I explained to Emily that The Iowa Writers’ Workshop wasn’t really in the business of handing out medical degrees, but that since my hair was also thinning, and since I was curious, and since I supposed we weren’t the only two women on the planet who wanted some answers, I’d do some research. This is what I came up with for how to handle hair loss during perimenopause.
Chronic Telogen Effluvium, also known as Diffuse Hair Loss, is similar to temporary Telogen Effluvium in its causes, the main difference being that hair loss can be prolonged. The reason for this is that the underlying cause of the hair loss has not been dealt with. In order to treat Chronic TE effectively it is important not only to treat the condition with an optimum course of treatment, but also to look at the medical issues causing the problem.
Minoxidil — the generic name for the topical over-the-counter treatment many people know as Rogaine — has been shown to provide some regrowth of hair or prevent further hair loss. Rogaine now comes in a 5 percent foam for women, which is to be applied once a day, and must be used indefinitely (read: for the rest of your earthly life); if you stop using it, hair loss will recur. Some studies have shown that about 20 percent of women experience moderate regrowth of hair and about 40 percent experience some regrowth of hair after four months of use; results are best for women who start the treatment as soon as they start to experience hair loss. (So, you know, go back in time — and while you’re at it, ditch that boyfriend a lot sooner, and wear sunscreen daily... you know the rest.)
100% satisfaction guarantee — we guarantee you will be fully satisfied and feel the way you want to feel. If you don’t, just let us know within 60 days after the purchase of a Program or product and you’ll receive a prompt refund of your purchase price, minus shipping and handling, when we receive the product back, even if you’ve taken all the supplements.
The basic approach is to stimulate hair growth at the root by giving your body the support it needs. Many women find that a nutrient-rich diet, high-quality nutritional supplements and a little stress relief can do wonders. If you find your hair loss is connected to a thyroid, hormonal, or stress imbalance, a specific herbal combination product will help to rebalance your body naturally.
Hair transplantation is usually carried out under local anaesthetic. A surgeon will move healthy hair from the back and sides of the head to areas of thinning. The procedure can take between four and eight hours, and additional sessions can be carried out to make hair even thicker. Transplanted hair falls out within a few weeks, but regrows permanently within months. Hair transplants, takes tiny plugs of skin, each which contains a few hairs, and implants the plugs into bald sections. The plugs are generally taken from the back or sides of the scalp. Several transplant sessions may be necessary.[33]
However, both men and women are able to use the MHRA licensed and FDA-approved minoxidil – a dose-dependent drug which is applied topically to the scalp where needed to promote hair growth. Various formulations of high strength minoxidil are available for men and women and can form part of a targeted treatment course aimed at stopping shedding and encouraging regrowth.
According to psychologist Dr. Ana Fonseca, “For women, self-esteem and self-concept are the reflex of social influence, which can act as a source of conflict and misfit, with repercussions on body image and health. The relationship with the hair often includes anxiety about its general condition, if it’s thinning and falling out, or going gray. Hair is valued in connection with beauty and femininity, sexuality and attractiveness, so when losing it, people are affected negatively in their self-esteem and self-image. Hair loss threatens our vanity, how much we value ourselves and is usually seen as unattractive and often associated with being unwell or aging. It is recognized that there are also emotional factors associated with hair loss so it can mean psychological discomfort.”
Trichotillomania, classified as an “impulse control disorder,” causes people to compulsively pull their hair out. “It’s sort of like a tic, the person is constantly playing and pulling their hair,” says Dr. Glashofer says. Unfortunately, this constant playing and pulling can actually strip your head of its natural protection: hair. Trichotillomania often begins before the age of 17 and is four times as common in women as in men.
Hi Chase – We’re glad you enjoyed this blog post! Most of our products are cosmetic solutions to hair loss, but if you are looking for more natural remedies, our Hair Nutrition 2-in-1 Capsules contain biotin and keratin, and help strengthen, nourish, and repair the hair shaft. You can read more about the product here: http://www.toppik.com/shop/hair-nutrition-2-in-1-capsules.
Once considered a mark of a middle age crisis among men, hair loss and thinning hair is fairly common among women as well. Some 30 million women in the U.S. have hereditary hair loss (compared with 50 million men). Daily tasks such as brushing and washing your hair can turn from relaxing to puzzling when excess shedding around the hairline occurs. Being an unlucky victim of either genetics or improper hair styling can cause a receding hairline.
I started loosing of my hair at age of 16 only. I was loosing 30–70 hairs. I was worried about it. After my 12th exam I moved to Panipat, there also same thing was happening with my hair(college days). I was 22 when I came to Bangalore in 2015 for job search I realized that loosing 30–70 hair is normal. In two months of struggling period I lost 30% my hair (rate was higher this time). My hairline was receding but It was not noticeable to others. I went back to my home town for 1 months and my hair fall was stopped. I got my posting in Chennai. I was worried because I thought now i will loose more hair. After 5 months I came to bangalore again and I noticed hair fall rate in bangalore is more than chennai. I was very worried, after lot of research I finally thought to consult to dermatologist for PRP treatment. I consulted Dr, parth sarathi (MG road). I read about PRP treatment and it was impressive. Before that i tried livon hair gain also. OK.. Now coming to dermatologist part. He took my 40k (aprx) but nothing happened to my hair. I had gone through 3 PRP session also, applied topical solution of serums (suggested by doc). I lost more hair. Now I have very less hair on scalp. I can see my my bald scalp.
The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.
Most women with pattern hair loss don't get a receding hairline or bald spot on top of the scalp as is common in men. Instead, there is visible thinning over the crown. In men and women, hairs are miniaturized because of a shortened growth cycle where the hair stays on the head for a shorter period of time. These wispy hairs, which resemble forearm hairs, do not achieve their usual length.
The important distinction between male pattern baldness and female pattern hair loss is that, whilst men may develop absolute baldness – when the damaged follicles can no longer function so hair growth stops, and the skin takes on a smooth, shiny appearance – this is rare in women. Women’s hair loss may become advanced, but true baldness – as men experience it – is highly unlikely.

What if I love male pattern baldness? What if I want to go bald? Since I was a little child I’ve always secretly desired to do so, but I didn’t dare openly admit it, fearing everyone would think I was crazy. My last year in college several of my classmates, all of them still in their 20s were losing hair. One classmate went male pattern bald in about one year. I felt sorry for them, but at the same time I was insanely jealous of them. I fought those feelings, but finally had to admit (to myself), that I loved male pattern baldness and I wanted to lose my hair. But I was afraid of what people would think and feared that no woman would want me. Silly me, all my balding classmates had steady girlfriends and the bald guy was engaged to one of the prettiest girls on campus. But would any girl want ME if I was bald? Then my hairline started to recede a little. I panicked, as I didn’t even have a steady girlfriend. When my hairline stopped receding, I was relieved, but at the same time, disappointed. After my wife and I were married, for decades I would check my hairline, hoping and praying for my hairline to recede and for a bald spot to develop in back. My wish finally came true in my early 50s, as I began to lose hair in front and in back. To my delight, my wife was thrilled that I was and begged me to just let myself go. I did and in less than two years I was totally hairless on top, with only the usual fringe on hair on the sides and back.

If you're worried about hair loss, it is important to consult with a both your primary doctor and an experienced hair restoration physician -- someone who specializes exclusively in the medical diagnosis, treatment and tracking of hair loss and its treatment. Only a qualified and experienced hair restoration physician can prescribe the most effective multi-therapy treatment options, including the latest available products.
Women also have more of an enzyme called aromotase, which stimulates the hormone production of estrone and estradiol; both of these hormones act against hair follicle-shrinking DHT. In most women, aromotase production is significant at the front of the hairline—meaning loss here is less common in women, but not impossible. Sometimes, conditions such as hirsutism, ovarian abnormalities, infertility and menstrual irregularities may interfere with estrone and estradiol production so that loss at the hairline occurs.

Hair loss can start as soon as puberty ends, depending on your hereditary sensitivity to DHT. That phrasing is key: Bauman stresses that it is not DHT production that causes hair loss, it's the inherited sensitivity to DHT that causes the loss. Those with high sensitivity will be the first to experience a weakening in their follicles. This results in thinning around the crown and hairline, and lighter pigment in the hair. Behaviors that increase DHT production will magnify the loss depending on sensitivity. These behaviors include smoking, creatine supplements, resistance and weight training exercise, stress, and taking anabolic steroids or testosterone hormone replacement.
1.Biotin or Vitamin B7, is a water-soluble vitamin that’s a part of the vitamin B complex — a group of key nutrients needed for healthy metabolic, nerve,digestiveand cardiovascular functions.Biotin acts as a coenzyme in the body that’s needed for the metabolism of fatty acids, amino acids and glucose. This means that when we eat foods that are sources of fats, proteins and carbohydrates, vitamin B7 biotin must be present in order to convert and use these macronutrients for bodily energy, to carry out physical activities and for proper psychological functioning.Biotin is also a nutrient that helps us keep a young, attractive appearance since it plays a major part in maintaining the health of our hair, nails and skin. In fact, biotin sometimes gets the nickname the “H” vitamin, which stems from the German words Haar andHaut that mean “hair and skin.” Vitamin B7 biotin is commonly added to hair and skin beauty products, although it’s believed to not be absorbed very well through the skin and actually must be ingested to be fully beneficial.Biotin can be found in foods like organ meats, eggs, avocado,cauliflower,berries, fish, legumes and mushroomsNote-taking Egg white cause Biotin deficiency, eat the Whole egg. Biotin helps in regrowth of Hair.
An unhealthy scalp environment can play a significant role in hair thinning by contributing to miniaturization or causing damage.[citation needed] Air and water pollutants[citation needed], environmental toxins,[citation needed] conventional styling products and excessive amounts of sebum have the potential to build up on the scalp.[citation needed]. This debris can block hair follicles and cause their deterioration and consequent miniaturization of hair.[citation needed]. It can also physically restrict hair growth or damage the hair cuticle[citation needed], leading to hair that is weakened and easily broken off before its natural lifecycle has ended.[citation needed]
According to psychologist Dr. Ana Fonseca, “For women, self-esteem and self-concept are the reflex of social influence, which can act as a source of conflict and misfit, with repercussions on body image and health. The relationship with the hair often includes anxiety about its general condition, if it’s thinning and falling out, or going gray. Hair is valued in connection with beauty and femininity, sexuality and attractiveness, so when losing it, people are affected negatively in their self-esteem and self-image. Hair loss threatens our vanity, how much we value ourselves and is usually seen as unattractive and often associated with being unwell or aging. It is recognized that there are also emotional factors associated with hair loss so it can mean psychological discomfort.”
Yes, we’re all for the quick wash and rinse routine in the shower, but how much damage is this brevity doing to your hair? As it turns out, quite a bit. Aside from the leftover product residue, there are some of us who produce more Sebum, which naturally lubricates our skin. It’s what makes your shiny and greasy after a few days without a shampoo. If you’re a healthy adult experiencing hair loss, you can probably blame this occurrence on clogged hair follicles. The solution? Start using a clarifying shampoo two to three times a week. Be sure that the shampoo does not contain any conditioner, as this is the stuff that created the problem in the first place. And for more great hair care tips, check out the one haircut that will shave 10 years off your age.
Oral Medication: “In cases of androgenetic alopecia, finasteride is still the gold standard,” says Fusco. (Finasteride is the generic version of Propecia, which can be prescribed by your dermatologist and is also available via mail subscriptions.) Fusco says that even younger men can slow or delay hair loss by starting a daily finasteride prescription. “This medication works by inhibiting an enzyme that leads to hair loss,” she notes. “In clinical trials, 90 percent of the patients either gained hair or maintained their hair over a five-year period.”
If you're going through or about to enter the menopause, changes in your body may also have an effect on your hair. "Hair loss becomes more prevalent leading up to and after the menopause" reveals Anabel. That being said, "it's important to realise that our hair ages, and as we get older, hair naturally gets finer. It's a totally normal part of the ageing process."
Before you venture into the confusing world of Internet hair loss advice, you should first pay a visit to a hair loss specialist. The doctor will sit down with you and discuss your family and medical history, then take a look at your hair loss and make a recommendation. The doctor might recommend one of the following treatment options for young males who are experiencing hair loss:
In order to prevent drying and breakage, it’s best to stay away from heat tools, such as hair dryers and straightening irons. Extensions and other styling methods can also weaken your hair and cause early hair loss. If you must dye your hair, choose an all-natural hair color. Artificial chemicals found in dyes and perms can compromise your scalp and hair health. When you wash your hair, always use a nourishing conditioner to keep your scalp healthy and promote healthy hair growth.

Vigorous styling and hair treatments over the years can cause your hair to fall out. Examples of extreme styling include tight braids, hair weaves or corn rows as well as chemical relaxers to straighten your hair, hot-oil treatments or any kind of harsh chemical or high heat. Because these practices can actually affect the hair root, your hair might not grow back.
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Your body needs to be hydrated in order to function properly. Load up on H2O all day long and pass on juices, sodas, and other flavored drinks that contain more sugar than your body needs. The amount of water needed varies from person to person and depends on various factors, including overall health and exercise intensity. As a general rule, however, you should aim to have eight 8-ounce glasses of water per day.
Some hair loss is associated with stress although male pattern baldness is a genetic condition found in many men. If you find your hair is falling out in clumps or at unpredictable times, it is most likely to be the symptom of something else. This could be stress related but is unlikely to be caused by sexual frustration. The best thing to do is to see your GP for a check up.
I've never worn a wig, the remaining hair I do have is thick and really curly so it tends to hide things for me. I feel if it significantly progressed and I couldn't control it any more, then I almost definitely would. The high quality ones are very expensive though, which is a barrier for a lot of sufferers. I'm considering shaving my hair at the moment; but I know it'd be impossible for me not to pull the re-growth entirely.
Hair transplant are a well-liked way to reinstate hair these days as the effects are totally natural-looking plus involve hair return using hair from the patient’s own head. Hair transplant can be performing on both men plus women moreover are only not possible if Alopecia Totalis has previously occurred (total hair loss throughout the death of the hair follicles).
A few years back, your hair was so thick that we could barely see your scalp. But these days, parting your hair leaves a noticeable gap that everyone can see. This is because you’ve lost some of the hair in your crown area, effectively losing some of your hair’s volume. The problem is that you never really know how much thinning is going to happen. For some men, it could just be a little bit of shedding. For others, their hair could continue thinning until there are large bald patches.
Hair loss caused by folliculitis decalvans, an inflammatory disorder that leads to the destruction of hair follicles, is often accompanied by redness, swelling, and lesions on the scalp that may be itchy or contain pus, known as pustules. This type of hair loss is not reversible, but dermatologists can offer medication to control symptoms and, in some instances, stop the progression of hair loss.
Reacting strongly to menopause hair loss can be seen as vanity – but it most definitely is not. Menopause hair loss can lead to depression, anxiety and low self esteem, but don’t worry you are not alone! If you can take the time to think about what you eat and whether you are getting enough vitamins and minerals into your diet along with a few housekeeping rules, you can help to alleviate this symptom.
If you are looking for a temporary cosmetic solution for hair loss, consider trying Toppik Hair Building Fibers to cover any areas of thinning hair or scalp show-through. Available in nine shades that can be mixed to match almost any hair color, Hair Fibers come in four sizes to help with a wide arrange of hair loss needs. You can either shake or spray the Hair Fibers into thinning hair, and watch as your hair is instantly transformed. This is the quickest way to get the confidence you once had with a full head of hair.
my mother is abit bald in the center but she 56 and she said she got lots of hair when she was my age, my dad hair is fine and so are my brother. So genetic is unsure. Thirdly, i dont have stress, i got no gf, no one to support,…..i dont give a shit what other say or think. Stress is tick. I dont smoke, drink, or use birth control. i dont have disease or illness, i never been to the doctor.
Hair loss affects over 60% of men before the age of 30. Some men begin to experience hair loss, commonly a result of male pattern baldness, in their late teens or early twenties. If you have recently looked in the mirror to discover you have thinning, balding patches of hair or a receding hairline, you may be suffering from male pattern baldness or another condition that’s causing your hair loss. Hair loss is not entirely understood by researchers, though, so slowing balding and regenerating hair growth can sometimes be a guessing game. There are options, though, for young men who experience mild to severe hair loss. You should start by trying to understand the cause of your baldness to help you decide which treatment (or lifestyle changes) may work for you. 

Lack of sleep can push your body into a state of distress, which can actually halt hair growth. So, get some zzz’s and your hair will gladly thank you. According to Wellness Magazine, one out of every six Americans feel sleep-deprived. If your minimal sleep time is leaving you feeling exhausted, you can be sure that your hair follicles are feeling the same way.
Dietary supplements are not typically recommended.[30] There is only one small trial of saw palmetto which shows tentative benefit in those with mild to moderate androgenetic alopecia.[30] There is no evidence for biotin.[30] Evidence for most other produces is also insufficient.[37] There was no good evidence for gingko, aloe vera, ginseng, bergamot, hibiscus, or sorphora as of 2011.[37]

Complete Belgravia's online consultation if you are unable to visit one of our London clinics. The questionnaire should take no more than 10 minutes to complete and will provide our hair loss specialists with all the information required to recommend an effective course of home-use treatment. For those who live in or around London, we always recommend a clinical consultation.


The notion that only middle-aged men experience baldness isn’t only false, it’s damaging. It causes 20-year-old men to feel self-conscious about their hair loss, meaning that most of them refuse to confront the reality that their hair is thinning. Accepting this reality is the first step towards preventing hair loss from accelerating and getting worse.
A medical event or condition, such as a thyroid imbalance, childbirth, surgery, or a fever, typically triggers this type of hair loss. Telogen effluvium may also occur as a result of a vitamin or mineral deficiency—iron deficiency is a common cause of hair loss in women—or the use of certain medications, such as isotretinoin, prescribed for acne, or warfarin, a blood thinner. Starting or stopping oral contraceptives (birth control pills) may also cause this type of hair loss.
I took your quiz. Sadly, the answers I gave were as of my early 20s, when my hairline started receding and had that ‘M shape’. I receded to Norwood 3, but mysteriously, the receding stopped there. The only explanation I can think of is that I gave up junk food and started eating more fresh fruit and veggies and started regular running and hiking. I lost a lot of weight and felt great. Until my early 50s, when suddenly my hair began to rapidly recede and I developed a bald spot in back. I panicked, thinking that I might have a serious medical condition, since I had not changed my good living habits. My doctor reassured me that I was still very healthy. Next stop: hair restoration specialist. He informed me that I had male pattern baldness and would eventually go completely bald on top. To my surprise and delight, my wife was thrilled that I was going bald and begged me to just let nature take its course. She confessed to me that she had always secretly wished that I would someday go bald and was delighted that her wish was finally coming true. Reluctantly, I agreed to just let myself go bald. Two things amaze me: First, how fast I went bald (less than two years to go completely bald on top). It was as if I was making up for lost time. Secondly, the sudden change in my attitude. Whereas I was panicked my wife would hate it, now thanks largely to her encouragement, I couldn’t go bald fast enough. It was a huge turn of for my wife and me. She still loves to sneak up behind me while I’m relaxing watching TV news or sports and kiss me on top of my bald head. I haven’t just adjusted to being bald. I really love being bald and wouldn’t ever try to regrow my hair. Not at my age. I’m in my 70s and it is quite normal for someone my age to be bald. The information you email to me I will pass on to my two sons, who, like me, face the likelyhood that they will eventually go bald. They are in their mid 30s and their hairlines are beginning to recede a little at their temples. I chose to go bald. They don’t have to. Oh, a third thing amazes me: that there are women out there who prefer bald men to men with a full head of hair. Thank God I am married to one of those women.

Extreme hair loss should be discussed with your healthcare practitioner. But in the case of mild to moderate thinning hair, which is usually a result of thyroid imbalance, hormonal imbalance, nutritional deficiencies, or elevated stress hormones, most women can get relief naturally — without having to resort to a new hair cut or experiment with hair thickening creams!
There’s no single cause. Triggers range from medical conditions -- as many as 30 -- to stress and lifestyle factors, like what you eat. Your genes play a role, too. Sometimes doctors can’t find a specific reason. As a starting point, hair loss experts suggest you get tested for thyroid problems and hormone imbalances. Hair often grows back once the cause is addressed.
At the time most wigs used eurocentric textures or looked so fake, so I started making my own instead. As well as wearing and creating wigs for other women who suffer from hair loss, I also practice a lot of meditation to help deal with my anxieties. They haven't disappeared totally, they never really do, but the way I deal with them now is a lot clearer.
Finasteride (Propecia) is a medicine taken in tablet form that partially blocks the effects of the male hormones (an 'anti-androgen'). Propecia has been shown to halt further hair loss and promote re-growth of scalp hair in approximately 80 per cent of patients after three to six months. The treatment benefits also stop when you stop taking the medication. Only available on prescription and is available on some NHS primary care trust lists for certain conditions.

Ask your stylist. She might suggest a short cut, a different part, maybe a gentle body wave. Try a styling product for thin hair to hide bare spots. Apply it to the root area then gently blow dry to build volume. Let your hair air dry for a while before you use the dryer. Special cosmetics can disguise parts of your scalp that show. Think about keratin fiber hair cosmetics. Sprinkle them over the thinning patch. Their static charge makes hair look thicker.
A new medication can bring about a whole host of changes to your body—while also affecting the rate at which hair grows on your entire body. Certain medications can lead to two types of hair loss: telogen effluvium and anagen effluvium. Telogen effluvium can begin to take effect within the first two to four months after taking a new medication. If you notice more hair loss than usual, notify your doctor immediately to save your most prized possession from further damage. The second type of hair loss, anagen effluvium, is most common in cancer patients receiving regular doses of chemotherapy. This type of hair loss prevents your matrix cells from producing new hair altogether, meaning that you may lose hair on other parts of your body as well. And for more ways to make the most of your mane, check out these 15 Top Hair Tips from Top Hollywood Stylists.
I'm a 19-year-old male. Six months ago, I noticed that my hair was falling out much quicker than it ever had before. I have always had pretty thin hair, but now it is thinner than ever, and my hairline has been receding very quickly. I have a feeling that i could have a case of telogen effluvium, considering the fact that I have been extremely stressed the last year and a half. When I pull a... READ MORE
Hair loss can start as soon as puberty ends, depending on your hereditary sensitivity to DHT. That phrasing is key: Bauman stresses that it is not DHT production that causes hair loss, it's the inherited sensitivity to DHT that causes the loss. Those with high sensitivity will be the first to experience a weakening in their follicles. This results in thinning around the crown and hairline, and lighter pigment in the hair. Behaviors that increase DHT production will magnify the loss depending on sensitivity. These behaviors include smoking, creatine supplements, resistance and weight training exercise, stress, and taking anabolic steroids or testosterone hormone replacement.
Devices that emit low-energy laser light may help new hair grow. They're available in some clinics and for home use. Several are approved for both men and women, and studies show they do work. But it might take 2-4 months before you see results. Keep in mind: The FDA doesn’t require the same rigorous testing for devices as for medicines. The long-term safety and effects aren’t known.

Alternative approaches involve little to no risk and can be an extremely effective means of treating hair loss. This level of approach includes several different therapies. Herbal remedies are the most prominent, though in addition women may turn to such techniques scalp massage in order to help stimulate hair follicles and regenerate hair growth. These can be valid and effective options, though most women find that herbal remedies are the easiest alternative treatment to follow, as the others require a greater time and monetary commitment. In addition, herbal remedies are the only viable option to treat the hormonal imbalance directly at its source.
My age is 20 ... I have excessive hairloss for over an year... 2 years ago I had full head of hair... But now I notice that I'm going bald..!!! My father is also bald.. My uncles are bald too.... I know my hairfall is for family reason... I don't want to become bald.. What can I do??? Which type of treatment should I take ???? Plzz help... READ MORE
I found out I have PCOS (Polycystic ovary syndrome) coupled with insulin resistance, which were the causes of the hair loss. This was over 12 years ago and unfortunately for me not much was known about the condition, which affects so many women. All the GPs and specialists I saw were middle aged men, who were dismissive and often clueless about what was going on. I was told there was really not much to be done, and put on the pill which was supposed to balance things out. At one point I was even told not to worry over something as trivial as hair loss. 

Menopause is a natural biological process that all women experience at some point in their lives. During this time, the body goes through numerous physical changes as it adjusts to fluctuating hormone levels. Many women have unpleasant symptoms during menopause, including hot flashes, mood swings, and insomnia. Hair loss is another common occurrence.
Be consistent. Dr. Robert Bernstein, a respected hair restoration surgeon suggests staying on Propecia and minoxidil for 12 months because hair growth may take a long time to become visible. Bernstein also notes that although Propecia and minoxidil were only proven to regrow hair on the top of the scalp, they "definitely can" work for the temple region so long as there is still hair remaining in that area.
In last place on Dr. Guyuron's list of risk factors for hair loss are psychological stress and hormone imbalances. Stress is known to flood the body with hormones, he says, including some that block the action of a follicle-protecting enzyme called 5-a reductase. And when testosterone forms and then breaks down in the body, it can release "breakdown products" that have been tied to thinning hair.
In addition to behavioral changes, Bauman says you can slow hair loss by taking routine nutritional supplements. He recommends a professional-grade Biotin, called Viviscal Professional or Nutrafol Men. “Nutrafol targets several possible triggers for hair loss and hair thinning, including inflammation, the effects of cortisol (stress hormones), free radical damage, and more.”   He also suggests using grooming products that contain caffeine (like Davines’ Energizing lineup), saw palmetto (Serenoa Repens) such as MiN New York daily shampoo, and green tea extracts (ECGC) like Paul Mitchell’s scalp care assortment. “These can help strengthen the follicles and help prevent shedding,” he says.
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