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Ask an Expert: Can I Combine Hair Growth Treatments

If you’ve been dealing with hair loss, you may have gone down a research rabbit hole to find treatment options. And, if you’re confused by all of the choices out there, you’re not alone. There are so many! Do you have to choose just one, or can you mix and match different hair growth treatments? Are two or three formulas more effective than one? Are side effects more likely? Since so many customers were asking the same questions, we asked our expert, Dr. Ben Behnam, renowned dermatologist and co-founder of Happy Head hair growth treatments, his opinion. Here’s what he tells patients when they ask, “Can I combine hair growth treatments?”

Your Hair Growth Treatment Options: Oral and Topical

Before we answer frequently asked questions about combining medications, let’s talk about the options out there. First, it’s no secret that there plenty of over-the-counter (OTC) hair loss foams, creams, and supplements are out there. Are they just as good as prescription medications? While many OTC hair loss products include tested and proven ingredients, prescription medications are available in higher doses. For example, Minoxidil is available OTC in 2 and 5 percent liquids and foams. You’ll need a prescription, though, to get higher eight or ten percent topical dosages,

Then, there’s the oral versus topical debate. Which to use often comes down to personal preference. Topical medications have been proven to be equally as effective as oral medications when used at recommended dosages.

Since topicals aren’t ingested, systemic side effects aren’t typically an issue. If irritation becomes an issue, cortisone or switching to a liposomal formula should solve the problem. Topicals with a liposomal base release medication into the hair follicles gradually, minimizing potential side effects. People concerned about sexual side effects associated with Finasteride, Dutasteride, and other DHT blockers may prefer topicals.

People who don’t want to apply liquids or creams a couple of times a day may prefer oral pills. Orals are an easy-to-take, no-mess option. Since they are ingested, however, they can cause systemic side effects.

Benefits of Combining Topical and Oral Medications for Hair Growth

Let’s circle back to where we started. Can you combine topical and oral medications? The answer is, “yes.”

Dr. Ben likes to call this technique “sandwiching.” Sandwiching by mixing topical and oral hair loss medications helps attack hair loss from multiple angles. Here’s how it works:

Start With Minoxidil

Minoxidil is a vasodilator. That’s a fancy way to say that it widens your blood vessels, increasing oxygen, nutrients, and growth factors. Topical Minoxidil is absorbed into your skin and penetrates the epidermis to reach the hair follicles. Ingested oral Minoxidil works similarly to topical but can affect other blood vessels in your body, too, since it’s systemic. Both topical and oral Minoxidil affect your hair growth cycle. Minoxidil shortens the resting phase when hair stops growing, falls out, and kicks more hair follicles into the growth phase. The result is less hair loss and longer hair growth.

So, for the sake of this article, let’s say that you read that 61 to 100 percent of patients with androgenetic alopecia (male and female pattern hair loss) who took 0.25 to 0.5 milligrams of oral Minoxidil saw significant improvement. (01) And you decide to give oral Minoxidil a try. What else can you use to treat your hair loss?

Add a DHT Blocker

DHT is the villain that causes androgenetic alopecia by attaching to your hair follicle’s receptors and signaling them to shrink. When that happens, the follicles produce thinner and shorter hair strands. Over time, the weak follicles may stop producing hair altogether. Enter DHT blockers.

DHT blockers are medications that prevent testosterone from converting to a hormone called Dihydrotestosterone (DHT for short). The most well-known DHT blockers are Finasteride and Dutasteride. Finasteride selectively inhibits type II 5-alpha-reductase enzyme. Targeting this enzyme can help slow down hair loss. Dutasteride inhibits both type 1 and type II of the 5-alpha-reductase enzyme. Because it’s more broad spectrum, it can be more effective at reducing DHT levels in some people, especially those who do not get the desired response from Finasteride.

Finasteride and Dutasteride are both available orally and topically. Since you’ve already decided to take oral Minoxidil and may not want to take too many systemic medications simultaneously, you can choose to use topical Finsteride or Dutasteride simultaneously.

Note: Looking to get an extra boost out of your DHT blocker? As long as your dermatologist is on board, you can use the same oral and topical DHT blocker, including Finasteride and Dutsteride, simultaneously.

Spironolactone is Another Option for Women

Spironolactone is another type of DHT blocker. It stops the effects of the hormone aldotestosterone that is produced in the adrenal glands. It also blocks DHT, which makes it a popular androgenetic alopecia treatment. Oral Spironolactone is usually only prescribed to women since it can cause breast enlargement. Topical is safe and effective for both men and women. Research indicates that Spironolactone’s efficacy improves when combined with Minoxidil. (02) So, if you’re looking for a treatment to pair up with Minoxidil, Sprionlactone may be a good option.

Creating a Hair Growth Treatment That Works for You

There isn’t one surefire treatment that works across the board for everyone. Hair loss treatments can be combined in many different ways, and it may take some experimenting to see which combo works best for you. Here are some tips that will help you throughout your hair regrowth journey:

Start with a personalized treatment plan. A board-certified dermatologist can evaluate your hair loss and recommend the right medications for you.
Track your progress by taking photos around the same time each month. Your regimen can be adjusted as needed.
Manage your stress. Hair is sensitive to your overall well-being. Both short-term and chronic stress can affect your tresses. Go for a walk, listen to your favorite song, get a massage, talk to a therapist… do whatever it takes to keep your head in the right place.
Eat well. Your hair gets its nutrients from your body. The better you feed your body, the healthier your hair will be.
Take care of your hair. Use gentle shampoo and conditioner, avoid heat styling, and get regular trims.

Let’s recap. Not only can hair growth treatments be combined, it’s often recommended. Since the most effective hair loss treatments are only available by prescription, you’ll need to consult with a dermatologist who specializes in hair loss. Both oral and topical medications are equally as effective. Depending upon your medical history and personal preferences, you may have some flexibility with the type of hair loss medication you choose. Common combinations are Minoxidil with some type of DHT blocker. Oral and topical DHT blockers can often be used at the same time as well.

If you’re looking for help with your treatment plan, look no further. Happy Head is here to help. Our hair growth specialists, licensed dermatologists located in every state, are available to review your case and make recommendations. You can get customized formulas delivered directly to your front door. Have any questions? Get in touch. We’re here to support you on your hair growth journey.

Resources:

(01) https://link.springer.com/article/10.1007/s13659-020-00267-9

(02) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10010138/

5 Reasons Why You Want a Dermatologist to Treat Your Hair Loss

You used to have a ton of hair, but now you can see your scalp. You’ve noticed. Your partner is politely pretending not to notice. Your barber is running out of ways to conceal the bald spots and make the thinning areas look thicker. Arg. What to do? First, stop Googling and wasting money on one-size-fits-all hair loss remedies that don’t work. Then, it’s time to consult with a board-certified dermatologist. Dermatologists not only treat skin conditions, but they are also trained to address your hair and nails. Here are five reasons why you want a dermatologist to treat your hair loss.

1. Dermatologists are Hair Loss Experts

News flash. Dermatologists don’t just deal with acne, warts, and eczema. After four years of earning a bachelor’s degree, they continue with four years of med school, one year interning, and at least three years as a resident. They learn a few things about skin, hair, and nails during that time. When they’ve completed their education and training, they are eligible to become board-certified by the American Board of Dermatology. Like any other medical specialty, some dermatologists are more interested in particular study areas than others. So, some dermatologists have more experience dealing with hair issues than others. These are the docs you want by your side.

2. They Are Skilled at Diagnosing Types of Alopecia

It would be nice if there was only one type of alopecia, and it was a snap to diagnose it. That’s not exactly how it works, though. Sure, the most common type of hair loss is androgenetic alopecia, male and female pattern baldness. It’s an inherited form of hair loss that occurs when a person’s testosterone converts to dihydrotestosterone (DHT) and attaches to the hair follicles. Once that happens, mayhem ensues. The hair follicles shrink, hair thins, and hair begins to shed. If the condition isn’t reversed, the hair follicles can eventually close off, preventing new growth altogether. Dermatologists are trained to diagnose male and female pattern hair loss with a visual exam. As the name suggests, when people experience male or female pattern hair loss, the balding or thinning occurs in predictable patterns.

Diagnosing other types of alopecia may require further testing, While each kind of alopecia has recognizable traits, a closer look with a dermatoscope or a pathologist’s report is more conclusive. Blood tests may also be needed to determine if a thyroid imbalance or other medical condition is causing the hair loss.

3. You Need Timely, Accurate Information

If your hair is balding or thinning, it’s not a good idea to take a wait-and-see approach. Unless you have telogen effluvium, it’s not likely that your hair will magically grow back without intervention. Treatment for androgenetic and other alopecia types, is designed to stop shedding and stimulate regrowth. The process is time sensitive because the hair follicles must remain open for growth. Once the hair follicles close, the window of opportunity for regrowth also closes. Having a dermatologist prescribe the proper medications from the start will give you the best chance of achieving your desired result.

4. They Can Give You Access to Effective Prescription Hair Loss Medications

If you’ve checked out drugstore shelves or scanned the internet, you know the market is flooded with over-the-counter hair growth remedies. Here’s what you need to know about them. Over-the-counter (OTC) shampoos and conditioning treatments will improve the appearance of your existing hair, but they won’t regrow your hair if you have male or female pattern baldness. Supplements will compensate for any vitamin deficiencies and create a healthy environment for new hair. However, it takes stronger, prescription-grade medication to regrow hair. Those prescriptions are only available through a dermatologist. Some are FDA-approved, and others are prescribed off-label. Here’s an idea of what Happy Head dermatologists often prescribe:

Minoxidil

Minoxidil is clinically proven to revive hair follicles and thicken hair over time. It’s available in both pill and topical solutions. The medication works by increasing blood flow to the hair follicles. The scalp gets more oxygen and nutrients. It also kickstarts the hair growth cycle. It moves hair from the resting phase into a growth phase and extends the stage.

Minoxidil is sold OTC as Rogaine and private store brands. The difference between what you can get with a prescription is the dosage. Stores sell two and five percent. Happy Head and pharmacies sell eight percent topical solutions and 2.25 milligrams oral Minoxidil, which are higher than what’s available OTC.

Research indicates that pairing Minoxidil with DHT blockers such as Finasteride (01), Dutasteride, and Spironolactone (02) improves efficacy. That’s why Happy Head offers combination formulas.

Finasteride

Finasteride is a first-line DHT blocker that has been FDA-approved for men with androgenetic alopecia since 1997. It’s prescribed to women off-label. Research indicates that Finasteride reduces serum DHT levels by 70 percent. Increasing the dose doesn’t result in greater serum reduction. (03) The medication is ideal for people with early recession or thinning.

Dutasteride

Dutasteride is a step-up from Finasteride. It’s also a DHT blocker, but inhibits more enzymes than Finasteride. Finasteride inhibits the Type II 5-alpha reductase enzyme, while Dutasteride inhibits both Type 1 and Type II. Experts estimate that Dutasteride reduces serum DHT levels by approximately 95 percent. (04) Because Dutasteride is a stronger medication than Finasteride, side effects may be more likely when taken orally. Topical formulas have been proven to be equally as effective with lower changes of undesirable side effects. (05)

Spironolactone

Spironolactone is an aldosterone receptor antagonist often prescribed to women under 50. It works like a DHT blocker. The oral medication is typically reserved for women since it can cause feminization side effects such as enlarged breasts in men. Both women and men can use the topical formula.

Latanoprost

Latanoprost is one of the newest prescription hair-loss medications on the market. It was originally marketed as a glaucoma treatment. When doctors discovered the medication caused longer, thicker, darker eyelashes, dermatologists tested and marketed the product for scalp growth.

5. Dermatologists Can Adjust Your Treatment Plan if Necessary

Not every medication works for every person. What works for your brother, cousin, or friend may be different for you. Body chemistry differs from person to person, and no test exists to indicate which medication is best for each individual. Sometimes finding the right medication or mix of medications means starting with a first-line prescription and stepping up dosages or to more powerful formulas as needed. Other times, patients need customized formulas. Dermatologists have the experience necessary to determine when changes need to be made in your treatment plan.

If you’ve noticed that your hair is thinning, now is the time to make an appointment with a board-certified dermatologist and hair specialist. Minoxidil, Finasteride, and Spironolactone are just a few of the treatment options available, and you don’t want to lose valuable time that you could use to regrow your hair. The right doctor will not only help restore your hair; they will help restore your confidence.

Need a referral? Visit Happy Head, your one-stop hair loss shop, without waiting for an appointment. The company is founded and operated by renowned dermatologists Dr. Ben and Dr. Sean Behnam. When you contact us, your health history will be reviewed by a screened and licensed dermatologist. Your dermatologist will work with you to select the right medication based on your condition. We even customize prescriptions. Your order will be shipped to your front door in a discrete package. Need a change? Not a problem. We’re also here to answer any questions you have. Take the questionnaire to get started. It only take a few minutes and there’s no wait, all done online.

Resources:

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

(02) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10010138/#:~:text=Three%20studies%20compared%20the%20combination,with%20only%20one%20emerging%20hair%2C

(03) https://www.ncbi.nlm.nih.gov/books/NBK513329/#:~:text=Research%20has%20shown%20that%20finasteride,reduction%20in%20serum%20DHT%20levels.

(04) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684818/

(05) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7706484/

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

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

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

1. To Rule Out Underlying Medical Conditions

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

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

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

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

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

3. Treatments Can Be Customized

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

4. Emotional Support & Guidance

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

5. Prevent Further Hair Loss

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

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

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

Resources:

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

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

The Impact of Hair Loss on Mental Health

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

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

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

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

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

Why is Hair Loss Feel Like Such a Big Deal?

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

Male Pattern Baldness Can Mess With Your Head

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

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

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

First, Stop Stressing

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

Go Outside

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

Hit the Gym

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

Write it Down

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

Get Your Zzzzs

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

Take a Deep Breath

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

Play With Your Pet

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

Have a Jam Session

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

Research Hair Loss Treatments

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

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

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

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

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

Find What Works Best for You… Mentally and Aesthetically

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

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

Resources:

(01) www.americanhairloss.org

(02) www.sciencedirect.com

(03) www.pnas.org

(04) sph.umd.edu

(05) www.hopkinsmedicine.org

(06) journals.plos.org

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

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

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

Your Comprehensive Guide to Oral Dutasteride

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.

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.

What the Experts Know About Alopecia

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

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

Alopecia is a Broad Term

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

There Are Different Types of Alopecia

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

Temporary Hair Loss

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

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

Genetic Alopecia

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

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

Autoimmune Hair Loss

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

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

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

Facial Hair Loss

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

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

Give Yourself Time to Grieve, Then Move On

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

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

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

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

Resources

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

Your Comprehensive Guide to Oral Minoxidil

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

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

Oral Minoxidil Was the First Hair Regrowth Treatment

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

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

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

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

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

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

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

Oral Minoxidil is Used to Treat Many Hair Loss Conditions

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

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

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

1. Minimal Side Effects

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

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

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

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

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

2. Keep Track of Your Blood Pressure and Heart Rate

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

3. It’s Inexpensive

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

4. It’s Easy to Take

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

5. Low Doses are Available

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

6. Can Be Combined with Other Hair Loss Medications

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

7. Take it Under a Doctor’s Care

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

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

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

9. Be Sure to Keep Your Follow-up Appointments

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

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

Resources:

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

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

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

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

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

How to Talk to Your Partner About Hair Loss

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

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

Remember that Timing is Everything

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

Show Empathy

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

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

Do Your Homework

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

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

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

Offer Reassurance

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

Build a Healthy Lifestyle

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

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

Help Step Up Their Style Game

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

Be There When They’re Ready

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

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

Resources:

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

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

What Every Man Should Know About Male Pattern Baldness

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

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

Why Do Men Go Bald?

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

Most Guys Are Genetically Predisposed to Hair Loss

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

Male Pattern Baldness is a Type of Alopecia

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

What About Genetic Testing?

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

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

Treatment Options for Male Pattern Baldness

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

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

Do Finasteride & Dutasteride Have Undesirable Side Effects?

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

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

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

How do Topical Brands Compare?

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

Although Not as Common, Men Experience Alopecia for Other Reasons

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

Thinning or Balding Can Be Temporary

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

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

Resources:

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

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

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

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

Are You Losing Your Hair? What You Should Do.

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

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

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

Steps to Take If You Suspect Hair Loss

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

Learn About Hair’s Growth Cycle

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

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

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

Identify the Signs of Hair Loss

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

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

Hair loss typically appears in three forms:

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

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

What’s Causing Your Hair Loss?

A few common causes of hair loss are:

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

Determine Your Options

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

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

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

Consult With a Happy Head Hair Loss Professional

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

Resources:

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

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

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

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

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

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

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