do

Maybe you’ve been letting your hair grow out, hoping to cover the balding or thinning areas.  Or, perhaps you’ve been afraid to cut your hair because you’re worried it might not grow back.  The holidays are the perfect time to visit your stylist and try out a new look.  Remember, androgenetic alopecia is the most common form of hair loss.  Millions of people are experiencing the same condition you are.  Your barber or stylist probably has a few tricks to help you get party-ready. 

Consider Treatment Options for Your Hair Loss

Accepting that your hair is thinning or balding isn’t easy, especially when you’re active and social.  The good news is that you don’t have to accept your fate.  The best way to deal with hair loss is by fighting it.  Fortunately, medications with high efficacy have been tested and are available.  

The most effective hair loss treatments are vasodilators and DHT blockers. Minoxidil is a vasodilator, which increases blood flow to your scalp and hair follicles.  More oxygen enlarges the hair follicles allowing existing hair to remain stable and healthy.  It also allows new hair to emerge.  

Prescription DHT blockers serve a different purpose.  Male and female pattern baldness occurs when testosterone converts to Dihydrotestosterone (DHT).  DHT is what attacks your hair follicles and makes your hair fall out.  DHT blockers prevent the conversion.  The most commonly prescribed DHT blockers are Finasteride, Dutasteride, and Spironolactone.  Because Minoxidil and  DHT blockers treat hair loss from different angles, the two medications are often used simultaneously.  Retinol may be prescribed as well to increase the absorption of the other medications.  If irritation is a concern, low doses of cortisone can be added.  All-in-one topical formulas prevent side effects and can be more convenient than oral medications.

Research Alternative Hair Loss Solutions

Prescription medications are a great choice for many people; however, there are alternative hair loss solutions that can help camouflage your hair loss and give your confidence a boost.

Hairpieces

Looking for a quick fix?  Today’s hair pieces come in a wide variety of materials, textures and styles.  Testing them out can be fun and can give you a fresh new look that will make you ready to rock the room.

Scalp Concealer

Some people with male and female pattern baldness swear by cover-up sprays and powders.  The tint of color is just enough to conceal balding or thinning areas.  A wide variety of colors are available to make a good color match, and the concealers are designed to be long-lasting.  

Hair Transplants

If your hair loss is stressing you out and you don’t have the patience to wait for other treatments to work, you can always treat yourself to a hair transplant.  Hair transplants are surgical procedures where healthy hair is moved from the back of your head to the front.  Hair transplant practices have evolved over the years and produce a more natural look than ever before.  Transplants can be pricey and aren’t usually covered by insurance since they’re considered cosmetic procedures.

Talk About It

It’s normal to be upset about losing your hair, but if your hair loss is starting to interfere with your holiday plans, you may need a support system.  Using a therapist, meeting up with a group locally, or even joining a Facebook group for people with alopecia can help you feel less alone and develop coping skills.  Finding a way to talk about your feelings may be one of the best gifts you give yourself this holiday season.

If the idea of stopping your hair loss and regrowing your hair brings you happiness and joy, what are you waiting for?  It’s time to get more information on customized hair growth solutions.  The best part about our prescription-grade solutions is that ingredients can be added or removed based on your particular needs.  Get started now and check out our special edition holiday pack.

Resources:

(01) https://pubmed.ncbi.nlm.nih.gov/25750481/

(02) https://www.uvu.edu/news/2020/04/04072020_isolation_mental_health.html#:~:text=The%20American%20Psychological%20Association%20reports,have%20long%2Dlasting%20psychological%20impact.

(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3681103/

 

7 Reasons Why Your Hair Is Falling Out (And How to Stop It)

It’s easy to fall down a rabbit hole when doing internet research.  A pimple can turn into cancer or flesh-eating disease in minutes.  The same thing can happen when you lose your hair.  First, you see a few strands of hair on the shower floor.  Then, you find hair all over your towels and pillowcases.  Worst of all, you’re starting to see receding, thinning, or balding areas.  Before you know it, you’re online typing “Why is my hair falling out?” into the search bar.  In no time, you’re convinced that you have some rare, fatal illness that’s making your hair shed.  The truth is that there are some simple explanations for why you may be losing your hair.  Although we don’t recommend self-diagnosis (we’ll talk more about that later), here are the most common reasons your hair may fall out.  

1. You Can’t Fight Genetics

If one of your parents or relatives experienced thinning or balding hair, you might be next in line.  Male and female pattern baldness, androgenetic alopecia, is passed from generation to generation and can stem from either side of your family.  Male pattern baldness accounts for 95 percent of hair loss in men. (01)  Although genetic hair loss is typically considered a “guys issue,” androgenetic alopecia is the most common cause of hair loss in women also.

How do you know if your hair loss is hereditary?  There are some tell-tale signs, namely specific patterns of hair loss.  Men usually see their hairline receding into an “M” shape.  The circular area on the back of their heads thins and expands to create an “O” shape.  Men can go bald from the condition.   Women, on the other hand, don’t usually go completely bald.  Instead, they get diffuse thinning that begins on the part line and expands out.  

If your hair loss is hereditary, early action with the right medication can help slow down or stop your hair loss and help regrow new hair.  Minoxidil is a well-known option that prevents or reverses the miniaturization of the hair follicles.  It allows existing hair to remain healthy and new hair to grow.  DHT blockers are often needed in conjunction with Minoxidil to prevent testosterone from converting to DHT and attacking your hair follicles.  The most commonly prescribed DHT blockers are Finasteride, Dutasteride, and Spironolactone for women.  

2. You’re Having an Autoimmune Response 

Some types of alopecia are due to an autoimmune disease called alopecia areata.  Before you freak out, though, consider this.  Your lifetime risk of experiencing alopecia areata is only 2.1 percent. (02)  Alopecia areata causes circle-shaped patches of hair loss on various parts of your scalp.  Hair can spontaneously regrow without any treatment.  However, some people experience relapse.  Alopecia areata is diagnosed via visual examination, blood tests, and possibly a small biopsy.  

First-line treatments may include corticosteroids and Minoxidil.  A psoriasis medication called Anthralin or Oluminant, a new medication that was recently FDA approved, may be prescribed for more severe cases.  

3. You’ve Had Surgery or Been Sick

You may not realize that surgeries requiring anesthesia and illnesses that cause high fevers can cause a temporary type of alopecia called telogen effluvium.  Some people who had severe cases of Covid were affected.  When there’s a rapid increase in stress levels in your body, your hair goes into a type of shock called telogen effluvium.  Telogen effluvium speeds up your hair’s growth cycle and pushes it into the resting stage.  During the resting stage, your hair falls out.  The disruption is temporary, though, and usually only lasts for a few months.  After that, your growth cycle gets back on track, although it may take a few months more to see regrowth.  

4. You’re Stressed Out

If you’ve been under a lot of pressure at work or are experiencing a breakup, the stress could take a toll on your hair.  During a 2021 study, researchers discovered that a particular stress hormone called corticosterone can impair the stem cells needed to promote hair growth in mice.  When mice were subjected to mild stress for many weeks, corticosterone levels increased, resulting in telogen effluvium. (03)  Life happens, and you can’t always get rid of your stressors, so finding ways to manage your stress may help if you  notice hair loss.  Exercise, deep breathing, meditation, progressive muscle relaxation, and connecting with others are good ways to unwind and help your body reset its hair growth cycle.  

5. Your Hair Needs Some TLC

Do you know why Ariana Grande first started wearing her signature high ponytail?  It was because her hair was damaged by the dye she used while filming the series Victorious.  Yes, harsh chemicals and hairstyles, such as tight braids pulling on your scalp can make your hair break or fall out.  Straightening treatments, including Brazilian blow-outs, are also very harmful.  If your hair is suffering, there are still things you can do to make it healthy again and prevent further hair loss.  A hair mask or deep conditioning treatment can bring some moisture back.  A haircut can remove dead ends.  If your hair is falling out due to traction alopecia, hair loss caused by pulling on your hair too much, don’t despair.  Your hair will grow back once you stop damaging it.  If you find that your hair isn’t growing back, be sure to check with your dermatologist.  

6. You’re Experiencing Side Effects From A Medication

Hair loss isn’t one of the side effects usually listed on medications, and it’s relatively rare, but it can happen.  Antidepressants, certain nonsteroidal anti-inflammatory drugs (NSAIDs), thyroid medications, steroids, and hormone replacements can be culprits.  If you think one of your medications could be to blame, don’t stop taking it.  Always consult with your doctor before making any changes.  

7. Your Lifestyle Could Use Some Improvement

We’re human, and we all have some vices.  But iif you’re concerned about your hair falling out, it may be time to rethink your lifestyle.  Let’s start with smoking.  Smoking could affect your hair by causing vasoconstriction and damaging your hair follicles.  If you’re prone to androgenetic alopecia, it can also make you produce more DHT. (04) 

Then there’s alcohol.  There isn’t any scientific evidence out there that indicates that drinking alcohol affects your hair.  Excessive drinking, however, can cause or contribute to medical issues that could affect your hair.  Remember how we talked about stress causing telogen effluvium?  Alcohol in excess could become a stressor if it affects your overall health.  

You may also want to evaluate your diet.  Certain foods can increase testosterone, which can potentially convert to DHT.  Processed and sugary foods are an example.  Too much sugar can cause your body to produce more insulin, increasing androgens.  According to Dr. Ben Behnam, board-certified dermatologist and founder of Happy Head, people who are concerned about hair loss should also choose their protein carefully.  Caged chickens produce more testosterone due to the stress of being held captive.  It’s best to choose free-range chicken.  Whey protein is also an excellent source of protein, but choose the type you use carefully.  Whey protein isolate is highly processed and can contribute to hair loss, while whey protein concentrate supports hair health and regrowth.  

Early Hair Loss Treatment is the Best Hair Loss Treatment

Now that we’ve shared the most common reasons why our patients experience hair loss, we want to go back to why we don’t recommend self-diagnosis.  The key to reversing hair loss is catching it early and beginning treatment while your hair follicles are still viable.  You could lose valuable treatment time If you diagnose yourself and are wrong.  Be sure to visit your dermatologist for an exam.  

We’re Here to Help

If you don’t have access to a dermatologist or have questions about whether hair loss treatment is right for you, we’re here to help.  Simply answer some brief questions designed to help us better understand your hair loss concerns, and a board-certified dermatologist and hair specialist will be assigned to your case.  

 

Resources:

(01) https://www.americanhairloss.org/men_hair_loss/index.html

(02) https://www.naaf.org/alopecia-areata

(03) https://www.nih.gov/news-events/nih-research-matters/how-stress-causes-hair-loss

(04) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9069908/#:~:text=Smoking%20may%20lead%20to%20hair,enhancing%20senescence%20and%20hormonal%20effects.

 

Thickening Shampoos: Ingredients That Work

Are you worried about thinning hair? If the answer is yes, then you’ve probably considered a hair-thickening shampoo or conditioner at one time or another. However, there are hundreds of different products to choose from. Finding the proper treatment means knowing which ingredients are the most successful at growing thicker strands. 

What is a Hair Thickening Shampoo? 

The simple act of shampooing already helps to thicken your hair. Removing grime and grease releases substances that weigh hair down, giving it a lighter, fluffier appearance. Hair thickening shampoos, however, have the added benefit of including ingredients that make hair thicker, nurture hair growth, and, in some cases, slow or stop hair loss. 

Getting past exaggerated claims and scientific-sounding words can be challenging when hunting for a hair-thickening product that works. While many products are filled with over-the-top promises they fail to deliver, others are exceptionally effective. Not all hair-thickening shampoos or conditioners are the same. But how do you know which one to buy? Check for the right ingredients. 

What Hair Thickening Ingredients Should a Shampoo Include? 

The most efficacious ingredients in hair-thickening shampoos work in one of two ways: 

  • Blocking dihydrotestosterone (DHT)
  • Encouraging hair growth

Both men and women produce the hormone DHT, the primary hormone responsible for hair loss. At normal levels, DHT doesn’t cause balding. Unfortunately, some people experience higher levels of DHT. High levels of DHT can shrink or injure hair follicles, preventing healthy hair growth. Blocking DHT helps to reduce hair loss and maintain follicle health.  (01)

Hair doesn’t contain living cells, but the scalp and follicles that manufacture and grow strands of hair do. Therefore, ingredients that help to keep the scalp healthy, increase blood flow, or feed nutrients to hair follicles can help thicken hair and accelerate hair growth. To grow healthy hair, you need a healthy scalp. 

Popular hair brands may have cache in the drugstore aisle, but they aren’t necessarily more effective when treating thinning hair. When it comes to thickening shampoos and conditioners, it’s what’s inside that counts. The following are the most potent hair-thickening ingredients to look for. 

Hair Thickening Shampoo and Conditioners: DHT Blockers 

About 50% of men and women experience some degree of a hair loss condition called androgenic alopecia, which stems from excess levels of DHT. Therefore, ingredients that block DHT keep DHT from harming hair follicles and keep more strands from falling out. (02)

Saw Palmetto

Saw palmetto extract is derived from a fruit grown in the Southeastern United States. This extract is an effective DHT blocker in many studies. For example, one two-year study of a group of 100 males with mild-to-moderate androgenetic alopecia was published in the International Journal of Immunopathology and Pharmacology. The study found that 38% of participants who used saw palmetto saw an improvement in their hair loss. (03)

For men, the prostate is very sensitive to DHT levels. One study saw a significant reduction in DHT levels in the prostate of men who were administered saw palmetto, compared to men who were given a placebo. Although more studies are necessary, saw palmetto is proving to have strong DHT-blocking effects and could help with DHT-induced hair loss. (04)

Hair Thickening Shampoo and Conditioners: Growth Enhancers

An effective hair thickening shampoo or conditioner contains ingredients that create the right environment for optimal hair growth. Substances that nourish and strengthen the scalp and strands are essential for a thicker head of hair. 

Keratin

Hair is mostly made up of keratin, a protein that’s also found in nails and skin. Keratin is an exceptionally strong material, which makes it an ideal protective protein. Tissues made up of keratin, like your fingernails and hair, are tougher and less prone to damage.  As a result, shampoos and conditioners that contain keratin work well as hair thickeners and strengtheners. 

Thinning or damaged hair experience a loss of structural integrity, where keratin cells have gaps in between or overlap unevenly.  When applied on these hair strands, keratin products fill in spaces in between those cells. The keratin acts like a filler or glue for the hair, which makes the keratin-infused strands smoother and stronger as a result. (05)

Biotin

Biotin, also referred to as vitamin B7 or vitamin H, promotes keratin production. Because hair is mostly made of keratin, biotin ensures healthy hair. A deficiency in biotin can lead to weak, brittle strands of hair and slow hair growth. Although rare, biotin deficiency can occur in people with medical conditions or who use alcohol frequently. Supplementation of biotin, whether orally or through topicals and shampoos, may foster hair thickness. (05)

Argan Oil 

Popularly known as “liquid gold” from the area it comes from (Morocco), argan oil has been used for centuries to counteract hair loss. This oil is made from the fruit kernels of the Moroccan argan tree. Argan oil has anti-inflammatory properties, making it an ideal ingredient for scalp treatments. 

Hair loss resulting from conditions like psoriasis and seborrheic dermatitis, which may inflame the scalp, may benefit from shampoos and conditioners containing argan oil as an ingredient. 

Perhaps more importantly, however, argan oil also contains linoleic acids that moisturize the scalp and hair. By strengthening and moisturizing the scalp, hair follicles, and strands, argan oil can assist in thickening hair. (06)

Choosing a Multi-Pronged Approach to Thicken Hair

Most people who have hair thinning or balding know that the causes typically stem from more than one source. While genetics may be one risk factor, other elements like scalp health, nutrition, and external influences also play apart. The American Academy of Dermatology Association lists the following possible risk factors that may lead to thinning hair: (07)

  • Increased age
  • Inherited genes
  • Immune system disorders (such as alopecia areata)
  • Medical treatments
  • Overall health
  • Hair care
  • Hormonal imbalance
  • Scalp health and infections

There’s no one magic bullet for hair loss, because the causes may stem from many different areas. Because of this fact, combating hair loss should be a multi-faceted approach. For example, eating a nutritious diet, practicing appropriate hair care, and using a medicated treatment to combat hair loss will yield better results than relying on a one-track approach. 

Do Thickening Shampoos Work? 

So, do thickening shampoos actually help with hair loss? Yes! Although finding the right ingredients and utilizing thickening shampoos alongside other approaches is vital for success. 

If you’re experiencing balding or thinning hair, let Happy Head help you manage your hair loss. Our experienced board-certified dermatologists will work with you to find the right prescription topical to regrow your hair. You can also try a multi-faceted approach with our Happy Head hair thickening shampoo and conditioner. Filled with high-quality hair-healthy ingredients like saw palmetto and biotin, our hair thickeners will give your strands volume and depth, as well as strengthen the health of our scalp. Subscribe and save on your purchase! 

Resources: 

(01) https://www.webmd.com/connect-to-care/hair-loss/symptoms-of-high-dht

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

(03) https://journals.sagepub.com/doi/pdf/10.1177/039463201202500435

(04) https://pubmed.ncbi.nlm.nih.gov/11337315/

(05) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5582478/

(06) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5796020/

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

 

Dutasteride or Finasteride for Hair Loss: Which Should You Use?

You’ve decided to be proactive and treat your hair loss.  After all, you’ve been staring at the mirror day after day, trying to convince yourself that you aren’t really losing your hair.  But, you are.  Now that you’ve decided to do something about it, which medication should you use?  Everywhere you look, there seems to be another hair loss solution that promises to give you a full head of shiny hair in no time. 

Here’s what any qualified dermatologist will tell you. In addition to Minoxidil, you’ll need a prescription DHT (an acronym for dihydrotestosterone) blocker to effectively treat male pattern baldness.  Two are on the market:  Finasteride and Dutasteride.  Both have been tested and are prescribed often.  Which one is better?  We’ll run down the list of pros and cons and give you the information you need to have an educated discussion with your dermatologist.

Why Do People Use Finasteride or Dutasteride?

Before we get into what Finasteride and Dutasteride are and how they work, let’s talk about why you need one of these medications.  There are many types of alopecia that cause balding and thinning, but the most common type is male and female pattern baldness.  Male and female pattern baldness is a genetic condition that occurs when your body converts testosterone into an androgen called dihydrotestosterone (DHT).  If you are genetically predisposed to male or female pattern baldness, DHT can attack your hair follicles and cause something called miniaturization.  Miniaturization occurs when the hair follicles shrink. Healthy new hair can’t emerge and existing hair falls out.  

How Finasteride and Dutasteride Work 

Finasteride and Dutasteride are in a class of medications called 5-alpha reductase inhibitors, also known as 5-ARIs.  The medicines were initially designed and marketed to treat Benign Prostatic Hyperplasia (BPH), also known as an enlarged prostate.   When testing effectiveness in treating BPH, researchers discovered that balding patients taking Finasteride experienced hair growth.   The reason why is that the medications are anti-androgens, which means they prevent the conversion of testosterone to DHT.  DHT causes both enlarged prostates and hair loss.  If the testosterone doesn’t convert, your hair follicles will remain healthy.  

What is the Difference Between Finasteride and Dutasteride?

Finasteride is sold under the brand names Proscar and Propecia.  The medication was FDA-approved to treat male pattern baldness in 1997.  Dutasteride is sold under the brand name Avodart and is used off-label to treat male pattern baldness.  Dutasteride is a newer medication.  

Finasteride inhibits Type 2 isoenzyme of 5a-reductase.  Dutasteride inhibits Type 1 and Type 2. You could say that Dutasteride is stronger because it inhibits an extra enzyme.  Does that mean that Dutasteride is a better choice?  Although one study found Dutasteride to be more effective, that isn’t always the case. (01)

You Need to Give DHA Blockers a Test Run

According to Dr. Ben Behnam, Board Certified Dermatologist and founder of Happy Head, you won’t know which medication will work better for you until you try one.  Logically, Dutasteride should work better for everyone because it has broader coverage, but that isn’t always the case.  He has seen situations where patients respond better to Finasteride.  That’s one of the reasons why dermatologists typically recommend Finasteride first.  Finasteride can often get the job done at a lower dosage than Dutasteride.  Finasteride is also often combined with Minoxidil to get desired results.  The two medications work synergistically to halt hair loss and generate growth.  Minoxidil brings oxygen to the hair follicle, enlarging the follicle, while Finasteride blocks the DHT from attacking the follicle.  

You Need to Consider How Risk Adverse You are to Potential Side Effects

Side effects are always a possibility with any medication.  However, DHT blockers are of particular concern to many men because of potential sexual side effects.  Both Finasteride and Dutasteride have similar risks and safety profiles. (02) The truth is that side effects are rare with both medications.   If you’re still concerned, though, Finasteride comes in a topical formula.  The topical has been proven to penetrate the scalp’s surface and work as effectively as the oral pill.  Men can get the same benefit without systemic effects. 

Can Women Use Finasteride and Dutasteride?

Just as men get male pattern baldness, women experience female pattern baldness.  Female pattern baldness is also caused by DHT.  Although Finasteride is not FDA approved for women, many dermatologists prescribe the medication to their female patients.  The only caveat is that Finasteride is not recommended for women who are or are thinking about getting pregnant.  Dutasteride isn’t prescribed to women as often as Finasteride, however, women can take the medication if they are not of childbearing age.  Spironolactone, another DHT blocker, is usually prescribed rather than Dutasteride.  

 

Need help selecting the right medication to treat your male or female pattern baldness?  Want more information about whether Finasteride or Dutasteride are right for you?  We’re here to help.  Our board-certified dermatologists are on call to answer your questions and make personalized recommendations.  

 

Resources:

(01) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388756/#:~:text=One%20study%20discovered%20that%20dutasteride,in%20inhibiting%20type%201%205AR.&text=After%20studying%20the%20mechanism%20of,than%20finasteride%20in%20treating%20AGA.

(02) https://pubmed.ncbi.nlm.nih.gov/24411083/

 

 

The Best Superfoods for Healthy Hair

Hair loss can often leave a person feeling helpless about their appearance. Fortunately, there are lifestyle changes a person can make to encourage healthy hair growth.  For example, replacing processed foods with nutrient-dense superfoods may help manage hair loss. 

Nutrients for Hair Growth

Like the rest of the body, the scalp depends on vitamins and minerals from the food you eat to grow healthy hair. Hair grows out through hair follicles, and these follicles need nutrients to work well. The following are a few of the most vital nutrients necessary for hair growth. 

Vitamin A

Healthy follicles are important for robust hair growth. Vitamin A ensures well-functioning follicles by promoting better blood circulation and mitigating follicle damage from free radicals. Additionally, vitamin A improves overall scalp condition, eliminating dry and scaly skin. 

B Vitamins

Deficiencies in B vitamins have been linked to hair loss. B vitamins support the growth of skin, hair, and nails in two ways: 

  • Enhancing the body’s ability to remove nutrients from foods. 
  • Boost red blood cell formation. 

A variety of nutrients fall under the umbrella of a B vitamin: (01)

  • B1 (also known as Thiamine)
  • B2 (also known as Riboflavin)
  • B3 (also known as Niacin)
  • B5 (also known as Pantothenic acid)
  • B6
  • B7 (also known as Biotin)
  • B9 (also known as Folate)
  • B12

Hair-friendly B vitamins help with red blood cell formation, which are vital for carrying oxygen and nutrients throughout the body— including the scalp. 

Vitamin C

A healthy head of hair is nearly impossible without Vitamin C. It’s a powerful antioxidant that impacts hair growth by: (02)

  • Playing a significant role in developing collagen, which is necessary for hair building and structure. 
  • Encouraging the absorption of iron, which prevents hair loss and oxidative stress. 

Like the rest of the body, the scalp and hair is susceptible to damage from free radicals. Vitamin C helps to reduce the injury from free radicals and maintains scalp health. Furthermore, collagen is a key compound that produces keratin, which gives skin and hair cells their structure. Vitamin C amps up collagen production and helps to strengthen and grow healthy hair. 

Vitamin D

Due to our modern lifestyle and diet, most people do not get enough vitamin D. Which is unfortunate, because vitamin D deficiency is linked to hair loss and slow hair growth. Participants in a study of women experiencing hair loss had lower levels of vitamin D. In another study of individuals with alopecia areata (an autoimmune condition that causes hair loss) found that vitamin D levels were also lower in individuals with the disease. (03, 04)

Iron

While many people don’t get enough vitamin D, the most common nutrient deficiency in the world is iron deficiency. Iron plays a significant role in a variety of body systems, but perhaps it’s most well-known for carrying oxygen throughout the body via red blood cells. Without iron, hair follicles can’t get the oxygen they need to grow hair. Therefore, iron deficiency results in anemia and hair loss. (02)

Zinc

Bones, muscles, the immune system, and even reproductive organs all require zinc to function appropriately. Zinc is also essential for healthy hair and skin. This mineral plays a significant role in manufacturing collagen, essential for growing hair. (02)

In addition, zinc affects the hormone dihydrotestosterone (DHT). DHT is responsible for the loss of hair in situations like male pattern.  Zinc regulates the activity of the enzyme that keeps DHT in check, 5-alpha reductase.

Seven Superfoods for Hair Loss

The good news is that you can easily obtain these vital hair nutrients by incorporating the following superfoods in your diet. You’ll find some predictable foods on this list, as well as some you may not have expected to be hair-growing superfoods! 

1 Nuts and Seeds

In general, nuts and seeds are high-protein and nutrient-dense superfoods. When it comes to hair, however, they’re chock full of the nutrients necessary for long, shiny hair. Nuts and seeds are high in B vitamins, iron, zinc, selenium, and omega-3 fatty acids. Just keep your intake to a handful a day, because nuts and seeds are also high in calories. 

2 Healthy Cuts of Meat

Meat gets a bad rap. Although it’s true that fatty or heavily processed meats adversely affect a person’s health, this is not the case for all types of meat. Moderate amounts of healthy cuts of meat are rich in nutrients and can help maintain a healthy head of hair. Red meat is full of an easily absorbable type of iron that works especially well in the blood’s oxygen delivery system, which helps bring oxygen to hair follicles. 

3 Oysters

Oysters are more than purported aphrodisiacs, they’re also great for growing hair. These delectable mollusks are low-calorie and high in nutrients, with the minerals it takes to make hair healthy. A 3.5-ounce of oysters provides the following percentage of a person’s daily required nutrients: (05)

  • Selenium: 56% 
  • Iron: 40% 
  • Vitamin B12: 538%
  • Zinc: 555%

These whopping percentages indicate how high oysters are in many of the nutrients needed to grow hair. 

4 Spinach 

In addition to muscles, perhaps spinach should have blessed Popeye with a full head of hair. Spinach is filled with nutrients that benefit both muscles and hair. Loaded with plant-based iron, vitamin C, and vitamin A, spinach can help keep hair follicles and strands healthy. 

5 Eggs 

One superfood that contains what you need for healthy hair are eggs. Hair is mostly protein (collagen and keratin) and eggs are a rich non-red meat source of protein. High in vitamin A, vitamin E, and B vitamins like folate and biotin, eggs help keep strands strong and healthy. Eggs also do wonders for the scalp by infusing the area with nutrients, allowing healthier  follicles to hang on to hair. 

6 Oats 

You’re probably aware that oats are high in fiber, which is beneficial for the digestive system. But did you know oats improve the health of your hair? Oats contain fatty acids and omega-3 fatty acids that reduce excess scalp oils and soothe inflammation, helping prevent hair loss in stress-related cases like telogen effluvium. Furthermore, oat is high in zinc, which keeps strands sturdy and less prone to breakage. (06)

7 Peas

Just like oats, green peas are a surprising superfood that’s good for your hair. Because green peas are full of iron and zinc, they strengthen hair and stimulate growth. Additionally, peas are also high in protein, which helps prevent or slow down hair loss. Interestingly enough, research regarding pea sprouts has shown promising results in slowing hair loss. (07)

You’re More than What You Eat

The saying goes that you are what you eat. While this may be true, you’re also more than what you consume. The environment, your genes, and your lifestyle all play some role in your health. And although a healthy well-balanced diet goes a long way to keeping a healthy head of hair, sometimes it takes more than superfoods to grow your locks back. For those cases, Happy Head is here to help. Our board-certified dermatologists will review your case and make recommendations that are unique to your needs. Customizable and delivered straight to your door, Happy Head’s prescription medications is the hair treatment you’ve been searching for. 

 

Resources: 

(01) https://medlineplus.gov/bvitamins.html

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

(03) https://www.ncbi.nlm.nih.gov/pubmed/23428658

(04) https://www.researchgate.net/publication/260993460_Vitamin_D_Deficiency_in_Alopecia_Areata

(05) https://fdc.nal.usda.gov/fdc-app.html#/food-details/175171/nutrients

(06) https://pubmed.ncbi.nlm.nih.gov/25607907/

(07) https://pubmed.ncbi.nlm.nih.gov/31680356/

Worried About Going Bald? Why Men Are More At Risk Than Women.

Unless you were lucky enough to be born with perfect genes, the odds are that you’ll experience hair loss at some point in your life if you’re a guy.   By age 35, about two-thirds of all men begin to notice that their hair isn’t quite as thick as it once was.  Or even more alarming, they start to see a bit of recession on their foreheads.  By the age of 50, that number shoots up to 85 percent. (01)  Yes, women lose their hair too.  But why does it seem like men have noticeable hair loss while women still have their standing weekly appointments to get their hair blown out?  

Androgenetic alopecia affects both men and women.  However, it affects each gender differently.  If you’re wondering why male pattern hair loss seems so much more prevalent, we’re here to fill you in.  We have the facts and tips on what you can do if thinning or recession are stressing you out.  

Why Do Men Go Bald?

There are several reasons why men lose their hair.  The most common is due to androgenetic alopecia, male pattern baldness.  The hair loss condition is genetic.  You can inherit it from either your mother’s or father’s side of the family.  Hair loss begins when testosterone converts to an androgen called dihydrotestosterone (DHT).  DHT attacks the hair follicles and shrinks them during a process called miniaturization.  When the hair follicles miniaturize, a couple of things happen.  First, the hair that is already there falls out.  Secondly, the smaller hair follicles make it more difficult for new hair to emerge.  Newer hair tends to be finer.  Eventually, the follicles close off, leading to thinning and baldness.  While most people think of balding happening to older men, the truth is that male pattern baldness can affect any male after puberty.  It’s not unusual for men in their 20s and 30s to lose their hair.

Does Too Much Testosterone Cause Male Pattern Baldness?

There’s a theory that bald men have more testosterone than men with a full head of hair.  Which would explain why more men than women go bald.  That’s just a myth, though.  The amount of testosterone isn’t what causes male pattern baldness.  The amount of testosterone that converts to DHT is what matters.  If a man has low testosterone levels, but a high percentage of the testosterone he does have converts to DHT, male pattern baldness can result.  

Can Women Go Bald Too?

Women experience androgenetic alopecia too.  It’s called female pattern baldness.  However, women’s and men’s hair loss patterns are different.  Men tend to lose hair in the front of their heads and on top.  Male pattern baldness often starts as an M shape.  If the condition progresses, it can result in a donut shape.  The pattern of women’s hair loss is different, however.  Women tend to lose their hair along the part line.  Although the hair loss can and does spread, women with female pattern baldness usually don’t go completely bald the way men do.  That’s one of the reasons why it seems like men are more affected by genetic hair loss.  

If a Man Loses His Hair Due to Male Pattern Baldness, Can it Grow Back?

Men with androgenetic alopecia can regrow their hair if the hair follicles have not fully miniaturized and are still intact.  It’s also possible to make thinner hair fuller and healthier looking.  Fortunately, there are two FDA-approved medications designed to help.  

Minoxidil Is Easily Accessible

The first is Minoxidil.  You can buy Minoxidil over-the-counter at drug stores and big box retailers that sell pharmaceutical products.  Minoxidil is sold in two and five percent liquid and foam formulas.  Higher percentages, up to ten percent, are available by prescription.  Not surprisingly, research indicates that five percent (02) is more effective in achieving regrowth. Researchers do not know the exact mechanism that makes Minoxidil work.  But, they do know that Minoxidil brings oxygen to the scalp, enlarging hair follicles, preventing miniaturization and hair loss.  

Finasteride Is a First-line Prescription Treatment for Male Pattern Hair Loss

Finasteride is a prescription DHT blocker that has been FDA-approved to treat male pattern baldness.  The medication, marketed initially to treat enlarged prostates, is effective in promoting hair growth and stopping hair loss in men. (03)  Finasteride prevents testosterone from converting into DHT, which can attack and shrink the hair follicles.  Some men, however, are reluctant to try or use Finasteride because it has a reputation for causing sexual side effects.  Using topical Finasteride is a good, often preferred, alternative that allows men to benefit from the medication without experiencing systemic effects.  

Treatment for Male Pattern Baldness Often Requires a Combination of Prescription Medications

If you’re starting to see thinning or bald spots and are worried about losing your hair, don’t wait to seek treatment.  As mentioned, you want to act while your hair follicles remain active.  A combination of medications are typically used at the same time.  Minoxidil and Finasteride are often prescribed together.  Minoxidil, a vasodilator, enlarges the follicles, while Finasteride stimulates growth. (04)  Depending on your particular case, your dermatologist may also recommend Retinol to help absorption, Cortisone to eliminate irritation or other medications.  Liquid formulas that combine multiple medications into one are available if you’re concerned about taking multiple medications and side effects. 

Customized Hair Loss Treatments Can Be Modified

Keep in mind that treatment for male pattern baldness isn’t one-size-fits-all.  It may take some trial to determine which combination of medications works best for your body’s chemistry.  Finasteride is typically the first-line treatment since it’s highly effective.  However, some men find that Dutasteride, a more broad-spectrum DHT blocker, works better for them.  The key is to remember that once you start treating your hair loss and find a solution that works, you’ll need to keep using it.  If you stop treatment, any growth will be lost.

No, you can’t change your genetic makeup, but you can treat your hair loss.  If you have questions about what medications are right for you, contact us.  Our board-certified dermatologist will review your case and recommend the best way to start regrowing your hair.

 

Resources:

(01) https://www.americanhairloss.org/men_hair_loss/index.html

(02) https://pubmed.ncbi.nlm.nih.gov/12196747/

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

(04) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4314881/

 

Is Caffeine the Next Hair Loss Solution?

 

If you’re losing your hair, you may be rethinking your diet.  After all, diet does affect the quality of your hair.  We know that processed foods and too much alcohol aren’t recommended if you are experiencing hair loss.  If you’re one of those people who can’t get your day started without a steaming hot cup of coffee, though, you may be excited to learn what you thought was a vice may actually help you.  Yes, it’s true.  Researchers have been studying the effects of caffeine on male and female pattern hair loss.  So, here’s the million-dollar question.  Is caffeine the secret weapon to fighting genetic hair loss?  Grab a cup, find a comfortable chair, and keep reading.  

Caffeine:  Drink or Drug?

You’re probably very familiar with caffeine found in coffee, tea, chocolate, some sodas, pain relievers, and other over-the-counter medications.  But, this may come as a surprise to you. Caffeine is categorized as a drug by the FDA.  The reason why is that caffeine stimulates the nervous system.  That causes you to be more awake after downing a cup of coffee, tea, or energy drink such as Red Bull that contains caffeine. Caffeine is also found in many pain relievers, over-the-counter medications, and supplements.  Research shows that when caffeine is added to ibuprofen and other common analgesics, patients experience a higher level of pain relief. (01)  Caffeine increases the absorption and strength of the medication.  Patients with migraines are often told that caffeine can help relieve their symptoms.  

What’s the Connection Between Caffeine and Your Hair?

If you are experiencing androgenetic alopecia, you may be wondering whether caffeine can contribute to your hair loss.  The good news is that you don’t have to go into panic mode.   Caffeine won’t make you lose more hair.  Dr. Ben Behnam, board-certified dermatologist, hair specialist, and founder of Happy Hair hair loss solutions, doesn’t mind when his hair loss patients indulge in coffee or tea.  Although he recommends avoiding energy drinks and processed foods, he gives thumbs up to caffeine.  

Does Caffeine Stimulate Hair Growth?

Not only is caffeine not harmful, research indicates that caffeine can help patients who are experiencing male or female pattern hair loss.  In one study,, concentrations of .001 percent and .005 percent caffeine led to growth of hair follicles preserved in test tubes. (02)  Another study on the effects of caffeine contained in cosmetics discovered that caffeine acts as a DHT blocker. (03)  As a stimulant, caffeine can also increase circulation to your hair follicles, allowing it to work similarly to Minoxidil. (04)   

Can You Substitute Caffeine for Hair Loss Treatments if You Have Male or Female Pattern Hair Loss?

Don’t abandon your Minoxidil, Finasteride, or other prescription hair loss treatments just yet.  More research needs to be conducted on the most effective amount of caffeine and the best delivery method.  Low to moderate amounts of caffeine are safe; however, you would need to ingest a large amount of caffeine to prevent genetic hair loss. Yes, you can buy caffeine pills, but they come with many potential side effects, including high blood pressure, increased urination, and heartburn.  

What About Using Caffeine Topically to Treat Hair Loss?

Another option to try caffeine to treat male or female pattern hair loss is applying it topically.  One research study indicated that a .2 percent topical caffeine solution worked almost as effectively as Minoxidil. (05)  Caffeinated shampoos are an option.  When selecting a shampoo, however, keep in mind that the concentration of caffeine will most likely not be as high as the formula used in the study.  Many shampoos do not include the concentration of caffeine on their ingredients list.  Another option is a coffee rinse.  Again, there isn’t a guarantee that a coffee rinse will work, but if you try it, make sure that the coffee you use is completely cool before you pour it into a spray bottle and spray it on.

Other Hair Loss Treatments

If experimenting with caffeine isn’t for you, other hair loss treatments are worth using.  Prescription medications have been proven to be the most effective for treating male and female pattern hair loss and other forms of alopecia.  FDA-approved Minoxidil and Finasteride are first-line treatments for male and female pattern hair loss and produce measurable results in many people.  Minoxidil enlarges the hair follicles so hair can grow healthy and strong.  Finasteride is a hormone blocker that prevents testosterone from converting to dihydrotestosterone (DHT).  Minoxidil and Finasteride are often used at the same time.  Although Finasteride works for most, some people need to step-up to Dutasteride, a more potent DHT blocker.  Women who need a stronger prescription may try Spironolactone, another pill with a different formulation that is also stronger than Finasteride.  Combination topical prescription medications are also available and more convenient than using multiple medications.  

To sum up, research indicated that caffeine may be a viable hair loss solution.  However, if you’re thinking about using caffeine to prevent hair loss and to grow new hair, look carefully at the percentages of caffeine in the product you plan to use.  Odds are that the concentration won’t be high enough to prevent further hair loss and stimulate regrowth.  Additional research and product development still needs to occur.  

In the meanwhile, if your hair is thinning or balding and you would like to start treatment, customizable Happy Head hair loss solution may be just what the doctor ordered.  Contact us so that one of our board-certified dermatologists can review your case and determine whether you would be a good candidate for our topical prescription hair loss medication.  

 

Resources:

(01) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485702/

(02) https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-4632.2007.03119.x

(03) https://pubmed.ncbi.nlm.nih.gov/23075568/

(04) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804833/

(05) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804833/

 

Men’s Hair Can Be Damaged and Dry Too. Here’s What You Can Do.

Men usually worry more about losing their hair than about if their hair is healthy.  Women are generally the ones who stress over dry, damaged hair.  After all, hair dryers, flat irons, bleaching, coloring, tight ponytails, and braids can take a toll.  Most men are happy not to deal with all of that.  Even so, it’s not ideal when men’s hair looks dried out or frizzy.  Not to mention that hair that doesn’t look healthy sometimes isn’t.  So, guys, let’s talk about your hair’s appearance and texture.  We have some tips on how to improve your hair’s condition and what to do if you think there’s something causing damage that’s out of your control.

What Causes Men to Experience Dry Hair?

Before we talk about what you can do to repair your hair, let’s discuss the reasons why your hair may be dry or damaged.  Let’s start understanding what happens when your hair gets dried out.  Oils that keep your hair healthy are produced in your hair’s roots.  There isn’t a source of natural lubrication.  When your hair’s natural oil and moisture are lost, it also loses its smooth texture and shine.   There are many reasons why this could happen.  The most common reasons are aging, health conditions such as thyroid disease, and the effects of sun, wind, and other weather-related conditions.  If your hair begins to thin due to male pattern baldness, your hair’s texture can also change.  Thinner hair can become wavy, dry, and brittle.  

How Does Men’s Hair Get Damaged?

Here’s what happens when your hair gets damaged.  Each strand of your hair is protected by a cuticle, which is a protective layer.  When your hair cuticles are healthy, they sit closely together and lock in moisture.  The cuticle protects your hair from elements such as chlorine and sun exposure.  However, those cuticles can peel away from your hair when they separate.  Your hair can’t hold moisture or natural oils.  Contrary to what many people believe, you cannot repair damaged hair.  It’s not a living tissue and doesn’t have regenerative abilities.  However, damaged hair that is cut can grow healthy cuticles.   

How Guys Treat Dry or Damaged Hair

If your hair doesn’t look in tip-top shape, all is not lost.  Here are some tips that can help:

  • Use the Right Shampoo 

If a two-in-one is your go-to for the shower, you may want to rethink your shampoo.  A good quality shampoo helps not only clean your hair, but will help balance your scalp’s chemistry.  Shampoos include detergents, pH adjusters, preservatives, thickeners, scents, and additives.  Harsh ingredients strip the oils out of your hair.  If your hair is dry, you’ll want to avoid lauryl sulfates, sarcosinates, and other harsh ingredients known for deep cleaning.   Instead, look for mild cleaning agents such as polyoxyethylene fatty alcohols, polyoxyethylene sorbitol esters alkanolamides, betaines, sultaines, and other gentle cleansers that also help make your hair more manageable. (01)

  • Remember the Conditioner

Skipping conditioner may save time, but it also means that you’re missing the opportunity to add moisture.  Conditioning seals your hair’s cuticles to keep the moisture locked in between washes.  Topical hair loss treatments such as Minoxidil or Finasteride may affect the texture of your hair, especially at the beginning when the medications first start working.  A good conditioner can help by making your hair more shiny and manageable.  Conditioners will often include ingredients such as hydrolyzed silk, animal protein, and glycerin.  When selecting a conditioner, look for protein-derived substances.  Protein works with the keratin in your hair to hold the cortex fragments together.  Your split ends will mend temporarily until the next time you shampoo. (02) 

  • Hair Masks Aren’t Just for Women

If you’re looking for a quick-fix to make your dry, brittle hair softer and more manageable, we’re going to share a secret weapon to treat your hair: hair masks.  Yes, women are the ones who usually use hair masks.  But, not only can men use them once or twice per week, they give short-term results that make your hair stronger, shinier, and tamer.  Keep in mind that you should only apply a hair mask from the roots to the ends of your hair.  Hair masks aren’t meant to be used on your scalp. The hair mask that you choose will depend on your hair’s texture.  It’s helpful to look for keywords such as “fine” or “coarse” that match your hair type.  Hair masks with all-natural ingredients and keywords such as “keratin” and “biotin” are good choices.  

  • Visit Your Barber Regularly

Sure, it was probably fun having long Covid hair and not having to visit the barber every five weeks.  However, if your hair is dry or damaged, it’s important to keep those appointments.  Overgrown split ends make your hair look messy and frizzy.  Not to mention that when men go too long between trims, they end up with an awkward, unflattering shape that’s tricky to camouflage.  No matter how many styling products you use, your hair will still look unkempt. 

  • Eat a Protein-rich Diet

If your hair is dry or damaged, make sure you’re eating plenty of protein.  Protein will strengthen and repair the keratin in your hair strands.  You’ll still need a trim to get rid of the damaged ends, but more protein and keratin means your hair will grow stronger.  A lack of protein has actually been linked to hair loss. (03)  When your body doesn’t get enough protein, your body will conserve what it has by shifting hair into a resting phase when your hair falls out.  Good protein sources include eggs, chicken, shrimp, fatty fish, nuts, tofu, legumes, and cottage cheese. 

  • Ask Your Dermatologist About Vitamins or Supplements

If your hair is dry or damaged and you aren’t sure why, it may be a good idea to have your vitamin, iron, thyroid, and other blood levels checked.  Hyper and hypothyroidism can both cause dry, brittle hair.  Low iron and other vitamin deficiencies can cause the same effect.  Balancing your thyroid or supplementing with vitamins usually brings noticeable improvement.  

  • Stop Using Harsh Coloring Products

If you color your hair and notice signs of damage, it’s a good idea to stop.  In some cases, hair dye lifts the cuticle from the hair and changes the texture.  The hair that’s been colored won’t return to its natural state.  However, only the hair that has been dyed will be affected.  New hair that grows from your scalp will have your original texture and sheen. 

  • Don’t Wait to Get a Professional Opinion

By the time you notice that your hair’s texture and finish has changed, there’s a good chance that damage has already occurred.  A visit to the dermatologist can help you understand why your hair doesn’t seem as smooth or manageable as before.  Once you identify the culprit, you can start to get your hair back on the road to good health.

Sometimes men don’t realize that the change in their hair’s texture or appearance is due to male pattern baldness, telogen effluvium, or another type of alopecia that can be treated.  If you aren’t sure why your hair’s texture or appearance has changed and want a professional opinion, we’re here to help.  Simply fill out the questionnaire.  One of our board-certified dermatologists will review your case and make recommendations on what you can do to get your hair back on track.   

 

Resources:

(01) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458934/

(02) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458934/

(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5315033/

 

Alopecia Areata: Is it Hereditary?

Genes play a major role in our appearance. For example, you may have inherited your father’s striking eye color and his sunny smile. But did you inherit his bald patches? If you’re reading this article then you’ve probably noticed a family member’s thinning hair and wondered, “Is alopecia areata hereditary?” Let’s find out. 

What is Alopecia Areata?

The term “alopecia” means hair loss. Therefore, alopecia occurs under a variety of conditions, like chemotherapy-induced alopecia and frontal fibrosing alopecia. Alopecia areata is an autoimmune condition that results in discrete bald patches throughout the scalp, face, or body. The immune system mistakenly targets hair follicles, which results in hair loss. In some cases, the entire head is affected causing complete baldness. (01)

Alopecia areata is not life-threatening, but it can negatively affect a person’s mental health. A study of individuals diagnosed with alopecia areata found high levels of anxiety (62%) and depression (38%) among participants. Therefore, hair loss conditions like alopecia areata don’t cause physical pain – but they can cause a great deal of psychological distress. (01)

What Causes Alopecia Areatea?

The body’s immune system fights against foreign invaders, protecting the body from pathogens. For the most part, the immune system does their job excellently. In some cases, however, the immune system can attack the body’s own cells. In the case of alopecia areata, the immune system strikes at the hair follicles, triggering an early start of the hair follicle’s “resting phase,” also called the telogen phase. The follicle loses its strand of hair and stops producing more strands.  The exact cause of alopecia areata is yet unknown. 

What are the Symptoms of Alopecia Areata?

Most people visualize a bald head when they hear the term alopecia areata. However, alopecia areata can affect any part of the body, like the legs or beard area. Symptoms of alopecia area include: 

  • Distinct oval or round-shaped patches on the scalp.
  • Areas of hair loss that get larger with time.
  • Two or more patches that grow larger and connect. 
  • Hair loss that affects one side of the head more than the other (asymmetrical). 
  • Fragile or white-spotted nails. 

One of the hallmarks of alopecia areata are the short broken hairs or “exclamation point” hairs located at the perimeter of bald patches. These hairs are narrower at the base and thicker at the tip. A frustrating aspect of alopecia areata is the condition’s unpredictable nature. The condition may come and go, with hair regrowth and then subsequent episodes of hair loss. Some individuals may experience a complete loss of hair on their body, though this occurrence is very rare. (01)

What are the Types of Alopecia Areata?

Alopecia areata shows up differently in each person. For example, one person may find small bald patches on one side of their head, while another person with alopecia areata may experience total hair loss. 

The three primary types of alopecia areata are: (02)

  • Patchy Alopecia Areata. Individuals with patchy alopecia areata develop one or more round bald patches on the scalp, eyebrows, armpits, or eyelashes. 
  • Alopecia Totalis. Alopecia totalis causes complete baldness, resulting in total loss of hair on the scalp. 
  • Alopecia Universalis. People with alopecia universalis experience a total loss of hair throughout their body, including the hair on their finger and toes. 

Fortunately, lost hair from alopecia areata often grows back, particularly with treatment. Even with the loss of hair, hair follicles remain “alive” and operational. Therefore, it’s possible to regrow hair, even after long periods of hair loss. People with alopecia areata may experience cycles of hair loss and regrowth throughout their lives. New hair may appear fragile and white, at first, then slowly return to their original color. (02)

Who Gets Alopecia Areata?

According to the National Alopecia Areata Foundation (NAAF), about 7 million people in the U.S. are affected by the condition. Alopecia areata also affects all racial and ethnic groups throughout the world. Any person at any age can develop alopecia areata, but the condition appears before the age of 20 in about 60% of people with the disorder. When alopecia areata develops in children under 10, however, hair loss tends to be more extensive and progressive. (03)

People with following disorders have a higher risk of developing alopecia areata: 

  • Vitiligo
  • Eczema
  • Allergies
  • Hypothyroidism
  • Down Syndrome
  • Systemic Lupus Erythematosus 
  • Ocular Cicatricial Pemphigoid 
  • Diabetes
  • Rheumatoid Arthritis

Cancer patients receiving treatment may also develop alopecia areata. For example, a cancer drug called nivolumab has been known to cause alopecia areata a few months after treatment. This form of alopecia areata is called nivolumab-induced alopecia. In this case, hair loss is thought to be a good sign that the cancer medication is doing its job well. (03)

Having a family member with alopecia areata may raise a person’s risk of developing the condition. Data indicates that approximately 10% to 20% of people with alopecia areata have a blood relative with the condition. Having said that, having a family member who is diagnosed with alopecia areata does not guarantee that you will develop the condition. (02)

Is Alopecia Areata Hereditary?

Whether alopecia areata is hereditary or not is unknown. Research into the condition has identified hair follicle specific genes, such as (peroxiredoxins) PRDX5 on chromosome 11q13. PRDXs are enzymes within hair follicles, and may be responsible for influencing autoimmune disease. Additionally, autoimmune disorders in general are thought to have genetic components, making them likely to have hereditary factors. (04)

However, the environment, lifestyle choices, and individual health may also play significant roles regarding whether an individual will develop an autoimmune condition like alopecia areata. A recent article in the journal Nature stated that autoimmune diseases occur due to a combination of variables, like genetic predisposition and environmental triggers that disturbs the immune system’s ability to decipher the body’s own tissues. (04)

It’s important to keep in mind that more than half of people who are diagnosed with alopecia areata do not have a family link to the condition. Furthermore, genetic diseases often skip generations or people in families with no predictable pattern. In short, there is no definite answer – at this time– whether autoimmune diseases like alopecia areata are hereditary. 

As with many health conditions that have a genetic component, alopecia areata’s genetic links are not the only deciding factor.

So, is alopecia areata hereditary? All the signs point to a definite “maybe.” 

Managing Alopecia Areata

Will your children develop alopecia areata? They may, but the chances are more likely that they will not. Will you develop alopecia areata if your mother has the condition? Your risk is higher than people who do not have a family member with the condition, but the chances are that you won’t develop alopecia areata. The crystal ball is murky when it comes to alopecia areata. 

That said, the true issue is managing alopecia areata if and when it appears. Hair loss can cause psychological anguish. Getting a handle on alopecia areata symptoms before they worsen helps prevent undue stress. Happy Head’s board-certified dermatologists and hair specialists are here to help. Whether hair loss is due to alopecia areata, male pattern baldness, or telogen effluvium, we can answer your questions and assist in finding the right treatment. Contact us and start regrowing your hair today.

 

Resources: 

(01) https://www.sciencedirect.com/topics/medicine-and-dentistry/alopecia-areata

(02) https://www.aad.org/public/diseases/hair-loss/types/alopecia

(03) https://www.naaf.org/alopecia-areata

(04) https://www.nature.com/articles/d41586-021-01839-6

8 Facts That People with Hair Loss Should Know About Rogaine (aka Minoxidil)

Dermatologists often recommend Rogaine as the first line of treatment for many different types of hair loss.  It’s well-tested, relatively inexpensive, and easy to find on drugstore shelves.  However, if you skim through Facebook groups for people experiencing androgenetic alopecia (male and female pattern baldness) and other types of hair loss, you’ll see that people are often hesitant about using Rogaine for a wide variety of reasons.  Whether you’re on the fence, heard a rumor about Rogaine that you’re not sure is true, or just want a little more information before picking up a 3-month supply, you’re in the right place.   We’re here to give you the facts.  

1. Rogaine is FDA-approved to Treat Male and Female Pattern Baldness

In the 1970s, Rogaine, the brand name for the generic medication called Minoxidil, was tested in an oral pill form to treat hypertension.  During research studies, physicians noticed that the medication caused a side effect of regrowing hair that patients had lost.  The discovery led to the development of a topical hair loss formula designed to treat male and female pattern baldness.  In 1986, a two percent topical formula was marketed, and the five percent was made available in 1993.  Rogaine is only available in liquid and foam formulas.  Minoxidil is also available as a pill that is taken orally.  

Currently, Rogaine and Finasteride, a DHT blocker, are the only FDA-approved medications available to treat androgenetic alopecia.  However, Rogaine is often used off-label to treat other types of hair loss, including alopecia areata and scarring alopecias.  

2. Rogaine is Effective

Rogaine has been used for over 30 years and has been thoroughly tested over the years.  Although the exact reason why Rogaine works is still a bit of a mystery, research indicates that the hair loss medication is effective when patients use the medicine as prescribed.  What is known is that Rogaine is a vasodilator, which means that the medication brings oxygen to shrunken hair follicles and enlarges them, allowing new, healthy hair to emerge.  Rogaine may also prolong your hair’s growth phase.  When more follicles are in the growth phase, you’ll see more hair coverage on your scalp.  A study conducted in 2004 by the Journal of the American Academy of Dermatologists indicated that over 90 percent of patients in the study achieved growth or halted hair loss after using Rogaine for one year. (01)

Dermatologists can also combine Rogaine with other hair loss medications to maximize results.  Research indicates that Rogaine combined with Finasteride has better efficacy than Rogaine alone when treating male or female pattern baldness. (02)

3. You may shed hair before new hair begins to grow

You may have heard of the dred shed people get when they first use Rogaine.  Yes, it’s a real thing.  Not all people experience initial shedding, but some do during the first few months of using the medication.  When shedding occurs, it means that the Rogaine is doing its job.  Keeping it simple, Rogaine accelerates the last stages of hair growth when the old hair falls out so that your hair can go through the growth phase faster.  That means you may see more hair loss for a short period before seeing new growth.  Most people notice small changes in three or four months.  It can take up to a year to get complete results.  

4. Certain application techniques make Rogaine more effective

You may have heard about a derma roller before.  It’s a little roller that gently punctures the skin to allow topical products to penetrate the skin deeper than if you apply the products with your hands.  According to research, people with androgenetic alopecia who use a derma roller to apply Rogaine get significantly better results. (03)  If you have another type of alopecia that isn’t male or female pattern hair loss, check with your dermatologist before using a dermaroller.  Dermarollers aren’t recommended for people with scarring alopecias.  

5. Rogaine is available without propylene glycol

Fortunately, topical Rogaine doesn’t have a lot of side effects.  If you do experience irritation, it’s possibly due to propylene glycol in one of the liquid formulas.  Propylene glycol is an active ingredient that contains two different types of alcohol.  If you experience irritation, you can make a couple of easy changes.  The first is to use Rogaine foam rather than liquid.  The foam does not contain propylene glycol.  If you use a compounded liquid formula that includes other medications, such as Finasteride and retinol, you can request that the propylene glycol be omitted.  

6. Yes, it’s true that once you start using Rogaine, you have to continue

Once you begin using Rogaine, you’ll need to continue to maintain the hair you grow.  If you stop using the hair loss product within three to four months, you will most likely lose any newly grown hair.  Your hair will look the way it did before you started using Rogaine.  

7. Stronger formulas do give better results

Rogaine is sold over-the-counter in two and five-percent liquid and foam formulas.  As you might guess, the 5 percent formula is more effective than the two percent for both men and women.  According to a study conducted on men, the five percent formula worked faster and resulted in better scalp coverage than the two percent formula. (04)  Although Rogaine is not sold over the counter at a higher dose, the generic equivalent, Minoxidil, is available by prescription for up to 10 percent and can be prescribed off-label.  Higher doses can cause more irritation than lower doses.  Minoxidil combined with cortisone helps prevent irritation from occurring.  Combining retinol as well helps improve absorption.  

8. Rogaine is safe to use on facial hair too

Some people with forms of alopecia are disturbed when they realize that they have lost hair in their eyebrows, mustache, and beard areas.  Fortunately, Rogaine is effective for facial hair as well as hair on your head.  According to a research study, Rogaine was superior in enhancing beard growth.  Adverse effects were mild. (05)

If you have male or female pattern baldness or another type of alopecia, being able to take proactive steps toward halting your hair loss and stimulating new growth can be empowering.  If you are a bit nervous about giving Rogaine a try, remember that it is a trusted medication with few downsides and many potential benefits.  And our board-certified dermatologists and hair specialists are here to help.  Let us know if we can answer any further questions or be of assistance.

 

Resources:

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

(02) https://pubmed.ncbi.nlm.nih.gov/32166351/

(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746236/

(04) https://pubmed.ncbi.nlm.nih.gov/12196747/

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