Notes from the Editor Emeritus

    Bernard P. Nusbaum
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    TLDR Scalp tools, tracking progress, targeting scalp inflammation, and avoiding certain hair treatments can improve female hair loss treatment.
    In 2014, Dr. Bernard Nusbaum discussed the diagnosis and treatment of female hair loss. He highlighted the use of scalp dermoscopy as a valuable tool in recognizing features of various alopecias. He also mentioned the use of global photography and hair bundle cross-section measurements using the HairCheck® device to track a patient's progress. He noted the importance of recognizing an indolent inflammation in female pattern hair loss (FPHL) and suggested that therapies targeting this inflammation, such as compounding topical corticosteroids with minoxidil, could enhance treatment efficacy. He also mentioned the potential benefits of low level laser therapy (LLLT), citing a study involving 269 participants that showed a significant increase in mean terminal hair with LLLT. He also discussed the potential role of vitamin D deficiency in hair loss and the possible impact of environmental toxins, such as mercury, on hair loss. Lastly, he warned about the potential hair loss effects of Brazilian keratin hair-straightening treatments due to high formaldehyde levels.
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      community What is going on with my scalp?

      in Female  25 upvotes 11 months ago
      A user named Mmherak is experiencing hair loss, with low B12 and iron deficiency, and has been recommended minoxidil and spironolactone by dermatologists. Other users suggest seborrheic dermatitis or dandruff, recommending treatments like Nizoral shampoo, ketoconazole, and Selsun Blue.
      Diffuse hair loss and scalp biopsies

      community Diffuse hair loss and scalp biopsies

      in Research  692 upvotes 4 months ago
      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

      community Diagnosed with female pattern hair loss as a male with recent aggressive loss. Preemptively mourning the only part of myself I’ve ever come close to loving. Lost all motivation to do anything with my life.

      in Progress Pictures  271 upvotes 1 year ago
      The conclusion of the conversation is that the user should consider using treatments such as finasteride, minoxidil, and RU58841 to potentially reverse their hair loss. Other suggestions include using hair loss concealers and maintaining a healthy diet.

      community Why do barbers never mention if you’re balding?

      in Chat  317 upvotes 8 months ago
      People are discussing why barbers often don't mention their clients' hair loss, with some sharing personal experiences where barbers did suggest treatments like finasteride (Fin) or mentioned the possibility of hair transplants. Some barbers avoid the topic to not offend clients, while others openly discuss it and recommend treatments or acknowledge the issue when asked.

      community Female Hair loss

      in Female  16 upvotes 5 years ago
      Women also experience hair loss, especially post-menopause, often requiring lifestyle changes. Treatments include Scalp Micropigmentation, hair transplants, and sometimes finasteride, with underlying causes needing medical evaluation.

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