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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/

Now Available! Groundbreaking Topical Liposomal Finasteride & Minoxidil Formula

If you’ve used prescription topical hair loss medications in the past, you know they pack a punch. The doses are higher than what’s available over the counter, making them that much more effective. But, there’s a catch. Some people find the liquid formula a little tricky to use. Foams stick to hair strands but don’t necessarily make their way to the scalp, which is where the medicine needs to go. And until now, Happy Head’s prescription topicals were only available in liquid formulas applied with a dropper. Effective? Yes. Drip-free? Not exactly. That’s why we’re excited to introduce our groundbreaking topical liposomal Finasteride and Minoxidil formula.

What’s In It?

Happy Head’s newest formula contains .3 percent Finasteride and eight percent Minoxidil in a liposomal base. The creamy, soothing base penetrates the scalp yet keeps the active ingredients in the top layer of the epidermis. This offers two benefits. First, it allows the medication to reach hair follicles. Secondly, it prevents the medication from moving into the bloodstream and reduces the chances of potential side effects. (01)

How it Works

Happy Head’s topical liposomal Finasteride & Minoxidil formula is for men and women with androgenic alopecia, known outside the medical field as male and female pattern hair loss. Androgenic alopecia occurs when naturally occurring testosterone converts to dihydrotestosterone (DHT) and builds up in the scalp. DHT kicks the hair growth cycle into a resting state, where hair stops growing and eventually falls out. When this happens, it’s a game of beat-the-clock to keep the shrinking hair follicles viable so new hair can grow. Liposomal Finasteride and Minoxidil formula targets the scalp directly, blocking DHT, and allowing for thicker, healthier hair.

Easy, Mess-free Application

Use liposomal Finasteride and Minoxidil as you would apply a hair cream. The formula comes in an airless pump bottle. The simple pump design measures out just the right amount. Pump, apply, and rub it in. Easy peasy. The formula is thick enough so it stays in place. No dripping or running down your face.

Is Topical Liposomal Hair Loss Treatment for You?

Pills, liquids, creams… when it comes to treatment for your hair loss, you have options. A lot of them. So, how do you decide if our new liposomal treatment is right for you? Here’s a quick rundown:

Oral Hair Loss Medications

Pros: Both Minoxidil and Finasteride are available in pill forms. They’re easy to take and usually only require low dosages once daily to treat hair loss.

Cons: Minoxidil increases blood flow to your scalp, while Finasteride is a DHT blocker. Dermatologists typically prescribe both to patients with male or female pattern baldness. That means taking two separate pills. Pills are also absorbed systemically into the bloodstream which means that there’s a higher potential for side effects than topical hair loss medications.

Foams

Pros: Available over-the-counter

Cons: Minoxidil foam available without a prescription does not contain Finasteride and is only available in two and five-percent formulas. More difficult to apply than people realize. Just because the foam is on your hair, doesn’t mean it’s reaching your scalp.

Liquids

Pros: Easily reaches the scalp and can be customized to include desired percentages of each medication.

Cons: May be difficult to apply since liquids are applied with a dropper and can be runny.

Liposomal Formula

Pros: Creamy formula is easy to apply. It works directly on the scalp and has been found to be effective. (02) To date, no other company has made this particular formula available.

Cons: More expensive than the other options.

Seeing Results

We’ve known for a while now that topical Finasteride is as effective as oral and is less likely to cause undesirable side effects such as decreased libido and erectile dysfunction. (03) Does the cream formula work as well as the liquid formula, though? Initial studies are promising. When the liposomal formula was tested on a small sample of 30 men and 30 women with androgenic alopecia, the results were favorable, especially among women. Hair count significantly increased for women after six months of treatment. Both groups had a significant increase in anagen hair (new hair in the growth phase) and a decrease in telogen hair (resting state when hair falls out) within one to three months. (04)

Regrow Your Hair in a Year

Patients usually start to see new hair growth in three to six months. Growing hair is a process, though. It can take up to a year to see the full results. After all, according to the Trichological Society, your hair grows about .5 to 1.7 centimeters per month. (05) Not seeing much progress? Your hair is probably growing more than you realize. Taking photos on the same date each month and comparing them over time will give you a more realistic idea of the changes your hair is undergoing.

Have questions? Ready to place an order? We’ve got you covered.

First, it’s time for an online consultation. Contact us, and let us know you’re interested in trying our new liposomal formula. One of our board-certified dermatologists will review your medical history and ensure that topical liposomal Finasteride and Minoxidil do the trick for your hair loss. If not, we’ll make other recommendations based on your hair’s condition and needs.

Now, get this. Renowned dermatologist and Happy Head Co-founder Dr. Ben Behnam is available to answer your questions about hair loss or medications available to regrow your hair. The Q&A session is completely free. Use this link to sign up for Dr. Ben’s Ask Me Anything Series that’s coming up in August. To get an idea of what types of questions people ask and how the sessions work, check out our previous episodes on YouTube. What foods will make your hair healthier and shinier? Are certain shampoos better than others? Tune in and get your questions answered.

Resources:

(01) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6070339/

(02) https://pubmed.ncbi.nlm.nih.gov/30371981/

(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9297965/

(04) https://pubmed.ncbi.nlm.nih.gov/30371981/

(05) https://www.hairscientists.org/hair-and-scalp-conditions/nutrition-and-hair-health

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/

NEW Hair Growth Treatment! Topical Latanoprost, Finasteride & Minoxidil

Once upon a time, not so long ago, if you were destined to lose your hair, there wasn’t much you could do besides accept your fate or shave your head. Thankfully, though, times have changed. Society is more aware of how hair loss affects people aesthetically and emotionally. More research and a wider range of effective prescription hair loss products are available than ever before. If one product isn’t the right fit, there are now others you can try. That’s why Happy Head is proud to add our new hair growth treatment topical Latanoprost, Finasteride, and Minoxidil to our product line.

Discovering Latanoprost’s Ability to Grow Hair

You may have heard the name Latanoprost before. It has been FDA-approved since 1996 as an ocular eye drop to treat glaucoma. When doctors discovered that patients who used the medication began to grow longer, fuller, darker eyelashes as a side effect, Latanoprost was marketed as an eyelash growth solution. “If Latanoprost grows eyelash hair, does it work on the scalp too?” researchers wondered. After testing, it was determined that Latanoprost is indeed effective for treating male and female pattern hair loss and other types of alopecia. Happy Head is one of the first companies to make the medication available for scalp hair loss.

The Science Behind Latanoprost

Latanoprost differs from the other prescription hair loss medications that are currently on the market. It stimulates the anagen phase of the hair growth cycle. The anagen phase is the growth phase. Latanoprost helps more hair convert from tiny, thin vellus (think peach fuzz) hair into robust terminal hair that is longer and thicker. When tested on young men with mild androgenetic alopecia, male pattern baldness, Latanoprost increased hair density in approximately 24 weeks.

The Benefit of Combining Latanoprost with Finasteride and Minoxidil

Happy Head’s newest growth treatment contains 0.005 percent Latanoprost, 0.3 percent Finasteride, and 8 percent Minoxidil. The reason is that treating genetic hair loss often requires a cocktail of medications that attack the hair loss from different angles. As we just discussed, Latanoprost jumpstarts the hair growth cycle. Finasteride is a DHT blocker. It prevents testosterone from converting to Dihydrotestosterone (DHT) and attaching to the hair follicles. If testosterone doesn’t convert, hair isn’t triggered to fall out. Minoxidil is what’s called a vasodilator. It sends oxygen to the hair follicles, enlarging them. New, healthy hair can emerge when the hair follicles are wide open. So, three different medications with different purposes work synergistically to help regrow your hair.

Latanoprost for Alopecia

Is Latanoprost the right solution for any type of alopecia? To date, studies have primarily focused on patients with male and female pattern hair loss. More research needs to be conducted to determine whether the treatment is effective for alopecia areata or other types of alopecia. Not sure what type of alopecia you have? Then, it’s time to visit a board-certified dermatologist for a diagnosis.

How to Use Topical Latanoprost, Finasteride & Minoxidil

Topical hair loss medications are preferred by patients who want to avoid side effects that can accompany oral medications. Each bottle of topical Latanoprost, Finasteride, and Minoxidil comes with a dropper that allows you to measure the exact amount needed and apply it directly to your scalp. The medication is easy to use. Simply fill the dropper twice to the 0.5 ml, align the dropper to your scalp, apply the solution, and rub it in. The most common side effect from topicals is redness and irritation, however, which can easily be avoided by titrating the medication. Simply apply one time per day for the first week, and twice a day the following weeks.

Getting Your Prescription Filled

Topical Latanoprost, Finasteride, and Minoxidil hair growth treatment is only available by prescription. For your convenience, Happy Head offers free online consultations and will fill your prescription if you are a candidate for the medication. Simply complete a short online questionnaire, and a licensed dermatologist will determine whether our new hair growth treatment is a good fit. We also offer customized treatments, so it’s easy to modify formulas to meet individual needs.

Our new hair growth treatment combining Latanoprost with Finasteride and Minoxidil is an innovative option for people experiencing male or female pattern baldness. If you’re interested in getting more information, contact us, and take advantage of our 50 percent off introductory offer.

What You Need to Know About Thyroid Imbalances & Hair Loss

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

Thyroid Conditions Often Go Undetected

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

Your Thyroid Affects Your Hormones

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

Different Types of Thyroid Conditions

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

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

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

Weight Gain or Loss is Just One Symptom of Thyroid Imbalance

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

Exhaustion
Constipation
Depression
Muscle weakness
Muscle cramps
Brain fog
Hair loss

Thyroid Imbalances Disrupt the Hair Growth Cycle

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

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

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

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

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

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

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

Resources:

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

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/