
__Summary__
- Pumpkin seed oil is a plant-based ingredient that may be an effective  option for people who struggle with hair loss.
- Research shows that pumpkin seed oil can protect the scalp by limiting the impact of dihydrotestosterone (DHT), which causes thinner and more brittle hair growth and is the primary driver of hair loss in most men and women. 
- Pumpkin seed oil can be used topically or taken as an oral supplement.

From granola to body lotions, pumpkin seed oil is one of many plant-based ingredients that has gained popularity for its broad wellness benefits in recent years.

Although the body of research is growing, pumpkin seed oil’s drawcard may be its ability to help prevent hair loss when used regularly, as in shampoos or conditioners. It’s easy to use, all-natural, and has been shown to impact the primary hair loss trigger in most men and women – dihydrotestosterone (DHT). 

But is it worth the hype?

We’ve put this article together to help you understand the benefits of pumpkin seed oil, how to use it, and any risk factors to be aware of.  

## What Is Hair Loss and Why Does It Happen?

Before we take a closer look at how pumpkin seed oil may help prevent hair loss, it’s important to know a bit more about the condition.

Hair loss [affects](https://thehairsociety.org/hair-loss-statistics-the-facts/#:~:text=Did%20you%20know%20that%20approximately,women%20suffer%20from%20hair%20loss%3F) 35 million men and 21 million women in their lifetime. About 30-50% of men will experience male pattern baldness—also known as androgenic alopecia—by the time they turn 50. This type of hair loss is largely hereditary, determined by genetics. It is the most common cause of hair loss in both men and women.

For women, hair loss often starts in our 40s and 50s with hormonal changes associated with menopause. It also frequently affects those who wear their hair in certain styles, like tight ponytails, cornrows, braids, and buns that pull at the hair roots. Hair loss that results from wearing tight hairstyles is usually temporary—for example, if a person stops wearing their hair in tight braids, it can regrow. 

Women who have recently had children may also [experience](https://www.aad.org/public/diseases/hair-loss/insider/new-moms) temporary postpartum hair loss as well.

There are a number of reasons why you may suffer from hair loss, including:

* Genetics (male pattern hair loss, or androgenic alopecia)
* Hormonal changes
* Medical conditions like alopecia areata, scalp infections, and pulling disorders (trichotillomania)
* Chronic stress

Hair loss can be temporary or permanent, often resulting in baldness or patchiness.

![Shapiro-md-blog-pumpkin-seed-oil-01](//images.ctfassets.net/g7690fvxryk6/6y2xvjRAxhYTsj8yrS5t98/26f24ac60c2cc02cb531df87f25984c2/Shapiro-md-blog-pumpkin-seed-oil-01.jpeg)

## What Is Pumpkin Seed Oil?

Pumpkin seed oil has emerged as a potential treatment for hair loss because it has shown promising signs of promoting hair growth and stopping the primary hair loss hormone in most men and women, called DHT.

This oil is extracted from pumpkin seeds. It’s commonly used as a cooking ingredient for its bounty of essential fatty acids, vitamins, and minerals.

## Does Pumpkin Seed Oil Help with Hair Loss?

Many hair loss treatments work by protecting your hair follicles from a hormone called dihydrotestosterone (DHT).

This hormone is part of the androgen family, like testosterone, and primarily contributes to male sex characteristics like a deeper voice and body hair.

Unfortunately, DHT can also make you lose hair faster and earlier because it shrinks hair follicles. This causes hairs to grow thin and brittle.

[DHT blocking ingredients](https://main.shapiromd.com/product/shampoo) and medications that protect the scalp and follicles from the harmful effects of DHT can reduce this negative impact and help to stimulate hair growth.

Common DHT-blocking hair treatments include:

* [Finasteride](https://main.shapiromd.com/blogs/how-does-finasteride-work)
* [Saw Palmetto](https://main.shapiromd.com/blogs/everything-to-know-about-saw-palmetto-for-hair-loss)
* Dutasteride

Pumpkin oil may be able to offer protection by the same mechanism: limiting your body’s ability to produce DHT, or limiting DHT’s effects on follicles.

Although more research is needed to reach definitive conclusions with pumpkin oil for hair loss, many [small-scale studies](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4017725/) have found promising results regarding pumpkin seed oil’s ability to prevent hair loss.

>>__What Does The Science Say about Pumpkin Seed Oil?__
>>Research on the effectiveness of using pumpkin seed oil to promote healthier hair growth has shown positive results.
>>In one study, male patients were given pumpkin seed oil supplements over the course of 24 weeks. Changes in the scalp were monitored in terms of hair thickness and hair count.
>>At the end of the trial, the treatment group had a 40% increase in hair count compared to the placebo group.
>>No adverse effects were noted in either group.

### Can you use pumpkin seed oil for hair growth?

[Research](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6823528/) suggests that pumpkin seed oil may also be used to promote hair growth in people who suffer from male or female pattern hair loss or baldness.

Pumpkin seed oil may help prevent DHT”s affects on follicles, stopping them from shrinking and causing hair to become thinner. It also appears to stimulate blood flow to the scalp, which can help hair grow too.

![Shapiro-md-blog-pumpkin-seed-oil-02](//images.ctfassets.net/g7690fvxryk6/3DzVf9j8F6fxsMntuE3YSG/5c1a5b477f50455bf5075bb81eeb74de/Shapiro-md-blog-pumpkin-seed-oil-02.jpeg)

## What Are the Best Forms of Pumpkin Seed Oil to Promote Hair Growth?

A number of pumpkin seed oil applications are available. Let’s take a look at two of the common approaches that are used as hair loss treatments.

### Topical pumpkin seed oil

Pumpkin seed oil can be used as a topical hair growth treatment by applying it directly to the scalp with leave-in solutions, shampoos, or conditioners. 

When applied to the scalp, your skin absorbs pumpkin seed oil quickly, which may help it go to work at the follicle level.

Most raw pumpkin seed oil should be refrigerated once it has been opened. When stored properly, the oil may last up to two years.

>>>__What Can I Mix with Pumpkin Seed Oil to Grow My Hair?__ 
>>>Pumpkin seed oil can generally be mixed with any other essential oils that promote healthy hair and faster growth.
>>>This may help speed up the growth cycle and show visible results faster.
>>>A few well-known oils with hair-improving effects that can be mixed with pumpkin seed oil include:
- Coconut oil
- Argan oil
- Avocado oil
- Vitamin E oil

### Oral pumpkin seed oil supplements

Another popular way to use pumpkin seed oil is by taking oral supplements. These are usually sold in gel capsules.

A typical pumpkin seed oil supplement dose is around 1,000 mg.

Depending on product directions, one to two of these capsules can be taken up to three times daily after meals.

Even though more research is needed to prove the effectiveness of pumpkin seed oil supplements for promoting hair growth, ingesting it regularly is unlikely to be harmful, and there are reasons to believe it can be beneficial. In fact, pumpkin seed oil has been associated with a number of health benefits, including:

* [Lowering](https://www.sciencedirect.com/science/article/abs/pii/S0963996909000453) the risk of developing certain types of cancers.
* Supporting prostate and [bladder health](https://onlinelibrary.wiley.com/doi/abs/10.1002/ejlt.200700105)
* Improving [heart health](https://pubmed.ncbi.nlm.nih.gov/15510909/)
* Helping to [improve](https://onlinelibrary.wiley.com/doi/abs/10.1002/ejlt.200700105) quality of sleep

It’s important to note that these supplements aren’t FDA-approved, nor are medical claims. 

It’s also recommended you speak to your health care provider beforehand to avoid unexpected risks to your health. They’ll be able to help you determine if this is the right treatment option for your condition and recommend a dosage regime.

>>__Which Hair Loss Treatments are FDA-Approved?__
>>Oral finasteride (brand-name Propecia®) and topical minoxidil (brand-name Rogaine®) are the only two FDA-approved hair loss treatments for male and female pattern baldness in the U.S.
>>The regulatory body has also approved the oral medication Olumiant® (baricitinib) for treating severe alopecia.

![Shapiro-md-blog-pumpkin-seed-oil-03](//images.ctfassets.net/g7690fvxryk6/4Cim2CNqUXlkT71CzCXW5Z/23922c1c06c7ef6df306d2206b0411a7/Shapiro-md-blog-pumpkin-seed-oil-03.jpeg)

## Who Should Use Pumpkin Seed Oil?

Pumpkin seed oil may be beneficial for any person who suffers from hair loss and male pattern baldness. It may be an effective treatment option for people who want to grow thicker-looking and healthier hair.

### How do you use pumpkin seed oil?

How you incorporate pumpkin seed oil into your hair care routine will depend on the formula you decide to use.

If you’re using a serum or hair oil, apply the product straight to your scalp after washing your hair. Then massage it into the scalp.

You can also use a pumpkin seed oil serum to repair dry or damaged hair by applying the product to split or damaged ends.

## How Long Does It Take for Pumpkin Seed Oil to Work?

The effectiveness of any hair loss treatment will depend on the cause and severity of the condition.

Most treatments, including pumpkin seed oil, may take between [three to six months](https://www.aad.org/public/diseases/hair-loss/treatment/diagnosis-treat) to work and restore hair health.

If your hair loss is caused by [nutritional deficiencies](https://main.shapiromd.com/blogs/which-vitamin-deficiency-causes-hair-loss), it may take even longer for proper treatment to correct these and restore balance to the body.

## Can Pumpkin Seed Oil Cause Side Effects?

Pumpkin seed oil may cause an allergic reaction in people who are sensitive to its natural or raw form.

If you experience any of the following symptoms, stop using pumpkin seed oil immediately:

* Itchy, red, and flaking scalp or areas on the body
* Rashes or red bumps appearing on the scalp or body
* Wheezing
* Swollen eyes, lips, mouth, or throat

Severe symptoms like difficulty breathing or feeling dizzy require immediate medical attention.

It’s always recommended to do a patch test on a small area of the body before using it on your scalp. 

Apply a small amount of the oil on the back of your hand or arm and wait 48 hours. If no reaction occurs, the product is generally safe for use.

## Where Can I Learn More About Pumpkin Seed Oil and Hair Loss?

Hair loss can be incredibly frustrating. 

Luckily, [Shapiro MD](https://main.shapiromd.com/) can help.

Our hair growth experts are here to help you get to the root of your condition, as well as recommend the right treatment options for you. With natural and prescription medications (all done online!), it's easier than ever to restore the look of voluminous hair. 

Learn more about our patented formulas and unique [natural hair formulas](https://shapiromd.com) now.

## Sources

[https://thehairsociety.org/hair-loss-statistics-the-facts/#:~:text=Did%20you%20know%20that%20approximately,women%20suffer%20from%20hair%20loss%3F](https://thehairsociety.org/hair-loss-statistics-the-facts/#:~:text=Did%20you%20know%20that%20approximately,women%20suffer%20from%20hair%20loss%3F)

[https://thehairsociety.org/hair-loss-statistics-the-facts/#:~:text=Did%20you%20know%20that%20approximately,women%20suffer%20from%20hair%20loss%3F](https://thehairsociety.org/hair-loss-statistics-the-facts/#:~:text=Did%20you%20know%20that%20approximately,women%20suffer%20from%20hair%20loss%3F) 

[https://www.aad.org/public/diseases/hair-loss/insider/new-moms](https://www.aad.org/public/diseases/hair-loss/insider/new-moms) 

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4017725/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4017725/) 

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6823528/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6823528/) 

[https://www.sciencedirect.com/science/article/abs/pii/S0963996909000453](https://www.sciencedirect.com/science/article/abs/pii/S0963996909000453) 

[https://onlinelibrary.wiley.com/doi/abs/10.1002/ejlt.200700105](https://onlinelibrary.wiley.com/doi/abs/10.1002/ejlt.200700105) 

[https://pubmed.ncbi.nlm.nih.gov/15510909/](https://pubmed.ncbi.nlm.nih.gov/15510909/) 

[https://onlinelibrary.wiley.com/doi/abs/10.1002/ejlt.200700105](https://onlinelibrary.wiley.com/doi/abs/10.1002/ejlt.200700105) 

[https://www.aad.org/public/diseases/hair-loss/treatment/diagnosis-treat](https://www.aad.org/public/diseases/hair-loss/treatment/diagnosis-treat) 


Shapiro-md-blog-pumpkin-seed-oil-03

Pumpkin Seed Oil For Hair Loss: Does It Really Work?

Hair loss affects millions of people worldwide, and [statistics](https://www.statista.com/statistics/286600/usage-of-hair-regrowth-products-in-the-us-trend/) show that Americans are increasingly turning to hair regrowth products to solve the problem (rightly so!).

There are many causes of hair loss, and an itchy scalp is one of them. An itchy scalp can indirectly contribute to thinning hair by causing scratching, and some conditions that cause an itchy scalp can also contribute directly to hair loss.

An itchy scalp is common, with one study reporting that [25% of the participants](https://www.hindawi.com/journals/bmri/2019/1268430/) had the condition.

## Summary
- An itchy scalp indirectly causes hair loss when an underlying condition makes a person excessively scratch their scalp.
- Conditions such as psoriasis, dandruff, seborrheic dermatitis, and other inflammatory skin disorders can cause an itchy scalp.
- Before you treat hair loss caused by an itchy scalp, it's ideal to seek treatment for the underlying condition.
- Minoxidil and finasteride are among the most effective ingredients for hair regrowth. 

In this article, we’ll go into detail about having an itchy scalp, outline some of the conditions that cause an itchy scalp, and also explain how it can result in hair loss.

## Can an Itchy Scalp Cause Hair Loss?

An itchy scalp—which can also be called scalp pruritus—can cause frustration, discomfort, pain, and in some cases, even hair loss.

However, scalp itchiness alone cannot make your hair fall out. Hair loss from an itchy scalp only occurs when someone repeatedly scratches at their hair. 

Excessive scratching damages the scalp and hair follicles (the tiny openings through which your hairs grow), which may cause hair loss or hair thinning.

Hair loss associated with an itchy scalp is reversible, unless your hair follicles are permanently damaged. We’ll go into more detail about the treatment options later.

>>__How Do I Know If My Itchy Scalp Is Causing Hair Loss?__
>>
>>It's possible to experience an itchy scalp and hair loss that are unrelated—in other words, your itchy scalp is not the root cause of your hair loss.
>>Before you assume that your constant scratching is causing your hair to fall out, consider a few of the options listed below.
>>You may be losing hair due to:
>>- Hereditary hair loss: Also called androgenic alopecia, this type of hair loss runs in your family and it may affect both men (male pattern hair loss) and women (female pattern hair loss).
>>- Age: Hair growth may slow or stop as you get older.
>>- Chemotherapy: Cancer treatment can cause hair loss.
>>- Stress: Events that put strain on the body—such as a divorce, family death, pregnancy, or illness—can cause hair loss.
>>- Hair treatments: Certain hair treatments, such as coloring, perming, or relaxing, can contribute to hair loss or thinning hair.
>>- Certain hairstyles: Wearing your hair in tight ponytails or other styles that put a strain on the hair follicles can cause what's known as traction alopecia. Constantly styling your hair this way can cause permanent hair loss.
>>- Hormonal imbalances: Certain birth control pills and conditions such as PCOS that cause hormonal fluctuations can result in hair loss.
>>- Scalp infections: Infections of the scalp can cause inflammation and scaly patches of skin where balding can occur.
>>- Certain medications: If you've noticed hair loss shortly after starting a medication, speak to your doctor.

![shapiro-md-blog-itchy-scalp-01](//images.ctfassets.net/g7690fvxryk6/2oUzRlPHvf5iIJW3Z4OvwT/4ffb52d9578d593c05aa96750f6c7235/shapiro-md-blog-itchy-scalp-01.jpeg)

## What Are Some Common Causes of Itchy Scalp and Hair Loss?

Before exploring ways to treat hair loss, we need to understand what could be causing your scalp to itch.

Once the cause of your itchy scalp has been identified, you can get the right treatments to find relief. To cure hair loss linked to an itchy scalp, you’ll need to first stop the excessive scratching. 

Listed below are some reasons your scalp might be itching. 

If you suspect you have any of the following conditions, contact your doctor to get the treatment you need.

### Scalp ringworm

Also known as tinea capitis, scalp ringworm is a red rash that causes itching and patches of scaly skin on the scalp.

Scalp ringworm is a fungal infection that can damage the hair follicles and make it difficult for hair to grow. 

Scalp ringworm is contagious, and the [American Academy of Dermatology (AAD)](https://www.aad.org/public/diseases/a-z/ringworm-self-care) suggests disinfecting or discarding contaminated items, washing your hands after touching the affected area, and not sharing personal items with others.

According to the [Centers for Disease Control and Prevention (CDC)](https://www.cdc.gov/fungal/diseases/ringworm/treatment.html), ringworm of the scalp cannot be treated with the nonprescription antifungal lotions, creams, or powders used to treat ringworm on other parts of the body. More on this later.

### Allergic reactions

Dryness, itchiness, inflammation, or flaking of the scalp may be an indication of an allergic reaction to a haircare product.

If a product like hair mousse or hair gel touches the scalp and causes a rash or irritation, you may be allergic to one or more of its ingredients. 

In this case, it’s possible to experience a similar reaction in other areas exposed to the product(s), such as your hands. Shampoo and conditioner that are not properly rinsed out of the hair may also cause irritation when left on the scalp.

If you experience an itchy rash on the scalp each time you use hair dyes, you may have contact dermatitis—a relatively common condition among people who color their hair. 

This is usually a reaction to an ingredient in black hair dyes. 

### Inflamed hair follicles
Hair follicles may become infected due to bacteria, fungi, ingrown hairs, and other factors. 

If the skin turns red and begins to flake, or you experience scalp buildup, your hair follicles may be inflamed or irritated.

The main types of scalp inflammation include:

#### Folliculitis

Folliculitis refers to the infection of one or more hair follicles. It is more common among people who suffer from acne. 

The condition may resemble pimples or dark bumps on the skin. It commonly appears on the back, arms, legs, scalp, or face—but it can develop anywhere hair grows.

Shaving and friction increase your risk of developing the condition.

#### Lichen planopilaris (LPP)

The precise cause of [lichen planopilaris](https://rarediseases.info.nih.gov/diseases/3247/lichen-planopilaris) is unknown, but experts believe it may be an autoimmune disorder that affects the hair follicles. 

LPP may cause red bumps on the scalp that itch or burn. 

The hair loss associated with LPP is sometimes reversible. However, if the condition results in scarring, hair loss can be permanent.

### Seborrheic dermatitis

Often thought of as a severe form of dandruff, [seborrheic dermatitis](https://main.shapiromd.com/blogs/what-is-seborrheic-dermatitis-and-how-is-it-connected-to-hair-loss) causes itchy patches of scaly skin on the scalp and face. 

The hair loss associated with seborrheic dermatitis is temporary and hair is able to regrow once seborrheic dermatitis has been treated. 

![shapiro-md-blog-itchy-scalp-02](//images.ctfassets.net/g7690fvxryk6/3itdZPdlBbwZd6WxQovYjF/bad920753ff58ad96e4b896afb4cc0bd/shapiro-md-blog-itchy-scalp-02.jpeg)

### Atopic dermatitis

Commonly known as eczema, atopic dermatitis is an itchy inflammatory skin condition known for causing severe itching. 

Skin inflammation caused by atopic dermatitis can damage hair follicles, which prevents healthy hair growth.

### Psoriasis

The autoimmune condition known as psoriasis can cause patches of scaly red skin that can develop on the scalp and cause irritation.

Picking at psoriasis lesions or using harsh treatments can trigger temporary hair loss. Psoriasis very rarely causes permanent hair loss. 

![shapiro-md-blog-itchy-scalp-03](//images.ctfassets.net/g7690fvxryk6/19CRS5kjF749XnTBreN1Hl/936022d1fa3fcbf30772fdbae0f7c093/shapiro-md-blog-itchy-scalp-03.jpeg)

### Alopecia areata

Also known as patchy hair loss, [alopecia areata](https://www.niams.nih.gov/health-topics/alopecia-areata) occurs when your immune system attacks hair follicles, causing your hair to fall out in round patches.

Although most people experience no symptoms besides hair loss, some do report a [burning, itching, or tingling scalp sensation](https://www.aad.org/public/diseases/hair-loss/types/alopecia/symptoms#:~:text=If%20you%20have%20alopecia%20areata,the%20hair%20will%20fall%20out.) just before they lose their hair.

Hair can be lost anywhere on the body, and those with a family history of the disorder are most at risk.

![shapiro-md-blog-itchy-scalp-04](//images.ctfassets.net/g7690fvxryk6/7q0L4HBzJ8bu07rLpe9zAH/0145b5a844060f8e48fbd1bce625197b/shapiro-md-blog-itchy-scalp-04.jpeg)

### Dandruff

It’s rare for dandruff to cause hair loss, but because it is a condition that causes dryness and scalp itching, it’s possible.

If you do not, for example, use anti-dandruff shampoo or other treatments to control your dandruff, it can cause excessive scratching that can trigger hair loss.

![shapiro-md-blog-itchy-scalp-05](//images.ctfassets.net/g7690fvxryk6/3sm2Rn6ZUGkdhZCNc6GJHU/db56f8456c7d24323772d376340dd754/shapiro-md-blog-itchy-scalp-05.jpeg)

### Scarring

Cicatricial or scarring alopecia is a type of hair loss that completely destroys the hair follicle, often making hair growth impossible.

Scarring hair loss may be accompanied by itching, burning, and tenderness in the affected area. This type of hair loss is irreversible. 

## What Are Some Treatment Options for Itchy Scalp and Hair Loss?

If your hair loss is linked to scalp itching, you should treat the underlying scalp condition that’s causing the itching before starting a treatment plan to regrow your hair.

Your treatment will differ depending on the cause of your scalp irritation. 

In the table below we’ve outlined the different treatments that can be used for all the causes of scalp itching mentioned earlier.

<table>
  <tr>
   <td><strong>Scalp condition</strong>
   </td>
   <td><strong>Treatment</strong>
   </td>
  </tr>
  <tr>
   <td>Scalp ringworm (tinea capitis)
   </td>
   <td>Prescription oral antifungal medication, such as griseofulvin, terbinafine, itraconazole, and fluconazole.
Prescription-strength medicated shampoo.
   </td>
  </tr>
  <tr>
   <td>Allergic reactions
   </td>
   <td>Stop using the product that’s causing your allergic reaction. 
<p>
Oral antihistamines, such as diphenhydramine (Benadryl).
<p>
Topical corticosteroids, such as shampoos and ointments.
<p>
Mild antiseptics, such as hydrogen peroxide.
   </td>
  </tr>
  <tr>
   <td>Inflamed hair follicles
   </td>
   <td>Antibacterial soap or cleansers containing benzoyl peroxide.
<p>
Hydrocortisone cream, topical antibiotics, antivirals, or antiparasitic medication.
<p>
Surgery, UV light therapy, or laser hair removal.
   </td>
  </tr>
  <tr>
   <td>Seborrheic dermatitis
   </td>
   <td>OTC anti-dandruff shampoos containing selenium, zinc, or tar.
<p>
Antifungal shampoos with ciclopirox or ketoconazole.
<p>
Medicated shampoos containing corticosteroids, such as betamethasone valerate, clobetasol, or fluocinolone.
   </td>
  </tr>
  <tr>
   <td>Atopic dermatitis
   </td>
   <td>Antihistamines, topical antiseptics, and corticosteroids.
<p>
UV light therapy, wet dressings (sealing corticosteroid ointment with wet gauze), and counseling/biofeedback to curb scratching.
<p>
Anti-inflammatory drugs, such as prednisone and azathioprine.
<p>
Injectable biologics (drugs extracted from biological sources).
   </td>
  </tr>
  <tr>
   <td>Psoriasis
   </td>
   <td>Topical corticosteroids (creams and ointments), anti-inflammatories, retinoids, and salicylic acid.
<p>
Light therapies—sunlight, excimer laser, PUVA, UVB broadband, and UVB narrowband.
<p>
Oral or injectable drugs.
<p>
Alternative therapies.
   </td>
  </tr>
  <tr>
   <td>Alopecia areata
   </td>
   <td>Corticosteroids that can be injected, applied topically, or taken orally.
<p>
Medications that can regrow hair, such as minoxidil and finasteride.
   </td>
  </tr>
  <tr>
   <td>Dandruff
   </td>
   <td>Manual removal of scaly patches of skin.
<p>
Anti-dandruff shampoos with ingredients such as ketoconazole, selenium sulfide, and tar.
<p>
Home remedies, such as green tea, coconut oil, and apple cider vinegar.
   </td>
  </tr>
  <tr>
   <td>Scarring alopecia
   </td>
   <td>Antibiotics and isotretinoin.
<p>
Drugs like methotrexate, tacrolimus, and thalidomide—although these are experimental drugs.
   </td>
  </tr>
</table>

### How do I regrow hair now that I’ve treated the underlying scalp condition?

Once your scalp is no longer dry, flaky, or inflamed, you can focus on treating your hair loss.

Scalp health is a key factor in any hair loss treatment, so it’s important that you heal your scalp first to experience the best hair growth results.

Topical and oral treatments are great, noninvasive options for hair growth. [Shapiro MD](https://main.shapiromd.com/) uses proven botanicals and FDA-approved ingredients to help promote hair growth. Our tried-and-true hair growth formulations include, among others:

* Minoxidil
* Tretinoin
* Finasteride
* Vitamin B12
* Selenium
* Argan oil
* Caffeine extract
* Saw palmetto
* Epigallocatechin gallate (EGCG)

### What are some of the best products for hair regrowth?

Products containing minoxidil and finasteride have been approved by the FDA for the treatment of hair loss.

[Research](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7649170/) shows that, when used daily, minoxidil results in higher total hair counts and is safe for healthy men and women to use.

[Finasteride] (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3969676/#:~:text=Oral%20finasteride%20was%20effective%20(excellent,other%20than%20on%20their%20head/) can also yield excellent hair growth results, with as many as 88.9% of test subjects experiencing hair growth on this oral medication. However, finasteride is only available for men, and it requires a prescription from a licensed doctor.

At Shapiro MD we offer a variety of hair loss solutions with powerful ingredients, including minoxidil and finasteride. 

## How Can I Prevent Hair Loss?

Sometimes hair loss is genetic—this is called androgenic alopecia—and can’t be cured, but there are steps you can take to slow the hair thinning process.

Some ways to prevent or slow hair loss include:

* Not scratching your scalp excessively.
* Getting treatment for existing health and skin conditions.
* Rinsing your hair with cold water to promote blood flow.
* Gently massaging your scalp.
* Following a good hair care regimen that includes gentle products.
* Ensuring your hair stays clean and dry.

![shapiro-md-blog-itchy-scalp-06](//images.ctfassets.net/g7690fvxryk6/23FtnKhaimU8nFNFgGy1eF/a0a76694768ba778febcebf2d4143376/shapiro-md-blog-itchy-scalp-06.jpeg)

## Can an Itchy Scalp Cause Permanent Hair Loss?

An itchy scalp can only cause permanent hair loss if it results in scarring alopecia—this is when the hair follicle is entirely destroyed, making it impossible to regrow hair.

There is, however, some [evidence](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8719951/) to suggest hair transplantation may be an option for those suffering from scarring alopecia.

![shapiro-md-blog-itchy-scalp-07](//images.ctfassets.net/g7690fvxryk6/S4GIotFxf9gH0v9U8PnFk/978a9244cb4666ce6aa1750386ac9f14/shapiro-md-blog-itchy-scalp-07.jpeg)

## How Can I Regrow My Hair after Treating My Itchy Scalp?

Are you suffering from thinning hair and suspect your itchy scalp is the cause? You don’t need to scratch your head for a solution — Shapiro MD can help.

With proven natural solutions and prescription options prescribed by doctors online, we’ve been helping men and women stop hair loss and regrow their hair after all kinds of hair loss triggers. 

[Learn more and get started by clicking here.](main.shapiromd.com)


A woman scratching her head due to an itchy scalp

shapiro-md-blog-itchy-scalp-06

Itchy Scalp And Hair Loss: What’s The Link?

Shapiro-md-oral-minoxidil-blog-02

Oral Minoxidil For Hair Loss: Benefits, Uses, And Side Effects


Good nutrition is important for healthy hair growth, and [research](https://www.journalagent.com/ijmb/pdfs/IJMB-75047-ORIGINAL_INVESTIGATION-YORULMAZ_ERTUG.pdf) has shown a connection between low levels of vitamin B12 and hair loss.

Although [vitamin B12 deficiencies are rare in the U.S.](https://ods.od.nih.gov/factsheets/VitaminB12-HealthProfessional/), certain [medications](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6054240/) and health conditions such as [pernicious anemia](https://www.ncbi.nlm.nih.gov/books/NBK441923/) can affect the absorption of vitamin B12 and contribute to a deficiency. [Older people](https://pubmed.ncbi.nlm.nih.gov/25756278/) and [vegetarians or vegans](https://www.researchgate.net/publication/340904734_OVERCOMING_VITAMIN_B12_DEFICIENCY_IN_VEGAN_DIET) are also more likely to develop a vitamin B12 deficiency.

In this article, we’ll go into detail about vitamin B12, all that it does for your body, why you need it, and how you can ensure your vitamin B12 intake is adequate.

## Summary

- Vitamin B12 is one of many essential vitamins for keeping your hair and body healthy.
- Hair loss has many possible causes, but if your hair loss is linked to a vitamin B12 deficiency, you can restore hair growth by increasing your B12 levels.
- You can raise your vitamin B levels by consuming more animal-based foods, fortified foods, or vitamin supplements. Other vitamins — especially B-complex vitamins — are essential for preventing hair breakage and keeping your hair healthy.

## What Is Vitamin B12?

Also known as cobalamin, vitamin B12 is essential for the formation of red blood cells and DNA.

Red blood cells carry oxygen around the body and help us to break down food and turn it into energy. Vitamin B12 is involved in the development of brain and nerve cells, and it reduces the risk of birth defects.

Because vitamin B12 is naturally found in animal products, a diet low in meat and dairy can increase the risk of a deficiency. 

![shapiro-md-blog-vitamin-b12-01](//images.ctfassets.net/g7690fvxryk6/2yiEF6ewFxMXUUuvprXu0Q/6c1839e30538cc837eecf2bcca8832b1/shapiro-md-blog-vitamin-b12-04.jpeg)

## Why Do I Need Vitamin B12?

All vitamins and minerals are responsible for overall health and mental well-being, and vitamin B12 is no exception. 

Vitamin B12 is part of the vitamin B-complex range, which is a class of water-soluble vitamins essential for cell growth and development. 

Vitamin B supports the immune system and guards against infections, too.

### What are the health benefits of vitamin B12?

The body requires vitamin B12 for a variety of functions, including:

* Maintaining healthy eyesight.
* Keeping your bones strong.
* Maintaining gut health and avoiding gastrointestinal issues, such as constipation.
* Increasing your energy levels.
* Preventing anemia and heart disease.
* Decreasing the risk of birth defects in pregnant women.
* Supporting brain health and preventing nerve problems.
* Maintaining healthy hair, skin, and nails.

## Vitamin B12 Benefits for Hair: What’s the Link Between Vitamin B12 and Hair Loss?

Vitamin B12 is required to produce healthy red blood cells that transport oxygen around the body. All bodily tissues — including the scalp — require oxygen to break down glucose and produce energy to carry out their functions. Blood cells supply hair follicles with enough oxygen and the right nutrients that are essential for healthy hair. 

Vitamin B12 helps promote hair growth by improving blood circulation to the scalp.

Vitamin B12 also supports and maintains healthy hair, skin, and nails. Vitamin B12 deficiencies have been linked to [anemia](https://www.nhs.uk/conditions/vitamin-b12-or-folate-deficiency-anaemia/#:~:text=Vitamin%20B12%20or%20B9%20(commonly,using%20a%20substance%20called%20haemoglobin.), which is a condition characterized by low iron levels. 

When the body doesn’t have enough iron, all sorts of problems occur—including hair loss and hair thinning.

When used in conjunction with other B vitamins, vitamin B12 is even more effective for hair growth—we’ll take a closer look at this later.

![shapiro-md-blog-vitamin-b12-03](//images.ctfassets.net/g7690fvxryk6/6dpzdIOik0jEQQd6r8ynVO/c6f898f2ca9278d75185f1bcc2eb63dd/shapiro-md-blog-vitamin-b12-03.jpeg)

## What Happens If I Have a Vitamin B12 Deficiency?

Vitamin B12 deficiencies are characterized by: 

* Muscle weakness or fatigue
* Digestive problems
* Nervous system disorders
* Heart damage

Most people get enough vitamin B12 just by eating a diet that includes animal products.

Vitamin B12 is stored in the liver, so if you stop consuming foods that contain this vitamin—for example, if you adopt a vegan or vegetarian lifestyle—it can actually take between [3 and 5 years](https://www.msdmanuals.com/home/disorders-of-nutrition/vitamins/vitamin-b12-deficiency) before the body uses up its supply of vitamin B12!

## What Are Some Factors That Increase the Chances of Vitamin B12 Deficiency?

Certain risk factors can make you more prone to developing a B12 deficiency. Some factors can be managed or eliminated, while others are beyond your control.

Some risk factors for vitamin B12 deficiency include:

* Old age
* Atrophic gastritis (a condition that damages the stomach lining)
* Certain health conditions and medications
* A vegan or vegetarian diet

## How Do I Know If My Vitamin B12 Levels Are Low?

You may not experience symptoms if you have a vitamin B12 deficiency right away; it can take years for the affects to manifest as symptoms. However, vitamin B12 deficiency is serious as it can lead to anemia and worse when left untreated.

### Symptoms of vitamin B12 deficiency

* Weakness or lack of energy.
* Bleeding gums or mouth ulcers.
* Numbness or tingling sensations in the hands and feet.
* Hair thinning or hair loss.
* Heart palpitations or increased heart rate.
* Irritability.
* Loss of appetite and/or weight loss.
* Nausea.
* Gastrointestinal issues.
* Depression.
* Difficulty balancing.
* Confusion or poor memory.

![shapiro-md-blog-vitamin-b12-01](//images.ctfassets.net/g7690fvxryk6/6S8ANT55H3BWIwoxt6nRol/b541e7a81cf636abae8e66cc90f6d871/shapiro-md-blog-vitamin-b12-01.jpeg)

### Do a vitamin B12 test 

If you suspect your vitamin B12 levels are low, or you’re worried about nutritional deficiencies after adopting a vegan diet, you can do a urine or blood test to check your vitamin b12 levels.

Visit your doctor and have them perform the test or purchase a kit online and do the test at home.

>>Food for Thought: What Other Vitamin Deficiencies Can Cause Hair Loss?

>>A well-balanced diet is essential for overall health, so it's no surprise that you need more than vitamin B12 for strong hair follicles and healthy hair.
>>To ensure healthy hair growth, you'll also need:

>>Vitamin D.
>>Zinc.
>>Selenium.
>>Riboflavin.
>>Biotin.
>>Folate.

## What Can I Do If I Have a Vitamin B12 Deficiency?

Depending on the cause of your B12 deficiency, any of the following can help to increase your vitamin B12 levels:

### Eat a diet rich in vitamin B12 foods

One of the easiest ways to ensure you get enough vitamin B12 is to eat the right foods, including:

* Chicken, beef, and liver.
* Seafood, such as clams, and fish like sardines, tuna, trout, and herring.
* Dairy products, like milk, cheese, and yogurt.
* Eggs.
* B12 fortified foods, such as cereals, nondairy milk, and nutritional yeast.
* Mushrooms—especially shiitake mushrooms.
* Spinach.
* Beetroot.
* Potatoes.

![shapiro-md-blog-vitamin-b12-02](//images.ctfassets.net/g7690fvxryk6/2H3jwO2iRx32Ps3O6HvOXW/ac1759e99cf32e573b570d50079a612e/shapiro-md-blog-vitamin-b12-02.jpeg)

>>Food for Thought: What If I'm a Vegan or Vegetarian?

>>Animal-based foods contain the highest amount of vitamin B12, this is why vegans and vegetarians are often at risk of developing a deficiency.

>>Consuming fortified foods, such as vegan spreads, cereals, and meat substitutes can help, but vitamin supplements or B12 injections may work even better to correct B12 deficiencies.

### Take vitamin supplements

If you’re unable to get your vitamin B12 from foods, you can use oral supplements to boost your vitamin B12 level. 

#### Will vitamin B12 supplements help with hair loss?

Hair loss may be caused by several factors, so taking vitamin B12 supplements may not necessarily work for you.

However, if you already have low B12 levels—as determined by a urine or blood test—using B12 supplements or eating foods with vitamin B12 may be helpful.

### Get vitamin B12 injections

Vitamin B12 shots can be very effective for treating a deficiency. You need a prescription to obtain a B12 injection, but they can be safely administered by a doctor or even at home.

B12 injections are typically given in the thigh, upper arm, or buttock.

People who should consider B12 injections include:

* Those with medical conditions like Crohn’s disease, lupus, and certain cancers.
* Older people who struggle to absorb B12.
* People with pernicious anemia, or those at risk of developing it.
* Vegans and vegetarians.

### What other vitamins do I need?

If you’re looking at supplementing with vitamin B12, it’s also important to include the other B vitamins that comprise the vitamin B-complex—many of them boost cell rejuvenation and support hair follicle growth.

#### B vitamins to get in your diet include:

* **B1 (thiamine):** It helps to keep your muscles, nerves, and heart functioning. It also promotes healthy hair growth and protects hair follicles from damage.
* **B2 (riboflavin):** It helps to produce healthy red blood cells and helps the body use vitamins B6 and B3.
* **B3 (niacin):** It improves brain function and skin health, and reduces blood pressure. It also helps with hair growth by improving blood circulation.
* **B5 (pantothenic acid):** It helps produce red blood cells and sex hormones. It also helps build strong hair follicles and encourages healthy hair growth.
* **B6 (pyridoxine):** It improves mood and brain health, while treating and preventing conditions like anemia and possibly mental health conditions. It also improves hair growth by providing access to the amino acids required to build healthy hair.
* **B7 (biotin):** It aids metabolism, and it’s essential for a healthy pregnancy. Biotin also prevents hair loss and boosts hair follicle growth.
* **B9 (folic acid):** This vitamin helps the body produce new cells and prevents cell mutations that can lead to cancer. It’s also vital for preventing birth defects and prevents premature graying.

## How to Prevent Vitamin B12 Deficiency

By eating a balanced diet that contains B12-rich foods, you can avoid developing a deficiency in the first place. 

However, people on certain medications or those with specific diseases may not be able to absorb vitamin B12 effectively. 

If you’re feeling unusually tired, your hair is thinning, or you experience any of the other symptoms mentioned above, it may make sense to get your vitamin levels tested.

A medical professional will then be able to guide the best course of treatment.

## Where Can I Learn More about Vitamins for Hair Health?

Vitamins are essential for healthy hair growth and optimal physiological function, but it’s often difficult to consume all of the right nutrients given busy schedules and increasingly common diets/lifestyles. 

If you suspect that a vitamin deficiency is causing your hair loss or thinning, [ShapiroMD](https://main.shapiromd.com/) can help.

Not only have we developed a [range](https://main.shapiromd.com/products?gender=For+Women) of effective hair loss shampoos and serums, our team has also created hair-specific [hairbiotics](https://main.shapiromd.com/product/hairbiotic) and [supplements](https://main.shapiromd.com/product/complete-thyroid-support) packed with essential vitamins and minerals, including B12 and selenium.

If you're concerned about a meaningul deficiences, talk to your doctor about your symptoms first.

Learn more and get started by [clicking here](https://main.shapiromd.com/).


shapiro-md-vitamin-b12-blog-image

Vitamin B12 Benefits: Why Do I Need It For Healthy Hair Growth?

Hair loss can occur due to a variety of reasons, commonly genetics, certain medications, and even stress; however, if hair loss is linked to a skin condition like seborrheic dermatitis, selenium sulfide may be an appropriate treatment.

Selenium sulfide is an [FDA-approved](https://www.accessdata.fda.gov/scripts/cder/ob/results_product.cfm?Appl_Type=A&Appl_No=089996#28139) substance that can be used to treat conditions that contribute to hair loss, such as [seborrheic dermatitis](https://main.shapiromd.com/blogs/what-is-seborrheic-dermatitis-and-how-is-it-connected-to-hair-loss), dandruff, and tinea versicolor. 

[Research](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261123/) shows that selenium sulfide is a safe and effective active ingredient for use in topical treatments such as lotions, shampoos, and foams. Common brands that rely on selenium sulfide include Selsun®, Exsel® and Head and Shoulders® shampoos.

__Summary__

- Selenium sulfide is used in shampoos and lotions that help to treat & hair skin conditions such as dandruff, seborrheic dermatitis, and psoriasis.
- Skin conditions that cause severe itchiness and irritation can result in hair loss due to excessive scratching and inflammatory response.
- Treatments that contain selenium sulfide have concentrations of between 1 and 2.5%.
- If selenium sulfide is misused, it can make the symptoms it's intended to treat worse, so it's important to read product instructions or follow your doctor's directions.

## What Is Selenium Sulfide?

Selenium sulfide is the active ingredient in some shampoos and lotions used to treat scalp conditions that cause itching or irritation. An anti-infective, selenium sulfide is typically used to treat fungal skin conditions that lead to flaking or scaling on the scalp.

Products may contain varied concentrations of selenium sulfide depending on the condition they’re treating, but selenium sulfide concentrations generally range from 1% to 2.5%.

### Selenium sulfide shampoo

Medicated shampoos that contain selenium sulfide are great for treating skin conditions that affect the scalp, such as seborrheic dermatitis. They also serve as great anti-dandruff solutions.

These types of shampoo are available over-the-counter (OTC) or with a doctor’s prescription. 

OTC formulations may be gentle enough for daily use, while prescription formulations may be used less frequently.

![shapiro-md-selenium-001](//images.ctfassets.net/g7690fvxryk6/47FlUkCvrofBLijAcvYcWz/e9ed8c84140c140805691c5a27c9f538/shapiro-md-001.jpg)

### Selenium sulfide lotion

Selenium sulfide lotions are another topical approach that may be used for conditions of the scalp or skin elsewhere on the body. 

Lotions with a 2.5% and higher concentration of selenium sulfide are only available with a prescription in the U.S.

## What Conditions Can Be Treated with Selenium Sulfide Shampoo?

Selenium sulfide shampoo can help prevent hair loss by treating skin conditions that irritate, dry out, or inflame the scalp. 

Keep in mind that selenium sulfide products do not directly treat hair loss. Rather, they treat the underlying fungal conditions that can result in hair loss.

### Dandruff

Dandruff can indirectly cause hair loss as it induces itching, which may prompt you to scratch your scalp. This can damage hair follicles and cause temporary hair thinning.

Selenium sulfide shampoo can be used to remedy dry, itchy, or flaky skin caused by dandruff. Once the dandruff or flaking and scaling is treated, your hair has a better chance of regrowing.

Lower concentrations of selenium sulfide are typically found in daily-use shampoos, while stronger concentrations are available to treat severe dandruff.

![shapiro-md-selenum-005](//images.ctfassets.net/g7690fvxryk6/6e3RHStJNOq7ddcJR6J6XA/f60915aebab48c7fee12a47641e10a51/shapiro-md-005.jpg)

### Seborrheic dermatitis 

Sometimes called seborrheic eczema, seborrheic dermatitis is a condition that’s characterized by dry, itchy, inflamed patches of skin and even yellow scales. 

It typically affects the scalp, face, and various skin folds, such as the armpits or groin. The severe itchiness caused by the condition can lead to increased scratching which disturbs the hair growth cycle. 

Hair loss caused by seborrheic dermatitis is referred to as _seborrheic alopecia._

Seborrheic dermatitis may sometimes be mistaken for severe dandruff. However, there are some clear distinctions, such as where it occurs and what it looks like.

Dandruff is characterized by white flakes, while white or yellow scales and reddened skin typically accompany seborrheic dermatitis.

Selenium sulfide is effective in combatting seborrheic dermatitis as it reduces the growth of the yeast responsible for the infection. When seborrheic dermatitis occurs in babies or young children, it's commonly known as cradle cap—but doctors don’t typically prescribe selenium sulfide shampoos or lotions to children younger than two.

![shapiro-md-selenium-002](//images.ctfassets.net/g7690fvxryk6/4DLJnmOe0V0tRXGW9Nx1Yt/c579ac2c117b4049728e4af7b9e6c5f3/shapiro-md-002.jpg)

### Tinea versicolor or pityriasis versicolor (PV)

Selenium sulfide lotion can be used to treat tinea versicolor, which is also called pityriasis versicolor. 

This fungal skin condition causes discolored lesions to form on the skin and typically affects the back, shoulders, and upper chest.

Hair thinning or hair loss has been identified as one of the symptoms of tinea versicolor. In one [study](https://pubmed.ncbi.nlm.nih.gov/22575159/), 61.5% of patients with tinea versicolor experienced hair loss in lesions on the forearms, neck, beard region, and abdomen.

Selenium sulfide treats tinea versicolor by slowing the growth of the fungus that causes the infection. It also relieves itchy, flaky, or dry skin that can trigger excessive scratching, which contributes to further hair loss.

When treating tinea versicolor, you can apply the medication to any affected areas except the face and genitals.

![shapiro-md-selenium-003](//images.ctfassets.net/g7690fvxryk6/1CGhKYImbgzNShVcqh7IQv/dbaaf60bb7e65629dc4c4d13b4e8687f/shapiro-md-003.jpg)

### Tinea capitis

Commonly known as ringworm, tinea capitis is a contagious fungal infection that causes patchy hair loss and scaly skin on the scalp. The condition is common among children.

Using selenium sulfide shampoo a few times per week can help the fungus disappear more quickly. This shampoo can be used in addition to oral antifungal medications in more severe cases.

### Psoriasis

Psoriasis causes dry, scaly patches of skin that are prone to itching. It’s an immune system skin disorder that can appear anywhere on the body but mainly affects the elbows, knees, lower back, and scalp.

Because psoriasis causes itching, people with the condition are likely to scratch affected skin—this can lead to temporary hair loss.

To treat hair loss linked to psoriasis, selenium sulfide shampoo or lotion can be effective. For mild cases of psoriasis, over-the-counter medicated shampoos work well, but anything more severe may require a doctor’s prescription for a stronger selenium sulfide treatment.

## How Do I Use Selenium Sulfide for Hair Loss?

How you use selenium sulfide treatments will depend on the following:

* The condition you’re treating.
* The type of selenium sulfide product you’re using—a lotion, foam, or shampoo?
* The strength of the formulation.

If at any point you experience adverse reactions, contact your doctor for help.

### Method

Only use your shampoo, lotion, or foam as directed by your doctor or the instructions on the label.

* **For shampoo: **Apply directly to a wet scalp and leave it on for a few minutes (follow the label instructions or your doctor’s advice), then rinse thoroughly. 

    Selenium sulfide shampoo can also be used on the body by working up a lather and rinsing it off after ten minutes (or as your doctor has directed).

    Do not use the shampoo on inflamed or broken skin as it may cause irritation.

* **For lotion: **Like shampoos, selenium sulfide lotion can also be used to treat conditions of the scalp, such as dandruff and seborrheic dermatitis, or skin conditions that affect the rest of the body, such as tinea versicolor.

    The lotion is typically applied and left on the skin for a period of time before it’s rinsed off thoroughly.

After using either a shampoo or lotion, be sure to rinse your hands properly and avoid getting a selenium sulfide solution on skin that’s not being treated.

### Frequency

How often you use selenium sulfide shampoo or lotion will depend on the condition you’re treating and its severity. 

For example, anti-dandruff shampoos that can be found on the shelves of a drugstore may be used every day, while prescription shampoos may be used a few times per week.

Typically, **adults and children** who are using a **1% selenium sulfide shampoo or lotion** for dandruff or seborrheic dermatitis can use it twice per week, while those prescribed **selenium sulfide 2.5%** typically use it once a day for seven days.

The frequency of use for infants and young children should be determined by a healthcare professional.

### Precautions

Some important things to note before starting selenium sulfide treatment include:

* The treatment should not be used on children aged two or younger.
* Do not use the shampoo or lotion on areas of the skin that are broken—for example, cuts and scratches.
* Do not expose your hair, skin, or scalp to selenium sulfide for long periods; always follow the product instructions.
* Do not get the product in your eyes.
* Remove all your jewelry, as exposure to selenium sulfide may damage it.
* If you’re thinking of getting hair treatments—for example, coloring, perming, or bleaching your hair—wait 48 hours before or after using selenium sulfide to avoid hair discoloration or scalp damage.
* Always disclose any allergies and medications you’re currently using to your health care provider before starting treatment.
* Those who are pregnant and breastfeeding should also disclose this information prior to treatment. In the event that you become pregnant while using selenium sulfide, notify your doctor as soon as possible.

>>__Food for Thought: What If I Have an Allergic Reaction?__
>>If you have a sensitivity to selenium sulfide or you do not use it correctly—for example, you use too much at a time or too often—you could make your symptoms worse.
>>If you have an allergic reaction to selenium sulfide, you may experience the following symptoms:
>>Blistering, peeling, redness, or itching at the application site.
>>Irritation or burning sensations.
>>Swelling of the face, throat, or tongue.
>>Hives (a rash or raised welts that may be red or itchy, and that often sting).
>>Breathing difficulties.
>>Though allergic reactions to topical selenium sulfide treatments are rare, if you experience any of the above symptoms, seek immediate medical attention.

## Benefits of Selenium Sulfide

Selenium sulfide can be really beneficial for those suffering from scalp and skin conditions that irritate, inflame, or dry out the skin.

Products containing selenium sulfide can help to:

* Treat dry, scaly, and itchy skin conditions.
* Heal fungal infections more quickly.
* Relieve skin inflammation.
* Treat conditions such as seborrheic dermatitis, psoriasis, tinea capitis, and tinea versicolor.
* Prevent temporary hair loss that occurs due to scratching.
* Return your hair to its normal growth cycle.

![shapiro-md-selenium-004](//images.ctfassets.net/g7690fvxryk6/4hcOfJcPgO3ZG1XlZ7ue9z/d86500678551fbe984d22b4ba2b2390d/shapiro-md-004.jpg)

## What Are the Risks or Side Effects of Using Selenium Sulfide?

Every treatment or medication you use carries the risk of an allergic reaction, so watch for blistering, skin irritation, or breathing difficulties that may indicate a selenium sulfide allergy.

If you do not follow your doctor’s directions or the product instructions—for example, if you use it too often or you don’t rinse it off properly—selenium sulfide may worsen your condition. 

Some side effects of selenium sulfide include:

* Drying your skin or scalp.
* Making your hair oily or dry.
* Irritating your skin.
* Worsening inflammation.
* Discoloring the hair.
* Causing temporary hair loss.
* Irritating the eyes.

### When should I contact a doctor?

If you experience an allergic reaction or your condition worsens after starting selenium sulfide treatment, contact your doctor or pharmacist for advice.

In the event that you experience a severe allergic reaction or anaphylactic shock, immediate emergency medical care is required.

## What Are Some Alternatives to Selenium Sulfide?

If you have a selenium sulfide allergy or sensitivity, you may want to explore other treatment options.

Some alternatives to selenium sulfide include:

<table>
  <tr>
   <td><strong>Condition</strong>
   </td>
   <td><strong>Alternative treatments</strong>
   </td>
  </tr>
  <tr>
   <td>Dandruff
   </td>
   <td>Shampoos that contain zinc pyrithione, coal tar*, salicylic acid, or other antifungal ingredients. Home remedies, such as aloe vera and coconut oil may also be effective for milder cases.
<p>
*Tar-based shampoos can cause hair discoloration—especially if you have light-colored hair—and it can also make your scalp sensitive to sunlight.
   </td>
  </tr>
  <tr>
   <td>Seborrheic dermatitis
   </td>
   <td>Corticosteroids, such as fluocinolone and hydrocortisone; antifungal gels, shampoos, and creams; and oral antifungal medication.
<p>
Home remedies and a diet high in foods that fight inflammation, such as fresh fruits—especially vitamin C-rich foods—can help prevent flare-ups.
   </td>
  </tr>
  <tr>
   <td>Tinea versicolor
   </td>
   <td>Over-the-counter and prescription antifungal topical and oral medications. Examples of these include ciclopirox, ketoconazole, fluconazole, and itraconazole.
<p>
Limiting exposure to UV light, keeping the skin dry during humid weather, and practicing good hygiene can decrease your chances of a flare-up.
   </td>
  </tr>
  <tr>
   <td>Tinea capitis
   </td>
   <td>Oral antifungals, such as terbinafine, itraconazole, and fluconazole; and topical antifungals, such as products that contain ketoconazole or salicylic acid.
<p>
Practicing good hygiene and changing your bedding as well as cleaning your brushes can help prevent reinfection. Not sharing personal items or getting into contact with animals and people that might be infected, also helps.
   </td>
  </tr>
  <tr>
   <td>Psoriasis
   </td>
   <td>Topical therapy, including corticosteroid oils, creams, gels, and lotions; retinoids; calcineurin inhibitors; and salicylic acid.
<p>
Light therapy, including sunlight exposure; UVB broadband and UVB narrowband; and excimer laser therapy. 
<p>
Oral or injected medications, such as steroids and retinoids may also be used.
   </td>
  </tr>
</table>

## What Should I Do Before Starting Selenium Sulfide Treatment?

Before you begin treatment, you should speak to your doctor or pharmacist and tell them whether you:

* Have any inflamed or broken skin.
* Are pregnant, trying to conceive, or currently breastfeeding.
* Have ever had an unusual or allergic reaction to other medications, foods, or selenium sulfide in particular.

Being honest with your health care provider can help you decrease the chances of developing any rare adverse effects related to selenium sulfide treatments.

## Where Can I Get Selenium Sulfide?

Selenium sulfide can be found in common store-bought anti-dandruff shampoos, medicated shampoos, lotions, or foams. 

Anything lower than 2.5% may be available over-the-counter in the U.S., but stronger solutions cannot be obtained without a prescription.

Most pharmacies, drugstore chains, and online retailers stock selenium sulfide products.

## Where Can I Learn More about Selenium Sulfide?

Has your scalp been feeling extra itchy recently? Is all the scratching causing your hair to fall out? 

[Shapiro MD](https://main.shapiromd.com/) has you covered.

We stock a wide range of hair growth solutions and serums that contain the best ingredients nature and science have to offer, including both prescription and non-prescription options (prescribed online!)

Whether you need a new dandruff shampoo or something stronger, let our experts guide you.

[Click here to learn more and get started.](https://main.shapiromd.com/)

A women washing her hair with a selenium sulfide shampoo in the shower.

shapiro-md-selenium-006-thumbnail

Selenium Sulfide For Hair Loss: Uses, Benefits, Side Effects, And Alternatives

- Deficiencies in vitamins and minerals such as iron, zinc, vitamin C, folic acid, and biotin can all contribute to hair loss.
- Nutritional deficiencies may be corrected by using vitamin supplements or making dietary changes.
- Vitamin supplements are not substitutes for whole foods, and you should always consult a medical professional before making significant changes to your diet, particularly if a significant vitamin deficiency is involved.
- Hair loss is a multifaceted problem that should be approached holistically.

[Deficiencies](https://www.researchgate.net/publication/326180006_Micronutrients_in_hair_loss) in specific vitamins like iron, zinc, and vitamin D have each been linked to hair loss conditions like alopecia areata. [Research](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380979/#:~:text=In%20healthy%20individuals%20biotin%20does,been%20associated%20with%20hair%20loss.) has shown that those suffering from hair loss due to androgenic alopecia can benefit from, for example, iron and vitamin D supplementation.

While vitamin deficiencies affect hair growth and other bodily functions, consuming some vitamins in excess can also [lead to hair loss](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5315033/#:~:text=Over%2Dsupplementation%20of%20certain%20nutrients,4%2C8%E2%80%9311%5D.)!

For that reason, there’s value in understanding the right vitamin intake you need and not exceeding the recommended daily allowance of each.

In this article, we take a closer look at the various vitamins that contribute to healthy hair growth and what you can do to ensure you get your daily dose.

## What’s the Link Between Vitamins and Hair Loss?

From an early age we’re taught to eat our fruits and vegetables—these foods contain essential vitamins that our bodies need to grow and function optimally. 

It’s no surprise then, that vitamin deficiencies can prevent hair growth and lead to issues like hair thinning and hair loss.

[Studies](https://www.researchgate.net/publication/316012307_Diet_and_hair_loss_effects_of_nutrient_deficiency_and_supplement_use) have found that many people who experience hair loss also have certain nutritional deficiencies. 

Dietary adjustments, as well as vitamin supplementation, can help to address these.

![Oragnesinwomanshair](//images.ctfassets.net/g7690fvxryk6/42iUtkemu7K4ZrKsCfUl83/41f968868a2cc9052a4d25a5f09ac553/shutterstock_1498293023.jpg)

> __Food for Thought: Why Is Healthy Hair so Important?__
> Much like our skin, our hair serves as an indicator of our overall health. This means that issues like brittle hair or thinning hair may hint at nutritional deficiencies or underlying health conditions.
> 
> A few reasons why healthy hair is important include:
> 
> It protects your scalp from sun damage.
> It guards against dryness and dandruff.
> It may improve your confidence and overall quality of life.

## Which Vitamins Are Important for Hair Growth?

So, what vitamin deficiency causes hair loss? Several are required for healthy hair growth. In the section below, we identify these important vitamins and their recommended daily dosages. 

Later on, we’ll explain where and how you can get these vitamins.

### Vitamin E:

Vitamin E is essential for healthy skin, and it assists with hair growth by preserving the health of your scalp. 

This vitamin reduces oxidative stress (an imbalance of free radicals and antioxidants) and protects your scalp’s skin barrier.

_Recommended dosage:_

Men: 10 mg of vitamin E per day.

Women: 8 mg of vitamin E per day. 

### Folic acid (folate):

Folic acid, or folate, is important in the production of new cells and hair growth. Adequate folic acid will ensure the healthy growth of your hair and nails. 

This vitamin is especially important for those who are pregnant or would like to conceive. A folic acid deficiency can also cause premature graying hair.

_Recommended dosage:_

Adults: 400 mcg per day.

Pregnant adults: 600 mcg per day. 

Breastfeeding adults: 500 mcg per day.

### Vitamin C:

Vitamin C is vital for stimulating collagen—an essential protein in hair, skin, and nails. 

Vitamin C also helps the body absorb iron, which is an important mineral for hair growth and health. Therefore, a vitamin C deficiency can also cause an iron deficiency.

_Recommended dosage:_

Men: 90 mg per day.

Women: 75 mg per day.

Pregnant adults: 85 mg per day.

Breastfeeding adults: 120 mg per day.

### Vitamin D:

A [vitamin D deficiency](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8759975/) has been linked to androgenic alopecia (male pattern hair loss and female pattern hair loss). 

Vitamin D is essential for stimulating the growth of new hair follicles. 

It’s also important for those with androgenic forms of hair loss and telogen effluvium (a reversible form of hair loss caused by a stressful event).

_Recommended dosage: _

Adults: 10 mcg* per day.

*It takes 10-30 minutes of sunlight each day to get the recommended dose of Vitamin D, and those with darker complexions may require more sun exposure.

### Vitamin A:

The body needs vitamin A to ensure healthy growth. 

Where hair is concerned, vitamin A is used to produce sebum (an oily substance that keeps the scalp healthy and prevents hair breakage).

_Recommended dosage_:

Men: 900 mcg per day.

Women: 700 mcg per day.

> __Food for Thought: How Much Is Too Much?__
> 
> Though vitamin A is essential, too much of it can cause vitamin A toxicity—another cause of hair loss. 
> 
> Early signs of vitamin A toxicity include:
> 
> Eyebrow alopecia (thinning or loss of the eyebrows).
> Dry or rough skin.
> Cracked lips.
> 
> Some other symptoms associated with vitamin A toxicity include:
> 
> Seizures.
> Headaches.
> Blurred vision.
> Drowsiness.
> Abdominal pain.
> Nausea or vomiting.
> Irritability.
> Pruritus (itching).
> 
> If you're experiencing any of the symptoms above and suspect you may have vitamin A toxicity, consult your doctor for professional medical advice.

### Zinc:

Zinc aids hair growth and repair. It ensures that the oil glands around the hair follicles function optimally. 

A zinc deficiency has similar symptoms to an iron deficiency and typically results in hair loss or hair damage. 

Alopecia areata is a common form of hair loss caused by zinc deficiency.

_Recommended dosage:_

Adults: 40 mg per day.

### Iron:

Iron deficiency is one of the world’s most common nutritional deficiencies. 

Those who menstruate are most likely to experience an iron deficiency, and people who are vegans and vegetarians are at risk, too. 

_Recommended dosage:_

Men: 8 mg per day.

Women: 18 mg per day.

Pregnant adults: 27 mg per day.

### Riboflavin (Vitamin B2):

Riboflavin, or vitamin B2, is an antioxidant that helps keep our nails and hair healthy by activating other vitamins, such as vitamin B6 and niacin. 

Although riboflavin deficiency is quite rare in the U.S., it can cause hair loss if it occurs.

_Recommended dosage: _

Men: 1.3 mg per day.

Women: 1.1 mg per day.

Pregnant adults: 1.4 mg per day.

Lactating adults: 1.6 mg per day.

### Biotin (B7):

Biotin is essential for keratin production and the health of hair follicles. People with a biotin deficiency may experience hair loss, brittle nails, and skin rashes. 

Heavy drinkers and smokers, and those who are pregnant are particularly at risk of developing a biotin deficiency.

_Recommended dosage: _

Adults: 30 mcg per day.

Breastfeeding adults: 35 mcg per day.

### Vitamin B12:

Vitamin B12 is essential for red blood cell growth and helps promote healthy hair. Vitamin B12 deficiencies have been shown to increase hair loss.

_Recommended dosage_:

Adults: 2.4 mcg per day.

Pregnant adults: 2.6 mcg per day.

Breastfeeding adults: 2.8 mcg per day.

### Selenium:

Selenium is an antioxidant that protects cells from oxidative stress. 

While selenium deficiencies are rare, [one study](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464502/#:~:text=Selenium%20acts%20against%20cell%20damage,frequently%20used%20by%20cancer%20patients.) found that selenium supplementation can decrease hair loss in patients undergoing chemotherapy.

_Recommended dosage:_

Adults: 55 mcg per day.

> __Food for Thought: How Do I Know If I Have a Vitamin Deficiency?__
> 
> There are many tell-tale signs of vitamin deficiencies. 
> 
> However, specific symptoms may depend on which vitamin deficiency you have, and it may be best to visit your doctor to get professional advice.
> 
> Some common symptoms of vitamin deficiencies include:
> 
> Brittle nails and hair.
> Ulcers or cracks in the mouth.
> Bleeding gums.
> Scaly skin.
> Dandruff.
> Fatigue.
> Weight loss.
> Dizziness.
> Irregular heartbeat.
> Numbness in the extremities.
> Hair loss.

## What Types of Hair Loss Do Vitamin Deficiencies Cause?

Vitamin deficiencies, along with other factors such as genetics, can contribute to several types of hair loss, including—but not limited to—the following:

* Androgenic alopecia (male pattern hair loss and female pattern hair loss).
* Telogen effluvium (hair loss triggered by stress).
* Anagen effluvium (abnormal, sudden hair loss that may be caused by medical treatments or toxic chemicals).
* Alopecia areata (hair loss that happens when the immune system attacks hair follicles).

## What Other Nutrients Should I Be Getting?

Aside from the vitamins and minerals mentioned above, there are other nutrients you should consume to ensure healthy hair follicles, minimize hair thinning, and avoid hair loss conditions.

### Essential fatty acids (Vitamin F)

Essential fatty acids work to heal your hair from the inside by supplying the scalp with the right nutrients and proteins.

Omega-3 and omega-6 are the two main essential fatty acids, and they can be found in various foods, including:

* Seeds and nuts.
* Animal proteins, such as meat, fish, chicken, and eggs.
* Tofu.
* Plant oils, such as flaxseed oil, canola oil, and avocado oil.

### Amino acids

Also known as the building blocks of protein, amino acids are essential compounds in the human body. 

They’re vital for maintaining healthy, luscious locks, but some of their other functions include:

* Breaking down food.
* Building and repairing tissues in the body.
* Maintaining a functioning digestive system.
* Ensuring healthy skin and nails.
* Strengthening the immune system.

There are over twenty amino acids, and three of these—namely glycine, proline, and hydroxyproline—are used to make _collagen_. In recent years collagen supplements have become quite trendy, and with good reason. 

Collagen contains the amino acids used to create keratin, which is the main protein hair is composed of. Sufficient collagen will ensure a healthy scalp and strong hair follicles.

![Food with amino acids](//images.ctfassets.net/g7690fvxryk6/63K9E696IsODwlimECmzcl/da2719aefad6f5b1e8b3eafe78c441f0/shutterstock_1384264538.jpg)

## What’s the Best Way to Get the Vitamins Important for Hair Growth?

Most nutritional deficiencies can be remedied in one of two ways: diet or vitamin supplementation. 

For example, if you have a zinc deficiency, you could either consume more oysters, shrimp, and blueberries (all high in zinc) or get your recommended daily dose of zinc in tablet form.

Depending on your requirements and your lifestyle, you may choose to get some of your vitamins the natural way—from food—and others from dietary supplements.

### Eat a healthy, balanced diet

You can avoid vitamin deficiencies that lead to hair loss by eating a diet that contains all the necessary food groups in their correct proportions. 

Many doctors recommend obtaining your vitamins from food, but this may not be a practical solution for some—especially those of us who have a busy lifestyle.

To make things easier, we’ve put together the table below. It will tell you which foods contain the vitamins you need to combat hair loss.

<table>
  <tr>
   <td><strong>Vitamins for Hair Loss</strong>
   </td>
   <td><strong>Where to Find It</strong>
   </td>
  </tr>
  <tr>
   <td>Vitamin E
   </td>
   <td>Almonds, peanuts, sunflower seeds, wheat germ oil, dark green vegetables (spinach, collard greens), asparagus, and kiwis.
   </td>
  </tr>
  <tr>
   <td>Folic acid (folate) 
   </td>
   <td>Dark green vegetables (broccoli, kale, spinach), cabbage, chickpeas, liver, and fortified foods such as cereals and bread.
   </td>
  </tr>
  <tr>
   <td>Vitamin C
   </td>
   <td>Cantaloupe, citrus fruits, peppers, strawberries, blackcurrants, broccoli, potatoes, and kiwis.
   </td>
  </tr>
  <tr>
   <td>Vitamin D
   </td>
   <td>Sunlight exposure, salmon, sardines, red meat, egg yolks, certain types of mushrooms, liver, and fish liver oils.
   </td>
  </tr>
  <tr>
   <td>Vitamin A
   </td>
   <td>Dairy products, beef liver, eggs, fish oils, leafy green vegetables (kale, spinach), and yellow fruits (mangoes, carrots, sweet potatoes, and winter and summer squash).
   </td>
  </tr>
  <tr>
   <td>Zinc
   </td>
   <td>Oysters, shrimp, lamb, pork, beef, chickpeas*, lentils*, beans*, blackberries, cantaloupes, apricots, blueberries, and kiwis.
<p>
*Zinc from legumes isn’t as easily absorbed as zinc from animal products. However, soaking and heating plant products can increase your zinc intake from these sources.
   </td>
  </tr>
  <tr>
   <td>Iron
   </td>
   <td>Shellfish, red meat, spinach, pumpkin seeds, quinoa, legumes, liver, turkey, and broccoli.
   </td>
  </tr>
  <tr>
   <td>Riboflavin (Vitamin B2)
   </td>
   <td>Milk, eggs, mushrooms, organ meats, lean meats, and fortified grains.
   </td>
  </tr>
  <tr>
   <td>Biotin (Vitamin B7)
   </td>
   <td>Egg yolks, organ meats, nuts, legumes, bananas, cauliflower, sweet potatoes, mushrooms, broccoli, and avocados.
   </td>
  </tr>
  <tr>
   <td>Vitamin B12
   </td>
   <td>Organ meats (liver and kidneys), sardines, clams, beef, tuna, salmon, and fortified milk and grain products.
   </td>
  </tr>
  <tr>
   <td>Selenium
   </td>
   <td>Brazil nuts, seafood, organ meats, turkey, chicken, eggs, broccoli, and fortified cereals, milk, and milk alternatives.
   </td>
  </tr>
</table>

### Take hair supplements

For those who experience nutrient deficiencies, taking vitamin supplements for hair loss can be effective.

Dietary supplements come in a variety of forms—tablets, capsules, powders, gummies, drinks, and energy bars—making it easier for you to get your required nutrients. 

You can find supplements on the market for almost any vitamin you’re lacking.

However, always remember that vitamin supplements aren’t meant to be replacements for whole foods. 

A balanced diet will provide more nutrition than supplements from a bottle, but doctors may recommend a vitamin supplement if you need to address an existing deficiency.

> __Food for Thought: Can Vitamins Help All Kinds of Hair Loss?__
> 
> If your hair loss was caused by a vitamin deficiency—for example, a biotin deficiency experienced by pregnant women—then correcting this nutritional deficiency may help you reverse the hair loss.
> 
> However, it's important to keep in mind that hair loss is often a multifaceted problem. 
> 
> Dietary supplements, such as vitamins, may not be able to combat genetic hair loss, for example.
> 
> Always speak to a licensed clinician or a dietician before you make any drastic changes to your lifestyle or diet.

## What Else Can I Do to Grow My Hair?

The best hair loss solutions can vary depending on the type of hair loss you have and how long you’ve struggled with the problem. 

Correcting vitamin deficiencies may reduce issues like hair thinning and brittle hair, but there are many other things you can do to ensure better overall hair health.

### Reduce strain on hair

This means going easy on heat styling, and chemical and color treatments. 

Keep it natural wherever possible, and follow these tips from Shapiro MD’s dermatologists and the [American Academy of Dermatology (AAD)](https://www.aad.org/public/diseases/hair-loss/treatment/tips) to ensure your hair stays healthy and happy:

### Invest in the right formulas

A wide variety of medications and treatments can help with hair loss. 

Whether you’re suffering from hair thinning or you just want something that will aid hair growth, [Shapiro MD](https://main.shapiromd.com/) has you covered.

We carry a range of proprietary hair loss solutions for [women](https://main.shapiromd.com/products?gender=For+Women&goal=Thinning+Hair) and [men](https://main.shapiromd.com/products?gender=For+Men&goal=Thinning+Hair), including powerful [natural shampoo and conditioner formulas](https://main.shapiromd.com/product/shampoo) that combat the hair loss hormone DHT, and [FDA-approved topicals](https://main.shapiromd.com/product/men-regrowth-serum) shown to help regrow hair in both men and women.

### Trim your hair

Cutting your hair may seem counterintuitive when you’re trying to grow it out, but split ends should be trimmed as they can travel up the hair shaft and make it harder for you to grow healthy hair. 

Keeping your hair free of split ends will also give it a shinier, more vibrant appearance.

### Reduce stress

Stress puts strain on the body and this may prevent hair growth. It can also leave you more prone to developing alopecia areata—a condition where the immune system attacks the hair follicles.

### Get a massage

Whether you go to a spa for this or use a scalp massaging tool, getting a massage can be an incredibly relaxing experience. 

It helps to decrease stress and also increases blood flow to the scalp, making hair grow faster.

![Woman measuring hair](//images.ctfassets.net/g7690fvxryk6/3XdxE0zG89wflwRy1EhYl9/ad8e31711b29ae80a6964811fc2eb7c4/shutterstock_600639797.jpg)

## Where Can I Learn More about Vitamins and Hair Loss?

Have you been battling thinning hair? Do you think it may be an iron deficiency, or something else? Shapiro MD can help.

Proper nutrition is key to growing great hair. However, you can supplement a healthy hair diet with the right care products, including shampoos, conditioners, and other treatments developed by licensed hair experts.

Get started today with [our free hair quiz](https://shapiromd.com/quiz/) to find the right formula for your situation.


Woman laying down with oranges in her hair

Woman with oranges in hair

Which Vitamin Deficiency Causes Hair Loss?

__Summary__

- It's normal to lose between 50 and 100 hairs per day—anything more may indicate abnormal hair loss that requires treatment.
- There are various causes of hair loss, including stress, diet, autoimmune disorders, certain medications, genetic predisposition, and hair loss conditions, such as alopecia areata.
- If you're experiencing excessive hair shedding, speak to a licensed clinician about treatment and to diagnose possible medical conditions.
- Depending on the severity of your hair loss, noninvasive or surgical hair loss solutions exist.

Androgenic alopecia is the most common form of hair loss and affects up to [50% of men and women](https://www.ncbi.nlm.nih.gov/books/NBK430924/) worldwide.

A variety of [factors](https://www.aad.org/public/diseases/hair-loss/causes/18-causes) affect hair loss, such as age, illness, stress, trauma, childbirth, hair treatments, and even certain hairstyles. 

In most cases, hair loss can be slowed down or treated with professional help and the right interventions.

Some hair loss is unavoidable, but being able to tell the difference between normal and excessive hair loss can help you find the right treatment.

In this article, we’ll take a look at what causes hair loss, as well as the symptoms and treatment options. 

Read on to discover what can trigger hair loss and how you can prevent your hair from falling out in clumps.

## Is It Normal to Lose Hair?

According to the [American Academy of Dermatology (AAD)](https://www.aad.org/public/diseases/hair-loss/insider/shedding), it’s completely normal to shed 50 to 100 hairs each day. This can happen while you sleep, or during daily activities, such as brushing your hair or taking a shower.

Anyone who loses significantly more than 100 strands of hair per day may be suffering from _[telogen effluvium](https://www.aocd.org/page/telogeneffluviumha)_ or excessive hair shedding. 

People can develop this condition in response to physical or emotional stress. 

There is also _hair loss_, which is different from hair shedding as it occurs when certain factors stop the hair from growing. _Anagen effluvium_ is the official medical term for hair loss.

In the section below we’ll explain how you can tell whether you’re experiencing normal hair loss or something more serious.

![Woman holding clumps of hair](//images.ctfassets.net/g7690fvxryk6/73r1LEXLmWhwCz8lhcy2kW/444c4834e58813e92d654a5bc87ee346/shutterstock_1068513641.jpg)

## Normal Hair Loss vs. Abnormal Hair Loss: What Are the Differences?

Normal hair loss or _shedding_ is easy to distinguish from abnormal hair loss. We’ve put this table together to help you tell them apart.

<table>
  <tr>
   <td><strong>Normal Hair Loss or Shedding</strong>
   </td>
   <td><strong>Abnormal Hair Loss</strong>
   </td>
  </tr>
  <tr>
   <td>You lose between 50 and 100 hairs per day. In other words, the strands you lose on your pillow or when you brush your hair are very few.*
   </td>
   <td>You lose more than 100 hairs per day.*
   </td>
  </tr>
  <tr>
   <td>The thickness of your hair remains unchanged.
   </td>
   <td>Visible thinning of the hair or bald patches.
   </td>
  </tr>
  <tr>
   <td>Hair is lost mainly when the scalp is stimulated, such as when you brush your hair or when you take a shower.
   </td>
   <td>Your hair falls out suddenly instead of over a period of time.
   </td>
  </tr>
  <tr>
   <td>There is no hair loss on other parts of the body.
   </td>
   <td>Hair loss on parts of the body other than the scalp—for example, the eyebrows and eyelashes.
   </td>
  </tr>
  <tr>
   <td>
   </td>
   <td>Additional symptoms accompany hair loss, such as weight loss or fatigue.
   </td>
  </tr>
</table>

>__ How Can I Tell How Much Hair I'm Losing?__
> 
> Conducting a hair pull test is an easy way to figure out whether your hair loss is abnormal.
> 
> To perform the pull test:
> 
> Do not shampoo your hair a day before performing the test.
> Grip a clump of hair (about 20 to 50 stands) near your scalp.
> Be gentle, but still firm and pull the hair away from the scalp. 
> Let hairs that remain rooted to your scalp pass through your fingers, but ensure you're pulling firmly enough that loosened hair will remain behind in your hand.
> 
> How to interpret the results of the hair pull test:
> 
> If around 2-5 hairs are pulled out, this is considered normal (and you are probably only losing between 50 and 100 hairs per day).
> If you suffer from abnormal hair loss, you will lose up to four times more hair during the test than someone with healthy hair.
> Generally speaking, if you lose more than 10% of the hair during the test, you have a positive result which could indicate one or more hair loss conditions (and you are probably losing much more than 100 hairs per day).

### What Are Some Serious Symptoms of Hair Loss?

There are a few serious symptoms of hair loss that can indicate underlying health conditions that require medical treatment. 

Some of these symptoms include:

* Hair loss accompanied by a rash or scalp pain.
* Losing hair elsewhere on your body.
* An itchy or irritated scalp.
* Hair loss accompanied by fatigue.

## Is It Okay to Lose Hair in the Shower?

![Finding hair in the shower drain](//images.ctfassets.net/g7690fvxryk6/678XuvbsfgAl5KAMAUr7li/308593c1dae36ed9cb095b3c2699f451/shutterstock_1608059776.jpg)

Hair loss may be more noticeable during a shower as wet hair is more prone to breakage than dry hair. 

Additionally, your scalp is stimulated when you wash your hair and this may encourage hair shedding.

Some other factors that influence hair loss in the shower include:

* **Hair thickness:** The more hair you have, the more strands you can lose per day.
* **How frequently you shower:** If you’ve missed a few days of washing your hair, you may notice more hair shedding than usual the next time you shower.
* **How often you comb your hair:** If, for example, your hair is typically tied up or you don’t brush it every day, you may notice more hair shedding the next time you comb it out.

## Why Is My Hair Falling Out In Clumps: Causes

Natural shedding happens every day, and it’s no cause for concern. But rapidly thinning hair or excessive shedding may be serious and it can be caused by one or more factors.

Once you know how lifestyle factors, such as stress, affect the hair growth cycle, you can take steps to heal your hair follicles and prevent further hair loss.

### Stress or trauma

Any stressful or traumatic occurrence can cause hair loss. 

If your hair falls out after a tragic event, such as the death of someone close to you, or in response to physical trauma, such as surgery, it’s possible to regrow this hair once your stress levels are under control.

Hair loss caused by stress may only happen months after a traumatic event, so it can be difficult to identify stress as the cause of lost hair.

### Diet

An imbalanced diet can affect many bodily processes, including hair growth. Protein and [vitamin deficiencies](https://docs.google.com/document/u/0/d/1k4TcpJbqy00_z99shPsuwReIXMFKV0SiJtK7UHr0WZQ/edit) can seriously impact hair health and even cause hair loss over time.

Some important vitamins for managing hair loss include iron, vitamin D, vitamin E, zinc, and biotin. 

In addition, fatty acids (omega-3 and omega-6) contribute to hair follicle health by protecting your scalp.

### Androgenic alopecia (male and female pattern baldness)

Androgenic alopecia is a clearly defined type of hair loss that occurs in both men and women.

In men, androgenic alopecia can take the form of bald patches, a receding hairline, and hair thinning at the crown. 

This type of hair loss is a result of genetics. Your hair follicles are predisposed to the affects of androgen hormones like testosterone and dihydrotestosterone (DHT), which bind to hair follicles and stunt their growth.

Women with androgenic alopecia may experience hair falling out or thinning across the entire scalp, as opposed to experiencing patches of baldness. 

Total baldness for women with this condition is rare.

Women with androgenic alopecia also have an increased risk of developing polycystic ovarian syndrome (PCOS), which is characterized by hormonal imbalances that could be related to:

* Irregular menstrual cycles.
* Breakouts and acne.
* Excess hair growth on the body.
* Weight gain.

### Alopecia areata

People with alopecia areata experience hair loss because their immune system attacks their hair follicles, causing clumps of hair to fall out.

This type of hair loss may be affected by genetics (you are more prone to developing it if it runs in the family), and people with allergies and autoimmune diseases also have an increased risk of developing it.

There are three types of alopecia areata, namely:

#### Patchy alopecia areata

This is the most common form of alopecia. It’s characterized by hair loss on the scalp and or body, in coin-sized patches.

#### Alopecia totalis

Alopecia totalis is characterized by total hair loss on the scalp. Most people affected by this condition will not be able to regrow their hair.

#### Alopecia universalis

This rare form of alopecia results in complete or near-complete loss of hair on the scalp and the body.

### Scarring alopecia

If the hair follicle is completely destroyed, scarring alopecia can occur. This permanent form of hair loss is caused mainly by inflammation and it is irreversible once the scar has formed.

Inflammatory conditions or trauma—such as burns or serious infections—can cause scarring alopecia.

### Thyroid disorder

The thyroid gland releases hormones that control a variety of bodily functions. Thyroid dysfunction therefore affects the hair growth cycle.

Both an [overactive and underactive thyroid](https://academic.oup.com/jcem/article/93/11/4381/2627273) may cause hair loss. Once thyroid levels have normalized, hair regrowth is usually possible.

### Autoimmune disorders

Autoimmune diseases occur when the immune system mistakenly attacks healthy body tissues. 

Lupus, rheumatoid arthritis, Crohn’s disease, and psoriasis are some autoimmune disorders that can lead to hair loss. 

Once the autoimmune condition is treated, hair can grow back.

### Certain medications

There are several medications that can cause hair loss, though hair often regrows after the person stops the treatment. 

In some cases, like with cancer patients undergoing chemotherapy, it’s not possible to stop medication use and temporary hair loss may occur.

Some other medications that can cause hair loss include:

* Antidepressants.
* Beta blockers.
* Retinoids.
* Anticoagulants (medicine that prevents blood clots).
* Antithyroid medication.
* Arthritis medications.
* Allopurinol (gout medication).
* Levodopa (used to treat the symptoms of Parkinson’s disease).

## What Should I Do If My Hair Is Falling Out in Clumps?

Don’t panic. Chances are the condition is temporary or curable with the right medication and self-care.

### Treat your hair gently

It goes without saying: if your hair is thinning or falling out, you don’t want to risk losing more hair or causing further damage to the hair follicles. 

To reduce hair shedding, implement a gentle hair care routine. This may include:

* Not pulling or tugging at your hair while brushing or washing it.
* Using a mild shampoo.
* Avoiding dyeing your hair or styling it with heat.
* Avoiding tight hairstyles and chemical treatments. 
* Using hair accessories that are gentle and minimize hair breakage.

![Woman with hair brush](//images.ctfassets.net/g7690fvxryk6/2FtPaTfOtVJxEBrkZvApfh/bf257a1fc1f246e338645f137a2611f0/shutterstock_188544620.jpg)

### Visit a doctor

A licensed clinician will be able to diagnose the cause of your hair loss and suggest treatment options.

If your doctor or dermatologist suspects that an underlying health issue, infection, nutritional deficiency, or hormone imbalance is the reason for your hair loss, they may conduct a blood test or a biopsy.

### Get treatment for hair loss

There are several treatments for hair loss available, including noninvasive and surgical options.

Depending on the severity of your hair loss, the cause, and the results you’re looking for, you can choose one or more of the following treatments:

* Over-the-counter medications like[ DHT-fighting shampoos and conditioners](https://main.shapiromd.com/product/natural-kit), or the only FDA-approved topical, [minoxidil](https://main.shapiromd.com/product/minoxidil-finasteride)
* Prescription medications like [oral finasteride](https://main.shapiromd.com/product/minoxidil-finasteride)
* Hair transplant surgery
* Laser therapy
* Vitamin supplementation/dietary adjustments if appropriate

At [Shapiro MD](https://main.shapiromd.com/products), we carry a wide range of effective over-the-counter and prescription medications that can be prescribed online by licensed clinicians, if appropriate. No matter your situation, we’ve got something that fits.

## When Should I See a Doctor for Hair Loss?

Rapid hair loss can be a really stressful experience. Let’s face it: no one wants to see tufts of hair lying in the shower stall or on their pillow in the morning. 

Seeing a few strands of hair on a brush is normal. However, if your hair loss becomes obvious—for example, there are bald patches on your scalp or you experience hair thinning—it’s best to seek professional advice.

If you experience other symptoms in addition to hair loss, such as rapid weight loss and fatigue, you should visit your doctor to rule out any underlying health conditions.

To reduce your chances of permanent hair loss, you should seek treatment as soon as possible.

Don’t feel like visiting a doctor? Get in touch with one of our licensed clinicians from the comfort of home. Answer a few easy [questions](https://shapiromd.com/quiz/?_ga=2.192012706.98641286.1658845952-1787208282.1653645500) to get started on your journey to healthier hair.

## Where Can I Learn More about Hair Loss?

Have you been seeing too much hair on your brush? Are the clumps on the cubicle floor causing you to worry? 

If you’re concerned that you may be suffering from female or male pattern baldness, Shapiro MD has got you covered.

Whether you’re struggling with a [receding hairline](https://main.shapiromd.com/products?goal=Receding+Hairline), battling to [regrow](https://main.shapiromd.com/products?goal=Hair+Regrowth) your hair after a traumatic life event, or simply trying to [prevent](https://main.shapiromd.com/products?goal=Hair+Loss%20Prevention) hereditary hair loss, we have the products and expertise to help you reach your goals.

Visit our [blog](https://main.shapiromd.com/blogs) to learn more about hair loss causes and solutions, or get in touch with one of our clinicians for a personalized hair loss treatment plan. Take our [free quiz](https://shapiromd.com/quiz/?_ga=2.149868094.98641286.1658845952-1787208282.1653645500) to get started.

To learn more about hair growth and hair loss prevention, visit[ Shapiro MD](https://main.shapiromd.com/) today. 

For more information on our products and services, pop us an [email](mailto:support@shapiromd.com) or give us a call directly at [(877) 907-4047](tel:(877) 907-4047).

A clump of hair

Why Is My Hair Falling Out In Clumps?

Let’s face it—thinning hair is one of those things guys will go years without talking about, let alone treating. 

In many cases, men aren’t willing to address the issue until it turns into full-blown baldness.

There’s good news though: for most guys, treating hair loss can be as easy as taking a pill once a day. 

Finasteride is an effective, commonly prescribed medication that can help to reverse hair loss and grow new hair. 

In this article, we outline everything you need to know about how this FDA-approved pill helps men achieve thicker hair, and whether it might be right for you.

## Summary 

Finasteride is an FDA-approved hair loss treatment for androgenetic alopecia, also known as male pattern baldness.

By slowing down the conversion of testosterone to DHT (dihydrotestosterone, also known as the "hair loss hormone"), finasteride can slow hair loss and help hair to regrow. 

Men usually start seeing an improvement in their hair growth about three to four months after taking finasteride. 

Finasteride requires a prescription from a licensed medical professional. 

## What Is Finasteride?

Finasteride is the generic name for the only oral medication ever approved by the FDA for the treatment of male androgenetic alopecia, commonly known as male pattern baldness. 

In 1992, finasteride was originally approved under the brand names Propecia® and Proscar®. 

It was prescribed as a treatment for benign prostatic hyperplasia, which is a non-cancerous condition where the prostate gland becomes enlarged. 

Now prescribed under a variety of generic brand names, finasteride 1 mg is a once-daily pill that changes how your follicles react to the “hair loss hormone” dihydrotestosterone (DHT).

When finasteride was first approved for male pattern hair loss, it was a pretty exciting advancement. 

Hair regrowth treatments were limited, and even today there are only two medications that the FDA actually approve: finasteride and [minoxidil](https://main.shapiromd.com/blogs/which-minoxidil-is-best).

Now, you may be wondering how to get finasteride prescribed. 

While topical minoxidil is applied to your scalp and is available over-the-counter, finasteride is a prescription medication that you won’t be able to access without a doctor’s order. 

Let’s take a closer look at the reasons for this in the section below.

![Man examining his hair loss](//images.ctfassets.net/g7690fvxryk6/1hp6mYLRzJbyRLAYYVqSJK/fe722cfa5c539316c9096d5f060ec277/Man_examining_his_hair_loss.jpeg)

## How Does Finasteride Work?

To understand how finasteride works, you’ll need to understand a bit more about the hair loss process. 

One of the major contributing factors to hair loss in both men and women is an androgen hormone called dihydrotestosterone (DHT). 

DHT is naturally occurring and necessary; like testosterone, DHT contributes to: 

* A deeper voice in men.
* The development of more body hair and muscle mass. 
* Proper sex organ development and function. 

Women have DHT and testosterone in their bodies, too, just not as much. As DHT travels through the body, it attaches itself to receptors on hair follicles. 

When we’re young, this has no major effect on hair growth. 

However, as we age, those of us who are susceptible to DHT—based on our genetics—begin to see DHT negatively impact hair follicles. 

The follicles begin to shrink and lose their once-effective hair-growing abilities. Not only does the hair follicle become thinner, weaker, and shorter, but it also grows more slowly. 

Although this is a gradual process that gets worse over time, some people are more susceptible to DHT’s effects earlier on in life. 

For some men, thinning begins in their 30s or even their 20s, while women often don’t see the effects of hair loss until later in life—often during menopause.

### What’s the Link Between DHT, Finasteride, and Hair Loss?

As mentioned above, DHT is a derivative of testosterone. In men, about 10% of the testosterone in their bodies will be converted to DHT. 

And how testosterone gets converted to dihydrotestosterone is where finasteride’s powerful capabilities come from.

Testosterone is converted to DHT by the 5-alpha-reductase (5AR) enzyme. This is a protein that’s also natural and present in everyone’s body. 

This conversion happens all the time, and it’s the only way that DHT occurs in the body. This means that when there is no 5AR available, there can be no DHT.

The drug finasteride is a 5AR inhibitor that can lower blood DHT levels by as much as 80% in men.

Once it’s in the body, it counteracts the effects of 5AR—so less testosterone is synthesized into DHT.

When DHT levels decrease, there’s less of it in the body to negatively affect the hair’s follicles. 

## Does Finasteride Actually Regrow Hair?

Taken as a once-daily 1mg tablet, oral finasteride has shown an impressive ability to treat hair loss and help men regrow their hair.

### Here’s What the Science Says

A few[ clinical trials](https://pubmed.ncbi.nlm.nih.gov/9777765/) in particular looked at the effect of finasteride on men with vertex baldness—a severe loss of hair from the crown of the head. More studies have been done, but these are some of the earliest and most well-known.

After six and 12-month intervals, the researchers saw a significant increase in the hair count of men treated with finasteride tablets. 

At the same time, men who were treated with a placebo continued to see significant hair loss from the baseline they measured at the beginning of the trial. 

One way that researchers measure hair loss and hair growth is by actually counting scalp hairs on men’s heads. 

Compared to the placebo group, the men treated with finasteride saw a 107-hair difference in a 1-inch diameter circle.

Men who took finasteride for up to two years maintained that hair density and count, resulting in a 138-hair difference between treatment groups within the same area.

The men who were given finasteride saw the most improvement in their hair count (compared to their baseline) during the first two years of treatment. 

Because the placebo group’s hair count continued to decline, the difference between treatment groups continued to increase throughout the two studies. 

After five years, this resulted in a 277-hair difference between men who took finasteride and men who took the placebo.

Another study of finasteride looked at men with balding around the anterior of the scalp area. 

In their assessments of the study, both the investigators and the patients found that finasteride provided enough regrowth to increase hair count. 

### So, can finasteride regrow hair? 

The research shows that finasteride can help men grow new hair and slow or stop hair loss. Men who take it consistently have reported seeing improvements even five years later.

## Can Finasteride Treat All Types of Hair Loss?

Finasteride is currently approved by the FDA to treat male pattern baldness. 

Although this condition is the most common, there are over 100 different types of hair loss. Some of these include:

### Alopecia Areata 

This is an autoimmune disease where the hair falls out in small and round patches. Over time, this may lead to complete loss of hair on the head, eyebrows, and body.

Researchers aren’t exactly sure what causes alopecia areata, but there is a consensus that it occurs when the body’s immune system attacks hair follicles. 

It’s thought that this condition may be related to stress, bacterial infections, or certain types of medications. 

### Telogen Effluvium 

This condition is widely considered the second most common type of hair loss after male pattern baldness. 

Telogen effluvium is usually brought on by medical conditions like a thyroid imbalance, prolonged fever, vitamin deficiencies, or extreme stress. 

Although there is currently no cure for telogen effluvium, it usually goes away when the medical condition causing it is treated. 

### Lichen Planus

This is another autoimmune condition that results in the body attacking its skin cells, including those on the scalp. 

This leads to follicles becoming damaged and the hair thinning or falling out. 

Lichen planus is thought to be made worse by some medications for heart disease or high blood pressure, hepatitis infections, or certain pain relievers. 

#### Does finasteride treat these conditions?

The types of hair loss mentioned above are caused by autoimmune and medical conditions—not DHT.

This means that finasteride won’t likely be effective for managing or reversing the hair loss associated with these conditions. 

## How Long Does Finasteride Take to Show Results?

When you start taking finasteride, it’s important to adopt a long-term mindset—instead of hoping to see results right away. 

Although finasteride starts regulating DHT levels as soon as it enters the body, remember that hair growth takes time.

Generally, men start seeing a noticeable improvement about three to four months after taking finasteride. 

If you don’t see any improvement after six months, speak to your doctor about your unique condition.

Men who do see results from finasteride will have to continue taking it every day to prevent further hair loss. 

If you stop using finasteride, the body will start producing DHT in more volume. Without anything to slow this process down, you will likely start losing your hair again. 

## Is Finasteride Safe?

Like most pharmaceutical and prescription-grade medications, finasteride does have some adverse effects you should be aware of—particularly because it impacts hormone levels. 

Women are generally advised not to take finasteride. 

One small [study](https://pubmed.ncbi.nlm.nih.gov/18627703/) found that finasteride was not effective in postmenopausal women after 12 months, compared to a placebo group. 

Doctors also warn women who may become pregnant not to use finasteride. 

This is because the 5AR inhibitor could interfere with the sexual development of the fetus and result in birth abnormalities.

The finasteride FDA label includes a warning about an increased risk of high-grade prostate cancer for some men who take finasteride 1 mg.

Across the studies of finasteride, there are a few side effects that occur more frequently in men taking finasteride than men in placebo groups. These side effects include:

* Decreased libido.
* Decreased volume of ejaculate.
* Breast enlargement (also known as gynecomastia).
* Breast tenderness.
* Erectile dysfunction.
* Ejaculation disorders.
* Dizziness.
* Runny nose.
* Skin rash.
* Weakness.
* Faintness.

## Reverse Hair Loss and Restore Your Hair Today

Finasteride is a powerful treatment that prevents hair loss and helps men to regrow their hair. 

Because it’s proven to work and has been around for so long, physicians are often comfortable with its use and prescribing it, too. 

At [Shapiro MD](https://main.shapiromd.com/), our board-certified physicians can help men and women access prescription hair loss medications—like finasteride and even custom formulas —from the comfort of home. 

We also offer highly-effective over-the-counter treatments—from shampoos and conditioners to oral supplements and comprehensive growth kits—to help you repair and regrow hair.

Our hair loss formulas are blended with some of the most effective natural ingredients for hair loss. 

By combining nourishing natural compounds with modern medicine, we’ve created products that yield exceptional [results](https://main.shapiromd.com/results).

To get started and find out how to get the results you want, take our [free hair quiz](https://shapiromd.com/quiz/) today. 


Man with barber

How Does Finasteride For Hair Loss Work?

Creatine, also called creatine monohydrate, is one of the world’s most [popular ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5469049/)exercise and dietary supplements.

Repeat scientific [studies](https://pubmed.ncbi.nlm.nih.gov/12701815/) have shown that using creatine can help increase muscle mass, strength, and performance. 

Despite positive reviews, creatine is widely thought to cause hair loss in men. 

Although there are anecdotal accounts of men claiming to have experienced hair loss after taking creatine, there is little scientific evidence that confirms this phenomenon. 

So, where does the rumor that creatine leads to hair loss come from?

In this article, we take a closer look at what creatine is, what benefits it offers, and whether it _really_ causes hair loss.  

## Summary 

Creatine is a natural substance found in the body. Its synthetic form—creatine monohydrate—is commonly used as a sports supplement.

Some of the benefits of taking creatine include increased muscle mass, improved strength, and a quicker recovery time after exercise. 

Various anecdotal accounts and rumors have linked creatine supplementation to hair loss among men.

There is currently very little scientific evidence that confirms or denies whether taking creatine can cause hair loss.

With the right products, most types of temporary and genetic hair loss conditions are treatable. 

## First, What Is Creatine and How Does It Work?

Derived from the Greek word for meat, creatine is a naturally-occurring substance found in muscle cells that helps produce energy during high-intensity exercise.

Creatine produces adenosine triphosphate (ATP). This molecule plays a key role in transferring energy from the body’s cells to power the muscles. Almost like a battery, ATP delivers chemical energy to the body to power movements like walking, running, or weight lifting.

Although ATP is critical for powering the cells, it’s only stored for about eight to ten seconds during high-intensity activity. 

When muscles contract while exercising, the already limited concentration of ATP in the cells gets used up at a faster rate. 

![Weightlifting arms](//images.ctfassets.net/g7690fvxryk6/7oIqghgAVn1feQTZP30biY/af78a06abf0be1e12a7b20ffc564deb2/Weightlifting_arms.jpeg)

This is where creatine’s synthetic form—creatine monohydrate—comes in. 

When it’s taken as a sports supplement, creatine produces new ATP in the cells during vigorous exercise. 

This ensures that the muscles receive a “boost” to exercise or work for longer time periods. 

Due to its performance-enhancing effect, creatine is commonly used in power and strength sports like hockey, bodybuilding, resistance training, wrestling, and football.

[Research](https://jissn.biomedcentral.com/articles/10.1186/s12970-017-0173-z) shows that if you take creatine for high-intensity exercise, it can:

* Prevent or alleviate symptoms of an injury.
* Enhance energy levels and muscle mass during exercises.
* Improve your physical performance.
* Aid faster recovery after exercising. 

Creatine supplementation has also been [proven](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7871530/) to decrease muscle cramping, tightness, heat intolerance or dehydration, and muscle strains. 

## Is Creatine Safe to Use?

Most healthy people can take 3-5 grams of creatine per day without experiencing any negative side effects. 

In fact, [studies](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6279854/) show that taking creatine supplements for up to five years doesn’t have a negative effect on your health and can continue improving your athletic performance. 

### Possible Side Effects of Creatine Supplements

Although side effects are rare, some people may experience:

* Excessive weight gain.
* Diarrhea.
* Headache.
* Nausea.
* Dizziness.
* Dehydration.
* Rashes.
* Stomach cramps.

People who suffer from kidney or liver disease, are under 18 years old, or are pregnant or breastfeeding are also advised to avoid creatine. 

To minimize the risk of adverse reactions, make sure that you speak to your doctor before incorporating creatine into your diet. 

## Creatine and Hair Loss: Fact or Fiction?

Although there’s [very little concrete evidence](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7871530/) on the matter, creatine is widely believed to cause hair loss in men. 

The rumors began in 2009, following a [study](https://pubmed.ncbi.nlm.nih.gov/19741313/) conducted in South Africa on a group of college-aged rugby players.

As part of their creatine loading phase, one group took 25g of the sports supplement every day for a period of three weeks. This is 5g more than the recommended dosage. 

### The Results

At the end of the study, the researchers found that creatine may increase the conversion of testosterone to dihydrotestosterone (DHT).

This is widely known as the “hair loss hormone” and is considered one of the main causes of male pattern hair loss. 

However, even though the creatine group’s DHT levels increased, they remained well within the normal range compared to the placebo group.

Not only was the study limited to a very small sample and time frame, but it also didn’t explicitly link creatine usage to hair loss. 

Shortly after the study was published, the findings started circulating on social media and the hair loss creatine rumors were born. 

## The Link Between Creatine, DHT, and Hair Loss

Dihydrotestosterone is a natural hormone found in men and women. During puberty, much like testosterone, DHT contributes to: 

* A deeper voice in men.
* Developing more body hair. 
* Maintaining healthy muscle mass. 
* Proper sex organ development and function. 

Although women have DHT and testosterone in their bodies, they don’t have as much of it compared to men. 

As DHT travels through the body, it binds to receptors on hair follicles. Over time, this shortens the hair growth cycle and may cause hair thinning or hair loss.

### How Does Creatine Fit In?

As mentioned before, the study conducted in 2009 found that creatine consumption may increase DHT levels. 

Given that DHT is the hormone behind male pattern baldness, it led people to believe that taking creatine interfered with the hair growth cycle. 

In other words, people thought that taking creatine accelerated how DHT impacts hair follicles and could cause follicles to grow fewer, thinner, and weaker hairs—eventually leading to hair loss. 

Although it’s possible that creatine can impact DHT and hair growth, there’s not enough scientific proof to confirm or explicitly negate these claims. 

Similarly, people who believe the anecdotal accounts of creatine causing hair loss tend to forget that hair loss can be caused by a [variety](https://pubmed.ncbi.nlm.nih.gov/34053589/) of factors. For example, men who take creatine and experience hair loss may have been genetically predisposed to balding anyway. Weight lifting and associated creatine use often occurs around the same time that hair thinning and loss begins in men who are predisposed: in their 20s and 30s. 

Or, lifestyle choices and medical conditions may be to blame. Some of the other factors that can lead to hair thinning or complete hair loss include:

* A hormonal or chemical imbalance.
* Medications such as blood thinners.
* Thyroid problems.
* Autoimmune diseases brought on by infections. 
* A vitamin B or iron deficiency.
* Dramatic weight loss.

## How Do I Treat Thinning Hair and Rapid Hair Loss?

If you notice that your hair is thinning or falling out, there’s a good chance that you can restore hair loss with the right treatments.

Similarly, medication that causes hair loss is[ usually reversible](https://www.medicalnewstoday.com/articles/323410#takeaway), and hair tends to grow back once you stop taking the medication. 

You may also notice that your hair starts thinning when you[ lose weight](https://www.toppik.com/hairtoppiksblog/link-between-weight-loss-hair-loss/#:~:text=You%20may%20see%20more%20hair,an%20adequate%20amount%20of%20protein.). This is temporary and your hair will generally regrow once you start increasing protein consumption.

If you have a genetic predisposition to hair loss, it may not be as easy to grow your hair back without professional help.

The good news is that there are a variety of prescription medications, medicated shampoos, and over-the-counter products that can help manage and even reverse hair loss.

![Man applying topical hair treatment](//images.ctfassets.net/g7690fvxryk6/1xn4THyuxWmMwO0OPPAh9C/23c803f45670570beb903803a0213764/Man_applying_topical_hair_treatment.jpeg)

### Key Ingredients to Look for In Hair Loss Treatments

Whether you’re suffering from temporary hair loss or looking to combat male pattern baldness, prescription and over-the-counter formulas both may be able to help. 

Natural shampoos, conditioners and leave-in treatments—like those from [Shapiro MD](https://main.shapiromd.com/)—contain ingredients that fight DHT and can yield great results. 

Let’s take a closer look at some of these powerhouse ingredients for hair loss. 

#### Saw Palmetto

This is a botanical extract that has been shown to regulate DHT levels and can help in reducing the appearance of thinning or breaking hair at any age.

Saw palmetto slows down the conversion of testosterone to DHT to help with thicker looking hair, reducing inflammation, and promoting healthier follicles. 

#### Green Tea

Epigallocatechin gallate (EGCG) is a powerful green tea extract that has also shown to minimize the effects of DHT and promote hair regeneration. 

By increasing blood flow to the hair follicles, green tea can also supply the scalp with more nutrients for healthier and stronger-looking hair. 

#### Finasteride

This is an FDA-approved prescription medication that’s taken orally. 

Like saw palmetto, finasteride works by inhibiting the enzyme 5-alpha reductase that converts testosterone into DHT.

Finasteride is effective for most men who use it. Taking finasteride has been [shown](https://www.tandfonline.com/doi/abs/10.1080/09546634.2021.1959506?journalCode=ijdt20) to result in a significant improvement in hair count and thickness.

Shapiro MD offers[ finasteride](https://main.shapiromd.com/product/finasteride) that can be taken on its own or used in combination with [5% minoxidil](https://main.shapiromd.com/product/minoxidil-finasteride) for even better results.

#### Minoxidil

Minoxidil is an over-the-counter topical agent available in two strengths, 2% and 5%. 

As the only FDA-approved hair loss treatment for both men _and_ women, it's believed to stimulate hair growth by shortening the resting phase and speeding up the growth phase of the hair cycle.

Minoxidil also improves blood flow to the scalp, which may help to supply your hair with the nutrients it needs to grow more effectively. 

Not only does minoxidil stimulate natural hair regeneration, but it also slows down the balding process in many men and women.

#### Tretinoin

Tretinoin is another effective ingredient in Shapiro MD’s custom prescription treatments. 

Also known as retinoic acid or Retin-A, tretinoin is a vitamin A derivative that was developed in the 1950s to improve the appearance of aging skin and to combat acne. 

It has also shown promise for hair regrowth in many clinical studies. 

In a [study](https://pubmed.ncbi.nlm.nih.gov/3771854/) on male pattern baldness, 56 participants were given tretinoin and minoxidil. The researchers looked at tretinoin taken alone and with minoxidil. 

A year later, it was found that the combination of tretinoin and minoxidil resulted in the regrowth of permanent hair in 66% of the subjects. Of the subjects who took tretinoin on its own, only 58% experienced hair growth. This study proves what a powerful combination tretinoin and minoxidil can be. 

Tretinoin may help with minoxidil absorption, accelerate skin cell activity, and improve collagen production throughout the skin to promote greater hair growth. 

## Regrow Stronger, Healthier Hair Today

Regardless of whether your hair thinning is temporary or if you’d like to explore hair loss treatments, Shapiro MD can help. 

From shampoos and conditioners to oral supplements and hair growth kits, we offer a variety of OTC and prescription solutions that are formulated to repair and regrow hair. 

The best part of all? You can access our proven hair loss prevention tools and personalized hair loss treatments from the comfort of home. 

To learn more, read the [reviews](https://main.shapiromd.com/results) from satisfied customers who’ve successfully regrown their hair using Shapiro MD formulas.

Then, shop the whole selection of [natural- and FDA-approved hair loss products](https://main.shapiromd.com/products) today.

Creatine powders and capsules

Weighing The Facts: Does Creatine Cause Hair Loss? 

A dermaroller is a handheld device that resembles a small paint roller. Attached to the roller are hundreds of titanium micro-needles that gently prick your scalp and puncture the skin as you roll the dermaroller over areas of thinning hair on your head. 

The science behind dermarolling for hair loss lies in the ability of the micro-needles to stimulate the dermal layer of your skin, increase blood flow to the scalp, and generate new cell growth to encourage hair growth. 

Do dermarollers work? The short answer is yes, and there’s plenty of research to back it up. Here’s the scoop on dermarolling for hair loss.

## Summary
* Dermarolling for hair loss involves microneedling the scalp to stimulate hair growth.
* Microneedling has been proven to promote hair thickness and/or hair count
* Dermarolling is a safe and effective home hair loss treatment for most men and women. It works best when combined with other topical hair loss solutions like minoxidil.

## Dermaroller For Hair Loss: How Does It _Really_ Work?

The "microinjuries" caused by microneedling/derma rolling make the skin think it's experiencing an injury. Microneedling creates micropunctures in the skin but does not damage the outer layer of your skin (epidermis). 

Consequently, your skin initiates a[ wound healing](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4976400/) process that involves the release of proteins, growth factors, collagen production, and other chemicals that **are (coincidentally) also essential for better follicle health and hair growth!**

In addition to launching this healing cascade, dermaroller microneedles and tiny punctures bolster revascularization of the scalp and break down scar strands that may hinder hair growth. 

Research suggests that microneedling may also increase the electrical potentials (signaling) of surrounding cells, further triggering the release of extra proteins, growth factors, and potassium.

Other cells involved in stimulating hair growth using dermarollers are[ stem cells.](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5797699/) Micro-injuries affecting skin anywhere on the body triggers the production of stem cells that transform themselves into special cells designed to repair and maintain tissue health. Stem cells created from these tiny skin punctures may also contribute to enhancing follicle functioning, faster hair growth, less hair thinning, and thicker hair.

![Man using a dermaroller](//images.ctfassets.net/g7690fvxryk6/3uzhDyh7IVDttCaKeO36Kd/03ef3f8793f0b7a0c316071e077fca07/Man_using_a_dermaroller.jpeg)

## Dermarolling for Hair Loss: Multiple Studies Reveal the Benefits of Microneedling

A comprehensive summary of academic articles that investigated the ability of microneedling for hair growth found that [microneedling monotherapy](https://onlinelibrary.wiley.com/doi/abs/10.1111/jocd.14525) (microneedling by itself) significantly increased hair growth compared to using minoxidil by itself. Minoxidil is the main ingredient in Rogaine, though you can now get it as a generic (including [from Shapiro MD](https://main.shapiromd.com/product/women-regrowth-serum)).

However, **when microneedling and minoxidil were combined, the results surpassed the hair count improvement seen in microneedling alone AND minoxidil alone. Bottom line: use a dermaroller consistently and hair grows!**

The authors of this summary note that there are few studies available that evaluate microneedling alone for hair loss because most studies combine microneedling with topical hair loss agents.

### Effects of Microneedling on Adults with Androgenic Alopecia 

Another study researched the effects of [microneedling with dermarollers](https://onlinelibrary.wiley.com/doi/abs/10.1111/jocd.13714) using two different sizes of microneedles, or needle length. The study included 60 men and women between the ages of 18 and 45 who had moderate to severe androgenic alopecia (male or female pattern baldness). Participants were divided into three treatment groups:

* (A) Minoxidil 5% only
* (B) Biweekly microneedling (needle depth of 1.2 mm) while using minoxidil 5%
* (C) Biweekly microneedling (needle depth of 0.6 mm) while using minoxidil 5%

After 12 weeks of treatment, each group was evaluated for hair thickness and hair count. The results indicated:

* All three groups had significant increases in hair thickness and hair count
* Group B's hair thickness and hair count were significantly greater than Group A
* Group B and C's hair _regrowth_ was significantly greater than Group A

Researchers concluded that microneedling (0.6 mm depth) combined with minoxidil was more effective in terms of hair thickness and hair count than minoxidil monotherapy. 

They also concluded that a penetration depth of 1.2mm is more beneficial than 0.6 mm to stimulate hair growth.

## Dermarolling Plus Minoxidil Enhances Hair Restoration vs Minoxidil Alone

Microneedling is known to facilitate the delivery of topical medications under the skin barrier. That's a key part of its benefits.

Following a dermaroller microneedling session, the scalp's[ microinjuries allow topicals](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4489818/) like minoxidil to pass directly into the vessel-rich dermis. Additionally, microneedling widens the follicle tunnels, which helps accelerate the absorption of topical medications by the skin.

Other topicals for hair loss can also be used in combination with dermarollers, such as finasteride and retinoids. However, men with male pattern baldness should be aware that dermaroller microneedling does not reduce levels of dihydrotestosterone (DHT), which is mainly responsible for male pattern baldness. Combining dermarolling with solutions that fight DHT, like[ Shapiro MD Shampoo for hair loss](https://main.shapiromd.com/product/men-regrowth-kit) may help further.[ Oral finasteride](https://main.shapiromd.com/product/finasteride) is another option for men.

## What is the Most Effective Way to Use a Dermaroller for Hair Growth?

The most common microneedle size used for treating hair loss with dermarollers is 1.5 mm, when it is used alone. Hair follicles are generally located between 1mm and 2mm under the scalp. The 1.5 mm measurement is therefore the median for most people with normal hair follicles.

You can always use shorter needles if preferred but they may not be as effective for achieving your desired hair growth.

### How to Use a Dermaroller

* Before dermarolling your scalp, brush targeted areas with a brush and shampoo to help exfoliate dead skin and debris. Thoroughly rinse the shampoo from your hair and comb out tangles until your hair is flat and tangle-free.
* Wash the dermaroller (including needles) with soap and water. Use rubbing alcohol to sanitize the roller each time you use it.
* Part your hair to allow the dermaroller to make contact with the scalp. Repeat parting of your hair and dermarolling parted sections until you have reached all scalp areas with the dermaroller. Roll the dermaroller horizontally over exposed parts of the scalp.
* Roll targeted areas at least eight times for maximum stimulation of the skin.
* Try dermarolling daily for 10 minutes or so.

When used as directed, dermarollers can provide visible results in as little as two to three months. Compared to topical hair loss products that must be used consistently for six months to see noticeable hair growth, dermarollers may provide considerably faster results.

However, if you don't see results in three months, don't stop dermarolling! Some people simply take longer to notice improved hair growth based on their genetics, health, and other factors.

Better yet, combine dermarolling with minoxidil for even better outcomes.

Side effects from dermaroller microneedling are minimal and typically disappear as the scalp begins the healing process. The most common side effects include minor swelling, slight pain, and/or redness or bruising of treated areas. People with sensitive scalps may experience more discomfort during the first couple of weeks of using a dermaroller.

To help reduce irritation, wear a hat or apply sunscreen to exposed areas of your scalp if you expect to be outdoors in sunlight. Avoid using dandruff shampoos while using a dermaroller or shampoos meant to treat moderate to severe scalp problems (eczema, ringworm, psoriasis).

Those who have a history of acne or eczema, or take blood thinners, should consult with their doctor before using a dermaroller. In addition, some health conditions interfere with the healing process, such as diabetes or immunosuppressive disorders. If you have such a disease, always ask your doctor about using a dermaroller for hair loss. The microinjuries caused by dermarolling may not heal properly if the immune system is not functioning normally.

You don't need a specialist to get started with a derma roller at home.

The dermatologists behind Shapiro MD have made the most effective topical and oral hair loss treatments even easier to get than ever.

[Click here to see the full lineup and start your hair regrowth journey today.
](https://main.shapiromd.com/products)
## References

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4976400/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4976400/)

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5797699/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5797699/)

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458936/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458936/)

[https://onlinelibrary.wiley.com/doi/abs/10.1111/jocd.13714](https://onlinelibrary.wiley.com/doi/abs/10.1111/jocd.13714)

[https://onlinelibrary.wiley.com/doi/abs/10.1111/jocd.14525](https://onlinelibrary.wiley.com/doi/abs/10.1111/jocd.14525)


Dermaroller on head graphic

Can Dermarolling Help with Hair Loss?

Approved for medical use in 1971 by the U.S. Food and Drug Administration (FDA), tretinoin is a derivative of vitamin A.

Tretinoin was initially approved and prescribed for treating acne as a topical, and for acute promyelocytic leukemia (APL) in oral form. 

Tretinoin's use has branched out significantly into a host of other conditions since: today, it’s among the most common topical prescriptions used by dermatologists to treat wrinkles, acne, fade scars, and even help stop hair loss and regrow hair. Because it’s not approved by the FDA for men and women in every one of these indications, it’s often prescribed “off-label” or included in custom topical formulas made by dermatologists in hair care clinics.

Tretinoin is incredibly versatile, including in helping men and women fight and stop hair loss. Here’s the story.
![Happy middle aged guy with great hair](//images.ctfassets.net/g7690fvxryk6/7mA6CP4kkUrY14lOgKidxs/cab8c3201441dd07bfd3ec10c243daec/Happy_middle_aged_guy_with_great_hair.jpeg)

## Summary

* Tretinoin is a man-made form of vitamin A in the class of similar substances called retinoids (these include retinol, retinal, and retinaldehyde). It’s available by prescription only and is used “off label” for hair loss. It must be prescribed by a physician or dermatologist.
* Topical tretinoin has been shown to help with hair loss, hair growth, and improved density. It’s believed to work by lengthening the time that hair follicles are in “grow mode” or the Anagen phase of the hair cycle.
* Research has also shown that tretinoin enhances the effects of topical minoxidil (Rogaine®) when the two are used together. 

## Tretinoin as a Hair Loss Treatment

### Is Tretinoin FDA-approved for Treating Androgenic Alopecia?

The FDA has not yet approved tretinoin for promoting hair growth in adults with androgenic alopecia. Androgenic alopecia is the medical term for the most common form of hair loss in men and women: male pattern hair loss and female pattern hairloss. 

However, dermatologists have been prescribing tretinoin as an off-label topical for treating hair loss since the 1990s.

Early clinical trials involving tretinoin's effectiveness against acne showed that tretinoin not only reduced acne outbreaks, but it appeared to cause an unexpected side effect—hair growth!

A [1986 investigation](https://www.sciencedirect.com/science/article/abs/pii/S019096228680024X) into tretinoin hair regrowth properties found that tretinoin used as a standalone treatment for androgenic alopecia stimulated hair growth in nearly 60% of study participants. 

Combining tretinoin with minoxidil (another common topical hair loss solution) resulted in over 65% of participants experiencing hair regrowth.

**Verdict: Tretinoin is not approved for hair loss by the FDA but is used off-label by many dermatologists and clinicians.**

### Does Topical Tretinoin Work to Regrow Hair?

Derivatives of vitamin A such as ATRA have been shown to trigger cell reproduction in the skin's epithelium (layer of cells comprising the epidermis). 

Tretinoin also promotes blood flow to the epithelium, where hair follicles transition through the four stages of hair growth.

A [2007 study](https://pubmed.ncbi.nlm.nih.gov/17202653/) demonstrated the precise mechanism behind ATRA's hair growth properties—the ability to prolong the anagen (growth) phase of the hair cycle. 

Although the anagen phase can last up to four years for individual hairs, adults with androgenic alopecia often suffer from a shortened anagen phase and longer telogen (resting) phases for their hair. 

By lengthening the anagen phase, tretinoin keeps more hair on the scalp and reestablishes various degrees of hair thickness.

**Verdict: Tretinoin lengthens the time that hair follicles are in “grow mode.”**

### Does Tretinoin Work With Minoxidil for Hair Loss?

Retinoids like tretinoin boost the effectiveness of minoxidil by promoting the release of an enzyme called sulfotransferase. 

It’s believed that [follicular sulfotransferase ](https://onlinelibrary.wiley.com/doi/abs/10.1111/dth.12915)prolongs the survival of epithelial cells, improves absorption of minoxidil, and encourages hair growth.

It is for this reason involving follicular sulfotransferase that minoxidil does not perform as well by itself as it does when combined with tretinoin.

Currently, five percent minoxidil is approved for use in the [U.S., Denmark, and Australia for men only.](http://www.bibliotecasyarchivos.net/sitio_bdusam/bibliotecadigital/ebook/Facultad_de_Quimica/FARMACIA_INDUSTRIAL_I_y_II/Cosmeceuticals_nodrm.pdf#page=71) 

Studies comparing the efficacy of two percent and five percent minoxidil on men with androgenic alopecia have found that five percent minoxidil increased hair count faster than two percent minoxidil. Some men participating in the study reported seeing visible results in two months when using five percent minoxidil.

Research involving the combined use of two percent minoxidil AND 0.05 percent tretinoin revealed that this amount of tretinoin significantly increased the absorption rate of minoxidil. 

However, when five percent minoxidil was combined with two percent tretinoin, the results were nearly the same as when two percent minoxidil and 0.05 percent tretinoin were used on men with male pattern baldness.

Tretinoin can also be used in combination with oral finasteride, a medication that blocks the conversion of testosterone into dihydrotestosterone (DHT), the notorious “hair loss hormone.” 

**Verdict: Tretinoin combined with minoxidil is a potent combo for hair loss.**

### What Does It Mean for Doctors To Use a Medication "Off-Label"? Is It Safe to Use Tretinoin or Retinoids for Hair Loss?

According to the U.S FDA, physicians may prescribe a drug already approved by the FDA for use in conditions other than the one for which the drug was approved. 

For example, tretinoin has been approved for treating acne, leukemia, and skin wrinkling due to photoaging. 

When a dermatologist prescribes tretinoin for hair growth, that is referred to as "off-label" use.

Many physicians rely on the off-label use of medications to treat conditions that do not respond to medications approved by the FDA. However, doctors who prescribe drugs off-label are aware of multiple studies indicating that a drug is safe to use off-label. 

Many medications used off-label usually receive FDA approval at some point for treating an "off-label" health problem. 

Other medications routinely prescribed for off-label use are risperidone (FDA-approved for schizophrenia; used off-label to treat Tourette's syndrome and OCD) and Clomiphene (FDA-approved to increase female fertility; used off-label to treat low sperm count in men).

**Verdict: Tretinoin can be deployed by trained clinicians and is often included in custom formulas from hair loss clinics.**

### Tretinoin is a Topical Retinoid. What Exactly are Retinoids?

Any substance referred to as a retinoid is derived from vitamin A. 

Retinoids stimulate the production of elastin, collagen, and other substances that support skin health. They also increase rates of cell division to help reduce signs of photoaging. 

Adults with psoriasis-related hair loss benefit from the ability of retinoids to decrease the inflammation and swelling associated with psoriasis that is responsible for hair loss.

All retinoids, including tretinoin, share a common list of side effects that peak at around three weeks before they start diminishing. Initially, many retinoid users experience local irritation and redness, followed by peeling, dryness, and itchiness. 

Applying a small amount of a topical corticosteroid can ease these side effects without interfering with expected treatment results.

Although retinoids are not considered a true photosensitizing agent, the dryness and peeling it causes could exacerbate a person's susceptibility to sunlight and sunburn. Therefore, adults using tretinoin for hair loss may need to apply sunscreen on exposed scalp skin until desired hair regrowth is reached.

## How to Use Tretinoin for Hair Loss

Use tretinoin cream or solution as prescribed by your dermatologist or physician. 

Applying more tretinoin than prescribed likely won’t make your hair grow faster. In fact, excess tretinoin applied to the scalp could worsen side effects and interfere with normal hair regrowth.

Always clean your scalp regularly with mild soap and dry the areas thoroughly before applying tretinoin. 

Spreading tretinoin on wet or damp skin may irritate the skin due to moisture preventing rapid absorption of tretinoin.

Use tretinoin for the prescribed length of time, even if you can’t tell right away that it's working. 

It typically takes 2 - 3 months to see visible results, whether you use tretinoin alone or a combination of tretinoin and minoxidil. Individual results vary depending on the severity of androgenic alopecia.

Before using tretinoin, tell your dermatologist or physician if you are taking any one of the following:

* Diuretics
* Tetracycline
* Minocycline
* Doxycycline
* Antibiotics such as ciprofloxacin, lomefloxacin, or sparfloxacin
* Sulfa drugs (Septra or Bactrim)
* Chlorpromazine
* Promethazine

These medications increase the skin's sensitivity to the sun's ultraviolet rays and may raise the risk of sunburn or rash. Severe skin irritation may occur when tretinoin is used while you are taking medications containing salicylic acid, benzoyl peroxide, or resorcinol.

Temporary side effects are likely to occur. They are not serious and usually subside after using tretinoin for a short time. Common side effects of tretinoin include:

* Dryness
* Itching
* Stinging/burning sensation
* Swelling
* Redness
* Dryness/peeling

Tretinoin is available as a cream or gel. It comes in different percentage strengths ranging from 0.01 percent to 1 percent. 

## Where to Get Tretinoin for Hair Loss

Getting hair loss solutions that contain tretinoin is challenging unless you visit a dermatologist in-person. 

Today, with telemedicine platforms like Shapiro MD, it’s easier than ever. 

If appropriate, tretinoin is one ingredient deployed in our custom prescription hair loss formulas, which are selected and prescribed by our licensed clinicians based on your hair condition and situation. 

[Click here to learn more and get started.](https://shapiromd.com/quiz/)

![Woman with an ipad considering her hair](//images.ctfassets.net/g7690fvxryk6/1szvodkxzjquKsIAwYnUtJ/62bed0c800fe1d05acd02a6be3a058c1/Woman_with_an_i_pad_consider_her_hair.jpeg)


Man combing his hari in the bathroom

Tretinoin for Hair Loss: What to Know

Scientists studying Mendelian genetics recognized male baldness as an inherited condition as [early as 1914](https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1469-1809.1946.tb02355.x). 

However, it wasn't until the late 1940s that the term "male pattern baldness" entered the field of dermatology.

Around 1953, an anatomist named James Hamilton developed an interest in premature baldness and created a system to classify the stages of hair loss in men. Initially called the Hamilton Scale for baldness in men, it was later updated in the 1970s by dermatologist O'Tar Norwood. 

Today, this hair loss chart and scale is referred to as either the Norwood-Hamilton hair loss scale or the Norwood balding scale.

## Understanding the Hamilton-Norwood Hair Loss Scale

Intended to gauge the status of androgenic alopecia (male or female pattern hair loss) in adults, the [Norwood scale](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2938573/) is sometimes used by physicians who suspect a patient may have a serious condition. For example, lupus, rheumatoid arthritis, and hypothyroidism can cause premature hair loss in men and women. 

Applying the Norwood hair scale to hair loss cases may provide insight into the progression of a disease with late-onset of symptoms.

The Hamilton-Norwood scale is comprised of seven specific stages (types) of hair loss:

### Stage One

Negligible hair loss without a visibly receding hairline.

### Stage Two

Minimal hair loss around temples and/or insignificant areas of hair recession at the hairline stretching over the forehead.

### Stage Three

Obvious hair thinning, baldness, and a deeply receding hairline close to the temples. At this stage of androgenic alopecia, the "pattern" aspect of male balding begins to look like a U or V. Some people may notice hair loss around or at the crown of their head.

### Stage Four

Little to no hair covers the vertex (top middle of the head). Although there is additional hair loss on the crown and at the temples, a small amount of hair still differentiates the two balding areas from each other. Hair growing on the sides of the head continues to present normal thickness.

### Stage Five

Hair growth that normally separates the crown of the head and the temples is significantly smaller or narrower than the hair band seen in stage four. Hair thinning is severe enough to reveal portions of the scalp.

### Stage Six

At this stage, the top of the head is completely bald or sparsely covered with hair. There is no division of hair loss areas since hair growth is nonexistent.

#### Stage Seven

The classic horseshoe pattern indicative of male pattern hair loss is clearly defined, with the remaining band of hair encircling the head thinning rapidly. Stage seven is the final stage of the Norwood balding scale and the most severe.

Although this hair chart is the most detailed method of classifying the different phases of androgenic alopecia, it is not always used for determining what kind of hair implant surgery or hair loss treatment should be applied. Dermatology surgeons say the Norwood Hamilton hair loss scale is too general because it does not include unusual types of baldness.

![Norwood Scale](//images.ctfassets.net/g7690fvxryk6/1Ek37IhUpUDlhhbUrcCA7I/bee75b344c2e53132e51a37f50c8bf74/Norwood_Scale.jpeg)

Watch this short video on the Norwood Scale [here](https://www.youtube.com/watch?v=kUbytfGXxLg).

## What Is the Norwood Class A Version of the Norwood Scale?

After his initial hair loss chart was approved and accepted by dermatologists, Dr. Norwood later expanded his chart by developing the Norwood Class A scale. Pertaining to less common types of progressive hair loss, this scale involved specific contouring of hairline recession that does not include bald patches at the head's vertex.

Unique characteristics of the Norwood Class A hair chart that differentiate it from the Norwood-Hamilton hair loss scale include:

* Transitioning of the hairline from front to back without the presence of hair in the mid-frontal region of the head
* Formation of bald areas on the vertex (highest point of the head) do not occur as a result of the hairline recession. Instead, a man's receding hairline will keep moving further to the back of the head without the loss of hair on top of the head.

Dermatologists may rely on the Norwood Class A version when patients present atypical signs of androgenic alopecia. 

## The Savin Hair Loss Scale

Developed by Dr. Ronald Savin in the 1990s, the [Savin scale](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684510/) focuses on female pattern hair loss instead of male pattern hair loss. 

Consisting of nine digital images depicting the various stages of crown hair density, the Savin scale measures the loss of hair in three different areas of a woman's scalp:

**Around the temples and hairline:** The Savin scale assigns alphanumeric codes (F1 to F6) for the various degrees of hair loss around the temples and hairline. F1 indicates minimal hair recession, while F6 indicates that hair recedes back to the mid-scalp.

**Middle of the scalp**: The alphanumeric codes range from M1 (normal hair part showing negligible scalp) to M5 (visible, roundish area of hair loss or thinning in the middle of a woman's scalp).

**Crown and center back of the head**: The alphanumeric does for this description range from V1 (minimal loss of hair) to V7 (large area of hair loss affecting the posterior scalp).

![Savin Scale](//images.ctfassets.net/g7690fvxryk6/4Tf7wGB58EQZZoNW3zpwXl/ca5828c62abcf52cb526186fa8004698/Savin_Scale.jpeg)

## How Is the Norwood Scale Useful for Dermatologists?

Physicians and dermatologists rely on the Norwood-Hamilton hair loss scale to establish an initial diagnosis, monitor thinning and loss of hair, and as a standard for keeping track of treatment efficacy.

In addition, the Norwood scale is a valuable tool to aid in determining what kind of hair loss treatment would work best on patients with androgenic alopecia. 

For example, minoxidil or finasteride are often prescribed to delay the progression of male pattern baldness when in its early stages. Women with female pattern baldness also benefit from minoxidil, though they cannot take finasteride.

## Best Ways to Treat Hair Loss

For men and women dealing with hair loss due to androgenic alopecia or any other kind, the good news is that effective, easy-to-use options exist.

### Minoxidil

Minoxidil is one of the most common and affordable options for hair loss treatment. It’s been clinically proven to improve hair density and growth for a majority of people who use it consistently, and it’s safe for all hair types. The longer you use it, the better the results. 

Minoxidil is applied twice daily at 2% or 5% concentrations for women and men respectively.  

### Finasteride

Finasteride is another great option. Approved as the only oral pill for hair loss over twenty years ago, it can improve density, thickness, and even help regrow lost hair. 

Finasteride is only for men, and it’s taken once a day as a pill. Finasteride is not safe for women.

### Shapiro MD Kits

Shapiro MD is home to some of the most popular natural hair loss formulas on the market, invented by dermatologists as a simple solution for all of their hair loss patients. 

Shapiro MD’s [Regrowth Kit](https://main.shapiromd.com/product/men-regrowth-kit) contains our patented Shampoo, Conditioner, Leave-in Foam, and minoxidil. It’s a great option for those who want to attack hair loss and growth aggressively. And, it’s easy –– apply minoxidil daily and use the Shampoo, Conditioner, and Foamer as part of your normal showering routine.

## Terms Associated With the Norwood Scale and the Treatment of Androgenic Alopecia

**Alopecia**: hair loss due to genetics, illness, or disease. Basically any non-specific form of hair loss.

**Anagen**: the growing phase of all body hair. The anagen phase can be as short as one year or as long as seven years.

**Catagen**: hair growth stage between the telogen (resting) and anagen (growing) stage. The telogen stage comes after the catagen stage.

**Dihydrotestosterone ([DHT](https://www.americanhairloss.org/hair_loss_glossary/index.html)):** a hormone that is the primary cause of follicle miniaturization that contributes to hair loss.

**Female pattern baldness**: attributed to aging, hormonal imbalances, and genes, female pattern baldness progresses slower than male pattern hair loss.

**Finasteride (**brand name Propecia): an anti-androgen that inhibits a certain enzyme from forming DHT. In addition to being prescribed for hair loss, finasteride is FDA-approved to treat benign prostate enlargement.

**Ketoconazole:** an antifungal agent found in an over-the-counter shampoo called Nizoral, ketoconazole has anti-androgenic properties that may promote hair thickness and/or growth.

**Minoxidil (Rogaine):** a medication available by prescription only. Minoxidil is used as a topical to slow hair loss and/or stimulate hair growth. It is also prescribed orally to reduce high blood pressure.

**Retin-A:** primarily prescribed to treat acne, Retin-A may help delay hair loss in some cases, especially when it is used in conjunction with minoxidil.

**Spironolactone** (brand name Aldactone): a diuretic that also reduces testosterone in women. Spironolactone is sometimes prescribed to treat female pattern baldness.

**Tretinoin** (all-trans retinoic acid): ATRA is the generic name for Retin-A.

To see all of the great options from Shapiro MD and order today (we can even prescribe finasteride online!) [click here to get started.](https://main.shapiromd.com/products)

## References

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4812885/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4812885/)

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684510/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684510/) 

[https://www.americanhairloss.org/hair_loss_glossary/index.html](https://www.americanhairloss.org/hair_loss_glossary/index.html)


Dermatologists looking at norwood scale

Understanding the Norwood Hair Scale [WITH PICTURES]

Seborrheic dermatitis is a [chronic skin condition](https://www.ncbi.nlm.nih.gov/books/NBK532846/) that affects between 3 and 10 of every 100 people in the U.S. Although babies, teenagers, young adults, and people over 50 may develop the condition, it’s more common in men than women.

Seborrheic dermatitis mainly affects the scalp. Symptoms can be managed, but flare-ups may occur from time to time.

There is currently no cure for seborrheic dermatitis, though there are a variety of treatments—creams, ointments, and shampoos—that can keep the condition under control.

In this article, we take a closer look at what seborrheic dermatitis is, as well as its symptoms and treatments. We’ll also explain how you can regrow hair lost due to seborrheic dermatitis.

**Summary**

* Seborrheic dermatitis is an inflammatory skin condition that can lead to temporary hair loss.
* Other skin conditions, such as dandruff, psoriasis, and eczema can be confused with seborrheic dermatitis, but there are clear distinctions.
* Certain risk factors, such as genetics, illness, and stress leave some people more prone to premature hair loss than others.
* With the right products, most types of hair loss—except scarring alopecia—are treatable.

## What Is Seborrheic Dermatitis?
![Seborrheic dermatitis or fungal skin infection](//images.ctfassets.net/g7690fvxryk6/4SifBaaUPrUFbu0Ex9jsS4/094b443bc5c0006143f810105b6bcea5/Seborrheic_dermatitis_or_fungal_skin_infection.jpeg)

Seborrheic dermatitis is a skin condition that is characterized by patches of inflamed, itchy skin and yellow scales, especially on the face and scalp. 

Other regions of the body where there are more sebaceous glands, such as the armpits and groin, may also be affected.

When the condition occurs in infants, seborrheic dermatitis is called _cradle cap_. 

This happens when the glands surrounding hair follicles produce excess oil, causing a white or yellow crust on the baby’s scalp. 

Seborrheic dermatitis can also appear elsewhere on the body, especially in folds of oily skin, and may be mistaken for diaper rash in babies.

Seborrheic dermatitis is not life-threatening or contagious, but it can cause discomfort and emotional distress without proper treatment.

## What Are the Symptoms of Seborrheic Dermatitis?

The symptoms of seborrheic dermatitis may be confused with conditions such as dandruff, eczema, and psoriasis. 

A health care professional will be able to rule out these other conditions by testing some of your skin cells through a biopsy. This will ensure that you get an accurate diagnosis of seborrheic dermatitis and not mistake it for another skin condition. 

Here are some of the symptoms you may experience if you have seborrheic dermatitis:

* Greasy, flaky skin on the scalp, eyebrows, or beard.
* Yellow or white scales (layers of flaking skin) or crusted skin on the face or other parts of the body, such as the chest, armpits, or groin.
* Red/inflamed skin.
* Intense itchiness in affected areas.
* Thinning hair.
* Temporary hair loss.

![Woman with hair in her brush](//images.ctfassets.net/g7690fvxryk6/6WXlcWKgrFtJk8xWQvEnsr/7a21746a1b8f44708522eb5f301c0e9a/Woman_with_hair_in_her_brush.jpeg)

## What Are the Causes of Seborrheic Dermatitis?

Although the precise cause of seborrheic dermatitis is not known, there’s reason to believe this inflammatory skin condition is the body’s reaction to an overproduction of Malassezia yeast.

This yeast naturally exists on the skin’s surface, but too much of it triggers an immune response that results in seborrheic dermatitis.

### Some of the risk factors associated with seborrheic dermatitis are:

* A weakened immune system, due to conditions such as HIV or cancer.
* Parkinson’s Disease.
* Recovery from stressful events, such as a stroke or heart attack.
* Certain medications.
* Genetics.
* Eating disorders.
* Alcoholism.
* Depression.
* Acne.
* Rosacea.
* High cholesterol levels.
* Emotional stress.

>>__Food For Thought: Does the Weather Cause Seborrheic Dermatitis?__
>>
>>Although colder weather tends to make the symptoms of seborrheic dermatitis worse, the climate itself cannot cause or trigger the condition. 
>> 
>>However, if you live in a region with a cold, dry climate, you may experience more severe symptoms, and it may be difficult to treat seborrheic dermatitis under these conditions.*

## How Can Seborrheic Dermatitis Cause Hair Loss?

Seborrheic dermatitis is not a direct cause of hair loss, but because the condition causes a flaky, itchy scalp, this may lead to excessive scratching. 

Constantly scratching your head can damage hair follicles, causing hair to fall out and making it difficult to regrow.

However, this hair loss is easily remedied and the hair can regrow once the individual has completed treatment for seborrheic dermatitis.

As mentioned earlier, excess sebum causes an overgrowth of Malassezia fungus. 

This results in further scalp inflammation and more damage to hair follicles, resulting in increased hair loss. 

Scalp inflammation can also prevent natural hair growth, and if the symptoms of seborrheic dermatitis are not controlled, constant skin irritation could lead to hair loss. 

So, by controlling the symptoms of seborrheic dermatitis, you’ll decrease your chances of losing hair due to the condition.

## Seborrheic Dermatitis vs. Dandruff: What Are the Differences?

Seborrheic dermatitis is sometimes mistaken for dandruff as both conditions are accompanied by dry, flaky skin. 

To know whether you require a dandruff shampoo or a medicated shampoo designed to increase hair growth, you need to know the difference between these two conditions.

<table>
  <tr>
   <td><strong>Seborrheic dermatitis</strong>
   </td>
   <td><strong>Dandruff</strong>
   </td>
  </tr>
  <tr>
   <td>Starts with a reaction to fungi on the skin.
   </td>
   <td>Starts with a reaction to fungi on the skin.
   </td>
  </tr>
  <tr>
   <td>May occur on the scalp, nose, eyebrows, upper chest, behind the ears, under the armpits, in the groin area, or in other skin folds.
   </td>
   <td>Usually occurs on the scalp, but can occur anywhere on the body where hair grows.
   </td>
  </tr>
  <tr>
   <td>Characterized by white and yellow scales, greasy plaques, and reddened skin.
   </td>
   <td>Characterized by tiny white flakes on the scalp and hair.
   </td>
  </tr>
  <tr>
   <td>Likely to cause itching.
   </td>
   <td>May or may not cause itching.
   </td>
  </tr>
  <tr>
   <td>Can cause temporary hair loss if the individual scratches their scalp often.
   </td>
   <td>Can cause temporary hair loss if the individual scratches their scalp often.
   </td>
  </tr>
  <tr>
   <td>Generally considered a severe condition.
   </td>
   <td>Generally considered a mild condition.
   </td>
  </tr>
</table>

## What Are Some Other Causes of Hair Loss?

Depending on the cause of your hair loss, it may be easier or more difficult to treat, while certain types of hair loss are irreversible.

Here are some reasons you may suffer from hair loss:

* **Genetics**: If there’s a history of premature hair loss in your family, you have a higher chance of being affected by it.
* **Alopecia areata**: This disease causes the immune system to attack hair follicles, which then causes hair loss.
* **Scarring alopecia: **This condition causes inflammation that destroys the hair follicles so that hair is unable to grow from them.
* **Cancer treatment: **Chemotherapy and radiation therapy can cause the hair to fall out.
* **Incorrect hair care:** Coloring, perming, relaxing, or wearing hairstyles that tug at your scalp can all result in hair loss.
* **Hormonal imbalances:** Birth control pills and conditions such as polycystic ovarian syndrome (PCOS) can cause hormonal imbalances that lead to hair thinning or hair loss.
* **Infection:** If the scalp develops an infection, hair may be lost in this area.
* **Medication:** Certain medications can cause hair to fall out. If this happens, consult your health care provider.
* Age
* Childbirth
* Illness
* Stress
* Pulling hair.
* Poison.
* A deficiency of protein, zinc, biotin, or iron.

>>__Food For Thought: Can All Hair Loss be Treated?__
>>
>>If your hair loss has been caused by a temporary factor—such as chemotherapy or pulling the hair too tightly—then hair growth typically resumes once these factors are eliminated.
>
>> To help your hair regrow, you can also use hair loss treatments, such as Shapiro MD shampoos or topical treatments like minoxidil.
>
>> However, if your hair loss is a result of cicatricial alopecia (an inflammatory condition that permanently damages the hair follicles through scarring), it cannot be reversed.

## Is There a Cure for Seborrheic Dermatitis?

At the moment, there is no known cure for seborrheic dermatitis. However, with the right treatment regimen, the symptoms can be managed. 

Once your health care provider has ruled out other inflammatory conditions, such as psoriasis, eczema, and rosacea, they may prescribe one or more of the following treatments:

* Shampoos, ointments, and creams that fight inflammation.
* Topical antifungals, like gels, creams, or shampoos.
* Oral antifungal medication.
* A variety of over-the-counter treatments.

Self-care also plays a big role in improving scalp health and minimizing skin irritation. 

While prescription medication and professional medical advice can improve the symptoms of seborrheic dermatitis, there are also a few things you can do at home to keep your scalp healthy. This includes:

* Removing the greasy scales from your scalp by soaking it in mineral oil and brushing your hair out thereafter.
* Washing the skin regularly and thoroughly.
* Avoiding harsh or stripping soaps.
* Avoiding styling products while you’re treating seborrheic dermatitis.
* Using only alcohol-free skin and haircare products.
* Using baby shampoo to gently remove scales from eyelids and eyebrows.
* Shampooing any affected facial hair.
* Sticking to light, cotton clothing.

## What Causes Seborrheic Dermatitis Flare-ups?

There are certain triggers that cause seborrheic dermatitis to return. One or a combination of the following factors can cause seborrheic dermatitis flare-ups:

* Increased stress levels.
* Illness.
* Hormonal changes.
* Soaps.
* Chemicals, such as harsh detergents.
* Certain medications.

## How Can I Treat Hair Loss Associated with Seborrheic Dermatitis?

It’s difficult for hair to grow when your body’s having an inflammatory reaction. 

When you have seborrheic dermatitis, you first need to treat the condition before you can start with hair loss treatment. 

There are a variety of prescription medications, medicated shampoos, and over-the-counter products that can be used to remedy hair loss. 

* Finasteride is a prescription pill for hair loss that’s available to men only. Women cannot take finasteride. Finasteride is proven to help grow more dense hair and slow hair loss.
* Shampoos and Conditioners like those from Shapiro MD, which use natural ingredients that have been shown to fight hormonal hair loss triggers. These patented solutions are great for thicker-looking and healthier hair.
* Topical minoxidil is another great hair loss solution that is FDA approved. It’s available OTC in 2% and 5% concentrations for women and men respectively. Minoxidil has been shown to help hair grow thicker and fuller.

Whether you’re suffering from temporary hair loss following a seborrheic dermatitis flare-up, or you’re looking to combat male or female pattern baldness, there are several prescription and over-the-counter options available.

## What Are the Key Ingredients to Look for In Treatments?

There are a variety of powerhouse ingredients—derived from both nature and science—that can help to remedy hair loss. 

Shapiro MD’s hair loss treatments are rich in some of the most effective natural ingredients for hair loss. By combining the best botanical extracts with modern medicine, we’ve created products that yield fantastic [results](https://main.shapiromd.com/results). 

We use FDA-approved medicines such as finasteride, tretinoin, and minoxidil, as well as natural ingredients like saw palmetto and green tea, to create hair regrowth systems for any hair type.

Among others, we use known DHT blockers in our hair treatment formulations. DHT (dihydrotestosterone) is a hormone that interferes with healthy hair growth. 

It affects the hair’s growth cycle and, in excess, can cause hair loss and balding. Products with ingredients that fight this hormone are great for hair loss treatment.

Listed below are some of the active ingredients used in Shapiro MD’s hair loss treatments:

### Saw Palmetto

Saw palmetto is a powerful botanical extract that inhibits DHT (which obstructs natural hair growth). When DHT is reduced in the body, it can help to regrow hair.

### Green Tea

Epigallocatechin gallate (EGCG) is an effective compound found in green tea that decreases the effects of DHT.

Green tea can also increase blood flow to the hair follicles, supplying them with more nutrients for healthier-looking hair.

### Caffeine

Research has found that caffeine stimulates hair growth, too. Hair products that use caffeine extract can help you grow hair that looks fuller, thicker, and healthier.

### Finasteride

This FDA-approved medication can be used to treat hair loss in men by blocking the enzyme 5-alpha reductase, which causes male pattern baldness. In doing so, it reduces the amount of DHT that the body produces. As you know, DHT is a known hair loss trigger.

Finasteride is effective for most men who try it, but it has to be used consistently for about 3 months before significant results can be seen. 

One [study](https://www.tandfonline.com/doi/abs/10.1080/09546634.2021.1959506?journalCode=ijdt20) found that 1 mg of finasteride per day increased the total hair count of men suffering from hair loss.

At Shpiro MD, we offer[ finasteride](https://main.shapiromd.com/product/finasteride) oral capsules that can be taken on their own or used in combination with [5% Minoxidil](https://main.shapiromd.com/product/minoxidil-finasteride) for even greater results.

### Tretinoin and Minoxidil

Minoxidil is an effective hair loss treatment when used on its own. 

Minoxidil is the only FDA-approved treatment for hair loss in both men and women. 

This drug is shown to slow the balding process and stimulate natural hair growth. It tends to work best in younger people who’ve recently experienced hair loss.

Tretinoin is another ingredient in Shapiro MD’s custom prescription blends that’s shown promise for hair regrowth in clinical studies and is used by dermatologists in private practice. The results are more striking when used in combination with minoxidil. One [clinical trial](https://pubmed.ncbi.nlm.nih.gov/3771854/) showed that tretinoin combined with minoxidil showed better results than tretinoin used on its own. 

## How Do I Regrow Hair After Seborrhea?

If you’ve recently recovered from seborrheic dermatitis and you’d like to explore hair loss treatments that can help you regrow your hair, [Shapiro MD](https://main.shapiromd.com/) can help. 

We have prescription and over-the-counter treatments—from shampoos and conditioners to oral supplements and hair growth kits—to help you repair and regrow hair.

Maybe you come from a family that’s prone to premature hair loss and you want to get ahead of the situation? We also have a range of [hair loss prevention products](https://main.shapiromd.com/products?goal=Hair+Loss%20Prevention) for you to explore.

Read the [reviews](https://main.shapiromd.com/results) from satisfied customers who’ve regrown their hair using our products, and take our free medical hair assessment to find out how you too can get the results you want.

Take our [free hair quiz](https://shapiromd.com/quiz/) to find out which products are best for your situation––to regrow hair and regain your confidence.

![Woman with long hair swirling](//images.ctfassets.net/g7690fvxryk6/7uw0cieHdkRpavpmC6ytur/cf0cd467f49bd48710bd629d299e142e/Woman_with_long_hair_swirling.jpeg)


A woman talking to her doctor about seborrheic dermatitis

Woman talking to doctor

What Is Seborrheic Dermatitis And How Is It Connected To Hair Loss?

Finasteride (brand name Propecia®) is a prescription-only oral medication for treating androgenic alopecia (male pattern hair loss) in men. It is one of the most effective forms of hair loss treatment, and it’s been used for decades by millions of men around the world.

The FDA-approved prescribing label for finasteride indicates that men should take finasteride daily for at least three months before seeing observable results. Sustaining finasteride benefits requires continued use, with dermatological re-evaluations recommended every four to six months.

Finasteride is effective for the majority of men who try it.

## Summary

* Finasteride is an oral, prescription medication for hair loss in men. It is one of the most effective approaches to slowing and reversing  hair loss, and it is the only oral medication approved by the FDA for this indication.
* Finasteride stays in your system for a short time following discontinuation of use--typically three to four days. It reaches peak blood plasma levels in about 2 hours.
* Finasteride needs to be taken continuously, or hair growth will stop and hair loss will begin again. Finasteride may cause side effects involving low libido and erectile dysfunction.

Evaluating the length of time finasteride remains in the body is performed by analyzing semen. A study involving 35 males taking 1mg of finasteride per day for six weeks found that 60 percent of the men _did not_ have detectable finasteride levels in their system after they stopped taking finasteride for several days.

Finasteride also reaches peak levels in the bloodstream (peak plasma levels) after 1 to 2 hours of taking it.

Studies show that the [bioavailability of 1mg finasteride tablets](https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/020788s020s021s023lbl.pdf) is approximately 65 percent. This means that 65 percent of the finasteride contained in one pill is absorbed and utilized by the body. 

Men who have hair regrowth with finasteride but decide to stop taking the medication typically experience a reversal of effects within one year. Although the standard dose of finasteride is 1mg per day, studies have shown that taking [single doses of 70mg](https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=4e07adb4-7807-47d3-b9a9-2332a3047410) to 80 mg per day for three months does not cause adverse side effects. In addition, there have been no instances of anyone overdosing on finasteride.

## How Does Finasteride Work? Mechanism of Action for Finasteride

Finasteride treats male pattern hair loss by preventing the conversion of the androgen hormone testosterone into dihydrotestosterone (DHT). 

The enzymes responsible for converting testosterone into DHT are called Type I 5 reductase and Type II 5 reductase. 

Found mainly in the sebaceous glands, large areas of the skin, the prostate, and hair follicles, these two enzymes can produce excess amounts of DHT that shrink hair follicles and provoke male pattern hair loss.

By decreasing DHT levels in the body and scalp, finasteride enlarges hair follicles while stimulating new hair growth in men with androgenic alopecia. Lowering DHT amounts in the scalp also increases or at least maintains the number of hairs in the anagen phase of hair growth. Although finasteride is most effective in growing hair on the crown of the head, it can also inhibit further hair loss over other areas of the scalp.

Studies reveal that after taking a 1mg finasteride tablet, most men reach 65 percent suppression of circulating DHT levels within 24 hours. 

Additionally, finasteride does not change circulating levels of thyroxine (thyroid-stimulating hormone), cortisol, or cholesterol in healthy men.

## How is Androgenic Alopecia Diagnosed?

Before doctors prescribe finasteride for male pattern hair loss, they will make sure hair loss is not due to other conditions. In some cases, blood tests, skin biopsies, or other tests may be needed to make an accurate diagnosis, though male pattern hair loss is usually the assumed diagnosis for aging men who are showing signs of hair loss. 

Finasteride cannot treat hair loss caused by chemotherapy, severe scalp infections, or alopecia areata.

The primary cause of [male pattern hair loss](https://www.mayoclinic.org/diseases-conditions/hair-loss/symptoms-causes/syc-20372926) is genetics. If there is a family history of androgenic alopecia in a man's family, they likely carry the gene responsible for this specific type of hair loss--a gradual receding of the hairline followed by the development of bald spots and a horseshoe pattern of thinning hair around the head.

## Who is a Good Candidate for Finasteride for Hair Loss?

So you’re asking, “can I take finasteride?”

Finasteride is considered a first-line treatment for male pattern hair loss.  Dermatologists sometimes recommend combining finasteride and other topical solutions like minoxidil or Shapiro MD solutions to enhance the effects of finasteride. 

Nearly [80 percent of Caucasian men](https://onlinelibrary.wiley.com/doi/10.1111/jdv.14624) in the U.S. experience various degrees of male pattern baldness, with most men seeing initial hair loss attributed to androgenic alopecia around age 40. Some begin noticing the classic signs of male pattern hair loss as early as their late 20s--a receding hairline that gradually starts taking a horseshoe shape.

If someone cannot take finasteride or finasteride isn't providing desired results, there are some other options. Minoxidil is a capable and clinically proven hair loss treatment, and natural DHT fighting ingredients like saw palmetto are used in some shampoos and conditioners. Another alternative to treating hair loss is hair transplant surgery. According to the [American Society of Plastic Surgeons](https://www.plasticsurgery.org/cosmetic-procedures/hair-transplantation-and-restoration/candidates), candidates for hair transplant surgery must have enough healthy hair growing on the sides and back of the head to provide donor hair.

## Can Women Take Finasteride?

Currently, the only FDA-approved treatment for hair loss in women (female pattern hair loss) is the topical application of minoxidil. 

Since finasteride has been shown to exert [potentially harmful effects on the fetus or embryo,](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060023/) the use of finasteride for female pattern hair loss is not recommended. 

To address hair loss in women between 20 and 40 years old who do not respond well to minoxidil, researchers have evaluated the efficacy of topical finasteride for women. 

Recently, topical finasteride was used in clinical trials on men with androgenic alopecia and proved to be successful. In addition, a placebo-controlled study involving 24 reproductive-age women found that the group using finasteride showed significantly higher reductions in hair loss than the placebo group. 

This experimental topical finasteride was formulated to eliminate the risk of harm to fetuses, embryos, or reproductive components of women under 40.

## Possible Side Effects of Finasteride for Male Pattern Hair Loss

The most common side effects of taking finasteride include:

* Decreased sexual desire/low libido
* Erectile dysfunction
* Testicular pain
* Depression
* Increased breast size/lumpiness of the male breasts

Some men may have to stop taking finasteride if these side effects severely reduce their quality of life. Side effects quickly subside after discontinuing the use of oral finasteride.

Other side effects are more severe but much rarer. They should always be reported to a doctor immediately. Symptoms like the following may indicate an allergic reaction to finasteride:

* Rash
* Hives
* Itching
* Swelling of the face and/or lips
* Difficulty breathing and/or swallowing

## **Finasteride vs Minoxidil (Propecia vs Rogaine)**

Originally developed to treat refractory hypertension, minoxidil (Rogaine) is now FDA-approved to treat various hair loss conditions. When physicians reported patients receiving minoxidil for hypertension experienced unusual hair growth, the drug was evaluated as a hair loss treatment and approved by the FDA. However, Rogaine has been available as an over-the-counter topical solution since the late 1980s.

Minoxidil is prescribed in higher doses than available OTC for treating the following disorders:

* Androgenic alopecia
* Alopecia caused by chemotherapy
* Alopecia areata
* As a supportive supplement after hair transplant procedures
* Scarring alopecia
* Genetic hypotrichosis/alopecia
* Monilethrix (a rare disorder involving hair shaft defects)

A comparative study probing the efficacy of topical minoxidil and oral finasteride found that [both drugs were safe and effective](https://pubmed.ncbi.nlm.nih.gov/15316165/) for treating mild to severe androgenic alopecia. However, researchers also concluded that oral finasteride was slightly more effective than topical minoxidil. 

## Finasteride for Benign Prostatic Hyperplasia (BPH)

Benign enlargement of the prostate is commonly diagnosed in men over 50 as benign prostatic hyperplasia. BPH can make it difficult for men to urinate and presents symptoms similar to a urinary tract infection (frequent urination, urgency to urinate). Although it is not a serious condition, BPH can interfere with daily activities, such as traveling and going to public places where a restroom is not immediately accessible.

Finasteride reduces prostate size by performing the same chemical actions it performs in people with hair loss--blocking the conversion of testosterone to DTH. In addition, studies show that finasteride works well to improve symptoms of BPH without causing unwanted side effects.

## Final Thoughts

Finasteride is a top tool for dermatologists in combatting hair loss. It’s been shown to slow, prevent, and even reverse hair loss, for more dense hair for most men who try it. 

With Shapiro MD, you can get finasteride prescribed online and delivered to your door, if approved. We help men and women get the right hair loss treatments for their situation, with custom plans and formulas specific to their hair. 

Learn more at [ShapiroMD.com](main.shapiromd.com).

## References

[https://pubmed.ncbi.nlm.nih.gov/20927745/](https://pubmed.ncbi.nlm.nih.gov/20927745/)

[https://medlineplus.gov/druginfo/meds/a698016.html](https://medlineplus.gov/druginfo/meds/a698016.html)

[https://pubmed.ncbi.nlm.nih.gov/15316165/](https://pubmed.ncbi.nlm.nih.gov/15316165/)

[https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=4e07adb4-7807-47d3-b9a9-2332a3047410](https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=4e07adb4-7807-47d3-b9a9-2332a3047410)

[https://www.mayoclinic.org/diseases-conditions/hair-loss/symptoms-causes/syc-20372926](https://www.mayoclinic.org/diseases-conditions/hair-loss/symptoms-causes/syc-20372926)

[https://onlinelibrary.wiley.com/doi/10.1111/jdv.14624](https://onlinelibrary.wiley.com/doi/10.1111/jdv.14624)

[https://www.plasticsurgery.org/cosmetic-procedures/hair-transplantation-and-restoration/candidates](https://www.plasticsurgery.org/cosmetic-procedures/hair-transplantation-and-restoration/candidates)

[https://www.ncbi.nlm.nih.gov/books/NBK482378/](https://www.ncbi.nlm.nih.gov/books/NBK482378/)


Back_of_mans_head

How Long Does Finasteride Stay in Your System?

When it comes to restoring (and maintaining) a full, healthy head of hair, dermatologist and Shapiro MD co-founder Dr. Steven Shapiro believes in keeping things simple. That was a core goal when he set out to make a natural and easy-to-use hair loss solution for patients who came into his dermatology office 20 years ago.

“People needed something they could use topically and as part of their normal routine,” says Shapiro. “It’s been rewarding to develop products that make hair look fuller and thicker without making it this big complicated process.”

One could argue that emphasis on simplicity is what made Shapiro MD the success it is today.

Shapiro MD started with a single cleansing shampoo ([Shapiro MD Shampoo](https://main.shapiromd.com/product/shampoo)) formulated with natural ingredients known for their ability to either reduce hair loss-triggering hormones like dihydrotestosterone (DHT), and/or stimulate dormant hair follicles. 

This hair loss formulation and its companion conditioner ([Shapiro MD Conditioner](https://main.shapiromd.com/product/wash-out-conditioner)), which came a few years later, were made specifically so that Dr. Shapiro’s clinical dermatology patients had something natural they could use easily and _without_ having to change their normal bathing or beauty habits.

But how did he settle on the formula thousands of patients know and love today?

In the early ‘80s, patients had few good or easy-to-use options when it came to preventing or fighting hair loss. Topical minoxidil was still a few years away (approved by the FDA for balding men in 1988 as Rogaine®), and patients were essentially limited to hair transplants. 

Recognizing patients’ frustration, he and partner/co-founder Dr. Michael Borenstein began working on formulas that could help patients maintain and restore the look of full, healthy hair naturally. 

## Does Shapiro MD Work?

Shapiro had read about native people of Central and South America who regularly ingested saw palmetto berries and had seen a variety of health impacts: some good and some bad. 

Based on those findings, he and his team recognized that saw palmetto berry extract was like a naturally-occurring version of finasteride, the only oral medication approved by the FDA for the treatment of hair loss. Finasteride works by inhibiting the enzyme, 5-alpha-reductase, the enzyme that converts testosterone into dihydrotestosterone (DHT). DHT is considered the primary culprit for most men and women with hair loss. The saw palmetto plant is a recognized inhibitor of the 5-A-R enzyme.

In exploring saw palmetto berry extract’s use as a topical DHT-fighting ingredient, Shapiro and Borenstein settled on a unique (and now twice-patented) blend of saw palmetto extract, green tea, and caffeine for the patients in their clinical practice. 

According to published research, all three ingredients have been shown to fight the effects of dihydrotestosterone, along with mechanisms for stimulating the stem cells that control hair follicles. \

“They work very well,” Shapiro said of these botanically-infused formulas. “We’re converting immature hairs into mature hairs and making hair thicker and fuller that way.”  \

Of course, the results speak for themselves. Dr. Shapiro recalls working with a male patient who was so bald, he no longer needed a barber. He told this gentleman to start using his shampoo, and – whenever possible – to leave it on his damp scalp for 20 minutes. 

“Before he knew it, he’d grown enough hair to get his first haircut in three years,” the doctor says. “Then, he had enough hair where he could color his hair. People thought he’d had a hair transplant, and it was just our shampoo.” 

Shapiro says this early patient was one of just many who have benefitted from these advanced formulas.

Today, Shapiro MD is a leader in telehealth, a form of healthcare where patients and doctors communicate online or by phone. On top of its storied original formulations, the dermatology provider now offers a wide range of prescription and nonprescription hair loss formulas to meet patients' unique needs.

These can include minoxidil, finasteride (for men), and custom compounded prescriptions containing a variety of growth-promoting ingredients. Depending on the patients’ specific needs, these formulations may include tretinoin, latanoprost, and higher concentrations of minoxidil, for example, all frequently used in clinical practice but not available without a licensed clinician’s help. 

Shapiro MD is all about creating a one-stop opportunity to treat each patient just like an in-person dermatologist would, says Shapiro. 

## Who is Dr. Steven Shapiro?

Despite the brand’s growth, Shapiro remains intimately involved while maintaining a full schedule at his private practice – a testament to that strong work ethic that has taken Shapiro MD to where it is today. Shapiro received his degree from UMDNJ New Jersey Medical School and completed his residency at the University of Miami School of Medicine. He’s now a faculty member at the Miami school, where he’s taught surgery for 26 years, and he serves as a physician at Gardens Dermatology & Cosmetic Surgery Center in Palm Beach Gardens, Florida. He also serves as team dermatologist for the St. Louis Cardinals.

His goal in every venture is to reflect a holistic, integrative approach to treating hair loss. That original shampoo for which Shapiro MD has become so well-known is still made with those same vetted, natural ingredients. And, these formulas complement other effective medications commonly used by men and women today, like minoxidil, which Shapiro MD includes in their most popular Regrowth Kits, and the oral medication finasteride.

But no matter who’s using these formulas or which formulations they’re working with, the key to hair growth success is to be patient and remember that you’re playing the long game, says Shapiro. 

“People ask how long it takes for Shapiro MD to work, and the answer is it depends on your formula. These are not the types of products you put on at night then run to see what’s in the mirror the next day,” Shapiro says. “Hair takes 6 to 9 months to grow. When you try a hair product, you have to use it for 6 months or more before you see maximum results.”

Consistency is critically important too, he says. “If it's a daily treatment and you only do it once a week, you probably won’t get the full benefits. Just like if you only brush your teeth once a week, you may not get the full benefits of toothpaste,” he laughs. 

“If I can give one piece of advice to every person suffering from hair loss, it’s to look for safe, proven, and quality ingredients and then stick with them,” he continues.

The research supports Shapiro’s claim. Hair loss treatments of all types––even the most potent of prescription medications––consistently require months of continued use for best results. And, many of them demonstrate continued improvement at two, three, and even five years of treatment.

Most people with thinning or balding can see noticeable improvements with continued use, it’s just a matter of time, says Shapiro.

“I’m thankful for every patient that’s trusted us with their hair,” says Shapiro of the Shapiro MD platform. “I’m glad to be able to help so many people, and it’s been incredible to see people excited about their results even far from our clinics here in South Florida.”

[Click here to see the full Shapiro MD lineup and learn more.](https://main.shapiromd.com/products)


Dr Steven Shapiro

Meet the Expert: Dr. Steven Shapiro

We get a lot of questions about Shapiro MD's patented formulations. And truly, we love that our patients are engaged enough to ask! Stopping hair loss and regrowing hair is a journey, and our goal is to be there the whole way to answer your pressing questions.

Here are 6 of the top inquiries we get before men and women start using Shapiro MD.

## #1 Does Shapiro MD actually regrow hair?
The ingredients in the patented Shapiro MD formulas have been shown to counteract the effects of dihydrotestosterone (DHT) ––“the hair loss hormone” –– in numerous research programs. That's precisely why they were selected by founders Shapiro and Borenstein when they first developed these patented formulations years ago.

In practice, what we've found is that users who stick with Shapiro MD for 60+ days of consistent use report thicker-looking and healthier, shinier hair. That’s believed to be due to a precise combination of the DHT fighting ingredients saw palmetto extract and EGCG (another DHT fighter), plus caffeine, which has shown an ability to stimulate growth in hair cells.

Hair loss occurs when your hair follicles become too small and weak to keep producing quality, long hairs, and for most men and women that’s due to DHT’s effects. 

“DHT is believed to be the number one cause of hair loss in men and women,” says Dr. Steven Shapiro. “Inhibiting DHT is a clear path to promoting thicker and more dense hair, shown time and time again in research trials.”

When hair follicles are allowed to thrive in a "normal" environment, by inhibiting the  effects of hormones like DHT, they can keep producing strong and healthy hairs.

In fact, reducing DHT in the body is how the only FDA-approved pill for hair loss, called finasteride, works in men: it reduces how much DHT the body produces. 

Our formulations are designed to fight DHT at the scalp to promote fuller and thicker looking hair.

## #2 Is Shapiro MD safe to use?
Our patented formulates contain naturally occurring ingredients that work to fight DHT and hair follicle miniaturization by DHT. Again, these ingredients were selected precisely because of their natural origin, which was a key intent of Drs. Shapiro and Borenstein when they set out to create new options for their clinical dermatology patients. 

Many of these ingredients have been used for centuries in traditional medicine practices, and our precise blend is intended to optimize their effectiveness on the human scalp.

The result is healthier hair and the appearance of thicker, stronger hair with less breakage. All done with natural and safe ingredients.

## #3 Is Shapiro MD safe to use with color-treated hair?
Yes, absolutely! Our Shampoo and Conditioner were formulated with the many men and women who come into our private practice in mind. Shapiro MD’s blend of all-natural ingredients are perfectly safe to use with color-treated hair.

## #4 Is Shapiro MD safe to use with all hair types?
Shapiro MD works with every type of hair – curly hair, straight hair, wavy, thick, thin, very thin… you name it, Shapiro MD can support healthy and fuller looking locks.

## #5 Why Shapiro MD and not other natural DHT blocking shampoos?
First, with DHT-Blocking ingredients, more does not always mean better.

Shapiro MD features the precise concentrations of proven hair loss ingredients to provide maximum DHT protection. More DHT blocking ingredients (and medications in general) can, in fact, cause a “reverse” effect and actually contribute to hair loss. 

Ibuprofen is a great example of this “too much” phenomenon: 1 or 2 pills can make a headache go away, 20 pills can be fatal. 

Great medicine is all about finding the right balance of effective ingredients.

Dr. Shapiro and Dr. Borenstein spent 10 years finding the perfect combination of ingredients for maximum hair loss effectiveness. Every ingredient is high quality and sourced in the USA. With Shapiro MD, you never have to worry about dangerous chemicals getting mixed in or counterfeit, low-quality ingredients.

## #6 How do I use Shapiro MD for best results? 
The best answer is to follow the directions consistently. 

Every Shapiro MD hair loss formulation comes with specific directions for use. In the case of our patented, hallmark Shampoo and Conditioner, that’s usually once a day or every other day for 3-6 months consistently. 

Consistency is key to success in most facets of life, and hair loss is no different. We recommend new patients try Shapiro MD formulations for 90 days at a minimum, and results are usually seen by 6 months. Additionally, Shapiro MD patients often report continued improvements out to one and two years. Sticking with it is key to great hair.

If you’re curious about what Shapiro MD can do for you, we’ve got options for you. Our natural Shampoo and Conditioner are where it all started, but today Shapiro MD provides all of the most effective hair loss formulations delivered right to your door, including FDA-approved prescriptions, custom topical formulations with clinical-strength ingredients, and tried-and-true density-boosters like minoxidil. 

It’s all fast and affordable, and with Shapiro MD, it’s all online. [Start your journey today with Shapiro MD](https://main.shapiromd.com/).


Woman wondering about Shapiro MD

The 6 Most Common Questions Before Using Shapiro MD

While there are plenty of milestones to anticipate as you grow older –  retirement, becoming a parent, becoming a _grand_parent – it's safe to say that no one looks forward to losing their hair.

It’s also something that men from all walks of life have in common—whether you're a middle-class father or a multi-billion dollar business magnate like Tesla CEO Elon Musk. 

Musk, who now boasts a full head of hair, once had a clear receding hairline and balding scalp. The before and after photos tell the whole story.

Thanks to an undeniable hair transformation though, you might never guess that Elon Musk was once clearly balding. As a result, countless men have looked to Elon Musk as a real-life example of someone who successfully overcame thinning and balding.

But the question remains: how did Elon get that hair back? 

Here's everything you need to know about the mystery of Elon Musk's hair.

## What Is Male Pattern Baldness?

Male pattern baldness, known medically as androgenic alopecia, is the most common type of hair loss affecting men. The majority of men will experience some form of male pattern baldness by the time they reach the age of 50. However, some men begin to show symptoms much earlier, as was the case with Elon Musk.

In the mid-90s, Musk was in his late twenties, and he was already showing signs of male pattern baldness. He was primarily losing hair at the front part of his head and had a visibly receding hairline. In addition, the hair that he still had on the top of his head was beginning to thin noticeably.

<p style="text-align:center">
 <img src="https://images.ctfassets.net/g7690fvxryk6/3vwyLKb1fIe4zRpAnNNiiv/24f7ca492a3e1daf3d3a8334775a573f/Musk_and_Thiel_Early_Days.jpeg" style="max-width:450px;">
  </p>
<p style="text-align:center">
 <img src="https://images.ctfassets.net/g7690fvxryk6/5fvZwaQJDqQ6UNc2y0sWFo/91f89a7fc04c053a95042b3c756b6c6c/Young_Elon_Musk.jpeg" style="max-width:450px;">
  </p>

The image above shows Musk (and his former head of hair) with PayPal co-founder Peter Thiel around the time that Musk was CEO of PayPal.

Because Musk started to lose his hair at a young age, we can speculate that it was likely a result of genetics, a family history of baldness probably diagnosed as androgenic alopecia. 

Genetics are a key  factor in the onset of male pattern baldness. When a man has inherited particular genetic traits (which still aren’t perfectly understood) his hair follicles shrink at a faster rate than normal, largely due to the effects of androgenic hormones.  With time, these hormones — testosterone and dihydrotestosterone – act on hair follicles, causing them to produce shorter and thinner strands of hair. 

Eventually, hair follicles can stop growing new hair entirely.

## How the Transformation Happened

So how did Elon Musk grow his hair back?

<p style="text-align:center">
 <img src="https://images.ctfassets.net/g7690fvxryk6/JDaJqY422fiI5hHBLTztU/7bccd6c4f2fd516f55719583a86f7b68/Elon_Musk_BI.jpeg" style="max-width:450px;">
  </p>
<p style="text-align:center">
 <img src="//images.ctfassets.net/g7690fvxryk6/WXDiqGu3h6E3JBWFHeq9T/712caa01a0d16273705ca27e03bfe11d/Elon_Musk_in_a_tuxedo.jpeg" style="max-width:450px;">
  </p>

No one can deny that Musk's hairline and scalp aren't what they once were...for the better.

Musk now sports a full head of hair, despite having clearly dealt with what may be male pattern baldness in the past. 

Because inherited baldness does not simply improve on its own, Musk likely took steps to improve his condition.

While we don't know exactly which option (or combination of options) transformed Musks’ hairline, there are several possibilities that could have made a difference. 

Here's how Musk might have gotten his hair back.

### 1. Hair Transplant

Hair transplants have come a long way in recent years. What used to be quite an obvious substitution for natural hair – remember those pencil-eraser-sized dots on men’s scalps? — is now a much more advanced invention. Hair transplants are a great option for men who are losing their hair and want to restore it quickly and effectively.

Hair transplants are created using a sample of the donor's real hair from somewhere else on their body. The strands of hair and follicles are then transferred to sparse areas of the scalp, namely the front and top of the head. Surgeons normally sample hair from the back and sides of the head, which typically aren't affected by baldness as quickly for many men as the top and front. 

The transfer  takes place with help from fine, high-tech instruments.

Many men opt for hair transplants because they create natural hair that can continue to grow. Because hair is taken from the person's head, it fits in seamlessly with the rest of their hair, creating a uniform appearance. 

This is one of the key reasons why an Elon Musk hair transplant is a likely scenario. Musk’s hair clearly rebounded from what was quite sparse a decade ago.

### 2. Hair Loss Medications

If Musk never opted for a transplant, a possible alternative is that he used one of a few FDA-approved hair loss medications. Minoxidil and finasteride are both medications approved by the FDA and demonstrated to help grow hair and improve density in multiple clinical trials. They've both been around for decades. 

Finasteride is an oral medication taken once daily to stop the production of dihydrotestosterone, the hormone largely responsible for hair loss and thinning in men with androgenic alopecia. It can reduce circulating DHT by over 60%, which has a profound effect in helping hair bounce back more densely and maintain the existing hairs. Finasteride is also available onlyby prescription.

Minoxidil is a topical medication that, when applied daily, can also help catalyze hair growth, slow hair loss, and thicken the density of hair. It’s proven to work in millions of men and women. Minoxidil is available in most pharmacies and through providers like Shapiro MD.

While these are trusted methods for many men, it’s unlikely that Musk used these medications alone. Hair loss medications like these do not tend to restore hair to the level of thickness that Musk achieved, and they typically don't rescue hair from the sparseness that he once had.

Another important point to keep in mind is that these medications take months to deliver results. If your goal is to get the new and improved version of Elon Musk's hairline, don't expect to see a difference in a matter of hours or days. 

With consistency, however, both can transform men's hair.

__Considering the dramatic changes seen in Elon's hair before and after pictures, it's probably safe to say that he went with a hair transplant.
__
## Which Hair Transplant Did Musk Use?

If you’re dealing with hair loss and wondering how Elon got that hair, you’ve probably done a little research on hair loss and restoration already. 

There are two primary types of hair transplants: a Follicular Unit Transplantation (FUT) and a Follicular Unit Extraction (FUE). 

Both methods follow the same process of transferring a sample of hair from the back and sides of the head to the front and top of the head. When done properly, the result is a full, healthy head of hair that looks as natural as if it actually grew that way.

That said, there are a few differences between these two methods. 

For example, men who undergo an FUT are often left with a visible scar on the back of their head. This is because the surgeon removes a strip of healthy hair from the back of a man's head and transplants it to the areas where balding is present. The scar is often the same shape and size as the strip of hair that was removed.

An FUE follows a different process. There is no strip of hair removed at all during an FUE procedure. Instead, the surgeon works with individual hair follicles before transferring them to balding areas of the head. This is a much more advanced method than an FUT, as it doesn't leave any visible scars and is more seamless when done well.

Because FUEs were not as common  when Elon Musk likely got a hair transplant years ago, it's unlikely that he chose this method, and an FUT is probably more likely. 

These days, however, if you have the means to get an FUE, this is undoubtedly the more effective method for hair restoration.

## Get Your Hair Back Like Musk?

Balding Elon Musk is a thing of the past. 

It's difficult to ignore those before and after photos of Elon’s hair, especially if you’re dealing with hair loss yourself. Between his wealth and that restored hair, Musk may be a compelling role model. If you've been inspired by Musk's transformation, you might be considering your options. And it’s true: a hair transplant is one of the fastest and most reliable methods for addressing existing hair loss.

But that’s not the only path to thicker hair. Hair transplants provide a rapid path to thicker hair, but they have their issues: namely expense and finding the right, qualified provider. 

Depending on the severity of your hair loss, minoxidil and/or finasteride may be a better option. For men who aren’t totally thinned out, these medications are effective at slowing hair loss and even helping to regrow new hair. They work for the majority of guys who try them, and when combined can produce even better results than when used alone. 

Talk to your doctor if you aren't sure what’s the right choice for you. A dermatologist can help you rule out  other possible causes of male pattern baldness, such as stress or an underlying medical condition. 

Elon Musk hair

Elon Musk's Hair Transformation Mystery: How Did Musk Get That Mane?

A shrub-like plant that grows naturally in southern U.S. states and Central America, the saw palmetto (_Serenoa repens_) gets its name from its sharp spines surrounding  palm-like leaves. Saw palmettos are popular garden plants in southern coastal states that produce long, showy leaves, yellow flowers, and grape-like fruits.

Extracts of these saw palmetto berries have become a go-to as a natural ingredient to fight hair loss triggers in men and women, both topically and orally. 

Does saw palmetto work for hair loss?

Taken orally, saw palmetto supplements have not been FDA-approved for medical conditions. However, supplements with saw palmetto extracts are common on health food store shelves for a few reasons.  Ongoing research indicates that _Serenoa repens_ likely provides some benefits for the following:

* Prostate enlargement (benign prostatic hyperplasia)
* Improving urinary flow by reducing water retention
* Mild thyroid disorders
* Polycystic ovarian syndrome
* Chest congestion (expectorant)
* Stimulating appetite
* Headaches/migraines

Saw palmetto [fruits are rich in phytosterols and fatty acids](https://www.mskcc.org/cancer-care/integrative-medicine/herbs/saw-palmetto) that are responsible for most of this plant's medicinal properties. Clinical trials involving subjects taking hexanic extract (a saturated fatty acid vital to human and plant metabolism) have provided results showing saw palmetto may offer anti-inflammatory and [anti-androgenic properties](https://pubmed.ncbi.nlm.nih.gov/25312251/), to begin.

It’s this anti-androgenic capability that gives saw palmetto its allure in hair loss. For the same reason, saw palmetto is also one of several popular herbs possibly providing therapeutic effects for prostate enlargement and early-onset prostate cancer.

Saw palmetto berries contain phytosterols and flavonoids conducive to prostate cancer inhibition as well as fatty acids beneficial to overall health. It also may treat urinary tract issues resulting from enlarged prostates and recurring infections as well as asthma and bronchitis.

It’s worth noting the lack of peer-reviewed studies investigating benefits or side effects of eating raw saw palmetto fruit; however, Native Americans continue to [eat raw saw palmetto berries](https://www.healthline.com/nutrition/saw-palmetto#what-it-is) for their diuretic, anti-congestion, and general nutritional properties.

What drives saw palmetto’s use in hair loss and other medical conditions? Let’s explore.

## What is Androgenic Alopecia?

Androgenic alopecia (male and female pattern baldness) is estimated by the [National Library of Medicine](https://medlineplus.gov/genetics/condition/androgenetic-alopecia/#frequency) to affect over 50 million men and nearly 30 million women in the U.S. Some men may begin to experience signs of androgenic alopecia in their 20s if there is a history of male pattern baldness in their families. Women tend to notice significant hair loss after menopause due to low estrogen and higher testosterone levels. 

Studies suggest variations in genes play a critical role in the development of androgenic alopecia, and these genes trigger a susceptibility to androgenic hormones (sex hormones). The AR gene, for instance, "instructs" other genes in the production of androgen receptors, specific sites on cells that respond accordingly to hormones like testosterone and dihydrotestosterone (DHT). 

Researchers think that the hair follicles of men and women with the AR gene see increased inhibitory activity from sex hormones like testosterone and dihydrotestosterone that interferes with the normal progression of hair growth. This is why medications that reduce these androgens in one way or another are effective in treating hair loss. 

Researchers have concluded that the mechanism of action by which saw palmetto may increase hair growth is similar to how finasteride (the only oral medication approved by the FDA to treat hair loss) decreases dihydrotestosterone levels, and thus DHT’s affect on hair follicles. Both affect the 5-alpha-reductase, an enzyme that leads to more DHT in the body. 

### What Does Science Say About Saw Palmetto for Hair Loss?

A study involving 28 women and 34 men with androgenic alopecia had  subjects apply topical saw palmetto extract to their scalps for three months. Researchers reported a [35% increase](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2840915/) in subjects' hair density and a 67% reduction in scalp sebum.  Having an excessively oily scalp is a risk and contributing factor in hair loss.

Another study involving 10 men with androgenic alopecia who took saw palmetto for one year found that seven of the 10 subjects (70%) [reported improvement](https://www.liebertpub.com/doi/abs/10.1089/107555302317371433) in hair growth.

At the 13th Annual Meeting of the European Hair Research Society, doctors presented evidence that adding just 0.5 percent of [saw palmetto extract to ketoconazole](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2840915/#CIT3) shampoo provided better results for people with pattern hair loss than ketoconazole shampoo without saw palmetto extract.

A comprehensive [systematic review](https://www.karger.com/Article/PDF/509905) of research studies regarding saw palmetto for hair loss found the following results:

* Use of topical lotions containing saw palmetto improved hair count in subjects after 10 weeks (17% improvement) and 50 weeks (27%). No adverse side effects were reported.
* Hair thickness and hair mass improved significantly in another study involving adults with androgenic alopecia compared to a placebo. At 10 weeks, researchers reported a 20% improvement in hair mass and thickness. At 50 weeks, researchers reported a 30% increase in mass and thickness.
* When one group was given oral supplements of saw palmetto and another group used finasteride daily for 24 months, researchers discovered that 52% of the saw palmetto group experienced "stabilization of androgenic alopecia." 

In addition, chemical analysis of [saw palmetto extract](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2840915/) shows that the plant's phytochemicals consist of:

* Sterols
* Fatty acids
* Carotenoids
* Tannin
* Beta sitosterol

All of these substances, especially beta sitosterol, are beneficial to hair regrowth due to androgenic alopecia. Included in the sterol compound group, beta sitosterol not only has anti-inflammatory properties but also seems to [block DHT](https://pubmed.ncbi.nlm.nih.gov/12006122/) from disrupting the normal function of hair follicles.

## Does Saw Palmetto for Hair Loss Cause Side Effects?

Saw palmetto in capsule or oral form has a higher likelihood of side effects compared to topical. 

The most common side effects reported by individuals taking saw palmetto supplements in capsule form is stomach ache or nausea that may be relieved by eating something. However, saw palmetto is contraindicated for people taking certain medications.

Saw palmetto may interact adversely with the following medications:

**Estrogen pills or patches** (the anti-hormone effects of saw palmetto could counteract the ability of estrogen medications to increase estrogen in women)

**Birth control pills/birth control implants** (may decrease the effectiveness of birth control products containing estrogen)

**Hormone replacement therapy products** (some HRTs combine estrogen with progesterone. Saw palmetto may also prevent an HRT product from raising levels of both progesterone and estrogen)

**Antiplatelet and anticoagulant drugs**. (saw palmetto may increase bleeding risks in people who take warfarin, aspirin, NSAIDs and other blood-thinning medications for medical problems)

For topical saw palmetto, there’s the possibility that shampoos or lotions containing saw palmetto could irritate skin in people sensitive to one of the many phytochemicals found in plant leaves and fruit.

Adults who are considering saw palmetto oral supplements for treating medical conditions should always talk to their doctor about possible side effects and the safety of taking saw palmetto with other medications not mentioned here.

## How Should You Take Saw Palmetto for Hair Loss?

We see this question a lot: should I take oral or topical saw palmetto for hair loss? 

Do saw palmetto supplements grow hair? 

Topical saw palmetto extracts and formulations containing these ingredients have demonstrated an ability to aid in hair growth, and because they’re topically applied, the risk of systemic issues is much lower. In fact, the safety of saw palmetto applied topically is precisely why Drs. Shapiro and Borenstein included this potent DHT fighting extract in their patented [Shapiro MD Shampoo and Conditioner](https://main.shapiromd.com/products). 

Saw palmetto capsules, meanwhile, are available at most pharmacies and department stores in the dietary supplement section. In [adults taking between 320 mg and 960 mg](https://www.webmd.com/vitamins/ai/ingredientmono-971/saw-palmetto) daily for three years, no serious side effects have been reported.

A review of popular oral saw palmetto supplements finds:

* Some saw palmetto supplements contain biotin to support hair health and growth. Supplements offering both saw palmetto and biotin might provide as much as 1000 mg of saw palmetto and 1000 mg of biotin. A lack of biotin can contribute to hair, skin, and nail problems. Biotin is necessary to activate cell growth, metabolize amino acids and fats, and create essential fatty acids in the body.
* Saw palmetto capsules are often advertised as "DHT blockers" for men with prostate issues, and can contain 1200 mg of saw palmetto extract or more. 
* Capsules combining saw palmetto with a wide variety of herbal supplements are available for prostate health and even hair growth for men and women. Herbal additives include ashwagandha root, nettle leaf, green tea, maca root, and turmeric curcumin root, all of which are recognized for some sexual health claims.

Due to the unregulated nature of supplements and the fact that many of these ingredients are not FDA-approved, saw palmetto supplements taken by mouth may not be the first place you should look.  

## Find Out How Saw Palmetto Can Work For You

Our natural and patented Shampoo, Conditioner, and unique Foamers all contain saw palmetto alongside other DHT-fighting and hair-stimulating ingredients, like caffeine and EGCG. They were first developed over ten years ago as a hair loss solution for men and women in Dr. Shapiro’s clinical practice who wanted something easy to use that they could start immediately.  

These formulas were designed for simplicity, to help people dealing with hair loss get thicker-looking, healthier hair at home. 

If you're looking for natural hair loss formulations, [Shapiro MD is a great plae to begin.](https://main.shapiromd.com/products)

## References
https://www.mskcc.org/cancer-care/integrative-medicine/herbs/saw-palmetto
https://pubmed.ncbi.nlm.nih.gov/25312251/
https://www.liebertpub.com/doi/abs/10.1089/107555302317371433
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2840915/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2840915/#CIT3
https://www.karger.com/Article/PDF/509905
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2840915/
https://pubmed.ncbi.nlm.nih.gov/12006122/


Saw palmetto berries

Everything To Know About Saw Palmetto For Hair Loss

There's no definitive age when men should expect [hair loss](https://newsinhealth.nih.gov/2017/08/missing-strands), but the older you are, the more likely you'll experience thinning.

And while it’s true that most men experience some loss of hair thickness as they get older, male pattern baldness can really begin at any age. 

When you may start losing your hair, and how much, depends largely on genetics.

## Hair Loss and Age

Hair loss in men is[ extremely common](https://www.americanhairloss.org/men_hair_loss/introduction.html) and we do have some idea of the frequency of hair loss based on age.

* Almost 25% of men begin losing their hair before the age of 21
* By age 35, the number increases to almost 66%
* After reaching age 50, almost 85% of men will experience it

[Genetics](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5308812/) are the single most influential factor when it comes to hair loss. As a result, it can be hard to pinpoint exactly when, or even if, you should expect hair loss.

Traditionally, it's been said that baldness comes from the mother’s _father_, since male pattern baldness genes have been identified on[ the X chromosome](https://genetics.thetech.org/ask-a-geneticist/balding-genetics), which is inherited from the mother. 

However, hair loss is more complicated than a single gene and involves other factors, including genes inherited from the father. It’s possible to experience hair loss at a totally different rate (earlier or later) than what other male relatives of yours have experienced. But, most men who see hair loss on either side of their family are at some risk themselves.

## How To Know If You’re Balding

It’s typical for guys to shed between[ 50 and 100 hairs](https://www.aad.org/public/diseases/hair-loss/insider/shedding#:~:text=It's%20normal%20to%20shed%20between,this%20condition%20is%20telogen%20effluvium.) a day, so hair loss daily doesn’t necessarily mean that you're going bald.  Here's a list of common signs of balding:

### Your Hair is Thinner

[Male pattern baldness](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4812885/) can affect men in a variety of ways, but generally the first signs are a receding hairline or thinning at the crown. 

One of the tell tale signs is hair thinning around the temples, creating a prominent “widow’s peak” that will begin to resemble the shape of the letter M. However, it may come from the other direction. Starting with a bald spot at the crown, thinning may begin to move forward on your scalp as it grows larger. 

In some cases, hair loss doesn’t start at the hairline or the crown, but will develop steadily and diffusely across the head. This is one of the hardest patterns of hair loss to identify and is sometimes known as “[invisible balding](https://www.foxnews.com/lifestyle/whats-invisible-baldness-6-warning-signs-you-may-be-at-risk).” 

By the time hair loss is noticeable, it’s often too late to treat. The best way to identify if your hair has changed is by comparing it to old photos of yourself or talking with your usual barber about changes they might have noticed. 

### More Hair is Falling Out Than Usual, and It’s Taking Longer To Replace

Your scalp contains over 100,000 hairs so losing the normal 100 hairs each day shouldn’t be a concern. This is a natural part of the[ life cycle of hair](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4755418/) as your hair follicles grow, pause, and then shed. 

Over time it’s possible that you might be shedding more hair than you’re growing. If you notice an increasing amount of hair on your pillow, brush, or in the shower drain, it could be an early sign of hair loss or thinning. 

Additionally, if you’ve started to notice that you need fewer hair cuts every year, that’s another sign. The normal growth cycle for hair lasts anywhere between[two and six years](https://www.ncbi.nlm.nih.gov/books/NBK513312/#:~:text=The%20anagen%20or%20growth%20phase,stage%20of%20a%20hair%20follicle.), at the end of which it will shed the hair in order for a new hair to grow in its place.

One of the results of hair loss is that the growing phase of hair is reduced while the shedding and dormant phase is increased. If your hair seems like it’s taking a longer time to grow than it did before, you might be in the early stages of hair loss. 

### Your Scalp is Frequently Itchy

While an itchy scalp isn’t typically a sign of male pattern baldness, it can be a sign of other conditions that contribute to hair loss. Some of these may include a buildup of [sebum (oil)](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2835893/) on your scalp, or skin conditions such as[ folliculitis, psoriasis](https://www.ncbi.nlm.nih.gov/books/NBK547754/), or[ seborrheic dermatitis](https://www.ncbi.nlm.nih.gov/books/NBK551707/). 

In some cases, frequent scratching may cause damage to the hair follicles and encourage fallout. 

If you’re frequently dealing with an itchy scalp, consider talking to a [dermatologist](https://shapiromd.com/quiz/). They may be able to diagnose why your scalp is so itchy and prescribe treatments to clear it up before any permanent damage is done. 

## How To Stop Thinning Hair

If you’re experiencing male pattern hair loss, there are ways to stem the loss and increase hair growth. The most popular and effective treatments include:

### **Finasteride**

[Finasteride](https://medlineplus.gov/druginfo/meds/a698016.html#:~:text=Finasteride%20comes%20as%20a%20tablet,part%20you%20do%20not%20understand.)> is a prescription medication that's classified as a[ 5-alpha-reductase inhibitor](https://www.ncbi.nlm.nih.gov/books/NBK555930/#:~:text=The%205%2Dalpha%20reductase%20inhibitors,(male%20pattern%20hair%20loss).). 

One of the main reasons for baldness in men is the hormone [dihydrotestosterone](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459338/#:~:text=DHT%20is%20the%205%CE%B1%2Dreduced,in%20prostate)%2C%20are%20minor.), or DHT. This hormone causes hair follicles to shrink, eventually resulting in the follicle not producing new hair anymore. 

The enzyme 5-alpha-reductase (naturally present in your body) converts testosterone, the hormone that influences overall sex drive, into DHT.

By blocking this conversion, finasteride can help to prevent further hair loss and may even be able to stimulate new growth. 

Finasteride is a prescription for men only.

### **Minoxidil**

Available as both a liquid or a foam,[ minoxidil](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691938/) is rubbed onto the scalp twice daily and can help to reduce further hair loss. In fact, most men who try minoxidil report positive results using this formulation, though it seems to be most effective in men who still have hair to keep versus those that have already lost their hair. 

It’s unclear exactly how minoxidil prevents hair loss, but experts believe it’s related to an increase of blood flow where the medication is applied. This increase in blood flow provides oxygen and nutrients to the nearby hair follicles, which helps to stimulate growth or prevent further hair loss. 

Due to their different mechanisms for preventing hair loss, when minoxidil and finasteride are used together, the results can be even better than just using one alone.

Minoxidil is available for both men and women.

### **Low Level Laser Therapy**

[Low level laser therapy](https://pubmed.ncbi.nlm.nih.gov/30706177/) (LLLT) is an FDA cleared way to treat hair loss with a medical device. These devices come in the form of a brush or comb that you simply run through the scalp, or as a cap that you can wear. They emit a constant red LED light that can not only reduce inflammation, but also increase blood flow to the hair follicles and support hair growth or density.

Multiple research studies have proven the effectiveness of all three of these approaches. A[ 2017 analysis of studies](https://pubmed.ncbi.nlm.nih.gov/28396101/) found that minoxidil, finasteride, and LLLT were all superior to placebo in regrowing hair, and the researchers concluded they were all effective for promoting hair growth even in men experiencing male pattern baldness.

### **Shampoos and Conditioners**
Shampoos and conditioners like those from Shapiro MD contain natural ingredients selected for their DHT-fighting abilities like saw palmetto berry extract and green tea. These [formulations](https://main.shapiromd.com/products) are patented and all-natural, to provide thicker-looking and healthier hair with minimal changes to your normal bathing routine.

## **Conclusion**

While there is no exact age that men start experiencing hair loss, it often becomes apparent in your 30s. Most men will experience some level of hair loss by the time they're 85. Genetics and inherited traits will dictate the exact details and timeframe of your hair loss.

Proper treatment can help you keep the hair you have and even grow new hair. [Get minoxidil, finasteride, and more delivered to your door (if prescribed) today.](https://main.shapiromd.com/products)

## References

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2835893/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2835893/)

[https://www.aad.org/public/diseases/hair-loss/insider/shedding](https://www.aad.org/public/diseases/hair-loss/insider/shedding#:~:text=It's%20normal%20to%20shed%20between,this%20condition%20is%20telogen%20effluvium)

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459338/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459338/#:~:text=DHT%20is%20the%205%CE%B1%2Dreduced,in%20prostate)

[https://www.ncbi.nlm.nih.gov/books/NBK555930/](https://www.ncbi.nlm.nih.gov/books/NBK555930/#:~:text=The%205%2Dalpha%20reductase%20inhibitors,(male%20pattern%20hair%20loss))

[https://medlineplus.gov/druginfo/meds/a698016.html](https://medlineplus.gov/druginfo/meds/a698016.html#:~:text=Finasteride%20comes%20as%20a%20tablet,part%20you%20do%20not%20understand)

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

[https://pubmed.ncbi.nlm.nih.gov/28396101/](https://pubmed.ncbi.nlm.nih.gov/28396101/)

[https://www.ncbi.nlm.nih.gov/books/NBK551707/](https://www.ncbi.nlm.nih.gov/books/NBK551707/)

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3875997/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3875997/)

[https://www.foxnews.com/lifestyle/whats-invisible-baldness-6-warning-signs-you-may-be-at-risk](https://www.foxnews.com/lifestyle/whats-invisible-baldness-6-warning-signs-you-may-be-at-risk)

[https://www.ncbi.nlm.nih.gov/books/NBK513312](https://www.ncbi.nlm.nih.gov/books/NBK513312/#:~:text=The%20anagen%20or%20growth%20phase,stage%20of%20a%20hair%20follicle)

[https://pubmed.ncbi.nlm.nih.gov/30706177/](https://pubmed.ncbi.nlm.nih.gov/30706177/)

[https://www.americanhairloss.org/men_hair_loss/introduction.html](https://www.americanhairloss.org/men_hair_loss/introduction.html)

[https://www.ncbi.nlm.nih.gov/books/NBK547754/](https://www.ncbi.nlm.nih.gov/books/NBK547754/)

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4755418/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4755418/)

[https://genetics.thetech.org/ask-a-geneticist/balding-genetics](https://genetics.thetech.org/ask-a-geneticist/balding-genetics)

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4812885/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4812885/)

[https://newsinhealth.nih.gov/2017/08/missing-strands](https://newsinhealth.nih.gov/2017/08/missing-strands)

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5308812/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5308812/) 


Portrait smiling man in his 30s

When Does Hair Loss Start? Knowing the Average Age for Men

Approved by the U.S. FDA for use in over-the-counter shampoos and body washes, pyrithione zinc is highly effective in treating scalp dandruff(seborrhea) and seborrheic dermatitis. 

What is pyrithione zinc though? 

Pyrithione zinc is composed of zinc ion and a derivative of aspergillic acid called pyrithione. Found in abundance in the human body, [zinc ion](https://pubchem.ncbi.nlm.nih.gov/compound/Pyrithione-ZINC) plays a critical role in gene transcription and enzyme activity. As a topical medication, pyrithione provides anti-seborrheic, antifungal, and antimicrobial benefits for treating a variety of skin and scalp disorders.

It’s commonly found in, and popularized by, over-the-counter dandruff shampoos like Head & Shoulders and Selsun Blue. That tell-tale blue tint to these shampoos? That’s pyrithione zinc! Dozens of studies have shown pyrithione zinc to be safe for use as a topical agent. 

The idea that pyrithione zinc causes cancer may stem from guidance not to ingest this potent dandruff-buster. Ingestion of zinc pyrithione may cause severe gastrointestinal disorders that require emergency treatment. Additionally, pyrithione zinc has not been tested in pediatric patients. 

Here’s the skinny. 

## Pyrithione Zinc Does NOT Cause Cancer

There are no peer-reviewed studies published by any academic journal that indicate pyrithione zinc causes cancer. On the contrary, some studies demonstrate that pyrithione zinc has anti-carcinogenic properties that may even treat certain types of cancer.

A _[Molecular Oncology](https://pubmed.ncbi.nlm.nih.gov/26115765/)_ report investigating the response of oral cancer cells to pyrithione zinc (PYZ) discovered that PYZ is the "most effective agent for inhibiting proliferation of cancer cells" in animal studies. The authors of the study suggest PYZ should be further evaluated as a strong anticancer treatment for oral squamous cancer.

Reviews of studies involving the efficacy of [zinc pyrithione as an anti-cancer agent](https://pubmed.ncbi.nlm.nih.gov/28086217/) reveal clinical results supporting anti-tumor and cytotoxic effects against cancer cells. In addition, PYZ has been shown to inhibit the growth of cancer cells in bone marrow and lungs.

Does that mean you should use PYZ for cancer? 

Despite apparent capabilities in fighting cancer cells, pyrithione zinc has not been tested for this purpose in controlled clinical trials in humans. The evidence is preliminary, but it suggests PYZ is unlikely to cause cancer.

## What Does Pyrithione Zinc Treat?

**Seborrheic Dermatitis**

A commonly diagnosed inflammation of the upper skin layers, seborrheic dermatitis presents as symptoms like itchy, red skin that sheds flakes or silvery scales - dandruff. Sometimes, this scaly rash may be yellow and develop behind the ears, around the nose, and in skin creases. Outbreaks of seborrheic dermatitis are usually attributed to cold or dry weather, hormonal changes, or genetics.

Cradle cap in infants is a type of seborrheic dermatitis that typically resolves itself by the time children are six months old. Seborrheic dermatitis in adults is called dandruff. Men and women with excessively oily hair and/or skin are at the greatest risk for developing dandruff.

Shampoos containing pyrithione zinc 1% are often recommended to clear up seborrheic dermatitis of the scalp. Some dandruff shampoos with PYZ may also contain ketoconazole (brand name Nizoral) an antifungal medication that also treats athlete's foot and ringworm.

Two types of scalp fungi--_M. restricta_ and _Malassezia globosa--_are responsible for most dandruff cases. Treating dandruff with PYZ [decreases fungal growth](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232817/) on the scalp and stops flaking and scaling.  Although people have been using these shampoos to eradicate dandruff for decades, scientists still haven't pinpointed the mechanism by which pyrithione zinc prevents fungal growth. However, they believe it has something to do with the ability of pyrithione zinc to "starve" fungi by inhibiting the production of iron salt, a substance necessary for fungi to continue proliferating on the scalp.

Although a shampoo with PYZ works well to reduce inflammation and scaling associated with mild to moderate dandruff, studies show that combining PYZ with ketoconazole works even better to prevent the reoccurrence of chronic seborrheic dermatitis.

**Androgenic Alopecia (Male or Female Pattern Baldness)**

Although finasteride and minoxidil are standard treatments for androgenic alopecia, called male or female pattern baldness, [a study involving 200 adult men](https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2133.2003.05435.x) with MPB who used pyrithione zinc shampoo 1% and minoxidil 5% for nine weeks resulted in a significant increase in their total hair counts compared to a placebo group. In addition, a group using pyrithione zinc shampoo only also showed increased hair counts but at a slightly lower number than the PYZ/minoxidil group.

Doctors know that zinc plays a key role in repairing and growing new hair tissue and supporting the proper functioning of follicle oil glands.  Zinc is also needed by the body to produce keratin, a protein vital to maintaining healthy hair shafts, nails, and skin. Men with mild hair loss attributed to male pattern baldness may benefit from using a pyrithione zinc shampoo regularly.

## Percentages of Pyrithione Zinc Available

A prescription from a physician or dermatologist is not needed to purchase products containing pyrithione zinc. All the following products are available over-the-counter in most grocery stores or pharmacies:

* **Shampoo**: 0.25%, 1%, and 2%
* **PYZ lotion or cream**: 0.25%
* **Conditioner**: 0.25%
* **Soap bars**: 2%

Individuals who have never used PYZ before should consider starting with skin products containing 0.25% to determine how their skin reacts to pyrithione zinc. If skin does not become irritated, the concentration can then be increased, if needed.

## Pyrithione Zinc Side Effects

In extremely rare instances, individuals using topical PYZ may experience serious side effects due to having a previously unknown pyrithione zinc allergy. Signs of a PYZ allergic reaction include:

* Hives/blisters
* Peeling skin
* Difficulty swallowing
* Difficulty breathing
* Wheezing
* Feeling of tightness in the throat and/or chest
* Swelling of the tongue, lips, throat, or face

Emergency treatment for a pyrithione zinc allergy involves the administration of antihistamines or epinephrine to reduce tissue swelling and suppress the immune system response to allergens in PYZ.

Some people who aren't systemically allergic to PYZ may develop contact dermatitis, a more mild type of allergic reaction affecting the skin only. Symptoms of allergic contact dermatitis include oozing blisters that crust over, severe itching, burning, redness, swelling. Doctors typically prescribe topical steroids to treat contact dermatitis.

## Does Pyrithione Zinc Treat Acne?

Some [zinc compounds](https://onlinelibrary.wiley.com/doi/pdf/10.1111/ics.12463) may help reduce acne outbreaks by reducing inflammation and inhibiting sebum production. Two topical zinc compounds--zinc gluconate and zinc sulfate--are often prescribed for treating moderate to severe acne vulgaris. However, pyrithione zinc is not commonly recommended for acne since it provides mostly anti-fungal benefits rather than antibacterial benefits.

Zinc oxide is another zinc compound that can help reduce acne and, in some people, works better to eliminate dandruff than PYZ. Zinc oxide also provides sun protection and may help delay signs of skin aging by promoting collagen production and new tissue growth. Zinc oxide creams and lotions also keep the skin hydrated by attracting and retaining water molecules.

Pyrithione zinc has been safe and effective in millions of men and women over the last decade years. It’s available in over-the-counter formulations for dandruff control primarily, and no peer-reviewed research has shown a link to cancer. 

Dandruff? Consider pyrithione zinc-containing solutions.

## References

[https://pubchem.ncbi.nlm.nih.gov/compound/Pyrithione-ZINC](https://pubchem.ncbi.nlm.nih.gov/compound/Pyrithione-ZINC)

[https://onlinelibrary.wiley.com/doi/pdf/10.1111/ics.12463](https://onlinelibrary.wiley.com/doi/pdf/10.1111/ics.12463)

[https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2133.2003.05435.x](https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2133.2003.05435.x)


Best shampoo for dandruff, containing pyrithione zinc

Man washing hair with pyrithione zinc shampoo

Does Pyrithione Zinc Cause Cancer?

You’ve seen them advertised online and on late-night TV, and you’ve always wondered if they actually work. 

I’m here to tell you that laser combs and laser caps are the real deal when used consistently. 

They work for hair growth in both men and women; they’re easy to use; the science is supportive; and laser combs and laser caps can improve  density.

Here’s the scoop. 

## What is a Laser Comb for Hair Growth?

Approved by the U.S. FDA in 2007 for treating male-pattern and female-pattern baldness (androgenic alopecia) and alopecia areata (spot baldness), laser combs use low-level laser technology (abbreviated LLLT) to encourage hair regrowth. 

LLLT therapy uses “biostimulatory” light energy at specific wavelengths that have been found beneficial and safe for hair follicles and skin. Because of their safety and efficacy profile, laser combs are FDA-approved for treating androgenic alopecia or alopecia areata. 

The research on LLLT is encouraging: laser combs can help accelerate hair growth. 

## Does Laser Hair Growth Work?

Hundreds of studies have proven that near-infrared laser light or red laser light supports the regeneration and repair of damaged tissues while [LLLT therapy](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3944668/) stimulates cellular metabolism. 

Medical devices providing these two types of laser therapies emit laser energy wavelengths between 500 and 1100 nm, which is considered the "optical" window for tissues.

Joint pain relief, accelerated wound healing, regeneration of impaired nerves, and reducing side effects of cancer radiation therapy are just some of the medical conditions that LLLT has been effective in treating. 

In addition, the evidence showing that laser combs can help stimulate hair regrowth has been clinically validated and scientifically explained. 

Laser light therapy works.

When LLLT therapy is directed at hair follicles, the laser energy activates and prolongs certain phases of the hair growth cycle that are conducive to longer hair growth. Scientists think that LLLT stimulates mitochondria activity in cells to increase cellular energy. This process triggers the rapid production of proteins that, in turn, increase oxygen levels in tissues. Some research on laser hair growth also suggests that LLLT therapy for baldness raises [nitric oxide levels](https://onlinelibrary.wiley.com/doi/pdf/10.1002/lsm.22170) around hair follicles. Nitric oxide (NO) is a vasodilator that widens blood vessels to allow blood to flow more freely to targeted areas.

Academic [reviews of studies](https://www.karger.com/Article/PDF/509001) involving the effectiveness of laser hair combs have also found that LLLT:

* Generates anti-inflammatory antioxidants and molecules
* Stimulates hair follicles into transforming _vellus_ ("peach fuzz") facial hair into terminal (darker, thicker) hairs
* Accelerates the division of skin cells to continuously repopulate skin and follicle with healthy cells
* Stimulates dormant hair follicles in the final stage of hair growth to “reboot” and start producing new hair faster

## How Do You Use a Laser Comb?

Using a laser comb is similar to combing your hair. Before applying LLLT to your hair follicles, wash, dry, and comb out your hair to remove tangles. Next, plug in the comb and turn the comb on if it has an on/off switch. Some laser combs turn on automatically once they are plugged in.

Some combs have specific instructions, and it’s important to read your product’s manual and warnings before use.

There is generally no need to wait for the laser comb to warm up. Position the comb on top of your head so that it’s lying flat against the scalp. Hold the laser comb in that position for four seconds, or until the laser comb tells you four seconds have elapsed. Some combs are not equipped with notification alarms so you may have to count the seconds. Some combs may have differing time periods too.

Keep moving the laser comb over your scalp every four seconds. Make sure the comb touches all areas of the top, sides, and back of your head. Laser comb manufacturers provide detailed instructions with their devices. You can usually safely use a laser comb three times a week. Application sessions typically take about 20 minutes. In addition, manufacturers provide different sizes of comb teeth to accommodate different degrees of hair loss and hair thickness.

The majority of people using laser combs for hair loss report seeing visible results after three months of consistent applications.

### Do Laser Combs Cause Any Side Effects?

Side effects of laser combs are usually mild and temporary. Common side effects include:

* Dry skin
* Scalp sensitivity and irritation
* Slight burning or prickly sensations
* Hives (rare)

The first several LLLT therapy sessions may produce one or more of these minor issues but they tend to resolve themselves within two to three weeks of using a laser comb.

## What is a Laser Hair Growth Cap?

Laser hair growth caps are approved by the FDA for treating androgenic alopecia and alopecia areata. 

Resembling a small helmet or cap, a laser hair growth cap fits over your head and automatically delivers LLLT therapy to all of your hair follicles at once. Caps come with rechargeable battery packs generally, so there's no need for you to remain near an electrical outlet.

Made of lightweight, plastic material, laser hair growth caps are sometimes packaged with pieces of foam padding you can place underneath the cap to create a custom fit. While wearing the cap, you can do most daily activities as long as those activities don't cause the cap to move around on your head. 

Laser hair growth cap manufacturers recommend wearing the cap for 25 minutes every other day for at least six months. However, some companies that make laser caps claim their caps produce results in as little as 12 weeks. 

Given the length of each hair growth phase, it’s likely that you’ll see better outcomes by wearing it for a longer period of time. 

Many people prefer laser caps to laser combs because they can be used on the go or while sitting around watching TV or otherwise. They also require no effort on the part of the user. Because they part the hair as they go, combs may be able to get their LLLT further down through the bed of hair depending on your hair thickness.

## Laser Combs/Laser Caps vs Finasteride and Minoxidil

Finasteride (Propecia) is a prescription medication that stimulates hair regrowth in men with androgenic alopecia. It’s the only oral medication approved by the FDA.

A primary reason for hair loss associated with androgenic alopecia involves excess dihydrotestosterone (DHT) in the person's bloodstream. DHT is a derivative of testosterone that contributes to damaging hair follicles and causes hair loss. It’s believed to be the key factor in male and female pattern baldness. 

Finasteride reduces DHT in the body to promote hair growth and follicle health. However, since finasteride specifically treats hair loss attributed to excess DHT, it will not work for people who have lost hair due to medical conditions or chemotherapy. Finasteride is not safe for use in women.

Minoxidil (Rogaine) is available as an over-the-counter treatment for hair loss. A vasodilator that was first doctor-prescribed for high blood pressure, minoxidil is thought to promote hair growth by increasing blood flow and oxygen to hair follicles. It’s been available over-the-counter (OTC) for hair growth in men and women for about 30 years. It’s effective and safe for most people.

Finasteride and minoxidil have shown in studies good results in producing thicker, more dense hair.

What’s better: laser caps or finasteride and minoxidil? 

Finasteride can cause side effects in men that include:

* Headache
* Erectile dysfunction/reduced libido
* Male breast growth
* Depression

Minoxidil can cause side effects in men and women that include:

* Skin rash/itching/irritation
* Reddened skin
* Prickling or burning sensations on the scalp
* Feeling of soreness at hair roots

A few individuals who start taking finasteride or minoxidil will find they must discontinue the use of treatment due to worsening side effects. 

A viable alternative to pattern baldness medications is laser hair growth combs or laser hair growth caps. Neither the laser hair growth cap nor the laser comb requires a prescription and side effects from LLLT therapy for hair growth are minimal to none.

**Here’s the thing: these medications and LLLT can also work synergistically. To give your follicles their best shot, many dermatologists recommend combining minoxidil with laser cap use.**

## Does Laser Hair Growth Work for Everybody?

Like minoxidil, finasteride, and other hair loss treatments, laser caps or laser combs are most likely to provide great results for men and women with mild to moderate hair loss. 

When androgenic alopecia or alopecia areata has progressed past the moderate stage to large bald patches, doctors may recommend more aggressive approaches for late-stage pattern baldness, like custom topical formulas. 

The clinicians at Shapiro MD can help. We carry all of the most effective medications and hair growth solutions, including our own laser cap, finasteride, minoxidil, and our own patented shampoo and conditioner formulas.

[Learn more and get started with our short hair quiz today.](https://shapiromd.com/quiz/?affid=shapiromdblog)


Couple happy with their hair

Do Laser Combs Actually Work? The Science on Laser Light Therapy

Despite the natural expectation of hair loss as we get older, a lot of men dread the moment when baldness truly begins to appear.

It announces to the world––always sooner than we’d like––that we’re not as young as we used to be.

So what causes hair loss in men, why does it happen earlier than women, and is there anything men can do to slow the process?

## What Are The Symptoms of Hair Loss?

According to one recent study, [80% of men](https://pubmed.ncbi.nlm.nih.gov/32066284/) start losing their hair by 80 years old. It’s darn near inevitable. 

In many cases, the most obvious symptom is excessive shedding. However, men who keep their hair relatively short might not immediately notice an excess of hair in the drain or a brush. In fact, some men fail to realize they’re thinning or balding until someone points it out.

### Thinning

Hair loss generally leads to thinning of the hair before bald spots become obvious. Men most commonly experience thinning around the hairlines and temples first. When men have long hair and it begins to thin in the middle, it can take some time to become apparent.

### Circular Patches

Hair also often falls out in specific areas. When this happens, you might begin to notice circular spots or patches of hair that are showing early signs of balding. Beards can sometimes become susceptible to this type of baldness. 

### Scaling of the Scalp

Sometimes, the circular patches become itchy and begin to scale over. This happens more commonly in children, but men are not immune. It can be a sign of ringworm or psoriasis and shouldn’t lead to permanent hair loss.

## What Are the Main Patterns of Baldness?

One way to spot baldness early is to know the specific patterns to look for. There are four main types:

1. **Bitemporal regression:** This pattern of balding appears as thinning or receding of the hairline at the temples.
2. **Frontal baldness**: This involves thinning of the hairline that starts at the front.
3. **Vertex baldness:** In this type of baldness, a patch develops at the top or center of the head. This is the most common balding pattern that comes to mind for most people.
4. **Full baldness:** Some men eventually progress to this stage, while others might notice from the start that their entire head of hair thins and not just specific spots.

## What Causes Hair Loss in Men?

Scientists and medical professionals have spent decades trying to narrow down the causes of hair loss in men. 

The truth is that losing hair itself not usually the problem. Everyone loses hair constantly, up to 100 strands per day. 

Baldness becomes a problem **when new hairs no longer regenerate quickly enough or at full length and thickness**. The good news is that hair loss doesn’t have to be permanent.

### Genetics

Most men who experience thinning and balding can blame genetics. A 2016 study found that 80% of male baldness results from genetics. If there are other men in your family who have experienced baldness, the risk of you experiencing hair loss increases too. 

Caucasian men also face the highest risk of going bald. In contrast, Native American, Black and East Asian populations tend to have a much later onset of baldness, if at all.

### Hormones

Hormones are, in some ways, responsible for hair loss in most men. The genetic component of baldness is actually a predisposition to your follicles being susceptible to “androgen” hormones. These are the typical sex hormones testosterone and dihydrotestosterone, a downstream product of testosterone (T). 

This genetic susceptibility is known as androgenic alopecia.

Over time, T and DHT binding to hair follicles in these men leads to shrinking, stunting, and even the death of hair follicles. It’s occurrence later in life is thought to be the result of these hormones working on the hair follicles for such a long period of time––consistently over years or decades.

### Stress

Hair loss in men is a common cause of depression and low self-esteem. This can increase stress levels. Ironically enough, that can in turn [speed up the hair loss process](https://pubmed.ncbi.nlm.nih.gov/15304082/#:~:text=Stress%20has%20long%20been%20implicated,%2Ddamaging%20pro%2Dinflammatory%20effects.). The good news is that hair loss caused specifically by stress might not be permanent, and removing or alleviating key stressors (like financial situations or work) can result in hair returning or thickening within months.

### Medications

One of the most alarming side effects of certain medications for some patients is hair loss. Drug-induced hair loss occurs when medications [inhibit the hair regeneration cycle](https://pubmed.ncbi.nlm.nih.gov/27280198/). Most people make a full recovery from hair loss caused by drugs once they switch or stop taking the offending medication. Here are some of the medications to watch out for when protecting the health of your strands:

* Immunosuppressants
* Azole antifungals
* Anticancer agents
* Lithium
* Interferon

### Medical Conditions

Hair loss is often classified as a health condition on its own, but there are other conditions that can trigger hair loss as a symptom. Depression and cancer are the two health conditions most commonly associated with hair loss. While depression itself can trigger hair loss, it’s often chemotherapy treatments for cancer that leads to hair loss. Autoimmune conditions can also lead to or contribute to hair loss.

### Scalp Disorders

Some diseases of the skin or scalp can wreak havoc on hair growth and retention. These are [some of the most common conditions](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369642/) you should ask your dermatologist about:

* Dandruff and seborrheic dermatitis
* Atopic dermatitis
* Scalp aging
* Psoriasis

### Lifestyle Choices

Smoking can lead to premature aging of the skin, which includes the scalp. Cigarette smoke can also [damage the DNA of hair follicles](https://pubmed.ncbi.nlm.nih.gov/12673073/), which hinders the process of healthy hair regeneration. One study in Taiwan shared a similar finding of a [higher prevalence of hair loss](https://pubmed.ncbi.nlm.nih.gov/18025364/) among men who smoked.

## How Can Men Slow or Stop Hair Loss?

Hair loss is inevitable for a majority of men, but prioritizing self-care can help delay an early onset, slow the speed of balding, and reduce its severity. 

An important fact to note is that while there are several products on the market that can help to prevent further thinning, early intervention is key. It’s easier to keep the hair follicles you have than to put old ones back into grow mode. This increases the urgency with which you need to make a decision.

### Coverage

Women often wear extensions to thicken or lengthen their hair, and men can do the same. Professionals can create these hair fillers and treat the scalp so that the final result looks natural. Hair transplants are expensive, but they provide a more permanent solution.

### Oral Treatments

Men are lucky about one thing when it comes to hair loss: finastereide is the only oral medication approved by the FDA for hair loss, and it’s only for men. Finasteride 1 mg daily, originally available as branded Propecia, is one of the most effective hair loss solutions out there. It works by inhibiting the production of the 5-alpha-reductase, an enzyme that turns testosterone into DHT. As DHT is a key hormone in androgenic alopecia, reducing it in the body can aid in thicker hair and even new hair growth. Finasteride can reduce DHT in the body by over 60%.

Finasteride is available by prescription only. Shapiro MD can help you get finasteride online, if appropriate.

### Topical Treatments

Minoxidil is another effective option for most guys. Patients who used minoxidil to manage hypertension in the 1960s noticed rapid hair growth. Researchers pivoted and eventually developed a topical formulation that helped men keep and grow thicker hair. Minoxidil 2% and 5% are both effective for men.

It was eventually approved by the FDA and today is available without a prescription from providers like Shapiro MD. It’s easy to use, applied to the scalp just twice daily, and it can work in as little as 120 days.

### Antifungal and Antibiotic Treatments

If hair loss is caused by fungal growth such as ringworm, antifungal treatments can resolve the issue. Most men regrow their full head of hair once the fungal infection has been taken care of. In some cases, antibiotics may be prescribed to treat other related conditions that cause hair loss.

### Shampoos, Conditioners, and Haircare Formulations

Some shampoos and conditioners have been formulated specifically for hair loss. These often contain ingredients like ketoconazole, saw palmetto extract, caffeine, coconut oil, certain mint extracts, and green tea extracts. Saw palmetto and EGCG (an extract of green tea), are both DHT suppressors, while ingredients like caffeine and mint extracts can invigorate blood flow at the scalp.

## How Shapiro MD Can Help

At Shapiro MD, we help you find the right solution for your situation. 

Looking for natural solutions? We have that. Ready for powerful prescriptions? We have that too. 

Our licensed clinicians work closely with you to create a personalized prescription formulation, if appropriate, and our patented shampoos and beauty products are some of the most effective on the market. It’s all shipped right to your door. 

It [begins with our free hair quiz](https://shapiromd.com/quiz/?affid=shapiromdblog).

## Sources

1. [https://pubmed.ncbi.nlm.nih.gov/32066284/](https://pubmed.ncbi.nlm.nih.gov/32066284/)
2. [https://www.ncbi.nlm.nih.gov/books/NBK278957/](https://www.ncbi.nlm.nih.gov/books/NBK278957/)
3. [https://pubmed.ncbi.nlm.nih.gov/27280198/](https://pubmed.ncbi.nlm.nih.gov/27280198/)
4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369642/

Hair Loss Causes and Definitions in Men

The average human loses [between 50 and 100](https://www.health.harvard.edu/a_to_z/hair-loss-a-to-z) scalp hairs every day. It’s not uncommon to find a few littering your shower drain, for example, and your hairbrush can hold on to a few too.

If, by contrast, your sink starts to look like you’re sharing a bathroom with Bigfoot, it may be time to talk to your doctor about hair loss. It’s often the first thing men and women notice when genetic hair loss starts to set in.

In most cases, hair loss in men and women is called androgenic alopecia or pattern baldness, the term for a genetic predisposition to certain hormones (testosterone and DHT) weakening and damaging hair follicles over time. 

Prevention is paramount when it comes to preserving your hair, and effective solutions exist that can help slow, stop, and even reverse your hair loss. Here are nine signs of hair loss to look for if you think you’re shedding more strays than you should. Some of these signs of hair loss are obvious…some less so.

## 1. Small Patches of Smooth Skin on Your Scalp

If you find a circular spot of bald skin on your scalp, it may be the work of [alopecia](https://www.niams.nih.gov/health-topics/alopecia-areata) areata, an autoimmune disease that causes hair loss. These spots often go unnoticed until they’re about the size of a quarter. In many instances, the affected area may be itchy or feel painful prior to the hair falling out. This type of hair loss may affect the eyebrows and beard as well.

While there’s no cure for alopecia areata, it often goes away on its own. Still, it’s imperative that you speak with a dermatologist pronto. Typically, alopecia areata only affects a few small patches of skin, but it can lead to more significant hair loss. There are several treatments that your doc may suggest to kickstart the hair regrowth process, and because this is an autoimmune condition, it could require help from a rheumatologist.

## 2. Thinning Eyebrows

They say that the eyes are the windows to your soul. Mentioned far less frequently is the fact that your eyebrows can be a window to your scalp. Spot hair loss or thinning in your eyebrows and it may suggest you’re losing hair–or could lose hair–elsewhere, too.

A little thinning is common with age, but if you suddenly go from Eugene Levy to searching for an eyebrow pencil, speak to a dermatologist. Two of the main causes of eyebrow hair loss are alopecia, other inflammatory or autoimmune issues, and thyroid disorders.

## 3. Iron Deficiency

A lack of iron can lead to hair loss in men and women of all ages, and here’s why: Your body uses iron to make hemoglobin. Your blood uses hemoglobin to deliver oxygen throughout your body, like the world’s tiniest Uber. One of the stops on that route includes the cells that make your hair grow. No iron, no tiny blood-oxygen Uber.

Hair loss due to iron deficiency often looks like female- and male-pattern baldness. You may notice more hair than usual tangled up in your brush or your shower drain, for example. In more severe cases, you may find bald patches on your scalp. Fatigue and shortness of breath are also common symptoms of iron deficiency, so be sure to mention those to your doctor if you experience either.

Fortunately, hair loss due to low iron is usually temporary. One way to reverse its course is to add more iron-rich foods to your diet, as well as foods that are full of vitamin C, which helps your body absorb all that iron more effectively. Avoiding heat styling tools and hair products containing harsh chemicals can also prove helpful. Ultimately, your doctor can provide the best treatment plan after first confirming that you’re iron deficient via a simple blood test.

## 4. Thyroid Trouble

If it seems like your thyroid is ground zero for a motley crew of health issues, it’s because it is — and one of them is hair loss. Both hypo- and hyperthyroidism can cause your hair to fall out.

Talk to a dermatologist or endocrinologist if you suspect your hair loss involves your thyroid. Note any changes in your mood, weight and/or energy levels, and be sure to mention them at your appointment. As with iron deficiency, your doctor will use a blood test to confirm that your thyroid is the culprit and discuss treatment options from there.

## 5. Stress

Your body and mind are more connected than you might realize. When you’re on an emotional roller coaster or navigating a protracted and stressful situation such as a divorce or the death of a loved one, emotional and mental pain can [morph](https://www.apa.org/topics/stress/body) into physical pain and suffering. If you stop eating well or sleeping regularly, for example, your entire body suffers — including your scalp. Stress hormones contribute to weakened hair growth, poor immune function, and more.

If you suspect that stress is behind your hair loss, don’t wait to talk to a health professional. He or she can evaluate your stressors and formulate a treatment plan to prevent or reverse hair loss, depending on your unique situation.

## 6. Tight Hairstyles

Think you're losing your hair? Your braids may be to blame. Ditto for your bun or another tight hairstyle. This goes double if you spot hair loss around your frontal hairline and temples. When braids and other hairstyles are regularly worn too tight, they tug at your hairline. After a while, that never-ending pull can cause your hair follicles to give up and abandon ship.

This type of hair loss, called [traction alopecia](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5896661/), can be permanent, though you’ve got to be pulling pretty severely for traction alopecia to occur. It’s important to speak with a dermatologist promptly. He or she can propose treatment options to stop the hair loss’s progression ASAP.

## 7. A Bigger Forehead

Frontal fibrosing alopecia may sound like a quirky spell from the “Harry Potter” universe, but in truth, it’s another form of alopecia that causes hair loss at the frontal hairline. In this instance, your immune system thinks the hair follicles framing the top half of your face are trying to attack, so it forces them out.

Since alopecia can be an inflammatory condition, your dermatologist can determine the best course of treatment to reduce inflammation and slow the hair loss behind your expanding forehead. If left untreated, hair loss generally worsens with time.

## 8. A Wider Part

It doesn’t matter if your part is off to the left, off to the right, or straight down the middle of your scalp: when you start noticing a wider gap, it may signify hair loss — especially if you’re a woman. Female signs of hair loss are often easiest to spot along the line where you part your hair, as the individual hairs there thin and shrink, allowing more and more scalp to peek through. If your ponytail seems slight or your hair becomes finer, these may also be signs of [female-pattern hair loss](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684510/).

Fortunately, modern medicine offers a variety of treatment options for this type of loss. Talk with your dermatologist to see if your part predicts a thinner-haired future.

## 9. An Extremely Itchy Scalp

When your scalp feels like it’s on fire and that fire is covered in ants and those ants are wearing jalapeño-wool booties, you’re likely experiencing some sort of inflammation. That particular inflammation is likely psoriasis.

Psoriasis and similar inflammatory skin conditions can cause painful, scaly and super-itchy patches on your scalp. The bad news is that, if left untreated, they can make your hair fall out. The good news is that psoriasis is typically easy to diagnose, and there are several types of treatment that your dermatologist may suggest.

Whether you have a mountain of curls or a tight faux hawk, early detection is key to preserving your hair. Waiting typically only leads to a smoother scalp. If you’ve begun to notice signs of hair loss, Shapiro MD can help. We provide all of the most effective prescription and non-prescription medications for hair loss, delivered to your door. 

It begins with an online quiz to find the right plan for you. If prescription formulations are a good fit, our online consultations are fast and free, done from the comfort and convenience of your own home. [Get started by clicking here.](https://shapiromd.com/quiz/?affid=shapiromdblog)

## Sources

[https://www.health.harvard.edu/a_to_z/hair-loss-a-to-z](https://www.health.harvard.edu/a_to_z/hair-loss-a-to-z)

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

[https://www.apa.org/topics/stress/body](https://www.apa.org/topics/stress/body)

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5896661/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5896661/)

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684510/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684510/)


hair and a brush on counter

9 Things To Look For When You Suspect Hair Loss

If you’re struggling with a receding hairline, baldness or thinning hair, you’re certainly not alone. 

Twenty-five percent of American men notice [hair loss](https://www.americanhairloss.org/men_hair_loss/introduction.html) by the age of 21, according to the American Hair Loss Association, and 85% experience it by the time they reach 50. [Women](https://www.americanhairloss.org/women_hair_loss/introduction.html) are also affected and account for 40% of Americans experiencing hair loss.

Fortunately, prescription and non-prescription medications can help. Topical minoxidil is a common treatment for men and women, and many men take finasteride, the only pill approved by the FDA for male pattern hair loss. 

Of course, those are only a small sampling of the options available to individuals with thinning hair. In fact, it’s become extremely common to use fullness-boosting shampoos and conditioners to compliment these medications, and the right hair loss shampoos and conditioners pair well with these medications to promote that healthier head of hair. After all, you wash your hair anyway; why not use a formula that can help prevent and reverse the appearance of hair loss?  

Here are recommendations on ingredients and reasons to check out shampoos for hair loss.

## What Causes Hair Loss?

The two most common causes of hair loss are [heredity and age](https://www.aad.org/public/diseases/hair-loss/causes/18-causes). It’s all in your genes.

Most men and women dealing with hair loss have a condition known as androgenic alopecia. This means their hair follicles have a genetically-predisposed sensitivity to androgen (sex) hormones like testostereone and dihydrotestosterone (DHT). DHT, a hormone present in both men and women, is largely to blame for most hair loss.

In both cases, hair follicles start to shrink and eventually stop growing new hair as DHT “acts” on them throughout your life. While this happens generally as we age, it’s really the genetic predisposition that causes the sensitivity in the first place. Hair loss can also be caused by poor circulation, inflammation, or the buildup of sebum (your skin’s natural oils) in your scalp. 

Other hair loss culprits include poor nutrition, which can rob your hair of the nutrients it needs to grow. Excessive heat styling and chemical hair care products can also damage your hair and stunt healthy growth.

The good news is, early treatment can slow the rate of hair loss  and even help you _regrow_ thinning hair. In order to find the appropriate treatment, it’s important to identify the external or internal culprits that are causing you to lose hair. 

Do Hair Loss Shampoos Work?

Specialty shampoos can help fight hair loss in various ways. Many include ingredients  shown to fight those harmful hormones and increase blood flow in your scalp. Other ingredients moisturize and strengthen the hair shaft or clear away whatever is clogging hair follicles. 

According to the Mayo Clinic, hair loss shampoos can be [effective at slowing hair loss](https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-treating-hair-loss/) and facilitating the regrowth of hair, particularly if you start using a quality formulation at the first sign of the problem.

However, these products need to be used regularly and given sufficient time to work. To find the best shampoo for hair loss, it’s important to identify what’s causing your problem. 

## What Ingredients Work in Hair Loss Shampoos?

Hair loss shampoos made from natural and clinical-strength ingredients can treat inflammation on the scalp or damage to the hair follicle and help hair grow again. 

Some work to block the effects of the DHT hormone, while others are intended to improve blood flow and clear debris from the scalp. 

Here are the most effective ingredients found in some of the best shampoos for hair loss.

### Aloe Vera

Aloe vera helps nourishes your scalp to create a more optimal environment for healthy hair growth. Its anti-inflammatory properties take care of issues at the scalp and help to normalize pH levels. The enzymes in aloe vera can stimulate growth by opening hair follicles and pores.

### Argan Oil

Argan oil is a common ingredient in many haircare products, and for a good reason. It moisturizes the scalp and hair and can repair damaged strands. This makes it a particularly effective solution for hair loss caused by chemical or heat damage. Argan oil can also improve blood circulation and support more balanced hormone levels, making  it easier for your scalp to regrow hair.

### Biotin

Biotin is one of the B complex vitamins that does double duty for those suffering from hair loss. Not only does it strengthen your hair follicles, it also increases the elasticity of strands, preventing excessive breaking and splitting

### Caffeine Extract

Just like your morning coffee gives you a jolt of energy, caffeine stimulates the scalp and hair follicles, helping new strands grow at a faster pace. It also opens up your hair follicles so they better absorb topical products to give you maximum results. If your hair loss is caused by poor circulation at the scalp, topical caffeine is your best friend. It boosts blood flow to supply the cells in your hair follicles with the nourishment they need to thrive. There’s also evidence that caffeine is effective at blocking the action of the DHT hormone. This is especially beneficial to those in the early stages of hair loss.

One 2018 [study](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804833/) found that a topical hair loss solution containing caffeine achieved almost the same hair growth results as a 5% minoxidil over a 6-month period. 

### EGCG

Another effective shampoo ingredient for blocking DHT is epigallocatechin gallate, an extract from green tea. This extract, which is also known as EGCG, can block the hormone from forming and keep it from binding to hair follicles. It also helps prolong the length of your hair’s natural growth phase, and soothes your scalp with its anti-inflammatory properties.

### Ketoconazole

Ketoconazole controls microflora on the scalp thanks to its strong anti-fungal and anti-inflammatory properties. This provides hair follicles the nourishment they need to grow hair again. At higher concentrations, ketoconazole is available by prescription only, but you can also find this ingredient at 1% concentrations in non-prescription shampoos. 

### Red Clover

The anti-inflammatory actions of red clover can help reduce irritation in your scalp and may help to prevent DHT from harming healthy hair follicles. This helps slow down hair loss while giving your hair a stronger, more voluminous appearance overall.

### Rosemary

Rosemary speeds up hair growth by strengthening the roots, boosting circulation and even treating dandruff. It’s also an effective tool for relieving stress. Many users report that this pleasant fragrance relaxes them as they shampoo.

### Saw Palmetto

While saw palmetto has been used in folk medicine for centuries, it’s recently become a common ingredient in specialty hair cleansers. It’s a fruit extract from berries containing antioxidants that can help eliminate inflammation. But more importantly, saw palmetto is a DHT blocking ingredient. By reducing the body's production of DHT when ingested, and preventing DHT from acting on hair follicles when applied topically, saw palmetto is a key ingredient to look for in hair loss shampoos.

But saw palmetto isn’t suitable for everyone. Physicians generally advise women who are pregnant, breast-feeding, or trying to conceive to refrain from using formulas containing saw palmetto

### Tea Tree Oil

Tea tree oil is another common shampoo ingredient. Its natural antiseptic and anti-fungal properties help clean your scalp by  removing buildup that may be stunting hair growth. That includes hair styling products as well as sebum and dirt.

Adding a shampoo containing one or more of these helpful ingredients to your hair care routine can help you fight that receding hairline, thinning hair, or bald spot.

At Shapiro MD, we were conscious to include DHT-fighting ingredients like saw palmetto, EGCG, and caffeine in our popular shampoo and conditioner. These formulas were created specifically for ease-of-use and effectiveness, and over 300,000 men and women have used Shapiro MD Shampoo and Conditioner to fight visible hair loss and achieve fuller-looking hair. We also help men and women get prescription and clinical-grade formulations from the comfort of home through our online consultation process. It’s fast, easy, and affordable. [Start your hair regrowth journey today by clicking here.](https://shapiromd.com/quiz/?affid=shapiromdblog)

### Sources:

https://www.americanhairloss.org/men_hair_loss/introduction.html

https://www.americanhairloss.org/women_hair_loss/introduction.html

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

https://main.shapiromd.com/blogs/how%20to%20block%20dht

https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-treating-hair-loss/

https://www.healthline.com/health/ketoconazole-shampoos

https://pharmaceutical-journal.com/article/news/how-minoxidil-was-transformed-from-an-antihypertensive-to-hair-loss-drug

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

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3262531/

https://softerhair.com/natural-shampoos-that-support-hair-growth/

https://main.shapiromd.com/ingredients


A man looking for the best shampoo for hair loss

Man selecting shampoo bottles

What’s In The Best Shampoos for Hair Loss?

One of the main causes of hair loss is androgenic alopecia, or a genetic predisposition to hair loss, also known as male or female pattern hair loss. Hair loss is quite common, especially among men, but some [reports](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7648777/) even suggest that hair loss rates are rising, by as much as 5% each year. 

Currently, the only [FDA-approved medications](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7648777/) for the treatment of androgenic alopecia are minoxidil and finasteride. Topical minoxidil formulations are available for over-the-counter use without a prescription, while finasteride is a once-daily oral pill for use in men only. Both are effective, but because minoxidil does not require a prescription, it’s often where men and women start when dealing with patchiness or thinning. 

It’s also effective for most men and women who try consistent, regular use of minoxidil.

Knowing how to use minoxidil properly is important to safely and effectively achieving your desired hair regrowth. 

## What You Should Consider Before You Use Minoxidil 

Androgenic alopecia is how most men and women experience hair loss: a general thinning that often begins at the crown or hair line for men, and a broader thinning or widening of the part line for women.

While androgenic alopecia is a common cause of hair loss, especially in men, there are other reasons for hair loss or thinning that minoxidil may not be able to address, or where it may be unsafe to use. 

Do not use topical minoxidil in the [following](https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=857b9644-009b-6f66-e053-2991aa0af011) situations: 

* Your hair loss is associated with childbirth.
* You are under 18 years of age.
* You experience sudden and/or non-pattern hair loss.
* You currently have an inflamed, infected, or irritated scalp.
* You are using another topical scalp medication. 
* Your reason for hair loss is unknown or sudden. 
* You are pregnant and/or are breastfeeding. 

Understanding the cause of your hair loss before selecting topical minoxidil can be helpful, otherwise this medication may not be ideal for your situation. Sudden hair loss can suggest other underlying medical conditions, including auto-immune issues, and if your scalp is already irritated, minoxidil may make sensitivities worse.

Because oral minoxidil was originally prescribed to lower blood pressure, take caution if you are diagnosed with some types of heart disease. While topical minoxidil does not have a significant effect on blood pressure, you may want to consult with your cardiologist before using this medication in case it interacts with your current drug regimen. 

## When Topical Minoxidil Should Be Used

Topical minoxidil can be an effective treatment choice for many manifestations of hair loss, thinning, and patchiness in both men and women. 

It has been shown to have effectiveness in hair loss beyond androgenic alopecia as well, and [off-label use](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691938/) of topical minoxidil is common in the treatment of hair loss, including: 

* Alopecia areata 
* Chemotherapy-induced alopecia
* Scarring alopecia

Keep in mind that the use of topical minoxidil for these conditions has not been approved by the FDA. In other words, not enough adequate clinical trials have been performed to definitively show the safety and efficacy of minoxidil in treating these specific conditions.

Still, minoxidil is a go-to for many manifestations of hair loss.

## What Topical Formulations of Minoxidil Are Available

Minoxidil is most commonly known as Rogaine®, which was the name under which it was originally branded. Today, minoxidil is a generic drug, meaning that many manufacturers make it and at lower prices than ever.

Both 2% and 5% strengths exist in liquid solutions and aerosol foam formulations. Minoxidil is approved for use in men at a 2% concentration and a 5% concentration. It is approved for use in women at only 2%.

Because many hair regrowth products are available today, look for minoxidil listed under the "active ingredients" section on a medication’s label to be sure you have the right product. 

The [directions](https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=857b9644-009b-6f66-e053-2991aa0af011) for minoxidil use can differ depending on the topical formulation you select. 

### Directions for Minoxidil Liquid Solution

For a basic liquid solution, apply 1 ml using the dropper provided, twice each day. Only apply it to areas of hair loss on the scalp. Do not apply the solution to other body parts. Wash your hands thoroughly after applying. 

### Directions for Minoxidil Aerosol Foam 

When using a minoxidil foam, apply one-half a capful to the area of hair loss on the scalp twice each day. Only apply minoxidil foam to the scalp area. Massage the foam directly into the scalp with your fingers and wash your hands thoroughly after each application.

Do not apply to other areas of your body. Consider using gloves during application to avoid unnecessary exposure to your skin. Because the contents are under pressure, do not puncture or heat the aerosol container. Properly store at room temperature and keep the container away from flames. 

### Important Considerations for Minoxidil

Whichever formulation you choose, keep in mind these pointers for safe and effective minoxidil use:

Avoid direct exposure to eyes. In the event of contact with your eyes, rinse your eyes with large amounts of cool water. If irritation occurs despite proper cleansing, seek medical attention. 

Continued use is necessary to maintain hair regrowth. Discontinuation of use can result in hair loss occurring again. 

Hair regrowth takes time. Results may not show up for two months and it can be upwards of four months for some users. 

Using extra amounts of medication more frequently is not likely to speed up results or cause increased hair regrowth. Only use the amount of minoxidil intendted on your medication box. 

Topical minoxidil may not work for all men and women, and the amount of hair regrowth is variable.

Change in hair texture and/or color may occur in some people. 

If either formulation is ingested, especially with children, seek medical attention or contact your local Poison Control Center immediately. 

## How Fast Does Minoxidil Work?
Minoxidil can work in as little as 60 days, and the benefits of this ingredient can continue to grow for 12-24 months. Most people should try consistently using minoxidil for 90 to 120 days at a minimum. 

If you stop using minoxidil, your hair loss may resume. 

## When You Should Stop Using Minoxidil 

Knowing when to discontinue the use of topical minoxidil is just as important as understanding when to initiate this medication. Although this medication has shown for the past [30 years](https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2133.2004.05785.x?sid=nlm%3Apubmed) to produce significant hair regrowth in many people, there are times when it may not be the right fit. Stop using this medication and talk to your doctor if any of these symptoms occur: 

* You develop chest pain, faintness, dizziness, or increased heart rate. 
* You suddenly lose weight for no apparent reason.
* Your scalp becomes irritated or red after use. 
* You begin to grow new facial hair. 
* Your hands or feet begin to swell. 
* Your scalp shows no signs of hair regrowth in four months. 

## How To Determine If Topical Minoxidil Is for You 

While the mechanism for minoxidil's role in hair loss is not fully understood, the medication has been shown to contribute to increased hair regrowth, increased hair follicle thickness, and decreasing the rate of hair loss in people with androgenic alopecia. Minoxidil's place in the treatment of this issue is clearly supported by research

Depending on your personal situation, it may be best to support topical minoxidil with other supplements or oral medications to achieve the maximum amount of hair regrowth. For men, finasteride and minoxidil can be a powerful combination for more dense, thicker hair, if prescribed. Getting enough protein and eating a healthy diet can support hair growth, and looking out for vitamin or mineral deficiencies is key to giving your body the nutrition it needs. Natural ingredients may help too, like the DHT fighting ingredients in Shapiro MD’s all-natural shampoo and conditioner, for healthier and shinier hair. 

At Shapiro MD, we understand all kinds of hair loss and want to help you in your hair regrowth journey. Get started by taking our [free hair quiz](https://shapiromd.com/quiz/). Our experienced team of healthcare professionals can guide you to a treatment plan for your situation.

## Sources

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=857b9644-009b-6f66-e053-2991aa0af011

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

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

https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2133.2004.05785.x?sid=nlm%3Apubme


How to use minoxodil

How To Properly Use Topical Minoxidil

Hats are fun. Hats can be functional. Hats are easier than doing your hair. We wear them as a fashion statement, to keep the sun off our faces, and to keep our heads warm. But maybe you’ve noticed some hair thinning or patchiness recently, and you’re starting to wonder about hats and hair loss.

Your first instinct might be to hide that thinning dome under a hat, but is that making matters worse? Does wearing a hat contribute to hair loss?

## Does Wearing Hats Cause Hair Loss?

Fact: You may be shedding hair, but it isn’t likely due to your love of hats. 

The research does not support  the idea that hats cause hair loss in any appreciable amount.

It's possible that wearing a super-tight hat could cause reduced blood flow to your hair follicles, at least hypothetically. If this happens, the stress to the follicles may cause hair to fall out. However, this would likely be a temporary outcome, at least at first, possibly becoming permanent over time if you didn’t stop wearing the tight hat. 

In reality, it isn’t likely most people  wear a hat tight enough and for long enough for hair loss to occur due to blood flow issues. But there's a little more to it.

### Hair Breaking

Another commonly cited answer to the question, “Do hats cause hair loss?” is that by covering your head, you’re depriving your follicles of oxygen, nutrients, or necessary light. This, too, is unlikely. What *can* happen however, is that the fashionable floppy you wear is causing your hair to _break_ close to your head.

This is known as friction alopecia, and it can result in patchy baldness or areas of really short hair. Your hair should grow back once you stop wearing hats or too-tightly fitted hats. If you opt to go back to wearing them again once those bald spots disappear, just make sure you choose a size that’s not too tight and, perhaps, wear them a little less frequently.

### Hair Pulling

Another small possibility is that the hats you don daily _pull_ on your hair. Again, this could be from wearing a cap that’s too tight. When you do something that pulls on the hair, it can damage the follicles and eventually lead to scarring. The result is that your hair grows finely or not at all. Hair loss from pulling is called traction alopecia.

## What Is Traction Alopecia?

Of all the types of alopecia, this is the one that is the most preventable. Traction alopecia is caused by the repeated stress of pulling on your hair. When caught early enough, the condition is completely reversible; however, if you overlook the hair loss that occurs, you can end up with a permanent condition.

### Traction Alopecia Causes

Does wearing a hat make you lose hair and lead to traction alopecia? It can, but wearing your baseball cap is not as likely a cause as other fashion statements or behaviors. More often, it’s the result of wearing hairstyles that consistently tug at the hair. Ponytails, cornrows, hair extensions and dreadlocks can all lead to hair loss.

People who consistently tug on their hair can also get traction alopecia. Trichotillomania is a disorder that is characterized by hair pulling. It affects approximately [1-2% of the population](https://www.psychologytoday.com/us/blog/mastering-hair-pulling/201706/why-do-some-people-pull-their-hair-when-anxious), most of whom are women. The condition is a mental health disorder that often results from stress. Many people who have it aren’t even aware of when they are pulling out their hair. Hair tugging alleviates negative emotions, but it leads to hair loss, scarring and, eventually, bald patches. It is important for anyone who has this condition to seek help, as it can be difficult to change the behavior without professional support.

### Traction Alopecia Symptoms

To catch it early, you need to know what the condition looks like in its early stages and then take the necessary steps to prevent permanent damage to hair follicles. The first signs of traction alopecia can be easy to miss. Small bumps often appear on the scalp before you even see signs of hair breakage or hair loss. These bumps look an awful lot like pimples, but they occur in areas where your hair undergoes the most stress.

The next visible sign is patches of breaking hair or hair loss. When this symptom first starts to appear, it’s still early enough to reverse the condition. The longer you wait, the more likely you’ll end up with irreversible damage. You may also notice additional symptoms, including:

* Red patches
* Scaling and itchiness
* A stinging or burning sensation
* Inflammation at the hair follicles (a condition known as folliculitis)
* Blisters filled with puss

If you’re experiencing any of these symptoms, make sure you give your hair a break from whatever hairstyle is causing the damage and get treatment right away. Doctors who specialize in hair loss can prescribe topical medications made from [proven ingredients](https://main.shapiromd.com/ingredients) that can boost your body’s ability to regrow your hair.

## Who Is Most Likely to Get Traction Alopecia?

Anyone can get it, male or female, child or adult. However, studies show that it is most common among African, Caribbean and Black Americans who wear their hair in tight braids. Among the adult women in South Africa, [approximately 32%](https://www.ncbi.nlm.nih.gov/books/NBK470434/) have traction alopecia, and as many as 22% of children between the ages of six and 15 may have it. African girls and women are more likely to have traction alopecia than boys and men, but the boys and men still get it when they wear their hair in cornrows or dreadlocks.

In addition to cultural hairstyle practices, Black people’s hair is [morphologically different](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5896661/) from people of European or Asian descent. The unique shape of the hair and follicle and the follicle position all factor into why people of African or Caribbean descent may be more likely to get traction alopecia.

## Are There Effective Treatments for Traction Alopecia?

You’ve probably figured out that the answer to the question, “Do hats cause hair loss?” is "no, probably not" in most cases. If it _is_ the cause, you may have traction alopecia from constantly wearing a hat that’s too tight for  long periods of time. 

Your hat may also not be the cause at all. 

Treatment for traction alopecia is possible, but you must stop the behavior that’s leading to the condition. 

Our dermatologists specialize in hair loss of all kinds. We can diagnose your condition from the comfort of your own home and prescribe appropriate treatment with the top ingredients used by dermatologists in private practice. 

If you suspect that you have traction alopecia or some other form of hair loss, take our [[free quiz]](https://shapiromd.com/quiz/?affid=shapiromdblog)to begin your journey to a healthier head of hair.

## Sources

[https://www.psychologytoday.com/us/blog/mastering-hair-pulling/201706/why-do-some-people-pull-their-hair-when-anxious](https://www.psychologytoday.com/us/blog/mastering-hair-pulling/201706/why-do-some-people-pull-their-hair-when-anxious)

[https://www.ncbi.nlm.nih.gov/books/NBK470434/](https://www.ncbi.nlm.nih.gov/books/NBK470434/)

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5896661/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5896661/)


A man in a cap facing away from the camera

Man silhouette in hat

The Truth About Hats and Hair Loss

If your hair is a point of pride, the idea of losing it is unthinkable. Even if your hair is just… your hair, losing it is _still _probably unthinkable. 

But if you’re here, there’s probably a reason. Maybe you’ve begun to see early signs of hair loss: a receding hairline, thinning, or worse. 

Hair loss is a common occurrence for millions of Americans. Fortunately, because hair loss is so common, effective treatments have been in use and development for years. And with telemedicine platforms like Shapiro MD, you can now get the most effective solutions delivered to your door with the help of a trained clinician.  

Until you’re ready for real treatment, some simple prevention steps can help keep your hair healthy and full for longer. Check out these tips to prevent hair loss before it starts.

## 1. Up Your Protein

Protein is essential to hair composition, and a protein deficiency can contribute to [hair loss](https://www.health.harvard.edu/a_to_z/hair-loss-a-to-z) in a real way. When the body isn’t getting enough protein, it hoards what it has and puts hair growth on the back burner instead of allotting protein to the process. Hair may begin falling out or thinning shortly after. 

You may see this in individuals with eating disorders or with medical conditions that meaningfully restrict their diet: too little protein can contribute to thin hair.

Insure you’re getting enough healthy protein in your diet by eating plenty of fish, poultry, beef, yogurt and legumes. Vegetarians and vegans especially need to be aware of their protein intake as the elimination of meat and dairy products can make getting enough protein difficult. Healthy sources of protein that are suitable for vegetarians and vegans include nuts, tofu, lentils, oatmeal and certain grains.

## 2. Get Your Vitamins

Consuming the right amounts of [vitamins and minerals](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380979/) is a key step in preventing hair loss, as many forms of hair loss have a vitamin or mineral component at their roots. Common deficiencies include:

### Not Enough Vitamin A

Vitamin A is necessary for _all_ cell growth, including hair. It also helps produce sebum, which is an important substance in maintaining healthy hair and scalp. Quality sources of vitamin A include dairy products, fish, carrots, and broccoli. Many wheat products in the U.S. are also fortified with vitamin A, so check nutritional labels to see what your food contains. 

### Not Enough B-Vitamins

Different vitamins in the vitamin-B complex contribute to hair growth and health, including riboflavin, vitamin B12, biotin and folic acid. Biotin and folic acid deficiencies have both been proven to cause hair loss. Those who are pregnant or may become pregnant need even more folic acid because of the role it plays in fetal development. B-vitamins can be found in meat, poultry, seafood, legumes, dairy products and various fortified grain products.

### Not Enough Vitamin C

Damage from free radicals can stop normal, healthy growth of hair, but vitamin C can help protect your hair from the oxidative stress that free radicals cause. Get enough in your diet to keep your hair growing strong. Citrus fruits are excellent sources of vitamin C, as are peppers, strawberries and broccoli.

### Not Enough Iron

Iron’s role in carrying oxygen throughout the body makes it important to hair growth, and iron deficiencies have been proven to cause hair loss. You can find iron naturally occurring in red meat, eggs, spinach and lentils.

Although it’s best to ingest vitamins and minerals naturally through diet, supplements may be used to reach recommended daily amounts.

## 3. Don’t OverDO It

Hair wasn’t meant to go through the stress that many modern beauty practices and tools cause. 

Much of your everyday hairstyling is quite damaging to hair and can contribute to hair thinning and loss.

Let’s start with heat. The overuse of heat tools such as hairdryers and straighteners causes hair to become brittle and dry. The weakened hair is more likely to break and fall out. When hair is frizzy and unhealthy _looking_, it can be tempting to use even _more_ heat tools to correct its appearance, but this ultimately causes even more damage.

Decrease the amount of time that your hair spends under heat by using towels specifically designed to soak up hair’s moisture before drying it; using tools that speed up heat-based processes, such as brushes that are ventilated; and letting your hair air-dry when possible. Give your hair breaks between styling with heat tools rather than every day.

Harsh chemicals are extremely harmful to hair too, especially when used frequently or not as directed. Over-processed hair is prone to breakage, and using bleach too frequently or leaving it on too long can cause hair to fall out in clumps. Hair may also have a frizzy, dry appearance when it's overtreated. Limit the frequency with which you use harsh chemicals by spreading out coloring sessions and not using bleach when it can be avoided.

## 4. Use the Right Brush

It’s important to treat hair gently, particularly when you’re noticing your hair get thinner or weaker. This includes brushing gently with the correct brush. 

Paddle brushes are a smart option for most hair types as they can detangle quickly without causing much stress. For hair extensions and braided hair, loop brushes are best.

When hair is wet, it’s even more vulnerable to injury. Use a specially designed wet brush or a wide-tooth comb to minimize harm when working with wet hair. When drying hair with a hairdryer, shorten the time you spend under intense heat.

## 5. Practice Stress Management

High stress, both prolonged and incidental, can contribute to hair loss. 

When you’re under stress, your hormones change. Elevated cortisol, for instance, keeps your body on edge, leading to deprioritized hair health.

Luckily, in many cases, hair loss caused by stress can be reversed with [appropriate stress management](https://www.mayoclinic.org/healthy-lifestyle/stress-management/expert-answers/stress-and-hair-loss/faq-20057820). Find ways to reduce or eliminate stressors in your life and use time-management skills to keep yourself from burn-out. Learn how to manage unavoidable stress through proven tactics, including exercise, yoga, hobbies, and healthy meditation or mindfulness practices.

## 6. Quit Smoking

You probably know it’s time to quit. Smoking cigarettes has been demonstrably proven to contribute to hair loss, with studies showing it can more than _double_ your chances of experiencing some degree of hair loss. The chemicals in tobacco smoke can be harmful to hair with the overproduction of free radicals caused by smoking contributing to DNA damage throughout the body _and_ in the hair follicles.

Smoking also reduces blood flow, which means your scalp doesn’t get the necessary nutrients to produce healthy hair, and it can cause damage to the hair you already have. Hair follicles may also be scarred because of increased cytokine levels, part of the body’s natural immune response.

## 7. Practice Daily Scalp Massage

[Daily scalp massage](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380978/) has been shown to improve the thickness and health of hair as well as increase hair growth by stimulating scalp blood vessels and increasing blood flow. 

It not only feels good, but it can support proper hair health too.

Scalp massage can be performed on your own or by another person on dry or wet hair. Using both hands, apply comfortable pressure to the scalp with the fingertips and move in circles around the scalp, making sure to cover all areas of the head. Massage for five minutes at a time, and even repeat multiple times throughout the day. 

Some people find the shower to be a good place to massage the scalp, as you can massage in shampoo and conditioner at the same time. Tools specially designed for scalp massages may be used in or out of the shower too.

## 8. Natural Oils and Botanical Extracts

Many people use essential oils and natural extracts to help maintain healthy hair and work against hair loss. 

Among essential oils, peppermint, tea tree, and rosemary oils can all be used to promote hair growth by supporting blood flow.

Natural botanicals have been shown to help in hair loss prevention, primarily in fighting the effects of certain hormonal triggers. The hormone dihydrotestosterone is a primary cause of hair loss in men and women. Botanicals like saw palmetto and green tea can fight the effects of DHT when applied regularly to the scalp. These two extracts, plus caffeine, form the bedrock of Dr. Steven Shapiro’s original hair loss shampoo and conditioner, used by millions of people since their introduction in private practice years ago. 

For whatever reason you’re concerned about hair loss in the future, the above tips can help you prevent loss before it begins in earnest. Hair loss prevention is important for another reason: it’s easier to keep the hair you’ve got than to regrow new hair. 

Learn more about hair loss and browse our full suite of fullness-boosting products in the [Shapiro MD Store.](https://main.shapiromd.com/products)

## References

[https://www.mayoclinic.org/healthy-lifestyle/stress-management/expert-answers/stress-and-hair-loss/faq-20057820](https://www.mayoclinic.org/healthy-lifestyle/stress-management/expert-answers/stress-and-hair-loss/faq-20057820)

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380978/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380978/)

[https://www.health.harvard.edu/a_to_z/hair-loss-a-to-z](https://www.health.harvard.edu/a_to_z/hair-loss-a-to-z)

https://www.health.harvard.edu/blog/how-much-protein-do-you-need-every-day-201506188096

[https://www.healthline.com/health/essential-oils-for-hair-growth#essential-oils](https://www.healthline.com/health/essential-oils-for-hair-growth#essential-oils)

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


Woman in shower shampooing her hair

8 Tips To Prevent Hair Loss Before It Starts

Many of the medications we take today have their roots in nature, based either on *mechanisms* found in the natural world or taken directly from the earth in one way or another. 

In fact, natural ingredients are sometimes the *best* option. 

Some examples from the last century? The important immune suppression medication rapamycin was discovered in a sample of soil from the well-known Easter Island. The antibiotic penicillin was discovered being secreted from a mold sample in a Staphylococcus-filled petri dish. 

Mother nature delivers.

Hair loss isn’t so different. If you suffer from androgenic alopecia, natural ingredients have been helping people like you for decades.

## What Drives Hair Loss?

First, it helps to understand what drives hair loss. Androgenic alopecia refers to a genetic predisposition to “androgen” hormones. These are the male sex hormones present in both men and women (at lower levels in women): namely testosterone and dihydrotestosterone (DHT). In folks with androgenic alopecia, hair follicles are especially sensitive to the androgen hormones. Androgens bind to hair follicles, then weaken and shrink the follicle. As a result, the follicles create weaker and finer hairs, and they stay in “grow mode” for less time and “resting mode” for longer.

In androgenic alopecia, androgen hormones = less hair. 

While all androgen hormones can contribute to this process, DHT is the most potent, and it’s widely considered _the_ “hair loss hormone.”

Blocking DHT at the scalp or reducing DHT in the body is a proven, well-validated approach to fighting hair loss and even reversing hair loss with new growth.

Most natural DHT blockers inhibit the enzyme 5-alpha reductase (5AR). 5AR is the natural enzyme that converts testosterone into DHT, and by blocking the 5AR you can prevent testosterone from metabolizing into this potent androgen. 

Research has found several natural ingredients that inhibit 5-alpha reductase and help return hair to its natural growth cycle, in addition to prescription-grade medications based on the same mechanism. Finasteride is an oral medication approved for us in men with hair loss that works by reducing how much of the 5AR enzyme is in the body; it can lower 5AR by as much as 85%, and it works to help men get more density. 

Let’s take a look.

## Saw Palmetto

The saw palmetto is a plant native to the Southeastern region of the U.S and central America. It has small red berries that have been used in indigenous medicine for centuries. 

Now, people use saw palmetto berry extracts to treat numerous health conditions, including hair loss. This ingredient is one of the most commonly used natural substances in the treatment of hair loss.

[Lab tests show](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847595/) that extracts from the plant and berries block the 5-alpha reductase. Research on topical applications of saw palmetto have demonstrated that [48% of the men](https://www.researchgate.net/publication/272396329_The_Evaluation_of_Efficacy_and_Safety_of_Topical_Saw_Palmetto_and_Trichogen_Veg_Complex_for_the_Treatment_of_Androgenetic_Alopecia_in_Men) with androgenic alopecia improved after receiving treatment that contained the natural DHT blocker. The hair counts in these men increased after applying the medication regularly. Some people also take saw palmetto extracts orally, though this may carry health risks as it can affect hormones systemically.

A [variety of studies](https://pubmed.ncbi.nlm.nih.gov/26010505/) have demonstrated that saw palmetto and its extracts can help men with hair loss, and it’s been used in natural medicine for centuries.

## Pumpkin Seed Oil

Pumpkin seeds are a powerhouse in the natural world. They’re chock full of antioxidants and vital nutrients. Eating them may lower your risk of certain cancers, and they’re good for heart, bladder and prostate health. Another thing they seem to be good at is blocking the conversion of testosterone to DHT.

Specifically, the oil from the pumpkin seed has an impact on DHT production. Researchers have shown that the substance inhibits 5-alpha reductase in mice. In a study on men with androgenic alopecia, researchers found that pumpkin seed oil positively affected hair growth. The mean rate of hair growth after a 24-week treatment period was [40%, versus the 10%](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4017725/) seen in a group that took a placebo.

## Epigallocatechin Gallate

Try to say that 10 times fast! Though you might not guess it from that mouthful of a name, this substance is found in a mouthful of beneficial, tasty green tea. EGCG, as it’s known, is one of the primary polyphenols found in green tea, also known to have numerous health benefits. Green tea is a potent antioxidant and has powerful anti-inflammatory effects. Consuming green tea regularly may reduce the risk of heart disease and cancer and even improve brain function.

Extracting EGCG from the green tea plant can also help those who have androgenic alopecia. In one study, scientists [measured](https://pubmed.ncbi.nlm.nih.gov/17092697/) the effect of EGCG on hair growth by applying it to hair follicles in scalp tissue of healthy adult men. The treated follicles showed much greater hair growth than the untreated hair follicles. When they applied 10% EGCG directly onto human scalps they observed similar changes. In another study, mice were [injected](https://onlinelibrary.wiley.com/doi/full/10.1111/j.1600-0625.2011.01353.x) with testosterone, which led to hair loss at the injection site. When researchers used topical green tea extract at the injection site, fewer cells died and more hair follicles remained functional. 

A study on the impact of this polyphenol in men with prostate cancer demonstrated that the substance [antagonizes androgens](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3058706/) on multiple levels. Though the research was not conducted specifically on hair loss, the results support using EGCG as a natural DHT blocker.

## Caffeine

Oh, the joys of that delicious first cup of coffee in the morning. Everyone knows it’s caffeine that’s responsible for that pick-me-up when you drink a cup of joe, but have you ever considered pouring a cooled-down cup of coffee over your head instead? 

It turns out there are some good reasons to lean into caffeine for hair loss...though you don’t have to resort to rinsing your hair with coffee. 

For instance, hair follicles treated with testosterone in [one study](https://pubmed.ncbi.nlm.nih.gov/17214716/) faced significant growth suppression. When caffeine was applied, however, the effects were counteracted and caffeine led to stimulation of growth. Another study [found that caffeine](https://pubmed.ncbi.nlm.nih.gov/24836650/) “enhanced hair shaft elongation, prolonged anagen duration [the active growth phase of hair] and stimulated hair matrix keratinocyte proliferation.”

Like you and your morning brew, caffeine gives your hair follicles that ready-to-rock feeling too. 

## Lycopene

If you like tomatoes, keep eating them! This delicious summer fruit contains high levels of lycopene, the carotenoid that gives tomatoes and other fruits and veggies their red color. Lycopene is an antioxidant that can protect against cancer and promote heart health. This nutrient may also improve conditions for those who have androgenic alopecia.

Eating tomatoes has been shown to [inhibit 5-alpha reductase](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6471887/), thus reducing the production of DHT. Including red- or pink-colored fruits and veggies in your diet is a good way to obtain natural DHT blockers. These foods can provide a supplement to any topical medication you receive too.

## Selenium

Selenium is a naturally occurring mineral found in soil. It’s also found in some foods, most notably Brazil nuts and walnuts. While people don’t need to get large amounts of selenium to meet their daily needs (consuming more than 400 micrograms is too much), many are deficient in this vital nutrient. In addition to being a natural DHT blocker, selenium is often created in the laboratory, providing an easy means of utilizing the mineral for hair loss.

Research on rats has shown that the mineral inhibits [androgen gene expression](https://pubmed.ncbi.nlm.nih.gov/19025659/), and that 5-alpha reductase activity was much lower in rats that ate a diet rich in selenium compared to those that did not. While you might think rats have nothing to do with humans, these animals are often used in research because of the similarities between their biological systems and brains with those of humans. 

## Coconut Oil

Coconut oil has received a lot of attention over the years as a healthy oil alternative. This natural ingredient is rich in fatty acids and has numerous positive attributes when ingested. People also use coconut oil topically to protect skin and hair from the sun’s damaging ultraviolet rays.

Research on coconut oil and its effects on DHT have shown some ability to inhibit androgen production in test tubes and when given orally to [Sprague-Dawley rats](https://pubmed.ncbi.nlm.nih.gov/17637195/). 

## The Verdict

Natural remedies for hair loss have been around for a long, long time. These ingredients aren’t new, but the science supporting their mechanisms of action is better understood today than ever before.

That was part of the reason Drs. Steven Shapiro and Michael Borenstein co-founded Shapiro MD. Their years of clinical dermatology practice informed their views on what worked -- and what didn’t. Wanting something they could give safely to *all* of their patients for effective hair loss treatment, they turned to natural ingredients. 

Their uniquely formulated and patented [shampoo](https://main.shapiromd.com/product/shampoo) and conditioner are where it all started, both of which contain powerful ingredients including saw palmetto, ECGC, and caffeine. They were a huge success in private practice, and today they’re available to anyone with internet access.

At Shapiro MD, we help people grow healthy hair. If you’re concerned about hair loss, [take our free quiz](https://shapiromd.com/quiz/?affid=shapiromdblog) to find out more.

## Sources

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847595/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847595/)

[https://www.researchgate.net/publication/272396329_The_Evaluation_of_Efficacy_and_Safety_of_Topical_Saw_Palmetto_and_Trichogen_Veg_Complex_for_the_Treatment_of_Androgenetic_Alopecia_in_Men](https://www.researchgate.net/publication/272396329_The_Evaluation_of_Efficacy_and_Safety_of_Topical_Saw_Palmetto_and_Trichogen_Veg_Complex_for_the_Treatment_of_Androgenetic_Alopecia_in_Men)

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4017725/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4017725/)

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

[https://pubmed.ncbi.nlm.nih.gov/19025659/](https://pubmed.ncbi.nlm.nih.gov/19025659/)


Natural ingredients in testing

Natural DHT Blockers: How Nature Fights Hair Loss

You’ve heard it before.

“I’m so stressed….It's making me lose my hair!" 

Turns out it’s more than just an expression. 

Changing hormones and inflammation that result from stress can directly cause hair loss. Indeed, a study in mice found that mice exposed to high levels of stress hormones lost hair, while those whose stress hormones had been removed entirely retained their hair through [old age](https://news.harvard.edu/gazette/story/2021/03/researchers-discover-how-chronic-stress-leads-to-hair-loss/#:~:text=Harvard%20University%20researchers%20have%20identified,might%20lead%20to%20hair%20loss.). 

If you’re concerned about hair loss, consider the influence of stress in your life. Here's how the process works and what to do about stress hair loss.

## The Body's Complexity

The body is infinitely complex, and hair loss is often multifactorial, meaning it has a number of root causes. As a result, it can be difficult for those suffering from hair loss to determine the precise cause or combination of causes. 

Many men simply assume that because their father, grandfather, or other relatives suffered from hair loss, they’re doomed to the same fate. There’s truth here, of course: hair loss is largely genetic, called androgenic alopecia or male/female pattern baldness. Androgenic alopecia is what most people with thinner hair are dealing with, and it’s caused by androgen hormones (like dihydrotestosterone) weakening their hair follicles. 

Still, quality treatment can delay and even reverse the process of hair loss in most people. 

Conversely, men and women who have no genetic predisposition to hair loss sometimes find themselves astonished when their hair begins thinning or receding at an early age.

Dermatologists recognize that many factors can result in hair loss over time. These are sometimes categorized by those that have inflammatory causes or non-inflammatory root causes, and those that are acquired or genetic. Some of the most well-understood risk factors are:

* Aging
* Genetics
* UV exposure
* Stress
* Environmental toxins or factors
* Bacterial or fungal infections
* Tobacco and alcohol consumption
* Extreme exercise
* Poor nutrition

Because many of these factors do not directly cause hair loss but influence it by promoting the process of endocrinological or oxidative stress, the relationship between risk factors and hair loss can be foggy. A few instances of intense exercise or alcohol consumption, for example, are unlikely to cause you to lose your hair. But when these behaviors are chronic and regular, they may cause a frequent physiological stress response that inhibits the normal cell regeneration process necessary for hair growth.

To complicate matters further, scientists have recently begun to understand that [genetic predispositions](https://revivetrainings.com/wp-content/uploads/2019/07/16_11sSadick_KOGAN_1-1.pdf) aren't as set in stone as once thought. Epigenetics, the process in which environmental influences can regulate and change the expression of certain genes, may also affect hair loss. A suite of factors from obesity to drug use may "switch" segments of DNA toward or away from thinning hair. Though a much greater understanding of epigenetics is necessary, these developments open new avenues to addressing the causes of hair loss in the future.

## Inflammation and Oxidative Stress

Healthy hair follicles are constantly undergoing a process of growth and cell death. Under the best conditions, hair that falls out during cell death is promptly replaced by new hair growth. 

But under other conditions, inflammation, the body's response to pathogens or other events, can significantly affect the regrowth process. When inflammation is relatively short-lived, it can promote healing. When it’s allowed to persist for extended periods, however, it can reduce the size and strength of hair follicles and create paths for cell death to occur.

Scientists do not currently understand exactly why the inflammatory process seems to target hair follicles. It’s clear, though, that the oxidative stress that’s characteristic of inflammation does result in greying and hair loss over time. It’s possible, therefore, that anti-inflammatory therapies can help to prevent hair loss, particularly in people dealing with inflammation due to autoimmune disorders.

## Cortisol, the Stress Hormone

[Cortisol](https://www.sciencedirect.com/science/article/abs/pii/S0301051112000725) is the primary hormone in the body that handles stress. Chronically elevated cortisol is a frequent culprit in stress hair loss.

In instances of acute stress, cortisol signals to the nervous system to prepare the fight or flight response so you can get yourself out of a potentially dangerous situation as quickly as possible. Like inflammation, hormonal stress is not intended as a solution to long-term stressors. Nevertheless, many facets of modern society elevate cortisol levels beyond what the body normally handles. 

Recent research has identified mechanisms by which hair follicles [create their own stress hormones](https://www.sciencedirect.com/science/article/abs/pii/S0923181110002963) when exposed to systemic stressors. The researchers responsible for the discovery have suggested that this may cause a kind of cycle in which hair follicles regulate themselves with decreasing efficiency until cell death becomes irreversible and frequent.

## Dealing With Stress

For some, stress can be easy to recognize. For others, stress may have become so integrated in everyday life that it seems normal. Signs of chronic stress include:

* Difficulty sleeping
* Headaches
* Muscle tension
* High blood pressure
* Dizziness
* Digestive problems
* Decreased or increased appetite
* Immune problems

If you’re consistently overstressed, finding stress-reducing outlets is key. Along with seeking therapy, healthy lifestyle [practices](https://www.webmd.com/balance/stress-management/stress-management) are great for reducing stress and stress hair loss, like:

* Getting enough sleep at night
* Engaging in healthy social and romantic relationships
* Doing exercise regularly 
* Eating a proper diet
* Meditating, mindfulness, or yoga
* Managing your workload
* Going to a park or walking in nature

While reducing stress, you should also try to reduce behaviors that are likely to worsen the problem, like drinking, drug use, sleeping at odd times, or physical injuries.

If you’re concerned that your lifestyle doesn't lend itself to mitigating stress effectively, you may have to make some difficult choices. A job that’s extremely profitable but physically or mentally taxing, for example, may seem worthwhile in the short term, but the long-term effect on your body may not be worth the outcomes. Try not to view staying in an exploitative environment as "gritting your teeth" or "grinding it out." There are no “bonus points” for losing your hair and health years before everyone else. 

## Preventing Hair Loss

Many factors contribute to hair loss, and it can be difficult to figure out if stress alone is responsible for your thinning scalp. 

For most people, hair loss is preventable and treatable, even when genetics play a role. 

Shapiro MD specializes in preventive and restorative treatments, like minoxidil and our patented, dermatologist-recommend natural formulations. These contain known plant extracts that have been shown to “block” the hormone DHT, or dihydrotestosterone at the molecular level, helping to fight hair loss at the scalp and follicle. 

Our solutions can help you with shinier, healthier, and fuller-looking hair. Because they’re all-natural, they’re a fit for men and women of all hair types. Get started with [our free quiz](https://shapiromd.com/quiz/?affid=shapiromdblog) to find out which Shapiro MD kit is right for you.

## References

https://news.harvard.edu/gazette/story/2021/03/researchers-discover-how-chronic-stress-leads-to-hair-loss/#:~:text=Harvard%20University%20researchers%20have%20identified,might%20lead%20to%20hair%20loss.

https://www.karger.com/Article/Abstract/247797

https://revivetrainings.com/wp-content/uploads/2019/07/16_11sSadick_KOGAN_1-1.pdf

https://pubs.acs.org/doi/10.1021/acs.est.0c07587

https://www.sciencedirect.com/science/article/abs/pii/S0301051112000725

https://www.webmd.com/a-to-z-guides/what-is-cortisol

https://www.sciencedirect.com/science/article/abs/pii/S0923181110002963

https://www.webmd.com/balance/stress-management/stress-management


Woman in grey shirt with fingers over eyes, stressed

Stress and Hair Loss: How Are They Related?

Hair loss is frequently a result of hormones and your genes. Yes, blame your parents: most hair loss is hereditary in natur, and male hormones (which we all have, even the ladies) are largely to blame for thinning hair, bald patches, and nonexistent  growth.

Pattern baldness, or androgenic alopecia, happens to both men and women because both sexes produce the primary hormones that affect hair growth, testosterone and dihydrotestosterone (DHT). 

Saw palmetto and finasteride are two potent ingredients in the battle against hair loss for one simple reason: they both block the notorious hair loss hormone DHT. But how do they work, and how does naturally-occuring saw palmetto stack up vs. finasteride? 

Understanding the process that leads to hair loss is the first step in comprehending why these two substances have become key players in restoring great hair.

## Why Does Hair Loss Happen?

The most common form of hair loss is androgenic alopecia. The name is derived from the hormones that play a significant role in the hair loss process: androgens. Androgens are a group of hormones that are primarily associated with male sexual reproduction and masculine traits; however, this group of messengers regulates a whole host of bodily processes, and women need and naturally produce them too. True, men have higher levels of androgen hormones than women, part of the reason that men are more frequently impacted by baldness and that women with androgenic alopecia rarely go completely bald.

The two androgens connected to hair loss are testosterone and dihydrotestosterone. Though both are androgens, DHT is actually derived from testosterone. It is the DHT – frequently called the hair loss hormone – that has a direct impact on hair loss. Without testosterone, however, you wouldn’t have DHT.

### How DHT Is Formed

DHT is the most powerful male steroid hormone. An enzyme called 5-alpha reductase is responsible for converting testosterone into DHT naturally in the body. The process occurs in your liver, skin and hair follicles. In men, it also happens in the prostate. Interestingly, while the hormone is responsible for hair loss on your head, it also causes hair *growth* on other areas of your body, such as the back and chest.

### How Hair Grows

The skin on your head (and other parts of your body) contains shafts called follicles. Each one of these follicles produces a single strand of hair. The strands of hair go through two- to six-year growth cycles. Cutting or shaving does not interrupt this cycle; the same strand of hair continues to grow through the rest of its cycle.

At the end of the growth cycle (called the anagen phase), the follicle enters a resting phase (called the catagen phase) that typically lasts a few weeks or months, followed by the telogen phase, when the hair detaches and falls out of the follicle. 

The follicle begins the process all over again, growing a new strand of hair.

### How DHT Causes Hair Loss

Androgenic alopecia is a genetic condition, meaning the tendency for male- and female-pattern baldness is passed down from one or both parents (not just through the female line, as is commonly believed) through the androgen receptor gene.

For those with [androgenic alopecia](https://www.researchgate.net/publication/266624837_Cause_of_Androgenic_Alopecia_Crux_of_the_Matter), alterations to the AR gene produce variations in the androgen receptors — a type of protein — on the scalp.

**DHT binds to these receptors**, causing the hair follicles to shrink. It also shortens the growth cycle and lengthens the resting phase for each follicle. This miniaturization process weakens the follicles and may eventually lead to the cessation of hair growth on every follicle containing bonded DHT.

The degree of hair loss depends on how many receptors exist on different parts of the scalp. The more receptors there are, the more DHT can bind to them, thus inhibiting the hair growth cycle in those areas. 

Saw palmetto and finasteride can affect this process and are both used to treat androgen-related hair loss conditions, such as androgenic alopecia, the most common form of hair loss in men and women.

## How Does Saw Palmetto Help With Androgenic Alopecia?

Saw palmetto extract comes from the berries of the dwarf palm Serenoa Repens, a native tree found in the Southeastern region of the U.S. The extract is used in both topical and oral medications to treat hair loss. Saw palmetto is [70%-90% fatty acids](https://academic.oup.com/jpp/article/66/6/811/6127945). It also contains beta carotene, phytosterols, polysaccharides and derivatives of vitamin E.

### Saw Palmetto’s Effect on DHT

Saw palmetto interacts with the 5-alpha reductase enzyme, which comes in two isotopic forms (Type I and Type II) to inhibit the conversion of testosterone to DHT. It works on both enzyme forms and results in an almost 50% reduction in the binding of DHT to androgen receptors. The fatty acids in saw palmetto are also responsible for the positive effects this natural ingredient has on androgenic alopecia because they:

* Encourage the naturally selective process for converting testosterone to DHT
* Directly inhibit 5-alpha reductase function
* Impact the conformational stage of 5-alpha reductase

Saw palmetto also affects 3-alpha-hydroxysteroid-dehydrogenase, an enzyme that converts DHT into the weaker androstanediol metabolite. Its interaction with this enzyme leads to an increase in the conversion process, resulting in lower DHT levels. This process is another way in which saw palmetto reduces the availability of DHT to bind to androgen receptors.

### Saw Palmetto’s Impact on Hair Loss

Saw palmetto’s effect on DHT has an overall positive impact on hair follicles. The inhibition of the 5-alpha reductase enzyme can slow the further progression of androgenic alopecia due to the reduction in how much testosterone the enzyme converts to DHT. Furthermore, research demonstrates that topical application [can improve hair count](https://onlinelibrary.wiley.com/doi/abs/10.1111/ajd.12352), resulting in a fuller head of hair.

## How Does Finasteride Help With Androgenic Alopecia?

Finasteride is one of two drugs approved by the U.S. Food and Drug Administration to treat androgenic alopecia. Like saw palmetto, finasteride can be taken orally or used as a topical medication. It is a synthetic medication produced in a lab. 

### Finasteride’s Effect on DHT

Finasteride is another 5-alpha reductase inhibitor. Unlike saw palmetto, which affects both Types I and II isotope forms, finasteride only affects Type II isotypes. Finasteride interrupts this conversion process, inhibiting DHT production and resulting in lower levels of the hormone in both the blood and tissues. Finasteride can reduce circulating DHT by as much as 85%.

### Finasteride’s Impact on Hair Loss

Finasteride works quickly to reduce the blood concentration of DHT. Within 24 hours of patients taking 1 milligram of the drug (the approved dose for hair loss), their DHT levels typically [drop by 65%.](https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/020788s020s021s023lbl.pdf) Finasteride does not have any effect on androgen receptors. As the drug affects the conversion of testosterone into DHT in the blood and tissues, it reduces how much DHT is available to bind to androgen receptors on your head. It isn’t selective, so you should see improvements all over your scalp.

Taking finasteride also has an impact on hair growth. Studies show that 83% of those who take the drug experience no further hair loss. Moreover, [45% also see improvements](https://europepmc.org/article/med/9951956) in hair growth after one year, and 66% see improvements after two years of taking the drug.

## Conclusions

Saw palmetto and finasteride both work to inhibit the 5-alpha reductase enzyme, preventing the conversion of testosterone into DHT. There are a few differences in how the two work, but each can be effective in fighting androgenic alopecia. Women should not use finasteride, and oral saw palmetto may also be dangerous, particularly for pregnant women or those who intend to get pregnant, as DHT inhibition can affect fetal development. In fact, finasteride is not approved for use in women.

At Shapiro MD, our dermatologist have found that saw palmetto and finasteride both have a place in the arsenal against hair loss. Saw palmetto extract is a key ingredient in our flagship  shampoo, conditioner, and other topical formulations, which contain DHT-fighting EGCG as well as caffeine to boost hair health and scalp DHT defense. Finasteride is a potent solution for many men dealing with hair loss, too, helping them get a more dense head of hair and even regrow *new* hair.

If you’re concerned about hair loss, take our [free quiz](https://shapiromd.com/quiz/?affid=shapiromdblog) to find a solution that works for you. Affordable and easy-to-use, Shapiro MD has helped more than 300,000 men and women start their hair growth journey.

## Sources

[https://www.researchgate.net/publication/266624837_Cause_of_Androgenic_Alopecia_Crux_of_the_Matter](https://www.researchgate.net/publication/266624837_Cause_of_Androgenic_Alopecia_Crux_of_the_Matter)

[https://www.karger.com/Article/FullText/509905](https://www.karger.com/Article/FullText/509905)

[https://academic.oup.com/jpp/article/66/6/811/6127945](https://academic.oup.com/jpp/article/66/6/811/6127945)

[https://www.sciencedirect.com/science/article/abs/pii/096007609500134L?via%3Dihub](https://www.sciencedirect.com/science/article/abs/pii/096007609500134L?via%3Dihub)

[https://www.sciencedirect.com/science/article/abs/pii/0022473184902644?via%3Dihub](https://www.sciencedirect.com/science/article/abs/pii/0022473184902644?via%3Dihub)

[https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/020788s020s021s023lbl.pdf](https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/020788s020s021s023lbl.pdf)

[https://onlinelibrary.wiley.com/doi/abs/10.1111/ajd.12352](https://onlinelibrary.wiley.com/doi/abs/10.1111/ajd.12352)

[https://europepmc.org/article/med/9951956](https://europepmc.org/article/med/9951956)


Saw palmetto leaves

How Saw Palmetto and Finasteride Fight Hair Loss

As you’re first looking into hair loss and hair loss treatments, you're probably encountering dozens of terms that you've never heard of. 

Determining what type of hair loss you may have and which treatment might be most beneficial can be confusing when medical jargon gets involved.

For quick reference, here’s our concise, alphabetized guide to common head and scalp terms used by doctors when referring to hair loss and head anatomy.

## Parts of the Head

### Crown

Sometimes called the vertex, the crown of the head is the highest point (top) of the skull. A line on the skull called the sagittal suture lies along the crown and connects bones composing the skull.

Alopecia areata and androgenic alopecia are the most common types of hair loss affecting the crown. Androgenic alopecia is more commonly known as male or female pattern baldness, while alopecia areata is an autoimmune condition where the immune system attacks male and female hair follicles.

![Man's hair and head](//images.contentful.com/g7690fvxryk6/1SRLRY596X5kWSLm3m35WW/d0d0dae61ba1b52dd64e67591c8529cc/Man-s_hair_and_head.jpeg)

### Frontal Region

The forehead and area just above the temples is the frontal region of the head. When hair loss involves a receding hairline and loss of hair around the temples, a dermatologist may refer to the "frontal region" of the head. Men in the early stages of male pattern baldness will initially notice thinning and loss of hair affecting the frontal region. Later, the classic "U" shape of male pattern baldness will become more visible as hair loss progresses.

### Mid-scalp region

Located between the crown and frontal region, the mid-scalp is the area of the head about an inch above the temple. Although hair thinning occurs in the mid-scalp region, actual hair loss does not typically begin in this region. Men with male pattern baldness keep most of the hair on their mid-scalp until the late stages of androgenic alopecia.

### Nape

The nape starts at the hairline extending over the back of the neck and ends where the bottom of the neck meets the back. Hair loss at or just above the hairline on the nape is typically due to alopecia areata. Another, less common hair loss condition called _frontal fibrosing alopecia_ (FFA) can affect the nape's hairline. FFA is mostly diagnosed in older women between 40 and 70 years old. In some cases, women with FFA may lose hair along the frontal hairline as well.

### Parietal Ridge

The curve downward from the top of the head to the sides of the head is called the parietal ridge. A bony ridge that starts about two inches above the tops of the ears, the parietal ridge is where men with male pattern baldness typically do not lose their hair. Even as male pattern baldness progresses, hair along the parietal ridge may become thin but doesn’t always fall out completely.

### Vertex Transition Point

Also called the posterior hairline or simply the vertex, the vertex transition point on the head defines the area between the crown's vertical plane and the mid-scalp's horizontal flatness. The vertex is where the classic "bald spot" appears in men. Women with hair loss on the vertex transition point may have androgenic alopecia or alopecia areata.

## Scalp Components and Hair Loss

It is also helpful to know about what happens within the scalp to cause hair loss. For example, hair follicles actually represent the two parts of a strand of hair: the follicle and the shaft.

### Follicle

Each individual hair strand emerges on the scalp from a tunnel-like follicle that extends from the epidermis down into the dermis of your skin. The base of the follicle contains blood vessels to nourish hair cells. Surrounding the follicle base is the bulb, which actually gives each hair "life" with active cells that are constantly dividing. 

Follicles are protected by an inner and outer sheath that helps form hair shafts essential for hair to grow. Oil glands and erector muscles are also found around follicle sheaths.

### Hair Shaft

Composed of keratin, a hard protein found in fingernails and toenails, the hair shaft is a three-layered structure that gives hair its color. Genetic defects to hair shafts can cause conditions leading to hair loss. 

_Loose anagen syndrome_ is a hair shaft defect that allows hair to be easily pulled from hair follicles. 

_Traction alopecia_ is not really a hair loss disorder but comes from constantly wearing headbands, tight ponytails or cornrows. 

Pulling at the same hair repeatedly for a long time can damage the hair shaft and follicles enough to stop hair from growing normally.

### Scalp Skin and Connective Tissue

The scalp consists of five layers of different tissues, but generally only the top two layers are involved in hair loss conditions. The skin contains sebaceous glands (oil glands), sweat glands, capillaries and hair follicles. The superficial fascia (dense connective tissues) lies directly under the skin and contains nerves, blood vessels and lipid tissue. Hair follicles reach the superficial fascia and are nourished by blood and fat cells in this layer.

Some scalp disorders that are not associated with androgenic alopecia or alopecia areata can cause hair loss. Inflammation of the hair follicles (_folliculitis_) is typically caused by bacterial, fungal or viral infections. Seborrheic dermatitis may cause hair loss as oil glands produce excess amounts of sebum that could lead to interruptions in the hair growth cycle. When itching of the scalp is severe, constantly scratching the scalp can also pull out hair and cause hair thinning.

![Hair and scalp diagram](//images.contentful.com/g7690fvxryk6/75QU7B8KC4D8bxwH2MIGAl/cabeb4c3e16937fd30c09a2be430955e/Hair_and_scalp_diagram.jpeg)

## What To Know About Treating Hair Loss

Dealing with hair loss can be daunting, and both men and women often go years without addressing the issue simply because it’s such a sensitive topic. 

Here’s the good news: hair loss is often quite treatable, and it’s incredibly common. It helps to start treatment when you’ve still got hair on your head, however.

Shapiro MD’s founding dermatologists have been in private practice for  three decades, and the natural formulations we’ve patented were formulated specifically for any hair type. Our Shampoo and Conditioner work by fighting DHT (dihydrotestosterone), the hormone credited with most male and female pattern hair loss. These formulations fight DHT at the scalp, helping to promote thicker- and fuller-looking hair with regular use.
Combined with the clinical power of minoxidil or finasteride (for men), hundreds of thousands of customers have chosen Shapiro MD for their hair health needs. 

[Get started on your own hair journey with Shapiro MD today. 
](https://shapiromd.com/quiz/?affid=shapiromdblog)

Top of a man's head

The Many Parts of Your Head and Scalp, Explained

Modern medicine has developed effective treatments for more ailments in the last few _decades_ than the physicians did for centuries prior. We're in the age of great medicine.

Unfortunately, many medications have adverse side effects, hair loss among them. This is typically caused when a medication interrupts the growth cycle of hair follicles. 

Telogen effluvium and anagen effluvium are the two most common types of hair loss caused by medications. Telogen effluvium occurs when hair follicles prematurely enter a “resting” phase and is the more frequent kind of hair loss caused by medications. It generally starts within two to three months of a new medication starting.

Anagen effluvium is less likely and often occurs in patients undergoing chemotherapy. When matrix cells are unable to divide as usual, hair growth can’t continue as normal either. It can cause severe hair loss and can include the loss of all hair on the body, including eyelashes and eyebrows. Anagen effluvium hair loss typically begins soon after the introduction of a new medication, sometimes in as little as a few days’ time.

If you've wondered which medications can cause hair loss as a side effect, below is a list of both over-the-counter and prescription medications that have been associated with hair loss, patchiness, and hair thinning.

## Antibiotics

Antibiotics are typically taken for short periods of time, generally no more than two weeks. Many of these can cause short-term hair loss or thinning while they’re in use though. Commonly used antibiotics such as penicillin and cephalexin have been shown to cause some hair loss in certain people.

## Anticonvulsants

Depakote (valproic acid) and Tridione (trimethadione) are both medications prescribed for the prevention of seizures that have been linked to hair loss in some patients. 

## Antidepressants

Some prescription medications used to treat depression and mood disorders may cause hair thinning. These include Vivactil (protriptyline), Prozac (fluoxetine), Elavil (amitriptyline), Zoloft (sertraline) and Paxil (paroxetine hydrochloride). Research shows, though, that bupropion is the most likely antidepressant to [cause hair loss](https://pubmed.ncbi.nlm.nih.gov/28763345/). Its brand names include Contrave, Wellbutrin, Forfivo and Zyban. 

## Antifungals

Medicines used to fight fungal infections have been shown to cause hair loss in some patients. Voriconazole in particular has been linked to alopecia.

## Anti-Clotting Drugs

Some anticoagulants prescribed to help prevent blood clots have been associated with patterns of hair loss. Heparin and warfarin have both been connected to patients developing alopecia after extended use.

## Birth Control

Hair growth occurs in phases. Because of the way that birth control manipulates hormones to prevent pregnancy, hormonal birth control prescriptions can cause hair loss as the hair is put into its resting phase early and stays in it for quite some time. This isn’t limited to birth control pills but also includes other hormone-related medications such as Depo-Provera and hormone injections, Xulane and other skin patches, Nexplanon and other progestin implants, and NuvaRing and other vaginal rings.

Some forms of birth control are low-androgen and may result in less hair loss than high-androgen birth control options. These include:

* Ortho Tri-Cyclen and Ortho-Cyclen (norgestimate-Ethinyl estradiol)
* Ortho Micronor, Lyza, Nor-QD and Aygestin (norethindrone)
* Ortho-Novum 7/7/7, Tri-Norinyl, Modicon, Ovcon-35 and Brevicon (norethindrone-Ethinyl estradiol)
* Desogen and Reclipsen (desogestrel-ethinyl estradiol)

## Blood Pressure Medications

Many beta-blockers prescribed to treat high blood pressure and other heart conditions have been shown to result in hair loss for some patients. These include Blocadren (timolol), Inderal and Inderal LA (propranolol), Lopressor (metoprolol), Corgard (nadolol) and Tenormin (atenolol).

ACE inhibitors likewise can cause hair loss. Common prescriptions with this side effect include Zestril and Prinivil (lisinopril), Capoten (captopril) and Vasotec (enalapril).

## Chemotherapy Medications

Chemotherapy has long been linked to hair loss. Studies show that nearly [two-thirds of all patients](https://onlinelibrary.wiley.com/doi/abs/10.1111/ijd.13906) who undergo chemotherapy experience hair loss. This is because the nature of chemotherapy is to disrupt cell growth. Though cancer cells often respond to this in the desired way, healthy cells are also affected, which can result in hair growth ceasing and hair falling out.

Some types of chemotherapy medication are more likely to cause extensive hair loss than others. Examples of these are:

* Alkylating agents – Ifex (ifosfamide), Busulfex or Myleran (busulphan), Neosar or Cytoxan (cyclophosphamide), Thioplex (thiotepa)
* Antimetabolites – Gemzar (gemcitabine), Efudex (fluorouracil)
* Antimicrotubular agents – Alcrest or Navelbine (vinorelbine), Ellence (epirubicin), Ixempra (ixabepilone), Vincasar or Marqibo (vincristine), Taxol (paclitaxel), Taxotere (docetaxel)
* Antitumor antibiotics – Doxin or Adriamycin (doxorubicin), Cosmegen (dactinomycin), Idamycin (idarubicin)
* Topoisomerase inhibitors – Camptosar (irinotecan), VePesid (etoposide)

Other types of chemotherapy may still result in hair loss but to a lesser degree. These include:

* Alkylating agents – Hexalen (altretamine)
* Antimetabolites – Otresxup, Resuvo (methotrexate), Trexall
* Antitumor antibiotics – Mutamicin (mitomycin C), Bloe 15k (bleomycin)
* Oral cyclophosphamide
* Platinums – Eloxatin (oxaliplatin), Paraplatin (carboplatin), Platinol (cisplatin)
* Topoisomerase inhibitors – Potactasol or Hycamtin (topotecan), Novantrone (mitoxantrone)

## Non-Chemo Cancer Therapies

Some modern treatments for cancer do not have the same devastating hair loss that many chemotherapy treatments do but still can result in some minor hair loss.

Hormonal therapies that are often used to treat breast cancer have been linked to thinning hair in patients. These include Faslodex (fulvestrant), Octreotide (Sandostatin), Tamoxifen and some aromatase inhibitors, particularly Femara (letrozole) and Arimidex (anastrozole).

Other targeted therapies are associated with hair loss. Examples of these are:

* Bcr/Abl inhibitors – Gleevec (imatinib) and Tasigna (nilotinib)
* BRAF inhibitors – Tafinlar (dabrafenib) and Zelboraf (vemurafenib)
* Cyclin-dependent kinase inhibitors – Kisqali (ribociclib), Ibrance (Palbociclib), and Verzenio (abemaciclib)
* VEGF inhibitors – Nexavar (sorafenib)

## Cholesterol Treatments

Cholesterol-lowering drugs Lipitor (atorvastatin) and Zocor (simvastatin) have led to hair loss in some patients. It’s unclear why exactly this happens, but Harvard reports that it may be [due to the role that cholesterol plays](https://www.health.harvard.edu/cholesterol/do-statins-cause-hair-loss) in the steroid hormones that are important to hair growth. 

## Hormone Replacement Therapies

Hormone replacement therapies are often used for women who have had full hysterectomies or are post-menopausal. Women are prescribed hormones to make up for the loss of estrogen to help regulate the body. Like birth control, hormone replacement therapies can cause hair loss in women by disrupting the natural cycle of hair growth.

Testosterone replacement therapies typically used to treat low levels of testosterone have been linked to hair loss, as well. Finally, the use of anabolic steroids for muscle-building likewise can cause hair loss due to the production of dihydrotestosterone at higher levels.

## Immunosuppressants

Medications used to treat autoimmune conditions such as rheumatoid arthritis have been shown to have the adverse side effect of hair loss. Some that have been proven include Arava (leflunomide), Enbrel (etanercept) and Cytoxan (cyclophosphamide).

## Gout Medications

Some prescriptions used to treat gout, such as Zyloprim and Lopurin (allopurinol), have been linked to hair loss in some patients.

## Vitamin A

Although Vitamin A is important to hair growth, too much of it can have an adverse effect and cause hair to cease growing and fall out.

Accutane (isotretinoin) and Retin-A (tretinoin) are both acne medications that are derived from vitamin A that are used to help reduce the production of sebum. Because sebum is important to maintaining healthy hair and the hair growth cycle, its suppression can sometimes result in hair loss. 

It’s important to follow the directions of your physician and take your medications as prescribed or directed. 

If you believe your medication is causing hair loss and would like to explore ways to combat that loss, and possibly even regrow hair, Shapiro MD may be able to help. Get started with out free hair quiz tro find the right system for you.

[Join over 300,000 patients who’ve already benefitted from Shapiro MD by clicking here.](https://shapiromd.com/quiz/?affid=shapiromdblog)

## Sources

[https://www.healthline.com/health/birth-control/birth-control-and-hair-loss#treatment](https://www.healthline.com/health/birth-control/birth-control-and-hair-loss#treatment)

[https://www.cancer.gov/about-cancer/treatment/side-effects/hair-loss](https://www.cancer.gov/about-cancer/treatment/side-effects/hair-loss)

[https://www.medicalnewstoday.com/articles/326982#accutane-and-hair-loss](https://www.medicalnewstoday.com/articles/326982#accutane-and-hair-loss)

[https://www.verywellhealth.com/the-chemotherapy-drugs-that-cause-hair-loss-430147](https://www.verywellhealth.com/the-chemotherapy-drugs-that-cause-hair-loss-430147)

[https://onlinelibrary.wiley.com/doi/abs/10.1111/ijd.13906](https://onlinelibrary.wiley.com/doi/abs/10.1111/ijd.13906)

[https://pubmed.ncbi.nlm.nih.gov/25513768/](https://pubmed.ncbi.nlm.nih.gov/25513768/)

[https://pubmed.ncbi.nlm.nih.gov/28763345/](https://pubmed.ncbi.nlm.nih.gov/28763345/)


medications in a pile

Medications With Hair Loss As a Side Effect

Hair loss carries stigmas. People experiencing rapid or unexpected alopecia can suffer from self-esteem issues, and while most people assume that hair loss is a natural part of aging (which it can be) there are other causes. 

Unfortunately, prescription drugs -- intended to heal -- can result in moderate to severe hair loss.

When it comes to what medications can cause hair loss, it’s important to understand how medications meant to help can lead to damage. Which medication is causing the issue is pertinent to determining if a solution is plausible. Throughout the remainder of this article, you’ll learn the cause of drug-induced hair loss and about the diagnosis and potential for regrowth and treatment.

## Causes of Drug or Medication-Induced Hair Loss
Medications can lead to alopecia or hair loss by interfering with normal hair growth and scalp cycles. Drugs that cause hair loss typically interfere with the anagen or telogen phase of the growth cycle.

The anagen phase is the active growth phase of a hair follicle and lasts between two and seven years for follicle growth. The telogen phase is the resting phase, and it typically lasts only three months. At the end of the telogen phase, the hair falls out, making room for new growth. Hair loss caused by medication is referred to as anagen effluvium or telogen effluvium.

Anagen effluvium occurs during the growth phase of a hair follicle. Medications causing this type of hair loss prevent the production of matrix cells, responsible for the division of new hairs. The hair loss caused by the medication will often occur within weeks of starting treatment. Anagen effluvium is often the result of chemotherapy drugs, and it can lead to permanent hair loss; however, the severity depends on the dosage and personal sensitivity.

Telogen effluvium is the most common form of drug-related hair loss, and it occurs in the resting stage of hair. The side effect typically takes two to four months to develop, meaning it might be difficult to determine the medication as the culprit. An average person loses between 100 and 150 hairs per day; a patient experiencing telogen effluvium will lose 30% to 70% more.

## What Medications Can Cause Hair Loss?
The question, “what medications can cause hair loss?” is not easy to answer, but the medications that can result in hair loss typically affect hair in the telogen phase. Several medicines can lead to a loss of more than 100 hairs per day, the average for a person. 

These medications include:

- Antifungal medications: Used to treat fungal infections by targeting specific fungi structures, some of these medications are known to have side effects, including hair loss. The oral pill ketoconazole is one such medication.
- Acne treatments: Medications to treat acne often include ingredients like retinoids and the active ingredient isotretinoin. Each of these ingredients can lead to hair loss. Two such treatments with the potential side effect of hair loss are Absorica and Accutane.
- Steroids: These medications are common for treating or correcting hormonal imbalances, such as those treatments used to boost testosterone or progesterone production. Medications containing progesterone are well-documented as causing hair loss in some patients.
- Anticonvulsant: Used to treat seizure disorders, migraine prevention, and bipolar disorder, Depakote or Divalproex can result in hair loss. Thankfully, there are alternative treatments without the same side effects.
- Antacids: Typically found as an over-the-counter medication, antacids are used to reduce the symptoms of acid reflux disorders, such as GERD. One such drug, cimetidine, has caused rare hair loss in people taking it.
- Psoriasis treatments: Many drugs can treat the symptoms of psoriasis. Unfortunately, one of those medications, Soriatane or acitretin, can result in hair loss.
- Antiarrhythmic drugs: Used to treat irregular heart rhythms, some of these medications do have a side effect of potential hair loss. Amiodarone, also known as Cordarone or Pacerone, has reports of hair loss, but they are rare.
- Cholesterol drugs: Known as statins, these medications lower cholesterol. While atorvastatin and simvastatin may lead to hair loss, the newer medication, rosuvastatin, does not appear to carry the same risk.
- Blood pressure medications: A class of medications known as ACE inhibitors is used to treat high blood pressure. While hair loss only occurs in about 1% of patients, both captopril and lisinopril can result in hair loss.
- Anticoagulants: These drugs are commonly called blood thinners. Warfarin is among the most commonly prescribed, and hair loss appears to be a potential side effect.

Beyond medication as a potential cause of hair loss, it’s worth noting that nutrition and mental health conditions can also lead to hair loss. Stress, nutrient deficiencies, and several other human experiences, including aging, can result in hair loss. So, while asking, “what medications can cause hair loss?” is a good start, it’s crucial to investigate your lifestyle and habits in conjunction with evaluating medication.

## Diagnosing the Problem
Drug-induced alopecia is often weeded out simply by process of elimination and possibly testing. As the patient, you’ll be the first to note your hair loss in one of several possible ways:

- Finding more hair than usual in the shower
- Finding more hair on your pillow
- Find more hair than usual in your brush or comb

Once you’re aware of the possibility of abnormal hair loss, you can schedule a visit with your doctor to determine the potential cause. Your doctor will examine your medical history to determine any changes in your habits or medications. He or she will ask you questions to determine any recent illnesses or treatments. Changes in a medication dose can also lead to new side effects, like alopecia. However, your doctor is likely well aware of what medications can cause hair loss and will be on the lookout for them.

If your physician is unsure of what is causing the excess hair loss, he or she might turn to a few tests to determine the culprit. These test might include:

- Scalp analysis: This test involves the doctor taking a magnified look at your scalp. They want to investigate any signs of flaking, hair loss, or redness.
- Scalp Biopsy: With a 10 to 20-minute session, your doctor can perform this simple procedure. The biopsy includes the removal of a few hairs and a skin sample. 
- Hair pull test: This exam is quite simple. The doctor will pull on a small section of hair and count the number of strands that come out. Pulling 10 to 15 hairs may be indicative of alopecia.
- Blood test: A simple blood can tell a doctor if you’re experiencing hormonal imbalances or nutritional issues that could be causing your hair loss.

## Reversing or Treating the Hair Loss
If you and your doctor determine you’re taking a medication that can lead to hair loss, you can begin to work on a solution. The most obvious solution to your problem is to stop taking the medication, but that’s not always possible.

If you can stop taking the medication, know that it can take up to six months for your hair to stop falling out. 

Your doctor may also recommend swapping your medication for another prescription that doesn’t have the same side effect, if one exists. 
While regrowth can take time when hair loss results from medication, working with the right hair specialists can make all the difference. 
Several FDA-approved treatments encourage rapid or steady new growth, including medications like finasteride and topical solutions that are available over-the-counter, like minoxidil.

The answer to the question, “what medications can cause hair loss?” involves several possibilities. While it’s helpful to know which prescriptions and OTC medications can lead to hair loss or alopecia, the real question is how to resolve it. 

If you’re experiencing rapid or excessive hair loss due to a medication or other medical treatment, consider working with Shapiro MD to find solutions that can work to offset those side effects. Our custom prescription treatments are tailored to a patient based on their condition, and in most cases a Shapiro MD physician can help you find the right treatment plan for your situation. 

[Click here to get started with our free hair quiz and find out if prescription solutions are right for you.
](https://shapiromd.com/quiz/)

Medications and hair loss

What Medications Can Cause Hair Loss?

Youngsters tend to take their hair for granted. Adults – like most of us dealing with hair loss – meanwhile understand that luscious hair is *not* a lifelong guarantee. 

But complete baldness doesn’t have to be the reality either. In some cases, hair loss results from a temporary situation, and it can be reversed given enough time. 

So how long does it take for hair to grow back? How long does hair regrowth take?

The answer isn’t universal, and it’s seldom simple because the rate of regrowth varies depending on the individual, their circumstances or medical conditions, and hair loss treatments used.

## Understanding the Hair Growth Cycle

Before you can understand how long hair regrowth takes, it helps to understand the basic [hair growth cycle](https://www.healthline.com/health/stages-of-hair-growth#:~:text=The%20four%20phases%20of%20hair,a%20different%20length%20of%20time.). Knowing how hair develops is vital to learning how and why medications and other treatment options work or fail.

Your follicles go through three primary stages of growth, or four according to how some experts classify the stages of a follicle's lifecycle. The stages are:

- Anagen
- Catagen 
- Telogen 
- The fourth phase accepted by some doctors is the Exogen or shedding phase.

Each hair follicle grows one hair at a time. During this process, beneath the visible skin, your follicle is adding cells to the bottom of the slowly growing hair shaft. Your hair strands aren’t getting longer at the tip, they’re actually growing at the base and being pushed further out of the hair follicle.

The Anagen phase is the period of this real, active growth, and it lasts the longest of these phase (or at least it should). The Catagen phase is a point of regression or rest, when the hair follicle slows and then stops actively adding new cells to the base of the shaft. Finally, the Telogen phase is the dormant period before the hair is shed, when the hair is detached from its root. The Exogen phase is when the hair base is pushed out of the follicle and shed completely. 

Unfortunately, as a biological process, hair growth is susceptible to many complications, from external threats to internal or underlying health conditions. Everything can take a toll. 

Still, depending on the root cause, your body can often support regrowth after healing from various medical conditions.

## Potential Causes of Hair Loss and the Natural Timeline for Regrowth

Knowing when hair loss might reverse itself is nearly impossible. 

First, if you’re not addressing the issue and don’t have a clear medical reason for hair loss in the first place, don’t expect it to resolve itself. For instance, hereditary hair loss as a result of your genetics won't resolve without some intervention.

The causes of loss can provide some insight into regrowth timelines, too, but remember, each person is different. Results for your friend might not be the same for you.

Here are some common causes of hair loss.

### Pattern Hair Loss

Androgenic alopecia, or male & female pattern hair loss, is a form of hereditary hair loss that generally occurs as people age. Hair follicles shrink and weaken, making it impossible for hair to grow back effectively. This is largely due to the prolonged impact of hormones, namely dihydrotestosterone, on your follicles. Some people are just more susceptible to its effects on hair follicles than others. While pattern hair loss is permanent, you can slow and even reverse the effects by using certain treatments and solutions.

Both men and women can suffer from pattern hair loss; however, it affects the sexes differently. Women rarely go entirely bald from the condition, unlike men, and women more often experience hair thinning or patchiness. 

Regardless of gender, any loss that occurs due to androgenic alopecia won’t grow back on its own. Thankfully, there are options that can help. 

Intervention, like those listed below, will be necessary.

### Scalp Psoriasis

Scalp or plaque psoriasis is an autoimmune disease that can lead to temporary hair loss. It affects the cells on your scalp, causing plaques, inflammation, and itchiness of the skin. Some people find it difficult not to scratch the affected area, which can make the condition worse, resulting in more significant damage.

The relief for many patients is that hair often grows back when the condition is under control. The main objective is finding an auto-immune medication that works for the individual. Once treatment begins and the scalp is healing, hair often begins to grow back within months.

### Alopecia

Another autoimmune condition that affects hair is alopecia areata, which causes the immune system to attack the hair follicles specifically. While hair can fall out anywhere and often everywhere on the body, it typically happens on the scalp. Unlike psoriasis, alopecia is unpredictable. Hair loss might only be temporary, or it might progress through a series of starts and stops. Some people with alopecia areata are unable to grow hair permanently.

### Nutritional Deficiencies

Illness is not always the cause of hair loss. Sometimes a poor diet can play a significant role in hair growth issues. For example, nutritional deficits, specifically in zinc and iron, can lead to hair loss. Fortunately, most hair loss caused by an adverse diet can be reversed. But how long does it take for hair to grow back after hair loss due to nutrition issues? With efficient changes to your diet, regrowth can occur within several months. However, the thickness and health of the returning hair depend on sustaining a healthy and nutritious diet.

### Hormonal Changes

Both men and women experience hormonal changes throughout their lives. For example, women often undergo major fluctiations during and following pregnancy or during menopause. While men might not experience such drastic hormone shifts, age can bring changes.

Hormonal shifts can cause hair loss. Fortunately, the loss is often temporary. While hair is likely to return, it’s impossible to predict with any certainty when regrowth will occur without intervention. 

### Thyroid Issues

The overproduction or underproduction of thyroid hormones can result in hair loss. Hypothyroidism and hyperthyroidism are treatable conditions. Once the condition is managed, typically with medication or surgery, a patient can generally expect to see hair return. Depending how long the condition went unmanaged, though, it will likely take 1+ months to see regrowth.

### Chemotherapy

Chemotherapy is a potent, first-line treatment against many forms of cancer. Unfortunately, while it's effective in attacking cancer cells, the therapy can also damage hair follicles all over the body, resulting in rapid hair loss. When treatment is complete, many patients see hair return in two to three weeks, though it may take several months for hair to return to normal. 

Interestingly, this treatment can also lead to a peculiar situation where the hair returns in a different color or texture than before! From straight to wavy, from thin to thick. 

## Medications for the Reversal of Hair Loss

While there’s nothing wrong with letting nature take its course, biology does not guarantee that hair loss can be reversed. 

In many cases of hair loss related to a medical condition, hair will return when the body finds equilibrium or returns to health.

Speeding up the regrowth process or stopping more hair loss from happening is possible. Prescription and non-prescription medications are key. 

### Minoxidil

Minoxidil is a topical solution used to treat male and female pattern baldness. In a 2% concentration, minoxidil can help promote hair growth in women. It’s used at a 5% concentration in men.

Minoxidil is actually one of only two medications approved by the FDA to treat hair loss, and it’s been used for decades by millions of men and women. It’s thoroughly researched and one of the most vetted hair loss solutions available. And, it doesn’t require a prescription.

When used and applied correctly, minoxidil can help slow and stop hair loss, and even help to regrow hair. It’s worth mentioning that researchers are not 100% sure how minoxidil promotes hair growth.

Minoxidil takes 60-90 days of consistent use before most people see results, and results can continue to improve with regular use. Patients report continued improvements as far out as two and five years. Once you stop using minoxidil, your hair may revert back to how it was prior.

If your hair loss is unexplained or it comes on suddenly with patchy, substantial hair loss, you may want to discuss your situation with a medical professional first.

## Finasteride

Unlike minoxidil, finasteride is only for adult men. It is an oral prescription medication that works by reducing the hormone dihydrotestosterone (DHT) in the body. By interfering with DHT production, finasteride promotes hair growth and slows hair loss.

Finasteride also has decades of clinical use and research supporting its capabilities, with proven results in helping men stop hair loss, regrow hair, and improve density.

Like minoxidil, finasteride can take three to six months to see noticeable changes, and improvements can continue for over a year. 

Finasteride is not safe for women.

## Natural Hair Loss Treatments
A variety of natural extracts and botanicals may also be effective in treating hair loss. 

At Shapiro MD, our flagship solutions are based on years of clinical practice and research from our founding dermatologists. Our easy-to-use shampoo and conditioner, for example, contain recognized DHT-fighting ingredients like saw palmetto berry extract and EGCG, an extract of green tea. These formulations are patented and designed for use on any hair type.

This simple, holistic approach has been used by hundreds of thousands of men and women to combat thinning and patchy hair by fighting DHT at the scalp. 

## Conclusions

How long it takes for hair to grow back after hair loss varies person-to-person. If your hair loss is due to a treatable medical condition like following chemotherapy use, most people can expect hair regrowth within months. 

If you're dealing with male or female pattern hair loss, however, don't expect your hair to come back on its own. Interventions like minoxidil (in our Regrowth Kit, for example), can help.

Everyone is unique, and not all treatments work the same way for all people. 

Shapiro MD can help, with a variety of hair loss solutions selected by dermatologists: from all-natural patented solutions, to customized topical prescriptions. [Click here to get started with our hair loss quiz today.](https://shapiromd.com/quiz/?affid=shapiromdblog)


Man looking at watch and calendar

How Long Does Hair Regrowth Take? Understanding the Factors

When people think of hair loss and baldness, they tend to imagine men in their later middle years and older. If you’re in your 20s with a balding dad you may be cautiously wondering, “When does hair loss actually start?” 

The answer is: sooner than you think.

The truth is that for guys, hair loss frequently begins in their 20s. Males aren’t the only ones who suffer from hair loss; women go through it as well, though it manifests as thin or patchy hair more frequently and tends to start later in life. 

The age at which you may start losing your hair depends on a variety of factors: sex, genetics, and _why_ it’s happening, like underlying medical conditions. 

## What Is Male-Pattern Hair Loss?

While you might not be  thrilled at seeing such stark changes in your hair at such a young age, it isn’t uncommon. Male-pattern baldness is also known as androgenic alopecia. The pattern of loss typically begins either at the temples or on the crown of the head, and it can also start in both places at the same time. Your hair thinning can be partial or continue until you have little to no hair left.  

### How Many Men Get Male-Pattern Hair Loss?

In the U.S., approximately [50 million men](https://medlineplus.gov/genetics/condition/androgenetic-alopecia/#frequency) experience the condition, and around half of the population over 50 years old has it to some degree. While everyone knows that older men are more likely to deal with balding, what about the younger folks?

The research shows that around [42% of the male population](https://journals.lww.com/dermatologicsurgery/Abstract/1998/12000/Prevalence_of_Male_Pattern_Hair_Loss_in_18_49_Year.9.aspx) between ages 18 and 49 may have androgenic alopecia that results in moderate to extensive hair loss. The proportion increases with age. Approximately 16% of men aged 18-29 have noticeable hair loss, while 53% of those aged 40-49 do.

### What About Women? 

Female-pattern hair loss is also called androgenic alopecia. The condition looks different in women than it does in men, with women often noticing hair loss first along their part line, while thinning may occur all over the head. Women don’t often become totally bald, but they can experience significant hair loss that results in thin hair all over their head. When this occurs, the scalp may be visible from numerous angles.

### When Does Hair Loss Start in Women?

As with men, most women don’t start losing a significant amount of hair until they’re in their 40s or older. In the U.S., up to [40% of the female population](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4573453/) has some level of androgenic alopecia by the time they reach 40. Frequently, hair loss in women begins around menopause, when they have major hormonal changes in their body. The same can happen during pregnancy and after birth; fluctuations in hormone levels can do all kinds of things to hair growth.

Some women have early-onset hair loss, too. These women often notice that their hair is getting thinner at a young age. In fact, thinning can start [as early as age 12](https://www.sciencedirect.com/science/article/pii/S0022202X15529369).

## Stress: Why May Be Shedding More Than Your Cat

First of all, it’s perfectly normal to shed hair. Each day, most people lose between 50 and 100 strands of hair. That’s why you have to clean off the tub drain every once in a while (or perhaps daily if you happen to have long hair). You may also notice several strands coming off on your comb or brush. Again, this is perfectly normal, but sometimes people go through periods when they shed an excessive amount of hair.

### What Is Excessive Shedding?

If you’ve noticed that you leave more hair lying around the house than your cat does, you may be experiencing excessive shedding. Think back to the past few months. Have you experienced:

* More stress than normal?
* Weight loss of at least 20 pounds?
* Giving birth?
* A high fever or severe illness?
* A surgery?

All of these circumstances can lead to excessive shedding. The thing is, it usually occurs a few months after the actual event. It may seem weird that the response to the stressor can be so delayed. The reason has to do with chemical changes when you experience stressful circumstances or events.

Excessive shedding is not true hair loss. The hormonal changes in your system cause more of your hair to begin going through the shedding, or exogen, phase than normal. Once your system returns to homeostasis, your hair growth and cycles return to normal. Within six to nine months, you should have your full head of hair back.

## What's To Blame for Your Hair Loss?

Genetics play a big role in hair loss. In fact, while stress can cause hair loss or thinning, genetics and heredity are the number one cause. Contrary to popular belief, hair loss tendencies are passed on from both the maternal and paternal sides of the family. So don’t just look at your mom’s side of the family for your genes. These genetic factors are complicated and not entirely known, but there is a relationship between the male sex hormones testosterone and dihydrotesosteoner and hair loss in both men and women.

Other medical conditions are associated with androgenic alopecia too. For men, the condition is linked to prostate cancer, and for women, it can be associated with polycystic ovary disease. In both sexes, people with the condition are also more likely to have obesity, diabetes, high blood pressure, and coronary heart disease.

There are ways to fight and stop androgenic alopecia. 

Shapiro MD’s dermatologists understand just how important it is for you to slow the process and regrow your hair. We use only the most effective and proven ingredients, found naturally as well as enhanced by science. 

Take our [free quiz](https://shapiromd.com/quiz/?affid=smdblog) to learn more about a personalized system for your hair loss, all done virtually and shipped to your door. [Click here to get started.](https://shapiromd.com/quiz/?affid=smdblog)

## Sources

[https://medlineplus.gov/genetics/condition/androgenetic-alopecia/#frequency](https://medlineplus.gov/genetics/condition/androgenetic-alopecia/#frequency)

[https://journals.lww.com/dermatologicsurgery/Abstract/1998/12000/Prevalence_of_Male_Pattern_Hair_Loss_in_18_49_Year.9.aspx](https://journals.lww.com/dermatologicsurgery/Abstract/1998/12000/Prevalence_of_Male_Pattern_Hair_Loss_in_18_49_Year.9.aspx)

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4573453/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4573453/)

[https://www.sciencedirect.com/science/article/pii/S0022202X15529369](https://www.sciencedirect.com/science/article/pii/S0022202X15529369)


Guy examining his head and hair

Can Young People Lose Their Hair?

If you’ve done any research on hair loss remedies, there’s little doubt you’ve seen the names Propecia® and finasteride. 

It may have you wondering: what’s the difference between Propecia vs finasteride? Simply put, finasteride is the generic form of Propecia. The brand contains the active ingredient finasteride, as do generic forms. Propecia and finasteride are different recipes for the same active and effective men's hair loss medication.

## What Is Finasteride?

Finasteride is a synthetic drug used to treat men with benign enlarged prostates and male-pattern baldness. It’s a chemical compound known as a 5-alpha reductase (5AR) inhibitor. By inhibiting this enzyme, finasteride reduces the amount of testosterone converte to dihydrotestosterone (DHT), a hormone that contributes to male pattern baldness in people who are susceptible to the condition, generally due to genetics or inherited traits.

### DHT and Androgenic Alopecia

Androgenic alopecia is the medical term for male and female pattern baldness. Your body produces male sex hormones (yes, even women have these) known as androgens. Two of the primary androgen hormones are testosterone and dihydrotestosterone (DHT). Everybody has heard of testosterone, but not everyone knows what DHT is, despite that it’s one of the most powerful androgens and contributes meaningfully to males’ traditionally masculine features.

DHT is derived from testosterone. An enzyme known as 5-alpha reductase converts some of your testosterone into DHT. This takes place in androgen receptors located in various parts of the body, including the hair follicles. 

DHT can also bind with these androgen receptors, which can lead to follicle shrinkage and hair loss. People who are genetically predisposed to androgenic alopecia have high rates of DHT-binding, which leads to weaker, shrinking hair follicles. 

DHT is one of the core causes of androgenic alopecia and hair loss in men and women. Here at Shapiro MD, we often call it _the_ hair loss hormone.

### Finasteride and Androgenic Alopecia

Finasteride interacts with the 5-alpha reductase (5AR) enzyme, which comes in two isotopes: Type I and Type II. The drug impacts only the Type II isoform, but this form is responsible for the creation of about [two-thirds of the DHT](https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/020788s018lbl.pdf) circulating in your body. By reducing the 5AR in your body, finasteride/Propecia can limit how much DHT occurs through the conversion of testosterone. It’s a creative way to reduce DHT in the body.

Finasteride does not interact with your androgen receptors; its impact on hair growth and loss is due to the suppression of DHT production. 

This chemical compound acts fast, reducing the amount of the hormone in soft tissues and blood by 65% within a day of taking a 1-milligram tablet, and by 80% or more over time. This reduction has been shown to slow and stop hair loss in men, and even help to regrow denser hair.

## What’s the Story On Propecia?

Propecia is a drug created by the pharmaceutical giant Merck. The active ingredient in the drug is finasteride. Merck is the company that originally developed finasteride.

### History of Finasteride

In the mid-1970s, Merck began investigating how to create a drug that would lower DHT levels after scientific observations revealed that a reduction in DHT led to smaller prostates. The hope was that they could create a drug that would treat enlarged prostates in men. The scientists at the company experimented on various forms of potential 5-alpha reductase inhibitors.

The first drug approved to reduce DHT levels was Proscar. The U.S. Food and Drug Administration gave it the green light in 1992 to treat benign prostatic hyperplasia. The medication is prescribed in 5-milligram doses. 

Five years later, the USDA approved finasteride in a 1-milligram dose to treat androgenic alopecia in men. It was marketed under the label Propecia. These two drugs were the first-ever 5-alpha reductase inhibitors.   

For years, Propecia and Proscar were available as branded medications only. As the first and only oral medication for male hair loss, Propecia was a big success. It’s helped millions of men improve their hair. 

Now, finasteride is available in generic forms at much lower prices than branded Propecia, including through Shapiro MD.

### Usage and Dosages for Finasteride

Propecia is used for the treatment of androgenic alopecia in men only. It is available in tablet form, with each one containing 1 milligram of finasteride. The recommended dosage is once per day. It may take a few months before you see results, and continued use is recommended. Men who stop taking the drug may see a reversal of benefits within a year after stopping.

### Side Effects of Finasteride

The potential for side effects is low; however, as with any drug, you need to be aware of them before you begin taking finasteride. In 2012, the USDA released information about [potential side effects](https://wayback.archive-it.org/7993/20170723090425/https:/www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ucm299754.htm) that were then included on the label for finasteride medications. Possible adverse reactions include:

* Erectile dysfunction and decreased libido
* Ejaculation or orgasm disorder
* Poor seminal quality or infertility
* Testicular pain
* Breast tenderness and enlargement
* Breast cancer
* Sensitivity reactions that include rashes, urticaria, pruritis and swelling in the face and lips
* Depression

Thus far, there are no known drug interactions.

### Clinical Trials of Finasteride for Men

To determine the effectiveness of finasteride on male pattern hair loss, Merck conducted three clinical trials: two on men with hair loss at the crown and one on men with hair loss in the anterior, mid-scalp region. Each of these lasted 12 months. Scientists used a randomized, double-blind approach, where participants received either finasteride or a placebo, and neither the administrators nor the participants knew who got which dose. The participants were all men between the ages of 18 and 41 who had mild to moderate androgenic alopecia.

The results of the trials indicated that Propecia is very effective in treating male-pattern baldness. The men who participated in these students saw positive results within three months of beginning treatment. After 12 months, only [14% of the men](https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/020788s020s021s023lbl.pdf) treated with Propecia demonstrated further hair loss, compared to 58% of the men in the placebo group. Furthermore, the men who received Propecia saw a net gain in hair count over the study period.

#### Long-Term Finasteride Results

Some of the participants continued in the study for up to five years. At the two-year mark, 17% of those who received Propecia continued to lose hair, versus 72% in the placebo group. After five years, 100% of those who took a placebo lost more hair, while 35% of the men who took Propecia did.

### Clinical Trials of Finasteride for Women

Researchers conducted one clinical trial of finasteride on 137 postmenopausal women who all had androgenic alopecia. The study lasted one year. The results indicated that Propecia was not effective in treating hair loss in postmenopausal women.

Women of childbearing age should not use Propecia or any other finasteride. Furthermore, they should not handle crushed or broken tablets, liquids or topicals containing the drug when they are pregnant. Finasteride can create problems with forming external genitalia in male fetuses, leading to abnormalities at birth.

## Are There Differences Between Generic Finasteride and Propecia?

On July 28th, 2006, the FDA approved [the first generic form](https://www.medscape.com/viewarticle/542463) of finasteride. Propecia and generic forms of finasteride contain the same active ingredient, but there are differences in inactive ingredients. Propecia only comes in 1-milligram tablets, while the generic finasteride is available in tablet, liquid and topical forms.

The generic versions are also available in either 1-milligram or 5-milligram doses because they are meant to treat both androgenic alopecia and benign prostatic hyperplasia. If you have a prescription for the treatment of hair loss, you receive a 1-milligram dose. The adverse effects of the generic form of finasteride vs Propecia are the same, as they both contain the same active ingredient.

The biggest difference between generic finasteride and Propecia is the price. While both perform the same function, there is a significant difference in pricing. Brand names are always more expensive than generic forms, and it’s no different with this drug; Propecia carries a higher price tag than what you pay for generic finasteride.

## Does Shapiro MD Have Finasteride?

At Shapiro MD, we’re working hard to make hair loss relief easier than ever. With our simple telemedicine platform, we can deliver generic finasteride to your door, if approved, with prescriptions done online by licensed clinicians. It’s fast and easier than ever. 

[Get started with our free hair quiz right now.](https://shapiromd.com/quiz/?affid=Shapiromdblog)

## Sources

[https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/020788s018lbl.pdf](https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/020788s018lbl.pdf)

[https://www.sciencedirect.com/topics/pharmacology-toxicology-and-pharmaceutical-science/azasteroid](https://www.sciencedirect.com/topics/pharmacology-toxicology-and-pharmaceutical-science/azasteroid)

[https://www.rxlist.com/propecia-drug.htm#indications](https://www.rxlist.com/propecia-drug.htm#indications)

[https://wayback.archive-it.org/7993/20170723090425/https://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ucm299754.htm](https://wayback.archive-it.org/7993/20170723090425/https:/www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ucm299754.htm)

[https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/020788s020s021s023lbl.pdf](https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/020788s020s021s023lbl.pdf)


finasteride blister pack

What’s the Difference Between Propecia and Finasteride?

The U.S. FDA has approved only two medications to treat male pattern baldness and female pattern baldness (androgenic alopecia): minoxidil and finasteride.  Although it’s not FDA-approved for hair loss, topical ketoconazole is sometimes used as an alternative and/or adjunctive treatment for people who don't respond to minoxidil or finasteride. A [review of academic literature](https://onlinelibrary.wiley.com/doi/abs/10.1111/dth.13202) regarding the efficacy of ketoconazole for treating androgenic alopecia (AGA) indicates that ketoconazole is also a promising therapeutic for addressing AGA, though more trials may be needed. Other ingredients are frequently used by dermatologists in the treatment of hair loss as well, including tretinoin, though these are not approved specifically for hair loss. 

Here's the story on FDA-approved hair loss treatments.

## How is Male Pattern Baldness Diagnosed?

Dermatologists diagnose androgenic alopecia in men by evaluating the pattern of baldness, obtaining the patient's medical history, and asking about the prevalence of male pattern baldness in their family. The doctor may examine the scalp using a densitometer that magnifies hair follicles and hair roots. A densitometer can reveal whether a man's hair follicles are smaller than normal due to possible DHT sensitivity.

The [Norwood Scale](https://www.americanhairloss.org/men_hair_loss/the_norwood_scale.html)  is also useful for determining what kind of hair loss treatment is needed to address specific types of hair loss progression. Composed of images of men in various stages of hair loss, the Norwood Scale is routinely used by doctors specializing in hair loss conditions.

## Facts about Minoxidil (Rogaine)

Rogaine is the original brand name for minoxidil, a versatile type of antihypertensive vasodilator that can help reduce high blood pressure and treat androgenic alopecia.  Minoxidil is available as an over-the-counter foam or liquid. When used as an anti-hypertensive drug, minoxidil requires a doctor's prescription, but topical minoxidil for hair growth is approved for use over-the-counter: it no longer requires a prescription (though it did in the ‘90s when first introduced).

Hair follicles receive rich amounts of nutrients and oxygenated blood due to minoxidil's ability to dilate blood vessels. Minoxidil also contains a nitric oxide agonist that seems to cause follicles to shed hair when they are in the telogen phase of hair growth. Follicles then quickly enter the anagen phase that allows for thicker hairs to replace thin or missing hairs.

### How is Minoxidil Used to Treat Androgenic Alopecia?

Minoxidil works to treat male pattern baldness and female pattern baldness. Men with receding hairlines but not the characteristic horseshoe-shaped pattern of baldness indicative of androgenic alopecia may not always see desired results using minoxidil. In addition, minoxidil is not always recommended for unexplained hair loss, patchy hair loss, or hair loss attributed other conditions.

How much minoxidil a person uses depends on whether it’s formulated as a 2% or 5% topical solution. Minoxidil must be applied once or twice a day to provide the best results. In most cases, [men using 5% minoxidiol](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691938/) begin seeing visible results in about four months.

### What is the Difference Between 2% Minoxidil and 5% Minoxidil?

Structural and chemical [differences between male and female hair follicles](http://www.annclinlabsci.org/content/36/2/115.full.pdf) have led to research showing that 5% minoxidil works better on men with androgenic alopecia. Men and women can use 2% minoxidil to achieve similar results, but the amount of 2% minoxidil topicals needed to initiate hair growth is more than what is needed for men who use 5% minoxidil.

A [48-week, double-blind, randomized trial](https://pubmed.ncbi.nlm.nih.gov/12196747/) comparing 2% topical minoxidil, 5% minoxidil and a placebo involved nearly 400 men with androgenic alopecia. Researchers reported that, at the 48-week mark, results indicated that 5% minoxidil was "significantly superior to 2% minoxidil." Not only did men using 5% topical minoxidil respond faster to treatment, but subjects reported improved self-esteem and overall quality of life.

## Facts About Finasteride (Propecia)

Originally developed to treat male benign prostatic hyperplasia (BPH), Propecia began intriguing doctors when men taking oral Propecia reported a particular side effect --hair regrowth in men with male pattern baldness.

Finasteride is the active ingredient in Propecia. Pharmaceutical chemists already knew prior to marketing Propecia that finasteride inhibited an enzyme needed to convert testosterone to dihydrotesterone. However, they didn't anticipate Propecia's ability to reduce DHT enough to treat male pattern baldness. In fact, men who are genetically predispositioned to experience male pattern baldness are either sensitive to DHT or have too much DHT in their hair follicles. .

Available by prescription only, finasteride is FDA-approved but may cause [possible side effects](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6479090/) men should know about, including:

* Problems with maintaining an erection
* Loss of sexual desire
* Breast enlargement
* Ejaculation delay/inability to ejaculate

Finasteride (1 mg) was approved in 1997 by the FDA for treating male pattern baldness. In the same year, the FDA also approved 5 mg finasteride (Proscar) for treating BPH only_. Proscar at this dose should never be used to treat male pattern baldness._

Studies involving women using finasteride for female pattern baldness have found the drug may [interfere with fetal development](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060023/). Women in their childbearing years should avoid taking finasteride due to the increased risk of birth defects. In addition, pregnant women should not touch broken or crushed finasteride tablets. This drug could harm the health of a male fetus if it is absorbed by the skin.

### How is Finasteride Used to Treat Male Pattern Baldness?

Doctors prescribe finasteride in 1mg tablets to adult men with male pattern baldness. One tablet is taken daily, with or without food. Most men see results within four to six months of beginning treatment. If finasteride use is stopped, any new hair growth will likely be lost within one year. Finasteride only supports [hair growth](https://www.mayoclinic.org/drugs-supplements/finasteride-oral-route/precautions/drg-20063819) as long as it is taken. Once levels of finasteride in a man's bloodstream start dwindling, it can no longer prevent conversion of testosterone to DHT.

### Contraindications for Finasteride

Some medications may reduce the effectiveness of finasteride and/or increase some side effects. No severe drug interactions with finasteride have been identified in dozens of trials and studies. However, the following drugs could [moderately interact](https://www.drugs.com/tips/finasteride-patient-tips) with finasteride:

* Luvox (fluvoxamine/SSRI)
* Fluconazole, itraconazole and other antifungal medications
* Ginseng
* Nefazodone (antidepressant)
* Terazosin (antihypertensive)

## How Does the FDA Approve Hair Loss Treatments Like Minoxidil and Finasteride? 

To ensure the safety of U.S. citizens, the Food and Drug Administration (FDA) puts all medications through a rigorous process of testing, retesting, and evaluating results. Minoxidil and finasteride have passed through four steps required by the FDA for approval: preclinical, clinical, NDA reviews and post-marketing. Following approval, finasteride and minoxidil manufacturing facilities were inspected for compliance with federally mandated protocols. Finally, pharmaceutical companies are required by law to submit regular efficacy and safety data for continuous evaluation and monitoring.

While these medications are the only two approved by the FDA, dermatologists use a variety of individual ingredients when treating hair loss. For instance, tretinoin is a commonly used retinoid that can help to accelerate skin cell turnover. When use on the scalp, it has shown evidence of improved hair growth, and many dermatologists use it in private practice. 

Shapiro MD’s dermatologists have crafted a variety of options for men and women dealing with hair loss, and our telemedicine process makes getting a personalized and even prescription solution easy, if approved. 

[Click here to get started with our online questionnaire. ](https://shapiromd.com/quiz/)


FDA on sheet

What Hair Loss Treatments Are Approved by the FDA?

Show me someone who’s never experienced a bad hair day, and I’ll say, “Nice to meet you, Jennifer Aniston.” Virtually everyone struggles with their hair. We’ve all endured the occasional day, week, or junior year of college where we’d rather make like Bret Michaels and wear a bandana 24/7.

Ultimately, the secret to a good hair day is strong, nourished strands. You can’t get soft, shiny style and ample staying power without a healthy foundation. More products and supplements than ever before tout biotin as the secret weapon for heartier hair, but is it effective? Read on to discover the basics on biotin and whether it lives up to the hype.

## What Is Biotin?

Biotin is a member of the vitamin B family. It’s water-soluble and performs a handful of roles in your body, the most prominent of which is turning what you eat into energy.

If you’re like most people, though, you've heard of biotin because of the role it may play in keeping your skin, nails and hair strong. Despite being part of the B-vitamin clan, biotin was initially referred to as [vitamin H](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4989391/) — the letter “H” standing for “_Haar und Haut_,” which is German for "hair and skin."

## How Does Biotin Help Your Hair, Nails and Skin?

Research into exactly how biotin helps your hair, nails and skin stay healthy is new and ongoing, but preliminary studies suggest that it stimulates the production of keratin, the protein from which your hair, nails and skin are made.

### Keratin's Effect on Hair

Keratin is a protective protein. When your hair absorbs keratin, for example, it has a smoothing effect, causing the overlapping cells that make up individual hairs to lie neatly. The end result is fuller, shinier-looking strands that are less frizzy and more manageable. Biotin also offers promising results regarding pediatric hair loss. In the end, stronger hair is less likely to fall out, no matter how old you are.

### Effect on Nails and Skin

Very early studies show that biotin may also help strengthen brittle fingernails and toenails, improving thickness and durability. In a small group of cases, biotin had a positive effect on infant skin rashes as well.

## Can You Be Biotin Deficient?

You can, but it’s uncommon, particularly in the United States. [Biotinidase deficiency](https://rarediseases.org/rare-diseases/biotinidase-deficiency/) is a rare genetic condition where the body can’t make use of the biotin found in foods. For most individuals, symptoms first appear during childhood and may include:

* Hair loss (head and body)
* Skin rashes and infections, particularly around the eyes nose, mouth and anus
* Muscle weakness
* Elevated acidity of blood and urine
* Brittle nails
* Conjunctivitis (a.k.a. pink eye)

Infants who are biotin-deficient may also appear sluggish and develop more slowly in general.

In more severe cases, biotin deficiency can cause vision and hearing loss, problems with movement and balance, breathing issues and seizures. Physicians typically treat reduced biotin levels with biotin supplements.

Women who are pregnant or breastfeeding may also become biotin deficient. Most expectant mothers get all the biotin that they and their babies need by taking a prenatal vitamin that includes biotin.

## What Types of Biotin Supplements Are There?

Biotin is available without a prescription in a variety of formulations, including gummies, powders and liquids. The most common way that people take biotin supplements is via tablet or capsule.

Biotin is found in multivitamins, B-complex vitamins, and standalone, biotin-only supplements. These capsules are typically gluten-free as well as free from the most common allergens. Aside from dosage size and any dietary concerns (such as needing a vegan capsule), the main thing to look for in a supplement is third-party quality testing.

## What Are Other Benefits of Taking a Biotin Supplement?

Research on biotin’s benefits is still in its early stages, but studies suggest that biotin may provide an array of other benefits:

* Improving [multiple sclerosis](https://www.tandfonline.com/doi/abs/10.1517/17425255.2016.1136288) symptoms
* Treating hyperlipidemia
* Treating hypoglycemia
* Helping type-2 diabetics regulate their blood glucose
* Preventing kidney damage in type-1 diabetics

## How Much Biotin Should I Take?

Biotin needs vary by age. The [NIH Office of Dietary Supplements](https://ods.od.nih.gov/factsheets/Biotin-Consumer/) makes the following recommendations:

<table>
  <tr>
   <td><strong>Age</strong>
   </td>
   <td><strong>Recommended Daily Amount of Biotin</strong>
   </td>
  </tr>
  <tr>
   <td>0-6 months
   </td>
   <td>5 micrograms
   </td>
  </tr>
  <tr>
   <td>7-12 months
   </td>
   <td>6 micrograms
   </td>
  </tr>
  <tr>
   <td>1-3 years
   </td>
   <td>8 micrograms
   </td>
  </tr>
  <tr>
   <td>4-8 years
   </td>
   <td>12 micrograms
   </td>
  </tr>
  <tr>
   <td>9-13 years
   </td>
   <td>20 micrograms
   </td>
  </tr>
  <tr>
   <td>14-18 years
   </td>
   <td>25 micrograms
   </td>
  </tr>
  <tr>
   <td>19 and older
   </td>
   <td>30 micrograms
   </td>
  </tr>
</table>

Additionally, the NIH recommends that pregnant women take 30 micrograms daily, while moms who are breastfeeding opt for 35 micrograms every day. It’s important that expectant mothers don’t take too much biotin, as it can be harmful to the baby.

## Are There Any Side Effects of Taking a Biotin Supplement?

There are no negative side effects to taking a biotin supplement if you don’t overdo it. Because it’s water-soluble — which means your body doesn’t store it — it’s difficult to overdose on biotin. Once you stop, whatever remains in your system will be eliminated naturally.

That said, if your levels do get too high, it may throw off tests that involve measuring your hormone levels. Too much biotin can yield a false positive for thyroid diseases, for example.

## Will Taking a Biotin Supplement Affect Any Other Medications or Supplements?

In general, biotin plays well with others. That said, you should still talk with your doctor before beginning any type of supplement or medication. He or she can go over your list of prescriptions and existing supplements to look for potential problem areas. Your doctor can also make sure you’re not taking any drugs or supplements that are negatively affecting how your body processes biotin. Certain antiseizure drugs, for instance, can reduce biotin in both concentration and effectiveness when taken for an extended period.

## Do Any Foods Contain Biotin?

In addition to supplements, you can also boost your biotin intake by eating a variety of biotin-rich foods, such as:

* Bananas
* Cauliflower
* Mushrooms
* Whole grains
* A variety of nuts and nut butters
* Egg yolks
* Soybeans

Heat and other cooking processes can zap biotin’s efficacy, so the less processed the food, the better. Dip raw cauliflower in your favorite hummus instead of roasting it, for example. While you're at it, complement this biotin-rich grub with plenty of avocados and other foods that are high in vitamin E, which is also great for hair health. The same goes for foods that contain plenty of omega-3 and omega-6 fatty acids, such as walnuts, chia seeds and several types of fish.

Science still has a lot to learn about biotin, but the studies conducted thus far are compelling, and biotin is a key nutrient for great hair. 

Time is of the essence when it comes to breakage and hair loss. If you’re concerned about brittle or thinning hair, it may be time to connect with a professional. Shapiro MD’s trained clinicians are here for that. It’s easier than ever to get a custom treatment plan, all from home – [click here to start your free online consultation.](shapiromd.com/quiz)

## Sources

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4989391/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4989391/)

[https://rarediseases.org/rare-diseases/biotinidase-deficiency/](https://rarediseases.org/rare-diseases/biotinidase-deficiency/)

[https://www.tandfonline.com/doi/abs/10.1517/17425255.2016.1136288](https://www.tandfonline.com/doi/abs/10.1517/17425255.2016.1136288)

[https://ods.od.nih.gov/factsheets/Biotin-Consumer/](https://ods.od.nih.gov/factsheets/Biotin-Consumer/)


Woman with hair blowing in wind

Do Biotin Supplements Work?

Not everyone is satisfied with the way their eyelashes look, and while there are a variety of ways to improve the look and density of your eyelashes – like mascara or false lashes – these are only temporary fixes. 

Options to help grow full and luscious lashes exist, but not all are created equal. Latisse (bimatoprost) is the only FDA-approved treatment for inadequate eye lashes, and while over-the-counter products like Lash Boost and neuLash may be able to help, they’ve not undergone quite the same scrutiny as  bimatoprost.

Here are the differences: Latisse vs neuLash vs Lash Boost.

## Latisse

If you’re looking for a product with a proven track record, look no further than Latisse (bimatoprost), the only FDA-approved eyelash treatment. 

According to one published study, researchers using a saline solution versus a bimatoprost solution — the active ingredient in Latisse — found that participants using the bimatoprost solution [experienced nearly twice the lash growth](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2864326/) as those who weren’t.

Latisse was originally created by the drug company Allergan. In 2001, the company developed a medicated bimatoprost eye drop to treat elevated intraocular pressure. Many patients using it also began to grow longer, fuller, and darker lashes as a side effect. Recognizing the potential, Allergan then began studying the medication specifically for growing lashes, and after a clinical trial, it was approved by the FDA in December of 2008 for the treatment of underdeveloped eye lashes.

Since then, it’s been the only FDA-approved eyelash enhancer on the market, though generic versions of bimatoprost have come to market at lower prices than the original branded version.

### Ease of Use

As a medication, Latisse requires a prescription; it’s not an over-the-counter treatment. Despite the more restricted availability, the treatment is no more difficult to use than any other eyelash growth enhancer.

The prescription comes with a bottle of the serum and several sterile applicators. You want to use one application for each eye. You dip the applicator brush into the medicine and carefully apply it to your upper eyelid. You can dispose of the brush after application. Do not apply to the lower lash.

### Product Efficacy

Because Latisse is an FDA-approved medication, it underwent a series of [clinical trials](https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/022369s005lbl.pdf). According to the results of these trials, people using the serum consecutively for 20 weeks experienced eyelash growth, demonstrated using the Global Eyelash Assessment scale, when compared to those receiving a placebo.

### Safety

Unlike other growth enhancers, Latisse is an approved medication. The FDA approval process presents many hurdles to manufacturers to ensure the safety and efficacy of their products.

As with any other medication, the use of Latisse can cause side effects, but research suggests potential risks are minimal. Currently, Latisse is the only eyelash enhancer with results approved by the FDA.

### Expense

As far as the cost of Latisse, it is similar to other products on the market; however, as a prescription, you will need to talk with a doctor before purchasing it.

The standard-sized bottles come in 5 ml and 3 ml. Depending where you find it, the larger size can cost as much as $150 and lasts approximately 10 weeks. 

Generic bimatoprost is available at half the price or less depending where you find it.

## neuLash

Another popular product on the market is neuLash. When discussing neuLash vs Latisse, it’s necessary to talk about the lack of FDA approval. NeuLash is an over-the-counter (OTC) cosmetic product, meaning you do not need a prescription.

Unlike Latisse, the primary ingredients in neuLash are sodium hyaluronate and biotin, among others. [Biotin deficiencies have been linked to hair loss](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4989391/). 

Like Latisse, it is applied to the upper eye lash and intended to produce the appearance of thicker lashes.

### Ease of Use

NeuLash, like other serums, is easy to use. The product comes with a single applicator. The application brush is similar to those you find included with mascara bottles.

### Product Efficacy

Like most OTC eyelash enhancers, neuLash contains ingredients claimed to promote overall hair health, not eyelashes specifically. Unfortunately, while you can find consumer studies talking about the efficacy of such products, clear-cut scientific data is a little lacking. 

The product does not meet the same level of scrutiny as Latisse and cannot claim the ability to grow eyelashes. It is a serum designed to “enhance the appearance of lashes.” Latisse, meanwhile, can “grow lashes longer, fuller, and darker.” 

Most of the language used to promote eyelash enhancers is marketing focused, and cosmetic enhancers have not been evaluated by the FDA for efficacy. 

### Safety

In general, OTC eyelash enhancers like neuLash are safe; however, neuLash and others contain isopropyl cloprostenate that has demonstrated to have [adverse side effects](https://pubmed.ncbi.nlm.nih.gov/27595988/) in some people. In addition, isopropyl cloprostenate can cause irritation or discoloration of the iris.

### Expense

As neuLash is not a medication, it is available as an OTC solution online and in stores. Because a prescription is not necessary, the product does offer convenience, but be sure to research the price. Many places offer it for around $50, but in higher-end retailers, it can be found for as much as $150 (quite the markup).

## Lash Boost

Like neuLash, Lash Boost is an OTC product; additionally, the ingredients in lash boost are also more focused on general [hair growth](https://www.hindawi.com/journals/drp/2015/841570/) and health, like biotin. While Lash Boost is a popular product, it too is not intended to treat a condition like Latisse, and most claims have not been evaluated by the FDA.

### Ease of Use

Lash Boost, like all other eyelash enhancers, is applied with an applicator brush. The included brush is similar to a mascara brush. Next, you apply the serum to the lash line. Lash Boost is a quick-drying treatment, typically requiring only 90 seconds before completely drying.

### Product Efficacy

Again, as an OTC product, Lash Boost does not meet the same level of scrutiny as Latisse. Because it has not been approved by the FDA, there is less scientific research on the product or its ingredients’ efficacy on eyelash enhancement or growth. As with other OTC eyelash enhancers, many of the ingredients in Lash Boost may be effective in improving general hair health.

### Safety

Lash Boost is considered safe for consumer use, but that does not speak to its effectiveness as an eyelash treatment. The product also contains isopropyl cloprostenate, which is linked to potential adverse side effects, including irritation and iris discoloration in some people.

### Expense

Lash Boost does not share the same reach as other OTC eyelash enhancers, like neuLash. It is only sold through the Rodan + Fields store or their affiliates. Lash Boost sells for $155 per bottle, which is enough for two months of applications. Lash Boost is on the higher end of pricing for consumer products in the OTC market.

## Other Eyelash Products

Start poking around online and you’ll find a variety of eyelash enhancement products that are similar to neuLash and Lash Boost: OTC treatments with little support from placebo-controlled clinical trials. There are no other eyelash enhancers with the same credibility as bimatoprost, which is the only medication approved for use to “grow and darken” eyelashes. That doesn’t mean these products aren’t helpful; it only means they’ve not been through quite the same rigorous process.

## Sources

[https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/022369s005lbl.pdf](https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/022369s005lbl.pdf)

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2864326/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2864326/)

[https://www.hindawi.com/journals/drp/2015/841570/](https://www.hindawi.com/journals/drp/2015/841570/)

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4989391/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4989391/)

[https://pubmed.ncbi.nlm.nih.gov/27595988/](https://pubmed.ncbi.nlm.nih.gov/27595988/)


A woman in the bathroom doing her eyelashes

Woman doing her eyelashes

The Differences in Eyelash Enhancers: Lash Boost, Latisse, and neuLash

In this information age, you’re likely to notice _lots_ of commercials that advertise products for hair loss. Hair loss prevention is as popular as TikTok – minus the sweet dance moves.

It's great that people are learning that hair loss is treatable and that effective options are out there for most people. But many may not realize that the most effective treatment regimens are often unique to each person. How individuals respond to products and treatments can vary, and while hair care specialists have different levels of expertise, you need to know which doctor to see for hair loss – and which not to.

## What Are the Types of Hair Care Specialists?

Many people don’t even think of seeking advice from a hair care specialist when they realize they have a real hair loss problem, but it’s important to know that experts are out there. Lots of them. Here’s what to know about the types of specialists and how they can help concerned clients.

### Hairstylists

Hairstylists are usually the first line of defense when it comes to hair issues. People who have long-standing relationships with their stylists feel comfortable speaking about hair issues or hair loss with someone they know and trust. This is especially true for women, who may spend meaningful amounts of time at the salon with their stylist. 

A stylist is typically a great person to talk with about the general condition of your hair and scalp. Most licensed stylists are well-versed in hair care techniques, and they know the basic signs of hair and scalp issues. If you have a specific condition, look for a professional who knows how to style _your_ hair so you look _your_ best. Some stylists work specifically with [alopecia areata](https://www.aad.org/public/diseases/hair-loss/types/alopecia), psoriasis, and other conditions, and they may have the precise expertise you’re after so you can feel confident about your look.

### Trichologists

Trichology is a hair specialization that focuses on hair loss and scalp issues. A trichologist goes through a training program to receive certification to treat certain hair conditions. This is what might be covered in a typical appointment with a trichologist:

* Hair and scalp examination
* Hair strand analysis
* Serum or hair product recommendations
* Health review
* Nutrition information

Trichologists make referrals to physicians and dermatologists for conditions that require medical expertise. Trichologists are not doctors, and they can’t prescribe medications or typically perform medical procedures.

## Will the Real Hair Loss Experts Please Stand Up?

We’re not trying to be overdramatic here, but there is an important difference between consulting with a hair care specialist and seeing a doctor for hair loss. Medical professionals have the medical training, expert knowledge, and state-of-the-art medical technologies to get at the root of the problem (pun totally intended). Dermatologists have practices that specialize in hair loss management and hair growth.

### Physicians

Primary care physicians usually have a basic knowledge of a patient’s overall health, which is a great start when diagnosing hair loss conditions. They have a medical history that can help them pinpoint diseases or medical issues that are hereditary, plus knowledge of a patient’s chronic health problems. They also track stress-related medical concerns, which can contribute to hair problems.

Physicians may prescribe medications for skin and hair conditions that contribute to hair loss as part of treatment progression. They may be familiar with the most common FDA-approved medications, too, many of which are quite effective in combatting hair loss. 

But they also frequently refer patients to doctors within these areas of specialization. People who have extreme problems with their hair, skin or nails should consult a dermatologist.

### Dermatologists

Dermatologists are the hair growth experts for diagnosis and treatment. Think of your dermatologist as a detective solving a case, because hair loss issues are often a complex set of clues that must be assembled to get the correct answer. Doctors may not sport a frock coat and tweed cap, but they use all the tools of their trade to investigate your hair loss issues.

Dermatologists may offer personalized treatment plans and prescribe clinically proven supplements, and some may have the experience to use some medications off-label. These days, telehealth treatment programs allow you to work with the best clinicians to get the care you need from anywhere. The days of sitting in waiting rooms and standing in lines for prescriptions are over.

## What Are the Reasons for Hair Loss?

It’s essential to know that hair loss is *common*. Most people [shed 50 to 100 hairs](https://www.aad.org/public/diseases/hair-loss/insider/shedding) each day. If your bathroom sink looks like a wookie lives nearby, don’t get too worried. There are periods of time you shed more hair; however, if large handfuls come loose or thinning is persistent, it’s time to consider a specialist. Here are some reasons hair falls out:

1. **Hair care problems: **Hair is easily damaged from excessive styling, permanents, and coloring.
2. **Health conditions: **Physical and emotional trauma and chronic illness can contribute hair loss.
3. **Genetic issues: **Hereditary issues like pattern baldness (androgenic alopecia) appear as we age.
4. **Medical conditions and treatments: **Medical treatments and drugs for cancer, heart disease, arthritis and mental health may have side effects such as hair loss.

Anxiety and stress trigger hair loss, and hair loss can trigger stress, so seek help if your comb has got you down.

## How Do You Manage Hair Loss?

Taking care of your hair is as important as any other part of your body because it experiences trauma just like the rest of you. That’s right: Your hair follicles are alive and react to being treated well – or poorly. Here are some ways to manage hair loss:

* **Wash and condition with quality hair care products: **Avoid using shampoos that strip hair of nutrients. Use conditioner after shampooing. A detangler reduces split ends, breakage and frizz.
* **Limit heat from blow-dryers: **Use the lowest setting on your blow-dryer to avoid heat damage. When possible, let your hair air-dry.
* **Avoid home perms, colors, straighteners and relaxers: **Leave these services to professional stylists who know how to apply them correctly and advise whether your hair is healthy enough for certain treatments.
* **Stop pulling your hair back tightly: **Try not to wear hairstyles that pull hair at the roots. This can even lead to permanent hair loss.
* **Brush your hair with care: **Combing and brushing should be done gently. Rough brushing puts excess stress on the hair strands and loosens them at the root.

It’s important to maintain your overall well-being because emotional and physical factors are contributors to hair health as well.

## Why Is It Important To Seek Hair Loss Treatment From a Specialist?

Finding the reason for hair loss and treating the condition takes time. Many hair loss conditions require medical care. While specialists can provide helpful insights, dermatologists will be the best-equipped specialists to understand the health factors that may complicate your condition, then provide you with proper treatment. Using products without the benefit of medical expertise could worsen hair loss and skin conditions. A licensed specialist will carefully examine and advise treatment protocols unique to your situation.

That’s part of what we do at [Shapiro MD](https://main.shapiromd.com/). Our telehealth treatment platform brings the clinician to you, from the comfort of your home. The process starts with a hair quiz, then your clinician can prescribe custom formulations for your condition, if appropriate, all without you leaving the house. They’re shipped to your door,  and once your solutions arrive, you receive ongoing support through our Member Portal, with access to your clinician when needed.

It’s fast, easy, and affordable. Shapiro MD is your hair care specialist from anywhere. [Click here to get started with our free online consultation.](https://shapiromd.com/quiz/)

## Sources

[https://www.globenewswire.com/news-release/2020/05/21/2036964/0/en/Global-Hair-Loss-Products-Market-2020-to-2025-Outlook-and-Forecast.html](https://www.globenewswire.com/news-release/2020/05/21/2036964/0/en/Global-Hair-Loss-Products-Market-2020-to-2025-Outlook-and-Forecast.html)

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

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


Smiling specialist doctor

What Specialist To See For Hair Loss

In a perfect world, we’d all have naturally voluminous hair that does exactly what we want it to all the time. Long layers that defy humidity all summer long? You got it. Chic curls that resist frizz and bounce like an Olympic gymnast? No problem.

In reality, the vast majority of us ladies would look like [Keith Richards circa 1999](https://www.diggitmagazine.com/sites/default/files/styles/inline_image/public/richards%20later.jpg?itok=ki5z_v23) without the aid of some styling products, heat tools. and maybe some hair dye. These gifts from the hair gods make controlling unruly hair significantly easier, but they do so at a cost. Brittle hair.

## What Is Brittle Hair?

Brittle hair is dry, damaged hair. Often, it appears frizzy or dull and is prone to breakage. While brittle hair is typically caused by external factors, it’s important to note that some men and women are more [naturally predisposed](https://uihc.org/health-topics/hair-fragility) to fragile hair than others.

## What Causes Brittle Hair?

Hair becomes brittle when its cuticle opens. The hair’s cuticle is the outermost layer of the hair shaft. It protects the inner workings, which include the innermost core, called the medulla, and a middle layer called the cortex. 

The cuticle is the protective, shielding sheath to your hair shaft. It should be smooth in appearance from root to tip, and it should even reflect light. 

Once your hair develops chinks in this armor layer, it’s that much easier for further damage to occur. There are a variety of ways to crack open your cuticles. Here four of the most common:

### Skipping Haircuts

Regular haircuts aren’t just good for your overall look; they also keep your strands healthy. Skip an appointment at the salon, and you’re opening yourself up to split ends and the need for brittle hair treatments.

### At-Home Hair Dye

Dye jobs, especially those performed at home, can wreak havoc on your hair. The chemicals involved strip your hair’s moisture and cause gaps in your cuticles. In turn, those gaps gobble up subsequent dye and other foreign substances, exacerbating the damage done.

### Bleach

Whether you’re channeling your inner Marilyn Monroe or simply need to bleach your dark hair before going significantly lighter, you’re opening your hair up — literally — to considerable and lasting damage.

Bleach zaps the color from your hair by causing individual strands to expand, thus allowing the bleach to permeate the innermost part of each strand, where it breaks down the melanin that provides your hair’s natural hue. This process can render your hair brittle, breakable, and porous. Because it literally goes deeper than other dyes, bleach can also slash your hair's elasticity.

### Heat Tools

Using your flat iron or other heat-based styling tool is a double-edged sword. On the one hand, it’s the source of your style. On the other hand, it, too, makes your hair more porous and opens your cuticles with every use. 

## How Can You Tell If Your Hair Is Brittle?

Brittle hair varies in appearance from person to person, but it generally has one or more of the following characteristics.

### It’s Dull

Your hair’s cuticles are covered in a glistening sheath of natural oil. When you damage your “do” you strip that moisture off. The result is dry, dull hair that’s devoid of shine.

### It’s Frizzy

Frizzy hair is often damaged hair. In most cases, it means that your cuticles are open. Because of this, it may also mean that your hair’s innermost fibers are under attack.

### It Breaks Off

Subject your hair to stress too frequently, and you may cause it to break off. We’re not talking about extra hairs in your brush, either; you could have entire bundles of hair that break off mid-strand. That’s key: mid-strand breaks are atypical unless you’ve got some hair health concerns going on.

## How Can You Fix Brittle Hair?

The good news about brittle, broken hair is that it’s often reversible. The bad news is that it typically takes a while to undo the damage.

If you’ve endured breakage or see dull, frizzy strands when you look in the mirror, here are six steps you can take to make your hair healthier and stronger:

### Protect Your Hair From the Sun

At risk of putting a damper on your next beach day, the sun’s potent UV rays can really parch your hair. To prevent the amplification of existing damage, wear a hat or apply a sun-protection spray before spending prolonged periods of time in the sun.

### Be Smart at the Pool

Chlorine and copper not only can turn your hair an unsavory shade of green but can also leave your hair brittle and coarse. If you’re a regular at the pool, rinse your hair with clean water before taking a dip. This adds moisture and can minimize the green hair situation. After swimming, wash your hair immediately, ideally with a shampoo and conditioner designed specifically for swimmers.

### Dye Smarter

First, leave dye jobs to the pros. Trained colorists know what products to use as well as how to keep damage to a minimum.

Second, get your hair dyed less frequently. Make that color last by washing your locks fewer times per week with a color-safe shampoo that’s formulated to stop your strands from opening and letting the dye out. Choose a color-safe conditioner as well, and rinse with the coldest water you can stand. Hot water makes your cuticles open.

If you must dye your hair at home, choose semi-permanent shades. These are typically less harsh on hair strands than permanent color.

No matter who colors your hair, try to stay within three shades of your natural color. The more you deviate, the more involved, intense, and potentially damaging the coloring process will be.

### Oil Up

There are a variety of oil that can provide outstanding moisture for thirsty locks. Olive oil, for example, has been used to treat dried-out hair for centuries. Start with a tablespoon or two, and use it like you would any other hair masque.

Argan, almond, coconut and jojoba oils are four top-notch thirst quenchers. Like olive oil, each has the power to rehydrate and strengthen stressed-out hair.

If you’re not down to slather your head with something from the pantry, look for products that include these substances. At a minimum, avoid products that impart shine or volume by using harsh or [toxic ingredients](https://nepis.epa.gov/Exe/ZyNET.exe/P100AW8W.txt?ZyActionD=ZyDocument&amp;Client=EPA&amp;Index=2011%20Thru%202015&amp;Docs=&amp;Query=&amp;Time=&amp;EndTime=&amp;SearchMethod=1&amp;TocRestrict=n&amp;Toc=&amp;TocEntry=&amp;QField=&amp;QFieldYear=&amp;QFieldMonth=&amp;QFieldDay=&amp;UseQField=&amp;IntQFieldOp=0&amp;ExtQFieldOp=0&amp;XmlQuery=&amp;File=D%3A%5CZYFILES%5CINDEX%20DATA%5C11THRU15%5CTXT%5C00000002%5CP100AW8W.txt&amp;User=ANONYMOUS&amp;Password=anonymous&amp;SortMethod=h%7C-&amp;MaximumDocuments=1&amp;FuzzyDegree=0&amp;ImageQuality=r75g8/r75g8/x150y150g16/i425&amp;Display=hpfr&amp;DefSeekPage=x&amp;SearchBack=ZyActionL&amp;Back=ZyActionS&amp;BackDesc=Results%20page&amp;MaximumPages=1&amp;ZyEntry=6).

### Talk to a Doctor

At Shapiro MD, our clinicians combine trusted science and decades of clinical experience to create personalized hair treatment plans for each of our patients. Whether you’re positive that a bad dye job is to blame for your brittle hair, you suspect [genetics](https://www.mountsinai.org/health-library/diseases-conditions/trichorrhexis-nodosa) may be to blame, or you have no idea why your hair is dry, damaged or thinning, we can help turn things around.

### Eat Well

Healthy hair requires plenty of nutrients. For strong, shiny strands, your diet should include plenty of fruits, veggies and whole grains containing:

* Vitamin C
* Vitamin A
* Iron
* Biotin
* Omega-3 fatty acids
* Zinc

When you’re deficient in any of these, you’re opening yourself up to weakened, brittle hair that’s prone to shedding.

### Turn Down the Heat

Many heat styling tools have variable heat settings. Resist the urge to crank those amps up to 11 ([so to speak](https://www.youtube.com/watch?v=4xgx4k83zzc)), and use a lower heat setting to curl or straighten your hair.

Let your hair air dry when you can, too. When you can’t, turn down the temperature and the power on your blow dryer. Unless you have extremely thick and dense hair, there’s no reason for you ever to [blast your hair](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3229938/) with the highest heat at the highest speed.

Don’t settle for damaged or thinning hair. Put decades of experience to work for you with your own  hair loss treatment plan from Shapiro MD. [Click here to take our free quiz and get started today.](https://shapiromd.com/quiz/)

## Sources

[https://uihc.org/health-topics/hair-fragility](https://uihc.org/health-topics/hair-fragility)

[https://www.mountsinai.org/health-library/diseases-conditions/trichorrhexis-nodosa](https://www.mountsinai.org/health-library/diseases-conditions/trichorrhexis-nodosa)

[https://nepis.epa.gov/Exe/ZyNET.exe/P100AW8W.txt](https://nepis.epa.gov/Exe/ZyNET.exe/P100AW8W.txt?ZyActionD=ZyDocument&amp;Client=EPA&amp;Index=2011%20Thru%202015&amp;Docs=&amp;Query=&amp;Time=&amp;EndTime=&amp;SearchMethod=1&amp;TocRestrict=n&amp;Toc=&amp;TocEntry=&amp;QField=&amp;QFieldYear=&amp;QFieldMonth=&amp;QFieldDay=&amp;UseQField=&amp;IntQFieldOp=0&amp;ExtQFieldOp=0&amp;XmlQuery=&amp;File=D%3A%5CZYFILES%5CINDEX%20DATA%5C11THRU15%5CTXT%5C00000002%5CP100AW8W.txt&amp;User=ANONYMOUS&amp;Password=anonymous&amp;SortMethod=h%7C-&amp;MaximumDocuments=1&amp;FuzzyDegree=0&amp;ImageQuality=r75g8/r75g8/x150y150g16/i425&amp;Display=hpfr&amp;DefSeekPage=x&amp;SearchBack=ZyActionL&amp;Back=ZyActionS&amp;BackDesc=Results%20page&amp;MaximumPages=1&amp;ZyEntry=6)

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3229938/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3229938/)


A woman holding her dark and dry hair out for camera

Woman holding dry hair

Brittle Hair: What It Is and How To Get Rid of It for Good

Genetically determined baldness in both men and women is referred to as _androgenic alopecia._ Also known as hereditary-pattern or male-pattern baldness, androgenic alopecia affects [80 percent of men](https://journals.plos.org/plosgenetics/article?id=10.1371/journal.pgen.1006594) by the age of 80. The percentage of women diagnosed with androgenic alopecia (female-pattern baldness) by age 80 is around 40 percent. 

Androgenic alopecia in men is often characterized by a specific pattern of baldness where hair loss eventually resembles the shape of a horseshoe on the head. Female-pattern baldness mostly involves loss of hair on the top of the head. Women with FBP may notice a receding hairline at the temple as well.

## Gene Studies and Hair Loss: What Does The Science Say?

Studies indicate that male-pattern baldness (MPB) is a highly heritable trait involving the location of specific genes (locus) on a chromosome. Chromosome Xq12 has been identified as the site of MPB gene variants. This chromosome also harbors an [androgen receptor gene](https://www.sciencedirect.com/science/article/pii/S0022202X15411753) responsible for making androgen receptors. Androgens such as testosterone and luteinizing hormone are hormones that help produce sexual characteristics in male adolescents, such as deepening of the voice, sperm viability, and growth of body hair.

When combined with male-pattern baldness genes, testosterone loss in older men can contribute to acceleration of hair loss. While many men with androgenic alopecia may begin noticing signs of male-pattern baldness in their late 30s (when testosterone production starts decreasing), women with this same inherited condition typically do not experience consistent hair loss until after menopause.

Contrary to popular belief, men do not inherit male-pattern baldness from their mother. This myth started because scientists discovered years ago that baldness genes are passed down on XX (female) chromosomes. However, it's since been proven that male-pattern baldness involves [numerous genetic variants](https://genetics.thetech.org/original_news/news100s) and is, in fact, a polygenic condition. In other words, hair loss genes and their variants may be passed on both XX and XY (male) chromosomes. Moreover, some less common variants are not even located on XX or XY chromosomes but are passed on via other chromosome types.

Recent studies further indicate that male-pattern baldness may correlate with increased risks of cardiovascular disease and [prostate cancer](https://academic.oup.com/aje/article/183/3/210/2195421). While researchers aren't sure why such a correlation exists, they do agree that androgenic alopecia is a predominantly inherited condition exacerbated by hormonal imbalances, lifestyle choices, and aging.

## Dihydrotestosterone (DHT) and Androgenic Alopecia

Enzymes in the testes convert testosterone into another hormone called dihydrotestosterone. DHT is necessary for body hair growth in men and women. The conversion of testosterone to DHT in women takes place in the ovaries.

People with genetic hair loss may also have hair follicle receptors that are overly sensitive to DHT. DHT sensitivity will significantly shorten the [anagen phase](https://www.merriam-webster.com/dictionary/anagen#:~:text=Anagen%20definition%20is%20-%20the%20active%20phase%20of,that%20typically%20lasts%20between%20two%20to%20six%20years.) of body and head hair growth. Consequently, thinner, weaker hair will eventually lead to partial baldness patterns seen in men with androgenic alopecia.

A lab test is available to evaluate the level of DHT in the bloodstream. Men with abnormal DHT levels may be at risk for slow wound healing, [prostate gland enlargement/cancer](https://www.goldjournal.net/article/S0090-4295(09)00284-2/fulltext), or coronary heart disease. Some research suggests this may be why there is a suspected correlation between hair loss genes and certain health problems.

## Female-Pattern Baldness, Genes, and Estrogen

Similar to male-pattern baldness, female-pattern baldness (FPB) is an inherited condition that mostly affects women over 40. Nearly 75 percent of women with FPB  experience noticeable hair loss within several years after menopause. Since FPB doesn't typically emerge full-blown until after menopause, doctors think reduced levels of estrogen and progesterone likely "trigger" FPB genes in women.

### Recognizing Female-Pattern Baldness

Instead of the horseshoe pattern indicative of male-pattern baldness, women with FPB will lose hair from all areas of their head. In most cases of FPB, hair loss begins where a woman consistently parts her hair. Some may notice a receding hairline at their temples as well.

Experts typically categorize FPB in three different stages: 

First stage: minor thinning of hair at the partline

Second stage: hair thinning at the partline worsens. Scalp is clearly visible when hair is parted. This stage also includes onset of hair recession at the temples

Third stage: hair is noticeably thin all over the head. Hairstyles that help cover thin spots or wigs may be needed to reduce the appearance of FPB

If a woman has a father, mother, grandparent or aunt with male-pattern or female-pattern baldness, it's likely they have inherited FPB genes.

### Estrogen and Hair Loss

Clinical and anecdotal evidence indicate that estrogen may provide protection against hair loss. In addition to the majority of menopausal women experiencing hair loss, women of all ages who are treated with selective estrogen receptor modulators or aromatase inhibitors for breast cancer are  prone to FPB.

Moreover, research shows that pregnant women have higher than normal estrogen levels and will experience prolonged anagen stages of hair growth. Estrogen levels then fall dramatically after childbirth. This causes hair follicles to simultaneously enter the telogen stage of hair growth, which leads to increased numbers of hairs falling out.

### Treatment for Female-Pattern Baldness

Currently, minoxidil is the only FDA-approved drug to treat FPB. Many dermatologists recommend women with FPB apply the five percent minoxidil formula instead of the less-effective two percent formula, if possible.

Women with FPB who don't respond well to minoxidil may try an anti-androgen medication that lowers their level of testosterone. Male hormones like testosterone can promote female-pattern baldness or general hair loss in menopausal women. For reproductive-age women with early onset FPB and polycystic ovary syndrome (POS), an anti-androgen drug can help reduce excess testosterone in the bloodstream caused by POS.	

## Treatments for Genetic Hair Loss

Androgenic alopecia cannot be cured because it is a genetic trait. However, several over-the-counter and prescription treatments are available that may help reduce hair loss and stimulate new hair growth in some, but not all, individuals with genetic hair loss.

### Minoxidil (Rogaine)

An OTC topical that must be applied twice a day to be effective,miinoxidil is recommended for men or women younger who have been diagnosed with androgenic alopecia. Originally developed to treat hypertension, minoxidil researchers later discovered that minoxidil stimulated production of an anti-inflammatory, hormone-like chemical called prostaglandin E2. 

Minoxidil enhances the ability of PGE2 receptors to "express" or release prostaglandin E2, which appears to help hair follicles remain in the anagen phase longer. However, most people need to apply minoxidil every day for at least four to five months before they see results. While minoxidil may help delay or prevent future hair loss in men or women with androgenic alopecia, it generally cannot restore receding hairlines or regrow hair in completely bald spots. Discontinuing use of minoxidil usually leads to loss of new hair after two to three months \

Minoxidil should not be used by individuals:

•	Who experience sudden and dramatic hair loss for unknown reasons

    •	Under 18 years of age

    •	Have irritated, infected or painfully inflamed scalps

    •	Suffering hair loss due to misuse of hair products (dyes, bleaches, etc)

    •	Have conditions that cause hair loss (thyroid disease, nutritional deficiency, alopecia areata) without discussing with an professional

### Finasteride (Propecia)

A prescription-only medication for androgenic alopecia, finasteride is available as a once-a-day pill _for men only_. Finasteride is ineffective for women with genetic hair loss and may cause birth defects.

By blocking the formation of DHT in men, finasteride prevents hair follicle shrinkage to encourage [healthy hair growth.](https://experts.umn.edu/en/publications/finasteride-in-the-treatment-of-men-with-androgenetic-alopecia) Most men see results within six months to one year of taking one 1mg finasteride pill every day. Some men report side effects from taking this drug, such as loss of libido, premature ejaculation or erectile dysfunction. It may take several months for side effects to diminish once the drug is no longer taken.

### Surgical Hair Transplantation

The last resort for treating hair loss is generally hair transplantation surgery performed by a certified dermatologist or plastic surgeon. Men with advanced male-pattern baldness who want to reduce the appearance of baldness at the top of their head might consider hair transplantation if other treatments fail to improve hair growth. However, a good candidate for hair transplant surgery must have areas of healthy hair on the side or back of their scalp. A dermatologist can then remove small patches or even individual follicles from these areas to be transplanted elsewhere on the head.

The most common hair transplant surgery performed is called "hair graft" surgery. A minimally invasive procedure done as outpatient treatment, hair grafting involves the doctor incising tiny pieces ("plugs") of hair-rich tissue from the scalp. Each hair plug usually contains around 15 hairs. Plugs are then grafted onto bald areas and allowed to heal for several months before more hair graft surgery can be completed.

### Get a Prescription Hair Loss Treatment Online

Now that you’ve learned a little more about androgenic hair loss, it’s time to consider your options. One thing we’ve found over the years is that patients do better restoring their hair when they have individualized plans and professional guidance. 

At Shapiro MD, we help men and women access the medications above, plus our own patented hair health formulations that can be used simply and easily to fight the look of thinning or balding hair. But now, we also offer custom prescription treatments for men and women of all hair types. These dermatologist-formulated solutions contain powerful ingredients like minoxidil and tretinoin, both trusted and used by dermatologists in private practice for decades. Now, it’s all online, plus access to your prescribing clinician by chat any time you need. 

[Click here to get started yourself with Shapiro MD.](shapiromd.com/quiz)


DNA helix 

The Science of Genetic Hair Loss

Hair loss can be devastating. But for some people, preventing it can be as easy as making sure you’re getting enough of the right vitamins and minerals. Both are factors that play essential roles not only in overall health but specifically in the growth and health of hair follicles too.

If you're wondering what vitamin deficiencies cause hair loss, check out this list of vitamins and minerals necessary for healthy hair growth. Then, make sure you’re getting enough to sustain the luscious locks you love. Though most nutritionists will suggest you get them naturally through the food you eat, supplements are an alternative and functional approach to beating deficiencies and keeping hair strong.

## 1. Vitamin A

Vitamin A, often known as retinol or retinoic acid, is essential to cell growth, including cells that make up the hair follicles. It also helps in the creation of sebum, an oily substance that helps prevent the breakage of hair. 

For the average adult, 1300 mcg per day is recommended by the National Institute of Health. It’s important not to consume too much vitamin A though, as extremely high doses can be toxic and may even *contribute* to hair loss. Dairy products such as cheese, milk and yogurt are great sources of vitamin A, and it can also be found in some fish and liver.

Beta-carotene, which can be converted by the body into retinoic acid, can also be used to get your daily dose of vitamin A. Green leafy vegetables such as spinach and yellow fruits such as mangos are excellent sources of beta-carotene. 

## 2. B-Vitamins 

There are eight water-soluble vitamins in the vitamin B family that contribute to cell metabolism. Of those, only riboflavin (B2), biotin (B7), folate, and Vitamin B12 have been shown to need supplementation in order to prevent or decrease hair loss.

### Riboflavin (B2) 

[Riboflavin](https://medlineplus.gov/druginfo/natural/957.html) acts as an antioxidant to help healthy hair production and maintenance. It is rare for riboflavin deficiency to occur in the US, but it does cause hair loss. 

Adult men are recommended to get 1.3 mg per day while adult women should get 1.1 mg per day unless they are pregnant or lactating. Pregnant women should get 1.4 mg per day while lactating women should get 1.6 mg. Riboflavin is naturally occurring in meat, milk and green vegetables and is added to many enriched grain products such as cereals and bread.

### Biotin (B7) 

Biotin helps stimulate the production of keratin and can improve follicle growth. It is frequently used in the treatment of weak hair and nails, with many supplements available on the market, and there is no known level of biotin that causes toxicity.

Biotin’s recommended intake for adults is 30 mcg per day and 35 mcg for those who are breastfeeding. It's found naturally in milk, eggs and bananas.

### Folate 

Folate, sometimes called [folic acid](https://www.cdc.gov/ncbddd/folicacid/about.html), is important in the production of new cells and hair growth. It’s especially vital to women who are or may become pregnant.

The average adult should consume 400 mcg per day, while those who are pregnant should strive for 600 mcg. Those who are breastfeeding are recommended to get 500 mcg. Broccoli, leafy greens, chickpeas and nuts all have folate in them, and many foods are fortified with folate, particularly grain products such as breads and cereals.

### Vitamin B12 

Vitamin B12 is important in making DNA and helps promote the growth of healthy hair. Vitamin B12 deficiencies have been shown to increase hair loss.

The National Institutes of Health recommend adults get 2.4 mcg per day. Pregnant individuals should get 2.6 mcg, while those who are breastfeeding should get 2.8 mcg. Vitamin B12 is naturally occurring in meat, fish, eggs and milk. Many other foods, especially grain products, have been fortified with B12.

## 3. Vitamin C 

[Vitamin C](https://ods.od.nih.gov/factsheets/VitaminC-Consumer/) is vital in protecting the hair from damage caused by free radicals. It’s also important in the use of iron, which plays a key role in keeping hair healthy and growing. 

Adult men are recommended to get 90 mg of vitamin C per day and adult women should get 75 mg. Pregnant women should get 85 mg before giving birth and 120 mg while breastfeeding. Vitamin C can be found in cantaloupe, citrus fruits, blackcurrants, brussels sprouts and peppers.

## 4. Vitamin D 

Vitamin D helps to regulate cell cycles and stimulates hair follicles to keep hair healthy and growing. For those with telogen effluvium and androgenic forms of hair loss, vitamin D can be helpful, and vitamin D deficiencies have been associated with hair loss, particularly female pattern hair loss. 

It’s recommended that adults get 10 mcg of vitamin D per day. If you’re spending a lot of time indoors you may need extra, as vitamin D is derived from direct sunlight. Salmon, sardines, red meat, egg yolks and liver are all good sources of vitamin D, and there are some select foods that are fortified with it.

## 5. Vitamin E

Vitamin E contributes to healthy oxidant and antioxidant balance. It also works to increase circulation at the scalp, which is vital to hair growth. 

Adults should get 15 milligrams of vitamin E per day. Vitamin E can be found in many oils including hazelnut oil, wheat germ oil, sunflower oil and almond oil. It also can be obtained through sunflower seeds, hazelnuts, almonds, peanuts and some fish like salmon and rainbow trout.

## 6. Iron 

When it comes to nutritional deficiencies, iron is at the top: it’s the most common nutritional deficiency in the world. Women are especially likely to experience iron deficiency, particularly those who are still menstruating. Iron deficiencies are associated with hair loss too.

The National Institute of Health recommends that adult men get 8 mg per day. Adult women should get 18 mg per day. Those who are pregnant should try to get 27 mg while. Iron can be found naturally in red meat, spinach, pumpkin seeds, quinoa, liver and legumes.

## 7. Zinc 

[Zinc](https://ods.od.nih.gov/factsheets/Zinc-HealthProfessional/) cannot be created by the body; it has to be ingested through food or supplement intake. It’s vital to hair growth and quality, and it plays a role in keeping oil glands surrounding hair follicles healthy. Alopecia, a common form of hair loss, is known to sometimes result from zinc deficiency.

All adults are recommended to get 40 mg of zinc each day. This is not affected by pregnancy or lactation. Oysters are by far the greatest source of zinc, with a whopping 74 mg per three ounces, but it can also be found in beef, crab, lobster, pork, some beans and chickpeas.

## 8. Selenium 

Selenium is essential for the synthesis of proteins in the body, and selenium supplementation has been shown in at least one clinical trial to significantly decrease hair loss in patients undergoing chemotherapy due to ovarian cancer.

For those above age 14, the NIH recommends an intake of 55 mcg a day. Selenium can be found in chicken, beef, pork, turkey and select nuts and beans.

Eating a healthy, diverse diet rich in vitamins and minerals is essential to great hair and normal hair health. Supplements can help, but most physicians recommend eating right and getting proper nutrition to begin with. If necessary, many deficiencies can be corrected with supplements, and extreme nutritional deficiences should be diagnosed by a doctor.

Shapiro MD is here to help men and women suffering from hair loss get their confidence back with the help of a licensed clinician – all done online. Our telemedicine platform lets patients access a hair loss expert from the comfort of home, for effective hair loss solutions delivered to your door. It’s like the dermatologist visit you’ve always wanted. 

[Click here to start your hair restoration journey today.](shapiromd.com/quiz)

## Sources

[https://medlineplus.gov/druginfo/natural/957.html](https://medlineplus.gov/druginfo/natural/957.html)

[https://medlineplus.gov/druginfo/natural/313.html](https://medlineplus.gov/druginfo/natural/313.html)

[https://www.cdc.gov/ncbddd/folicacid/about.html](https://www.cdc.gov/ncbddd/folicacid/about.html)

[https://ods.od.nih.gov/factsheets/Folate-Consumer/](https://ods.od.nih.gov/factsheets/Folate-Consumer/)

[https://ods.od.nih.gov/factsheets/VitaminB12-Consumer/](https://ods.od.nih.gov/factsheets/VitaminB12-Consumer/)

[https://ods.od.nih.gov/factsheets/VitaminC-Consumer/](https://ods.od.nih.gov/factsheets/VitaminC-Consumer/)

[https://www.mayoclinic.org/drugs-supplements-vitamin-e/art-20364144](https://www.mayoclinic.org/drugs-supplements-vitamin-e/art-20364144#:~:text=The%20recommended%20daily%20amount%20of,is%2015%20milligrams%20a%20day)

[https://ods.od.nih.gov/factsheets/Zinc-HealthProfessional](https://ods.od.nih.gov/factsheets/Zinc-HealthProfessional)

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


An array of fruits and veggies - minerals and vitamins for hair loss

fruits and veggies on a table

8 Vitamin and Mineral Deficiencies That Can Lead to Hair Loss

Ketoconazole (sometimes seen under the brand names Xolegal and Nizoral) is an over-the-counter and prescription medication used to treat seborrheic dermatitis, dandruff, hair loss and fungal infections of the skin. It can also be used to treat the symptoms of Cushing's syndrome and hirsutism (excessive hair growth). 

Belonging to the [azole antifungal](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC88906/)s class of pharmaceutical medications, ketoconazole stops fungal growth by inhibiting the activity of certain enzymes associated with the development of fungal cell walls. Due to its anti-androgenic properties, ketoconazole is also used as a prescription topical to treat hair loss attributed to androgenic alopecia.

Approved by the U.S. FDA in 1981 as an antifungal medication, ketoconazole has since then become one of the most commonly prescribed drugs for skin infections. In 2013, the FDA enacted rigorous limitations on the use of oral ketoconazole due to validated reports of ketoconazole tablets causing serious liver and adrenal gland injuries. Currently, [Nizoral oral tablets](https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-fda-limits-usage-nizoral-ketoconazole-oral-tablets-due-potentially) should only be prescribed for persistent fungal infections that have not responded to other treatments. However, topical Nizoral (shampoos, creams, gels and foams) is not associated with adrenal or liver damage nor has it been found to be contraindicated for other medications.

The FDA has updated the [labeling of Nizoral tablets](http://www.accessdata.fda.gov/drugsatfda_docs/label/2013/018533s040lbl.pdf) to include the following warnings:

- Ketoconazole (Nizoral) tablets should not be prescribed for dermatophyte or _Candida_ infections. Physicians are permitted to prescribe ketoconazole tablets for histoplasmosis, blastomycosis and other serious fungal infections when standard therapies fail to improve the infection
- Fungal infections of nails or skin cannot be treated with Nizoral tablets due to harmful side effects

**Ketoconazole for Hair loss: What Does The Science Say?**

Today, consumer can purchase shampoo containing two percent ketoconazole as an over-the-counter product. A prescription is needed to obtain ketoconazole shampoo containing more than two percent ketoconazole. In cases involving individuals with androgenic alopecia, doctors sometimes treat this type of genetic hair loss with a combination of [five percent ketoconazole](/author/orders/write-draft/%20https:/www.skintherapyletter.com/alopecia/promising-therapies/) and a 5 alpha-reductase inhibitor such as finasteride.

Finasteride and other 5 alpha-reductase inhibitors are medications that block enzymes from converting testosterone into dihydrotestosterone (DHT). By increasing testosterone levels and decreasing DHT levels in the body, 5 alpha-reductase inhibitors enhance the ability of ketoconazole to stimulate the activity of anagen hair follicles and thicken the width of new hairs. 

So does ketoconazole for hair loss work? One early study investigating the efficacy of ketoconazole for hair loss found that the [effect of using 2% ketoconazole shampoo daily](https://www.researchgate.net/profile/Piet-De-Doncker/publication/13616077_Ketoconazole_Shampoo_Effect_of_Long-Term_Use_in_Androgenic_Alopecia/links/599d4c0145851574f4b1cd40/Ketoconazole-Shampoo-Effect-of-Long-Term-Use-in-Androgenic-Alopecia.pdf) indicated a positive, "significant action" of ketoconazole on treating androgenic alopecia.

Published in a 2014 edition of the _[Journal of Dermatology,](https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1346-8138.2005.tb00756.x)_ the study found that applying two percent ketoconazole daily for three weeks to clipped areas of mice dorsal skin had a "significant stimulatory effect" on hair follicles and hair growth compared to the clipped group that did not have ketoconazole applied. Researchers repeated the experiment, noted the same results, and concluded that ketoconazole is effective as a hair growth stimulant for people with androgenic alopecia and seborrheic dermatitis with hair regression.

Other studies have further investigated the role that [ketoconazole](https://clinicadepele.com.br/wp-content/uploads/2020/02/lasercapilar02.pdf) [plays in disrupting the DHT pathway and hair loss.](https://clinicadepele.com.br/wp-content/uploads/2020/02/lasercapilar02.pdf) A male sex hormone implicated in male and female pattern baldness, DHT (in excess) can cause shrinkage of hair follicles and shorter hair growth cycles. A combination of genetics and high levels of DHT may expedite thinning of hair and eventual hair loss. However, some DHT is necessary to help regulate the four hair growth phases: anagen (growing); catagen (transition); telogen (resting); and exogen (shedding). Too much DHT will substantially shorten the anagen phase, which negatively impacts the other three phases.

Reasons why men and women have higher than normal levels of DHT include:
    •	Too many DHT receptors in hair follicles (genetic)
    •	An increased sensitivity to androgen (male and female hormones) receptors
    •	Localized production of DHT is abnormally high
    •	Excessive production of testosterone causes increase in DHT

Before prescribing ketoconazole for hair loss, doctors will evaluate the pattern and general nature of baldness, examine any family history of baldness, and sometimes order laboratory tests to assess blood androgen levels.

**Nizoral for Hair Loss in Women**

To investigate the efficacy of two percent topical ketoconazole vs two percent topical minoxidil in women with female pattern hair loss, [researchers treated 20 women](https://link.springer.com/article/10.1186/s41702-019-0046-y) with ketoconazole and 20 women with minoxidil.

Results of this study indicated:
    •	Women treated with two percent minoxidil experienced visible results at four months
    •	Women treated with two percent ketoconazole experienced visible results at six months
    •	Little to no side effects (minor skin redness, irritation, itchiness) were reported by both groups
    •	Subjects' satisfaction with ketoconazole and minoxidil did not differ between groups

Researchers concluded that further studies are needed to determine if three, four or five percent ketoconazole can be used to accelerate hair growth in women with female pattern baldness without causing side effects.

In older women, hair loss is commonly attributed to menopause, estrogen loss and the interplay of androgenic alopecia genes with menopause. Many reproductive-aged women who experience hair thinning and/or hair loss suffer from [polycystic ovarian syndrome](https://www.hormone.org/diseases-and-conditions/polycystic-ovary-syndrome) (POCS), a metabolic disorder involving abnormally high levels of testosterone and aldosterone. Characterized by hypertension, insulin resistance and obesity, POCS may cause younger women to lose their hair due to excess testosterone shrinking hair follicles and suppressing estrogen's benefits for hair growth and overall health. Women diagnosed with POCS may discuss the possibility of treating their hair loss with prescription ketoconazole in conjunction with standard POCS treatment.

**Ketoconazole or Nizoral for Hair Loss: Are They Safe?**

Available as a shampoo or cream, [prescription ketoconazole](https://medlineplus.gov/druginfo/meds/a605014.html) should be used daily for treatment of fungal infections and/or hair loss. Nizoral shampoo can be purchased at most pharmacies and large department stores for treatment of dandruff and associated itching, scaling and flaking of the scalp. Nizoral contains only one percent ketoconazole and is not recommended for treating androgenic alopecia or other types of hair loss.

Nizoral shampoo and prescription ketoconazole may cause adverse effects that diminish over time. The most commonly reported side effects include:

    •	Blisters on the scalp that may be sore to the touch
    •	Dry, itchy skin
    •	Changes to hair texture
    •	Oilier than normal hair and/or scales
    •	Moderate to severe stinging and itching to areas where medicine was applied

People using Nizoral or prescription ketoconazole should contact their doctor as soon as possible if side effects continue to worsen or do not go away within a few days of starting treatment.

Over-the-counter Nizoral for hair loss can be used daily as an anti-dandruff shampoo too. Prescription ketoconazole should only be used as directed by a clinician for treating fungal infections or hair loss due to androgenic alopecia.

Shapiro MD can help you dial in the right treatment for your hair loss situation. Our expert clinicians can prescribe custom prescription treatments for your condition, if appropriate, and all without you ever leaving home. [Get started with our free quiz by clicking here.](https://shapiromd.com/quiz/)


Woman reaching for shampoo bottle in store

Woman reaching for shampoo bottle

Ketoconazole Shampoos Explained

[Tamsulosin and finasteride](https://www.rxlist.com/flomax_vs_proscar/drugs-condition.htm#what_drugs_interact_with_proscar) are commonly used to treat benign prostatic hyperplasia, which is a noncancerous enlargement of the prostate gland. Despite both medications treating the same condition, they are not the same, and finasteride is also a common, effective treatment for hair loss in men, though at a lower dose than in BPH. 

The rest of this piece will oultine some of the key differences between tamsulosin vs finasteride.

## How Tamsulosin and Finasteride Treat the Same Condition

When discussing tamsulosin vs finasteride, it’s crucial to understand that both medications can treat the symptoms of benign prostatic hyperplasia, but they do so in unique ways. 

[Tamsulosin](https://www.rxlist.com/consumer_tamsulosin_flomax/drugs-condition.htm) is an alpha-blocker. It does not affect the size of the prostate; instead, the drug helps to relieve the symptoms of BPH by relaxing the bladder and prostate muscles. With regular use, the drug can ease the flow of urine, strengthen the urine stream, and reduce the need for frequent and urgent urination.

[Finasteride](https://www.rxlist.com/proscar-drug/patient-images-side-effects.htm#nottake) is a 5-alpha-reductase inhibitor. As such, it inhibits the production of DHT from testosterone. DHT, or dihydrotestosterone, contributes to the development of BPH. By taking this medication regularly, you can treat the symptoms of BPH. Finasteride is only suitable for men, and it can cause congenital disabilities in unborn fetuses if taken by women during pregnancy.

While [both drugs](https://www.drugs.com/compare/finasteride-vs-tamsulosin) are useful in the treatment of BPH, they are not the same. Tamsulosin is effective in the treatment and improvement of BPH symptoms, but finasteride not only treats symptoms but can also delay the progression of the condition because it inhibits DHT production. Either drug is beneficial, but you will need to discuss the potential risks with your doctor to determine the right medication for you.

## Taking Your First Dose of Tamsulosin

[Tamsulosin](https://www.verywellhealth.com/is-a-generic-version-of-flomax-available-1124023#:~:text=The%20effects%20of%20the%20drug,do%20so%20by%20your%20doctor.) is typically delivered via 0.4 mg capsules once daily. While the initial effects of the drug can set in within 48 hours, offering some relief to BPH patients, complete relief can take up to six weeks. In some instances, the 0.4 mg capsule will not be enough to provide relief, in which case a doctor might suggest doubling the dose. Because of potential side effects and adverse reactions, never increase your dose without your doctor’s consent.

When you first begin taking the medication, you should take your first dose before bed. Some patients experience dizziness or fainting spells after the initial dose, so being in bed can reduce such occurrences. After the initial dosage, most people can take the prescription 30 minutes after a meal; however, most doctors will recommend you take the medication after the same meal every day.

Tamsulosin should not be used in combination with other alpha-blocking agents nor strong inhibitors, such as ketoconazole. You should pay close attention to any uneasy feelings after taking your initial dose of the prescription and alert your doctor to any concerning side effects.

## Taking Your First Dose of Finasteride

When taking [finasteride](https://www.mayoclinic.org/drugs-supplements/finasteride-oral-route/proper-use/drg-20063819) for BPH, the dosage is 5 mg once daily in tablet form; however, dosing may differ depending on the patient and intended use. The medication is often used for BPH, but it can also be effective in treating male pattern hair loss at 1 mg daily.

That’s because finasteride’s effects on DHT carry through to hair loss, where DHT is one of the key hormones involved in male pattern baldness. Reducing DHT in the body can lead to improved hair growth and density, proven in multiple clinical trials.  

Regardless of the reason for taking the medication, you can take the tablet with or without food, but you should take it at a regularly scheduled time. The time you take the prescription is up to you, but physicians will generally recommend skipping it and continuing with your schedule the next day if you miss a dose.

One aspect of finasteride that patients may find frustrating is the timeline to relief. While the relief of some symptoms can occur within the first couple of days, the full effects of this medicine will often take six months. However, when discussing BPH, there is significant evidence that the drug reduces the size of the prostate and accompanying symptoms, meaning superior relief, and most patients are willing to wait for those results.

As BPH is a persistent disorder, it’s necessary to understand that medication is vital to sustained wellbeing. Finasteride will only work for as long as you take it. If you go off the medication for any reason, symptoms may recur.

## Potential Side Effects of Tamsulosin and Necessary Precautions

As with any prescription medication, your doctor will monitor you closely, ensuring you experience results with minimal adverse effects. While dizziness and lightheadedness are common [symptoms of tamsulosin](https://www.mayoclinic.org/drugs-supplements/tamsulosin-oral-route/side-effects/drg-20068275?p=1), the medicine can also lead to fainting when standing from a laying or sitting position too quickly. It’s necessary to keep this potential reaction in mind so you can take appropriate precautions. Those people who are unusually sensitive to the effects of tamsulosin might want to avoid the use of heavy machinery that might present a significant threat or hazard should you faint.

Rarely, tamsulosin can cause an allergic reaction or erectile damage. If you experience swelling, blistering, or difficulty breathing after taking the medication, contact your doctor immediately. If you experience a prolonged erection, get to an emergency room quickly to prevent permanent erectile damage.

While the above represent the most common and rare side effects of tamsulosin, they do not represent all. Some of the other more common responses include:

* Lower back or side pain
* Painful or difficult urination
* Cough or hoarseness
* Fever or chills
* Chest pain

If any symptoms arise after taking this medication, contact your doctor. The medicine should help your condition, not make it worse. Your doctor can work with you to find a solution or medication that works better.

## Potential Side Effects of Finasteride and Necessary Precautions

Like tamsulosin, [finasteride](https://www.mayoclinic.org/drugs-supplements/finasteride-oral-route/side-effects/drg-20063819) requires close monitoring from your doctor. The prescription can lead to unwanted effects and risky interactions. It is not meant for women or children, and neither should handle the medication as it can be absorbed through the skin.

Finasteride is an effective BPH treatment, but it can result in breast tissue changes, like tenderness, lumps, pain, and swelling. It can also potentially increase your risk of developing prostate cancer, and it might affect the result of PSA tests for early detection. Finally, the drug can lead to a decreased sperm count, although it should not affect your ability to have children.

Beyond breast tissue and semen changes, finasteride can lead to several potential side effects. Some of the more common finasteride side effects include:

* Cold sweats
* Dizzyness
* Fainting
* Confusion
* Chills

Finasteride can also result in bloating, hives, skin rash, weight gain or loss, and swelling, though all are less common. These are more likely at the dose of 5mg for BPH, and less likely at the lower dose typical of hair loss, 1 mg. 

If you experience any side effects or changes while taking the prescription, contact your doctor immediately. They might want to perform blood tests to determine the cause of your symptoms, and they may need to change your dose or the medicine altogether.

Do not be discouraged if finasteride does not work for you. You and your physician can continue to discuss and experiment with alternatives until you find the best solution for your situation.

## Tamsulosin vs Finasteride: Which Medication Is Right for You?

When deciding between tamsulosin vs finasteride, you need first to consider your needs and discuss your situation with a licensed professional. Are you looking for a medicine to  combat BPH with limited side effects and a fairly quick functional time, or are you looking for significant long-term relief with more complete effects on the root cause? Your doctor can help make this decision, and the right medication may be dependant on other underlying medical conditions.

Tamsulosin can provide benefits within 48 hours and should produce significant relief in weeks. The side effects are manageable, with little concern for more traumatizing or life-threatening developments.

Finasteride, alternatively, may take months to experience the full benefits, and it comes with some potential side effects. As a treatment option, however, finasteride does more than combat the symptoms of an enlarged prostate; it works to shrink it and relieve painful BPH symptoms.

There is another potential advantage to taking finasteride that’s not found with tamsulosin. Finasteride, because it is a DHT inhibitor, can promote hair growth for men experiencing male pattern baldness.

You and your doctor will discuss the pros and cons of both medications, weighing your situation against the known and suspected risks of each prescription. Together you should be able to agree on the best path forward.

While tamsulosin is a common medication for BPH treatment, it’s not useful in hair growth or for combatting the effects of hair loss caused by DHT. If you have BPH and are experiencing hair loss, finasteride could be a compelling option for more than one reason.

The hair growth experts at Shapiro MD can help if you’re dealing with hair loss and considering finasteride. This medication has been around for decades, proven to help a majority of men who try it with improved growth and density. [Click here to get started with a telemedicine consultation of your own.](shapiromd.com/quiz)

**Sources:**

[https://www.rxlist.com/proscar-drug/patient-images-side-effects.htm#nottake](https://www.rxlist.com/proscar-drug/patient-images-side-effects.htm#nottake)

[https://www.rxlist.com/consumer_tamsulosin_flomax/drugs-condition.htm](https://www.rxlist.com/consumer_tamsulosin_flomax/drugs-condition.htm)

[https://www.drugs.com/compare/finasteride-vs-tamsulosin](https://www.drugs.com/compare/finasteride-vs-tamsulosin)

[https://www.verywellhealth.com/is-a-generic-version-of-flomax-available-1124023](https://www.verywellhealth.com/is-a-generic-version-of-flomax-available-1124023)

[https://www.mayoclinic.org/drugs-supplements/finasteride-oral-route/proper-use/drg-20063819](https://www.mayoclinic.org/drugs-supplements/finasteride-oral-route/proper-use/drg-20063819)

[https://www.mayoclinic.org/drugs-supplements/finasteride-oral-route/side-effects/drg-20063819](https://www.mayoclinic.org/drugs-supplements/finasteride-oral-route/side-effects/drg-20063819)

[https://www.mayoclinic.org/drugs-supplements/tamsulosin-oral-route/side-effects/drg-20068275?p=1](https://www.mayoclinic.org/drugs-supplements/tamsulosin-oral-route/side-effects/drg-20068275?p=1)


Man in pain from Bph

Understanding the Similarities and Differences Between Tamsulosin and Finasteride

Running your hand through your hair and finding a fistful of loose strands can be a downright frightening thing. 

In many cases though, you have the power to combat the problem and begin growing new and healthier hair. 

Here are some simple tips on how to stop hair loss and support healthy hair & growth.

## 1. Consume More Protein, Iron and Omega-3s

Healthy hair growth is dependent on getting adequate [protein](https://food.ndtv.com/beauty/iron-and-protein-getting-to-the-root-of-hair-loss-768613) and Omega-3s through your diet. Protein is essential to hair growth since hair is primarily made from the protein keratin. If your body isn’t getting enough protein, it can cut back the protein supply to your hair, and you may experience hair loss. Eggs, salmon, nuts and meat are excellent sources of protein to incorporate into your diet.

Hair loss due to an iron deficiency is common since iron aids in the production of hemoglobin, which is crucial to growth. This mineral is naturally occurring in red meat, poultry and fish, so vegetarians and vegans especially must be careful to get enough and supplement if diet cannot naturally deliver the iron needed.

Omega-3s fatty acids are vital to many bodily processes, including hair growth, but the body can’t create them so they must be absorbed through diet. These are naturally occurring in some fatty fish and other seafood but can be difficult to get a sufficient amount of naturally, so many people supplement with fish oil. 

Studies have shown those who take fish oil supplements have increased hair growth and [healthier hair](https://www.medicalnewstoday.com/articles/fish-oil-for-hair).

## 2. Add More Vitamins

A vitamin-rich diet is a strong defense against hair loss. They should be absorbed naturally from food in the diet when possible, but supplements also work.

Vitamin A plays an important part in cell growth, including hair. It also helps [produce sebum](https://pubmed.ncbi.nlm.nih.gov/21914489/#:~:text=Vitamin%20A%20and%20its%20derivatives,vitamin%20A%20deficiency%20or%20toxicity.), an oily substance that keeps the scalp moisturized and helps hair stay healthy. Sweet potatoes, pumpkins and spinach are all great sources of beta-carotene, which turns into vitamin A.

The B-vitamins also are vital to hair growth, particularly [biotin](https://www.verywellhealth.com/biotin-for-hair-growth-89236) which is often used as part of a hair-loss treatment plan. Those with a deficiency of B12 can experience hair loss. B-vitamins can be naturally found in many foods, including whole grains, leafy greens and animal-based foods such as meat and dairy.

Vitamin C helps your body [absorb iron](https://foodinsight.org/vitamin-c-and-iron-a-perfect-match/) which is necessary for hair growth. It also is vital to the body’s production of collagen which is essential to hair structure. Citrus fruits, peppers and strawberries are good sources of vitamin C.

Vitamin D deficiencies have been linked to alopecia, and research has shown that vitamin D helps create new hair follicles. Many people suffer from a lack of vitamin D and it can be difficult to get the necessary amount through diet alone. It can be found, though, in some fish, certain mushrooms and fortified dairy products.

Studies have shown that vitamin E plays a role in increasing hair growth in those with hair loss. Sunflower and soybean oil, almonds, peanuts and peanut butter and greens are excellent sources of vitamin E.

## 3. Massage Your Scalp

One of the simplest things you can do to stimulate hair growth is a daily [scalp massage](https://www.allure.com/story/scalp-massager-benefits-explained). Research shows that scalp massages increase hair thickness and improve alopecia. This encourages the follicles to grow healthier and thicker hair. Massages also help with promoting blood circulation to the area.

Scalp massage can be done simply with fingers or with special tools and brushes. You can even hire a professional masseuse to perform a scalp massage.

If you're using your hands, you can do your daily massage whenever you like, including in the shower. Simply move your fingertips in circles over your scalp using medium pressure. Work from front to back or side to side, making sure to cover the entirety of yourself. Do this for about five minutes each time, multiple times a day.

There are many scalp massagers available on the market if you choose to go that route too. Some dermatologists believe a scalp massager is more effective, but there are those who find these tools uncomfortable and prefer the fingertip method.

## 4. Use Essential Oils

Many [people](https://www.onegoodthingbyjillee.com/ways-to-reduce-hair-loss/) swear by essential oils to promote hair growth. Both lavender and peppermint have been shown to help hair growth in animal studies. Use this easy essential oil treatment weekly to stimulate your scalp:

Mix a drop or two of your oil of choice into what's called a carrier oil, such as melted coconut oil. Then, take that mixture and gently massage it into your scalp, using your fingertips to massage as you go. Once it’s thoroughly saturated, cover your hair in a shower cap or towel and leave it for up to an hour. Rinse it out, shampooing your hair and styling it as usual.

## 5. Brush Gently

Hair loss can be caused by over-brushing, using the wrong brush or brushing at the wrong time. It’s essential that you are gently brushing with the [right brush](https://www.luxyhair.com/blogs/hair-blog/your-ultimate-hairbrush-guide).

Paddle brushes are good for most hair types and situations, with sturdier bristles available for thicker and more textured hair. Round brushes are perfect for blowouts and come in a variety of sizes and with many bristle options. Loop brushes are ideal for those with hair extensions, as the loop style of the bristle makes brushing extensions a breeze with no damage.

Hair is most prone to breaking when it is wet, so it's important to choose a wet-hair-friendly tool when brushing it. Your best options are a strong wide-toothed comb or a detangling brush made specifically for wet hair use. Both of these options will limit the damage and minimize hair loss.

## 6. Minimize Heat Tool Use

Hairdryers, curling irons, and straighteners may seem like a godsend when it comes to hair styling, and they all definitely have their benefits. One of their consequences, though, is dry, damaged hair. 

It can be quite the cycle: You dry and style your hair using heat, the heat damages the hair making it more brittle and frizzy, so you use more heat styling to tame it. This process only makes it more likely to break off or fall out!

Luckily, cutting back on the use of heat tools can have significant positive effects. Let your hair dry naturally whenever you can, giving it a break from the heat of the blow dryer. Choose a brush specially made for speedy blow drying so that your hair spends less time under direct heat. Use tools like straighteners and curling irons sparingly, and apply hair masks and treatments to help minimize the damage from heat.

## 7. Avoid Tight Hairstyles

Some forms of hair loss are caused by the repetitive stress on hair caused by pulling and stretching it into tight hairstyles such as elaborate braids or tight ponytails. [Traction alopecia](https://www.healthline.com/health/traction-alopecia#causes) is a prominent kind of hair loss that can often be reversed by stopping the frequent practice of hairstyles that put extra strain on your scalp and hair follicles. Use scrunchies or soft materials to tie up your hair, and keep the style loose and low on your scalp when possible.

## 8. Don’t Overprocess Hair

While using chemicals to dye and style hair in moderation may not cause extensive damage, using them frequently can cause hair to become especially brittle and prone to breakage. Especially if you are using bleach, you need to make sure not to process your hair too often as the damage from it can be significant and irreversible with hair loss a very real possible consequence. Thankfully, taking a break between dyeing or processing can help to minimize the chance of hair loss.

## 9. Reduce Stress

Long-term or incidental [stress](https://share.upmc.com/2018/12/losing-hair-from-stress) can both have a serious impact on hair health. If you're experiencing high stress in your life, it can cause your hair to go into a phase where it won’t produce new hair! Consider finding ways to limit or cope with stress by eliminating unnecessary stressors in your life and practicing positive stress management tools like meditation. If you can cut down on your stress, your hair may respond to produce new hair again.

Hair loss can be scary, but it doesn't have to be permanent. Shapiro MD's hair growth experts are here to help, with custom prescriptions and easy-to-use FDA-approved options like minoxidil, all available online. [Click here to start out unique hair quiz – and get the right plan for you – today.](https://www.shapiromd.com/quiz)

__Sources__

https://food.ndtv.com/beauty/iron-and-protein-getting-to-the-root-of-hair-loss-768613

https://www.onegoodthingbyjillee.com/ways-to-reduce-hair-loss/

https://www.luxyhair.com/blogs/hair-blog/your-ultimate-hairbrush-guide

https://www.healthline.com/health/traction-alopecia#causes

https://share.upmc.com/2018/12/losing-hair-from-stress/

Guy with comb looking in the mirror

9 Simple Remedies to Stop Hair Loss 

Everyone loses hair routinely, shedding around 100 strands of hair daily for the average person. Normally these hairs regrow with time, but medical conditions like thyroid problems can stymy proper hair growth and lead to thinning, a receding hair line, a wider part, and eventually balding.

The good news: in many cases, hair loss resulting from thyroid disorders is treatable.

## What Does The Thyroid Do?

The thyroid is a small butterfly-shaped gland located in the front of your neck just below the larynx. The gland forms part of your endocrine system, which produces hormones that help control vital body functions. Thyroxine (known as T4) and triiodothyronine (known as T3) are the two primary hormones that the thyroid gland produces.

T4 and T3 are responsible for cell metabolism. When your thyroid is in good condition, it maintains the appropriate balance of hormones to regulate energy use and to keep cells everywhere functioning properly. Your thyroid is constantly producing more hormones as necessary. This is managed by the pituitary gland, which is located in the brain and controls the amount of thyroid hormones circulating in your body.

When your thyroid isn't working correctly, it can affect your a host of systems. If your body produces too much thyroid hormone, it can result in a condition known as hyperthyroidism. When there are too few thyroid hormones, the condition is known as hypothyroidism.

## Thyroid and Hair Loss Issues

Prolonged hyperthyroidism and hypothyroidism can lead to hair loss. People lose some hair regularly, and it typically regrows in cycles such that most of the head on your head is growing at any given time. 

However, when T4 and T3 are irregular, this normal regrowth cycle can be interrupted. Your hair starts thinning over time, without replacement.

To understand how these two conditions cause hair loss, it helps to understand the hair growth cycle.

New hairs start in the hair follicle under your scalp during the anagen phase of the growth cycle. During this 5-7 years-long phase, the blood vessels on your scalp nourish the roots, produce more cells, and actively add to the base of the hair, pushing the hair out as cells multiply and the hair “grows,” or gets longer. The hair pushes up through the skin, passing through oil glands that keep it shiny and soft. 

The catagen phase comes next, when the root of the hair detaches and active cell additions stop. During this roughly week-long phase, the hair follicle quits actively making the hair, blood supply disconnects from the base, and the hair prepares to be shed.

Finally, during the telogen phase, the follicle pushes the now-finished hair up and out of the follicle, resulting in a shed hair. During this time, it can actually appear that the hair is still growing because it’s  getting longer, but this is a result of the hair being pushed up and out of the follicle, not actually through new protein addition at the base of the hair. The hair follicle, now rid of its hair, goes into a resting period that can last a few months. 

As mentioned above, disruption of T3 and T4 hormones affects various physiological processes, including the growth of hair at the root. As a result, the hair may fall out early and may not be replaced, leading to thinning across the scalp. This could affect body hair, eyelashes, and eyebrows as well. 

When there is too much or insufficient thyroid hormone, this can lead to "telogen effluvium." Telogen effluvium is a disorder that causes the hair follicle to go into the resting phase early, causing the growth of hair to cease. As a result, scalp hair does not grow continuously. 

Alopecia areata, lupus erythematosus, and polycystic ovary syndrome are some of the autoimmune illnesses often linked to thyroid problems as well, which may cause hair loss. 

Apart from these, certain medications used for thyroid and hair loss conditions may also cause hair thinning. It can be hard to determine if your hair loss results from a thyroid condition or the medications, and you may need a specialists’ help to determine best steps for treatment.

## Common Symptoms of Thyroid-Related Hair Loss

Hypothyroidism and hyperthyroidism cause hair loss to develop slowly. Most likely, you won't notice bald spots or patches. Instead, your hair gets thinner all over. It's normal to lose between 50 and 100 strands every day as part of the hair growth cycle. However, when your hair is coming out in handfuls, it could be a sign of telogen effluvium. It is easily noticeable on the scalp, but it can affect hair on other parts of your body too.

It’s important to note that hair loss is not the only sign of underactive and overactive thyroid hormones. Other symptoms of hypothyroidism include:

•	Tiredness
•	Feeling cold
•	Unusual weight loss
•	Constipation
•	Forgetfulness
•	Mood swings

Common hyperthyroidism symptoms are:
•	Fast heart rate
•	Sleeping disorders
•	Nervousness
•	Irritability
•	Muscle weakness
•	Increased sweating
•	Brittle hair
•	Hand tremors

Women with overactive and underactive thyroids may have abnormal menstrual patterns as well.

Note that hyperthyroid and hypothyroid symptoms, including hair loss, are nonspecific and might be a result of other conditions. It’s important to consult a doctor and have your thyroid levels checked before diagnosis.

## Why Women Are More Prone to Thyroid Issues

According to the American Thyroid Association, women are five times more likely to develop thyroid problems than men. 1 in 8 women will develop thyroid issues in their lifetime. Scientists have yet to understand why women are more susceptible to thyroid problems than men.

Unfortunately, women suffer from autoimmune illnesses at a higher rate than men as well, many of which also impact the thyroid and thyroid hormones. Though the reasons for this are not yet known, they are linked to environmental, genetic, and lifestyle factors. 

If your family has a history of thyroid and hair loss problems, you likely have a higher chance of developing the problem yourself. Environmental and lifestyle factors like regular exercise, iodine intake, adequate sleep, and avoiding harmful substances contribute to proper function of the thyroid gland.

Women may also experience hormonal imbalances after childbirth, leading to postpartum thyroiditis, a condition affecting 5 to 9% of women.

## How to Fight Thyroid-Related Hair Loss

### 1. Medical treatment
Working with a doctor will help keep your condition under control with medication that may also help with hair regrowth. Possible medications for thyroid conditions include:

- Beta-blockers
- Levothyroxine
- Propylthiouracil 
- Methimazole

Apart from medication, surgery is another possible treatment that involves removing all or some of the thyroid. Doctors may also recommend radiation therapy where necessary, which again destroys some portion of the thyroid gland, reducing the amount of hormones the gland produces.

### 2. Home remedies and other natural treatments

Even without a thyroid condition, nutritional deficiencies can cause hair loss. The following are all necessary for proper hair growth:

•	Zinc
•	Copper
•	Vitamin C, A, and E
•	Vitamin B7 and B complex
•	Coenzyme Q10

Multivitamin supplements may be helpful if you’re concerned about vitamin deficiencies, a variety of which are available specifically to support proper hair growth and support thyroid function.

__Consider Your Diet__ 

Eating well, especially whole foods, vegetables and fruits, is key to good health. Avoid eating processed foods, caffeine, smoking, and alcohol, all of which may cause inflammation and contribute to worse thyroid symptoms.

__Eat More Anti-Inflammatory Foods__

Anti-inflammatory foods like turmeric and ginger may improve and support the endocrine system, of which the thyroid is part. Supporting the endocrine system may help with thyroid disorders and hair loss symptoms.

__Control Iodine Intake__

The body uses iodine to produce thyroid hormones, so too much may cause hormonal imbalances. Depending on your situation and condition, a physician may recommend limiting iodine intake.

### 3. Hair Loss Treatments

Even if your issue is thyroid-specific, hair loss regrowth solutions may be able to help once the thyroid condition is under control. 

Minoxidil is an over-the-counter topical medication with well-understood hair regrowth capabilities. For most people, it can help to maintain a thicker head of hair within 3-6 months of beginning treatment, and growth can continue to improve out to 12 months. After that, most men and women find that continued treatment is necessary to maintain a thicker head of hair. 

For men, finasteride is another option. This medication is the only FDA-approved oral medication for hair loss, and it’s available only to men. With a once-daily pill, it can help to restore hair and maintain density. It works in over 80% of men who try it, and has been around for two decades.

There are also potent natural formulations, like those from Shapiro MD, that focus on fighting the effects of the hair loss hormone DHT. These include ingredients like saw palmetto berry extract, EGCG from green tea, caffeine, and ketoconazole. 

Before trying any thyroid or hair loss treatment, it may be wise to talk with a medical professional. Thyroid conditions don't always cause hair loss, but it’s a common precursor, and many dermatologists will order a thyroid panel for new patients.

If you’re wondering about personalized hair loss treatments, Shapiro MD can help. Our trained providers  help you find the right solution, personalized to your situation, and done from the comfort of your own home. [Click here to get started with a free consultation.](https://shapiromd.com/quiz/)


Woman and her thyroid

Hair Loss and Thyroid Issues: What’s Happening And How to Fight It

There are few things more distressing to a woman than seeing your hair falling out and thinning, especially if you don’t know the reason why. The best hair loss treatment for female sufferers of balding and thinning hair can be simpler than you think, however, and hair loss can even be reversed in many cases. 

Consult this list to see what the cause of your hair loss might be and how it can be treated.

## Hair Loss Causes

### 1. Vitamin and Mineral Deficiency

Eating a healthy diet rich in vitamins is a top-notch beginning defense against hair loss. Luckily, if a true vitamin deficiency is the cause of your hair loss, it can likely be improved by simply increasing your intake of the vitamin or vitamins you lack. It’s best to get vitamins and minerals through food, but supplements can also be used effectively in many cases.

- Iron – Women of childbearing age are particularly likely to have an iron deficiency because of blood loss through menstruation and pregnancy-related anemia. Iron is vital to the production of hemoglobin, which is responsible for carrying oxygen to the cells of the body when needed for growing and repairing, including those cells that cause hair to grow. Iron can be found naturally in meats, seafood, beans and leafy greens, and there are various iron supplements on the market. An increase in iron in the diet can cause some discomfort of the bowels, so contact your doctor if you have any issues managing your iron intake.
- Vitamin A – Because vitamin A plays a big part in the growth of cells, getting adequate amounts of vitamin A in your diet is a good way to prevent hair loss. If you do have a deficiency, fill up on dairy products, fish, squash and carrots.
- B-Vitamins – B-vitamins such as biotin and vitamin B12 have long been touted as important to women’s hair health, and a deficiency in B-vitamins has been linked to hair loss. Keep your hair happy and healthy by getting enough B-vitamins through your diet. Eggs, liver, salmon and leafy greens are good sources of a variety of B-vitamins.
- Vitamin C – To create the collagen your body needs to build keratin, vitamin C is necessary. It also plays a part in the absorption of iron, so a lack of it can result in damaged hair and hair loss. Get plenty of vitamin C by drinking citrus juices and eating lots of peppers, cherries, and guavas.
- Vitamin D – Vitamin D deficiencies are incredibly common and have been connected to hair loss. Although vitamin D can be taken in through direct sunlight, most people don’t get the amount they need through sunshine alone. It can also be found in fatty fish, such as salmon, and fortified milk.
- Zinc – Zinc is vital to the production of proteins in hair cells, meaning a lack of it can result in hair loss. It can’t be produced by the body, so it has to be taken in from outside sources. Meats such as poultry and red meat are good sources of zinc, as are beans and nuts.

 ### 2. Lack of Protein

Hair is mostly made of protein, so a lack of protein in your diet can have serious repercussions for your hair – and body in general. In order for hair to keep growing, it needs amino acids, some of which your body can’t produce on its own and therefore needs to get through diet or supplements. Because your body’s first priority in using the protein you take in is to build muscle tissue, if you fail to get enough, your hair is the first place to have its supply cut off.

Getting enough protein can be especially difficult for vegans and vegetarians who don’t get the protein found in meat and dairy products. While eggs, chicken, beef and tuna are all great sources of protein, it can also be found in vegan and vegetarian-friendly options such as almonds, tofu, lentils and beans. 

### 3. Overdyeing

Dyeing your hair can be a fun way to try out new colors and an effective way of covering up graying hair. Too much dyeing, though, can be damaging to healthy hair, especially if bleach is used in the process. Excessive dyeing causes hair to become brittle and break easily and in some cases can make it fall out. You can even “burn” some of your hair off if you bleach too much or with too strong of a developer.

Luckily, taking a break from dyeing can help to repair your hair, as can leave-in hair treatments and products designed to treat damaged hair. Schedule plenty of time between bleaching and dyeing sessions in the future to help prevent further damage to your already-processed hair.

### 4. Incorrect or Aggressive Brushing

Brushing is an important part of keeping hair healthy and growing, as it stimulates the scalp and encourages hair growth. If you’re brushing too harshly, though, you can be doing real damage to your hair, ripping strands out and causing undue stress on others. Gentle brushing with the right brush at the right time can go a long way in helping hair loss and maintaining healthy hair.

There are brushes designed specifically for different types of hair and different situations. When you get out of the shower, for instance, it’s important to use a wide-tooth comb or detangling brush designed specifically for wet hair to make sure you don’t do serious damage to your hair, which is most sensitive when it’s wet.

### 5. Using Too Many Heat Tools

Women love their heat tools when it comes to styling hair. Blow dryers, straighteners and curling irons give results that a lot of other tools just can’t live up to. Unfortunately, a consequence of excessive use can be dry, damaged, frizzy hair. This often results in women spending even more time using heat tools to try to tame and manage unruly hair, continuing a cycle of damage that can result in hair breakage and loss.

Although it can be difficult to stop using these tools, taking breaks when you can will make a significant difference in the health of your hair. Consider air-drying your hair when the weather is nice and investing in a brush made exclusively for quick drying sessions so that you’re spending less time under the heat of the blow dryer. Try alternative ways of heatless styling, like curlers and braids, to put less stress on the hair.

### 6. Over-Styling

Just like overdyeing can be hard on hair, too much repetitive styling can also be damaging. Women with Afro-Caribbean hair are particularly at risk for traction alopecia, which is caused by the repeated pulling of hair. Tight ponytails, elaborate braids and cornrows can put too much stress on the hair follicle, as can using hair extensions and weaves. All of these can cause strain on the scalp because of the weight and stress of the hair, which can lead to hair falling out.

Varying hairstyles can help to minimize hair loss so that one area is not getting repeatedly stressed for long periods of time. Using bands that are designed specifically not to pull hair when wearing it up also helps, as does limiting the processing of your hair with dyes and relaxers.

### 7. Smoking

Smoking has been linked to hair loss because it restricts circulation, which is necessary for healthy hair growth. Giving up smoking will help increase blood flow to the scalp and stimulate hair growth, so consider quitting if you’ve noticed hair loss you believe to be caused by smoking.

### 8. Stress

Limiting the stress in your life can have countless benefits for your health, one of which is healthy hair growth. When the body is stressed, it can stop producing hair because it’s in panic mode. Working high-stress jobs or being in turbulent relationships can contribute to hair loss. Try to eliminate stressors from your life that may be contributing to hair loss and practice stress-management tools like mindfulness meditation which has been shown to minimize the body’s negative response to stress. In most cases, hair loss due to stress only continues as long as the body is stressed, so if you can limit your stress, your hair may start growing again.

Whatever the reason for your hair loss, there are solutions for most people. Shapiro MD can help. We make some of the most effective and proven hair loss solutions available *online*, and our professionals can prescribe custom formulations specific to your situation. It’s easy and fast, all done online. 

[Click here to get started with our free hair growth quiz.
](https://shapiromd.com/quiz/)

Woman doing her hair with straightener

Preventing and Treating Hair Loss in Women

Finasteride is a 5-alpha-reductase inhibitor and is the only oral medication approved by the FDA for the treatment of hair loss. It's a powerful and proven solution for men with hair loss (and men only), but results can take time. 

When ingested, the compound prevents the production of dihydrotestosterone (DHT), a sex hormone known to bind with receptors on hair follicles, leading to thinning hair and for many, baldness. By reducing the amount of circulating DHT in the body, finasteride can help to block this hormone from interacting negatively with hair follicles. 

While progress with finasteride can take three to four months, maximum results can take up to a year. Despite the promise of an 86% success rate, many people don’t want to wait a full year to experience the benefits of  treatment. 

Here are five things you can try at home to speed up your finasteride results.

## 1. Regular Scalp Massage

Who knew massage could not only heal the body but potentially help with thinning hair? According to several studies, scalp massage has the potential to aid with hair thickness and growth. The process of massaging the scalp stimulates hair growth by dilating blood vessels to increase available oxygen, and it may increase hair thickness by stretching follicle cells.

While it seems unusual and a little too easy, massage is a promising and natural option for hair stimulation. When combined with the known benefits of finasteride, you might see quicker and richer results.

### Tips and Techniques

A scalp massage is not much different from other types of massages, but it is typically gentler. When using a traditional technique without tools, use your fingertips, applying light or medium pressure and moving in small circles. You want to ensure you massage all areas you wish to see growth several times per day for a minimum of a few minutes each time.

Some dermatologists recommend using tools like a scalp massager or brush, but not all professionals feel such tools are essential. Whether you use a tool is a matter of personal preference and comfort. 

While many traditional massages use oils, it’s unnecessary with a scalp massage, although some studies do suggest lavender and peppermint oil might promote hair growth. If you’re not allergic and wish to try, you can mix one or two drops of each oil with a single tablespoon of carrier oil, apply the mixture directly to your scalp, and work it in with a massager or your fingertips. It’s worth noting most studies showing promise with essential oils were focused on animals and not humans.

## 2. DHT Blocking Formulations
DHT, or dihydrotestosterone, is the hormone widely credited with hair loss in most men and women. 

If your family has a history of hair loss, it could mean a genetic predisposition to the condition, which is the leading reason DHT binds to hair follicles. The hormone leads to follicle shrinkage, and over time results in thinning and baldness.

For people with a preexisting disposition to hair loss, it’s imperative to reduce or eliminate the connection or binding between the hormone DHT and the scalp's hair follicles. Using a DHT blocking shampoo may help interfere with the binding process, preventing hair loss.

Not all DHT fighting shampoos are created equal, but if you’re interested in trying one of these products in combination with finasteride, look for some of the following ingredients on the label, all of which have shown some ability to fight DHT in research:

- Saw palmetto
- Rosemary oil
- Biotin vitamins (Vitamins H, B7, or B8)
- Lavender oil
- Tea tree oil
- Pumpkin seed oil
- Ketoconazole

All of these ingredients have research supporting their DHT-combatting and scalp-benefitting effects. To receive the full benefits of these formulations, follow manufacturer directions and be sure to leave it on your scalp for a few minutes.

Be on the lookout for sulfur, synthetic chemicals, and parabens. These ingredients can lead to unwanted side effects or damage to your remaining hair.

## 3. Vitamin D

While many people understand vitamin D is essential to overall health and wellbeing, they misunderstand or completely underestimate its significance to hair growth and health. Vitamin D stimulates new and old hair follicles, promoting follicle growth and strength. Without enough vitamin D in your diet, hair loss can result. Low levels of vitamin D are not only linked to hair loss, but a deficiency can also result in other health issues, like bone softening, osteoarthritis, heart disease, and more.

If you’re experiencing spot baldness, consider talking to your doctor about vitamin D supplements. Increasing your vitamin intake to meet your daily needs could fight balding and promote faster and healthier hair growth with the finasteride treatment.

A supplement alone might not be enough. Most multivitamins only include 400 IU of vitamin D, which is below daily suggestions. You can get the vitamin in other ways, however, like through diet and outdoor activities. It’s not called the sunshine vitamin for no reason. You can often get your daily vitamin D requirement by spending a minimum of 15 to 20 minutes outside without sunscreen. If you cannot make it outside, try sitting near a sun-facing window.

You can also try eating more fatty fish and animal fats. Both food sources are rich in vitamin D as well as other health-promoting vitamins and minerals.

## 4. LLLT

LLLT, or low-level laser therapy, may increase circulation to the scalp and encourage hair growth by irradiating photons into the scalp tissues. Weaker cells absorb these photons, invigorating follicle health and function.

Unfortunately, LLLT is not effective for all people. However, several studies do point to the therapy as helpful. In combination with finasteride, the treatment may accelerate growth results.

There is little risk to trying LLLT. It is a non-invasive and painless process, with most devices cleared by the FDA. There are no side effects, and the treatment is proven to at least strengthen existing hair follicles. However, the process does take time, often requiring several treatments a week for months. 

While LLLT is cleared for safe use by the FDA, it is not regulated by the same standards as medications. The preponderance of evidence suggests it can be beneficial as an additional tool for hair loss.

## 5. Minoxidil

Minoxidil is a topical solution used in the treatment of male pattern baldness. While primarily marketed toward men originally, the solution can promote hair growth in women, too. It is available as a foam or liquid that is typically applied twice per day: at up to a 5% concentration for men and 2% for women. While most scientists believe the drug helps increase the flow of nutrients and blood to the follicles, it’s mechanism is not perfectly understood. 

What is known is that minoxidil can help regrow hair in most men and women.

You should not use this product if your hair loss is sudden or unexplained. Once you start using minoxidil, you may need to continue using it to maintain thicker hair.

If you choose to use minoxidil in combination with finasteride, make sure you follow directions for best results. While both products can take time to start working, you will typically see some benefit from minoxidil alone within four months.

Finasteride for hair loss is a leading therapeutic treatment for male pattern baldness. It’s useful in the reduction of DHT, limiting the effects of binding and weakening hair follicles. 

While this treatment is backed by the American Hair Loss Association and decades of clinical use, many patients want faster benefits. The  options above may be able to help speed up your recovery or regrowth process.

The experts at Shapiro MD are ready and willing to guide you through your hair growth journey, and the best part is, everything is done from home. 
As a leader in telemedicine, the Shapiro hair growth experts can help create a personalized hair treatment plan that works for you without ever seeing you in person. 

[Click here to get started with an online consultation today.](https://shapiromd.com/quiz/)

Scalp Massage

5 Potential Ways To Speed Up Finasteride Results

During pregnancy, your body goes through a slew of changes in response to a major shift in hormone levels. Between nausea and sore breasts, it's hard to ignore that you don't feel quite like yourself when you're expecting. However, there's a whole other set of changes to anticipate after you give birth as well.

One of the most common concerns that women have after pregnancy is hair loss. According to [the American Pregnancy Association](https://americanpregnancy.org/healthy-pregnancy/pregnancy-health-wellness/hair-loss-during-pregnancy-973/), about 40 to 50 percent of women experience postpartum hair loss. It’s usually a temporary symptom that can last up to six months after you give birth.

Even if it doesn't last forever, hair loss can still be frustrating to deal with. If you can't help but notice that you've been losing significantly more hair than usual, don't panic. There are many ways to find relief from this condition and help preserve your precious locks after giving birth.

Here's everything you need to know about hair loss and pregnancy, including some helpful tips for dealing with postpartum hair loss.

## Are You Struggling With Postpartum Hair Loss?

While a little hair loss here and there is normal, it's important to recognize when it becomes a problem. The American Academy of Dermatology Association claims that the average adult sheds between 50 and 100 hairs a day. While there's no way to keep track of how many hairs you lose on a daily basis (well, almost no way) you can determine if you're suffering from hair loss by paying attention to the way your locks behave.

For example, if your hair routinely falls out in clumps, this is a major red flag that something is wrong. Shedding is typically spread out during the day, which means it shouldn't be noticeable to you. It's also a good idea to pay close attention to your part. If you see more scalp than you're used to, this means that your part may have begun to widen, which is a telltale sign of hair loss.

In many cases, women experience thinning around the temples as a result of postpartum hair loss. It's also common for hair strands to accumulate on your pillow overnight. If you notice a buildup of hair on your pillow after you wake up in the morning, this may be a sign that you're struggling with significant hair loss after giving birth.

## Causes of Postpartum Hair Loss
Postpartum hair loss is a response to fluctuations in your hormones. During pregnancy, several key hormones  help nurture you and your growing baby. These include estrogen, hCG, hPL and progesterone.

Estrogen has the strongest link to hair loss. This hormone is created by the placenta to support a healthy pregnancy. After you give birth, your estrogen levels begin to decrease, leading to a number of physical, emotional and mental symptoms. One of the most prominent symptoms is hair loss. Falling estrogen levels cause your hair to grow at a much slower rate and become thinner.

Hormone changes during and after pregnancy can cause other odd hair-related outcomes, including new hair sprouting on previously hairless spots, like around the edge of your scalp. You may notice short, new hairs that were never there before.

## Tips for Relief
If you're stressed about the amount of hair you're losing, know that there are simple ways to cut down on all the shedding. These tips will allow you to maintain a thicker, healthier mane even as you go through the postpartum period.

### Adjust Your Diet
Your hair relies on essential vitamins and minerals to look its best each day. If you deprive your body of these vital nutrients, you'll notice your hair losing its luster and thickness. You might not be able to control the natural decline of your estrogen levels, but you can combat these effects by fortifying your body with the right foods. Some examples of foods that contribute to healthy locks include:
•	Salmon
•	Legumes
•	Yogurt
•	Oatmeal
•	Eggs
•	Blueberries
•	Oranges
•	Sweet potatoes
•	Peanut butter

Each of these foods contains important nutrients that play a key part in overall hair health. For example, salmon and oatmeal are rich in omega-3s, which nourish your hair with essential proteins. Meanwhile, oranges and blueberries are excellent sources of vitamin B and C, which guard against breakage and boost circulation to your scalp.

### Skip the Heat Tools
Your hair is more fragile than usual in the months after you give birth. It's important to be as gentle as possible with your hair to help it stay strong and healthy. To keep your locks in optimal condition, try staying away from heat tools if you can. Curling wands, flat irons and other common styling tools can cause damage to your hair, especially during the postpartum period. It's also a good idea to skip any special salon treatments, such as highlights and straightening sessions.

### Wash Less Frequently
You may be tempted to lather up your hair often to keep it looking smooth and sleek, but this typically has the opposite effect. Washing your hair too frequently can cause it to take on a dull, thin appearance. Additionally, bear in mind that you lose strands every time you wash your hair. If you want to preserve as many locks as you can, it's a good idea to cut back on your hair-washing sessions.

### Use the Right Shampoo
You already know that different hair types require different shampoo products. However, it's also important to switch up your shampoo depending on the time of year, your physical activity level, and—yes—your hormonal changes.

After your pregnancy is over, seek out products formulated to accelerate hair growth and promote strong, healthy locks, like [Shapiro MD's Motherhood collection](https://main.shapiromd.com/product/motherhood-natural-kit), which are patented and contain natural growth-promoters. Once you find the right shampoos for your needs, you'll help counteract the unwanted effects of falling estrogen levels.

### Talk to A Doctor

While some hair loss is expected after pregnancy, it's important to monitor your shedding to ensure that you're not losing an excessive amount of hair. If you're worried that your hair loss is outside the norm, be sure to [speak to a doctor](https://shapiromd.com/quiz/) about your concerns.

You may be dealing with a medical condition if you're experiencing any other symptoms in addition to shedding, such as anxiety, a rapid heart rate, fatigue, unexplained weight loss, sensitivity to heat and insomnia. It's crucial to see a doctor as soon as possible to rule out any other medical conditions and to receive proper treatment.

## Protect Against Postpartum Hair Loss
Losing more hair than usual is simply a natural response to changing hormone levels. While it can be frustrating to shed your beloved locks, it's important to note that there are many effective ways to guard against these effects, and that they’re typically temporary in nature. 

Remember to stock up on plenty of nutrient-rich foods – good for you *and* baby – avoid styling your hair with heat tools, wash your hair less frequently, and use the right shampoos. [Shapiro MD’s Motherhood collection](https://main.shapiromd.com/product/motherhood-natural-kit), for example, is dermatologist-recommended and contains all-natural formulations designed for pregnancy and the post-partum period. Keeping these guidelines in mind will help you manage postpartum hair loss in a healthier, more productive way. 

Questions or curious about prescription hair growth solutions? A Shapiro MD clinician can help. Take our [free hair quiz](https://shapiromd.com/quiz/) to find out if custom prescription solutions are right for you.

Mom and baby smiling

Postpartum Hair Loss: Tips for Relief

First created 50 years ago to treat stomach ulcers, Minoxidil (2,4-diamino-6-piperidinopyrimidine 3-oxide) was ultimately found to be ineffective against ulcers -- but highly effective for dilating blood vessels. Based on this development, the U.S. FDA approved Minoxidil tablets for severe hypertension in the early 1980s.

Several studies conducted prior to FDA approval of Minoxidil discovered a harmless but unique side effect of the drug--hair growth in individuals experiencing hair thinning and baldness. By the mid 1980s, doctors had seen enough reliable evidence to begin prescribing Minoxidil (brand name Loniten at that time) as an off-label medication for people with hair loss.

In 1988, the FDA approved Minoxidil for male pattern baldness under the now-famous trade name of Rogaine. Three years later, Rogaine was approved for use in women with female pattern hair loss.

## Hair Loss Conditions Treated with Minoxidil

Minoxidil (Rogaine) is the most popular over-the-counter treatment for androgenic alopecia, or male and female pattern hair loss attributed to genetics and hormones. Other hair loss disorders where minoxidil may help stimulate hair grown include telogen effluvium, alopecia areata and loose anagen hair disorder.

People who use topical minoxidil must apply the solution twice daily to stimulate hair follicle health and hair growth. Minoxidil's mechanism of action is not clearly understood but is believed to involve the drug's ability to dilate blood vessels, open potassium channels and allow blood nutrients to reach hair follicles. Additionally, minoxidil is a nitric oxide agonist, which seems to promote telogen phase in follicles. More hairs are shed during this follicle phase than other phases. Consequently, it's easier and faster for lost hairs to be replaced by thicker, stronger anagen-phase hair encouraged by minoxidil use.

## What is Androgenic Alopecia?

Excessive amounts of the hormone dihydrotesterone (DHT) may inactivate hair follicles, leading to thinning hair or hair loss. DHT dysregulation is typically caused by genetics, prostate enlargement and/or steroid use. Men in their 20s and 30s with receding hairlines, balding on top of the head, or general hair loss are commonly diagnosed with androgenic alopecia.

A telltale sign of male pattern baldness is the shape of bald areas on a man's head. As hair loss increases, a horseshoe pattern often develops encircling the head. When the pattern becomes unmistakable, this indicates advanced androgenic alopecia that will likely lead to complete baldness without treatment.

Female pattern baldness is also called androgenic alopecia. An inherited condition, female pattern baldness often accelerates after menopause as estrogen and progesterone levels plummet. While most women with androgenic alopecia do not lose all of their hair, they can lose hundreds of individual hairs each day and develop a receding hair line. Some women may have areas of hair loss on top of their head through which their scalp can be seen.

## What is the Difference Between Minoxidil 2% and Minoxidil 5%?
Minoxidil 2% is simply a weaker version of minoxidil 5%. Results of a 48-week, placebo-controlled, [randomized trial](https://pubmed.ncbi.nlm.nih.gov/12196747/#:~:text=Men%20who%20used%205%25%20topical%20minoxidil%20also%20had,of%20systemic%20effects.%20PMID%3A%2012196747%20%5BIndexed%20for%20MEDLINE%5D) comparing topical minoxidil solution 2% with topical minoxidil solution 5% found that 5% minoxidil was "significantly superior" to 2% minoxidil and a placebo for increasing hair regrowth. The authors of this study also reported improvement in subjects' "psychosocial awareness of hair loss" which led to better self-esteem. The only side effect noted was occurrences of local skin irritation in study participants using 5% minoxidil.

All participants in this trial were men with androgenic alopecia (male-pattern hair loss). During the final week of the study (week 48), men using 5% minoxidil had 45% more hair growth than men using 2% minoxidil. Both 2% and 5% minoxidal were well-tolerated, and no systemic side effects were reported.

A [2007 study](https://www.sciencedirect.com/science/article/abs/pii/S0190962207007608) published in the Journal of American Academy of Dermatology involved an investigation into an alternative form of minoxidil--propylene foam without glycol. 

To determine the effectiveness of Minoxidil foam over cream, researchers conducted a 16-week, placebo-controlled, double-blind trial using 5% minoxidil foam on 352 men with male-pattern baldness.

Results of this trial showed a statistically significant increase in hair count (regrowth) in men applying 5% minoxidil versus the placebo. 

Subjective evaluations of men experiencing hair regrowth revealed strong satisfaction with the results. In addition, no adverse effects were seen in this trial, which led researchers to conclude that this 5% minoxidil foam was an effective and safe treatment for men with male-pattern baldness.

### Minoxidil and Women with Female-pattern Baldness
To determine the efficacy of minoxidil 2% vs minoxidil 5% in women with androgenic alopecia, researchers conducted a [48-week, placebo-controlled trial](https://hairlossfight.com/research/minox_fpb.pdf) involving 381 women with female pattern hair loss. Results indicated that after 48 weeks, the minoxidil 5% group "demonstrated superiority" over the placebo and Minoxidil 2% groups. However, unlike trials with men using minoxidil 5%, the female subjects in this study reported mild hypertrichosis (abnormal hair growth) and pruritis (itchiness) in addition to local irritation.

## Efficacy of Oral Minoxidil
Optimizing hair regrowth with minoxidil requires patients apply the solution twice a day to the scalp. Due to patient noncompliance with applying minoxidil more than once a day, manufacturers have investigated the effectiveness of minoxidil in once-a-day oral form.

A study [published in the American Academy of Dermatology](https://pubmed.ncbi.nlm.nih.gov/32622136/) evaluated the use of oral minoxidil at 2% or less by summarizing the results of 17 studies i a review. Most studies involved subjects with androgenic alopecia, with a minimal number involving people with alopecia areata, loose anagen hair syndrome and telogen effluvium.

Results showed that low dose oral minoxidil is well-tolerated and effective for individuals who have problems adhering to twice-daily applications of topical minoxidil. However, since the majority of studies have shown that topical [5% minoxidil is more effective](https://www.ncbi.nlm.nih.gov/books/NBK482378/) than 2% minoxidil in treating hair loss, oral minoxidil may not work as well for some people with persistent hair loss. 

What about the FDA?

## Minoxidil 5% vs Minoxidil 10%
Currently, the FDA has only approved topical minoxidil 5% and minoxidil 2% for treating hair loss. Minoxidil 10% has not been FDA approved due to lack of studies investigating the full range of effects of minoxidil 10%. This is why minoxidil 10% is only available via prescription from a licensed doctor or dermatologist.

While minoxidil sulfate (the active ingredient in Minoxidil) is harmless, the extra inactive ingredients found in higher doses of minoxidil may cause itchiness and skin irritation. Propylene glycol and alcohol may promote dry skin and atopic dermatitis in people with sensitive scalp skin. It would follow then that minoxidil 10% is likely to induce side effects in more people than minoxidil 2% and 5%.

## Which Minoxidil is Best?

When it comes to which minoxidil concentration is best, most dermatologists will recommend that women stick with minoxidil 2% and men with minoxidil 5%, both of which are available over-the-counter. Clinicians can and do prescribe higher concentrations for the right patients, though this requires a medical professional's help. 

That's where Shapiro MD comes in. We help men and women order custom prescription hair loss solutions from home shipped to their door if prescribed and with ongoing access to their Shapiro MD professional. 

[Learn more and get started yourself by clicking here.](https://shapiromd.com/quiz/) 

A photo of minoxidil solution applicators.

Minoxidil solution image

Which Minoxidil Is Best? Minoxidil Concentrations Explained

Lupus is an autoimmune disease that encompasses a wide variety of symptoms, caused when your body attacks its own tissues or organs.

One of the more common symptoms involves hair loss or thinning. 

The [American Academy of Dermatology](https://www.aad.org/public/diseases/hair-loss/insider/shedding) estimates normal daily hair loss at around 50 to 100 hairs per day. You may lose considerably more hair when you have lupus, and this hair loss may even develop into bald patches or noticeably thinner spots on your scalp.

The good news? Lupus hair loss is often resolved with proper lupus treatment.

## Symptoms of Lupus Hair Loss

Although some hair loss is expected as we age, hair loss due to lupus can sometimes exceed 50% of the hair on your body. Recognizing the symptoms can help you slow hair loss sooner and, potentially get your hair back faster.

Lupus hair loss manifestations vary from person to person, just as hair loss symptoms differ without lupus. If you see excessive breakage or thinning, it could be an indication of lupus hair loss. Another sign is losing your hair in clumps. Generally speaking, lupus hair loss tends to manifest as thinner hair shafts, broken hairs, and incomplete bald patches. Compared to androgenic alopecia, the name for genetic baldness, lupus patches are often incomplete in their hair loss. 

Unfortunately, there are not many perfectly clear symptoms of lupus-related hair loss, and only you can tell if you’re losing more hair than normal. Remember that this can be an overall thinning, broken hair around your hairline, or loss in only one section of your hair. One standout with lupus is the development of round (discoid) lesions on the scalp, which can scar and cause more permanent hair loss.

Lupus doesn’t only cause loss of hair on the scalp. Sometimes patchy or thinning hair can involve your eyebrows, facial hair, or eyelashes. There may not be a particular pattern to the issue either.

## Causes of Hair Loss

When you’re dealing with disorders involving the immune system, hair loss, also known as alopecia, is quite common. There are three main causes of lupus-related alopecia.

### Inflammation

Lupus is an inflammatory disease. It causes skin inflammation, particularly around the face and scalp. When your skin becomes inflamed, so can hair follicles.

Widespread inflammation is the most common cause of lupus hair loss, particularly when it comes to body and facial hair in addition to scalp hair. Fortunately, if your hair loss is due to inflammation, there is a good chance that with proper treatment, you can regrow your hair once the lupus is in remission.

### Scarring

Scarring is another common trait of lupus. This happens when you develop discoid scars or lesions. Although these scars and lesions can appear anywhere on your body, they are often found on the head, neck and scalp.

When lesions form, they leave behind scar tissue and damaged hair follicles. This may cause hair loss or an inability to grow wherever scarring exists, and it’s hard or impossible to naturally regrow hair in these areas. 

### Medication

Treating lupus involves some pretty strong medications, including cyclophosphamide among others. One of the side effects of this particular drug is hair loss.

Corticosteroids, some anti-inflammatories, and certain NSAIDs are also useful in treating lupus. These can also damage your hair and dry the scalp. Although hair loss is not a direct side effect of these medications, they do contribute to thinning hair.

### Stress

Stress is another primary cause of hair thinning. Dealing with an immune disorder such as lupus is extremely stressful, particularly when you’re first diagnosed. This stress on your body can contribute to hair loss as well.

## Other Factors Contributing to Hair Loss

One of the first things that a doctor may do when determining the cause of your hair loss is to screen out other factors.

### Alopecia Areata

You may have multiple immune disorders at the same time. One of these  is alopecia areata. This condition occurs when your immune system attacks your hair follicles specifically. It creates large, smooth bald spots that differ from the bald spots caused by lupus scarring, which often retain some hairs, just not all.

### Chemicals
Some hairstyling methods, bleaches and dyes can contribute to hair loss. Your damaged hair might result from one of these treatments rather than lupus. In this case, some of the damage is reversible by discontinuing the offending product or method.

### Heredity

Your genetics can work against you and your hair. If you have pattern baldness or another genetic predisposition, your hair loss could be perfectly natural. In this case, certain shampoos, topical products, and FDA-approved medications can help to slow and sometimes reverse the loss of hair, though nothing is 100% effective. Minoxidil 2% for women or 5% for men is often a good place to start.

### Fungal and Bacterial Infections

Since lupus creates lesions, it is possible for them to become infected or contaminated by bacteria and certain fungi. Some of these infections not only cause scarring, but they can also cause hair loss all by themselves.

### Trauma
The stress from lupus can develop habits such as playing with your hair. This can cause your hair to break, which sometimes contributes to hair loss. 

### Nutrition
Malnutrition and even autoimmune disorders themselves can lead to vitamin deficiencies that cause you to lose your hair. In this case, correcting the deficiency and adding supplements may help to restore your hair.

You can have one or more of these issues in addition to your lupus. Once your doctor confirms or rules out these factors, your treatment can begin.

## Prevention of Hair Loss

You can help prevent lupus related hair loss. Taking a few proactive measures makes a difference.

### Medication Changes
By coordinating with a hair loss specialist and your rheumatologist, you might be able to reduce or change your medications. This requires careful planning and cooperation between your doctors. If this is possible, make sure you clear everything with your rheumatologist first, as your autoimmune disorder should be a first concern.

### Nutrition

A quality diet also helps. Your doctor might prescribe a specific diet for both lupus and your hair. Ask your doctors about vitamin C, biotin, vitamin D, zinc and iron. All of these can slow hair loss and support your immune system.

### Stay Out of Sunlight

Your doctor may recommend that you avoid excessive sun exposure since this can cause your symptoms to flare and get worse, further damaging your hair.

### Stress Reduction

Limiting stress and getting plenty of rest are healthy practices in general. Make sure to practice stress-relieving techniques and get adequate sleep each night.

## Treatment of Lupus Hair Loss

Hair loss affects approximately 45% of lupus patients. Fortunately, there are ways to treat it.

### Specialized Products
The first course of treatment is to get your lupus under control. Fortunately, with proper diagnosis, there are a few things that you can do while the disease is still active. Many doctors recommend specialized shampoos, conditioners, topical treatments and supplements to help slow or stop hair loss. Topical minoxidil is typically a good place to start, as it’s FDA approved, inexpensive, easy to use, and has clear benefits for most people. 

Most important, however, is to get your lupus under control with the right medications.

### Hairstyle

Although your hair will grow back if the loss is due to inflammation, there are some cases, particularly scarring, when it might be permanent. You might want to consider a hairstyle that minimizes this loss or serves to hide it.

### Medications
Dermatologists may recommend prescription and non-prescription medications such as finasteride or minoxidil, both shown to regrow hair. Finasteride, for example, lowers the amount of the hormone that contributes to hair loss by up to 60%. This can slow or stop hair loss.

### Telemedicine
Hair loss can be frustrating, and you might not want to leave the house if you have a particularly bad case. Fortunately, many providers now use telemedicine services to treat patients from home. 

Lupus hair loss can be devastating to self-esteem and confidence. Fortunately, there are ways to prevent and treat it. 

Shapiro MD can help with a personalized plan and prescription solutions delivered to your door, if approved, after a virtual visit. Your consultation is free, and it's all online - [click here to get started.](https://shapiromd.com/quiz/)


Lupus awareness purple ribbon

Lupus Hair Loss: What To Expect and How To Address It

Being able to urinate effortlessly is a vital part of living a dignified and comfortable life, one that we often take for granted – until we can’t. Aging can wreak havoc on a variety of physiological functions, and for those diagnosed with benign prostatic hyperplasia (BPH), difficulty in this most basic of human functions can be incredibly frustrating.

Benign prostatic hyperplasia, or an enlarged prostate, affects many adult men as they age, with roughly half of men in their fifties suffering from BPH, and the percentage increasing from there. With BPH, the prostate experiences a state of growth and hormonal changes beginning as early as the mid-twenties and typically continuing throughout life. This is when BPH can occur, sometimes causing significant issues as changing hormones cause the prostate to grow and squeeze the urethra.

What’s the relation to hair loss? BPH is often treated with the branded medication Proscar®, for which the active ingredient finasteride is also commonly used to treat male pattern hair loss (or androgenic alopecia) as Propecia®. Both are effective for the very same reason: they block the 5-alpha-reductase enzyme. They're typically prescribed at different doses, however: 5 mg for Proscar vs 1 mg for Propecia.

Age, obesity, family history of BPH and erectile dysfunction can increase the risk of BPH in adult males. The exact cause of BPH is uncertain, though it’s likely due to natural changes in hormones. Preventative measures are difficult to pin down, though exercise and a healthy diet can contribute to the regulation of weight and hormonal balance, which may help to combat the development and symptoms of BPH.

Symptoms of BPH include discomfort while urinating, urgency and frequency in urinating, trouble with emptying the bladder, or feeling as though it isn't emptying, and other urinary difficulties. It can result in kidney and bladder damage, blood in the urine and bladder infection. In some extreme cases, those with BPH can lose the ability to urinate at all and must have emergency intervention.

Surgery is an option when treating BPH, though it’s generally reserved for those in whom medication is not effective at eliminating the symptoms. Surgical options include water vapor therapy, insertion of a UroLift system, transurethral microwave therapy and transurethral needle ablation.

When treating more manageable cases of BPH, prescription drugs are used as a less invasive and effective option. The drugs used typically fall into two categories: 5-alpha reductase inhibitors like finasteride, which shrink the enlarged prostate by blocking the production of the hormone DHT, and alpha-blockers, which work directly to relax the prostate muscles.

Proscar is the brand name for generic finasteride, a 5-alpha reductase inhibitor that is frequently prescribed for the treatment of BPH and for hair loss in a lower dose. 

Flomax, also known by the generic name tamsulosin, is a popular alpha-blocker also commonly used for treating BPH. 

Though they can have similar outcomes, there are significant differences between the two, including how they work to combat the symptoms of BPH and side effects.

## Proscar

Proscar is the brand name for finasteride, first approved for BPH by the FDA in 1992. It’s taken by mouth as prescribed, typically once a day at the same time in coordination with a regular meal, although it isn’t necessary to eat with it. It’s intended to be swallowed whole and is not to be chewed, crushed or otherwise broken up. 

When used for an enlarged prostate, the dose is usually 5 mg. 
Because it also increases the growth of hair on the male scalp, it is also used at a lower dose as part of a hair loss treatment program. 

Propecia and generic finasteride for hair loss are approved by the FDA in a 1 mg dose.

### How Proscar Works

Proscar works by blocking the 5-alpha reductase, an enzyme that is responsible for changing testosterone into dihydrotestosterone, which can contribute to an enlarged prostate or the loss of hair. By blocking this enzyme, finasteride lowers dihydrotestosterone in the body by as much as 70%. 

Less dihydrotestosterone can help to shrink the prostate and contribute to normal hair growth at the same time.

Symptoms of BPH such as difficulty urinating can be improved, and the need for surgery may be reduced or eliminated. That’s the goal with Proscar therapy.

### Potential Side Effects of Proscar

There are notable side effects for Proscar when used for the treatment of BPH, which include:

- Erectile dysfunction
- Decrease in sex drive
- Abnormal ejaculation
- Reduced ejaculate
- Swelling in breasts, tenderness when touched
- Skin rash
- Dizziness, feeling faint
- Weakness
- Swelling in feet and hands
- Hair growth
- Depression
- Swelling in mouth and face

If serious side effects like depression or swelling of the lips, mouth or face occur, contact your doctor immediately.

### Alternative Uses for Proscar

#### Male Pattern Baldness 
Proscar is FDA-approved for treating male pattern baldness in men, which can be caused by increased levels of the hormone DHT. Studies have shown an increase in scalp hair as well as improved quality of hair over time when finasteride is used. Hair growth may take several months to begin showing, and the medication is intended to be taken long-term. Stopping  finasteride will result in the cessation of hair growth.

The same side effects listed above for Proscar when used for BPH apply when it is used to increase hair growth. Side effects of finasteride or Propecia are less significant when it is used to combat hair loss than BPH, typically, likely because it is prescribed at a much lower dose.

## Flomax

Flomax is the brand name for the generic tamsulosin. Flomax is typically prescribed at 0.4 mg to be taken at the same time each day, a half-hour after eating a meal. It is not designed to be chewed or crushed and should be swallowed whole. If patients don’t respond to that dose after some time, their doctors may choose to prescribe a higher dose of 0.8 mg, still to be taken once a day after a meal. In addition to treating BPH, it is also sometimes prescribed for kidney stones and bladder outlet obstruction.

### How Flomax Works

Flomax is an alpha-blocker, which [have been characterized](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2213889/) as “the most effective, least costly and best tolerated of the drugs” used for treating urinary tract issues. It works by relaxing the prostate muscles, as well as those of the bladder. By doing so, urination becomes easier, with flow and strength of stream increased and the need to frequently urinate decreased.

### Potential Side Effects of Flomax
Side effects of Flomax are less noteworthy than those of Proscar, though they can still be serious. The risk of some of these is higher when the drug is first prescribed or when there is an increase in dosage, so be mindful of any changes in your body during these times.

Side effects include:
- A sudden drop in blood pressure
- Dizziness or fainting
- Headache
- Back pain
- Rhinitis
- Sinusitis
- Nausea
- Decreased libido
- Ejaculation issues
- Painful or prolonged erection

If serious side effects like an erection lasting longer than four hours occur, seek medical help immediately.

### Alternative Uses for Flomax

#### Flomax and Kidney Stones 

Flomax has been shown to help ease the passage of kidney stones, particularly large ones that cannot easily make it on their own. Using Flomax helps decrease the need for surgical or other intervention and could therefore save a person with large kidney stones a significant amount of pain, difficulty and medical intervention if prescribed by a doctor. There are ongoing studies to explore the effectiveness of this treatment.

#### Flomax and Bladder Issues In Multiple Sclerosis Patients 

Flomax is also used to help treat bladder issues in men diagnosed with multiple sclerosis. These problems include difficulty emptying the bladder, urgent need to go frequently, and incontinence. By relaxing the prostate muscles, prostatic urethra and the neck of the bladder, the flow of urine is improved and other symptoms decrease. Because Flomax works on the prostate, it is only prescribed for men; women and children with MS cannot use it for treatment.

## Proscar Vs. Flomax

It doesn't have to be finasteride vs Flomax. Combination therapy is commonly employed to better treat patients with BPH. The use of both the alpha-blocker Flomax and the 5-alpha reductase inhibitor Proscar to simultaneously treat BPH has been shown to offer better results for those suffering from symptoms due to a diagnosis of BPH, if appropriate.

Though Proscar and Flomax are both effective medications for treating benign prostatic hyperplasia, they should only be taken as prescribed by a doctor. Be sure to tell your doctor about any medications or supplements you're using before beginning the use of one or more of these prescriptions as there can be serious interactions.

If you're most interested in Propecia (finasteride) for hair loss, Shapiro MD can help. Our telemedicine platform connects men and women with licensed clinicians for prescription hair loss solutions, if appropriate. It's easy and affordable. Get started with your online consultation by [clicking here](https://shapiromd.com/quiz/).

Guy not feeling well

Benign Prostatic Hyperplasia: Proscar Vs Flomax (Vs Propecia)

“Hair today, gone tomorrow.” For millions of men and women, the pun can sting a bit -- hair loss doesn’t feel like a joking matter. The thing to know is that everyone deals with hair loss to some degree, and you’re not alone when your comb looks like the barber’s floor before it’s swept.

There’s a difference between hair shedding and hair loss. It’s good to know the facts about how much hair loss is normal and what you can do if your follicles seem to have a mind of their own.

## How Much Hair Do You Lose Each Day?
You may be thinking WTH (What The Hair) when you shower and see more and more strands cover the drain. __It’s important to know that most people lose 50 to 100 hairs per day naturally.__

Hair loss happens for numerous reasons, including

-Hairstyling and hair products: These are issues mainly for women who use products and heat styling instruments every day, resulting in damage to the hair and even follicle.
-Stress factors: Individuals who experience stressful life events can have greater than normal daily hair shedding.
-Hormone Changes: Women especially often see hair loss during or after pregnancy and menopause, times when their hormones are changing dramatically. 
-Supplements and medicines: Daily medications and supplements may present a problem with increased hair fall.
-Genetics: For many people dealing with hair loss, their thinning or patchiness is a result of genetics. Known as androgenic alopecia, many men and women will see increased shedding because their hair follicles are susceptible to androgen hormones, including testosterone and dihydrotestosterone (DHT).

While these can all cause hair loss, they’re not necessarily permanent. As personal situations are resolved and individuals get adjusted to medications or supplements, hair growth can resume at a regular rate. That’s not always the case though, and some men and women may require intervention to get their hair back to where it used to be.

## What Is the Life Expectancy of Hair?
It helps to know a brief history of hair, so you understand that losing some strands along the way is all part of the circle of life. You have tens of thousands of hair follicles on your head, and not all of them are in the same phase at the same time.

Hair growth has a three-stage life cycle:

- Anagen: This the growing phase. This period is when the hair length is determined, and it lasts for two to seven years for any given hair follicle. Some people can grow individual hairs down to their waist while others may see their hair quit growing at shoulder length. Either way, most of the hairs on your head are in the anagen phase at any given time.
- Catagen: This is the transitional phase when hair strands detach inside the follicle and prepare for something new. This lasts about 3 weeks to a month, and during this time the hair can actually continue lengthening as the follicle pushes the old hair out.
- Telogen: This is the resting phase when the finished hair is fully released from the follicle, and the follicle rests before beginning new growth again. This can last months to years.

Hair growth, and sometimes loss, is a natural process. As you age, the growth stages change, but this recurring cycle keeps hair healthy. 

## What Makes Hair Fall Out?
Typically, hair falls out due to stress on the structure of the follicles or internal signals telling the follicle to stop growing.

Hair follicles are the tunnel-shaped structures in the epidermis layer of your scalp from which your hairs grow. When these pores are damaged or if endogenous molecules are signalling that they stop growing hair, the structure can be compromised or the process halted. Follicles can be repaired, but if the damage is too extensive or the problem goes untreated, they may no longer grow hair.

People who brush, style, treat or wash their hair excessively sometimes cause damage over time and experience hair loss. Additionally, there are health conditions that contribute to permanent hair thinning and baldness.
Hormones may trigger a follicle to stop growing, shrink, or produce thinner and shorter hairs. 

## What Is Too Much Hair Loss?
While the words hair shedding and loss may seem to say the same thing, there are substantial differences.

### Hair Shedding
Individuals go through periods where they lose more hair than usual. This happens because of life stressors, weight loss, body changes and illnesses. People sometimes shed large amounts of hair after a high fever, for instance. In these intermittent cases, hair growth sometimes resumes after six months to a year at its regular pace.

### Hair Loss
Hair loss occurs when hair follicles stop growing altogether. There are hereditary issues and medical conditions that lead to hair loss. Some personal habits and care routines are also reasons you may have damage that causes hair loss.

If you have conditions that lead to thinning or severe hair loss, a medical consultation may be advised. 

## What Are the Signs of Hair Loss?
Hair loss appears in different forms. Here are some of the most prevalent signs and symptoms:

### Hair thinning on the scalp
Thinning occurs in both men and women. You may see it on different areas of the scalp. In men, it’s often the hairline that’s receding, while women often notice a wider part.

### Pattern hair loss
Androgenic alopecia, which emerges in patches and circular patterns, is the most common type of hair loss for men and women. This is referred to as male and female pattern baldness. While men may have completely bald spots, women usually have general thinning throughout.

### Scaling and redness
With some medical conditions, such as psoriasis and eczema, long-term scaling or hardening of the skin can cause hair loss.

### Complete hair loss
An autoimmune disorder, alopecia areata can result in hair loss over the entire body.

## How Can I Check Hair Fall at Home?
If you have anxiety about how much hair loss is normal, these are two simple tests to perform at home:

- Comb test: Standing over a light-colored surface, comb your hair from back to front with your head tipped forward. After a minute of combing, check the number of hair strands that have come out. If the number exceeds 10 to 15, this may be a sign of abnormal hair loss.
- Pull test: Take a section of hair between your fingers. As you move your fingers through, gently pull the hair. If more than 15 to 20 strands are in your hand, this may indicate an abnormal amount of hair fall.

Before you panic, remember that most conditions, even genetic ones, have solutions. 

It’s also essential to avoid getting stressed over hair issues. Stress is a contributor to hair loss, and people who worry too much may, quite literally, pull their hair out. An excellent whole health regimen with a proper diet and exercise can help; relax and be good to yourself, and let your hair down from all your daily concerns.

## When Should I Consult a Dermatologist?
If you’re experiencing abnormal hair loss, the time to consult a dermatologist is now. Getting prompt treatment means a greater likelihood of repairing or reversing certain conditions. FDA-approved medications are available that can help maintain hair density and promote new hair growth, and with the help of a trained physician, hair loss can be slowed, stopped, and even reversed (affordably, too)

One of the advantages of today’s always-online world is the revolutionary move toward telemedicine services. With telemedicine, doctors can diagnose conditions from a distance using images or videos. Prescriptions and treatments can be sent to the patient, if approved. Appointments and consultations are conducted by smartphones, tablets or computers using email, video and chats. These medical services often save time and money and allow doctors to serve people across larger geographical locations.

Telemedicine is particularly useful in hair loss, where dermatology visits can be wildly expensive and wait-times weeks or months.

At Shapiro MD, our telemedicine platform is the latest in our quest to solve hair loss. With a simple medical intake form, a licensed Shapiro MD physician can diagnose and treat your condition, if appropriate, all without leaving home. We offer FDA-approved treatments, custom prescription formulations, medical devices, and easy-to-use natural shampoos & conditioners to assist you in getting noticeable results. 

[Click here to get started with a free consultation and a custom plan of your own. 
](https://shapiromd.com/quiz/)


Woman combing curly hair

How Much Hair Loss Is Normal?

Male pattern hair loss, or androgenic alopecia, is a genetic condition that unfortunately affects up to 50% of the male population. Currently, topical minoxidil and oral finasteride are the only two medications that are FDA-approved to treat this type of hair loss. There are many benefits in choosing minoxidil vs finasteride, so be sure to explore the effectiveness of each option.

## What Is the Role of DHT in Hair Loss? 

There are many causes for hair loss in both men and women. The main culprit in androgenic alopecia in particular is dihydrotestosterone, or DHT. Generally, increased activation of androgen receptors shortens the growth phase of hair follicles in the normal hair growth cycle. Because the growth phase is shortened, hair follicles become thinner and shorter. Weaker hair follicles may not even rise above the skin's surface, causing the physical effect or look of balding.

Men affected with this type of hair loss may have an increased production of DHT due to an increased amount of 5 alpha-reductase, which is the enzyme that converts testosterone to DHT. DHT has a much higher affinity for androgen receptors than testosterone. Not only are the levels of DHT high as a result, but these men also have a higher concentration of androgen receptors. This perfect storm equates to an abnormally increased activation of androgen receptors, causing stunted hair growth.

## How Does Minoxidil Help With Hair Growth?
Minoxidil’s claim to fame is its ability to possibly promote hair growth by widening blood vessels, allowing more oxygen, blood, and nutrients to be available to hair follicles. Although the exact mechanism is unknown, this increased nourishment stimulates dormant hairs to be replaced with actively growing hairs. While minoxidil does not prevent hair loss, topical minoxidil has been safely used by millions of men to regrow hair.

## How Does Finasteride Help With Hair Growth?
Finasteride is a 5 alpha-reductase type 2 inhibitor. Because finasteride dampens the effects of this pesky enzyme, less DHT is produced. Remember that this enzyme plays a major role in converting testosterone into DHT. Research has shown that finasteride reduces DHT levels in the blood by more than 70%.  With less DHT circulating in the bloodstream, fewer androgen receptors are activated, freeing hair follicles from having a shortened anagen, or growth, phase.

## Do They Really Work? 
Minoxidil is readily available over the counter in topical formulations of varying strengths. Clinical studies have shown that minoxidil 5% is more effective than minoxidil 2% with continued use. Moreover, minoxidil has shown more clinical potency or effectiveness when used within five years after the first signs of balding occur. This can be attributed to fewer hair follicles being cycled into the telogen, or resting, phase.

Finasteride is available in multiple prescription strengths. For treating androgenic alopecia, finasteride 1 milligram is prescribed. In clinical studies, finasteride has been shown to be associated with an overall increase in both hair count and hair growth. Furthermore, in clinical studies lasting greater than five years, patients treated with finasteride have reported a slower progression of hair loss versus patients treated with placebo.

## How Are They Properly Used? 
Both of these medications are not a one-time deal. A four- to six-month trial period of continued use of minoxidil and/or finasteride is recommended to see if they are effective for you. If you see improvement after this period, the long-term use of both minoxidil and finasteride must be continued in order for results to be maintained.

Earlier treatment is always better. It’s much easier to maintain the hair that you already have rather than aiming to regrow hair that you no longer have. Stronger clinical potency has been shown with minoxidil when used within five years of noticing signs of hair loss.

For best results, minoxidil should be applied twice daily to the area of hair loss. One-milligram tablets of finasteride must be taken by mouth once daily to maintain hair regrowth and slow the progression of hair loss. Adherence is key to achieving results.

## Is Minoxidil Safe? Is Finasteride Safe?
Starting any type of treatment can be daunting at first. The good news is that finasteride and minoxidil are generally well tolerated and have been around for some time. However, you should be aware of possible side effects.

Side effects that have been reported with minoxidil include:

- Skin irritation: Redness, burning, or mild pain can occur at the site of application. 
- Localized or generalized hypertrichosis: Increased hair growth in patches or all over the body can occur. This effect is attributed to minoxidil's prolongation of the anagen phase.
- Minoxidil-induced telogen effluvium: Because minoxidil shortens the telogen phase, hair shedding can occur when treatment starts.
- Scaly scalp skin: Minoxidil can worsen seborrheic dermatitis.
- Isolated pruritus: Itchiness can occur around or far from the application site.
- Allergic contact dermatitis: An itchy, red, eczema-like skin reaction can occur. Minoxidil patch testing is recommended to see if this can affect you.

Side effects that have been reported with finasteride include:

- Sexual dysfunction: Finasteride has been associated with erectile dysfunction (2% to 4% of patients), loss of libido, and decreased ejaculation. 
- Orthostatic hypotension: Decreased blood pressure can occur when rising from either a prone or sitting position. Those who are taking blood pressure medications in addition to finasteride may have a more marked drop in blood pressure. 
- Possible infertility effects: There is currently no evidence to suggest that the daily use of 1 milligram of finasteride is associated with permanent infertility issues. More studies need to be performed. 
- Decreased prostate-specific antigen, PSA, levels: Decreased PSA levels correlate with increased risk of prostate cancer. Speak with your prescriber regarding your baseline PSA levels before starting this medication. 
- Dizziness and weakness: These effects may be due to finasteride's effect on blood pressure. 
- Difficulty breathing, runny nose, and skin rash have also been reported. 

## Who Should Avoid Finasteride or Minoxidil? 
While the approved uses of minoxidil and finasteride in male pattern hair loss are the focus here, it is important to note that both treatments should be avoided by pregnant or breastfeeding women. You should also avoid these medications if you have shown or start to develop allergic symptoms while using them.

If you’re currently taking blood pressure medications or have a family history of prostate cancer, consult with your physician before starting finasteride. If you have a sensitivity to propylene glycol, it is best to avoid minoxidil, as this is an ingredient in many formulations.

## Which Option Should You Choose? 

There are many ways to approach hair loss, from lifestyle changes to medication regimens. No matter how you decide to start your hair regrowth process, it’s important to note that minoxidil and finasteride are the only two medications approved by the FDA to treat androgenic alopecia. If you feel that this condition is the main cause of your hair loss, these options are strong contenders for a solution. Shapiro MD carries them both in affordable kits designed for your hair condition.

At Shapiro MD, we believe in a personalized, multi-pronged regimen to treating hair loss. Begin a free physician consultation to see what type of treatment might work best for you. Whether due to androgenic alopecia or even something as unassuming as everyday stress, we aim to pinpoint and address the root of your hair loss problems and treat them accordingly, all with the help of a physician. 

[Get started with our free hair quiz today.](https://shapiromd.com/quiz)


Guy wondering about finasteride vs minoxidil

Guy wondering

The Choice Between Minoxidil and Finasteride

Although it’s normal to lose strands of hair every day, losing more than normal can be alarming. If you’re also experiencing symptoms like weight gain, irregular periods, trouble getting pregnant, or unusual hair growth, you may be dealing with polycystic ovary syndrome (PCOS). 

While PCOS is generally diagnosed or treated in relation to challenges with infertility, there’s more going on here, and hair loss is a common symptom of PCOS. Here’s what you should know about PCOS-related hair loss.

## What is PCOS?
Polycystic ovary syndrome affects around 10% of women of childbearing age. It occurs when a woman produces excess male, or androgen, hormones. Women normally produce a small amount of male hormones naturally, but with PCOS they produce extra androgens, which can cause the body to develop more typically masculine features. PCOS is also often associated with problems in the ovaries, hence the name, where enlarged hair-like follicles can impede ovulation.

Women who suffer from PCOS may also have trouble getting pregnant, which is how many of them find out they have polycystic ovary syndrome.

With PCOS, hair may grow in unexpected places on the body, such as the face, chest, neck and abdomen, and PCOS can lead to hair loss on the scalp, known as androgenic hair loss. This thinning typically occurs near the front of the scalp. 

## Who PCOS Affects
PCOS generally affects women between the ages of 15 and 44, and it affects all ethnicities and races. Those who are overweight, obese, or have a family history of PCOS may be at higher risk as well.

## Symptoms of PCOS
In order to tell if your hair loss is due to polycystic ovary syndrome, it helps to note some of the other symptoms of PCOS. PCOS-related hair loss typically occurs along the front hairline, but additional signs of PCOS include:

- Hirsutism, which is stiff hair grown on the face, lower abdomen, chest, back and inner thighs
- Missed or fewer periods
- Weight gain
- Acne on the chest, upper back and face
- Darkening of the skin underneath breasts, in the groin and along the neck
- Skin tags on the neck area or under the arms
- Deepening voice
- Decreased breast size

## Causes of PCOS
The exact cause of polycystic ovary syndrome is unknown, but experts suspect it’s due to a complex combination of environmental and genetic traits. It’s theorized that high levels of insulin play a part. Insulin resistance may exacerbate the production of male hormones, which lead to physical manifestations of hyperandrogenism, such as hair loss. Obesity may also play a role, as this increases the risk of insulin resistance. Low-grade inflammation can also cause the ovaries to overproduce androgens.

## Medical Treatment for PCOS Hair Loss
Although hair lost due to polycystic ovary syndrome will likely not grow back on its own, there are a number of treatments that may help to stimulate growth. 

Some medical options include:

- Minoxidil (Rogaine®) - Minoxidil is a topical treatment that is FDA-approved and clinically proven to help grow hair. Applied to the scalp daily, it promotes hair growth and thickness.
- Birth control pills - Oral contraceptive pills are often combined with anti-androgen drugs to lower the levels of male hormones, which slows hair loss and improves other related PCOS symptoms.
- Aldactone - This is also often prescribed with birth control pills, as it treats androgenic hair loss.
- Finasteride (Propecia®) and Avodart - These meds are prescribed for male pattern baldness, and some doctors recommend them for PCOS hair loss, although they may cause unwanted side effects in women.
- Insulin-sensitizing agents - Because many women with PCOS have trouble with insulin levels, an insulin-sensitizing agent such as Metformin will make the body more receptive to insulin. Along with reducing the symptoms of PCOS, taking these agents may result in weight loss, improved fertility and lower cholesterol levels. 
- Hair transplant - For those who want an alternative to medication, a hair transplant is a cosmetic surgery that takes hair and follicles from one area and transplants them into the area where thinning is occurring. It's generally a last resort and may not resolve the issue due to the ongoing hormona imbalances.

## Home Treatment for PCOS Hair Loss
For those who want to go a more natural route, there are some other options for hair loss treatment that prioritize supplementation and lifestyle changes to improve general wellness over medical intervention. These include:

- Biotin - Biotin supplements have been used for years to help support generalized hair growth. Many suspect it also helps regain hair lost due to polycystic ovary syndrome. 
- Zinc - Taking a daily supplement of zinc may also help with PCOS-associated hair loss. It may help reduce the growth of hair in other places.
- Saw palmetto - This supplement helps to fight the hormone DHT, or dihydrotestosterone, which is a male hormone that affects hairs at the follicle.
- N-acetyl Cysteine - This has also been shown to lower testosterone levels as well as improve insulin resistance.
- Weight loss - Since obesity is a strong risk factor in women with PCOS, losing weight may help reduce its effects. Research shows that most people who lose 5 to 10% of their weight will see a dramatic improvement in PCOS symptoms, including hair loss.
- Hair masks - Certain hair masks have been shown to help with hair health. An easy mask to do at home is to mix one egg with one teaspoon of olive oil and apply it to the hair from the roots to the tips. Leave in for at least 20 minutes and then wash out.
- Hair massage - Use a natural oil, such as jojoba, and massage it into the scalp to stimulate hair follicles for growth.
- Rosemary essential oil - This essential oil helps improve circulation in the scalp, which encourages hair growth. 

## Diet Support for PCOS Hair Loss
A quality diet is, of course, always recommended for overall health. However, it’s especially important if you suffer from hair loss and PCOS. Not only does it support normal physiology to balance hormones, but it also often results in weight loss, which is important to combat PCOS symptoms.

The focus should be on eating whole and natural or minimally processed foods. Eat a variety of vegetables and fruits, lean meats, whole grains such as brown rice and quinoa, wild seafood, and healthy fats such as avocados, almonds and olive oil.

Along with focusing on what you should eat, you should also be aware of things to avoid. Stay away from, or limit your intake of:
- Processed foods
- Sugar 
- Artificial sweeteners, flavors and colors
- Bad fats like hydrogenated oils
- Alcohol

You can also supplement your diet with vitamins and other nutrients. This includes fish oil and vitamin D. Drinking a cup of spearmint tea daily helps you stay hydrated and is also reported to help reduce testosterone and balance hormones.

## Minimize the Appearance of Hair Loss
While trying other treatment options, there are ways that you can wear your hair that can make PCOS hair loss less obvious. If you have a general thinning of hair, try using volumizing products that make the hair look fuller. You can try a new hairstyle, as a layered style will add more volume. There is also a wig fall, which is a partial wig, to cover the thinning areas.

If you have bald spots, a scarf or headband that covers bald patches may be a compelling solution. A low ponytail or a loose, messy bun, may make them less visible too.

If you’re losing hair around your part, and it’s beginning to widen, you can try a few different things. Apply a cover-up powder to the roots to make the part less obvious, part your hair a different way, or experiment with bangs that begin closer to the top of your head.

## Get Help With Your PCOS Hair Loss
Dealing with hair loss is sensitive for women, but there are good solutions for hair growth. 

Shapiro MD uses telemedicine to help men and women access prescription hair loss treatments from home, if appropriate. It begins with an online consultation process and ends with a custom treatment plan for you and your hair condition. Whether you suffer from PCOS-related hair loss or some other condition, our licensed physicians can help. 

[Click here to get started today.](https://shapiromd.com/quiz/)


Everything You Need To Know About PCOS Hair Loss

Why is my hair falling out? It’s a question countless men and women have asked themselves, and there are many possible answers. Here are 14 reasons why you may be experiencing hair loss.

## 1. Heredity
The most common culprit when it comes to hair loss is your family's hair loss history. Known as androgenic alopecia, or male-pattern and female-pattern baldness, it can be passed through the bloodline regardless of sex and despite persistent myths that only one parent's genes are to blame. If your family has a history of early hair loss on either side, your chances of also losing hair are increased. Typically, androgenic alopecia occurs as you age in recognizable patterns such as receding hairlines and bald spots.

## 2. Medical Conditions
Those who have diabetes are more likely to develop alopecia areata, a form of alopecia in which hair is lost in small patches. The stress of living with diabetes and the medicine that stabilizes insulin can also contribute to hair loss.

Lupus causes widespread inflammation and frequently affects the scalp. The hair of the scalp slowly thins out, though some people with lupus experience hair loss in clumps. Hair loss from lupus can also occur on other parts of the body, including the face and lower extremities.

Alopecia areata is an immune system condition that causes a variety of problems, including patchy hair loss. Infections of the scalp such as ringworm can be to blame for losing hair when the fungus spreads to the hair follicle, causing hair to become brittle and break easily. 

The hair-pulling disorder trichotillomania can lead to thinning hair and hair loss. Thyroid disease may also contribute to balding or thinning hair when production of the hormones necessary for hair growth is disrupted.

## 3. Hormonal Changes in Women
Hormonal changes typical to women who are currently or recently pregnant or going through menopause can lead to hair loss. During pregnancy, many women experience a glow that extends to their hair, which can appear thicker and healthier. Prenatal vitamins taken during pregnancy can add to this, helping hair to look glossier. Then when the baby is born, prenatal vitamins are stopped and new hormones can actually cause hair loss. It’s a complex balance as a woman’s body goes through extreme changes inside, and hair loss, thinning, patchiness, and even new growth in unexpected places are all common during pregnancy and after giving birth.

Hormonal imbalances that occur during menopause can also lead to hair loss. Production of estrogen and progesterone decrease during menopause, causing hair to grow slower and thinner. The lack of these hormones causes an increase in androgens, which are male hormones, that can stymie hair growth. The same male hormones that cause hair growth to diminish on the scalp, though, can increase hair growth in more traditionally masculine areas, such as the chin and cheeks, which is why women going through menopause sometimes notice fuzz or stray hairs on their faces for the first time.

## 4. Medications and Supplements
Hair loss is often thought of as a result of medications or treatments for cancer, such as radiation therapy and chemotherapy, both of which can lead to balding regardless of sex. Bone marrow transplants used in treating cancer can also cause hair loss.

Additionally, hair loss can be a side effect of many drugs, including those that treat depression, heart issues, blood pressure and arthritis. Check the side effects of any medicine that you may be on to see if hair loss is listed as a potential side effect and speak with your doctor about the likelihood of your treatment causing hair loss.

## 5. Stress
High stress can lead to hair loss. Periods of unemployment or overworking can both be to blame for thinning hair, as can an unfolding divorce or difficulties in a relationship. A singular stressful event can also play a part in losing hair, with those experiencing the death of a loved one or a traumatic incident frequently reporting temporary hair loss afterward. In cases of stress-induced hair loss, the hair is likely to grow back normally once the source of the stress has been eliminated or enough time has passed for it to no longer impact the body.

## 6. Heat Tools
Excessive use of heat tools such as hair dryers, straighteners and curling irons can damage the hair leading to hair loss. Because the heat dries out your hair, it causes it to become more brittle and prone to breakage. The hair shaft is weakened through repeated use of these heat tools, and often becomes dryer and frizzier because of it. This frequently results in even more time spent using the heat tools trying to tame the damaged hair and perpetuating the cycle.

## 7. Aggressive Brushing
While brushing your hair is an important tool in stimulating the scalp and encouraging hair growth, overdoing it, doing it at the wrong time or using the wrong kind of brush for your hair type can lead to hair loss. Purchase a brush designed specifically for your hair type so that it does not cause extra stress on your hair when you try to pull it through the strands. Also, brushing hair when it’s soaking wet, such as immediately after you get out of the shower, damages your hair, so try to avoid it when possible or use a brush designed specifically for wet hair to reduce negative effects.

## 8. Over-Dyeing
Particularly if you are using bleach as part of your hair dyeing process, dyeing your hair too frequently can lead to hair loss. The overprocessing of the hair weakens it and makes it prone to breakage, causing it to lose its elasticity. Make sure to wait an adequate amount of time between bleaching and dyeing and take breaks from coloring your hair when possible to give it time to heal.

## 9. Season Change
Many people experience hair loss related to the seasons changing. The humidity and heat that can come with spring and summer can deprive hair of moisture, making it weaker and more likely to break. UV rays can also deteriorate the protein in hair, encouraging breakage.

In the fall and winter, the dry air can cause your scalp to get dry, too, causing flaking and leading to hair loss. The stress of the holidays, many of which are celebrated this time of year, can be difficult for many and also contribute to the loss of hair.

## 10. Traction Alopecia
This type of alopecia occurs as a result of repetitive stress or tension on the hair itself which causes it to be unable to sustain healthy hair strands. Repeated use of tight ponytails, braids, weaves and hairpieces are usually to blame. When the hair follicles are repeatedly stressed and in a state of tension, they become more likely to break down, causing the blood flow and nutrients from the bulb to slow or stop reaching the rest of the strand of hair entirely.

Women of African descent are especially at risk for traction alopecia because of the natural fragility of African hair follicles and the tradition of elaborate hairstyling to express and celebrate individuality.

## 11. CCCA
Central centrifugal cicatricial alopecia or CCCA is also common in those of African ancestry. It frequently presents as patches of scarring hair loss, typically in a circular pattern on the scalp. While there is probably a genetic component to CCCA, it is exacerbated by the use of tools such as hot combs and chemical relaxers and by the repetitive use of intricate braiding and extensions.

## 12. Smoking 
There has been some correlation found in studies between cigarette smoking and hair loss. Because smoking restricts blood flow and hair follicles need circulation to get the nutrients they need, it can lead to hair loss.

## 13. Significant Weight Loss
Restrictive diets, weight loss surgery and other means of losing weight can cause nutrient deficiencies, hormonal changes and bodily stress that can lead to hair loss. Specifically, sudden weight loss has been found to cause a condition called acute telogen effluvium (TE), which is a common cause of hair loss on the scalp.

## 14. Poor Nutrition
Hair loss can also be attributed to certain lifestyle choices and eating habits. Poor nutrition can lead to thinning hair, especially a lack of vitamins D and B12. Protein is also important to maintaining healthy hair, so not getting enough can cause hair to diminish in structure.

If you’re experiencing hair loss, there’s equally as often no single cause. Hair loss is heterogeneous, but there are many ways to treat it. 

Shapiro MD can help you get a personalized treatment plan from the comfort of home, like a dermatology visit done virtually. You can order online and a physician will determine the right combination of prescription and consumer solutions for your condition, if appropriate. Then, it’s all shipped to your door. [Get started today with our free hair quiz](https://shapiromd.com/quiz/) and begin your regrowth journey with Shapiro MD.

Woman frustrated about hair

14 Reasons Why Your Hair May Be Falling Out


The popular trend of straightened hair may look great and makes styling a bit easier, but is it worth it? Straightening your hair causes a lot of damage, which can definitely lead to more hair loss than normal. And it’s not just straighteners; using heating tools of any kind can cause damage. 

However, there are ways to bring life back into your hair. 

## The Problem with Heat
When you use tools like straighteners and curling irons they usually go to temperatures of 400 degrees or more. That is way more than what your hair can naturally handle. 

The heat breaks the hydrogen bonds that make up your hair, which weakens the structure. Weak hair that is not properly taken care of leads to breakage and thinning. 

Your hair also loses moisture and natural oils when you apply heat. It’s actually how the tools secure the look when styling it. And it’s why your hair reverts to its natural state when you wash it. When your hair is damaged it can make your hair more frizzy and dull. Which is the opposite effect you want from those tools.

### Avoiding the Damage
Fortunately, there are ways you can still use a straightener without causing permanent damage. 

Try straightening your hair less often. Only doing it a couple of times a week or for special occasions would be ideal. Doing it daily is just not a good idea. 

Use a heat protectant before you straighten your hair.

Condition regularly and try a hair mask to restore the moisture that gets lost. Daily leave-in conditioners are also a good thing to add to your routine. 

Don’t straighten your hair when it’s wet. This causes more damage by stretching the strands more and the bonds that make up your hair are weaker when wet. 

Use a low heat setting. So the lower the temperature, the better. 

Try adding vitamins and supplements to your daily routine. Shapiro MD’s Hairbiotic helps support healthy hair and a strong immune system.  

Conclusion
Embrace your natural hair! Try limiting the number of times you straighten your hair and make sure it’s as healthy as possible. Straightening your hair doesn’t cause permanent hair loss, but it can become much worse if left untreated.

Hair Straightener at Work

Does Straightening Hair Cause Hair Loss?

Most people would agree that natural products are the preferable way to go. Why suffer from the effects of harsh chemicals that can damage our bodies and the planet, right? For those experiencing hair loss, this is a list of our 14 favorite plants that can help with hair loss.

1. Saw Palmetto
Saw palmetto works to fight the imbalance of hormones that prevents growth and helps control the production of Dihydrotestosterone (DHT). DHT is believed to be one of main causes of hair loss. Saw Palmetto also has the potential to reduce inflammation on the scalp because of the antioxidants it contains.

2. Green Tea
Green Tea is another powerhouse when it comes to stopping the effects of DHT. It also has the added benefit of stimulating damaged hair follicles and fighting dryness on the scalp.

3. Caffeine
Caffeine can be found in a number of plants such as cocoa beans, coffee beans, spices and teas. It is best known for fighting the effects of DHT to allow proper hair growth. Caffeine has the ability to help your hair follicles absorb other topical products such as shampoos, conditioners, and oils for maximum effectiveness. There are also some studies that say it can help speed up the hair growth cycle.

4. Rosemary
Rosemary can help with blood circulation in the scalp to promote hair growth. It has also been known to add some moisture back into your hair and block excess testosterone. Some studies have shown that it may even stop premature graying by restoring pigmentation.

5. Peppermint
Peppermint has antibacterial and anti-inflammatory qualities that can heal an irritated scalp to help with hair growth. Since it moisturizes and soothes the scalp, peppermint can also help reverse dandruff and its effects.

6. Aloe Vera
Aloe Vera restores the pH balance and moisturizes the scalp.

7. Horsetail 
Horsetail can help improve the strength of your hair and bones. The ingredient Silica is what makes your hair less brittle and less prone to breakage.

8. Lavender
Lavender has antibacterial properties that can get rid of anything on the scalp that can prevent hair growth. It can even be effective as a tea. 

9. Tea Tree
Tea Tree has antibacterial properties that unclogs blocked sebaceous glands and helps stimulate hair growth.

10. Licorice
Licorice is known for moisturizing the scalp. It not only helps prevent hair loss, but can also help anyone that suffers from dandruff. 

11. Ginseng
Ginseng promotes blood circulation to the hair follicles. Healthy blood flow means plenty of oxygen and nutrients are getting to the hair follicles allowing for strong, healthy hair.

Ginseng
12. Burdock
Burdock is high in vitamin C, vitamin E, and folic acid. It can help with a number of skin problems by aiding in the production of new skin cells and improving blood circulation. All of which lead to healthy hair growth.

13. Jojoba
Jojoba Oil is a very popular ingredient in many hair products. It has the ability to protect and restore the natural oils in your hair as you wash and style it. Jojoba also helps maintain the pH balance of our scalp and controls dandruff.

14. Argan
Argan is another one of those very popular plants that can help with hair loss. It does just about everything when it comes to hair health. Argan oil is known for improving blood circulation, moisturizing, balancing hormone levels, and repairing damaged hair.

Shapiro MD’s Natural Kit is the ultimate naturally-occurring hair loss  system that can boost hair health and support beautiful, voluminous hair. This triple-action, patented formula contains Saw Palmetto, Caffeine and Green tea extract to fight the signs of aging and promote healthier hair . 

Shapiro MD also helps men and women access potent, custom prescription treatments containing dermatologists' top hair loss ingredients. Learn more and get started with a consultation at [ShapiroMD.com.](https://shapiromd.com)

Natural ingredients and hair

14 Plants That Can Help With Hair Loss

As each season changes many things change along with it, but did you know your hair can too? The changes are very minimal and nothing we need to worry about, but they do happen. 

The theory of hair loss related to the season is like an animal’s fur but reversed. Meaning, animals grow their winter coats for protection from the cold and then shed it in the summer to keep cool. For people, it’s the opposite. We tend to hold onto more of our hair to protect our scalp from the sun and then we shed the extra hair in the winter. But the change is  minimal so most people may not even notice the difference.

## Spring/Summer
During the spring and summer months there's a lot more humidity and heat, which leads to frizziness and extra shedding for hair. Heat and humidity remove a lot of the moisture from our hair, which can make our hair weaker and more brittle. UV rays are also not great for  hair because it can deteriorate proteins. 

## Fall/Winter
In the fall and winter the air is drier, which means our scalp gets dry too. A dry and flaky scalp means more hair loss. This is also the time of the holidays, and people tend to be more stressed during these seasons. Stress is proven to affect hair loss, so that could be a reason for more hair loss than normal.

## Solutions
In the spring and summer months when the sun is most strong, some dermatologists suggest using products with UV protection. It’s like sunblock but for your hair! They will help to protect kery proteins from being broken down by the sun.

You should also add some moisturizing creams, masks, or conditioners to help fight off and repair dryness, although, it’s recommended to use them all year round. You can start by using a leave-in conditioner or cream every time you style your hair. But that's just for when your hair is really dry. Once you see the moisture starting to return to your hair you can reduce frequency to a few times a week. You don’t want to overdo it and make your hair too greasy.  

Making sure you're getting the right nutrition is also important to your hair growth. People often go on diets to get that summer beach body, and that can lead to hair loss as well. Diets are totally fine as long as you're getting the proper vitamins and nutrients. Shapiro MD’s Hairbiotic is a great way to help with that! The once a day supplement helps create balance in your digestive system to promote absorption of nutrients. It can also help support your immune system.

Even though your hair can be affected when the season changes, hair health is important all year round. If you have concerns that your hair loss may be related to more than just the weather, [get started with Shapiro MD today](https://shapiromd.com/).

Season Changes

When The Season Changes So Can Your Hair

Why is early treatment for hair loss important? Though regrowth is possible, it’s much easier to maintain a full head of hair with over-the-counter and/or prescription-grade options when you have hair to begin with.

So keep in mind, early intervention is key. 

Hair loss is more common among men than women – and it’s often more obvious. In fact, male pattern baldness, or androgenic alopecia, affects as much as 50% of the male population at some point in their life. The issue for most is genetic. 

Call it the great hair genetic coin toss.

Androgenic alopecia is a genetic condition – the leading cause of hair loss for men – that makes hair follicles more susceptible to androgen hormones. Androgen hormones are “sex” hormones, like testosterone and estrogen. Dihydrotestosterone (DHT) is the most potent of these, and it actually comes from testosterone, when it is converted by an enzyme called 5-alpha reductase. The role of this enzyme and DHT is so significant in hair loss that one of the most effective hair loss treatments ever approved by the FDA, finasteride, actually works by shutting down the 5-alpha reductase enzyme. 

Due to increased exposure to DHT over time, men with androgenic alopecia will experience shrinking hair follicles that eventually lose the ability to produce hair.

In general, men’s hair loss treatments work by slowing and preventing the damage that androgenic hormones, like DHT, do to your hair follicles. 

## Here’s what you should look out for:

Your family. Take a look at your dad, mom, brothers and sisters: if their hair is thinning, there’s a good chance you’ll join them too. Androgenic alopecia is genetic. While the genetics still aren’t fully understood, baldness on either side of your family typically is a telltale sign. This is one of the first and earliest warning signs of possible hair thinning.

Hair in the drain or in your comb. Are you seeing more hair in your shower drain or in your comb? While it’s normal and healthy to lose some hair during daily grooming – as much as 100 hairs daily – any more, and it can be sign of hair loss in progress.

A receding hairline. Hair loss in men usually starts with a receding hairline. Check to see if you have a more pronounced widow’s peak with the tell-tale “M” shape. 

Diffuse thinning, or thinning at the crown. Hair loss can also begin at the crown or top of your head. Because this is a hard spot to see, consider taking photos of the top of your head periodically so you have a reference point and can spot changes over time.

The Norwood scale is a visual diagram used by dermatologists to categorize your stage of hair loss. It can be helpful in understanding where you fall on the spectrum of hair loss, and it may help you and your doctor understand the best treatment options.

Common problem areas for men, as you can see, are the frontal hairline and the crown. Following this scale, there are seven stages of balding, ranging from no balding whatsoever to completely bald.

![Norwood Scale for men](//images.ctfassets.net/g7690fvxryk6/18PUtpiRRk7rdIKTFSUQpu/19604554118944c742165f4d2a5a91fa/norwood-scale-600x511.png)

Some solutions are known to help regrow lost hair, but as you can expect, it’s far easier to strengthen and maintain productive hair follicles.

Finasteride and minoxidil (known as Propecia® and Rogaine® originally) are FDA-approved medications proven to prevent, slow, and possibly reverse hair loss. They’re affordable and easy to use, and millions of men have found safe effective relief with these medications. 

But remember, early treatment for hair loss works best. Retaining your existing hair is much easier than growing new hair, so pay attention, and get help early. [Shapiro MD can help with a telemedicine visit](https://shapiromd.com), prescription solutions, and over-the-counter solutions you can count on.

Man assessing his thinning hair in the mirror.

Hair loss and early intervention

Why Early Treatment For Hair Loss Is Key

Hair loss is now one of the most common problems facing both men and women these days. While dermatologists believe that hair loss is mostly determined by genetic or hereditary conditions, they now recognize that a variety of factors can play a role, including medications, medical complications, and hormonal changes.

That’s why when it comes to addressing hair loss, it’s essential to understand the root cause for each individual.

## DHT levels: Hormonal Hair Loss
Hair thinning in men and women is typically caused by a combination of two factors: varied dihydrotestosterone (DHT) production and sensitivity to androgenic hormones.

DHT, which is a byproduct of testosterone, plays a critical role in promoting hair loss. It binds to the hair follicle, shriveling and weakening the growth process over time. As a result, increased DHT at the scalp contributes to slow hair growth, and patients may eventually notice no hair production whatsoever.

## Genetics Contribute to Hair Thinning
Genetics can determine just how susceptible you are to pattern baldness or alopecia. The largest genetic study of hair loss conducted to date revealed that there may be over 250 individual genetic ‘loci’ that can contribute to pattern baldness in men. In other words, genetic traits play a key – though poorly understood – role in hair loss.

A quick scan of your own family tree, looking for thinning or balding hair, may determine whether or not your hair loss is hereditary.

## Medical Conditions Can Contribute To Hair Loss Problems
Some health conditions are known to contribute to hair loss and hair thinning. Iron deficiency, eating disorders, thyroid issues, lupus, diabetes, and anemia can all cause or contribute to hair loss. The good news, however, is that receiving treatment for these underlying problems may help stop, slow, or even reverse hair loss. If you suspect untreated health problems are contributing to your hair loss, see a doctor.

## Poor Diet May Even Lead To Hair Loss
We know your diet affects your health, and there’s increasing evidence that a poor diet can impact the health of your hair as well.

One of the most common diet-related hair problems stems from a lack of protein-rich and iron-rich foods, leading to iron deficiency. When this happens, the body starts seeking key proteins elsewhere, and it can even begin to steal proteins from your hair follicles. Ferritin, for example, is an important protein related to hair growth. But in anemic or iron-deficient people, the body can steal ferritin from the root of the hair, slowing hair growth and contributing to hair loss.

Likewise, excessive or rapid weight gain and even weight loss may also contribute to hair loss.

## Medications Can Result in Hair Thinning and Loss
Some medical treatments and medications come with side effects that can eventually disrupt your hair production and cause thinning.

Medications that can cause or contribute to hair loss and thinning include birth control pills, blood thinners, certain drugs that are used to control blood pressure, and of course many treatments for cancer. Talk to your doctor about whether your medications could be contributing to hair loss, and whether there are alternatives on the market that might not carry this same side effect.

## Stress May Contribute To Hair Loss
Stress can lead to hair loss, and in today’s hectic world, it’s become more of a problem than ever.

If you're undergoing physical or emotional distress, you may experience hair loss for several weeks or months. The good news is this can be treated, and often  these hair loss issues are temporary, eliminated by improving your stress and mental well-being. Once you have addressed the cause, there's a good chance you'll notice no more hair loss.

## Common Myths Regarding Hair Loss
There are a host of myths surrounding hair loss that have led people to many practices that have no effect on hair health whatsoever. In fact, many myths and treatments are likely to limit the effectiveness of your hair treatment, and understanding some of these myths can help you identify and combat the true cause.

### Myth #1: You’re experiencing hair thinning because of your increased stress levels
It’s absolutely true that emotional strain, anxiety, and traumatic events can lead to temporary hair loss. However, these typically do not contribute to permanent hair loss, or pattern baldness in men and women. 

If your hair loss has only worsened with time or age, or persisted beyond a few stressful months, it’s time to consider that this thinning is related to genetics or otherwise.

### Myth #2: Wearing hats causes baldness
Many people believe that putting on hats lead to hair loss. But dermatologists agree that the hat you've been sporting is unlikely to be wreaking havoc on your underlying hair health.

### Myth #3: Direct sunshine can make you go bald
Staying under the sun for an hour or two may make you feel like your head's on fire if you’re getting burned; however, sustained exposure to the sun does not directly cause hair loss. According to hair experts Drs. Steven Shapiro and Michael Borenstein, if you notice your hair becoming lighter due to sun exposure, it’s likely related to a lack of moisture, not sun damage directly. Proper hair care and treatment can help avoid this issue altogether.

### Myth #4: Using shampoo makes you lose your hair
It's one of the most common myths for hair loss, but the act of shampooing does not contribute to baldness. In fact, it can actually help to clean your scalp by removing accumulated debris and pollution from hair products and the environment. But it’s important to mention here that using chemical-heavy shampoos daily, that are not intended for thinning hair, can affect its health.

### Myth #5: Increased levels of testosterone are causing hair loss
This one is kinda-sorta right. It’s not testosterone, but a specific downstream product called Dihydrotestosterone (DHT), which can contribute to hair thinning. DHT is a powerful male sex hormone that’s actually responsible for forming the genitalia in utero. But DHT can also negatively influence hair follicles’ growth cycle over time, and as we age it can essentially weaken/shrink the follicles. DHT-blocking shampoos may be a good option.

### Myth #6: You only go bald after crossing 50
A large number of medical studies have revealed that your age has nothing to do with baldness. The American Hair Loss Association indicates that 66% of Americans tend to experience pattern baldness by the age of 35. While it can be more pronounced as we age, this often has to do with how our hair follicles interact with hormones.

## What Are My Treatment Options for Hair Loss?
Now that you know the major causes and common myths regarding hair loss, you should know that there are a variety of treatment options: both over the counter and prescription.

The earlier you treat your hair loss, the easier it will be to prevent further damage. Today, medications such as minoxidil and finasteride are the most effective treatments to help reverse hair loss and promote hair growth. Finasteride is an oral medication that stops/slows DHT production, which is one of the major causes of hair loss. Minoxidil, meanwhile, is a topical medication that helps strengthen your hair follicles and stimulate hair production and growth from the outside in. Minoxidil does not interrupt DHT production.

## Natural Supplements and Products For Hair Loss
There’s a vast array of over-the-counter and natural hair products out there that can help combat hair loss. The benefit, of course, is simplicity, and that these can be accessed more easily and sometimes cheaper. Because they're often naturally sourced, you can have faith that the ingredients are generally safe. 

Solutions like Shapiro MD’s Natural Kit can provide thicker, fuller looking hair with a simple shampoo and conditioner, and they’re made with naturally-occurring ingredients that have been shown repeatedly to act on some of the underlying hair loss pathways (the potential for DHT-fighting, for example).

Shapiro MD’s Complete Kit was designed to provide the benefits of their Natural Kit, with prescription-grade minoxidil as well. As part of this one-two punch, minoxidil has been clinically proven to help regrow hair.

## The Takeaway
No doubt, excessive hair loss that contributes to baldness is a problem for both men and women. Fortunately, Shapiro MD’s hair solutions can help in rejuvenating hair health. Whether you want the power of prescription-grade minoxidil or want the simple all-natural potential of DHT-blocking shampoos and conditioners, these haircare solutions are tailored to provide the help you’re looking for.

Detailed causes of hair loss in men and women.

Man and woman silhouetted

Detailed Causes of Hair Loss in Men and Women

If you have thinning hair or baldness, there may be something you can do about it. Approximately 21 million women and 35 million men suffer from a loss of hair, and many of them have found solutions that either slow down the rate of loss or stimulate hair regrowth. If you’re not a fan of prescription medications that are associated with unpleasant side effects, there may be natural ways to stimulate your hair follicles and strengthen the infrastructure of your hair. 

Here are five powerhouse vitamins that can work wonders for your locks.

## Vitamin A

Vitamin A assists in the growth of cells throughout the body, including hair cells. It also plays a role in producing sebum, which is an oily substance that keeps hair moisturized and strong. Alopecia, a type of hair loss that can affect scalp and body hair, has been linked to a deficiency of vitamin A. Fortunately, this important vitamin can be found in its beta-carotene form in a variety of foods, including:

- Spinach
- Sweet potatoes
- Kale
- Carrots
- Pumpkin
- Eggs
- Milk
- Yogurt
- Cod liver oil

The body converts beta-carotene into vitamin A, which can be readily used to build strong cells. If you don’t particularly like these foods, you may choose to supplement your diet with vitamin A capsules. Just keep in mind that an overdose of vitamin A can cause a variety of unpleasant symptoms, including nausea, vomiting, bone thinning and birth defects.

## Vitamin C

Free radicals are uncharged, unstable molecules that bind to other molecules. Once they attach to molecules or atoms in your body, they can cause a variety of aging symptoms, including wrinkles and loss of hair. Fortunately, vitamin C can help protect your body from free radical damage. It’s a powerful antioxidant that terminates the chain reaction free radicals cause before molecules can be damaged. You can get a healthy dose of vitamin C in the following foods:

- Kale
- Kiwi
- Green peppers
- Citrus juices and fruits
- Cabbage
- Strawberries
- Cantaloupe

Like other vitamins and minerals, too much vitamin C can lead to unpleasant symptoms, including diarrhea, headache, abdominal cramps and vomiting. It’s best to avoid taking more than the recommended dietary allowance (RDA) of 60 mg per day.

## Biotin

Biotin is a water-soluble vitamin that’s commonly taken to prevent hair thinning and baldness. Studies show a link between biotin deficiency and hair loss, but it’s important to note that biotin deficiency is rare. That’s because this important nutrient can be found in many different foods, including:

- Meat
- Leafy greens
- Seafood
- Whole grains
- Almonds
- 
If you don’t regularly eat meat products, you may need to supplement your diet with biotin and other B-vitamins to prevent hair loss. These vitamins can aid in hair growth by keeping your scalp nourished and oxygenated.

## Vitamin D

Vitamin D is an important fat-soluble vitamin that is produced naturally in human skin when exposed to the sun. If you don’t get enough sunlight, you may be deficient in this essential vitamin. Although the direct connection is not yet understood, there appears to be a link between vitamin D and hair growth. According to research, vitamin D may help create hair follicles and facilitate new hair growth. Dietary sources of vitamin D include:
- Cod liver oil
- Fatty fish
- Mushrooms
- Foods fortified with vitamin D

Studies link alopecia to low vitamin D levels, so if you think you’re deficient, you may want to get a blood test and take vitamin D supplements.

## Vitamin E

Vitamin E boosts hair growth and helps prevent oxidative stress. Like vitamin C, vitamin E is an antioxidant that can help protect hair cells from damage caused by free radicals. One study shows that supplementation with tocotrienol (a form of vitamin E) leads to a hair growth increase of 34.5% in patients with alopecia. Good dietary sources of vitamin E include:

- Almonds
- Avocados
- Sunflower seeds
- Spinach

You can also supplement with vitamin E if you don’t get enough of this vital nutrient in your daily diet.

## Combat Hair Loss Naturally

If you’re looking for a natural way to combat hair loss, make sure you’re getting enough of these five vitamins. There are also other ways you can fight hair loss, including shampoos, medications and surgical interventions. Check out our selection of hair growth solutions and reviews for help with your hair thinning or balding problem.

Vitamins that can help you fight hair loss

Vitamins for hair loss

5 Vitamins That Can Help You Fight Hair Loss

Knowledge is power. The Shapiro MD Blog has the Whats, Whys, and Hows on hair loss, beauty, and more.