Dear Dr. Rassman,
I think it is great that you have this blog. I am sure I should come in to see you for a consultation, but first I’d like to see if you can shed any light on my particular circumstance. I am extremely healthy, eat mostly fresh fruits, salads and soy protein powders, but also eat meat, whole grains et cetera. I have worked-out for 25 years and handle stress better than anyone I know (all my friends and family say that too). At the end of June, 2006, I returned from vacation and my THICK, beautiful hair started falling out FAST. In one month I had lost so much it looked like I was going bald and one could easily see my scalp, which was an impossibility before that. The only 3 things I could think of as a cause for the rapid fallout were the following: 1. a very STIFF, THICK, HARD hair product which I had begun using 2 months prior. 2. I had begun taking 12,000 mg’s of fish oil daily upon returning from vacation. 3. A stressful life incident, but I have had so many of those, it doesn’t seem likely that another would affect me. Anyway, I stopped the product, stopped the fish oil, and my stress has increased if anything. By about 6 months out, my hair started to return, but no where near what it had been. People who look at me think I have a good head of hair, but I know it is not what it was. I want it back. Super thick like before. In what I wrote to you, can you identify anything that may have caused this rapid fallout? Or do you think it is best I just come in so you can see my scalp?
Thank you for your time, and have a great day.
I really do not have a good answer for you. Your hair loss could be due to many factors and sometimes a stressful event (emotional, physical, chemical, etc) can trigger a hair loss process. Nobody really understands why, but it is thought that a genetic ‘switch’ is turned on and once it is turned on it is difficult to go back to your original state. If your hair loss is due to genetic causes, there are medications such a Propecia (for men only) than can slow the process or even partially reverse the process in the best case (though it will rarely bring your hair back completely).