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HI DR. RASSMAN, I would like to tell you what I am using… propecia, monoxidil 10% with retina-A .. revivogen, nizoral and n-t gel shampoo. I would like to know if you can offer me something better then this or is this plan good???? PLEASE get back to me.

This plan seems to cover everything and every potential as the ads state. Some of the things you use are not in my bag of tricks (like retin A, which I believe probably does more harm than good because it produces a type of chemical burn to the skin). Nothing more to add.

After going through this web site and reading your blog comments, I have come to believe that you are closed minded and inflexible when it comes to using homeopathic, natural herbs and other natural remidies for treating hair loss. Are you just unwilling to show flexibility and open mindedness?

Natural supplements and homeopathic medicine may be a great alternative means to treat a condition or an ailment. Unfortunately, these supplements are not well regulated by the FDA, so claims that are made can not be often substantiated, except by rumor mills and word of mouth communications that tend to praise the remedies more than criticize them. You can’t truly know what chemicals are included in the supplements that may have been used to process the product that you are buying. What the FDA calls Good Manufacturing Processes (GMP) may not be adhered to with food, naturopathic herbs, or potions and lotions sold over the counter in natural food stores. Furthermore, these products may not be covered in the regulatory process that confirms the dosages and the purity of such product, including the safety and efficacy of them. The research and studies that show efficacy are often funded by the manufacturers of the supplements which may bias the reported results. Finally the proper dosage for such products seem arbitrary. Just because the friendly neighborhood natural food outlet, their sales rep, or a salesman in a white lab coat can attest to its efficacy, does not mean that these are safe and/or effective.

For example, Vitamin A is one of the few vitamins that when taken in high doses, can cause hair loss. I have read that this vitamin is recommended for hair loss, so many people think that if a little is good, more may be better. In the case of Vitamin A, excess doses (overdoses) can cause death, so who cares about hair loss when you overdosed on this vitamin? Vitamin C, when taken in low doses is an antioxidant that theoretically prevents heart disease, but when taken in high doses (according to a UCLA published study) it accelerates coronary atherosclerosis (heart disease). Saw Palmetto, which is believed to be a DHT blocker for the treatment of hair loss, may compete with Propecia for the enzyme block that stops DHT production, making it less effective. What is not commonly known, however, is that Saw Palmetto was used by the military in WWII as a sex drive reducer for our troops. It was added to our soldier’s food supply. In studies performed by an independent agency, the dose of Saw Palmetto varied widely by the manufacturers. As such, some people get poor response from the drug as a DHT blocker (it is a weak blocker) while others get sexual side effects, reducing a man’s sex drive as the dose is possibly too high.

Kava is a widely used herb root in Polynesia that can be used to treat anxiety. There are case reports that this herbal supplement has caused liver failure that eventually led to a liver transplant as a life saving procedure, when used on someone who could not tolerate it. Did she lose hair? Possibly so. As part of our medical education, doctors learn that fava beans are harmless, yet they can cause death in very small quantities in those people who carry a rare genetic defect . People who carry a defect in the enzyme glucose-6-phosphate dehydrogenase, can not process the fava bean toxin. This toxin then poisons the red blood cells of the body. This is a genetic defect passed from mother to child. In the Mediterranean, where fava beans long have been a dietary staple and where the genetic mutation is more common than in the U.S., physicians frequently test children for the enzyme deficiency. The fava bean’s effect on hair loss is not as well known but on a positive side, look at the statement made by Hannibal Lecter in the movie “Silence of the Lambs” who recommended it by saying: “A census taker once tried to test me. I ate his liver with some fava beans and a nice Chianti.” I guess that Hannibal Lecter did not have the enzyme defect I just discussed and it made his meal memorable.

The question I am posing here in answer to your somewhat caustic challenge to me, is that I tend to protect my patients from the unknown. When I do not know something as a fact, I might ask myself: “How many undocumented side effects or enzyme defects float around that are either caused by natural herbs that could threaten a person’s health or life that are not researched or understood?” Arsenic is a natural substance used historically to treat syphilis, but as I have said before, I would not recommend arsenic as an alternative to penicillin, which is safe and well tested (also FDA regulated through GMP standards) and accepted world-wide.

The answer to this blog entry was partly written by Jae Pak, M.D., an emergency room physician with great interests in hair loss and hair surgery. He has worked with me for almost 9 years.

Hi Doctor Rassman; I am a happy patient with NHI and have a couple of questions I would like to pose to you.

1. Do you have an opinion on a new drug called ViTrichol? Dr. Randall Sword backs the product and information can be found on his website.
2. Have you heard of a new topical based solution called Scalp Med? I saw an infomercial about the product.

Thanks.

I have reviewed the websites reflecting your questions. The FDA does not allow claims that suggest an effective treatment for hair loss without substantiation with good scientific research. If such research was done for ViTrichol, where is it? Could there be some get rich quick scheme to promote an unproven treatment? Doctors are entitled to give opinions on everything and anything. For example, I have opinions on why my dog’s ticks & fleas go away when I scratch his head, rub his belly, or when I use some of my deodorant on him. However, I do not think that I could substantiate my opinions on how to influence my dog’s ticks & fleas or bottle my deodorant with what would be an honest representation of a cure for my dog’s fleas. I would ask the person who backs the product what the benefit to him/her is if you buy the product? I am suspicious until I read the supportive science behind it. ‘Let the Buyer Beware’, so the saying goes.

As for ScalpMed, I’ve posted recently about this here: Scalpmed.

Are you familiar with using spironoclactone topically for hairloss???? one DR. said it might be the closet thing to cure we have. IT is antiandrogen , which stops DHT at the point on scalp with attacking the follice. I would like to know if you think it worth trying in a lotion on the scalp??? Please respond With you professional opinion. THANKS

Yes, I am familiar with Spironolactones use for hair loss. They have been around for some time. Medline states “Spironolactone, a ‘water pill,’ is used to treat high blood pressure and fluid retention caused by various conditions, including heart disease. It causes the kidneys to eliminate unneeded water and salt from the body into the urine. Spironolactone is also used to treat certain patients with hyperaldosteronism and in certain patients with low potassium levels.”

This is a potent medication and has had some reported impact on fascial hair in women. There are some doctors who use this in conjunction with other medications including Minoxidil, which is an anti-hypertensive medication. Although side effects from spironolactone are not common, they can occur and include: upset stomach, vomiting, diarrhea, stomach pain, frequent urination, dizziness, headache, enlarged or painful breasts, irregular menstrual periods, drowsiness, muscle weakness or cramps, rapid, excessive weight loss, fatigue, slow or irregular heartbeat, sore throat, unusual bruising or bleeding, yellowing of the skin or eyes, skin rash, vomiting blood, fever, and confusion. I do not believe that this is a viable treatment for hair loss as there is no objective evidence that it works in female hair loss, but it is used by some doctors to treat women with hair loss.

Dear Dr. Rassman,
I’ve been taking propecia since I first noticed my hairloss, at age 20. Now I’m almost 24, and while I’ve retained some hair in the vertex, there’s been substantially more loss in the front/temple areas. Transplants are probably not a financially plausible option for me presently, so I’ve weighed other solutions (mostly vitamin/herbal supplements), bearing in mind the advice published in your blog. The website for “hairgenesis” touts an FDA-regulated published study supporting it’s claims: Is this information credible, or is it merely a marketing ploy? What other information should I look for when considering treatments other than propecia and surgery?

Thank you in advance for considering my question.

I do not like the Hair Genesis site, because it is very heavy on claims that appear unsubstantiated. As I have no experience with it, I can not tell you what I do not know or have not learned, but when there are so many claims and reflections on FDA ‘endorsements’, I would doubt their credibility. The field of homeopathic and herbal medications is generally unregulated, but it is not proper or ethical to claim FDA ‘endorsements’ like this company seems to have done. To my knowlege, only minoxidil and Propecia have been FDA approved for safe and effective hair loss treatment and there is good scientific evidence that minoxidil and Propecia works. When it comes to natural and herbal medications, there are many harmful natural and herbal medications. Arsenic, of example, is a natural medication that has been used in historical medicine for the treatment of syphilis, but I would not use it for prevention of syphilis nor for any human use as it is a well known poison, so ‘natural’ does not imply safety. The message here is BUYER BEWARE, and remember that just because claims are posted on a website, it does not imply true safety or effectiveness.

I just turned 20 years old and for a year now my hairline has receeded and started to thin dramaticly. Which I am very self-conscious of. I have been taking a natural suppliment called Procerin and using a daily treatment called Curetage for a little over a month and a half, but have noticed no difference. Do external treatments work, and pills work? Or are they just a waste of time? I also heard that hair transplants can’t be done on young men, is this true? Is there anything else i can do to make my hair grow back?

I have written about Procerin before (see past blog entries: Procerin and Procerin Info). The only topical treatment that seems to work is Minoxidil. Many add compounds to Minoxidil to try to make it more effective (e.g. Retin-A, which adds irritation to the skin and some burn to it as well) or combine it with other ‘magical’ formulations to sell it at a high price to take advantage of the value of its marketing label. The best and only real treatment for you is Propecia. There are many things done for hair loss and many people making money from the panic of hair loss victims. ‘Curetage’ sounds like one of them.

Stick with what works and do not risk permanent hair loss to go outside the known effective treatments that are available. Get a good doctor to work with you.

Dr Rassman,
Can you please comment on the product Proxiphen as compared to plain Minoxidil. Thank you

Proxiphen is a cream that consists of minoxidil, phenitoine, spironolactone, varied types of SOD, NANO, arginine, allantoine, NAC and more. It contains more than 5% minoxidil (reported to be 5.5%). You asked about comparing Proxiphen to regular Minoxidil, but I can not state the value of the Proxiphen combination of medications, as there are no independent studies to document it. However, there are clearly wonderful endorsements by those that profit from the sales of it.

Hello there sir how are you! I hope everything is fine. I am 16 years of age and have been usiing HAIR GEL for the past 8 years (mostly non alcholic) my hair are starting to fall, around every shampoo or when ever i wash my hair i lose arond 5 to 6. do you think that is normal and is it ok..and what can i do to improve my hair strenght and quality besides using pills, like shoud i put oil on and stuff like that, also is hair gel ok for hair. Pleaase help i dont want to be bald by 18!!!!! THANKS please do reply on my email that i have given thanksss

The average person loses 100-150 hairs per day, most noticable when it is washed or brushed. If you believe you are losing hair or thinning out your hair, you should have a doctor who specializes in this field evaluate you. Sometimes, although rare, genetic hair loss can start in the early or mid-teens. I think you need peace of mind, so seeing a good doctor is important.

Hi DR. RASSMAN.
HI I would like to tell you a little story about me… I am 39 and I started losing my hair in 2000 and I took the advice of tricoligist a person who studies hairloss. THIS person told me all the wrong things like saw would stop my hairloss..!!!! it did not!!!!! I am so mad because if I started on propecia I would not have this thin spot on my vertex. I would like you to go this web site and look at these products and tell me what you think of these products and services. I would like you honest opinion..PLEASE!!!! LET ME KNOW

I’ve removed the link you provided as to not give free advertising to that site.

I have looked over the site you asked about, and I have read your email carefully. The only DHT blocker that is FDA approved is Propecia. The drug Avodart has been reported from reliable sources to be more effective than Propecia, but it is not FDA approved for hair loss (it is FDA approved for prostate problems, however). Many of the other substances listed on this site are not proven, yet there are claims appearing all over that say these products are good at preventing or reversing hair loss. The site appears to sell everything they review, and that puts out an alarm for me. I do not cash in on FADS, but rather use my knowledge and extensive education to help my patients use what works.

You made a mistake years ago; do not make it now. If you have genetic hair loss yould should be on Propecia. Using other approaches may not hurt, but I would question the value of them.

Dr. Rassman,
Recently I noticed that my hair has a slimy feel to it when it gets wet, and then it will dry as if it has gel in it, very hard. I have always lost hair in the shower, but it seems that this is increasing with the slimy hair problem. Another symptom that I’ve had is extreme scalp itch, but no more than normal dandruff visible to be the cause of it. This summer I spent a great deal of time in the swimming pool, but no one I’ve been with is experiencing similiar problems. Also, I’m taking Adapex for weight loss and wonder if this might have some correlation with my symptoms. I’ve tried researching my slimy hair and came up with a process used on wigs called decutilization, where layers of the hairs cuticle is removed for some reason. However, I can’t find anything to do with my own hair having this problem or how to fix it. A friend suggested that my hair had lost it’s acidity, but home remedies and ion hair strippers have not helped. Please help me figure this out. I want to solve the problem so my normally soft healthy hair will return. Thanks so much.

Swimming daily will reduce the wax (sebum) what protects the hair from drying and becoming brittle. Maybe that summer is now over, the problem will go away. You might think about whatever you are using as hair products as a possible cause of your problem, so stopping or changing the entire regimen of products may be helpful, particularly if you change only one at a time.