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We’re off today and tomorrow, but we’ll be back on Thursday.

Happy New Year


I’ve had 2 procedures with a prominent surgeon for a total of around 3700 grafts. My first was at age 51, second 54. I felt I was a good candidate since the hair on the back and sides of my head was thick. My first procedure grew-in nicely but I had a lot of dry, itchy, flaking scalp issues. I began to notice thinning hair in the transplant area about 1.5 years ago. The 2nd procedure is still thickening up but I suspect it will thin as well in a year or so. I think this is partially due to my age since all my hair is getting thinner.

I’m not convinced HT’s last as long as the hype would like you to believe. I’m really concerned for guys in their 20’s going through this procedure expecting it to last a lifetime.

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There are many patients who undergo hair transplant surgery in their 20’s and 30’s that still have a full head of transplanted hair in their 50’s. There is a small minority of patients who were never properly diagnosed and perhaps do not have genetic androgenic alopecia, but rather have another type of balding (such as diffuse unpatterned alopecia), that underwent hair transplant procedures that were not permanent. Or it’s possible the grafts were taken from a non-permanent zone.

When patients have transplants into thinning hair, the results are generally good for the first few years until their original non-transplanted hair starts to fall out (as they would have without the surgery) and those initial results become less impressive. This makes them think that the transplanted hair is falling out, as patients do not see (or were not properly informed) that hair loss is an ongoing dynamic process. Even with the native hairs falling out, the transplanted hair should be enough to provide a better overall look to the individual, as long as there was a proper Master Plan made.

Tags: hairloss, hair loss, hair transplant


Snippet from the article:

Cancer death rates continue to decline in the United States for both men and women. Experts say the four major cancers, lung, colorectal, breast and prostate, account for more than two-thirds of the decline.

In 2001, a routine PSA blood test helped John Nemeth, 77, of Glendora detect prostate cancer at a very early stage. Twelve years later, the cancer is gone after undergoing a minimally invasive treatment.

According to 2013 National Report Card on Cancer, success stories like Nemeth’s are on the rise. Deaths from the top four cancer killers are dropping.

From 2001 to 2010, lung cancer deaths dropped 29 percent, a faster rate than in previous years.

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Read the rest — Cancer death rates drop 29 percent over decade

Tags: cancer, death, health, prostate cancer, breast cancer


I want to rule out other possible causes for my hair miniaturization to ensure that it is definitely genetic since I am not aware of any bald men in my family. My iron and thyroid levels are fine. I read that a urine analysis will evaluate my nutritional state. Is there anything else I should get tested? Like hormones for example?

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In general, genetic hair loss in men shows up as a specific pattern (hence the name “male pattern baldness”). That is why there are diagrams and pictures (Norwood) to show what these patterns look like. A fairly competent doctor can determine what genetic male balding is by merely looking at the person. If the hair loss is relatively early in the process you can look at the hair under a microscope to see if there is a miniaturization pattern or a bulk measurement that can give tell you if you’re thinning. You don’t need a blood or urine test for this.

Other types of hair loss, such as from low thyroid or anemia, will present as diffuse thinning with no specific pattern. There is a hormone test to check your thyroid levels, but there is no hormone test for genetic male pattern balding. This can be confusing because a hormone called DHT (dihydrotestosterone) is the cause for hair loss in men, but only if they have the genes for MPB. The quantity or levels of DHT will not determine if you will bald since the underlying issue is genes.

There is a genetic test for balding, but it is not a straight forward test to interpret since it only give you a probability score. The easiest way to test for balding is a good old fashioned physical exam. Finally, I must point out that the gene for balding can skip generations and there is no specific rule on how it is passed down.

Tags: hairloss, hair loss, thyroid, miniaturization


Snippet from the article:

It turns out that when it comes to growing hair that’s stopped growing, and stopping hair from growing where people don’t want it, the same molecules in the human body are at play, according to a new study from the University of Pennsylvania School of Medicine.

Researchers writing in the journal Cell Stem Cell this month say that balding is caused by the protein inhibitor Dkk1, which stops the intracellular Wnt/β-catenin pathway from functioning properly. They further found that stem cells for dormant hair follicles are still maintained after balding begins. When Dkk1 is removed, the Wnt/β-catenin pathway resumes normal function, stem cells were activated, and hair growth is restored.

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Read the rest — Skin molecules that cause baldness, unwanted hair identified as U.S. researchers discover ways to disrupt both processes

We are getting a better understanding of the balding process and potential solutions as described in this interesting article.

Tags: stem cells, hairloss, hair loss, hair growth


Can propecia cause platelets in the blood to lower. My platelet count was 125 and my doctor said its not anything to worry about. I know the normal range is 150-450.

please help doctor

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I would listen to your doctor. I do not believe Propecia has anything to do with low platelet counts, but I did find a case report from 2002 in the medical literature that mentioned it. I haven’t seen more cases mentioned in the 12 years following the report, so I’d expect if finasteride does cause low platelet counts, then it is very rare.

Tags: finasteride, propecia, platelets, thrombocytopenia, hairloss, hair loss


Snippet from the article:

There’s more disappointing news about multivitamins: Two major studies found popping the pills didn’t protect aging men’s brains or help heart attack survivors.

Millions of Americans spend billions of dollars on vitamin combinations, presumably to boost their health and fill gaps in their diets. But while people who don’t eat enough of certain nutrients may be urged to get them in pill form, the government doesn’t recommend routine vitamin supplementation as a way to prevent chronic diseases.

The studies released Monday are the latest to test if multivitamins might go that extra step and concluded they don’t.

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Read the rest — Multivitamin study: No benefits for heart disease, cancer or heart attack

What the article reflects is the benefits directly to a multi-billion dollar industry (vitamins), with what is apparently little value received in return.

Tags: vitamins, supplements, heart disease, cancer


I am a very sporty and fit 39 year-old. I never get sick. Less than 1mth ago I was diagnosed with TB as well as being pregnant at the same time (almost 3mths) however before being diagnosed with both ‘conditions’ above I was suffering with very sore joints in mainly the hands and feet , sometimes the knees and back as well. This was over the course of about 2 mths. The joint pains generally got progressively worse and I was tested for all auto-immune related diseases, nothing came up in the blood tests. Then my hair started falling out and it was only a few weeks later that I was diagnosed with TB and was confirmed pregnant.

My question:
Why am i loosing all my hair? I have asked both GP, physician and gynae and neither can give me an answer? Is it a symptom of TB and/or being pregnant or neither? and will it grow back?

Many thanks

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Sorry, I do not know why you are losing hair. I cannot diagnose your medical condition over the Internet.

Generally speaking, medical illness and stress can cause hair loss. Sometimes drastic changes in hormones (such as pregnancy, postpartum period, menopause) can cause hair loss in women. In those cases, the hair should grow back with in a year. If it has not grown back within a year then it is likely permanent and there is no specific cure for it.

Tags: tuberculosis, tb, hairloss, hair loss, female hair loss, pregnancy


It’s the holiday season, so we’re not going to post today or tomorrow like we would normally do. We’ll be back on Thursday!


Dear doctor,
There has been few questions troubling me concerning taking propecia.

1) Is there a chance that it could make hairloss even worse than without taking it? (and what exactly people mean by term shedding because of propecia)

2) My doctor and parents are worried because of a bad effect on the liver. How serious is that? What do you think of it?


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1. Propecia a drug that is prescribed by a doctor after you had an exam that confirmed a diagnosis for androgenic alopecia (also known as male pattern baldness). It is a drug that slows down and sometimes reverses the hair loss process. If taking this drug will make hair loss worse, it would not be recommended by a doctor. Having said that, if your genetic predisposition is so overwhelming and you are destined to be a bald man, the drug will not have a significant benefit. In other words, you may still lose hair despite taking the medication. It is not the medication that makes it worse.

2. In general all drugs are either metabolized by the liver or kidney. Propecia does not cause liver damage, but if your parents and doctors are worried, then you should resolve that issue (valid or not) with your doctor and parents.

Tags: propecia, finasteride, liver, hairloss, hair loss


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