Tag Archive for: Dutasteride

What the Experts Know About Alopecia

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

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

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

Alopecia is a Broad Term

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

There Are Different Types of Alopecia

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

Temporary Hair Loss

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

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

Genetic Alopecia

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

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

Autoimmune Hair Loss

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

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

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

Facial Hair Loss

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

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

Give Yourself Time to Grieve, Then Move On

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

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

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

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

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

Resources

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

Your Comprehensive Guide to Oral Minoxidil

 

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

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

Oral Minoxidil Was the First Hair Regrowth Treatment

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

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

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

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

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

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

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

Oral Minoxidil is Used to Treat Many Hair Loss Conditions

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

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

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

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

1. Minimal Side Effects

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

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

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

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

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

2. Keep Track of Your Blood Pressure and Heart Rate

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

3. It’s Inexpensive

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

4. It’s Easy to Take

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

5. Low Doses are Available

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

6. Can Be Combined with Other Hair Loss Medications

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

7. Take it Under a Doctor’s Care

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

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

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

9. Be Sure to Keep Your Follow-up Appointments

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

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

Resources:

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

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

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

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

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

 

How to Talk to Your Partner About Hair Loss

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

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

Remember that Timing is Everything

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

Show Empathy

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

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

Do Your Homework

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

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

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

Offer Reassurance

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

Build a Healthy Lifestyle

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

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

Help Step Up Their Style Game

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

Be There When They’re Ready

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

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

 

Resources:

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

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

 

What Every Man Should Know About Male Pattern Baldness

 

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

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

Why Do Men Go Bald?

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

Most Guys Are Genetically Predisposed to Hair Loss

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

Male Pattern Baldness is a Type of Alopecia

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

What About Genetic Testing?

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

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

Treatment Options for Male Pattern Baldness

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

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

Do Finasteride and Dutasteride Have Undesirable Side Effects?

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

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

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

How do Topical Brands Compare?

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

Although Not as Common, Men Experience Alopecia for Other Reasons

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

Thinning or Balding Can Be Temporary

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

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

 

Resources:

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

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

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

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

 

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/

Are These Ordinary Things Damaging Your Hair?

It’s not surprising that elements like chlorine and salt water can make your hair look dry and frizzy.  Or that flat irons, hair dryers, and other heat styling can cause heavy-duty breakage.  Bleach and highlights, well, no surprise there, either.  You’re probably careful about avoiding these known troublemakers, especially if your hair is thinning or balding.  After all, you want the hair that’s remaining to stay as healthy as possible.  It’s difficult to avoid things you don’t know can damage your hair, though.  You don’t know what you don’t know.  So, we’re here to fill you in on some very ordinary things that could wreak havoc on your tresses.  

Hard Water Can Cause Bad Hair Days

Finding the right shampoo and conditioner is usually top of mind when it comes to hair care.  But do you ever think about what kind of water you’re using to wash your hair?  Is the water coming out of your showerhead hard or soft?  Hard water isn’t harmful, but it can be harsh on your hair.  

First, let’s talk a little bit about what hard water is.  When you look at water, you usually see a clear liquid.  What you can’t see is the concentration of minerals and chemicals in the water.  The concentration of minerals, specifically calcium and magnesium, determines your water’s hardness.  The higher the amount of calcium and magnesium, the harder the water.  You may be unable to tell if your water is hard or soft.  A couple of signs that it’s hard are if your drinking glasses get cloudy or your hands still feel slippery after you’ve washed them with soap and water.  

Now, what does hard water mean for your hair?  One research study found that hard water can actually damage your hair. (01)  When hair samples were washed in hard water versus distilled water for 30 days, the distilled water samples were thicker and less crumpled looking.  If your hair is dull, brassy, has a green hue, breaks or tangles easily, check your water. 

If you discover that your water is hard, there are some things you can do to protect your hair.  One option is to use a vinegar rinse  or clarifying shampoo once a week.  Another option is to install a showerhead with a filter.  Whole house water softener filtration systems are also available.  Filters and water softening systems reduce the mineral concentration in the water, leaving your hair softer and silkier.  

Addicted to Hairspray or Gel?

Most of us were not born with that perfect hair we see in ads.  You know what we mean, that glossy, thick hair that falls exactly into the right place, even in the rain and wind.  So, we resort to the next best thing.  Hairspray or gel that freezes our hair in place and gives us that extra hold.  It works, right?  But is it really good for you?  

Hairspray or gel probably won’t make your hair fall out.  They could, however, dry out your hair and cause breakage.  Alcohol, ethanol, parabens, and fragrances tend to cause the most damage.  Also, formulas that clog your hair follicles could make it harder for new hair to grow.  If you can’t live without something to give your hairstyle a little extra hold, look for products that contain all-natural and hydrating ingredients such as argan oil and biotin.  

What about sea salt sprays?  They’ve become popular for adding volume and texture.  Are they okay since salt is a natural ingredient?  Yes and no.  In moderation, sea salt spray is fine.  Too much, however, will have the same drying effect as you get when swimming in the ocean.  Salt strips the moisture out of your hair.  

Stressed Out?  Here’s An Excuse to Treat Yourself to a Massage.

It’s not surprising that stress takes a toll on our minds and our bodies.  Headaches, digestive issues, heart disease, and more have all been linked.  This one may surprise you, though.  Hair loss can be directly related to stress.  Think about it.  When you get stressed, your body reacts involuntarily by getting tense.  Your blood vessels constrict, and there isn’t as much oxygen flowing to your scalp and hair follicles as usual.  And when your hair follicles don’t feel the love, they can’t sustain or produce healthy hair.  The technical term is called telogen effluvium.  Fortunately, stress-induced hair loss can resolve itself over time.  Meanwhile, a good massage, 30 minutes a day with a meditation app, or a brisk walk may be just what the doctor ordered.

Avoiding Your Barber or Stylist

Growing your hair out?  Too busy to get in for a haircut?  You may want to squeeze in time for an appointment.  When you go too long between visits, you can end up with split ends.  Split ends mean that your hair is more likely to break higher up near the shafts.  The longer you wait between cuts, the higher the damage to your hair strands.  Trims every four to six weeks will help keep your hair healthier and stronger.  

It May Be Time to Change Your Pillowcases

This one may seem far fetched but stay with us.  Switching to silk pillowcases may help keep your hair healthier.  If your pillowcases are cotton, the fibers could be rough.  If that’s the case, your hair rubbing against the fibers could cause tangling and breakage.  You know what it takes to get a knot out of your hair.  Extra brushing and yanking leads to breakage.  The fibers themselves could also cause breakage.  Cotton is known for absorbing oils as well. Silk pillowcases do a better job of allowing your hair’s natural oils to stay on your head where they belong rather than on the pillowcase where they could cause acne.  

Yet Another Reason to Quit Smoking

If you’re a smoker, you probably don’t want another lecture on quitting.  You’ve heard it all, or so you thought.   Did you know that smoke from cigarettes can damage your hair follicles?   When you smoke, your body is exposed to toxic chemicals, including formaldehyde and arsenic.  These and additional toxins damage the structure of your blood vessels. Some of those blood vessels affect your heart.  Other vessels lead to your head and scalp.  When the blood vessels are exposed to the toxins and shrink, the blood flow to your hair follicles is reduced.  That means new, healthy hair can’t be produced.  Existing hair may fall out.  

Your Genetics May Be Working Against You

If you notice that your hair is thinning or balding, you may be experiencing androgenetic alopecia, male or female pattern hair loss.  It’s a genetic condition that affects a large percentage of the population.  Men who experience the condition see a receding hairline.  Women usually notice a widening part.  Hereditary hair loss can occur any time after puberty, so even people in their 20s may be affected.  The best way to know for sure is by checking with your dermatologist.  If it turns out that your hair loss is due to androgenetic alopecia, medications including Minoxidil, Finasteride, Dutasteride, and Spironolactone are available to stop the shedding and stimulate hair growth.  The medications help enlarge shrinking hair follicles and prevent your hormones from converting to androgens that cause hair loss. 

Can Damaged Hair be Repaired?

If damage is already done, is there anything you can do to repair your hair?  Take heart.  All is not lost.  First, stop using any offending products.  If the damage is stems from smoking, stress, or other behavior, lifestyle changes will help.  If your hair is thinning or balding, it’s always good to consult with your dermatologist.  As mentioned, you may be experiencing male or female pattern hair loss or another type of alopecia that can be managed with the right treatment.  

Not sure what’s damaging your hair?  Our hair growth experts are here to help.  All of our doctors are board-certified dermatologists experienced in diagnosing and treating conditions that affect your hair.  They’ll be able to help you figure out if your hair is damaged from something you might not be aware of or if you have a form of alopecia that can be treated. We also offer customized treatments ranging from thickening shampoos and conditioners to prescription hair regrowth formulas.  Best of all, you can order from your couch and receive your delivery at your front door.   Get started now!

 

Resources:

(01) https://pubmed.ncbi.nlm.nih.gov/30034190/

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.

 

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.  As of now, Dutasteride is only available as a pill.  

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/

 

 

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/