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.
Thanks so much for the guidance! After further research I have to agree with you 100%. Lipogaine Big 3 does containe ketoconazole, which would eliminate the need for Nizoral, however the shampoo only contains a few hair loss/thinning related ingredients. The Big 5 contains 17 and just seems like a better overall product. That plus Nizoral twice weekly seems pretty solid to me.
“There’s the ‘I don’t date bald men’ line – hard to argue with, but still an injury to one’s pride.” Then there are a surprising number of people who call out “baldie!” in the street, or equate a shaved head with homosexuality and/or neo-Nazism. “I’ve had baldist/homophobic abuse in the street a couple of times and I’ve even been asked on the Tube: ‘Are you BNP, mate?’ When I expressed bewilderment at this, I was told: ‘It’s the hair, innit.’”
Our hair is part of what we call the integumentary system of the human body, which also includes the skin and nails. Hair is, in fact, a type of modified skin. It is made up of keratin, a form of protein, and is produced in tunnel-like structures in the skin called follicles. Inside the hair follicle is the hair bulb that is comprised of cells that deposit keratin and melanin, which is responsible for giving your hair its color. The hair that breaks through your skin from the follicle is the hair shaft. The shaft is basically composed of dead cells comprised of keratin fibres. In fact, the totality of hair on our head is a huge lump of dead cells, which explains why we don't experience any pain when we go for a haircut.

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.
A popular skin care drug—which is intended to target eczema—was just found to have an unusual side effect: hair growth. According to an article on Newsweek, the FDA-approved drug dupilumab was given to a 13-year-old alopecia sufferer to treat her eczema. The patient, who hadn’t grown hair on her scalp since she was two, suddenly grew a significant amount of hair on her head after continual use of the drug, a study in the journal JAMA Dermatology reports.
Key features: Ducray's Kelual Anti-Dandruff shampoo is the best choice for hair loss from severe dandruff or scalp issues. Dr. Zeichner specifically recommended the Ducray brand for soothing inflammation and itchiness on the scalp caused by seborrheic dermatitis. At $28 for a 3.3-ounce bottle, this is a pricier option, but people say the heavy-duty formula really works for severe dandruff.

I noticed significant thinning, and hair all over the sink every morning, from breakage; I use a flat iron sometimes, and my hair is color-treated. I have since started using coconut oil to help manage my frizzy damaged naturally curly hair. It acts as a wonderful styling product, it lends shine and manageability, has also stopped the breakage, you just have to be very careful with the amount that you use. I also use castor oil and rosemary essential oil on my scalp at night and wash in the morning….egg is supposed to be useful for its proteins (must rinse after 20 min with cool water!!) And mayonnaise too, but I haven’t tried that. Best of luck, Friend….
A study led by Dr. Noha Doghaim of Tanta University in Egypt showed that carboxytherapy may be a promising treatment option for both alopecia areata and androgenic alopecia. The study comprised 80 subjects who were treated over the period of three months with either placebo or carboxytherapy.  Both groups found favorable results from the carboxytherapy, however during a follow-up examination the improvements in androgenic alopecia subjects had decreased over time. The researchers noted that continual treatments would be necessary to maintain and bolster the benefits for AGA.
Unfortunately nutritional supplements are hit and miss. While the risks of side effects go down which is attractive, clinical data is sparse. In most cases the individual has to conduct their own experimentation. At 6 months a pop for a fair trial, this is a time consuming process. Time is a very limited commodity especially in the hair loss game. As we know, it is easier to do preventative maintenance than reverse hair loss. Nevertheless, natural DHT inhibitors like saw palmetto and nettle have worked to prevent hair loss in some users.
Hair loss shampoos are an excellent addition to any hair loss prevention regime. They are also a cost-effective and convenient way to start treating hair loss. Sure, not many of these have long term clinical studies completed on their efficacy. However, some of these shampoos are chock full of botanicals and herbs that do have some clinical data backing them up.
When men have hereditary hair loss, they often get a receding hairline. Many men see bald patches, especially on the top of the head. Women, on the other hand, tend to keep their hairline. They see noticeably thinning hair. The first sign of hair loss for many women is a widening part. In rare cases, men see noticeably thinning hair. And in rare cases, women can see a receding hairline or bald patches. The reasons for this are unknown.
3. Surgical hair replacement. If you opt for hair transplantation (which runs $5,000 and up), your dermatologist or hair-replacement surgeon will remove single hair follicles from the back of the head, near the nape of the neck, where your hair is fullest. Once those follicles are harvested, they are then dissected and reimplanted into an area of the scalp where hair is thinning. The procedure takes anywhere from three to six hours, and newly implanted hair will usually begin to grow on its own 3 to 12 months after the treatment session. Traditionally, hair transplantation required removal of an entire strip of scalp, Sadick says, but this new follicle-by-follicle technique looks more natural when it heals and allows patients to get heads of hair as dense-looking as before they started losing it.
According to the press release, a fast track designation is “intended to facilitate the development of new therapies for serious conditions and with the potential to address an unmet medical need. A company with an investigational medicine receiving Fast Track designation may be eligible for more frequent communications with the FDA and may receive an expedited review of the new drug application.”
A few studies support the use of red ginseng, sometimes called panax ginseng (about $25), for hair regrowth. It can have an anti-apoptotic effect on the hair, Rogers says, meaning it slows cell death so hair follicles can grow for a longer period of time. But before taking any of these supplements, it’s important to consult your doctor; a lab test can confirm whether you need a particular supplement or if taking it will just be a waste of time and money.
Other options include microneedling ($1,200 and up per treatment) and platelet-replacement therapy (also $1,200 and up per treatment), which are usually offered in conjunction. Your scalp will be numbed first so you don’t feel the pinpricks involved in microneedling. They promote hair regeneration by spurring wound healing, and platelet-replacement therapy involves injecting growth factors into those wounds. “Combination therapy typically works better than monotherapy and usually yields results after three monthly treatments,” says Sadick, and should be teamed with an at-home minoxidil treatment.
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.
Finasteride inhibits an enzyme that converts testosterone to DHT, or dihydrotestosterone, the hormone that causes hair loss in men, and unlike minoxidil, this drug can actually help hair grow back, as well as prevent further loss. All you have to do is take one pill a day, and according to Dr. Evan Rieder, dermatologist in the Ronald O. Perelman Department of Dermatology at NYU Langone Health, two-thirds of men taking this treatment will see improvements in hair density over time.
I noticed significant thinning, and hair all over the sink every morning, from breakage; I use a flat iron sometimes, and my hair is color-treated. I have since started using coconut oil to help manage my frizzy damaged naturally curly hair. It acts as a wonderful styling product, it lends shine and manageability, has also stopped the breakage, you just have to be very careful with the amount that you use. I also use castor oil and rosemary essential oil on my scalp at night and wash in the morning….egg is supposed to be useful for its proteins (must rinse after 20 min with cool water!!) And mayonnaise too, but I haven’t tried that. Best of luck, Friend….
NFL Hall of Fame player Deion Sanders has recently undergone a hair transplant. He has not been shy about discussing it publicly and over the last several weeks has actually continued to put out a slew of hilarious and outrageous posts pertaining to his renewed follicles. For his first announcement to social media, he posted this jubilant and priceless video to his Instagram:
The Hair Stimulator is a shampoo from the new, fresh & hip brand Hims. The branding is really on point but let’s dig into the ingredients. Biotin, nettle leaf, tea tree and salicylic acid are the noteables. There’s some evidence to indicate that biotin and salicylic acid reduce scalp DHT levels. Additionally, Hims offers a comprehensive hair loss kit (includes the shampoo) for about $40 bucks a month that gets you hair loss prevention on multiple fronts.
The views expressed in this article intend to highlight alternative studies and induce conversation. They are the views of the author and do not necessarily represent the views of hims, and are for informational purposes only, even if and to the extent that this article features the advice of physicians and medical practitioners. This article is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice.

For him, the first line of attack is acceptance. “Cut your hair as short as you can. If you can own it, you can beat baldness. But with the rise in hair transplants, most people aren’t in that mindset.” While anyone of any conscience will say that Larry David’s approach is preferable, in a world of quick fixes and fake news, it’s increasingly the Donald Trump approach that’s on the ascendancy.
From the top of my head, I don’t remember if the Lipogaine’s Big 3 Shampoo contains ketoconazole but if it does, then that’s a definite plus. Another thing you can do is buy Nizoral and use it in conjunction with The Big 5 Shampoo. So for example, use Nizoral on Mondays and Thursdays and The Big 5 in all the days in between. That way you’d get all the benefits.

Do not lose sleep over it. The more one obsesses over the loss of hair, the more depressed one can get. This can lead to unhealthy habits that can only worsen or aggravate hair loss, such as consuming too much sugar or sleeping less, which can contribute to increased stress and physiological trauma to the body. Proper management of the depression that comes with hair loss is important. Having a strong support group that one connects with and shares feelings and advice is a big help. It's also a big boost if one can learn how to make the most of their appearance to divert attention from their head by playing up other features of their body, such as wearing make-up or putting on a statement jewelry or a striking piece of clothing.

During this procedure, surgeons remove a narrow strip of scalp and divide it into hundreds of tiny grafts, each containing just a few hairs. Each graft is planted in a slit in the scalp created by a blade or needle in the area of missing hair. Hair grows naturally this way, in small clusters of one to four follicles, called follicular units. As a result, the graft looks better than the larger "plugs" associated with hair transplants of yesteryear.
Women’s magazine ‘New Beauty’ recently featured several prospective hair growth therapies in a print article. The feature contains several interesting and worthwhile anecdotes. Check the Articles main page to read about Dr. Cotsarelis’ new research on setipiprant for female alopecia, Histogen’s view on the number of injection sessions which may be necessary to get the most out of HSC, and more.
Due to the concern of several readers, I’ve removed the link to the new Trinov website that has popped up on the net. For now, the website only contains an email address subscription box which really poses no issue to anyone who subscribed. At this time, it’s not confirmed who the actual owner of the new Trinov site is, so use your discretion until we find out more regarding this matter. Until more information is known the website will not be shared on Follicle Thought.

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?


I am so happy with this product. I have thinning hair and have used many products in the past trying to at least stop it. I don't expect a miracle for it to grow back but I would love to just stop the hair falling out. Immediately after using this just one day I already noticed improvements. I was told my hair shined more, it was softer and also fuller. The hair falling out has improved a lot. I have not personally noticed hair growth yet but its only been 2 weeks now and I can say without a doubt it has made my hair healthier. I will be getting more for sure
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.

You may not know it, but stress affects your health in a number of different ways. It can zap your energy, make you feel physically ill, and even cause your hair to fall out. That’s right, stress plays a big role in contributing to thinning hair. On its own, stress-related hair loss is usually temporary and grows back over time. However, it can also speed up other forms of hair loss like male pattern baldness.
Hair transplants will likely lead to better results in the long run (you are introducing new hairs to the balding areas), but you’ll still need to use minoxidil or finasteride after surgery to maintain the results. Like all hair loss treatments, hair transplants are best when combined with other methods, and you’ll want to speak with your doctor to see what combination is best for you.
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