You’ll find ketoconazole in Nizoral anti-dandruff shampoo, and preliminary research indicates that it may be effective in treating hair loss. Researchers found that both 2% ketoconazole and minoxidil regimens improved hair density, size, and proportion of anagen follicles. Ketoconazole also is effective in treating a fungus called Pityriasis that often inhabits the scalp.

Follicum announced yesterday it has successfully completed the development of a topical formulation for FOL-005. The company had been working in parallel to develop an optimal topical version of FOL-005 while an injectable version of the peptide was being used in a clinical trial. Now that the topical formula is completed it will be trialed in a further phase 2 clinical trial which will likely begin very late 2018 or early 2019.

Dr. Hawkshaw and his team were lead to test WAY-316606 for hair growth after studying the effects of cyclosporine A (CsA) on hair growth. They found that CsA reduced the expression of SFRP1 in human hair follicles. After looking for other drug candidates that had a similar effect on SFRP1, WAY-316606 was identified. The team has already tested WAY-316606 on isolated human hair follicles which were donated from hair transplant surgeries, and plans to test the drug in human clinical trials in the future. A timeline for a human clinical trial has not been set yet, Follicle Thought will update this as news is presented.


Egg mask. Eggs are one of the riches sources of protein, which is the building block of keratin, as well as other minerals like zinc, iron, selenium, phosphorous and iodine. Mix an egg white with a tablespoon of olive oil and honey to make a paste. Apply it on your hair and leave on for 20 minutes. Rinse and shampoo using cold water. You can apply this egg mask on your hair once a week.
This particular research which was published in the Nature journal showed that a synthetic version of sandalwood, called Sandalore, binds to the OR2AT4 receptor in hair folliles and prolongs their anagen (growth) phase. The hair follicles studied were treated in a petri dish. Paus has subsequently announced that a completed clinical trial of 20 female volunteers using a topical version of Sandalore showed a reduction of daily hair loss. There is also another larger clinical trial ongoing now which hopes to confirm the effect and announce results in early 2019. Paus has gone as far to say “there is even a chance that this might be able to bring the hair back.” We’ll keep our fingers crossed.
Hair pieces and wigs. One of the most traditional answers to hair loss, wigs and toupees are perfect for severe cases where full coverage is needed. Wigs can be made either from real human hair, animal hair or synthetic fiber. The materials are sewn together into certain hair styles and are worn on top of the real hair. For those who want to cover up only bald spots or add volume to thinning hair, hair pieces and hair extensions are also available. These are balls of hair that can be attached at the base or clipped to portions of the head.
This shampoo has one of the top ratings of any shampoo sold online. KIMI Naturals must be doing something right! Saw palmetto, biotin, argan oil, and keratin are some of the highlight ingredients in this shampoo. They offer a 60 day money back guarantee, so if you’re not happy with the results after you give it a go, get you’re money back. On their KIMI Naturals website, they also sell a vitamin supplement and scalp treatment which they sell together with this shampoo as a 3-pack system.
Dry, brittle strands—whether from heat damage or age—can definitely cause your hair to thin out. With more than 5,000 verified customer reviews, the Pura D’or Gold Label Shampoo gets top marks for its restorative, regenerative, and strand-strengthening properties. Among the shampoo’s 17 active ingredients are red Korean seaweed, which is proven to treat alopecia, and scalp-stimulating black cumin seed oil.
Late last week, HairClone officially unveiled its crowdfunding campaign with the Euro-based crowdfunding company Capital Cell. HairClone is offering equity based crowdfunding, which means anyone who makes an investment (£500 minimum) owns equity in the HairClone company. Full details on the campaign are listed in the latest HairClone article on the main page of Follicle Thought.

Minoxidil (Rogaine). Minoxidil is one of the most common and popular forms of medication for hair loss, particularly pattern baldness, but also generally used in cases of alopecia areata. It is an over-the-counter drug that comes in either liquid or foam form and is applied on the scalp, particularly on the bald patches, to promote hair growth and stop further hair loss.


The answer, to be brutally honest, is no. Combine that with the fact that many shampoo manufacturers are hungry for a quick buck and make false claims about ingredients that haven’t been proven to work, and you have a market that can be treacherous to navigate. There are even fake reviews – which is a whole additional layer of deceit when you think about it.
However, the high incidence of androgenic alopecia is caused by the male hormones. Testosterone in the scalp is converted into dihydrotestosterone (DHT) that causes the follicles to shrink in size, therefore inhibiting the growth of hair, which eventually leads to baldness. However, hair follicles on the sides and back of the head do not have as much DHT compared to the top, hence why hair loss is concentrated on the crown of the head. Interestingly, DHT is known to help in the growth of the beard and hair on the chest, a reason why most bald men have hairy chests and grow their beards much faster.
Recent update: “Breakthrough” in South Korea (11/21/17). We don’t want to get anyone’s hopes up prematurely, and we definitely hope this is not just another false alarm, but this recent discovery does seem to hold some promise. At best it would probably be 3-5 years out for wide availability, we think it’s still worth checking out. Professor Kang-Yell Choi of South Korean University Yonsei lead research indicating that they may have discovered a new protein that controls hair growth. The study in the Journal of Investigative Dermatology as well as a news article in the Korea Herald are good places to start reading about this new development.
This video is equally hilarious. Once again, there is inspiration here. Deion had a 5,000+ FUE last year and received good results from it. But he’s not done yet, he has the resources to have another procedure and get as close as he can to the result that he really wants, so he did. Surely, he’s just about maxing-out his donor area now. Once again, congratulations to Deion for pursuing his hair growth goals. Enjoy the video and have a big laugh. OOOOeeee.
It never hurts to do a little bit of research when exploring treatment options for hair loss. But at some point, you'll probably want to talk with a physician so that you can get a professional opinion about how to combat hair loss. We don't recommend cutting corners by exploring cheaper homeopathic and all-natural remedies as an alternative. Drugs like finasteride and minoxidil are clinically proven to treat male pattern baldness and even reverse hair loss with a majority of men, and they’re approved by the FDA.
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.”
Again, you’ll want to visit your doctor to get a blood test to check your levels in these vitamins. For example, women who have iron levels lower than 70 nanograms per milliliter are considered deficient. From there, work with your doctor to find an appropriate dose according to your deficiency level. Excessive or unnecessary supplementation can be dangerous.
Androgenetic alopecia is the most common form of hair loss in men and women and is a normal physiologic variant. It is most prevalent in white men, with 30%, 40%, and 50% experiencing androgenetic alopecia at 30, 40, and 50 years of age, respectively 2 (Figure 1). Although this condition is less common in women, 38% of women older than 70 years may be affected3 (Figure 24). Many patients with androgenetic alopecia have a family history of this condition.
Contact immunotherapy. Another drug that can be administered for cases of alopecia areata is contact immunotherapy and is recommended for severe cases. Diphenylcyclopropenon (DPCP) is applied on the scalp every week, and the dosage of the drug is increased over time until a mild allergic reaction is observed, which signals that the drug is taking effect. Regrowth may be observed within three months from the beginning of treatment.
However, each formula contains a different mix of ingredients and will act on preventing the hair loss process in a unique way. Perhaps one of the best things about these anti DHT shampoos is that they are mostly natural and organic compositions with little to no side effects. Probably your biggest risk in using one of these shampoos is a red or itchy scalp, which typically goes away after a couple hours following your shower. 

In the operating room, Bernstein prepped the robot patient for implantation, puncturing the man’s scalp with a long needle. These are the “sites” where the hairs will go. Blood bubbled over his scalp, but the patient didn’t seem to notice. The patient and doctor chatted loosely about summer houses and beers and boats. “Would I be a candidate for a surgery after this surgery?” he asked.
Pura d’or makes a very bold claim with this product: “continued use WILL prevent further hair loss.” While we doubt it will “prevent further hair loss” for everyone, it does have an all-star line up of ingredients. Even if it doesn’t completely stop hair loss, this organic shampoo is certainly the safest for your hair out of our top 5. This shampoo is designed for daily use.
Laser treatments are the latest frontier in staving off hair loss, and they’ll be the first choice for fans of sci-fi. As silly as they may sound, these treatments do work — the American Journal of Clinical Dermatology in 2014 reported a “statistically significant difference” in hair density with no “serious adverse events” or side effects.The bad news: Laser treatments tend to be expensive, progress is slow, and they don’t always produce stellar results.
Since PhytoCayne Revitalizing shampoo is so watery, it’s easy to overpour and waste a good amount of this expensive product. That’s one reason we rank it below Revivogen and Nioxin. The more important reason for the #3 ranking is that this shampoo doesn’t do everything that the other two products do. It’s still effective for most users, however, and worth a try.
While it’s not entirely clear why hair growth occurred after taking dupilumab, Senna hypothesizes that dupilumab may alter the immune system pathway that is overactive in eczema sufferers. "Right now, it's hard to know whether dupilumab could induce hair growth in other alopecia patients, but I suspect it may be helpful in patients with extensive active eczema and active alopecia areata," she explained.
Scientists from the Indiana University School of Medicine have for the first time created skin with hair follicles using mice stem cells. Research was led by Professor Karl Koehler. The team was able to grow both the epidermis and dermis layers of skin to create a realistic skin model. An interesting quote from Professor Koehler: “It looks like a little ball of pocket lint that floats around in the culture medium. The skin develops as a spherical cyst and then the hair follicles grow outward in all directions – like dandelion seeds.”
NIZORAL???? What? Are u joking 🙃? NIZORAL make you loose hair , NIZORAL is not á shampoo is a synthetic imidazole antifungal drug used primarily to treat fungal infections. Ketoconazole is sold commercially as a tablet for oral administration (although this use has been discontinued in a number of countries), and in a variety of formulations for topical administration, such as creams (used to treat tinea; cutaneous candidiasis, including candidal paronychia; and pityriasis versicolor) and shampoos (used primarily to treat dandruff—seborrhoeic dermatitis of the scalp).
To us, that meant any product with zero proven ingredients, case studies, or FDA clearance — which shrunk our list by a whopping 180 contenders. That’s right, there are only three treatments that have actually been cleared by the FDA and supported with clinical studies: finasteride (commonly marketed as Propecia), minoxidil, and laser treatments. And, since finasteride is prescription-only, it left us with two.
While you are waiting for the Big breakthrough, You may want to give Rosemary and Lavender essential oil a shot. I have found that my scalp feels much healthier after using this treatment once a week. I’m in hopes it is stimulating new hair growth as well. Check out some recipes online and reply with your thoughts or other techniques you find helpful. Let’s help each other fight the good fight against hair loss!
"Despite some of the claims, a shampoo or conditioner won’t be able to stop or slow hair loss, nor help with a receding hairline or thicken hair that’s becoming thinner," says trichologist Anabel Kingsley from The Philip Kingsley Trichology Clinic in London. "At best, a thickening shampoo will make hair temporarily thicker for a short period of time, but they certainly won’t help with hair loss or thinning."

The answer, to be brutally honest, is no. Combine that with the fact that many shampoo manufacturers are hungry for a quick buck and make false claims about ingredients that haven’t been proven to work, and you have a market that can be treacherous to navigate. There are even fake reviews – which is a whole additional layer of deceit when you think about it.

With those pinned down, it wasn’t hard to determine which don’t actually work. Pretty much all the “active” ingredients listed in ineffective treatments — from biotin and zinc to emu oil and saw palmetto — have never been proven, and are instead marketed based on logical-seeming correlations. It would make sense that biotin, a B vitamin readily found in hair, skin, and nails, could help hair grow more quickly. And caffeine is a stimulant that works in coffee, so rubbing some on your scalp might wake some of those sleepy follicles… right?


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.
The best hair loss shampoos are gentle enough so that you can use them multiple times a week. Nizoral, however, is most effective when used only a few times a week (and should be left on the hair for three to five minutes before rinsing). But you can also alternate Nizoral with another type of hair loss shampoo – such as the Lipogaine products or Alpecin’s Caffeine shampoo – for an effective one-two hair loss fighting punch. Use Nizoral twice a week while using your other hair loss shampoo on the other days.
Managing hair loss is just as important as treating it. Now that we've talked about the different treatment options and cures available to reverse hair loss and promote increased growth, let's talk about how you can manage your condition and at the same time prevent further hair loss. The first is more psychological, while the second is more practical.
Studies have indicated that one of the ways to slow hair loss is by maintaining a healthy scalp environment. Regular shampooing aids in the prevention of genetic hair loss by removing excess sebum containing elevated levels of DHT. Unfortunately, there is no silver bullet hair loss shampoo on the market that will regrow a full head of hair in a couple weeks.
But in November, after 10 years of research, Rogaine introduced a new 5 percent minoxidil formulation for women. It’s a mousse (instead of a liquid) that needs to be applied only once a day instead of twice, which means that it can be more easily incorporated into a woman’s evening skin-care routine. Teal replaces the blue and silver palette of the men’s Rogaine, and the packaging bears a lotus flower. (Also last year, Pantene introduced its Hair Regrowth Treatment for Women, which is 2 percent minoxidil.)
Hair loss shampoo probably won’t help you defeat hair loss on its own, but it certainly should be used as another weapon in your arsenal. Many of these products do contain ingredients that are beneficial for hair loss and scalp health—every little bit helps. Let’s face it, you have to wash your hair with something and that something might as well aid in hair loss prevention.
This is a bestselling shampoo on Amazon. The list of ingredients is extremely lengthy. The product contain a number of natural organic DHT blockers (including saw palmetto) and various nourishing hair vitamins. Additional beneficial ingredients include amla oil, argan oil, pumpkin seed oil, rosemary oil, tea tree oil, green tea extract, niacin and biotin.

Lately I’ve been receiving a few inquiries from readers about Shiseido and Brotzu release dates. So, I’m going to address the situation here and hope that this will be sufficient until more news comes from direct sources. I estimate that these companies would publicly address the release date of their products by the end of Q3 this year (end of Sept). As consumers we know there’s no guarantees for releases and if one or both of these products reached the market this year it would be a very fortunate situation. So, keep an eye out, but loosen the grip a little. The news will come when it comes. When there is news it will be visible here.
A company not previously discussed in online news, SWITCH BIOTECH, has sights on developing a drug for androgenic alopecia. As you will see, the company is still in the very early stages of developing a therapy for AGA, however they are a knowledgeable dermatology-focused company and have a unique method of drug development. Here’s a quote from their website about working on AGA:
Would there be any harm/benefit in combining the use of two hair-loss prevention shampoos, to take advantage of different ingredients and functions? Mainly Nizoral, at the twice a week recommendation, plus the Argan Oil Shampoo twice a week? I have somewhat oily hair and do get dandruff from time to time, but I do feel after washing my hair, it can feel dry and stiff. Just wondering if a combination of the two (one for dandruff, and one for healthy, thicker hair) might prove effective. Also, would you have any recommendations on a combo? Thanks!
Men may also experience some sexual and emotional side effects while taking it: In a study published in the June 2011 issue of The Journal of Sexual Medicine, Dr. Michael Irwig of George Washington University found as many as 92 percent of test subjects reporting problems in the bedroom. The study also reported that “the mean duration of finasteride use was 28 months and the mean duration of persistent sexual side effects was 40 months,” meaning that side effects lingered long after subjects stopped taking the pill.
There’s a lot of misinformation, half-truths, and pseudoscience regarding hair loss, and there are also treatment programs that have been well-researched and tested in clinical settings. So, how do you find the difference? For starters, talk to the experts in the industry like dermatologists and general physicians about treatment programs. Avoid people advertising secret cures, all-natural remedies, and permanent fixes. If there was a way to stop baldness from happening, we’d all know about it already.

One friend who went bald in his early 20s said that even once he’d readjusted to his new look, the thing that saddened him was that this look would define him pretty much for ever. Another, now in his 40s, found it dispiriting when his hair started falling out in his 20s – “the first sign that my youth was fading…” He decided against Minoxidil and Finasteride – “If I recall correctly, one of the side effects was impotence or diminished libido, which didn’t seem a good trade-off” – and found the idea of surgery “laughable”, so opted to shave it all off, finding some cheer in the new-found solidarity among his fellow balding friends. Still, he says, anti-bald prejudices are real.


An extremely popular organic product. There is significant evidence that biotin aids hair quality, while caffeine and saw palmetto are both somewhat beneficial to hair growth. Saw palmetto blocks the formation of dihydrotestosterone (DHT) and is often described as a natural (but weaker) alternative to finasteride. For more, see my post on natural cures for hair loss. This Botanical Green Care shampoo product also contains numerous other helpful ingredients such as nettle extract, panax ginseng, pumpkin seed oil, amla oil, bhringraj oil,  niacin, vitamin A, vitamin E (alpha tocopherol) and more.

The pull test may be used to diagnose hair loss conditions.1 The examiner grasps approximately 40 to 60 hairs at their base using the thumb, index, and middle fingers and applies gentle traction away from the scalp. A positive result is when more than 10% of hairs (four to six) are pulled from the scalp; this implies active hair shedding and suggests a diagnosis of telogen effluvium, anagen effluvium, or alopecia areata. However, a negative test result does not necessarily exclude those conditions. The pull test is difficult to standardize because the pulling force is not distributed uniformly and because it is difficult to approximate the number of hairs grasped, thereby leading to false interpretations.


JW Pharma, a Korean biotech company that specializes in the Wnt pathway, has entered a cooperative agreement with the University of Pennsylvania to development a compound called CWL08006 for hair regeneration purposes. JW Pharma has a pool of Wnt targeting therapies, and apparently CWL08006 makes a great candidate for hair growth. Of course, Dr. George Cotsarelis of UPenn is involved, and the two teams plan to begin preclinical testing by 2019 (I’m a little surprised at that timeline for preclinical). One of the more interesting facets of the report, JW intends “to accelerate its commercialization by launching tests on the human body for cosmetics that utilizes the drug’s mechanism, next year.” If the candidate works well in the cosmetic tests, a version of it could be made available much sooner than the clinical drug pathway, but for now it’s not possible to speculate a time frame for that yet. Good news all in all. 
“Everyone wants to try it,” Altman told me. “We get inundated with e-mails saying, ‘Tell me what the price is, I really don’t care, I’ll buy it.’ ” Weinstein looked at me. “You have your hair,” he said. “I don’t know why you’re interested in this,” Altman chimed in, with wildly unrealistic but much appreciated enthusiasm for my reporting. “ ’Cause eighty million people don’t! There’ll be eighty million people reading this article!”
After the new article featuring Medipost’s hair growth cosmetic was published, Jay Lee PhD of Medipost, began chiming in on the comments section. He first shared that Medipost is currently engaging in a larger clinical trial for the CM3 product which would include higher scale Norwood’s. Then, in a following comment he revealed that Medipost is developing a potentially more advanced hair growth product as well. Here are his words:
But Buckler said hair growth isn’t the only perk to his company’s discovery. It turns out that use in skin repair and tendon regeneration are also possibilities of the technology. “While we were delving deep into the hair follicle, we discovered another cell population,” he said. The hair follicle is actually a minor organ. There are two different cell groupings. One grows hair fibers. Another grows the tissue that the hair follicle fiber grows in.” And it is within this latter cell grouping that the magical main structural protein found in skin and other connective tissues—collagen—is found.
Hair Surge contains three key ingredients: caffeine, ketoconazole, and saw palmetto. As already mentioned, all three are essential ingredients in any shampoo that’s truly targeted for hair growth. It doesn’t contain biotin, but you can always take biotin as a supplement if you absolutely feel that you have to have it. Besides, if you still have doubts that Hair Surge actually works, you can sift through the thousands of positive comments and testimonials about it online.
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I’ve recently added a new section of the website which will be dedicated to worthwhile products which can be used in an everyday hair growth regimen. The first product to make the list is the Teslabrush. I’ve appreciated the candid and practical commentary from Teslabrush inventor Bernhard Rudert on what his product is capable of. I’m also in favor of the fact that the Teslabrush does not replace other treatments one may be utilizing, but instead, Bernhard has said it works well with other hair growth treatments and has been shown to enhance them through combination. There is more information and commentary from Bernhard on the Featured Products page. I’d like to hear from readers who try this product, please feel free to share your reviews on how it’s working for you in the HairCell: New Website article where the Teslabrush was first mentioned.


RepliCel is a form of cell therapy that has a lot of folks excited. This is also known as RCH-01 and RepliCel is collaborating with global cosmetic company Shiseido. RepliCel will be an injectable like Histogen or Botox for example. It is basically hair transplants on steroids, but they are migrating cells instead of hairs. Their goal is to take a seed biopsy then multiply it in the lab for about 3 months. After replication, they inject it back into the scalp where it is needed. RepliCel has completed a phase 1 clinical trial and will enroll 160 male participants with mild to moderate hair loss for their Phase 2 trial. In other news RepliCel announced a research collaboration with University of British Columbia. They goal is to create a map with protein and gene expression of hair follicle cells to help RepliCel further improve their cell therapies i.e. hair loss prevention products.
I just received an email sharing a new Trinov website: TrinovAnticaduta.com. This one does appear to be an official website for Trinov. The page is in Italian and can be translated, it mainly features a sign up form to download the “Trinov ebook” for either the men or women’s version. I downloaded the men’s Trinov ebook, however it is a pdf in the Italian language and cannot be translated. There is also a short YouTube video for Trinov featured on the page. Fidia Pharma’s logo is at the  bottom of the TrinovAnticaduta page and for good measure I looked up the domain on Whois and saw that the page is registered to Fidia. Things will just keep getting more interesting from here.
Keranique Hair Regrowth 3-Piece Treatment Set for Women, Lipogaine for Women, Pantene Minoxidil 2% Hair Regrowth Treatment for Women, Prominox 1 Hair Loss Shampoo, Prominox 2 Hair Loss Conditioner, Prominox 3 Hair Growth Stimulator, Prominox 6 Leave-In Hair Loss Conditioner, REDKEN Cerafil Retaliate 2% Hair Regrowth Treatment for Women, Rogaine for Women Hair Regrowth Treatment
“The most common cause of hair loss in both men and women is androgenetic alopecia, which is genetic pattern hair loss,” explains Dr. Michael B. Wolfeld, a board-certified plastic surgeon and an assistant clinical professor of plastic surgery at the Icahn School of Medicine at Mount Sinai Hospital in New York. The root cause of this type of hair loss is dihydrotestosterone (DHT), a byproduct of testosterone that shrinks certain hair follicles until they eventually stop producing hair. 

The more upsetting problem is central centrifugal cicatricial alopecia, a type of baldness that starts at the crown of the head and spreads outward. "It's hugely, hugely difficult," said Susan Taylor, a dermatologist at Penn Medicine who specializes in treating women with CCCA. "It affects quality of life." She said it is seen "almost exclusively" in women of African descent. One study found it in 10 percent to 15 percent of black women, but Taylor thinks it's more common. "I could see women all day, every day, with this problem," she said.
While diet alone won’t save your hair, there may be some truth to the old adage that you are what you eat. “You’re not going to have the healthiest hair if you’re living off doughnuts, because being nutrient-deficient weakens strands and makes them more prone to breakage,” says Denise Kernan, owner of DK Hair Techs, Inc., a member of the International Society for Hair Restoration Surgery, and a hair transplant technician who has worked on everyone from senators to sports stars to actors to mafia guys (she won’t name names to protect the privacy of her clients).
If you’re a lady and can remember the one difference in directions (or just scope out the instructions online) we recommend saving the cash. Similarly, you could go generic with Equate Hair Regrowth Treatment for Men or Costco’s Kirkland Signature Hair Regrowth Treatment Minoxidil Foam for Men. These alternatives offer the same percentage of active minoxidil and near-identical inactive ingredients for as little as half the price — a great option for both genders.
When you're investing considerable time and money on a mix of hair treatments and cures, the last things you should be doing are those that will only aggravate your condition. Likewise, when your hair has finally grown back, the last thing you would want is for you to go through another horrific episode of hair loss. Preventing further - or another case of hair loss, and stopping it before it actually happens should be your goal.
The most common form of hair loss is androgenetic alopecia, or, in other words, male or female pattern baldness or hair loss. Androgenetic alopecia is genetic and affects an estimated 50 million men and 30 million women in the United States. Among white women in the U.S., an average of 19% are affected by female pattern hair loss, but that percentage increases with age. The prevalence is nearly doubled in Australia at 32% and much lower in Korea and China at < 6%. As of 2015, no studies had been done on the prevalence of female pattern hair loss in Brazil or Africa.
“I was 21 when I noticed my hair getting thinner,” says David Anderson, 45, who has had seven hair transplants. He is now senior patient adviser at the Maitland Clinic in Liverpool, one of the country’s leading hair transplant clinics, where he raises awareness of the vulnerability of sufferers. “It was devastating. It completely consumed my existence. Now, I really regret that. But time and again, I’m meeting patients going through the same anxieties. It’s an epidemic. A lot of people don’t understand how it can make you feel.”
Lipogaine Big 3 does contain ketoconazole, but only a couple other hair loss/thinning related ingredients. Their Big 5 does not contain ketoconazole, but it does contain a proprietary mix of 17 ingredients for hair loss/thinning. It seems to be a more complete shampoo overall, aside from the hair loss aspects. My initial thought is to go with a combination of Big 5 and Nizoral.
Many other women, though, start noticing thinning hair on top of their heads. Doctors say the defining sign is a widening of the part. The hairline itself is usually intact, but the hair becomes less dense behind it. Doctors will often run a battery of tests to make sure there are no treatable medical conditions, such as anemia, thyroid problems, tumors, or hormonal problems. "Ninety percent of the time, it's normal," Patel said. 
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