A Practitioner's Guide to Hair Loss Part 1: History, Biology, Genetics, Prevention, Conventional Treatments, and Herbals

    John J. Janowiak, Carson Ham
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    TLDR The document concludes that hair loss is influenced by genetics and other factors, and while treatments like finasteride can help, they have limitations and side effects.
    The document from 2004 provides a detailed examination of hair loss, discussing its history, biology, genetics, and various treatment options. It reveals that Americans spend about $1.2 billion annually on hair loss treatments and that hair loss can be attributed to factors such as heredity, disease, and scalp conditions. The paper clarifies that hair is made of dead cells and keratin, and its health can be affected by the environment, diet, and stress. It outlines the phases of hair growth and the significant role genetics play in hair loss, with the first gene related to hair growth identified in 1998. The document reports that 80% of American men experience hair loss, with male pattern baldness prevalent after age 40, and that women also suffer from hair loss, especially post-menopause. It discusses the effectiveness of Propecia (finasteride) in promoting hair regrowth in men in their 20s and 30s, with a clinical trial showing 80% experienced new hair growth. However, it also notes the side effects and limitations of finasteride. Hair transplants and herbal remedies are also covered, with some herbal treatments showing promising results in clinical trials. The document emphasizes the need for compassionate treatment of hair loss and informed medical advice.
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      community Quit vaping/smoking = 80% less loss

      in Research/Science  235 upvotes 1 year ago
      Quitting vaping significantly reduced hair loss for a user who was a heavy vaper and also taking finasteride. Some participants suggest nicotine's vasoconstrictive properties may worsen hair loss, while others share personal anecdotes of hair improvement after quitting smoking or vaping.

      community Balding at the age of 17 years old

      in Chat  8 upvotes 6 months ago
      A 17-year-old experiencing hair loss is using Minoxidil but is hesitant about Finasteride due to potential side effects. Others recommend Finasteride for its effectiveness and suggest alternatives like vitamins and derma rollers.

      community I put together a list/routine of some of the most successful dermaroller stories and combined the most common techniques they use including videos. What do you think?

      in Question  67 upvotes 5 years ago
      The conversation is about a hair loss treatment routine that includes using a 1.5mm dermaroller once a week, applying 5% Minoxidil twice daily, taking 1mg Finasteride, and Biotin supplements. It also includes warnings about the potential risks of applying Minoxidil immediately after dermarolling and instructions for cleaning the dermaroller.

      community Does anyone think their hair loss is thyroid related?

      in Chat  10 upvotes 1 week ago
      Hair loss may be linked to thyroid issues, with some individuals noticing changes in hair texture when taking substances affecting the thyroid. Treatments mentioned include a topical mix of finasteride, minoxidil, and tretinoin, along with microneedling.

      community Hair Loss & Lipids: Why you have sebderm, folliculitis, LPP, inflammation, etc...

      in Research/Science  130 upvotes 2 weeks ago
      Excess sebum rich in cholesterol and triglycerides can lead to hair loss through inflammation, with treatments like Ciclopirox shampoo, Benzoyl Peroxide shampoo, and Clindamycin gel recommended for managing conditions like seborrheic dermatitis and folliculitis. Pioglitazone is suggested for Lichen Planopilaris, while Omega-3s and reducing processed foods may improve sebum quality, though genetic factors play a significant role.

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