Best Treatments for Receding Hairline in Men

In today’s post, we will discuss on receding hair line in men, what causes this and the best treatments to treat receding hairline.

Receding Hairline in men can start any time after puberty. It is one of the first signs of male pattern baldness and can be caused by a variety of factors like:

  1. Age: Most men in their 30’s have a receding hairline. But for some men, it can start very early and can be the first sign of male pattern baldness.
  2. Family History: The Genes play the most important role in male pattern baldness and receding hairline.
  3. Hormones: Dihyrotestosterone, in short DHT is the main hormone responsible for causing the follicles to shrink or miniaturise them initially and then it completely kills the follicles and no hair can grow in them anymore. More than DHT hormone, the sensitivity of hair follicles to DHT is the major concern which is again genetically determined.

Let’s discuss the treatment options for a receding hairline. There is no instant cure for receding hairline and baldness. The medical treatment aims at reviving the shrunken hair follicles back to normal, but cannot revive the hair follicles that are already dead!

On #1: Changing Hair Styles or growing longer hair in the frontal region can be a temporary solution to make your feel confident and positive!

On #2: Minoxidil: This is an over-the-counter scalp solution to help slow the rate of hair loss. The effects typically last as long as a person uses the treatment, but baldness will return once a person stops using it. You can start with 2% or 5% minoxidil solution once daily or twice daily depending on the severity of hair loss.

On #3: Finasteride, 1 milligram daily is the best medical remedy to block DHT and hence can bring back a shrunken hair follicle back to life. But remember, It may not work if the hair loss is more than an year old, because the follicles in the bald patch have no life.

On #4: Laser therapy using a red light or laser at a wavelength of 660 nanometers may also increase hair growth in some people.

On #5: Hair Transplantation: This is a permanent solution to solve the problem of receding hairline. Before you undergo this procedure, you have to opt for either FUE or FUT method and also choose the best possible clinic with sophisticated robotic surgical device like the ARTAS system for best results.  We have discussed Hair Transplantation in detail in another post.

 

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Body building and Hair loss | Creatine and Baldness

In today’s post we will answer two frequently asked questions on hair loss in men – Does body building cause hair loss and do creatine supplements for body building lead to baldness.

Having done so many episodes on DHT and hair loss, most of you may develop misconceptions that DHT – Dihydrotestosterone is some evil androgen hormone that serves no purpose in the body but to make our prostates bigger and cause baldness. But infact the actual situation is much more complex. For some people, reducing or eliminating DHT may be the only concern but for some other people keeping DHT levels under control may be the best option.

To understand whether body building causes premature baldness, You need to know the differences in the functions of DHT – dihydrotestosterone and its precursor Testosterone.

To quickly sum up DHT is biologically important for:

  1. Sexual differentiation into a male foetus during embryogenesis,
  2. Maturation of the penis and scrotum at puberty,
  3. Growth of facial and body hair after puberty.
  4. Development and maintenance of the prostate gland and seminal vesicles.
  5. Lastly the negative one: That’s Receding Hairline and Male Pattern Baldness by gradually miniaturizing the hair follicles.

DHT – Dihydrotestosterone is produced from the prohormone testosterone by the action of enzyme 5α-reductase in selected tissues, like in the genitals, prostate gland, seminal vesicles, skin, and hair follicles.

Now, Let’s quickly sum up the Functions of the hormone Testosterone. It’s important for:

  1. Sperm production and Male Fertility
  2. Muscle and Bone development – Remember this.
  3. Voice Deepening from puberty onwards
  4. Acne and sebum production
  5. Libido and Erections.

You can clearly see Testosterone is important for Muscle and bone development function. It is also important to understand that even though testosterone is the active androgen in muscle, and DHT exhibits relatively little direct anabolic effects on muscle in men, DHT is still very important for the full performance enhancement effects from testosterone. What I specifically mean here are the effects of DHT on the central nervous system that lead to increased neurological efficiency (strength or power of muscles), and it’s also important for increased resistance to psychological and physical stress and finally for optimal sexual function and libido. Hence you notice adverse effects of DHT blockers like finasteride on long term use in a small percentage of hairloss patients.

Now let’s Answer the question – Why do most body builders get bald early?

There are bodybuilders who do not use steroids or exogenous testosterone and build muscle naturally, And then there are professional bodybuilders who use a muscle building drugs that are high in testosterone.

Natural ways of body building like lifting heavy weights and weight training programs increase the circulating testosterone levels and help in muscle development. But anything in excess is converted to DHT and may cause some hair loss. But according to studies High levels of testosterone specially the exogenous formulations or steriods can cause increase in levels of DHT (Dihydrotestosterone) which can induce premature male pattern baldness in body builders.  But remember, baldness is multifactorial, the most important factor being your genes.  Remember those with DHT sensitive hair follicles and not everyone will go bald and this is genetically programmed.

Now, the next question: Do Creatine supplements for muscle building cause hair loss?

Creatine is one of the most widely used bodybuilding supplements. It’s naturally found in animal products like red meat, but can be easily purchased as a supplement from any drug store. Many studies have shown creatine to increase muscle strength and athletic performance.
A 2009 study published in the Clinical Journal of Sports Medicine says that creatine may increase the conversion of testosterone to dihydrotestosterone (DHT) and may accelerate male pattern baldness in genetically predisposed individuals. Remember, Creatine in addition to hair loss can cause kidney failure in many body builders.

 

References:

https://www.ncbi.nlm.nih.gov/pubmed/19741313

https://academic.oup.com/edrv/article/38/3/170/3861397s

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Is it Possible to Regrow Lost Hair?

There are tons of misconceptions in the world of hair care! Every guy is at risk of losing his hair, some more quickly than others. In Today’s episode we will reveal the true facts and answer the most frequently asked question: Is it Possible to regrow Lost Hair?

Well, To understand the situation, you need to know some basics like How your hair grows from your hair follicle or hair root and also Temporary hair loss and permanent hair loss.

So, let’s quickly understand the structure of hair follicle or hair root in most simplified way. You can imagine the hair follicle as a vase and the hair as the stem of a flower.  As you can see in this illustration, the hair follicle is underneath the skin and has its own blood supply which supplies nutrients and minerals for hair growth. The hair that grows above the skin surface is a dead structure made of a collagen tissue called keratin.

Having said that, now let’s classify hair loss. Hair loss can be either Temporary or Permanent. Temporary hair loss can be due to many factors like Stress, Nutritional deficiencies, certain medications like the anti-cancer drugs and stuff like that!  Whereas, the Permanent hair loss is the Male Pattern Baldness or Andro-genetic Alopecia.

Now, Let’s answer the question: Is it possible to regrow lost hair?

Well, in the first scenario, that’s Temporary baldness due to stress and nutritional factors, the Answer is a Big YES! Once the cause of hair loss is withdrawn or rectified, your hair grows back to normal most of the times!

Whereas, in the second scenario, that’s Permanent Baldness or Male pattern hair loss, the Answer is YES as well as a NO! Let me explain this further.

You must know the process of Miniaturization of Hair follicle. Miniaturization simply means shrinking of the hair follicle. This is due the action of a male hormone called DHT – Dihydrotestosterone which is formed from Testosterone by the enzyme 5-Alpha Reductase. This DHT hormone acts on the hair follicles and persistent action of this DHT on hair follicles causes a gradual shrinking or weakening of the hair follicle. Remember! It’s a gradual process which ultimately kills the hair follicle which no longer produces any hair.

Now Let’s again go back to our Question in this scenario of permanent hair loss.
Is it possible to regrow lost hair?

Well, If your hair loss is recent with a family history of baldness, then probably your hair follicle is still in miniaturized state and not completely dead. The sooner you start the treatment, chances are more likely that you can convert the miniaturized follicle back to a healthy follicle and again remember it’s a gradual process. You need to have full patience with regular treatment.  We will discuss the treatment part in the end.

Now, what if you have this bald patch or frontal hair line recession which is more than a year old? Well, in this case, it’s unlikely to grow back your lost hair. The only solution or treatment for this is Hair Transplantation. We have discussed in detail about hair transplantation.

Well, Now the treatment part for recent onset male pattern baldness. The only way to treat this baldness is to block or reduce the DHT levels in blood and increase blood circulation for proper nutrient supply to bring back the miniaturized or shrunken hair follicles back to normal.

We have discussed in detail about the stage-wise treatment of male pattern baldness.

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STAGEWISE MEDICAL TREATMENT OF MALE PATTERN BALDNESS

In Today’s post, we will help you locate your stage of baldness on the international Norwood’s scale and suggest medical hair loss treatments for every stage for reversing baldness stage-wise backwards!

Will will not go into the science and mechanism of male pattern baldness in this video. We have discussed all these in our previous episodes.

Let’s get started!

Baldness is staged commonly using the International Norwood’s scale, the hair loss stages are described with a number ranging from 1 to 7 depending on the severity of hair loss.

Let’s start with:

Norwood Stage 1: This type describes the least amount of hair loss with an adolescent type of hair line. You can consider this normal unless you have a family history of male pattern baldness.  If you have a family history closely monitor your hairline to determine if your hair loss develops into stage 2.  And No Treatment is necessary at for stage 1.

Norwood Stage 2: This stage means a small amount of hair loss with progression to the adult type of hair line.  Here there is slight recession of hair line around the sides or temples.
Regarding Treatment for this stage. If you have family history, first consult a doctor to verify that your hair loss is caused by male pattern baldness. There is a good chance that, with treatment, you can regain most of your lost hair and prevent progression into stage 3. You can start with simple treatment like 2 percent topical minoxidil application at this stage or start rolling a 0.5mm derma roller once a week with or without minoxidil solution. You can check out my detailed post on derma roller for hair loss.

Norwood Stage 3: This stage describes a mild to moderate amount of hair loss. This is the earliest stage of hair loss considered cosmetically significant enough to be called “baldness” according to Norwood scale. At this stage, most men show a deep bilaterally symmetrical recession of hairline at the temples that is sides, which are either completely void of hair or only sparsely covered with hair.  This resembles letter M, U, or V shape. The vertex figure here shows the additional thinning of the hair at the crown of the head.
This is the most important stage of norwood, because you must start treatment as early as possible to prevent progression into stage 3. Remember, The higher the stage, the more difficult the treatment is.

Well, the treatment options at this stage, you may require a combination therapy like minoxidil 5 percent twice daily plus finasteride 1 mg tablet. This stage is stubborn for most people. If you are able to control or grow back hair at this stage, the baldness progression is generally slowed down in later part of your life.
Also the other treatment options you can consider at this stage are PRP and mesotherapy along with minoxidil. You can watch my detailed post on this PRP mesotherapy.

You can also consider Hair transplantation treatment at any stage from stage 3 onwards.

Norwood Stage 4: This stage describes a moderate amount of hair loss. At this stage there is further deepening and recession at the front of the head as well as the temple areas. Hair loss at the crown is also prominent now and a thick bridge of hair will separate hair loss at the front of the scalp from that at the vertex or the crown of the head.  To differentiate this from stage 3, you can draw an imaginary vertical line tangential to the front margin of the ear. If hair loss crosses behind this line, then is stage 4.
Regarding the treatment options at this stage, there is no guarantee that using all the treatments including finasteride, minoxidil or a combination therapy will bring back all your lost hair. But the good news is if you start early treatment, the miniaturized hair will come back to normal and you can switch back to stage 3. You might have to use minoxidil in a higher concentration like 10 percent plus finasteride 1mg daily indefinitely.  Please check my article on DHT to understand this miniaturization and the mechanism of hair loss.

You can also treat this stage with PRP and mesotherapy plus Stem cell therapy and consider hair transplant option at this stage too.

 

Norwood Stage 5: this stage marks the beginning of severe degree hair loss. In this stage, there remains only a thin separation between the loss of hair at the hairline and the loss of hair at the crown, the band of hair between the two is much thinner and narrower. Hair loss at both the crown and the temporal regions are larger and more distinct.   The treatment options at this stage are same as that in stage 4.

 

 

Norwood Stage 6: In this stage there is a large amount of hair loss. The bridge of hair that once separated the front of the head from the crown is now almost fully lost, only a few sparse strands may remain. The remaining hair now forms a horseshoe shape around the baldness concentrated in the center of the scalp. Hair loss on the sides of the head will also extend further at this stage.
At this level, a hair transplant may be the only option.

 

Norwood Stage 7:  The most advanced stage of hair loss, Here, only a wreath of thin hair remains on the sides and back of the scalp. This stage has the least chance of regaining your hair with any treatment.

 

 

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Reduce DHT in Scalp and Reverse Hair loss Naturally

Androgenetic Alopecia or Male Pattern Baldness is the commonest cause of Hair loss and balding in both men and women. The hormone DHT (Dihydrotestosterone) produced in the body is responsible for this type of hair fall and ultimately leads to baldness.

DHT accumulates in the scalp and miniaturises hair follicles and ultimately kills the hair follicles which are sensitive to it. Lucky people are those who do not have DHT sensitive hair follicles.  This sensitivity depends on hereditary or genetic factors.

Now, we will discuss on the natural remedies for hair loss that reduce the DHT levels in the scalp or prevents its accumulation and damage by splitting the topic into three methods:

  1. Increase blood circulation to prevent accumulation in the scalp.
  2. Provide essential nutrients to damaged hair follicles.
  3. Reduce DHT levels in the scalp.

Good blood circulation is very important to carry the nutrients to hair follicles and it also prevents DHT accumulation in the scalp. To increase blood circulation at the scalp, you can perform the following tasks:

  1. Head Massage: Gently massaging your scalp in circular motion and pressures, can improve the blood flow to the scalp hair follicles. Perform head massage at least twice daily.
  2. Yoga specially the Head down position called “SheershaSan” is very beneficial to increase blood flow suddenly to scalp and wash out any accumulated DHT and prevent damage to hair follicles. Be in this position for atleast one minute and perform 3 sets of this yoga once daily.
  3. Regular Exercise of atleast 30 minutes daily like jogging, treadmill, pushups or any kind of activity is proven to be beneficial to improve blood circulation.

 

Then the next step is to provide some essential nutrients to rejuvenate the damaged and weak hair follicles. Nutrients are carried to hair follicles through the blood stream and hence apart from eating a well balanced diet, you need to include few foods in your diet rich in protein, minerals and anti-oxidants like Eggs, nuts, green vegetables, whole grains, lentils, etc.  We will list out the top 10 foods that can lower DHT levels and fight hair loss in a shortwhile from now.

Then, Avoid alcohol consumption and smoking. And, If you are dieting in order to lose weight then do not overdo it as it can cause hair thinning due to nutritional deficiencies.

 

Lastly, we will discuss on some natural ways to reduce DHT levels in the blood.

 

  1. Stress and Sleep deprivation can accelerate hair loss. So keep your stress levels low and have a sound sleep of atleast 8 hours daily.
  2. Regular Exercise has been shown to lower DHT levels. Perform any form of exercise for atleast 30 minutes daily.
  3. SAW PALMETTO: Studies have shown that this naturally occurring substance blocks the enzyme 5-Alpha Reductase and hence reduces DHT. Sawplametto is approved in many countries and you get capsules of this substance along with multi vitamin and zinc magnesium supplements.
  4. FOODS THAT LOWER DHT LEVELS:

10: Beans and Soybeans: beans are a excellent and an inexpensive source of zinc, which helps in hair growth and hair repair. Studies have shown that compounds in soybeans may promote hair growth. One of these compounds is spermidine, which is abundantly found in soybeans.

9: Meat: Specially Red meat is rich in iron and this increases your red blood cell count, which in turn helps the red blood cells deliver oxygen to all cells in the body, including hair follicles.

8: Oysters: Oysters are one of the best sources of zinc in the diet. Zinc helps in hair growth and repair.

7: Seeds: Specially flaxseeds and chia seeds in addition to vitamin E, zinc and selenium, also provide omega-3 fatty acids and all of these promote hair growth.

6: Nuts: specially almonds and walnuts provide vitamin E, B complex vitamins, zinc and essential fatty acids, all of which promote hair growth and they are also proven to protect your heart.

5: Avocados: They are not only super delicious but also an excellent source of vitamin E and also rich in Vitamin C, K and Omega-3 fatty acids.

4: Fatty Fish: Fatty fish like salmon, herring and mackerel are great sources of omega-3 fatty acids, which have been linked to improved hair growth and even density.

3: Spinach: Spinach is loaded with folates, iron, and vitamins A and C, which may promote hair growth. A deficiency in these nutrients may result in hair loss. Spinach is a best plant-based source of iron, specially great for vegetarians.

2: Eggs: Eggs are a great source of protein and biotin, which are so important for healthy hair and hair growth. Eggs are also a great source of zinc, selenium and other nutrients. This makes them one of the best foods for optimal hair health.

Another Important Nutrient in Egg – Biotin is essential for the production of a hair protein called keratin.  Research has shown that consuming more biotin can help improve hair growth in people with  biotin deficiency.

1: Berries: berries are loaded with beneficial compounds and vitamins that promote hair growth. This includes vitamin C, which has strong antioxidant properties.
For example, strawberries are rich in vitamin C, which help in collagen production and iron absorption which are two factors that can promote hair growth.

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10 GENUINE HOME REMEDIES FOR HAIR LOSS – THAT WORK AND THAT DO NOT

In Today’s article we will discuss on the 10 Genuine Home remedies for hair loss and hair thinning for both men and women. Some of these are proven to work and have a scientific basis while other natural remedies have no scientific background and either do not work, or act through a placebo effect.

There are many Hair loss solutions and treatments like hair fall shampoos, lotions and pills! There are 100s of products that claim to cure hair loss. Which one can you trust?
Now, Lets list out the 10 natural remedies for hair loss treatment based on research studies conducted in various years. Some of these might be very helpful, whether you’re trying to regrow hair that you’ve lost or simply like to improve your existing hair or to treat hair thinning.  And all Links & references to these research studies on hair loss remedies are provided in description below this video.

10. Head Massage: Gently massaging your scalp in circular motion and pressures, can improve the blood flow to the scalp hair follicles and stimulate hair growth. Doing this at least twice daily is found to be helpful. This can not only strengthen your existing hair, but it also proven to treat hair thinning,  specially if its due to nutritional deficiencies.  Supplements like biotin, collagen, vitamin C, zinc and others, along with scalp massage will revert your hair back to normal within 3 to 6 months if the cause is due to nutritional factors.  In addition, head massage also relieves stress and anxiety!

Before I list out the other remedies for hair loss, you should know that hair growth is primarily determined by genetics and on an individual’s overall health. But the good news is! These are natural remedies and have no side effects! So, why not try these! Whether singly or in combination, these can have an impact on your hair!  And also remember ! any treatment must be followed for atleast 6 months to see any kind of result.

9. Aloe Vera: Fresh aloe vera gel extract from a leaf has great anti-inflammatory properties. It reduces scalp inflammation specially in seborrheic dermatitis and dandruff  and reduces itchiness and scaling to a considerable extent. Studies also say, it stimulates blood circulation and improve delivery of oxygen and nutrition to hair follicles.
So, Now! How to use Aloe vera gel?
– Cut a healthy leaf from aloe vera plant.
– Peel one side of this and Scrape out the gel using a spoon.
– Apply this gel directly to your scalp and massage in circular motions.
– Leave it on for an hour or two and then wash off with a mild shampoo.
– Use this two or three times in a week for atleast 6 months consistently to see any results.

8. Ginseng: Taking ginseng supplements can promote hair growth by stimulating hair follicles and blocking the hormone DHT – DiHydroxyTestosterone.  The active ingredients in ginseng are called Ginsenosides. Ginseng is a special short plant with fleshy roots and the Asian variety is considered the best because it contains these active ingredients for hair stimulation. There are many supplements with ginseng available to purchase online. The link to this research study is provided in description below. And one more point to note: Ginger and Ginseng are not the same!

7. Coconut Oil: Though Coconut oil contains seven different types of fatty acids like the caproic, caprylic, capric, lauric acid, etc, there is no study to prove that coconut oil promotes hair growth. It is only a good conditioner and improves the luster of your hair, especially if you have dry hair. It also protects your hair by coating it and prevents damage to your hair shaft. Some recommend mixing lemon into coconut oil and apply on hair. This is not proven to promote hair regrowth.

6. Onion Juice: Onion juice has been shown to successfully treat patchy hair loss also known as alopecia areata by promoting hair growth in bald areas or patches. But only one such study is conducted in the year 2002 and with a small number of only about 38 patients. Also, it is not proven to grow hair in male pattern baldness or androgenetic alopecia.  I have discussed about onion juice and hair growth in a detailed episode. You can find that link in the video description below.

5. Garlic: Similar to onion juice, a 2007 research study found that applying garlic paste along with betamethasone valerate cream on bald areas produced more hair regrowth than using a placebo treatment with the steroid cream betamethasone. Again, this study was conducted only in 40 patients with alopecia areata and not androgenetic alopecia.  Much like onion, garlic is also full of minerals and vitamins that might help, but no proper scientific evidence found.  Applying a paste of blended garlic cloves can be tried as a home remedy for hair loss without any adverse effects. Do let me know the results if you have tried by commenting below!

4. Viviscal: Viviscal is an oral hair growth supplement containing a wealth of vitamins, minerals, and amino acids said to combat hair thinning. The key ingredient in Viviscal is the AminoMar Marine Complex, which contains shark cartilage and oyster extract powder. Studies have been conducted on this many times and all studies have shown its efficacy in hair thinning patients in both male pattern baldness and female alopecia. I recommend using this for stage 2 and 3 and to treat hair thinning in combination with minoxidil.

You can read stage wise treatment of male pattern baldness here.

3. Biotin: Biotin, zinc, copper and collagen supplements  or from foods rich in these sources are also very useful for hair regrowth if used in conjunction with other treatments like minoxidil.

2. Jojoba Oil and Rosemary Oil or any other Oil: These have no effect on hair growth and hair regrowth and these work similar to coconut oil as already discussed!

1. Licorice roots:  Licorice is thought to opens skin pores and strengthens weakened hair follicles by its antiandrogenic, anti-inflammatory, antioxidative, angiogenic, and hair-stimulating features.  It is also found to be helpful in hair loss due to telogen effluvium.

One last and very important natural DHT blocker to mention is Saw Palmetto. This is a proven remedy for androgenetic alopecia. This is also used for the treatment of prostate enlargement. There are many supplements available which contain this substance.

Links to all these research studies are provided in description below,  for your reference.

Garlic: https://www.ncbi.nlm.nih.gov/pubmed/17314444

Oils and hair: https://www.ncbi.nlm.nih.gov/pubmed/12715094

Viviscal: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3509882/ and

https://www.ncbi.nlm.nih.gov/pubmed/27506633

Licorice root – https://www.ncbi.nlm.nih.gov/pubmed/29945259

 

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PROPECIA – FINASTERIDE SIDE EFFECTS | Hair loss Treatment in Men

Hello Friends and Patients!

In one of our most important article on the stage-wise treatment of hair loss in men, we discussed about the two FDA approved medications: The tablet Finasteride commonly known as Propecia and minoxidil topical application on the scalp.

We also discussed almost everything on hair loss in our previous episodes, starting from what causes hair loss both in men and women, the stages of hair loss in men and women, the medical treatments of hair loss, important facts and misconceptions on hair loss, some bad habits that can cause hair loss, foods that can reverse hair loss and many more. You can checkout that article category from HERE.

Now, Lets first quickly recap some important points on Finasteride and then we will discuss the side effects and real facts on the long term use of finasteride – like, does it really have those side effects?

Finasteride is a 5-Alpha-Reductase inhibitor which blocks the formation or conversion of testosterone to Di-Hydroxy-Testosterone (in short DHT). DHT is the hormone responsible for male pattern baldness or androgenetic alopecia. It acts on the hair follicles and gradually miniaturises the follicles and completely kills them as discussed in our previous articles.

Please checkout my detailed articles and videos on these topics like DHT and hair loss and stage-wise treatment of male pattern baldness.

Now lets jump to our topic and start listing out some important myths, facts and figures on the medication Finasteride for hair loss.

# 1. Finasteride  is used to treat male pattern baldness. And, its action is only at the crown and in the middle of the scalp. It is not helpful in treating receding hair line, except when started very early when the hair follicles are still in the miniaturized state.

#2. Finasteride must be used by adult men only over the age of 18. I suggest over the age of 20 years. Because this is the hormone responsible for the development of secondary male characters like beard growth, chest hair and so on.  But once these male characteristics are developed, blocking DHT does not alter beard growth or body hair.

#3. Women and children must never use this drug. It is not FDA approved for women because it can cause some serious birth defects if taken by pregnant women.

#4. How to use Finasteride?
1 milligram tablet has to be taken by mouth, And, with or without food does not matter! Preferably early morning is the best time, when testosterone levels are higher and avoid at night to reduce most of its side effects like loss of libido and other similar effects which we will discuss shortly.  You ingest 1 mg daily or 1mg on alternate days depending on your hair loss intensity and balancing the benefits versus the side effects.

#5. How Long to use Finasteride to see the results?  Use this medication regularly in order to get the most benefit from it. Remember to use it at the same time each day like early morning as already discussed.  It may take from 3 to 6 months to notice some beneficial effect.

#6. Can I discontinue the medication once I achieve the desired results?

No, Never! You must continue to take this medication to maintain your hair growth. When you stop taking finasteride, any benefit you achieved in hair growth is generally lost within 12 months.

#7. What are the Side effects of Finasteride?
Well! this topic is controversial. Many studies have been conducted on this.
The incidence of side effects like erectile dysfunction, ejaculation impairment, and decreased libido has been confirmed. But the incidence is very low, like 1 in 1000 patients and even less in most studies. Some studies reveal that most of these side effects men experience are psychological. While some other studies indicate long term use of this drug can cause irreversible side effects like erectile dysfunction, ejaculation impairment, and decreased libido. But this is true for 5 milligram daily dose!, which is used for the treatment of prostate enlargement.
However if you experience these effects, try your best to avoid it psychologically, diverting your mind into daily exercise for atleast 30 minutes in evenings and taking finasteride 1 mg in early mornings. If you still experience these side effects, discuss with your doctor and stop this medication.  You can make a decision whether the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

#8. Other side effects: Other rare side effects like allergic reaction to the drug is extremely unlikely.  You might experience allergic rash or something like that but extremely rare.
Another rare side effect is occurrence of man boobs, medically called gynaecomastia. But its very rare. You might even feel tenderness in the part and sometimes even some pain or tenderness in your testicles.

#9. Risk of Prostate Cancer: Finasteride is not approved for prevention of prostate cancer. There is a lot of controversy on this topic. Some research studies show it prevents the occurence of prostate cancer, while some other studies say it may slightly increase the risk of developing a very serious form of prostate cancer. Talk to your doctor about the benefits and risks.

#10 Do I need to use finasteride tablet  in combination with topical Minoxidil ? Yes! this combination if one of the most effective treatments for hair loss and hair thinning since many many years. Minoxidil acts by increasing the local scalp vascularity and finasteride acts by blocking DHT in male pattern baldness. This deadly combination can even reverse hair loss by bringing miniaturised or thinned out hair follicles back to life!

So, there you have it folks! If you found the video helpful, please hit the like button and share this with your friends. Also comment below with your feedback and queries.
Stay Healthy!!

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BALDNESS CURE BY 2020 – RCH-01 ALOPECIA TREATMENT

Today’s article is a good news for all hair loss patients including both men and women. Yes this is on the most recent treatment for hair loss by Replicel – that’s RCH-01.

This RCH-01 hair loss treatment trial has completed its phase 1 clinical trials with some strong positive data. In this video, will know the latest happenings on this Replicel company’s RCH-01 hair restoration product, the so called permanent baldness cure.

We will also learn how this products works – that is the mechanism of action and how this is used on a patient with alopecia.

The latest news! As on On March 05 2019, RepliCel Life Sciences Inc. announced its successful completetion of phase 1 human clinical trials of  its product RCH-01 – Hair Cell restoration product for the treatment of male pattern baldness or androgenetic alopecia.

The company RepliCel was first set up in Japan in 2013 and now in partnership with Shiseido, together have brought a  lot of changes since then.  Shiseido, has currently funded a human clinical study of RCH-01 at Tokyo Medical University Hospital and Toho University Ohasi Medical Center in Japan.

With the clinical study of RCH-01 now successfully completed in Japan, RepliCel expects Shiseido to declare its near-term plans for RCH-01.

RCH 01 has Alternative Names: DSC cell therapy – RepliCel; Hair cell replacement therapy – RepliCel; Human autologous hair follicle cells RepliCel Hair-01

This RCH-01 is based on the principle of advanced cellular regeneration involving the dermal sheath cup cells, hence its also called DSC cell therapy.

Replicel’s RCH-01 hair growth treatment is done by first extracting and then culturing a person’s own hair follicle cells and then re-injecting the modified DHT resistant hair follicle cells back into their scalp.

What they do is Firstly, through a simple punch biopsy, they isolate the cells from healthy hair follicles from the patient’s scalp. Then the hair follicles are dissected and the dermal papilla portion is cut off. This dermal papilla is the region where the DHT receptors are located and are responsible for damage by the DHT – that’s dihydroxytestosterone.  If you have n’t watched my DHT and hair loss episode, please check that from an endscreen link to understand this mechanism.
Well, These cells are removed from the remaining follicle and cultured in a growth medium. The cells are replicated or multiplied into millions of new cells and then these are drawn into a syringe. This syringe is inserted into the patients scalp skin and injected back into the patient.  Remember, these are patient’s own replicated cells and hence no adverse reaction or side effects and this is very much similar to PRP treatment for hair loss, where patients own platelet rich plasma is injected. You can also check out my detailed video on this PRP mesotherapy for hairloss.
Well, These cells after injection into the scalp, scatter and migrate to attach to the dormant hair follicles and rejuvenate and stimulate them to grow further and also they have the ability to induce the formation of new healthy hair follicles and multiply over a period of time to give rise to new hair which emerges out of the skin surface.

More details should be disclosed by the company once they launch the product.

The Current Status of the product: Shiseido’s Japan phase 1 clinical trial started in 3rd quarter 2016 is now complete as per company’s website and news. Now whether they enter into phase 2 or directly launch the product. Its still not clear. But likely possibility is the treatment could become available in 2020. Because of the strong positive data from this trial, there is a strong possibility that Shiseido might decide to launch the product in Japan first. So keep your fingers crossed for the launch.

REFERENCES:

https://adisinsight.springer.com/drugs/800034931

https://www.prnewswire.com/news-releases/replicel-ceo-provides-2019-shareholder-update-300806460.html

https://replicel.com/patients/hair-study

Study Results phase 1 – https://goo.gl/WF66UA

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Male Pattern Baldness – Early Signs, Stages and Treatments

In Today’s article on hair loss, we will look into some important early warning signs to pick up male pattern baldness and start early treatment to prevent further hair loss or even reverse hair loss as early as possible. We will also help you locate your stage of hair loss on the commonly used international Norwoods scale and discuss on what hair loss treatment to use for that particular stage.

Lets begin!

Picking some early signs can certainly help you combat male pattern baldness either to stop further progression of hair loss or even reversing hair loss. And remember – Prevention is always better than Cure!  First of all, try to assess yourself whether you are prone to male pattern baldness or not by considering these important factors:

  1. Age: Male pattern baldness or androgenetic alopecia can start at any age after puberty around the age of 15. Roughly, your risk to baldness is 20% in your twenties, 30% in your thirties, 40% in your forties ties and so on, that’s rising 10% for every decade of your life. Not only your age, but you have to watch out other factors too to deal with baldness prevention.
  2. Genetics: If you have a strong family history, you have to be double or triple cautious to apply preventive steps. And Hair loss, as discussed in my previous episodes – its polygenetic – meaning multiple genes are involved, from maternal side or paternal side or a combination. You might have to even look at your uncles from both sides to assess your risk.
  3. Other Factors like Stress, Smoking and Nutritional deficiencies are also important in adding that risk for baldness. So, if you want to save your hair, better be cautious of these habits and do not forget to read my previous important article on the bad habits that cause hair lossbad habits that cause hair loss.

 

Now! Lets look into the early warning signs of balding. We all know that balding can be a traumatic process for everyone. The one who is pretending to be cool with his baldness is a big liar. Well, the good news is by spotting the early warning signs of balding, you can start applying some preventative measures to secure your hair. Yes nothing is impossible!

So, how do I know whether I am going bald or will become bald? We use the International scale for staging of baldness in men – that’s called the Hamilton-Norwood Scale for androgenetic alopecia or the male pattern baldness. This scale is regularly used by doctors to assess the severity of baldness and depending on the stage of baldness, you have different treatment options and also it helps to assess whether this particular treatment option will be effective or not.

In this Norwood scale, the hair loss stages are described with a number ranging from 1 to 7 depending on the severity of hair loss.

Norwood Hair loss Stage 1: This type describes the least amount of hair loss with an adolescent type of hair line. You can consider this normal unless you have a family history of male pattern baldness.  If you have a family history closely monitor your hairline to determine if your hair loss develops into stage 2.  And No Treatment is necessary at this stage.

Norwood Hair loss Stage 2: This stage means a small amount of hair loss with progression to the adult type of hair line.  Here there is slight recession of hair line around the sides or temples.

Treatment for this stage: If you have family history, first consult a doctor to verify that your hair loss is caused by male pattern baldness. There is a good chance that, with treatment, you can regain most of your lost hair and prevent progression into stage 3. You can start with simple treatment like 2 percent minoxidil topical application at this stage or start rolling a 0.5mm derma roller once a week with or without minoxidil solution. You can check out my detailed derma roller article here.

Norwood Hair loss Stage 3: This stage describes a mild to moderate amount of hair loss. This is the earliest stage of hair loss considered cosmetically significant enough to be called “baldness” according to norwood scale. At this stage, most men show a deep bilaterally symmetrical recession of hairline at the temples that is sides, which are either completely void of hair or only sparsely covered with hair.  This resembles letter M, U, or V shape. The vertex figure here shows the additional thinning of the hair at the crown of the head.
This is the most important stage of norwood, because you must start treatment as early as possible to prevent progression into stage 3. Remember, The higher the stage, the more difficult the treatment is.

Treatment options at this stage: you may require a combination therapy like minoxidil 5 percent twice daily plus finasteride 1 mg tablet. This stage is stubborn for most people. If you are able to control or grow back hair at this stage, the baldness progression is generally slowed down in later part of your life.
Also the other treatment options you can consider at this stage are PRP and mesotherapy along with minoxidil. You can check out my detailed article and video on this PRP mesotherapy.

You can also consider Hair transplantation treatment at any stage from stage 3 onwards.

Norwood Hair loss Stage 4: This stage describes a moderate amount of hair loss. At this stage there is further deepening and recession at the front of the head as well as the temple areas. Hair loss at the crown is also prominent now and a thick bridge of hair will separate hair loss at the front of the scalp from that at the vertex or the crown of the head.  To differentiate this from stage 3, you can draw an imaginary vertical line tangential to the front margin of the ear. If hairloss crosses behind this line, then is stage 4.
Regarding the treatment options at this stage, there is no guarantee that using all the treatments including finasteride, minoxidil or a combination therapy will bring back all your lost hair. But the good news is if you start early treatment, the miniaturized hair will come back to normal and you can switch back to stage 3. You might have to use minoxidil in a higher concentration like 10 percent plus finasteride 1mg daily.  Please read my article on DHT and hair lossDHT and hair loss to understand this miniaturization and the mechanism of hair loss.

Treatment: You can also treat this stage with PRP and mesotherapy plus Stem cell therapy and consider hair transplant option at this stage too.

 

Norwood Hair loss Stage 5: this stage marks the beginning of severe degree hair loss. In this stage, there remains only a thin separation between the loss of hair at the hairline and the loss of hair at the crown, the band of hair between the two is much thinner and narrower. Hair loss at both the crown and the temporal regions are larger and more distinct.   The treatment options at this stage are same as that in stage 4.

 

Norwood Hair loss Stage 6: In this stage there is a large amount of hair loss. The bridge of hair that once separated the front of the head from the crown is now almost fully lost, only a few sparse strands may remain. The remaining hair now forms a horseshoe shape around the baldness concentrated in the center of the scalp. Hair loss on the sides of the head will also extend further at this stage.
At this level, a hair transplant may be the only option.

Norwood Hair loss Stage 7:  The most advanced stage of hair loss, Here, only a wreath of thin hair remains on the sides and back of the scalp. This stage has the least chance of regaining your hair with any treatment.

Switching back to an earlier stage with Treatment:

Yes this is possible with the treatments at every stage as discussed. Though these treatments will not restore a full head of hair, but these can certainly help one to climb back into a lesser stage of the Norwood scale. For example, with stage 6 hair loss, a reasonable outcome with treatment is a return back to stage 5 or even 4 if proper treatment is started.

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10 Bad Habits That Cause Hair loss and Hair Thinning

Certain everyday habits can lead to hair thinning and cause hair loss. If you do not stop them right away, you can become bald in no time.

 

10: Hot Showers: Hot water dehydrates hair strands making them dry and brittle by stripping away your hair’s natural oil coatings. These hair are prone to snap and fall out.

09: Using a Hair Dryer in Hot Mode or heated styling products can considerably damage your hair and make them thinner.

08: Brushing or Combing Wet Hair: Aggressive towelling or brushing or combing your wet hair can cause damage to your hair.

07: Tight Hairstyles: Hair follicles are stressed and eventually damaged when there is excessive tension from tight hairstyles. This can result in Traction Alopecia.

06:  Stress: Yes this is one of the main reasons for hair loss. Stress not only affects your mental or physical health, it also causes significant hair loss. Hair loss can occur upto three months or later after a stressful event in your life due to hair follicle phases. When you are in stress hair follicles go into the telogen phase – that’s the fall out phase.

05: Diet: Lack of Balanced Nutritious food. Healthy lustrous hair require you to consume diet full of vitamins, minerals and proteins.

04: Excessive Scratching your Scalp during Itch – can also lead to hair follicle damage.

03: Vigorous combing can cause traction alopecia as discussed in point number 4.

02: Excessive Use of hairstyling products: Many styling products can cause more harm that good. This is due to high alcohol content in them, they can make hair dry and brittle.

01: Medications: Yes if you are on certain drugs, this can cause hairloss.  Drugs like statins, anti-depressants, anti-anxiety agents, anti-hypertensive medications  or hormones (like thyroid replacement drugs) can cause hair loss, as well as birth control pills, can disrupt or interfere with the normal cycle of hair growth, causing hair to go into a resting phase and fall out prematurely.

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