Happy Friday from Follicle Thought and I hope you are enjoying March Madness basketball. That being said, please also enjoy this video of Deion Sanders, NFL Hall of Famer who recently had a 5,000+ FUE hair transplant, showing off his new grown-in hairline. Video was posted by his barber. With all the technical details and the day-in, day-out watch for new hair growth technology it is important we take a moment to enjoy the lighter side of things. Sit back and “get a side shot of that thing.” 😂
Not surprisingly, treatments with 5 percent minoxidil work better than treatments with 2 percent minoxidil. A randomized clinical trial published in the American Journal of Clinical Dermatology in 2002 found that, in men with androgenetic alopecia, “5 percent topical minoxidil was clearly superior to 2 percent topical minoxidil and placebo in increasing hair growth.” The difference was actually pretty astounding — after 48 weeks, the men who used 5 percent minoxidil experienced 45 percent more hair growth than the men who used the 2 percent treatment.
2. Oil-rich conditioner. “Oils improve hair’s tensile strength,” says Paradi Mirmirani, a hair-loss specialist and dermatologist in Vallejo, California. In other words, oils make hair less likely to break under pressure, which is especially important for thinning hair that’s prone to snapping when brushed or styled. Mirmirani recommends using a conditioner fortified with natural oils, like Burt’s Bees Very Volumizing Pomegranate Conditioner, which contains avocado oil ($8), or Honest Company Conditioner with coconut oil ($10). That one’s got an added benefit: “Coconut oil has been shown to penetrate hair,” says cosmetic chemist Randy Schueller, so it makes your hair stronger from the inside out. (Just don’t load up on pure coconut oil. “You might overshampoo your hair to get it out, and then you’ll end up drying your hair and undoing any benefit,” says Fusco.)
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:
Skeptics (among them, Dr. Wesley) are starting to come around after a 2014 randomized double-blind study published in the American Journal of Clinical Dermatology found a “statistically significant” difference in hair density for women who used a laser comb compared with those who used a sham device. (“Comb” is something of a misnomer. The device looks like a hairbrush crossed with a cordless phone; it is glided back and forth across the scalp, roughly a half-inch at a time, usually about 15 minutes three times a week.)
Always shampoo and condition your hair regularly. Let your hair breath by avoiding wigs that are made with cotton and nylon caps that absorb moisture and lead to drier and more damaged hair. Instead, choose those with netted caps. Make sure your wig isn't too tight. Secure it with hypoallergenic double-sided tapes. Do not put your wig on over wet hair to avoid the growth of mildew and bacteria.

This medication goes by the name Avodart. It is used for the treatment of BPH also known as enlarged prostate. However, there are a large number of users using it for the off label purpose of treating hair loss. Remember the 5 alpha reductase we mentioned that Propecia blocks? Well there are two types of 5 alpha reductase. Type I and Type II. Whereas Propecia has only been shown to block type II, Avodart blocks both types. This effect overall lowers DHT levels even more, further reducing the risk of damaged hair follicles. However, it faces the same limitations as Propecia. It must be taken daily and may lose its effectiveness overtime.
In this section we discuss some of the future hair loss solutions that will be coming out in the coming years. There are a few hair loss cures coming in or around 2020, and hopefully there will be a mass market solution. It is no surprise that ‘hair loss cures 2020’ is an extremely popular search term in Google. You’d think by that time we’d figure out how to stop hairs from falling out of heads.
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!
Some immediately see a doctor for Rogaine or Propecia, seek out over-the-counter miracle baldness cures, or even look into hair transplants. Others, though, take a more measured approach and begin using shampoos which can help slow hair loss in a safe and natural way. Groom+Style has written about the reasons for hair loss in men previously.  The causes of hair loss in women and children are slightly different. You might also be interested in how to keep your hair healthy in other, natural ways.
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.
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:
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.”
The patient, a small, vaguely European man in his late forties, had rings on his fingers and a bloody, rectangular gash on the back of his head. It looked like a chunk of missing carpet. Bernstein pointed at the white opening of exposed scalp, and explained how easy it would be to stitch skin together over the gap. This was a traditional process for follicular-unit transplantation. Then Bernstein led me into a second room, where another patient was seated with his face in a massage-table-like padded hole. A portion of the back of his head was marked off. To his right was a boxy gray machine, roughly four feet by four feet, with a jutting mechanical arm. This was the ARTAS Robotic Hair Transplant.
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.
As I entered a small operating room at Bernstein’s Midtown East medical practice, a front-desk secretary shouted out, “Hope you got a strong stomach!” Inside, a patient dozed in an operating chair, while nurses held a strip of back-of-the-head skin—something like a fat hairy caterpillar—with tweezers. They began dissecting the follicular units under a microscope.
After a severe illness, I lost more than half of my formerly beautiful long hair. Since then, I've tried many shampoos claiming to encourage regrowth of healthy hair. Well, I found it! This shampoo really works. It smells great and has resulted in my hair being stronger and shiny; it no longer breaks easily and my hair stays on my head rather than in the hairbrush! Yay! Be sure to follow the instructions for use. A little goes a long way.

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.
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).
Consider other factors besides color. Color is important - your wig or hair piece should match your natural hair to look natural. However, consider also texture. You wig should feel like real hair; it should have a smooth and silky feel. For those that need full coverage, choose a wig that bounces to give the illusion of volume. A wig that has a lacing that fits your natural hair also helps in making sure that you have a more natural looking hairline.
There seems to be some contention over whether hair products like hair sprays, hair gels and serums can lead to hair loss. What's true though is that frequent use of these products can damage your hair, either make it thinner or more prone to breakage. Limit the use of these products for those occasions when you absolutely need to. If you use hair products with harsh chemicals, especially hair sprays, wash your hair at night with a mild shampoo to get rid of the chemicals.
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.
Literally jumping right out of the woodwork, the company “HCell” has announced they have been granted an orphan designation from the US FDA for their novel treatment of pediatric alopecia areata. The treatment itself it described as a “topical Injection by regenerating hair through a proprietary blend of commercially procured biologic and autologous tissue.” The company also mentions having a treatment for androgenic alopecia in the works as well. More info to come soon. News release here. 

One hard truth: Hair loss is mostly out of your control. “Baldness comes down to your genes,” says Frederick Joyce, M.D., founder of Rejuvenate! Med Spa and a member of the International Society for Hair Restoration Surgery. “If you have the baldness gene, there are some natural remedies that may make your hair stronger and healthier to slow your hair loss slightly—but they won’t prevent you from going bald. Still, maintaining hair health by eating well and using the right products—combined with medical-grade treatments—can really work all together to help you have a fuller, thicker head of hair.”


Central centrifugal cicatricial (scarring) alopecia: This type of hair loss occurs most often in women of African descent. It begins in the center of the scalp. As it progresses, the hair loss radiates out from the center of the scalp. The affected scalp becomes smooth and shiny. The hair loss can be very slow or rapid. When hair loss occurs quickly, the person may have tingling, burning, pain, or itching on the scalp. Treatment may help the hair re-grow if scarring has not occurred.
When you notice one or more of these problems, you might be experiencing hair loss. For more information on the different stages of balding, have a look at the Norwood Scale. There, you can see the seven different stages of male pattern baldness. As hair loss progresses higher on the scale it becomes more difficult to keep your hair and potentially regrow lost hair.
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 also have a hair loss conditioner compliment to this shampoo but we think it’s a bit overkill to use both(as a bottle of this stuff runs on the pricey side)—but if you love the shampoo the conditioner is also a very popular product that couldn’t hurt. Leave it in for about 3 minutes and let your scalp absorb all those vitamins and minerals.
He reasoned that in a world where 75% of women say they wouldn’t date bald, the bald man who forswears hair plugs, periwigs, toupees, sombreros, simply has to try harder. “We have to dress a little better, make a little more money and have a little more charm just to compete. And we do. Have a conversation with a bald man sometime. Go ahead. Do yourself a favour. Tell me you don’t walk away impressed.”
Things get interesting when we discover a patent which was filed by Sangamo in May 2017 titled “Targeted Treatment of Androgenic Alopecia.” As with virtually all patents, the lengthy text of the patent is difficult to read or to create a concise summary from. An intriguing aspect of this news is Sangamo works in several technology spaces, including previously mentioned genome editing and gene therapy, either would make an advanced type of hair growth therapy we have never seen before. One caveat to mention is the company’s pipeline does not currently display any indication for alopecia, meaning the therapy is not fully developed yet, so it will be some time before trials begin. We certainly hope to hear more from Sangamo Therapeutics as soon as possible about their interesting development for hair growth technology.
Because hair concealers work like wigs, choosing one that's right for you is important. More than anything, it should be as natural looking and as subtle as possible. Pick one that matches your natural hair color. Most hair fibers come in nine colors, and if you want to achieve a good color fit, you can blend two colors. Apply first the dark color and then the lighter color.

Rogaine’s foam squirts out just like hair mousse and is applied with “cool, dry hands.” Applying means working the foam down to the scalp where you want to see thicker growth — for it to work, “it has to get into your scalp,” Dr. Wolfeld explains. “If it sits on your hair, it’s not really as effective.” Once massaged, it dissolves into a watery liquid that leaves a tingly sensation, “but no burning!” one of our balding testers was happy to discover.

There’s no cure for baldness, but there are ways to hold on to what you've got. The six dermatologists and the clinical studies point to three methods: minoxidil, laser treatments, and prescription finasteride. The key is finding the combination and hair loss regimen that works for you. A doctor is your best bet for that kind of guidance — but we found a few trustworthy products that will work for most people.
The vampire hair loss treatment takes after the vampire facelift, which is completed on the face to reduce lines, acne scarring, and wrinkles. While not a new method, it is just becoming popular in its ability to treat the cosmetic condition of hair loss. This is also known as platelet rich plasma therapy. Scientists reported in the British Journal of Dermatology May 2013 issue that restoring hair growth on bald patches is possible by injecting them with platelet rich plasma.
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.
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!
*all photos are models and not actual patients.If you are interested in a prescription product, Hims will assist in setting up a visit for you with an independent physician who will evaluate whether or not you are an appropriate candidate for the prescription product and if appropriate, may write you a prescription for the product which you can fill at the pharmacy of your choice.

The law enhances the FDA’s ability to modernize clinical trial designs and clinical outcome assessments, which will perhaps speed the development and review of novel medical products, including medical countermeasures. The Cures Act also directs the FDA to create so-called “intercenter institutes” to help coordinate  activities in major disease areas between the drug, biologics and device centers and improves the regulation of combination products. An example of one of these centers is the Oncology Center of Excellence.
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