"We developed a protocol to drive human pluripotent stem cells to differentiate into dermal papilla cells and confirmed their ability to induce hair growth when transplanted into mice," said Prof. Terskikh. The next step in their research is "to transplant human dermal papilla cells derived from human pluripotent stem cells back into human subjects."
Kimberlyn’s story sounds a lot like mine….I used to have straight fine silky but thin hair…Then suddenly it turned into coarser, squiggly textured hair, and was falling out…I would hate to wash my hair because so much more would come out in the comb after washing. I had hair on my pillow, in my bed sheets, I would find hair just hanging out of my other hair, just waiting to fall out so I would grab it, and 4-5 strands would fall out…then comb with widest tooth pick I could find, and more came out..Hair would be on my arms during the day, just falling at will from my head…Now my used to be thin hair anyway is totally thinning, crown, all over thinning, hairline, nape of neck…I am so over it. My reg Dr said stress…I have OCD and do stress a lot, but I don’t feel it is due to stress as I have been this type of person all my life…and didn’t lose hair like this..I asked gyn, no response. I felt it was my thyroid, as I am in a high normal range, and really don’t like that, but don’t know what else to do as DR feels it is OK. I don’t have insurance so cannot afford to go to 10 different Drs. and still get nothing for a definative answer or solution. I take vitamins always, biotin, zinc, and have just started with Nioxin, just to make my scalp maybe healthier . I know it doesn’t “grow” hair, but maybe I can keep what I have left. I am 59 so lots of symptoms are same for thyroid, post-menopause, and just don’t know what the answer is. I have been researching wigs endlessly in case that is the only hope I will have. I live in Florida and wear a baseball cap everywhere I go…how can one dress up and feel good about themselves, and have to put a baseball cap on to cover the hair loss and protect against the sun on my scalp??? I am at a loss…No one seems to have any answers for me….
Dr. Curtis says genes and hormones are the leading causes of hair loss.  And it's not just something we face as we age.  She says, "I've seen patients as young as 14-15 years old start having hair loss. It's all dependent on your genetics. Unfortunately the earlier it starts, the more likely it's going to be more severe in nature and the faster it can progress."
I’m 42 and I noticed my front top and sides thinning about a year ago – a lot coming out when brushing after washing. I went to the doctor who happened to be African-American (I’m caucasion) and she actually asked me if I wore “corn rows” a lot! Needless to say, she was worthless and just prescribed me something for dandruff, which I do not have! I went to an endocrinologist to see if my thyroid or menopause was the problem – tests turned out honky dorie! Now I can see through the top of my head when the sun shines on it (scar-y) and I’m having to cover over the temple areas with sweeps of hair from the other side (interesting, the right side is much thinner). I will say that I’ve gone through hell and back with a mentally ill young adult but if it was stress, wouldn’t it have come out quicker than just in the last year (I’ve been dealing with his illness for 7 years now)?? I’ve heard that sometimes it takes 2 or 3 blood tests and doctors to finally see that one has thyroid problems. Is this the experience of others, and would I be throwing my money away by seeing my general practitioner?
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
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.
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!

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If a pregnant woman comes in contact with crushed or broken Finasteride tablets, wash the contact area right away with soap and water. If a woman who is pregnant comes into contact with the active ingredient in Finasteride, a healthcare provider should be consulted. If a woman who is pregnant with a male baby swallows or comes in contact with the medicine in Finasteride, the male baby may be born with sex organs that are not normal.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

That meant new products like Hims and Keeps were out.Hims and Keeps are relatively new companies that allow you to set up a subscription for hair loss treatments. Both offer finasteride (after an online consultation with a doctor) or 5 percent minoxidil. However, their minoxidil solutions contain propylene glycol, so we cut them from consideration.

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.

My dermatologist recently prescribed 100 mg spironolactone for a month and told me to increase the dose to 200 mg after that. He also told me to use Rogaine for men. The Rogaine instructs that it not be used in the front of the scalp (where a lot of my hair loss is) but to only use it on the crown of the head. Can I safetly use it in front? Also, how do you deal w/ putting foam on your head 2 xs a day? My hair is thin with no body. If I add foam I’ll need to restyle it. Am I missing something? I don’t mind taking a pill but the Rogaine has me freaked so I haven’t started it. Any suggestions? I’m having a hard time thinking of using Rogaine the rest of my life.

my daughter is 19 and has been diagnosed with androgenetic alopecia. She has been to several dermatologists. They don’t understand the problem. I am planning to bring her to Dr. Geoffrey Redmond. I read his website. He surely knows how to treat this kind of hair loss. I spoke to his receptionist… they are very accomodating and profesional. So, as much as I would like to believe, that Dr. Redmond will be able to fix this altogether, I do understand he is not a miracle worker. But, I do believe, if anyone can understand this
in between all these years, i also tried some homeopathic methods. i read dr. andrew weil’s book on health and used to take 2000mg of alpha-linolenic acid either by evening primrose oil, grapeseed oil or borage oil. it didn’t regrow my hair but i do feel that it helped stall it. only problem is that after a year or so it stopped working for me, but it may help some of you out. there’s a connection, according to dr. weil, between alpha-linolenic acid and hair. i’ve also used homemade rosemary water and washed my hair with it, but it only helps with making me smell like the bush it comes from.
I was searching the internet and came across this wonderful site. I really appreciate you posting this article. I have always had a small bald patch on one side of my head. My mom told me it had always been there so I didn’t worry about it. Recently it has been getting larger and the hair around it is getting lighter. On the other side my hair is thinning and the color and texture is changing. It also seems to be falling out. I have excessive hair loss on a regular basis. I am only 24 years old and I can’t stand that my hair is falling out. I went to the dermatologist and he gave my injections but they didn’t work. He said I have alopecia areata and that the other side was a normal receding hairline. (He barely even looked at it) He then told me after the injections weren’t working to try Rogaine. I think it might be helpful to see an endrocrinologist as I have also been having problems with anemia. Again, thank you so much for the information you have provided.

One day in my mid 20s I got feed up with my at that point frizzy hair. I took a close look at individual hairs. I almost had a heart attack. Again this thought:”NOT NORMAL!!” I had tons of KINKY, ROUGH, even ZEBRA-STRIPED hair!! Much resembling pubic hair. The striped hairs were few, but they were literally striped in the darkest shade of brown I have & white!
There are numerous nonsurgical treatments that when combined, can offer significant hair improvements. Dr. Yaker’s TCHR Volumizing Glycolic Acid Shampoo and Conditioner help restore vitality to the hair by deep cleaning the scalp and reestablishing lost moisture content and physiological pH to the scalp and hair. Dr. Yaker has also formulated his own oral supplement, which is a blend of Aminoplex hair repair vitamins. This is made up of amino acids (building blocks of protein) that produce keratin, which makes up close to 97% of our hair. In addition, Dr. Yaker’s specially compounded FDA approved topical medication, Minoxidil (brand name: Rogaine®), is clinically proven to help slow down, stop and even reverse hair loss in women. Other nonsurgical therapies offered are Low Level Laser Therapy (LLLT) using the advanced LaserCap®, and Platelet Rich Plasma (PRP) with placenta-derived extracellular matrix therapy to help restore thinning hair. Lastly, Dr. Yaker offers scalp and facial micropigmentation where permanent ink is applied to the skin, creating micro dots that replicate the natural appearance of hair. This is used for the scalp and eyebrows.
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.”
Hello everyone. I am a 14 yr old girl that is loosing my hair. I know that may seem young, but I knew it was coming. My father and I have the same hair and it runs in his family to have hair loss at an early age. I have been loosing my hair since I was ten. It hasn’t been chunks, but if you add the hair together, that is alot of hair loss. So I was wondering if anyone had any information they could help me out with, other than seeing a doctor. My mom is taking me, even though we don’t know what to expect. I mean, this is genetic so I’m praying there is a cure somehow to either stop my hair from falling or adding hair on my head. Please help! If anyone has any advice please let me know immediately. I thank you for your time.
My current solution is this : I have bought clip in hair extensions from Sally’s Beauty Supply store (about 100$) I actually just trim them myself and dye the hair left on my head and the extensions using an ammonia free hair dye (L’oreal or Garnier) in order for them to blend. I use a lot of root lifter and fill in the balding spots with Toppik (dark brown) and top it off with a shine spray. I’m telling you, most people have NO clue of my problem. I feel this is the best way to feel like a woman as I continue on this quest to solve my hair loss problem. I’d be happy to tell more of you about the regimine … high maintenance yes, but you know what, we all have to do what we need to do.

Alopecia areata: Researchers believe that this is an autoimmune disease. Autoimmune means the body attacks itself. In this case, the body attacks its own hair. This causes smooth, round patches of hair loss on the scalp and other areas of the body. People with alopecia areata are often in excellent health. Most people see their hair re-grow. Dermatologists treat people with this disorder to help the hair re-grow more quickly.
Beware online stores selling Propecia without a prescription.Finasteride is FDA approved, but buying it online without a prescription can be illegal and dangerous. Prescription-free online stores have a reputation for selling placebos or dangerous replacements. We recommend speaking with a doctor about prescriptions or sticking to save over-the-counter treatments.
decrease in your blood Prostate Specific Antigen (PSA) levels. Finasteride can affect a blood test called PSA (Prostate-Specific Antigen) for the screening of prostate cancer. If you have a PSA test done you should tell your healthcare provider that you are taking Finasteride because Finasteride decreases PSA levels. Changes in PSA levels will need to be evaluated by your healthcare provider. Any increase in follow-up PSA levels from their lowest point may signal the presence of prostate cancer and should be evaluated, even if the test results are still within the normal range for men not taking Finasteride. You should also tell your healthcare provider if you have not been taking Finasteride as prescribed because this may affect the PSA test results. For more information, talk to your healthcare provider.
*All medications have both common (generic) and brand names. The brand name is what a specific manufacturer calls the product (e.g., Tylenol®). The common name is the medical name for the medication (e.g., acetaminophen). A medication may have many brand names, but only one common name. This article lists medications by their common names. For information on a given medication, check our Drug Information database. For more information on brand names, speak with your doctor or pharmacist.
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! 

I’m so glad I came across this site. I’m 41 and started to lose my hair in Aug 2011. It started out as two bald spots in the back near the hairline. I went to a Dermatologist who started me on steroid injections, Topicort, and hair, skin and nails vitamins. After a few months, they didn’t seem to help. I went to my Internal Medicine md. He ordered all types of blood tests, $4,000 worth, which all but my Vitamin D came back normal. I started a Vitamin D supplement. He suggested I live my life and be happy. I then went to an Integrative Medicine md, who ran more blood tests that came back normal, urine tests that came back normal, and had me do a GI Repair Kit. I even tried going gluten free. I take a multivitamin, Omega 3, B Complex, Vitamin D 10,000 units, and hair, skin and nail Vitamins. I’ve cut out fast food and processed food. Drinking lots of water. Not exercising like I should. I began to gray in my twenties and have been dyeing my hair for years. The Dermatologist told me it didn’t cause the hair loss. I went months without dyeing my hair just to see if it would help. Nothing has helped or stopped my hair loss. I have now lost most of the hair in the back and on the left side over my ear leading to the front. A month a go I noticed a huge bald area on the right side in the front. I have been so depressed and self-conscious about my hair loss. I have been staying in the house and avoiding gatherings for fear of someone noticing. After spending lots of money and not getting any answers, I feel so helpless. I purchased a wig, but since my remaining hair is long and covers the bald areas, I haven’t started wearing it yet. It is a comfort knowing that I’m not the only one going through this. People don’t seem to understand. I know I’m not my hair, and my hair doesn’t make me, but it is a very traumatic thing to go through. I’ve decided to take my Internal Medicine md’s advice and to just live my life. I can’t continue to be depressed over something I can’t control. I wish everyone luck and I will continue to follow.

Taking hair supplements can be helpful for anyone who is experiencing hair loss or hair thinning. Dendy Engelman, MD, a board-certified dermatologic surgeon at Medical Dermatology & Cosmetic Surgery in New York City, previously recommended Nutrafol, a research-backed hair supplement, to Prevention. "This uses highly concentrated botanicals to address every stage of the growth cycle," she says. Nutrafol's hair supplements include vitamin E and ashwagandha (an adaptogen that helps balance cortisol levels in the body), among others. 

I am on Arava and my hair has become extremely coarse, frizzy, and tight tight curls in the back. The sides of my hair are pure frizz and the top is straight, with frizz. It used to be smooth and so easy to manage. Now it takes so long and it looks awful. Anyone find the same thing and anything that helps? I have tried so very many hair products, so has my beautician. She says it is like I have 3 completely different textures on my head.
My current solution is this : I have bought clip in hair extensions from Sally’s Beauty Supply store (about 100$) I actually just trim them myself and dye the hair left on my head and the extensions using an ammonia free hair dye (L’oreal or Garnier) in order for them to blend. I use a lot of root lifter and fill in the balding spots with Toppik (dark brown) and top it off with a shine spray. I’m telling you, most people have NO clue of my problem. I feel this is the best way to feel like a woman as I continue on this quest to solve my hair loss problem. I’d be happy to tell more of you about the regimine … high maintenance yes, but you know what, we all have to do what we need to do.
There are numerous nonsurgical treatments that when combined, can offer significant hair improvements. Dr. Yaker’s TCHR Volumizing Glycolic Acid Shampoo and Conditioner help restore vitality to the hair by deep cleaning the scalp and reestablishing lost moisture content and physiological pH to the scalp and hair. Dr. Yaker has also formulated his own oral supplement, which is a blend of Aminoplex hair repair vitamins. This is made up of amino acids (building blocks of protein) that produce keratin, which makes up close to 97% of our hair. In addition, Dr. Yaker’s specially compounded FDA approved topical medication, Minoxidil (brand name: Rogaine®), is clinically proven to help slow down, stop and even reverse hair loss in women. Other nonsurgical therapies offered are Low Level Laser Therapy (LLLT) using the advanced LaserCap®, and Platelet Rich Plasma (PRP) with placenta-derived extracellular matrix therapy to help restore thinning hair. Lastly, Dr. Yaker offers scalp and facial micropigmentation where permanent ink is applied to the skin, creating micro dots that replicate the natural appearance of hair. This is used for the scalp and eyebrows.
Hi everyone. I started losing my hair about 6 months ago. First noticed about the size of a fifty cent piece gone from the crown of my head. (Don’t know why my beautician didn’t tell me about it) but went to a dermatologist right away. She started treatmentschool to the head. (Injected my bald spots with tiny needles) sorry at this time I don’t know what she injected it with, will ask next week as I go for another treatment. I also put Fluocinonide 0.05% solution on every night on every circle of hair loss. I have the treatments once a month.

How to use minoxidil: Be sure that your hair and scalp are dry. Using the dropper or spray pump that's provided with the over-the-counter solution, apply it twice daily to every area where your hair is thinning. Gently massage it into the scalp with your fingers so it can reach the hair follicles. Then air-dry your hair, wash your hands thoroughly, and wash off any solution that has dripped onto your forehead or face. Don't shampoo for at least four hours afterwards.
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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.
Each day the scalp hair grows approximately 0.35 mm (6 inches per year), while the scalp sheds approximately 100 hairs per day, and more with shampooing.1 Because each follicle passes independently through the three stages of growth, the normal process of hair loss usually is unnoticeable. At any one time, approximately 85 to 90 percent of scalp follicles are in the anagen phase of hair growth. Follicles remain in this phase for an average of three years (range, two to six years).1 The transitional, or catagen, phase of follicular regression follows, usually affecting 2 to 3 percent of hair follicles. Finally, the telogen phase occurs, during which 10 to 15 percent of hair follicles undergo a rest period for about three months. At the conclusion of this phase, the inactive or dead hair is ejected from the skin, leaving a solid, hard, white nodule at its proximal shaft.2 The cycle is then repeated.
Hey, lady. I am glad for you that you got the extensions removed if it makes you feel better, but if it doesn’t then you should get them put back in. I understand wanting your husband to feel you are attractive, etc. but if he did not like them but you did…maybe you should talk to him and tell him how much better they made you feel about your appearance? A thought anyway. I am totally single so don’t have anyone to please but myself but I think in our hair loss, we have to make ourselves feel better first. That produces an effect that trickles down to everyone important to us in our lives. I’m sure your husband thinks you look gorgeous either way but you have to do what makes YOU feel gorgeous!
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“There’s people selling pills and creams and lotions and whatever else, and sometimes you can’t even trust what ingredients they have in there,” he warned us when we spoke to him over the phone. Key takeaway: The hair loss industry is crazy dishonest, so we eliminated any treatments (especially homeopathic methods) that aren’t based in concrete, peer-reviewed science.


Just happened to find this website and have spent 3 hrs getting to know the trials us women go through with or without our hair. I have cried with you, laughed with you and felt your pain. I have frontal fibrosing alopecia and have gone to Stanford Medical Center and saw a dermatologist. I have been using clobetasol 0.05% topical solution on my hair line and sides every night and morning as well as take finasteride 2.5mg daily. Not sure if it is doing anything and what falls out will never grow back with scaring alopecia. If it gets to the point where I can’t hide it anymore I will get a real hair wig. The main thing is how beautiful each and every one of you are! The light you shine towards others makes you beautiful and makes us feel beautiful! Being thankful for what we do have always lifts the spirit and our outward appearance.

I too have been having bad hair loss. I am 25 years old and since the birth of my second child 2 1/2 years ago, it has not stopped. It is normal for it to fall out for a few months after child birth so I wasn’t too worried at first. After about 6 months it started to slow down then all of a sudden started up again. And has been falling out ever since. I am really thin in the front and around the temples and just recently, has become really unhealthy. It breaks and is very course. I have been to 3 derms. and 2 PCP’s. All my lab work has always come back normal. And they just tell me to use Rogain. The past 6 months I have been trying to get pregnant again and haven’t been able to. I got pregnant with my last 2 very easy and feel that my hair loss and not being able to get pregnant are intertwined. I also have gained about 15 pounds. I don’t want to use the Rogain because I am trying to get pregnant and don’t know the effects it will have if I did get pregnant. I don’t know what to do next. I am in the Phoenix area so if anyone know of any good docs around here please let me know.
Thank you all for sharing, For the pass years I have been having hair loss on and off. I have tried several natural treatment, example : hot oil , moist heat, acupuncture. Have seen several doctors and specialists which cost me thousands of dollars. I have insurance, but they will not accept, because they will not get pay, it is experimental my insurance paid for my lab tests. at this time my diagnosis is hypothyroidism. I am using organic foods, juicing; sunflowers seeds , pumpkin seed to make smoothie and oils from doTerra to massage my scalp. trying vitamins etc. etc. I cannot pinpoint what makes the improvement because I have used
Hair transplantation involves harvesting follicles from the back of the head that are DHT resistant and transplanting them to bald areas. A surgeon will remove minuscule plugs of skin that contain a few hairs and implant the plugs where the follicles are inactive. Around 15 percent of hairs emerge from the follicle as a single hair, and 15 percent grow in groups of four or five hairs.
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When men have hereditary hair loss, they often get a receding hairline. Many men see bald patches, especially on the top of the head. Women, on the other hand, tend to keep their hairline. They see noticeably thinning hair. The first sign of hair loss for many women is a widening part. In rare cases, men see noticeably thinning hair. And in rare cases, women can see a receding hairline or bald patches. The reasons for this are unknown.

I’m 28 and suffer from patches of hair loss. recently it has become so bad that i can no longer leave my hair down. it is really distressing for me, especially as I have recently met a guy and I’m not sure whether I should tell him about it or not. Currently when I meet him, I back brush my hair and try my hardest to cover the gaps; this ultimately means i am making things worse for my hair! I dont know what to do


Interesting reading all the stories, I had great hair until 15 years ago,and then the texture of my hair drastically changed. It be became “dead hair” wirery. I call it it my chicken feathers just taking its time to fall out which it has done over a long period of time, but I now have bald spots on the sides and thinning in my bangs. I started buying wigs years ago knowing that this was something that was inevitable. I’ve had all the tests and tried all the products, nothing..just curious if anyone else has had the “dead hair” issue
Telogen effluvium occurs when the normal balance of hairs in growth and rest phases is disrupted, and the telogen phase predominates. The disproportionate shedding leads to a decrease in the total number of hairs. Axillary and pubic areas often are involved, as well as the scalp.2 The hair-pluck test usually shows that up to 50 percent of hairs are in the telogen phase (in contrast to the normal 10 to 15 percent), although these results can vary in persons with advanced disease.4  The patient often is found to have had inciting events in the three to four months before the hair loss (Table 4).1,4 If 70 to 80 percent of hairs are in the telogen phase, the physician should look for causes of severe metabolic derangements, toxic exposures, or chemotherapy.1,4 No specific treatment for hair loss is required because normal hair regrowth usually occurs with time and resolution of underlying causes. Lack of significant historical events and a delay in regrowth should raise suspicion for syphilitic alopecia.1
Alopecia areata is characterized by a localized area of complete hair loss (Figure 5). This may extend to the entire scalp (alopecia totalis) or the entire body (alopecia universalis)12,13 (Figure 6). Alopecia areata is probably secondary to an autoimmune reaction involving antibody, T-cell, and cytokine-mediated losses.14–16 The trait appears to be polygenic, affecting 0.1 to 0.2 percent of the population, with men and women equally affected.14 On microscopic evaluation, “exclamation-point” hairs are found, in which the proximal hair shaft has thinned but the distal portion remains of normal caliber (Figure 7). Spontaneous recovery usually occurs within six to 12 months, with hair in areas of re-growth often being pigmented differently.1,13 Prognosis is not as good if the condition persists longer than one year, worsens, or begins before puberty. Persons with a family history of the disorder, atopy, or Down syndrome also have a poorer prognosis.1 The recurrence rate is 30 percent, and recurrence usually affects the initial area of involvement.12 Thyroid abnormalities, vitiligo, and pernicious anemia frequently accompany alopecia areata.1,12,14
Speaking of a new style: Don’t choose one that’s so high maintenance that it needs to be heat styled daily—the damage you’ll do with too much hot tool usage can leave strands damaged and fried, and breaking before it can grow to a certain length. Plus, thinner hair tends to break easier, so you want to avoid any extra damage-inducing practices at all costs. Make a conscious effort, too, to brush more gently, and use a moisturizing and reparative hair mask to hydrate hair and nourish the scalp—where hair gets most of its strength.
Before men or women invest in hair restoration, consultation and workup by a board-certified dermatologist experienced should be performed first to rule out other medical conditions that may trigger hair thinning and second to maximize medical therapy. Full medical therapy as prescribed and outlined by a board-certified dermatologist must continue in order to protect one's investment in hair transplant such as NeoGraft hair restoration.
What’s important to know: the cause of hair loss is specific to each individual, which is why it is so important to have a board-certified dermatologist examine, diagnose, and treat your condition. DR.DENNIS GROSS will review your symptoms, examine your scalp, perform a possible scalp biopsy, and/or order medical and blood tests if an underlying medical condition (like thyroid disease, diabetes, or autoimmune diseases like lupus) is suspected.

Hi, I am now 25, I have been losing my hair for the past 6 years. I did find an excellent Dermatologist in Orlando, FL Dr. Crotty who helped me alot in this whole process. He started me on a regimen of 3,000 mmg of Biotin daily. I also did Kenalog shots (which is a steroid). He did localized injections in the scalp and also in the hip. I also was prescribed Olux E Complex foam to put in my hair twice daily. I had to stop using the Kenalog b/c I thought I was getting headaches from it ( IT WAS NOT THE KENALOG – (TMJ/Migraines). This three regimen combo produce amazing results for me, within months. Unfortunately, my hair has now started coming out in the front and on the right side but I changed my insurance and cannot find a in network doctor that will treat the Alopecia. I am very tempted to just Pay OOP for Dr. C. So anyone living in the Orlando area suffering from this condition please contact his office. They are the most caring individuals ever also. I love them!!!!!

If a pregnant woman comes in contact with crushed or broken Finasteride tablets, wash the contact area right away with soap and water. If a woman who is pregnant comes into contact with the active ingredient in Finasteride, a healthcare provider should be consulted. If a woman who is pregnant with a male baby swallows or comes in contact with the medicine in Finasteride, the male baby may be born with sex organs that are not normal.
My scalp is pain-free but has on occasion flared again but 1/100 of the original pain. My scalp still needs frequent shampooing (I could go weeks without it before) to keep the dermatitis at bay. My hair and scalp are still fairly dry and brittle despite aloe for moisture, avocado oil to moisturize and seal in moisture and Behentrimonium Methosulfate to close cuticles, provide slip and halt hair snapping, BUT the breakage is 90% better. I’m still too afraid to go back to humectants though I know they’re amazing as moisture-retainers for dehydrated hair. I have spots of completely missing hair towards my hairline that hasn’t and will probably never regrow but I’m focusing on nursing everything else back to health.
In addition to diagnosing and treating any underlying disorder, treatments for alopecia areata include immunomodulating agents and biologic response modifiers (Table 5).6 Although topical and oral corticosteroids have been used, the treatment of choice in patients older than 10 years with patchy alopecia areata affecting less than 50 percent of the scalp is intralesional corticosteroid injections (Figure 8).6
The pattern of hair loss, especially whether it is focal or diffuse, also may be helpful (Figure 1). The hair-pull test gives a rough estimate of how much hair is being lost.2,4  It is done by grasping a small portion of hair and gently applying traction while sliding the fingers along the hair shafts. Usually one to two hairs are removed with this technique. The hairs are then examined under a microscope (Table 2).

Alopecia areata is thought to be a systemic autoimmune disorder in which the body attacks its own anagen hair follicles and suppresses or stops hair growth.[9] For example, T cell lymphocytes cluster around affected follicles, causing inflammation and subsequent hair loss. It has been suggested that hair follicle in a normal state are kept secure from the immune system, a phenomenon called immune privilege. A breech in this immune privilege state is considered as the cause of alopecia areata.[12] A few cases of babies being born with congenital alopecia areata have been reported.[13]
Aside from medication and lasers, some opt for hair transplants — a procedure where hairs are removed from another part of your body and then transplanted to the thinning or balding areas. Does it work? In a word, yes. Research suggests that most hair transplant recipients report are "very satisfied" with their results. While successful, transplants are also far more expensive than medications, foams, or lasers with costs averaging anywhere from $4,000 or $15,000.

I’m a dermatologist and am more interested in telogen effluvium these days because I have it bad–and this time it’s not because I just had a baby. I’m learning more about the gut-skin-hair connection and am suspicious that it has to do with the bacterial flora in your gut. You can learn more about changing your gut flora at BodyEcology.com. Her book is intense but I’ve decided to give it a try after recommending it and seeing it work so well with acne patients.


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.
have something to say that sounds alarming: I came to the Texas to live 10 weeks ago from the UK. Within only 2 weeks of being here my hair started falling out dramatically, I would lose around 500 to 700 hairs every time I washed my hair, this would also include hair lost through blow drying as I got to the point I would sweep it up off the floor too. Before I left the UK my hair was beautifully silky and shiny and looked so healthy. Over the following 8 weeks the hair loss worsened to the extent I started getting so dramatically thin all over the top of my head that I got myself into a panic every time I would do out as I didn’t want anyone to see me this way as I am quite an attracted woman 38 years of age. My periods are normal and my health appears good, just now I am suffering from depression because of this. The point I am making here is, I never had this in my life before, sure I have had bouts of hair fall from stress but never has it ever got to the point I can no-longer go out ever. I see so many things about this on the TV here in Dallas always advertising women’s hair loss? I also see too much of this on the net also from the US that now I am really getting worried about ever coming here and if this continues I’m going to leave the US and never come back. The people here are so lovely so please don’t get me wrong just that my health and my hair come first. I have visited the US many times and been to many States over the recent years from California to FL to Chicago and each time I come over I start to lose my hair. Bit this time is the worst ever! When I Skype my family back home they are shocked of course and we are all wondering if it is the food chain, the water, the air, pollution, I mean it’s got to be something right? I also spent years over in Brasil and also Lima Peru but never had anything like this, in fact my hair got even better over there than from when I was in the UK last. I’ve got a strong suspicion the doctor’s over here know more than they are letting on and have done for a long time but just making money out of peoples misery. I saw a doctor here who did some blood works and charged me $800 and he didn’t even do a hormone profile or (Ferritin) as checking iron is a total waste of time, Ferritin is the end response of iron absorption. Checking iron in the blood is what is floating around and not what has been absorbed. He wanted to then send me onto an Endo who wanted to charge me another $400. for a consult plus she said anything from $600. for additional blood works. I Lima Peru I can get 10 x more blood works done for no more than $120. Be cheaper for me to get a return flight and have all the tests done over there. Sorry to say this but, the US is a total rip-off when it comes to this sort of thing. Everyone back home thinks the whole thing stinks and sounds very suspect. If my hair gets any worse I’m defo going leave and most likely head on to Lima for a while and then go set my roots in Brasil. I really wanted to be here in the US as I have so many lovely friends over here and could really see a future for me here. I am gutted. Anyways I’m going to do some research to see if I can find a good Endo myself as well as a dermatologist. Maybe it is all to I do with all the nuclear testing they did years ago? they say radiation remains for a 100 years and what with weather conditions, wind, rain, crops, livestock, water supply? Now we have phytoestrogens and now we have this other thing to worry about frankenfoods. Us women have a more complex hormone system than males and this has got to wreak havoc on our endocrine system our glands and of course our hormones. I believe whatever is causing this must be doing something to us internally that is the cause. So lotions and potions working from the outside is not the answer or a permanent solution. I think something is disrupting us from the inside and screwing with our hormones be it thyroid, sex hormones or whatever. So stop sugar drinks, artificial foods and water from plastic bottles, microwave foods and start to clean up your health from the inside and perhaps try find organic meat, vegetable, fruit, fish suppliers. Maybe little more costly, but far cheaper than giving the money to a bunch of quacks? I guess thank goodness for European rules and regulations on food compared to here. Like to hear peoples thoughts.
When alopecia areata is associated with celiac disease, treatment with a gluten-free diet allows for complete and permanent regrowth of scalp and other body hair in many people, but in others there are remissions and recurrences.[15] This improvement is probably due to the normalization of the immune response as a result of gluten withdrawal from the diet.[15]
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I do not believe birth control pills nor rogaine to be an appropriate long lasting answer for hair loss. I do not want to be on drugs for a length of time. Luckily, I have researched how the answer possibly lies within your lifestyle. What you eat, How much you exercise, how much sleep you get and stress you have. As for hormone-caused hair loss, the adrenal gland produces a 1/4 tsp of hormones per year. If you go slightly under or over that amount, a hormone imbalance is the result. If you use table salt, or are on a low-salt diet…you may be negatively affecting your hormones.
Please help. My hair has always been my pride and joy. I figured since it is pretty damn healthy, it could deal with some bleach damage. And I figured the master stylist who did all the color-corrections would know how much would be too much. I was wrong, and now I want to burst into tears every time I look at my hair or touch it. I just don’t know what to do. my hair has also NEVER been shorter than this and it breaks and falls out. What should i do to regrow hair?

Loss of hair from the eyelashes could be caused by an underlying medical condition—or from pulling at your lashes (e.g. from curling lashes, from glues used for false lashes, and from tugging to remove mascara or false lashes). Whatever the reason, we regularly treat thinning lashes by prescribing Latisse®—the first, and only, FDA-approved treatment for thinning lashes. Our patients have reported excellent results (fuller, longer, darker lashes) with this cream. (Note: if you wear contact lenses, you can use Latisse®; you just need to remove the contact lenses before application and re-insert them at least 15 minutes after applying.) Just contact our office to speak with one of DR.DENNIS GROSS about whether Latisse® is right for you. Also important to note: Latisse® is currently in clinical trials as a treatment for hair loss on the scalp. It could be available for this use within the next couple of years.


The pattern of hair loss, especially whether it is focal or diffuse, also may be helpful (Figure 1). The hair-pull test gives a rough estimate of how much hair is being lost.2,4  It is done by grasping a small portion of hair and gently applying traction while sliding the fingers along the hair shafts. Usually one to two hairs are removed with this technique. The hairs are then examined under a microscope (Table 2).

although I have plenty of hair round the sides I was rather thin on top, and quite bald on the crown. So I started using onion juice to kick start the folicles. Then after, started to use juiced ginger. After a minute or so of either application I rubbed in coconut oil, and left the mixture on for an hour or so. Problem with wishing to see the hair growth as soon as possible, hair is slow growing and new hair is even slower, so one will have to wait 3 months for a good result. So, once or twice a week use onion and the same with the ginger. I found white onions are best, grate on the smallest hole ( not much needed)…..bonus, white hair turns black.


Alopecia areata is an autoimmune disease, where a person's immune system attacks the body, in this case, the hair follicles. When this happens, the person's hair begins to fall out, often in clumps the size and shape of a quarter. The extent of the hair loss varies; in some cases, it is only in a few spots. In others, the hair loss can be greater. On rare occasions, the person loses all of the hair on his or her head (alopecia areata totalis) or entire body (alopecia areata universalis).
I’m going to see an endocrinologist, a trichologist, a hematologist and a gastroenterologist and maybe this Dr. Redmond. I’m done with ‘hair loss experts’ pushing cosmetic surgery and trying the all around approach. My insurance is crap, but….Anyway, thanks all for your stories and knowing I’m not alone in hair loss and the fight against disinterested medical establishment. xxx
Triamcinolone acetonide (Kenalog), 0.1 mL diluted in sterile saline to 10 mg per mL, is injected intradermally at multiple sites within the area to a maximum dosage of 2 mL per visit.6 The main side effect, atrophy, can be minimized by not injecting too superficially and by limiting the volume per site and the frequency of injection (no more often than every four to six weeks).6 Because spontaneous resolution often occurs in patients with alopecia areata, assessing treatment response can be difficult. Intralesional steroids should be discontinued after six months if no improvement has been noted.
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