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research Association of type 2 diabetes with central-scalp hair loss in a large cohort study of African American women

16 citations , June 2019 in “International Journal of Women's Dermatology”

This study found that type 2 diabetes was associated with a higher risk of severe central scalp hair loss in African American women.

research A 40-Year-Old Woman of African Descent with the Central Scalp Hair Loss

1 citations , January 2022 in “Clinical Cases in Dermatology”

This review discusses central centrifugal cicatricial alopecia, emphasizing its clinical features, potential contributing factors, and treatment options, but does not report new clinical findings.

research Central hair loss in African American women: Incidence and potential risk factors

76 citations , November 2010 in “Journal of The American Academy of Dermatology”

In this study, a photographic scale and questionnaire revealed that extensive central scalp hair loss was observed in 5.6% of African American women, with an association to a history of tinea capitis.

research Bitemporal Scalp Hair Loss: Differential Diagnosis of Nonscarring and Scarring Conditions.

2 citations , February 2021 in “The Journal of clinical and aesthetic dermatology”

This review examines the various potential causes of bitemporal hair loss, emphasizing the importance of prompt diagnosis to prevent further hair loss in scarring conditions; it reports no new clinical results.

research Central hair loss in African American women: Incidence and potential risk factors

January 2012 in “Yearbook of Dermatology and Dermatologic Surgery”

Some African American women experience central scalp hair loss, often linked to a history of fungal scalp infection.

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Community Join

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community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

in Research 830 upvotes 2 years 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 How much hair did the obese people in the 1980s get on 50mg+ of oral minxodil?

17 upvotes 1 week ago

High doses of oral minoxidil in the 1980s often led to significant body hair growth but not proportionally more scalp hair compared to lower doses. The treatment also caused cardiovascular side effects, making it unsuitable for hair loss experiments.

community 21M (‘05) - Monthly Progress Journal (Since Jan 2, 2026) | Oral Fin/Min + Scalp Optimization

in Journals / Progress Pictures 385 upvotes 2 months ago

A 21-year-old has been using daily oral finasteride, minoxidil, biotin, and vitamins since January 2026 for hair loss, adding topical treatments and microneedling in May. They observed initial shedding and scalp issues but noted significant progress after adjusting their routine.

community How to track hair loss

in General 45 upvotes 9 months ago

A 32-year-old noticed thinning hair and started using minoxidil 5% daily without worsening. They seek advice on tracking hair loss progress with photos.

community Current update on hair loss with pictures in this order: Old to new

11 upvotes 1 month ago

The user experienced hair loss starting in 2020-21, with significant thinning by 2024. They used finasteride, dutasteride, and oral minoxidil, seeing regrowth initially but faced setbacks due to medication interruptions and other factors, leading to thinning again.

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Clinics

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Learn

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learn Redensyl

Cosmetic ingredient blend sold for thinning hair

learn Neem Oil

Oil from the neem tree, used in traditional remedies

learn Bicalutamide

What results can you expect from using bicalutamide on your scalp? There is no published human study of bicalutamide applied to the scalp for hair loss, no licensed topical product and no established dose, so no result can be predicted from it. The evidence that exists is for the oral tablet in women, which is a prescription drug requiring liver monitoring and contraindicated in pregnancy.

learn Hair Transplant

Surgery that moves hair follicles from the back of the scalp to thinning areas

learn Scalp Micropigmentation

Does scalp micropigmentation cause hair loss? Providers say scalp micropigmentation does not cause hair loss; there is little published evidence either way. SMP does not treat or stop hair loss, and a skin reaction or infection after SMP should be seen by a doctor.
Is scalp micropigmentation suitable for all types of hair loss? Providers say scalp micropigmentation suits many types of hair loss. Some conditions need a diagnosis first, and some can recover or regrow on their own.

learn Caffeine

Does the caffeine in the scalp reach the follicles or stay on the surface? In small studies, mostly on chest or leg skin rather than the scalp, topical caffeine entered hair follicles within minutes. Whether enough reaches the follicle cells in the scalp to affect hair growth has not been shown.

learn GT20029

Are there any known side effects of using GT20029 on the scalp long-term? Long-term side effects are unknown. Trials of up to 12 weeks reported mostly mild scalp effects such as dryness and itching, at rates similar to placebo (Hu et al. 2025).

learn Alopecia Areata

autoimmune disorder causing patchy hair loss

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Experts

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Trichologist
Kirsten J. Scalp
Greenville, SC, United States

Kirsten J. Scalp