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.
What I hate most is how I feel about myself. As others have shared, I don’t want to wash or fix my hair any more than I have to for fear of lossing even more hair, thus I don’t want to leave the house. I also don’t like that most health care professionals give you a standard excuse for the hair loss: you’re getting older, hair thins; it’s hereditary; or the worst one..it’s due to stress! I wasn’t stressed until I pick a clump of hair from the shower drain or my hairbrush daily!
The follicles on the sides of the scalp are more genetically resistant to DHT, which is why male pattern baldness often results in a “crown” of hair. But its downsides are serious. “With women, finasteride is not an option,” says Dr. Wolfeld. “It’s not FDA-approved for women to take, so we don’t prescribe it.” In fact, due to the drug’s effect on hormone levels, pregnant women are advised to not even touch broken or crushed tablets.
The topical sensitizers, diphencyprone or squaric acid dibutylester, have been used in those suffering from recalcitrant alopecia areata or those with more than 50% hair loss. The goal of treatment is to create an allergic contact dermatitis of the scalp. This alteration in the immune response occasionally is accompanied by hair regrowth. The efficacy of the topical sensitizers has been demonstrated in both young children and adults, but it probably works less than half the time. Recent success using oral janus kinase inhibitors, including tofacitinib, ruxolitinib, and baricitinib, have been shown to be efficacious in severe, extensive alopecia areata in adults, but long-term therapy has potential side effects. The durability of response to these medications is variable, and most patients experience recurrence of hair loss after discontinuation. Perhaps topical therapy with these types of drugs may be available in the near future.
Because of its psychologic nature, the mainstays of treatment are counseling, behavior modification techniques, and hypnosis. Selective serotonin reuptake inhibitors and other medications for depression or obsessive-compulsive disorder may be used in some cases, although no medications are FDA-approved for treatment of trichotillomania.17 If a more moth-eaten appearance of hair loss is present and no evidence of hair-pulling behavior can be elicited, syphilis should be suspected.
Not surprisingly, treatments with 5 percent minoxidil work better than treatments with 2 percent minoxidil. A randomized clinical trial published in the American Journal of Clinical Dermatology in 2002 found that, in men with androgenetic alopecia, “5 percent topical minoxidil was clearly superior to 2 percent topical minoxidil and placebo in increasing hair growth.” The difference was actually pretty astounding — after 48 weeks, the men who used 5 percent minoxidil experienced 45 percent more hair growth than the men who used the 2 percent treatment.
I’m so glad you saw my post, and wrote back. Thank you again for writing about your experience. At the time I read it, I knew that was the path I had to go. I have a treatment plan, and intend on it being a successful one (I’m so trying to go from being a negative person to being positive, it really makes a difference). I have joined the network, and hope you do as well,. Angela, is right, there is so much caring, understanding and sharing of knowledge here, that so help with the emotional part of this thing called hairloss.
I understand how you feel, I really do. I’ve spent so much time crying that I’m certain all my tears could have filled up an olympic size swimming pool by now. You must not give up hope, even when it seems there is none. It is so important. Without that I don’t know how I would get by. Once you say what city/state you are in, I really hope someone can recommend a good doctor. I think that is part of your despair, that you haven’t really been heard out by a physician and received the bloodwork you want and are entitled to.
Iron supplements. Iron deficiency could be a cause of hair loss in some women . Your doctor may test your blood iron level, particularly if you're a vegetarian, have a history of anemia, or have heavy menstrual bleeding. If you do have iron deficiency, you will need to take a supplement and it may stop your hair loss. However, if your iron level is normal, taking extra iron will only cause side effects, such as stomach upset and constipation.
Because of its psychologic nature, the mainstays of treatment are counseling, behavior modification techniques, and hypnosis. Selective serotonin reuptake inhibitors and other medications for depression or obsessive-compulsive disorder may be used in some cases, although no medications are FDA-approved for treatment of trichotillomania.17 If a more moth-eaten appearance of hair loss is present and no evidence of hair-pulling behavior can be elicited, syphilis should be suspected.

One of the first research studies linking alopecia with celiac disease was published in 1995. Italian doctors had noticed that several of their patients with alopecia also had celiac disease and that in one of these patients—a 14-year-old boy—the missing hair on his scalp and body completely regrew after he adopted a gluten-free diet. This boy's case and a few others prompted the doctors to screen a large group of alopecia patients for celiac disease.


If you have hair loss, you have options, like topical treatments, oral medications, red light procedures, to prevent more hair loss.   But, Curtis says,  "The only way to guarantee hair is the transplant."    She says once you find out what's causing hair loss, you and your doctor can decide how aggressively you want to approach the problem.   She says, "I say to patients, 'Here's what we can do to prevent further loss...'  If you say, 'Dr. Curtis, I want hair." Here's what we have to do, we're going to move it from the back to the front, nobody will know, it will look fantastic."
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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