A little farther up the follicle is the mysterious feature called the bulge. That's where follicle stem cells live. When they get the right set of chemical signals, these self-renewing cells divide. They don't divide like normal cells, in which both halves become new cells that keep splitting and developing. Only one half of the follicle stem cell does that. The other half becomes a new stem cell, and stays put for future regeneration.

It’s also possible that some of Harklinikken’s users are women whose hair would have grown back even if they’d done nothing. Many women who arrive in a dermatologist’s office with prior diagnoses of female pattern hair loss actually have what’s called telogen effluvium. That’s a period of acute shedding of hair — meaning up to 60 percent of hair — three months after a triggering event like pregnancy, significant weight loss or starting or stopping hormone medications.
I stumbled on this website accidentally and am amazed at all your stories. I think it’s so wonderful that you all support each other in this way. I’m so sorry that you’re all missing your beautiful hair that you previously had. I am 51 and don’t really know what it would be like to have beautiful hair. I’ve always had what my mother calls “Peter Pan” hair. It never grew up. When I was three years old, I finally started to grow some hair. It got to be the way some other very young childrens’ hair was–very soft, thin, and fine. There just wasn’t a whole lot of it to begin with. You could easily see my scalp in a lot of places on my head. Well, over the course of the next 48 years, the only change in my hair is that I’ve been steadily losing what little there was to start with. I’ve never been able to put it in a pony tail or pig tails because it looked ridiculous and the scrunchy or rubber bands wouldn’t stay in anyway. There just wasn’t enough hair. I’d have to twist the rubber bands around like 20 times to try to get them to stay in–unsuccessfully. I started to notice the diffuse thinning around the age of 30. Now, at 51, people are always asking me if I’m on chemo. I’ve seen a doctor for the depression and anxiety after my separation from my husband 10 years ago and the resulting loss of my 7-year old son, but not for the loss of my hair as I thought (and was told by my internist) that nothing could be done for me. I was very ill with the depression for years, and even now can only work PRN at my hospital; but on the days I’m not working, I don’t leave the house, I don’t eat, I don’t even get out of bed. I don’t think my hair loss is due to the Effexor XR that I take for the depression, but I’m wondering if it could be from the poor nutrition and the fact that I take no supplemental vitamins. Should I go to a doctor even at this late date? The thinning has gotten so severe on my temples, crown, and above my ears that I wonder if improved nutrition would even help. What kind of doctor would I see even if I thought it would help? I’m very embarrassed by the way I look, and very lonely since I can’t date because men want nothing to do with me and most women seem embarrassed to be seen with me. I’ve tried to live a happy life despite the way I look, but I think it would be wonderful if there were actually some way I could be helped to look like a normal woman. Does anyone have any advice? Thank you for taking the time.

Hi I need help I am not sure what doctor I need to see, one day I started to have lots of back pain and my lower left side real bad I went to bed and when i shower lots of my hari started to fall off, I mean I loose my hair but not as much and I just wanted to cry when I saw lots and lots coming out. My hair is so thin now and you can see the bald spots im ony 35 and Im not sure if its my hormones or not. Can someone help me and let me know which doctor is best to see for hair loss
Hi I need help I am not sure what doctor I need to see, one day I started to have lots of back pain and my lower left side real bad I went to bed and when i shower lots of my hari started to fall off, I mean I loose my hair but not as much and I just wanted to cry when I saw lots and lots coming out. My hair is so thin now and you can see the bald spots im ony 35 and Im not sure if its my hormones or not. Can someone help me and let me know which doctor is best to see for hair loss
*Photograph used with permission of the Journal of the American Academy of Dermatology. This photograph was published in the Journal of the American Academy of Dermatology, Vol. # 60, Gathers RC, Jankowski M, Eide M, et al. “Hair grooming practices and central centrifugal cicatricial alopecia,” 660-8. Copyright Elsevier (2009). Journal of the American Academy of Dermatology.   
Hi! Any recommendations for doctors that care about or specialize in hair loss in South Carolina (or NC or GA for that matter–I can travel.) I am very glad to have found this site. I am 3 months into using 5% Rogaine and taking 50 mg of Spiro. I have noticed a decrease in shedding but no regrowth.Very very very stressful problem to have. So nice to have ideas and support here.

^ Martinez-Mir A, Zlotogorski A, Gordon D, Petukhova L, Mo J, Gilliam TC, Londono D, Haynes C, Ott J, Hordinsky M, Nanova K, Norris D, Price V, Duvic M, Christiano AM (February 2007). "Genomewide scan for linkage reveals evidence of several susceptibility loci for alopecia areata". American Journal of Human Genetics. 80 (2): 316–28. doi:10.1086/511442. PMC 1785354. PMID 17236136.


Our other recommendation is the HairMax Ultima 12 LaserComb. The comb uses low-level lasers to stimulate hair follicles and modulate dihydrotestosterone (DHT) — a hormone that causes the most common type of hair loss. While it sounds like something from a sci-fi movie, the treatment works, and the dermatologists we consulted reported that their patients saw thicker and longer hair when combined with our top pick. The only catch: The comb isn’t as effective as minoxidil treatments, and at nearly $400, it’s a much bigger investment. Still, it’s the best option if you’re looking for a non-invasive, non-chemical treatment.
when i was 24, went to so. america to visit family. they hadn’t seen me since my last visit, which was when i was 17. there was a guy who i had liked and hung out with when i spent my 17th summer there and was excited to see him once again, “as an adult”. i think it was the second day or so of hanging out with him when he says to me: “hey, i noticed you’re losing your hair”. i was beyond embarrassed at that moment and all i could muster out was, “yeah, i know”. thanks for pointing it out there buddy. next came anger mixed with that embarrassment. i felt, and still feel, that people stare at my head and notice my thinning hair when they are talking to me. when i came back to the states a few weeks later, the first thing i did was make an appt with my pcp. she referred me to an endocrinologist who found my testosterone level slightly elevated. it was in the 70 range. i didn’t have masculinization going on so she told me she didn’t want to put me on medication and to return if i noticed in increase or changes in symptoms.

In-office laser light treatments or at-home handheld devices, such as the HairMax LaserComb, supposedly grow new hair by stimulating blood flow to the area (think: an amped-up version of a scalp-stimulating shampoo). Just don’t expect the device to make your noggin go from looking like George Costanza’s to Jerry Seinfeld’s. “These lasers won’t grow any new hair. If anything, they may just help you hang on to some of the hair that you already have a bit longer,” says Dr. Joyce.

Celiac disease is also related to other autoimmune diseases, conditions where your immune system attacks your body, known to cause hair loss. In general, having one autoimmune disease makes you more likely to develop a second autoimmune condition. If your hair loss is not associated with malnutrition or age, it may be related to two other autoimmune diseases associated with hair loss—alopecia areata and Hashimoto's thyroiditis. 
I noticed yesterday that my scalp was fine until I went and worked out. I don’t know if sweat/oils has anything to do with it, but it started burning after that. Then this morning I seemed to quite a bit of hair – more than yesterday morning. I’m trying to get my weight down, hoping that will help the hair loss, but if I just lose more after exercising what am I supposed to do?!
I have had hair loss for the past several years. I have seen both endocrinologists and dermatologists. I had one derm who was good, but I unfortunately moved. She put me on minoxidil 5% and spironolactone. I am now seeing and endo but he has me on Synthroid and I was very interested to read on this site that it can actually be a cause of hair loss! If anyone can recommend a doctor in Chicago i would appreciate it. I see there are 2 other people asking for recommendations but I haven’t seen responses to them. Thanks!

It’s really great reading this website. No one in my life truly understands what hair loss does to a woman emotionally. I completely thought I was blowing it out of proportion when I first became obsessed with my hair loss when I was 19. I am 24 now and have lost a little bit more hair but it is not immediately noticeable. I also appreciate that people share my sentiments about how unwilling doctors are to help us with this problem- they do not care about helping us solve the problem- only throw solutions at us for us to figure it out on our own–mostly to figure out they don’t work! I am going to try to see an endocrinologist and hope he/she can help. Although I have lost a lot of hair, I still have enough to cover my scalp left so I may not be able to talk, but I think what we think people see and what they actually see is completely different. I know we’re all beautiful women and I just try to think of hair loss as preparing me for getting old! (at which time I’m sure to have a crisis as well). Well, I will continue reading this site for hope and support. Thank you!


About 2 years ago my hair started thinning. I thought it was because I was in college and stressed. At that point I started going what is known as “CG” in the curly hair world. I no longer color, flat iron, use sulfates and I rarely blow-dry and use silicones. I use shampoos and conditioners with beneficial ingredients, not fillers. After 1.5 years on this Curly Girl routine, I experienced some relief and noticed my hair getting thicker. That lasted a couple months and now I’m back to losing a ton of hair. One day I counted 160 hairs…that was on a decent day. I’m sure I’ve lost 2x that amount before. My hair is noticeably thinner, drier, and it knots. It NEVER use to knot. I think my hair has become finer too, but I’m not positive. It just feels more fragile.
"The majority of men lose their hair not through stress, or bad diet, or lack of sleep, but through the genetic trait of male pattern baldness which is hard to treat through shampoos or supplements alone. Women lose their hair for very different reasons, but the argument still stands that a lot of the hair loss products on the market are just offering false hope. That said, there are a few that really work."
Dr. Williams is also the primary investigator in a National Institute of Health (NIH) approved IRB study in regenerative medical treatment procedures with stem cell/stromal therapy for hair loss in androgenetic alopecia. A new study treating scaring and autoimmune (Alopecia Areata) alopecia is expected in 2017. Dr. Williams believes the foundations of health and hair restoration are founded on prevention and wellness. His primary practice is hair restoration surgery in Orange County, and he is involved in teaching medical students and residents from various medical training programs in northern and southern California. He is on the clinical teaching faculty of Western University of Health Science in Pomona, California; and Touro University College of Osteopathic Medicine in San Francisco, California, and Chapman University new Health Science teaching facilities.
It may take some time to find the right dosage of thyroid hormone to get your thyroid under control. If you're uncomfortable with the look of your hair while treatment is underway, there are options to consider. Wearing a hair piece or wig or getting a new hairstyle can help camouflage hair loss as you wait for the results of thyroid treatment to begin. Ask your doctor if it makes sense to try a topical medication that helps spur hair growth like mixoxidil (Rogaine).
I’m dieing I needed someone to listen to me.I ended up leaving my home town to see an endroconologist in the city yep I had Hasimotos thyrioditis which wasn’t just one symptom I had them all serve fatigue,bad skin,nails,hair,my digestive system wasn’t working properly,that was a major shut down to my body coming from someone who always was fit and look after my body.got me on medication and away I go but wasn’t that easy,I was really sick ,my medication was being prescribed by my doctor but over medicating me ,I didn’t no much and kept returning to my doctor always feeling unwell to look after my small children being a single mum all on my own with no family and friends to help. Sick of feeling like this back to my endo for more test sick of the pain that was starting in my scalp and hair loss bad,I went of my medication because I felt better of it,well that was the biggest mistake ,he said my body would have gone into thyriod storm and would end up in ICU,and not to ever do that again.Well 8 years on the pain in my scalp s still bad, iv seen specialist about my hair told me I had alepecia 8 injection in my scalp,and what a painful night.I have hair shedding for the last 4 years and I cry a lot from the pain and the lose of hair .I have very long hair and when I plait it it’s the thickness of two pencils,bbbbbuuuuttt my doctor says there is nothing wrong with my hair,I feel like punching her. I have spent years reading books,and articles trying to fix myself but still nothing,I have seen naturopaths, physiotherapist ,psychologist to talk about the pain in my head and feeling sick all a time ,it’s like we’re do you go.So ladies in all the articles Iv read I still have no help with my hair and it seems lots out there like me.looks like we have to suck it up
A directed history and physical examination usually uncover the etiology of hair loss. The history should focus on when the hair loss started; whether it was gradual or involved “handfuls” of hair; and if any physical, mental, or emotional stressors occurred within the previous three to six months3  (Table 1). Determining whether the patient is complaining of hair thinning (i.e., gradually more scalp appears) or hair shedding (i.e., large quantities of hair falling out) may clarify the etiology of the hair loss.4
I got really sick at the age 40, 2 years after my second child was born,I started losing weight,I went from 54kg down to 47kg,my skin was splitting on the backs of my legs,both my hands,I had blisters up my arms ,on the tops of my feet,migraines that would have me vomiting none stop for ten hours,then only to sleep for 2 days to recover,no doctors were interested,I saw 8 and they all wanted me on anxiety medication because I was going through a break up that was there answer to the way I was feeling.No one wanted to listen to me.Almost feeling like
*Photograph used with permission of the Journal of the American Academy of Dermatology. This photograph was published in the Journal of the American Academy of Dermatology, Vol. # 60, Gathers RC, Jankowski M, Eide M, et al. “Hair grooming practices and central centrifugal cicatricial alopecia,” 660-8. Copyright Elsevier (2009). Journal of the American Academy of Dermatology.   
^ Martinez-Mir A, Zlotogorski A, Gordon D, Petukhova L, Mo J, Gilliam TC, Londono D, Haynes C, Ott J, Hordinsky M, Nanova K, Norris D, Price V, Duvic M, Christiano AM (February 2007). "Genomewide scan for linkage reveals evidence of several susceptibility loci for alopecia areata". American Journal of Human Genetics. 80 (2): 316–28. doi:10.1086/511442. PMC 1785354. PMID 17236136.
A biopsy is rarely needed to make the diagnosis or aid in the management of alopecia areata. Histologic findings include peribulbar lymphocytic infiltrate ("swarm of bees"). Occasionally, in inactive alopecia areata, no inflammatory infiltrates are found. Other helpful findings include pigment incontinence in the hair bulb and follicular stelae, and a shift in the anagen-to-telogen ratio towards telogen.[citation needed]
The Rogaine rep we spoke to explained that the different packaging (and therefore different prices) has to do with the FDA-approval process: “We discovered in clinical trials that the hair loss patterns between men and women are different,” she said by way of explanation. “Men typically have that bald spot on the crown of their head, where women generally have a general thinning throughout, but concentrated more on the top of the head. So for FDA approval, we had to come up with two different, gender-specific products, so the directions were more explanatory.”
From doing this I have noticed less hair loss, some re-growth and some thickness, more coverage on the crown area, you cannot see the baldspots any more but just a long faint scalp line. But I will not go to a hairdresser or put colour in my hair. I believe this is why my hair is improving. I didn’t spend money on doctors or dermatologists and certainly will never give money to a hairdresser again. I use products with no parabens and sulfates. I hope my post helps; please try not to give up.
Hi everyone, I am a 19 years old girl that is loosing my hair. I started to lose my hair since I was 14. once 18 I decided to go for a hair transplant surgery. I wanted to feel as any another girl and be confident. I went to bosley may 2007 and did the surgery. They told me it will take 6 to 8 months for my new hair to grow few inches. I went there after 6 and after 8 months but unfortunatly we havent seen any growing hair yet. The doctor told me that it depends from one person to another and it might take me from 12 to 15 months. I went to see him yesterday and by then it was almost 15 months… he walked in looked at my hair didnt say any word for a while and then told me: “I am going to give you your money back” I cried right away for a while I couldnt take it. I haddreams and hope. I imagined my life differently after the surgery. Anyways all that to tell you guys if you wanna go for a hair restoration AVOID BOSLEY. I live in boston nd went to the bosley place in the newbury street. I believed them because of all their advertising. Now i dont even know what to do. School is almost starting and i dont feel like going. I wanna look nice and feel relaxed. I feel the pain every morning before going to school. I cry every night when I get home. I need to find a solution. i thought about extensions but cant go for them cuz i am scared to lose more hair. My God help us!
That said, there are products that don’t have FDA approval or clearance, but may help prevent hair loss. For example, shampoos with ketoconazole, a chemical with anti-DHT properties, is widely used to treat fungal infections but has become popular among consumers as a hair loss treatment. It makes sense — research shows that ketoconazole actually has beneficial effects on hair growth (especially for those with seborrheic dermatitis).
The dermatologist also will carefully look at your scalp and hair. During an exam, the dermatologist may pull on your hair. Sometimes a dermatologist needs to pull out a hair to get the necessary evidence. And sometimes a dermatologist needs to look at the hair on the rest of your body to see whether there is too little or too much hair in other areas.
I had embolization and an angiogram for an AVM on my jaw. I was told there would be some hair loss because of the radiation (The size of a quarter). Well I have lost all but 1/3 of my hair left …not the area of a quarter! Has anyone ever had this happen? My doctor says the hair should grow back, but it has been three months and it is still coming out and no new growth. I don’t know what to do! Any suggestion? As with many women my hair was a part of my identity. I am not bragging but people remember me as the girl with all the hair. I realize we are more than our hair, but it makes me so sad!
You lose up to 100 hairs from your scalp every day. This is normal, and in most people, those hairs grow back. But many men – and some women – lose hair as they grow older. You can also lose your hair if you have certain diseases, such as thyroid problems, diabetes or lupus. If you take certain medicines or have chemotherapy for cancer, you may also lose your hair. Other causes are stress, a low protein diet, a family history or poor nutrition.
Starting in my very early 20s i noticed the beginnings of my hair loss and started asking doctors about it with no hope/no answers until my 27.5 year. A local dermatologist “heard” something about the spironolactone/yaz combo and was willing to try it out -along with biotin, rogaine and omegas. I believe she helped the quality of my skin and hair, but did not help the fact that my hair continued to disappear.
I decided to take a vitamin B complex – one a day; I increased my intake of green leafy and orange vegetables and onions, I also throw in a small amount of beef and chicken..i.e. eating lots of stirfries, curries and salads. I also now include in my diet black beans, walnuts and pumpkin seeds. I like spaghetti with red tomato sauce and use parsely and fenugeek . I also started using a product called Hopes Relief (the shampoo and conditioner) – anything else left a burning sensation on my scalp. This helped greatly with healing my scalp redness and reduced the itching. I was seeing an improvement in regrowth. I went to a trichecologist who advised me I have lost 10% of my hair permanently as she could see the scarring and places where the follicles would not grow.
PCOS or Polycystic ovary syndrome is an imbalance in male and female sex hormones. An excess of androgens can cause ovarian cysts, higher risk of diabetes, weight gain, changes in menstrual period infertility and also hair thinning. Because male hormones are over-represented in polycystic ovary syndrome, women may also experience more hair on their body and face.
Family history will often tell the doctor what type of alopecia a person has. Occasionally, a punch biopsy may be necessary to determine the type of hair loss. Looking at plucked hairs under a microscope can help to tell the difference between alopecia areata and androgenic alopecia. Other tests might be done to check for autoimmune diseases like lupus that can accompany alopecia.
My hopes and prayers are for all of us… that somewhere a doctor, an organic chemist, SOMEONE… ANYONE… will care enough to actually research this. Thank you, all of you, for your tears, suggestions and sharing. I WILL NOT WEAR A WIG… WHAT LIES BEHIND US, WHAT LIES AHEAD OF US, PALES IN COMPARISON TO WHAT IS INSIDE OF US. WE ARE STRONG, VIBRANT… WE WILL PREVAIL.
Testosterone replacement is becoming popular for men. Cotsarelis warns that this may accelerate hair loss. Propecia might help -- but because it prevents testosterone breakdown, it might affect the dose of male hormone replacement therapy. Cotsarelis warns men taking both Propecia and testosterone replacement to make sure their doctor carefully monitors their testosterone levels.
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