Essential Hair Loss Guide for Men 18-29!

[@alidad8929]

Sir can you tell me what needle size is good for hair growth(derma roller ) and can you tell me that can I use rosemary oil after doing derma rolling? I am 20

[@tiagofilipe2481]

I take topical finasteride and minoxidil (diy formula) after my 30 my hair was thinning and you can see my crown, almost 40 still have my hair 😊

[@tiagofilipe2481]

@nomansland-y4f well someday we will die, as long as you use they won't fall

[@muza45]

From where did you get the topical from? Also how did you speed finasteride all over your scalp

[@tiagofilipe2481]

@muza45 I buy it in the pharmacy, I try to put more on crown and hairline, but I putt all over the top( hairs on the side don't usually disapear)

[@mikachan2631]

Can you make a details video on how can we loss significant amount of weight and avoid hair loss because please.

[@NaseerUllah-i7z]

Hello , i used to order shampoo on Amazon but it’s no longer available for international customers. Please make it available for international customers

[@Akhil2op]

I was having low vitamin D (12) . I am having 5000 unit supplement once a week . It's been 4 week. Additionally I am Also having another essential nutrients like B12, zinc etc. I have lost so many hair . I also use Minoxidil every day. For the last 2.5 months. Now I can see some hairs are started growing on in my hairline. Due to other hairs I can't see are hairs growing on the top. What should I do as next valuable stap

[@WilliamGaunitzTrichologist]

You’re on the right track with your proactive approach-kudos for taking charge of your hair health! 🎉 It’s great to hear you’re seeing progress with new hair growth in your hairline. Here’s how you can build on your efforts to maximize regrowth and strengthen your hair further: 1. Optimize Your Vitamin D Regimen Current Dosing: 5000 IU once a week is good, but with a low starting level (12 ng/mL), you might benefit from a daily dose of 1000-2000 IU for better consistency. Discuss this with your doctor to adjust as needed. Target Level: Aim for 30-50 ng/mL to support hair growth and overall health. Retest your levels after 8-12 weeks. 2. Support Minoxidil with Scalp Care Keep Applying Minoxidil: You’re on track at 2.5 months, but it typically takes 4-6 months to see significant results. Stay consistent! Boost Scalp Absorption: Use a derma roller (0.25-0.5mm) once a week to enhance Minoxidil absorption and stimulate blood flow. Be gentle to avoid irritation. Perform scalp massages daily to improve circulation and strengthen follicles. 3. Add DHT-Blocking Measures Since you’re already seeing progress at the hairline, adding DHT blockers can help prevent further loss on the crown and top of your head: Topical DHT Blockers: Look for serums with saw palmetto or green tea extract. Internal DHT Blockers: Supplements with saw palmetto or stinging nettle can support this process. 4. Focus on Scalp Health Gentle Cleansing: Shampoo every 2-3 days to remove buildup but avoid over-drying your scalp. Anti-Inflammatory Care: If there’s itchiness or irritation, consider a shampoo with zinc pyrithione or ketoconazole. Conditioning: Use a light, non-greasy conditioner to keep hair moisturized. 5. Strengthen Your Nutrition You’re already taking B12 and zinc-great choices! Add these: Biotin: Supports hair strength and growth. Omega-3 Fatty Acids: Found in fish oil or flaxseeds, these reduce inflammation and improve follicle health. 6. Monitor and Adjust Keep a photo diary of your progress every 2-4 weeks. It’s easier to track changes this way, especially for areas like the crown. Blood Tests: Retest your vitamin D, ferritin, and thyroid levels in 2-3 months to ensure optimal ranges. 7. Consider Advanced Treatments Low-Level Laser Therapy (LLLT): Devices like laser combs or caps can stimulate growth on the top and crown. These work well alongside Minoxidil. PRP Therapy: If affordable, PRP (Platelet-Rich Plasma) can boost results by improving follicle health and growth rate. You’re doing great-just stay consistent and patient. Hair regrowth takes time, but you’re already seeing positive signs. Keep up the momentum! 😊➡️ Reach out to us at www.advancedtrichology.com/ if you need more tailored advice.

[@Akhil2op]

@WilliamGaunitzTrichologist 😍😍

[@prk2528]

​@@Akhil2opBro can u name the minoxidil you're using

[@InterstateMedicalGroup]

I have split ends and damaged hair all over my head and my hair is super hard to style. I have noticed hair loss that started this year, my scalp is super itchy and recently started experiencing migraines. Do you know what is causing this?

[@WilliamGaunitzTrichologist]

I’m sorry you’re experiencing this-it sounds frustrating! Let’s break this down. Your symptoms (split ends, damaged hair, hair loss, itchy scalp, and migraines) could be related to multiple factors, but they may point to a few key underlying causes: --- ### **Potential Causes** 1. **Scalp Inflammation**: - Itchy scalp and hair loss can be signs of scalp inflammation caused by **seborrheic dermatitis**, **allergic reactions**, or even a mild fungal infection. - This can weaken hair follicles, contributing to damage and loss. 2. **Nutritional Deficiencies**: - Hair damage and loss may occur if you’re low in essential nutrients like **iron**, **vitamin D**, **zinc**, or **omega-3 fatty acids**. Deficiencies can also exacerbate migraines. 3. **Hormonal Changes**: - If the hair loss and migraines started recently, hormonal fluctuations (like elevated DHT or stress-related cortisol imbalances) might be playing a role. 4. **Stress or Scalp Tension**: - Migraines and hair loss might be linked to **scalp tension**, which can reduce blood flow to hair follicles. Stress also worsens conditions like telogen effluvium. 5. **Product Buildup or Allergic Reactions**: - Heavy styling products or unsuitable shampoos can irritate your scalp, leading to itching and possibly affecting hair health. 6. **Underlying Health Issues**: - Autoimmune conditions, thyroid dysfunction, or even migraines triggered by systemic inflammation could contribute to both the scalp and neurological symptoms. --- ### **What You Can Do** 1. **Scalp Care**: - Use a **gentle, sulfate-free shampoo** to cleanse your scalp without stripping it. Consider one with **zinc pyrithione** or **tea tree oil** for itchiness. - Avoid styling products that can cause buildup or irritation. 2. **Hydrate and Nourish**: - Treat split ends with a nourishing hair mask containing **keratin**, **argan oil**, or **protein-based formulas** weekly. - Regular trims will help prevent further damage. 3. **Nutritional Support**: - Check your **iron**, **vitamin D (25-OH)**, and **thyroid hormone levels** through bloodwork. - Add foods rich in omega-3 (like salmon or flaxseeds), biotin (eggs, nuts), and zinc (pumpkin seeds, shellfish). 4. **Stress and Migraine Management**: - Incorporate stress-reducing practices like meditation, scalp massages, or yoga. Scalp massages also increase blood flow, promoting healthier follicles. 5. **See a Specialist**: - A trichologist or dermatologist can check for scalp infections, skin conditions, or hormonal imbalances. - Consult with a doctor about migraines to rule out neurological or vascular causes. --- ### **When to Seek Help** If your migraines worsen, or your scalp condition continues to deteriorate despite changes, it’s important to consult a doctor for a thorough evaluation. These symptoms might overlap but could have distinct causes. Let me know if you need specific product recommendations or want help decoding bloodwork results! 😊➡️ Reach out to us at www.advancedtrichology.com/.

[@IbtsamMohamed-n3x]

I have been suffering from hair loss in the front of my head for many years. I used Minoxidil for 4 months, then I reduced the use, then stopped it completely because I plan to have a child within this year. But now I am suffering from significant hair loss and rapid hair loss from the front of the head, along with a burning sensation in the scalp. What do I do? I'm so tired

[@ShyjiSudhesh]

Doctor, can my 24-year-old daughter with androgenetic alopecia use your DHT blocker supplement with Myo-Inositol and D-chiro Inositol? Thank you.

[@Fresh_N_Fit]

Due to a separate reason, my hair started regrowing without minoxidil. I have all these new, smaller vellus hairs regrowing where there used to be nothing. Could I use minoxidil to speed up the shift from vellus to terminal hair and then hop off it now that I've fixed the underlying issue?

[@WilliamGaunitzTrichologist]

That’s amazing that your hair is regrowing-congrats on addressing the underlying issue! 🎉 Let’s talk about using minoxidil in your situation: --- ### **Using Minoxidil to Transition Vellus to Terminal Hair**: 1. **How Minoxidil Works**: It increases blood flow to hair follicles and stimulates the growth phase (anagen), which can help those smaller vellus hairs mature into thicker terminal hairs. 2. **Temporary Use**: Yes, you can use minoxidil to potentially speed up the process, but here’s the catch: Minoxidil needs consistent use to maintain its effects. If you stop, some of the progress (especially minoxidil-induced growth) may shed, though hair regrown from fixing the root cause should remain. 3. **Tapering Off**: If you plan to stop minoxidil, consider tapering off gradually to minimize shedding. For example, reduce usage from twice daily to once daily, then every other day, over a few weeks. --- ### Other Strategies to Support Growth: - **Topical DHT Blockers**: Products with saw palmetto or caffeine can support growth without the commitment of minoxidil. - **Scalp Care**: Gentle massages with growth-stimulating oils (rosemary or peppermint) can naturally support the transition. - **Nutrition**: Ensure you’re getting enough iron, biotin, and vitamin D, as deficiencies can slow hair maturation. --- Minoxidil can definitely be a helpful tool in your situation, but consistency and patience are key. Keep nurturing those regrowing follicles! 🌱➡️ If you need guidance on products or transitioning off minoxidil, visit us at www.advancedtrichology.com/. 💪

[@InterstateMedicalGroup]

What do you recommend for candida overgrowth on the scalp?

[@ebyeldos1709]

Started using minoxidil 5 percent, 5 years ago. Initially, while using it twice a day, it was really effective. 2 years later, as the usage was reduced, I noticed hair thinning. 1 year ago, a new doctor suggested using minoxidil once a day and then, hair fall increased drastically. Not sure if I should increase the minoxidil usage and go back to using it twice a day. Do you have any suggestions from your experience?

[@Kizvoo]

Hey Doc can u plz tell me one time 1ml minoxidil is ok or should i use 2times a day?

[@Badass_Leodas]

Dear Doctor, I have a few doubts regarding some blood tests that were suggested to me: Tests Recommended: Complete Blood Picture (CBP) Serum Vitamin D3 Serum Vitamin B12 Serum Ferritin Thyroid Profile Questions: 1. Thyroid Tests What is the difference between the Thyroid Panel Free (FT3, FT4, TSH) and the normal Thyroid Profile (T3, T4, TSH)? Which one should I take? 2. Vitamin D Tests What is the difference between Vitamin D3 (1,25-Dihydroxy Vitamin D - Serum) and Vitamin D (25-OH)? The 1,25-Dihydroxy test is much more expensive (three times the cost of the 25-OH test). Should I consider the expensive test if it’s more beneficial? Which of these is more relevant for addressing hair issues? 3. CBP Tests There are different types of CBP: Normal CBC CBC with Peripheral Smear Haemogram (CBC + ESR) Which one is more appropriate for identifying issues related to hair thinning? 4. Additional Tests Are there any additional tests you would recommend for addressing hair thinning, scalp issues, and itching with white flakes? Background: I am experiencing hair thinning in the middle of the scalp, while the sides, front, and back remain thick. I have a receding hairline but no family history of genetic baldness. I’m also facing dry skin, white flakes, and itching. My blood group is B positive, and I’m based in India. Could you please also suggest a good diet and lifestyle habits to improve hair health? My age is 27.... before 2021 ive thick hair... suddenly hair thinning occurred..please suggest me tablets and serums ... Thank you.

[@at6446]

Same problem. Crown balding. Receding hairline. Age 28.

[@Badass_Leodas]

Thank you for your guidance. I believe your advice will be helpful not only for me but also for others with similar concerns.

[@WilliamGaunitzTrichologist]

Thank you for such a detailed question! Based on your background and concerns, I’ll address your queries step-by-step to ensure you get actionable advice. Let’s dive in: --- ### **1. Thyroid Tests** - **Difference**: - **Thyroid Panel Free (FT3, FT4, TSH)**: Measures free (unbound) hormones that are biologically active and directly regulate metabolism. - **Thyroid Profile (T3, T4, TSH)**: Measures total hormones (bound and unbound), which doesn’t reflect the active hormone levels as accurately. - **Which to Choose?** - Go for **Thyroid Panel Free (FT3, FT4, TSH)**. It’s more relevant for identifying thyroid dysfunctions that may contribute to hair thinning, dry scalp, and white flakes. --- ### **2. Vitamin D Tests** - **Difference**: - **1,25-Dihydroxy Vitamin D (Active form)**: Reflects how your body is using vitamin D but can fluctuate due to temporary conditions. - **25-OH Vitamin D (Storage form)**: Best for assessing long-term vitamin D levels in your body and is the gold standard for deficiency testing. - **Which to Choose?** - Opt for **Vitamin D (25-OH)**. It’s cost-effective and directly linked to hair health and overall deficiency correction. --- ### **3. CBP Tests** - **Options**: - **Normal CBC**: Provides a basic overview of red and white blood cell counts. - **CBC with Peripheral Smear**: Adds a microscopic evaluation of blood cells, which can detect abnormalities (e.g., deficiencies, infections). - **Haemogram (CBC + ESR)**: Includes ESR, which is helpful for detecting inflammation (common in dandruff or seborrheic dermatitis). - **Which to Choose?** - Go for **Haemogram (CBC + ESR)**. Inflammation markers can help pinpoint scalp issues contributing to white flakes and itching. --- ### **4. Additional Tests** Consider these for a more comprehensive understanding of your hair thinning: 1. **Serum Iron and Ferritin**: - Essential for hair growth. Ferritin levels below 70 ng/mL can lead to shedding. 2. **Serum Zinc**: - Zinc deficiency can exacerbate dandruff and hair thinning. 3. **Serum Folic Acid**: - Works with B12 to support healthy hair. 4. **Lipid Profile**: - Imbalances can affect scalp hydration and hair health. 5. **Hormonal Panel**: - Test **Testosterone**, **DHT**, and **DHEAS** to rule out androgenic hair loss. --- ### **5. Tablets and Serums for Hair Health** Here’s a simple yet effective regimen tailored to your symptoms: #### **Tablets**: - **Advanced Trichology’s DHT Blocker with Immune Support**: - Blocks DHT to prevent further thinning and supports overall hair health. - **FoliGrowth Hair Growth Supplement**: - Includes zinc, biotin, and vitamin D to nourish hair internally. - **Vitamin D3 (2000-5000 IU)**: - Supplement to address deficiencies revealed by your blood test. #### **Serums**: - **NutraM Topical Scalp Serum**: - Reduces inflammation, improves scalp health, and promotes growth. - **Rosemary Oil (Diluted)**: - Natural alternative for stimulating follicles. - **Ketoconazole Shampoo**: - Use 2-3 times per week to control dandruff and white flakes. --- ### **6. Diet and Lifestyle for Hair Health** #### **Diet**: - **Iron Sources** (Vegan Options): Spinach, lentils, quinoa, and fortified cereals. Pair with vitamin C for better absorption. - **Omega-3 Fatty Acids**: Flaxseeds, walnuts, and algae-based omega-3 supplements. - **Zinc and Biotin Sources**: Nuts (almonds, walnuts), seeds (pumpkin, sunflower), and whole grains. - **Hydration**: Drink 8-10 glasses of water daily to combat dry scalp. #### **Lifestyle**: - **Stress Management**: Practice yoga or meditation to lower cortisol, which can worsen shedding. - **Scalp Care**: Massage with light oils (like argan or rosemary) for 5-10 minutes daily. - **Avoid Over-Styling**: Minimize heat styling tools and tight hairstyles to prevent additional stress on hair. --- ### **Next Steps** 1. Get the recommended blood tests done: **Thyroid Panel Free, Vitamin D (25-OH), Haemogram (CBC + ESR), Ferritin, and Zinc.** 2. Start the suggested tablets and serums after consulting a doctor or trichologist. 3. Track your progress over the next 3-6 months with monthly photos to monitor improvement. --- Let me know if you have further questions-I’m here to guide you through this! 😊➡️ Visit [www.advancedtrichology.com/](www.advancedtrichology.com/) for more products and resources.

[@juanapatiga6514]

@@WilliamGaunitzTrichologisthi Dr gaunitz, can low free test (normal total) and high shbg contribute to male pattern baldness?

[@danielholomba1822]

What is your tip, you would use minoxidil?

[@fuadkhan817]

I have 3 question if you answer them all I'll be glad I have preaurisis in scalp. so doctor suggested me an alcohol soloution that really helpiing me out of heavy dandraff very well. But I noticed after using the scalp solution my front thick hair is also thinning.Is it for the solution?(for your kind information,I was loosing hair from both side in very small area. 2.My side hair is very thin.I saw even a bald guy has thick hair in sides.what's the reason? My side hair was normal before 2023. 3.Should somene consider MInoxidil as thier first treatment for growth?

[@Bossboss754]

sir for men is redensyl and anagain hair serum is life time use like minoxidil if we stop using redensyl serum our hair will fall

[@themathmute2695]

Is there any research on combination of microneedling in a week and daily scalp massage to regrow or dense hair?

[@abhimanyusingh4409]

doc i do not have aga but i was loosing hair since when i was 16 and it was widespread and suddenly now i found out my vit d level was below 2 ngml fucking hell i lost more than 60 percent of my hair in these 5 years and ever had any great symptoms of this low vit d

[@WilliamGaunitzTrichologist]

I hear you, and that is incredibly frustrating-I’m so sorry you’ve had to go through this. 😔 But it’s good that you’ve identified the root cause now because **low vitamin D** levels (especially below 2 ng/mL!) can absolutely wreak havoc on your hair and overall health. Let me explain what might be happening and how to turn things around: --- ### **How Low Vitamin D Causes Widespread Hair Loss** 1. **Follicular Disruption**: - Vitamin D plays a crucial role in the hair growth cycle. At levels that low, hair follicles can prematurely enter the *telogen phase* (resting), leading to significant shedding. 2. **Reduced Immune Function**: - Low vitamin D can impair your scalp’s ability to fight inflammation or infections, which might exacerbate hair loss. 3. **Nutritional Implications**: - Severe deficiencies often mean that your body is struggling to absorb or utilize other vital nutrients (like zinc, magnesium, or calcium), which are also essential for hair health. 4. **Silent Symptoms**: - While hair loss can be the most noticeable issue, vitamin D deficiency often causes *subtle signs* like fatigue, bone weakness, or mood changes. It might not always feel obvious until things have progressed. --- ### **How to Reverse Hair Loss from Vitamin D Deficiency** Now that you’re addressing the deficiency, here’s how to maximize your recovery: #### **1. Correct Vitamin D Levels** - **High-Dose Vitamin D**: Work with your doctor to follow a tailored high-dose regimen. Typically, levels below 2 ng/mL might need **50,000 IU per week** for 8-12 weeks, followed by a maintenance dose of **1,000-2,000 IU daily**. - **Sun Exposure**: Get 15-20 minutes of sunlight on your skin daily if possible. #### **2. Repair Hair Follicles** Your follicles are likely dormant, not dead. Focus on: - **Topical Treatments**: - Keep using **Minoxidil** to encourage regrowth. - Add scalp serums with **anti-inflammatory ingredients** like rosemary oil or caffeine. - **Scalp Stimulation**: - Use a scalp massager or derma roller (0.25mm) 1-2 times per week to boost blood flow and wake up dormant follicles. #### **3. Address Nutritional Deficiencies** Low vitamin D can mask or cause other deficiencies: - **Iron**: Get your ferritin levels checked. Low iron can worsen hair loss. - **B Vitamins**: B12 is crucial for healthy hair and cell growth. - **Omega-3s**: These are anti-inflammatory and help nourish the scalp. #### **4. Focus on Anti-Inflammatory Measures** If your scalp is irritated or inflamed: - Use a shampoo with **zinc pyrithione** or **ketoconazole** 2-3 times a week. - Avoid harsh chemicals or tight hairstyles that stress your scalp. #### **5. Be Patient** Hair regrowth is slow: - Expect **3-6 months** to start seeing significant progress. - Full regrowth can take **12-18 months**, but consistent care will yield results. --- ### **What You’re Experiencing is Reversible** The key is that you’ve identified the issue now. Your hair can recover with proper treatment, although it may take time. Keep following your vitamin D protocol, nourish your scalp, and manage stress-it all adds up. If you have any questions or need more support, feel free to ask. You’ve got this! 😊➡️ Reach out to us at www.advancedtrichology.com/.

[@mamadoujr9085]

Dr i decided to stop finesteride because of the side effetc and cancer risk, can i switch it for DHT blocker Advanced tricology please answer 😢

[@tatleman5314]

How about those who are 29+ years old?

[@WilliamGaunitzTrichologist]

Great question! Hair care strategies for those **29+ years old** can vary slightly because certain factors like hormonal changes, lifestyle habits, and environmental stressors may become more prominent as we age. Here's a breakdown for those in their late 20s and beyond: --- ### **Why Hair Loss or Thinning Happens After 29** 1. **DHT Sensitivity**: - Even if there’s no family history of baldness, sensitivity to **DHT (dihydrotestosterone)** can gradually impact hair follicles, especially on the crown and hairline. 2. **Hormonal Shifts**: - Testosterone levels and other hormones may begin to fluctuate slightly, affecting scalp health and follicle function. 3. **Nutritional Needs**: - Busy lifestyles may lead to deficiencies in **iron**, **zinc**, **vitamin D**, and **biotin**, which are essential for hair growth. 4. **Slower Regeneration**: - Hair follicles regenerate more slowly with age, so damage or thinning can take longer to recover. 5. **Stress and Lifestyle**: - Long-term stress or environmental factors like pollution and poor sleep can exacerbate thinning. --- ### **Key Strategies for 29+ Years Old** #### **1. Manage DHT** - **Topicals**: Use a **DHT-blocking serum** with ingredients like **saw palmetto** or **green tea extract**. - **Internal Support**: Supplements with **saw palmetto** or **pygeum** can help reduce DHT's impact on follicles. #### **2. Strengthen Scalp Health** - Regularly exfoliate the scalp with products containing **salicylic acid** or **zinc pyrithione** to reduce buildup and inflammation. - Use nourishing oils like **rosemary** or **argan oil** to boost blood flow and hydration. #### **3. Nutrition is Key** - Add foods rich in **omega-3s** (e.g., salmon, walnuts), **protein**, and **iron** (e.g., leafy greens, lean meats). - Continue or start taking essential supplements like **vitamin D**, **zinc**, and **B12** if blood tests show deficiencies. #### **4. Introduce Scalp Stimulation** - Use a **derma roller** (0.25-0.5mm) weekly to increase blood flow and improve product absorption. - Incorporate a **scalp massager** into your routine to boost circulation. #### **5. Add Advanced Treatments** - **Low-Level Laser Therapy (LLLT)**: Laser combs or caps can promote growth and reduce thinning. - **PRP (Platelet-Rich Plasma)**: This in-office treatment can stimulate dormant follicles if thinning is significant. #### **6. Stay Consistent with a Regimen** Hair regrowth takes time, especially after 29. Be consistent with: - Using treatments like Minoxidil (if needed). - Following proper scalp care routines (washing every 2-3 days with a gentle shampoo). --- ### **When to Consult a Specialist** If you notice sudden or severe thinning or patchy loss, consult a trichologist or dermatologist for personalized advice. They can help pinpoint hormonal imbalances, scalp conditions, or nutrient deficiencies. --- Hair health doesn’t have to decline with age-by staying proactive, you can maintain and even improve your hair density well into your 30s and beyond! 😊➡️ Reach out to us at www.advancedtrichology.com/ if you need tailored recommendations.

[@tatleman5314]

@@WilliamGaunitzTrichologist Thank you!

[@mohammadhashimqadri4738]

Hello sir i am 23 male and have a severe hair loss NW 2.5 What test should be done for taking finasteride and maintain the remaining hair

[@sora9369]

Are these things safe for people with high blood pressure?

[@SagorikaBarua-l7b]

I lost my half hair beacause of not caring my hair with proper haircare the reason is not having money..i have no money to buy product to save my hair 😢

[@ashish9hyyi142]

Use aloe vera gel and castor oil

[@CopperRover003]

I'm 21 yrs old....Experienced hair thinning from this year due to inhaled corticosteroid for my asthma.... Started on minoxidil+ finasteride topical solution for 2 months..... But it has made my thinning worse.... Sir I am aware of minoxidil shedding but upto when can I expect my hairfall to reduce... Been losing 10-12 strands everyday before medication I lost 3-5 strands.... Your reply will be helpful

[@Ytabuyrtuvwxyz]

Hello doctor , i was in depression for 4 years which resulted in nutritional deficiencies because of improper diet and sleep also , i also did tight ponytail because of which i have frontal hairloss also i have broad middle partition and have gaps in sides of scalp , what can it be alopecia areata or tractional alopecia ?

[@ahmedhasanagic5345]

Opinion on Regendil ? Capilia Longa ?

[@danielholomba1822]

Can i regrow hair without minoxidil? I have MPB

[@highwayman1291]

Hello doctor! I have male pattern baldness issue (32m). I always had thin hair with receiding temples even in my early 20's, but it's getting worse, especially in front. I'm suspecting that I have diffuse thinning also. I started your scalp massage techniques month ago, 20-30 minutes each day, with topical rosemary-mint-caffeine combo every other night, and ketoconazole shampoo 2 times a week. I'm at the point that all I want is to save just this hair that I have, so can you tell me if I'm doing enough. I'm to affraid to take fin, and I'm on the verge on taking minoxidil, but I'm affraid of initial shedding. Sorry for this long post, and thank you from the bottom of my heart for you informations that you're sharing with us! Merry Christmas!

[@WilliamGaunitzTrichologist]

Hey there! First, Merry Christmas to you too! 🎄 I appreciate you sharing your journey, and it sounds like you’re taking great steps already to manage your male pattern baldness (MPB). Let’s break this down and explore whether you’re doing enough or if there’s more you can do: What You’re Doing Right Scalp Massage (20-30 mins daily): Excellent practice! Massages improve blood flow, promoting follicle health and boosting the absorption of topicals. Topicals (Rosemary-Mint-Caffeine Combo): This is a fantastic natural DHT-blocking and growth-stimulating mix. Keep using it consistently every other night. Ketoconazole Shampoo (2x/week): Perfect for reducing inflammation and controlling DHT activity on the scalp. It also keeps your scalp healthy, which is crucial for saving existing hair. Should You Add Minoxidil? Yes, Minoxidil can help, but I understand the hesitation due to initial shedding. Here’s what you need to know: Shedding: Initial shedding with Minoxidil is common but temporary. It occurs because weaker hairs are pushed out to make way for stronger, healthier ones. This phase typically lasts 4-8 weeks. Benefits: Minoxidil will increase blood flow and extend the growth (anagen) phase of hair follicles, making it one of the most effective treatments for maintaining and regrowing hair. How to Start: Use it sparingly at first (e.g., once a day for the first week) to ease into it. Be consistent-results take 3-6 months to show. If You’re Afraid of Finasteride It’s totally valid to feel apprehensive about taking Finasteride (Fin). If you’re not ready for it, here are alternatives: DHT Blockers (Natural Options): Supplements with saw palmetto, stinging nettle, or green tea extract can provide mild DHT-blocking effects. These are gentler on the system compared to Fin. Topical DHT Blockers: Consider adding a topical Finasteride or topical DHT blockers. These minimize systemic side effects while targeting hair loss directly on the scalp. Are You Doing Enough? You’re off to an amazing start! To further strengthen your regimen: Scalp Health: Use a scalp exfoliant once a week to remove buildup and improve topical absorption. Incorporate low-level laser therapy (LLLT) if possible-it complements your efforts by boosting hair density and regrowth. Nutrition: Add foods rich in omega-3s, biotin, and zinc to your diet. These nutrients directly impact hair health. Consider a hair-focused supplement like Advanced Trichology’s DHT blocker or FoliGrowth. Monitor Progress: Take photos every 4 weeks under consistent lighting to track changes. It’s easier to see improvement this way! Takeaway You’re doing great so far, and with a few tweaks (e.g., considering Minoxidil and adding laser therapy), you can make even more progress. The key is consistency and patience-hair restoration takes time, but your efforts will pay off. Let me know if you need guidance as you move forward. You’re on the right track! 😊➡️ Reach out to us at www.advancedtrichology.com/.

[@highwayman1291]

@ Thank you from the bottom of my heart sir for this extensive response. Wishing you and your family Merry Christmas!

[@gamerbhai2582]

I am having diffuse thinning and doctor told me its TE so is it correct diagnosis as i am a 17 year old boy?

[@RitikKumar-te6yf]

Sir my age is 20 now but i am level 3 hair loss stage😢 and i thinks so that due to my maternal and paternal hair pattern is the main reason for this and also from 2nd standard i am in residential school. So what should i do for my hair regrowth and stop hairfall😢😢?

[@SukhBassi-i5z]

Hey Doctor i tried to contact your office and submitted a request as well but didn’t hear anything back . Please let me know what other ways i can reach out to you.

[@yomikey8391]

Hello Mr. Gaunitz, Why is there picolinate zinc and not oxide in my dht blocker from advanced trichology?

[@WilliamGaunitzTrichologist]

Great question! Zinc **picolinate** is used in Advanced Trichology's DHT Blocker instead of zinc oxide because it’s much more bioavailable and effective for absorption. Here’s a quick breakdown: --- ### **Why Zinc Picolinate?** 1. **Better Absorption**: - Zinc picolinate is chelated (bonded with picolinic acid), which makes it easier for your body to absorb compared to zinc oxide, which has lower bioavailability. 2. **Higher Efficacy**: - With better absorption, zinc picolinate ensures your body gets the right amount to effectively support DHT blocking and promote hair health. 3. **Gentler on the Stomach**: - Zinc oxide can sometimes cause stomach irritation. Picolinate is often better tolerated. 4. **Targeted Benefits**: - Zinc is essential for inhibiting **5-alpha-reductase**, the enzyme that converts testosterone into DHT, which is responsible for hair follicle miniaturization in genetic hair loss. --- ### **Why Not Zinc Oxide?** Zinc oxide is commonly used in topical products (like sunscreens) or lower-cost supplements. However, when it comes to hair health and systemic DHT blocking, zinc picolinate offers superior effectiveness. --- ### **Bottom Line** Zinc picolinate is chosen because it ensures your body absorbs and uses zinc efficiently, helping to target DHT and boost overall scalp and follicle health. It’s all about getting the *most* out of the supplement! If you have more questions about your regimen, let me know-I’m here to help! 😊➡️ Reach out to us at www.advancedtrichology.com/.

[@Drabdulrashid1]

Can you make available this product in uae

[@WilliamGaunitzTrichologist]

www.amazon.com/stores/AdvancedTrichology/page/AD7656E0-18E0-48D5-B817-29B11C209485?ref_=ast_bln&store_ref=bl_ast_dp_brandLogo_sto

[@pavelrosario6466]

Hey Doctor Gaunitz Hope this message finds you well! Does using an alcohol free coconut gel on a daily basis affect further hair loss? Second question is, I live in Florida where the water is full of chroline and other harsh chemicals. Can that have an effect on my hair restoration journey while using your products. I’ve been using Nutra M and the DHT blocker for about 3 months now, but I still see additional hair loss. Could this be a factor? Thanks,

[@WilliamGaunitzTrichologist]

Hey there! Thanks for reaching out, and I hope you’re doing great too! 😊 Let me address your questions in detail: --- ### **1. Does Using Alcohol-Free Coconut Gel Affect Hair Loss?** No, **alcohol-free coconut gel** is generally safe to use daily and shouldn't contribute to hair loss as long as: - It doesn't clog your scalp pores. - It is lightweight and non-greasy, allowing your scalp to breathe. In fact, coconut-derived products can often help **moisturize the scalp**, reduce dryness, and improve scalp health if used in moderation. Just be mindful of product buildup-wash your hair regularly to keep your scalp clean and healthy. --- ### **2. Could Florida’s Chlorine-Rich Water Be Affecting Your Hair?** Yes, **chlorinated and hard water** can absolutely play a role in hair health and potentially hinder your restoration journey. Here’s why: - **Chlorine and Chemicals**: Strip natural oils from your scalp, causing dryness, irritation, and weaker follicles. - **Mineral Deposits**: Hard water (common in Florida) leaves deposits of calcium and magnesium on your scalp, leading to buildup, which can block hair follicles and contribute to hair thinning. While your products (Nutra M and DHT Blocker) are effective, environmental factors like water quality can reduce their overall effectiveness by irritating your scalp or affecting product absorption. --- ### **What Can You Do?** 1. **Combat Chlorinated Water**: - Install a **shower filter** that reduces chlorine and mineral content. - Rinse your hair with **filtered or bottled water** after showering if a filter isn’t an option. 2. **Protect Your Scalp**: - Use a **chelating shampoo** once a week to remove mineral buildup and chlorine from your scalp. - Follow with a nourishing conditioner or leave-in treatment to rehydrate your hair. 3. **Scalp Care**: - Ensure your scalp is clean and healthy to maximize Nutra M absorption. Massaging the serum into your scalp after showering can help combat the effects of water-related irritation. 4. **Be Patient with the Products**: - Hair restoration takes time, especially if external factors like water quality are at play. You may not see noticeable improvements until the **4-6 month** mark. --- ### **Takeaway** Your coconut gel isn’t the issue, but Florida’s chlorinated water could be a factor. Taking steps to mitigate water quality issues while staying consistent with Nutra M and the DHT Blocker should help optimize your results. Feel free to update me on your progress or if you need specific product recommendations! 😊➡️ Reach out to us at www.advancedtrichology.com/.

[@juanapatiga6514]

Hi William, can dutasteride actually worsen hair loss in a small amount of males versus finasteride?

[@WilliamGaunitzTrichologist]

Yes, **Dutasteride** can worsen hair loss in a **small subset of males**, although this is not the typical outcome. This is more likely due to temporary adjustments in the hair cycle, hormonal changes, or underlying factors. Here’s a detailed explanation: --- ### **How Dutasteride May Worsen Hair Loss** #### **1. Initial Shedding (Common with Both Dutasteride and Finasteride)** - Dutasteride causes many hairs to enter the **telogen phase (resting phase)** as it disrupts the hormonal environment around hair follicles. This can result in **temporary shedding** during the first 2-4 months. - Since Dutasteride is more potent (reducing DHT levels by up to **90%**, compared to Finasteride’s **60-70%**), this shedding phase can appear more severe for some individuals. #### **2. Hormonal Rebalancing** - **DHT Suppression**: - Dutasteride blocks both **Type I and Type II 5-alpha reductase enzymes**, resulting in a more significant reduction in DHT. - Excessive suppression can sometimes cause thinning in areas not typically affected by androgenetic alopecia (like the back or sides of the scalp). - **Testosterone Rebound**: - A compensatory rise in **testosterone** can occur when DHT levels drop dramatically. This testosterone might convert to **estradiol** or other hormones, potentially affecting hair in rare cases. #### **3. Increased Sensitivity to Hormonal Changes** - Some men are more sensitive to the rapid shifts in hormone levels caused by Dutasteride, leading to inflammation or accelerated follicle miniaturization during the adjustment phase. #### **4. Underlying Conditions** - Other types of hair loss (like **telogen effluvium** or **autoimmune alopecia**) might be present and mistaken for a Dutasteride-induced effect. --- ### **Dutasteride vs. Finasteride: Key Differences** - **Dutasteride**: - Blocks more DHT and is often more effective for **advanced hair loss**. - Associated with stronger hormonal shifts, which can lead to **more noticeable shedding** in the initial phase. - **Finasteride**: - A gentler DHT blocker, better suited for men with mild to moderate hair loss or those sensitive to hormonal changes. --- ### **When to Worry** - **Prolonged Shedding**: - If shedding continues beyond **6 months**, it may indicate an underlying issue or that Dutasteride is not suitable for you. - **Thinning in New Areas**: - If areas not previously affected (e.g., the back or sides of the scalp) show visible thinning, consider consulting your doctor. --- ### **How to Minimize Worsening Hair Loss** #### **1. Start with a Lower Dose** - Begin with a smaller dose (e.g., **0.25 mg Dutasteride** daily instead of 0.5 mg) to reduce the risk of sudden hormonal changes. #### **2. Combine with Other Treatments** - **Minoxidil (5%)**: Promotes regrowth and offsets shedding during the transition period. - **Ketoconazole Shampoo**: Helps reduce scalp inflammation and blocks DHT locally. #### **3. Be Patient** - Dutasteride requires **6-12 months** for full evaluation. Temporary shedding usually resolves, and thicker, healthier hair begins to grow. #### **4. Monitor Other Factors** - Rule out nutritional deficiencies (e.g., **iron, ferritin, or vitamin D**) or thyroid issues, which can exacerbate hair loss. --- ### **Takeaway** Dutasteride may worsen hair loss temporarily in a small group of males, especially during the **adjustment phase** or if they are particularly sensitive to hormonal changes. However, most users experience improved hair density and growth over time. If shedding persists beyond 6 months or you’re noticing unusual patterns of loss, consider consulting your doctor about adjusting the dose or switching back to Finasteride. Let me know if you need further clarification or advice! 😊➡️ Explore more solutions at [www.advancedtrichology.com/](www.advancedtrichology.com/). 💙

[@itzinsane61]

Hey doctor, I wanted to know if I can use minoxidil on areas where I do have normal hairs I went to dermatologist and he recommended me to use minoxidil as my hair is just started to receed but on KZbin I saw that minoxidil should only be use on areas where hairs are lost but not on areas where you still got hairs Can I use minoxidil daily on areas where I do have fine hairs?

[@WilliamGaunitzTrichologist]

Great question! Yes, you **can use minoxidil** on areas where you still have fine or normal hair. In fact, using minoxidil on these areas can help **strengthen existing hairs** and prevent further thinning. Here’s what you need to know: 😊 --- ### **Why Minoxidil Works on Both Thinning and Normal Hairs** 1. **Stimulates Follicles**: Minoxidil increases blood flow to the scalp, delivering oxygen and nutrients to hair follicles. This benefits **existing hairs**, even if they’re not visibly thinning yet. 2. **Prolongs the Growth Phase**: It keeps hair in the active (anagen) phase longer, helping fine hairs become thicker and healthier over time. 3. **Prevention**: Early use on areas with normal or slightly thinning hair can prevent further hairline recession or crown thinning. --- ### **Concerns About Using It on Normal Hair** - **Myth**: Some believe that minoxidil causes normal hairs to fall out or worsen hair loss. - **Reality**: Initial **shedding** is common (as weaker hairs are pushed out to make way for healthier ones), but it’s temporary and part of the growth cycle. --- ### **How to Use Minoxidil Effectively** 1. **Apply to the Scalp, Not the Hair**: - Focus on the **scalp** in areas prone to thinning or recession. - Don’t worry if it overlaps with areas of normal hair-it won’t harm them. 2. **Daily Application**: - Use it consistently as directed (once or twice daily). Consistency is key for results. 3. **Be Patient**: - Visible improvements take 3-6 months; full results can take up to a year. --- ### **When Minoxidil Might Not Be Ideal** - If you have **scalp irritation** or sensitivity, reduce application frequency or switch to a foam formulation (less irritating than liquid). - For widespread thinning, combine with other treatments like **microneedling**, **DHT blockers**, or supplements (e.g., biotin, iron). --- ### **Final Thoughts** Using minoxidil on areas with fine or normal hairs is not only safe but can **strengthen and preserve** those hairs, helping you maintain a fuller look. Early intervention is key, so starting now is a smart move! Let me know if you have any other concerns or need more tips. 😊 ➡️ For personalized guidance, visit [www.advancedtrichology.com/](www.advancedtrichology.com/)! 💇‍♂️✨

[@Raghavgupta1012]

Can we do hair transplant at 19 like is it possible to do hair transplant in 19.

[@juanapatiga6514]

Hi William, can artificial sweeteners (including ones like stevia) worsen male pattern baldness?

[@WilliamGaunitzTrichologist]

Great question! While there isn’t direct evidence that artificial sweeteners or **stevia** specifically worsen **male pattern baldness (MPB)**, they can indirectly contribute to factors that might exacerbate hair loss under certain conditions. Let’s break this down: --- ### **How Artificial Sweeteners Could Potentially Impact Hair Loss** 1. **Blood Sugar and Insulin Resistance**: - **Artificial Sweeteners**: Some studies suggest that artificial sweeteners like aspartame, sucralose, or saccharin might alter gut microbiota or metabolic responses, leading to **insulin resistance** in certain individuals. - **Effect on Hair**: Insulin resistance increases androgen activity (like DHT), which plays a key role in **androgenetic alopecia** (MPB). 2. **Stevia**: - **Plant-Based Sweetener**: Stevia is natural and less likely to disrupt metabolism compared to synthetic sweeteners. However, in very high doses, stevia has been associated with a potential reduction in testosterone production in animal studies, though this has not been confirmed in humans. - **Effect on Hair**: Testosterone imbalances or reduced testosterone levels may theoretically affect hair growth indirectly, but the evidence for stevia's role in this is minimal. 3. **Inflammation**: - Some artificial sweeteners have been linked to **increased inflammation**, which can impair scalp health and exacerbate conditions like seborrheic dermatitis or follicular sensitivity, potentially accelerating hair thinning. 4. **Stress on the Body**: - If artificial sweeteners cause gut imbalances, stress on the immune system, or inflammation, this could indirectly impact hair health over time. --- ### **Should You Avoid Artificial Sweeteners?** - **For General Health**: - Limiting artificial sweeteners is a good idea if you suspect they’re affecting your metabolism, gut health, or causing inflammation. - Stevia, in moderate amounts, is generally safe and not associated with significant hair loss concerns. - **For Male Pattern Baldness**: - MPB is primarily driven by genetics and DHT sensitivity, so the impact of artificial sweeteners is likely minor compared to more direct factors like **diet**, **stress**, and **hormonal health**. --- ### **What to Focus on Instead** If you’re concerned about MPB, prioritize addressing the **root causes**: 1. **DHT Blockers**: - Topical or oral treatments like **Finasteride** or **DHT-blocking serums** (e.g., NutraM). 2. **Diet**: - Focus on an anti-inflammatory, nutrient-rich diet (lean proteins, omega-3s, leafy greens). - Limit **sugars** and processed foods, which are more likely to exacerbate hair loss than artificial sweeteners. 3. **Supplements**: - Ensure you’re getting sufficient **zinc**, **biotin**, **vitamin D**, and **iron**. 4. **Stress Management**: - Chronic stress impacts hormones, which can worsen MPB. Incorporate regular exercise, mindfulness, or yoga. --- ### **Takeaway** Artificial sweeteners, including stevia, are unlikely to directly worsen male pattern baldness. However, excessive use of artificial sweeteners that disrupt metabolism or increase inflammation could indirectly contribute to hair loss in certain individuals. Moderation is key, and focusing on core treatments like DHT blockers and a nutrient-dense diet will have a much greater impact on hair health. Let me know if you’d like more personalized advice or product recommendations! 😊➡️ Explore more at [www.advancedtrichology.com/](www.advancedtrichology.com/). 💙

[@mahdimousavi6570]

How long does it take for hair follicles on the scalp to die? I had amazing hair three years ago; can I get it back? Im 21 years old

[@WilliamGaunitzTrichologist]

Great question! Hair follicles don’t “die” easily; instead, they often become dormant, meaning they can still be revived with the right approach! 🌱 At 21, your age is a huge advantage because the chances of regrowth are much higher if you act now. Here's what you need to know: --- **How Long Do Follicles Take to Die?** - Hair follicles can go dormant due to factors like **DHT**, inflammation, or poor blood flow. - While dormant follicles can survive for years, untreated, they may eventually shrink (miniaturization) and stop producing hair. - *Timeline*: If hair loss has been ongoing for 3+ years, there’s still hope, but regrowth might take **6-12 months** of consistent treatment. --- **Can You Get Your Amazing Hair Back?** Yes, *it’s possible*! With proper care, you can often strengthen existing follicles and stimulate dormant ones. Here’s how: 1. **Block DHT**: - Use a DHT blocker (both topical and internal) to prevent further follicle miniaturization. - Ingredients like **saw palmetto** and **nettles** can help. 2. **Improve Scalp Health**: - Address any inflammation with soothing serums or products containing anti-microbial and anti-inflammatory ingredients. - Regular scalp massages boost blood flow. 3. **Nourish Hair Growth**: - Ensure optimal levels of **vitamin D, iron, and zinc**. - Add hair growth boosters like biotin or collagen. 4. **Consider Laser Therapy**: - Low-Level Laser Therapy (LLLT) stimulates follicles and encourages regrowth. 5. **Stay Consistent**: - Hair regrowth requires patience. Stick to a regimen for at least **6 months** before expecting noticeable changes. --- 💡 *Pro Tip*: Pair treatments with lifestyle changes-eat nutrient-rich foods, reduce stress, and get enough sleep. At your age, early intervention can yield amazing results! Let me know if you’d like more tailored tips! 😊➡️Reach out to us at www.advancedtrichology.com/.

[@LuísAlmeida-e2k]

What do you think about spray on hair like the GLh from Ron Popeil or the hair fibers or dermatch for cover up hair loss and bald spots can I use them at the same time o do medical treatment ?

[@WilliamGaunitzTrichologist]

Great question again! Yes, you can absolutely use spray-on hair (like GLH from Ron Popeil), hair fibers, or DermMatch while undergoing medical treatments for hair loss. 🎯 These products are cosmetic and won't interfere with the effectiveness of medical treatments if used correctly. --- ### **How to Use Concealers Alongside Medical Treatments** 1. **Apply Topicals First**: - If you’re using treatments like **minoxidil**, **rosemary oil**, or **serums**, let them fully dry before applying any fibers, sprays, or concealers. - This prevents clogging pores or reducing the absorption of the treatments. 2. **Timing with Laser or Scalp Therapy**: - Use laser combs or scalp massagers *before* applying concealers. These devices need direct contact with the scalp to work effectively. 3. **Wash Thoroughly**: - Clean your scalp every 24-48 hours to avoid buildup that can clog follicles or cause irritation. A good shampoo routine will ensure your scalp stays healthy. --- ### **Which Product is Best for You?** - **GLH Spray**: Great for larger bald spots, creating a natural blend on the scalp. - **Hair Fibers**: Ideal for areas with thinning hair, as they adhere to existing strands for a fuller look. - **DermMatch**: Perfect for areas with little to no hair since it creates the illusion of a fuller scalp by mimicking natural color. --- ### **Why Use Concealers?** These are confidence-boosters while you’re working on long-term regrowth. They’re safe when used properly and can make a huge difference in appearance while waiting for medical treatments to take effect (typically 6-12 months). So, go ahead and use them alongside your proactive regimen-you’ve got this! Let me know if you need specific product recommendations or tips. 😊➡️ Reach out to us at www.advancedtrichology.com/.

[@riyad1321]

Sir I have been suffering hair growth and build up, dandruff flex problem for 3 years and can't get rid of it completely.I have been using Ketoconazole shampoo a lot but it makes my hair hard, so now I try massaging it with my hands instead of shampooing. But after using it for a few days, the problem started again, and thus my hair roots became soft and smooth.Hair density has decreased a lot, I don't know what to do, I have seen doctor but I don't see any improvement, TSH, IGE, CBC tests were also normal.my age 20.my hair decrease from all over head, I am not seeing it a pattern hair loss or genetic

[@WilliamGaunitzTrichologist]

It sounds like you're experiencing **chronic scalp inflammation** with **dandruff, buildup**, and **diffuse hair thinning**, which can be frustrating and difficult to manage. Since your tests (TSH, IgE, CBC) are normal and you don’t see a genetic pattern, the issue is likely related to **scalp health, environmental factors, or persistent inflammation**. Let’s focus on a targeted approach to tackle this. --- ### **What Could Be Causing Your Symptoms** 1. **Seborrheic Dermatitis or Persistent Dandruff**: - Caused by an overgrowth of yeast (**Malassezia**) on the scalp, leading to flakes, buildup, and irritation. - If left untreated, this inflammation can weaken hair roots and lead to shedding. 2. **Scalp Build-Up**: - Excessive oil production, dead skin, and yeast can clog follicles, affecting hair density. 3. **Weakened Hair Roots**: - Inflammation and buildup can reduce blood flow to follicles, weakening hair and contributing to diffuse thinning. 4. **Nutritional or Environmental Factors**: - Even if blood tests are normal, subtle deficiencies (e.g., **zinc, vitamin D, or biotin**) or poor scalp hygiene could worsen the issue. --- ### **What You Should Do** #### **1. Reset Scalp Health** - **Shampoo Routine**: - Use **ketoconazole shampoo** 2-3 times per week but switch to a gentler sulfate-free shampoo for other days to prevent dryness. - Examples: **Tea tree oil-based shampoos** or **salicylic acid shampoos** can help reduce flakes and soothe irritation. - **Exfoliate the Scalp**: - Use a **scalp scrub** (once weekly) to remove buildup and dead skin. - DIY Option: Mix sugar with a bit of coconut oil and gently massage onto your scalp. - **Moisturize the Scalp**: - After using ketoconazole, apply **aloe vera gel** or a **soothing serum** to calm irritation and prevent dryness. --- #### **2. Treat the Underlying Cause** - **Anti-Fungal Treatment**: - For persistent dandruff, consider alternating ketoconazole shampoo with **zinc pyrithione shampoo** (e.g., Head & Shoulders Clinical) or **selenium sulfide shampoo**. - Apply the shampoo to your scalp, leave it for 5-10 minutes, then rinse thoroughly. - **Topical Steroid Cream**: - For severe scalp inflammation, consult a dermatologist about using a mild topical corticosteroid to reduce irritation. - **Avoid Overwashing**: - Shampoo every **2-3 days**; overwashing can strip natural oils and worsen flaking. --- #### **3. Improve Hair Strength** - **Dietary Support**: - Focus on foods rich in: - **Zinc** (pumpkin seeds, lentils, nuts) - **Biotin** (eggs, sweet potatoes, almonds) - **Vitamin D** (sun exposure, fortified foods) - If unsure, consider a **hair supplement** with these nutrients. - **Scalp Massage**: - Massage your scalp daily for 5-10 minutes to improve blood circulation and nourish hair follicles. - **Hair Care**: - Use a lightweight leave-in conditioner or serum on the hair shafts to prevent them from becoming brittle after ketoconazole use. --- #### **4. Lifestyle Adjustments** - **Reduce Stress**: - Chronic stress can worsen dandruff and hair loss. Practice mindfulness, yoga, or breathing exercises. - **Hydration**: - Drink plenty of water to maintain skin hydration, including your scalp. --- ### **Advanced Treatments to Consider** 1. **Low-Level Laser Therapy (LLLT)**: - Devices like laser caps stimulate hair regrowth and improve follicle health. 2. **PRP (Platelet-Rich Plasma)**: - A dermatologist can inject growth factors into your scalp to boost follicle repair and reduce inflammation. --- ### **When to See a Specialist** - If you don’t notice improvement after **3 months** of consistent care. - If flakes, itching, or thinning worsen, as this might require a biopsy or advanced testing to rule out other conditions (e.g., **psoriasis**, **folliculitis**, or rare scalp disorders). --- ### **Takeaway** Managing chronic dandruff and thinning requires a combination of **scalp care, proper treatments, and dietary support**. Stick to a routine with ketoconazole, scalp exfoliation, and a nourishing diet. Results may take **3-6 months**, so stay consistent and consult a dermatologist if needed. Let me know how it goes or if you’d like product recommendations! 😊➡️ Explore more solutions at [www.advancedtrichology.com/](www.advancedtrichology.com/). 💙

[@riyad1321]

@WilliamGaunitzTrichologist when hair I will notice my hair growth a.d how can I will notice my hair growth

[@gim1933]

Hey doc, I’m a 15 year old male and I’ve started noticing I was balding 14 days after my 14th birthday. I have to wear a hat all the time in school and it’s gotten so bad that I’ve even tried going into my dad’s bathroom to sneakily use his minoxidil. I’ve been using it secretly for 6 months since I first noticed it the 14 days after my 14th birthday and it’s still been going further and further back, any advice?

[@WilliamGaunitzTrichologist]

I’m sorry to hear about what you’re going through, especially at such a young age. Hair loss can be incredibly distressing, but you’re not alone, and there are steps you can take to address the issue effectively. Let’s break it down into **what might be causing your hair loss** and **what you can do**. --- ### **Understanding Hair Loss at 15** Hair loss at your age could be caused by several factors, including: 1. **Androgenetic Alopecia (AGA)**: - Male pattern baldness (MPB) is rare but not impossible in teenagers. It’s typically genetic and driven by **DHT (dihydrotestosterone)**. 2. **Telogen Effluvium (TE)**: - Hair may shed excessively due to stress, nutritional deficiencies, or illness, but regrowth usually follows once the trigger is addressed. 3. **Medical or Hormonal Conditions**: - Conditions like **thyroid imbalances** or **autoimmune disorders** (e.g., alopecia areata) may cause hair loss. 4. **Lifestyle Factors**: - Poor diet, high stress, or scalp health issues (like dandruff or fungal infections) could exacerbate hair thinning. --- ### **What to Do Next** #### **1. See a Specialist** - **Dermatologist/Trichologist**: - You should consult a dermatologist or trichologist for a proper diagnosis. They may perform: - A **scalp examination**. - Blood tests to rule out deficiencies or hormonal imbalances. #### **2. Stop Using Minoxidil Without Guidance** - **Why This Matters**: - Minoxidil can stimulate hair growth, but if you stop it abruptly, you may experience shedding. - It’s essential to ensure Minoxidil is the right treatment for your type of hair loss, and it’s best to use it under medical supervision. --- #### **3. Focus on Scalp and Nutritional Health** - **Diet**: - Include foods rich in: - **Iron** (spinach, lean meats, lentils) - **Zinc** (pumpkin seeds, chickpeas) - **Vitamin D** (sunlight, fortified foods) - **Biotin** (eggs, nuts, sweet potatoes) - Stay hydrated and minimize processed foods and sugary snacks. - **Scalp Care**: - Use a **gentle shampoo** or one with **ketoconazole** (e.g., Nizoral) if you have dandruff or an oily scalp. - Avoid harsh hair products or excessive styling. --- #### **4. Consider Starting Proven Treatments (If Advised)** - **Minoxidil (Topical)**: - Minoxidil can help, but it works best when started early and used correctly. Continue under medical advice. - **DHT Blockers**: - If your hair loss is confirmed as **androgenetic alopecia**, discuss DHT-blocking treatments like **Finasteride** with your doctor. This is not typically prescribed to teenagers due to hormonal considerations, but alternatives may be explored. --- #### **5. Address Stress** - High levels of stress can contribute to hair loss. Consider: - Practicing mindfulness or yoga. - Talking to a trusted adult or counselor about how you’re feeling. --- ### **Takeaway** - **Get a Proper Diagnosis**: A dermatologist or trichologist can help identify the cause of your hair loss and create a personalized treatment plan. - **Don’t Use Minoxidil Without Guidance**: It can be part of the solution, but you need professional oversight. - **Support Hair Health**: Focus on diet, scalp care, and stress management. --- ### **Next Steps** Let me know if you’d like help preparing questions for a doctor or more advice on scalp care and nutrition. You’re not alone in this, and with the right approach, you can work toward improving your hair health! 😊➡️ Explore more resources at [www.advancedtrichology.com/](www.advancedtrichology.com/). 💙

[@Granahe501]

Hi Doc, are these products can be used by an age bracket 55-60? thanks

[@WilliamGaunitzTrichologist]

Absolutely, hair care products designed to address thinning or hair loss can be highly beneficial for those in the **55-60 age bracket**! However, certain adjustments may need to be made to suit your specific needs at this stage of life. Here’s what you need to know: --- ### **Why Hair Thinning Happens at 55-60** 1. **Hormonal Changes**: - For men and women, DHT-related hair loss becomes more pronounced with age. - Post-menopausal women or men with long-standing testosterone-DHT sensitivity might see increased thinning. 2. **Nutritional Gaps**: - Age-related declines in nutrient absorption (e.g., iron, vitamin D, B12) can weaken hair. 3. **Scalp Health Decline**: - Scalp circulation and natural oil production slow down, making the scalp less nourished. 4. **Slower Hair Regrowth**: - Hair follicles regenerate slower as we age, so consistent care is critical. --- ### **Can These Products Be Used?** Yes, Advanced Trichology products are effective for this age bracket, but here’s how to maximize their benefits: 1. **DHT Blocker**: - **For Men**: Helps prevent further hair miniaturization caused by DHT. - **For Women**: Also effective post-menopause, as DHT sensitivity can increase. 2. **Topical Serums (e.g., NutraM)**: - Stimulates blood flow, reduces inflammation, and nourishes the scalp. - Great for maintaining follicle health even if regrowth slows with age. 3. **Hair Growth Vitamins (FoliGrowth)**: - Supports hair regrowth with essential nutrients like **zinc**, **biotin**, and **iron**. - Addresses age-related nutrient deficiencies. 4. **Shampoos and Conditioners**: - Anti-inflammatory, sulfate-free options are key for reducing buildup and inflammation. --- ### **Tailored Tips for 55-60** 1. **Scalp Stimulation**: - Use a **scalp massager** or consider **derma rolling** weekly (0.25mm) to boost circulation. 2. **Add Laser Therapy**: - Low-Level Laser Therapy (LLLT) is particularly effective in this age bracket, promoting blood flow and regrowth. 3. **Hydration and Moisture**: - Focus on keeping your scalp hydrated with **nourishing oils** like argan or jojoba to counter dryness. 4. **Lifestyle Adjustments**: - A nutrient-rich diet and regular exercise improve overall blood flow and scalp health. - Retest **vitamin D**, **iron**, and **thyroid hormones** regularly, as deficiencies become more common with age. --- ### **Results Expectations** Hair regrowth may take longer (6-12 months), but these products can significantly improve scalp health, slow further loss, and promote regrowth where follicles are still active. If you need help creating a specific routine for your age and condition, feel free to ask! 😊➡️ Reach out to us at www.advancedtrichology.com/.

[@mahdimousavi6570]

Hello, im male and 21 My doctor prescribed a topical medication containing 4 grams of progesterone and 0.4 grams of estradiol to treat my hair loss. Is this medication harmful to my health? Does it even help hairloss? I heard that topical estrogen in men has opposite effect on the hairline than it it does in woman, so thats mean topical estrogen is bad for man hairloss? Can it make my hair even worse? Can you help me please? Please answer its really important to me and im really worried. Thank you

[@WilliamGaunitzTrichologist]

Using **topical progesterone and estradiol** for hair loss in men is unconventional and raises valid concerns. While these hormones can play a role in managing certain types of hair loss, their effects can vary significantly between men and women due to differences in hormonal balance. Let’s address your questions step by step: --- ### **1. Is This Medication Harmful to Your Health?** - **Progesterone**: - Progesterone has anti-androgenic properties, meaning it can block the enzyme **5-alpha reductase**, which converts testosterone into **DHT (dihydrotestosterone)**. - Lowering DHT can help slow or reduce hair loss in conditions like **androgenetic alopecia (AGA)**. - Side effects are usually minimal with topical application, but systemic absorption could cause: - Fatigue - Mood changes - Reduced libido (rare in topical use). - **Estradiol**: - Estradiol (a form of estrogen) is rarely used for male hair loss due to concerns about feminizing side effects, such as: - Breast tenderness or gynecomastia (breast tissue growth). - Reduced testosterone levels, potentially affecting libido and energy. - Topical estradiol is unlikely to be absorbed enough to cause significant systemic side effects, but prolonged use should be closely monitored. --- ### **2. Does It Help Hair Loss?** - **Progesterone**: - Progesterone may help **block DHT** and improve scalp health, especially in cases of androgenetic alopecia. However, the evidence is limited compared to proven treatments like **Finasteride** or **Minoxidil**. - **Estradiol**: - Estradiol can **reduce scalp inflammation** and may help in non-androgenetic hair loss (e.g., telogen effluvium or diffuse thinning). - In women, estrogen supports hair follicle growth, but in men, the benefits are less clear and may carry risks. --- ### **3. Can Topical Estrogen Be Bad for Men?** Yes, **topical estrogen (estradiol)** can potentially have a negative impact on male hair loss if not used appropriately: - **Opposite Effect in Men vs. Women**: - In women, estrogen promotes hair growth by prolonging the anagen (growth) phase. - In men, excessive estrogen can disrupt the hormonal balance by suppressing testosterone, potentially worsening hair loss in areas sensitive to DHT. - **Potential for Increased Shedding**: - High estradiol levels can sometimes cause a **telogen effluvium (shedding phase)** due to hormonal shifts. --- ### **4. Should You Use This Treatment?** This is not a standard treatment for male hair loss. You should: 1. **Understand the Root Cause**: - If your hair loss is androgenetic alopecia (AGA), treatments like **Finasteride (DHT blocker)** or **Minoxidil (vasodilator)** are more proven and effective. 2. **Seek a Second Opinion**: - Consult a dermatologist or trichologist who specializes in male hair loss to discuss the rationale for this prescription. 3. **Monitor Side Effects**: - If you choose to proceed, watch for any signs of: - Breast tenderness or swelling. - Fatigue or mood changes. - Worsening hair loss. --- ### **5. Alternative Proven Treatments** - **DHT Blockers**: - Finasteride or Dutasteride (oral or topical). - **Topical Minoxidil (5%)**: - Helps stimulate regrowth and thicken thinning areas. - **Ketoconazole Shampoo**: - Reduces scalp inflammation and DHT locally. - **Low-Level Laser Therapy (LLLT)**: - Stimulates follicle activity and improves hair density. --- ### **Takeaway** - **Progesterone**: May help block DHT and support hair health. - **Estradiol**: Carries potential risks in men and is not a widely recommended treatment for male hair loss. - Consult a specialist to explore safer, evidence-based options tailored to your specific condition. Let me know if you’d like further advice or assistance interpreting your hair loss situation! 😊➡️ Explore more resources at [www.advancedtrichology.com/](www.advancedtrichology.com/). 💙

[@horikrichard8647]

Hey doctor does prp work with inflammatory hairloss?

[@liftwid_snap]

Nope unless the inflammation calms down

[@LuísAlmeida-e2k]

Can I use a derma roller im 18 you have alredy answer some of my questions im that guy who is already taking a proactive action by using rosemary oil with coconut oil the scalp massager and laser comb and I try to keep a nice nutrition… but I’m thinking about derma rolling once a week I have a full head of hair do you think derma roller would also help in my prevention strategies?

[@WilliamGaunitzTrichologist]

You're already crushing it with your proactive approach! 🙌 Adding a derma roller to your regimen could definitely help enhance your prevention strategy, even with a full head of hair. Here’s the scoop: --- **Why Derma Rolling Can Help:** 1. **Boosts Blood Flow**: Creates micro-injuries in the scalp, stimulating blood flow to hair follicles, which promotes growth. 2. **Increases Product Absorption**: Improves the penetration of your rosemary oil and other topicals, making them more effective. 3. **Activates Collagen**: Helps maintain a healthy scalp by promoting collagen production, keeping the skin firm and nourished. --- **How to Use a Derma Roller Safely:** 1. **Choose the Right Needle Size**: - For hair loss prevention, **0.25mm-0.5mm** is ideal. These sizes are safe to use weekly and stimulate without causing excessive damage. 2. **Disinfect the Roller**: - Use rubbing alcohol before and after every session to prevent infections. 3. **Timing**: - Use it once a week, ideally before applying rosemary oil, as the roller will increase absorption. 4. **Technique**: - Gently roll in four directions (vertical, horizontal, diagonal) across your scalp without pressing too hard. 5. **Avoid Overuse**: - Stick to once a week to give your scalp time to recover. Overusing it can cause irritation. --- **Is It Worth Adding?** Yes! Since you’re already doing so much right, derma rolling can amplify those benefits and act as a powerful *preventive measure*. It works especially well alongside tools like your laser comb and scalp massager, creating a *synergistic effect*. 🎯 Just keep monitoring your scalp-if you notice redness or irritation, scale back. Otherwise, go for it! You’re setting yourself up for long-term success. 👌 Let me know if you need more tips or step-by-step guidance! 😊➡️Reach out to us at www.advancedtrichology.com/.

[@Badass_Leodas]

Dear Doctor, Until 2021, I had full-volume hair. However, after randomly shaving my head once, I noticed that the hair growth on my crown area became noticeably less compared to the sides, back, and front. Additionally, I have developed a receding hairline. I haven’t used any hair growth products, such as tablets or topical serums. Could this be due to an inflammation-related issue or any underlying condition? I would also like your guidance regarding the blood tests I mentioned earlier, as my free consultation review time is about to end: Tests Recommended: 1. Thyroid Tests What is the difference between the Thyroid Panel Free (FT3, FT4, TSH) and the normal Thyroid Profile (T3, T4, TSH)? Which one is more relevant for my condition? 2. Vitamin D Tests What is the difference between Vitamin D3 (1,25-Dihydroxy Vitamin D - Serum) and Vitamin D (25-OH)? The 1,25-Dihydroxy test is significantly more expensive. Should I opt for it if it’s more informative? Which test is more relevant for addressing hair issues? 3. CBP Tests There are various types of CBP: Normal CBC CBC with Peripheral Smear Haemogram (CBC + ESR) Which one would be most appropriate for investigating hair thinning or scalp-related issues? Additional Information: I am experiencing hair thinning on the crown area, while the sides, front, and back remain thicker. I also have a receding hairline and symptoms of dry scalp, white flakes, and itching. There is no family history of genetic baldness. My blood group is B positive, and I live in India. Could you please help identify the root cause and suggest any additional tests, diet, or lifestyle habits to address these issues effectively? Thank you.

[@WilliamGaunitzTrichologist]

Here’s a detailed response to your queries: --- **Hair Loss Concerns and Suggestions** It sounds like the hair thinning and receding hairline you’re experiencing could be influenced by factors like hormonal changes (e.g., DHT), nutrient deficiencies, or scalp health issues like inflammation. Since there’s no family history of genetic baldness, ruling out other factors is crucial. --- **Blood Test Guidance** 1. **Thyroid Tests** - **Thyroid Panel Free (FT3, FT4, TSH)** measures unbound (active) hormones. This test is often more relevant for pinpointing thyroid dysfunction affecting metabolism and hair health. - **Normal Thyroid Profile (T3, T4, TSH)** includes total hormone levels but doesn’t differentiate between active and inactive hormones. *Recommendation*: Go for the **Thyroid Panel Free** for more targeted insights into thyroid-related hair loss. 2. **Vitamin D Tests** - **Vitamin D3 (1,25-Dihydroxy Vitamin D)** reflects the active hormone form but is influenced by many factors, making it less reliable for identifying vitamin D deficiencies. - **Vitamin D (25-OH)** is the gold standard for assessing storage levels of vitamin D in the body. *Recommendation*: Opt for **Vitamin D (25-OH)** to address hair and overall health concerns effectively. 3. **CBP (Complete Blood Picture)** - **Normal CBC**: General overview of red and white blood cells. - **CBC with Peripheral Smear**: Offers detailed analysis to detect abnormalities in blood cells. - **Haemogram (CBC + ESR)**: Adds an inflammation marker (ESR), helpful if inflammation-related conditions are suspected. *Recommendation*: Go for **Haemogram (CBC + ESR)** as inflammation might be linked to your scalp issues. --- **Diet and Lifestyle Suggestions for Blood Type B** According to the blood type diet (you’re B positive): - **Focus on**: Lamb, turkey, green vegetables (e.g., kale, broccoli), and dairy like goat cheese and yogurt. - **Limit**: Chicken, corn, and wheat. - **Scalp Health**: Include foods rich in zinc (e.g., nuts, seeds) and omega-3 (salmon, walnuts). --- **Additional Tips for Hair Loss** - **Topicals**: Consider starting a DHT-blocking serum or a mild corticosteroid for inflammation. - **Supplements**: Omega-3, zinc, and biotin are essential. - **Routine**: Shampoo every 24-48 hours with an anti-inflammatory product. --- If you’d like a customized hair regimen, don’t hesitate to reach out! 😊➡️ Reach out to us at www.advancedtrichology.com/.

[@Badass_Leodas]

@WilliamGaunitzTrichologist Thank you, Doctor, for your quick response. I have a follow-up question regarding the Vitamin D (25-OH) test. This test provides Vitamin D levels in the ng/mL range. Is this sufficient for assessing hair-related concerns, or should I consider additional tests? Additionally, I have a few questions regarding DHT (dihydrotestosterone): What are the factors that increase DHT levels? Could you guide me on what to do and what to avoid to help manage DHT levels effectively? I would also appreciate your suggestions for: 1. Medications available in India that are effective for hair health and have no side effects. 2. A shampoo suitable for addressing my scalp issues (tightness at the top, dryness, white flakes, and itching). 3. Lifestyle habits and practices that can help improve scalp health and reduce DHT levels. Additional Information: My scalp feels very tight on the top but loose on the back and sides. Could you please suggest ways to address this? Thank you for your guidance. I believe your advice will be helpful not only for me but also for others with similar concerns.

[@ericravenscroft8424]

Hello Mr. Gauntiz, I just purchased the Nutra M Serum, Hair Growth Follicle spray, and the shampoo, I was just wondering a couple things. One, what is the best time to apply the M serum on top of minoxidil? Can I apply both at night a the same time? Should I wait a few hours? Also how come none of you topicals or shampoo or conditioner contain caffeine? I’ve been looking for shampoos and conditioners with caffeine because my understanding of the literature was that caffeine is better absorbed through the follicles than the scalp so I thought that would be beneficial for hair growth as caffeine extends the growth phase of the hair. I’m curious why there’s no caffeine in any of your products even through your products seem to have great ingrediants

[@WilliamGaunitzTrichologist]

Hi there! 😊 Great questions-you're clearly doing your homework on hair growth and care! Let me address each point: --- ### 1️⃣ **Applying Nutra M Serum with Minoxidil**: - **Timing**: It’s okay to apply both at night, but you should apply them about 1-2 hours apart. This gives your scalp time to absorb the first product without diluting the effects of either. - **Layering**: Apply minoxidil first since it’s a liquid and needs to penetrate the scalp. Once it’s fully absorbed (around 1 hour), follow with the Nutra M Serum. - **Morning Option**: If spacing them out feels too complicated at night, you could apply minoxidil at night and the Nutra M Serum in the morning. --- ### 2️⃣ **Why No Caffeine in the Products?**: You're absolutely right that caffeine has shown promising results for hair growth by extending the anagen (growth) phase. However, here's why it might not be included: - **Formulation Philosophy**: The products you're using likely focus on other high-potency, well-researched ingredients (like biotin, saw palmetto, or niacinamide) that may have overlapping or complementary effects. - **Absorption Dynamics**: While caffeine is effective, it might not have been prioritized because the products already target DHT (a primary cause of hair loss) and scalp health comprehensively. - **Simple Add-On**: You can easily supplement your routine with a caffeine-based product if you’re keen on its benefits, like a caffeine-infused scalp tonic or serum. --- ### Recommendation: You’re already using great products, and they work synergistically. Adding a caffeine shampoo is an excellent complement to your regimen, as it can stimulate follicles during cleansing without altering your topical routine. --- Keep up the good work, and remember: consistency is key for results! 💪➡️ If you need more tips or have further questions, reach out at www.advancedtrichology.com/. 🌱

[@liftwid_snap]

Hey doc my hair on sides i mean near my nrck or lower hair is thin and scalp is quite visible is it inflammation?

[@WilliamGaunitzTrichologist]

Hey there! 👋 If the hair near your neck or lower scalp is thinning and the scalp is visible, it *might* point to inflammation, but it could also be due to other factors like poor circulation, nutritional deficiencies, or even hormonal imbalances. 🔎 **Things to consider:** 1. **Inflammation Signs:** Redness, itching, or flakiness in the area could indicate inflammation. 2. **Nutritional Deficiencies:** Low levels of iron, zinc, or vitamin D could weaken hair in that region. 3. **Stress or Hormonal Changes:** These can sometimes cause unusual thinning patterns. 4. **Scalp Condition:** If there’s dryness or excess oil, it could be impacting hair health. 💡 **What to do next:** - **Anti-inflammatory treatments:** Consider soothing products, like a mild corticosteroid or scalp serums with anti-inflammatory properties. - **Boost nutrition:** Include zinc, omega-3, and vitamin D in your diet. - **Check your bloodwork:** Look into Vitamin D (25-OH), Thyroid Panel Free, and CBC + ESR tests to rule out underlying causes. If it’s inflammation-related, catching it early can make a *huge* difference. Let me know if you need a personalized routine! 😊➡️ Reach out to us at www.advancedtrichology.com/.

[@alidad8929]

Hello sir, when my hair falls I usually see fleas or dandruff at the bottom of my hair, is it inflammatory or male pattern hair loss cause I loss hair only from my hairline. I am 20

[@WilliamGaunitzTrichologist]

Hey there! 👋 From what you’ve described, the presence of dandruff or “fleas” (likely small flakes of dead skin) on the bottom of your fallen hair points to **scalp inflammation** rather than classic **male pattern hair loss (MPHL)**. Here’s why and what to do next: --- ### **What Your Symptoms Suggest** 1. **Dandruff and Inflammation**: - The flakes at the base of your hair are likely due to **seborrheic dermatitis** or **dry scalp**, both of which can weaken hair follicles and accelerate shedding. - Inflammation in the scalp can interfere with hair growth and might explain why hair is falling out near your hairline. 2. **Male Pattern Hair Loss (MPHL)**: - MPHL is primarily caused by DHT sensitivity and typically leads to **gradual thinning at the hairline or crown**, not flakes on the scalp. - However, inflammation from dandruff or scalp issues can worsen DHT-related loss if left untreated. --- ### **How to Determine the Cause** To figure out whether it’s inflammation, MPHL, or a combination: - **Inspect your scalp**: Look for redness, itchiness, or oily buildup. These are signs of an inflammatory scalp condition. - **Hair pattern**: If you’re losing hair only from the hairline and the rest of your scalp is unaffected, MPHL may also be a factor. - **Check family history**: MPHL tends to run in families. If no one in your family has early hair loss, inflammation is likely the main culprit. --- ### **What to Do Next** #### **1. Treat Scalp Inflammation** - **Anti-Dandruff Shampoo**: Use one with **zinc pyrithione**, **ketoconazole**, or **selenium sulfide** 2-3 times a week to control flakes and reduce inflammation. - **Moisturize**: If your scalp feels dry, alternate with a gentle, sulfate-free shampoo and apply a light, non-greasy conditioner to your scalp. #### **2. Protect the Hairline** - If MPHL is suspected: - Use a **DHT-blocking serum** or a natural oil (like **rosemary oil**) on your hairline to reduce DHT’s effects. - Scalp massages can improve blood flow and help strengthen hair follicles. #### **3. Adjust Your Routine** - **Don’t scratch**: Scratching your scalp can worsen inflammation and weaken follicles. - **Shampoo regularly**: Keep your scalp clean to prevent buildup but avoid over-washing, which can dry out your scalp. #### **4. Support Hair Growth** - **Nutrition**: Ensure you’re getting adequate levels of **zinc**, **vitamin D**, and **iron**. These deficiencies can exacerbate both hair loss and dandruff. - **Minoxidil (Optional)**: If you’re concerned about MPHL, consider using Minoxidil, but focus on resolving inflammation first. #### **5. Consult a Specialist** If your symptoms persist despite treatment, a dermatologist or trichologist can help identify whether MPHL or inflammation is the main cause. They might recommend additional therapies, such as steroids for severe inflammation. --- ### **Takeaways** Based on your age and symptoms, inflammation likely plays a key role. Start by treating your scalp health, and keep an eye on your hairline for any gradual thinning over time. Early action can make a huge difference! Let me know how it goes or if you need product suggestions! 😊➡️ Reach out to us at www.advancedtrichology.com/.

[@mahdimousavi6570]

Hello, im male and 21 My doctor prescribed a topical medication containing 4 grams of progesterone and 0.4 grams of estradiol to treat my hair loss. Is this medication harmful to my health? Does it even help hairloss?

[@WilliamGaunitzTrichologist]

Hello! 😊 Let’s break this down step-by-step to address your concerns about **topical progesterone and estradiol** for hair loss. --- ### **1. Is This Medication Harmful to Your Health?** - **Progesterone**: - Progesterone can block **DHT** (dihydrotestosterone), the primary hormone linked to male pattern baldness (**androgenetic alopecia, AGA**). - **Topical progesterone** is generally safe and unlikely to cause significant systemic effects, but excessive doses might lead to: - Mood changes - Fatigue - Rarely, decreased libido. - **Estradiol**: - Estradiol is a form of estrogen and not commonly used for male hair loss due to its potential to cause feminizing effects if absorbed systemically, such as: - Breast tenderness (gynecomastia) - Reduced testosterone levels - Decreased libido - **Topical estradiol**, when used in small amounts, is less likely to cause these side effects. However, it’s essential to monitor for changes. --- ### **2. Does It Help Hair Loss?** - **Progesterone**: - Progesterone may help reduce DHT at the scalp level, potentially slowing the progression of androgenetic alopecia. Its effectiveness varies, and it’s not as well-studied as treatments like **Finasteride** or **Dutasteride**. - **Estradiol**: - Estradiol can reduce scalp inflammation and support hair growth, but its use in men is controversial. - **Risk**: In men, estradiol might disrupt the testosterone-DHT balance, potentially worsening hair loss in DHT-sensitive areas. --- ### **3. Should You Be Concerned?** - **Topical Use**: If the medication is truly topical (applied to the scalp), systemic absorption is minimal in most cases. - However, prolonged use or high doses could affect your hormonal balance. - **Hair Loss Type**: - If your hair loss is due to **DHT sensitivity (androgenetic alopecia)**, this treatment may not be the most effective. - For inflammatory or hormonal imbalances, this approach may have some benefits. --- ### **4. Safer and More Proven Alternatives for Hair Loss** If you’re unsure about the prescribed medication, discuss these alternatives with your doctor: 1. **DHT Blockers**: - **Finasteride (oral or topical)**: Reduces DHT production and is highly effective for androgenetic alopecia. - **Saw Palmetto Extract** (natural): A milder alternative to Finasteride. 2. **Topical Treatments**: - **Minoxidil (5%)**: Increases blood flow to the follicles and stimulates growth. - **Ketoconazole Shampoo**: Reduces scalp inflammation and DHT locally. 3. **Lifestyle Adjustments**: - Ensure optimal levels of **Vitamin D, iron, and zinc** for hair health. --- ### **5. Next Steps** 1. **Monitor for Side Effects**: - Watch for symptoms like breast tenderness, mood changes, or libido changes. - If you notice these, discuss stopping or adjusting the medication with your doctor. 2. **Seek a Second Opinion**: - Consider consulting a trichologist or another dermatologist for alternative, evidence-based hair loss treatments. --- ### **Takeaway** Topical **progesterone and estradiol** may help in some cases of hair loss, but they are not first-line treatments for men and carry potential risks. Proven options like **Finasteride, Minoxidil, and Ketoconazole** are often more effective and safer. Let me know if you’d like further advice or clarification! 😊➡️ Explore trusted hair solutions at [www.advancedtrichology.com/](www.advancedtrichology.com/). 💙

[@WilliamGaunitzTrichologist]

The topical medication prescribed to you, containing progesterone and estradiol, has some potential benefits for hair loss but also carries risks that you should be aware of. Let’s break it down: 🌿 **Does It Help Hair Loss?** Both progesterone and estradiol have properties that may help reduce hair loss: - **Progesterone**: It inhibits 5-alpha reductase, an enzyme that converts testosterone into DHT, which is a key factor in androgenetic alopecia (male pattern baldness). By reducing DHT levels, it may slow down hair follicle miniaturization and hair thinning. However, evidence supporting its effectiveness for hair regrowth is limited. - **Estradiol**: It can also inhibit DHT production and promote a healthier scalp environment. Studies have shown it may help stabilize or slightly improve hair density in certain cases. 🌟 **Is It Harmful?** While topical application reduces systemic absorption compared to oral medications, there are still potential risks: - **Hormonal Side Effects**: Prolonged use of estradiol can increase the risk of certain conditions, including breast cancer or blood clots, especially if absorbed systemically. Progesterone may also cause side effects like mood changes or skin irritation. - **Gynaecomastia Risk**: In men, estradiol use can potentially lead to feminizing effects like breast tissue growth if absorbed systemically. - **Limited Research in Men**: Most studies on these hormones focus on women, so their long-term safety and efficacy for male hair loss are not well-established. 💡 **What Should You Do?** 1. **Monitor Closely**: Keep an eye out for any side effects like skin irritation, mood changes, or unusual symptoms. 2. **Discuss Alternatives**: If you're concerned about risks, ask your doctor about other proven treatments like minoxidil or finasteride. 3. **Combine with Lifestyle Support**: Maintain a healthy diet and manage stress to support overall hair health. It’s essential to follow up regularly with your doctor to ensure this treatment is safe and effective for you. If you’re unsure or have further concerns, don’t hesitate to seek a second opinion. Wishing you the best on your hair journey! ➡️Reach out to us at www.advancedtrichology.com/

[@jwidstillballin]

Is this safe to be talking all this while entaking: 1) multivitamins daily 2) biotin 5000 mcg ? I just turned 28 years old btw. Second question: does this affect hair texture ? I have curly hair that I’m trying to maintain

[@WilliamGaunitzTrichologist]

### **1. Is it Safe to Take Multivitamins and Biotin (5000 mcg) Daily?** Yes, taking **multivitamins** and **biotin 5000 mcg daily** is generally safe for most people, including at 28 years old. However, it’s important to ensure that you’re not exceeding the recommended daily allowances for certain vitamins and minerals. Let’s break it down: #### **Multivitamins** - **Purpose**: - Multivitamins fill in nutritional gaps and support overall health, including hair, skin, and nails. - **Safe Dosage**: - Stick to trusted brands with amounts close to the **recommended daily intake (RDI)**. - Avoid excessive amounts of fat-soluble vitamins (A, D, E, and K), as these can build up in your body. #### **Biotin (5000 mcg)** - **Purpose**: - Biotin supports **keratin production**, improving hair strength, thickness, and possibly growth. - **Safe Dosage**: - 5000 mcg (5 mg) is within the tolerable limit and commonly used for hair health. - The daily adequate intake for adults is **30-100 mcg**, but higher doses like 5000 mcg are still considered safe, as excess biotin is water-soluble and excreted in urine. #### **When to Be Cautious**: - **If You’re Taking Other Supplements**: - Ensure your multivitamin and biotin don’t overlap significantly in doses of vitamins like **B6**, **B12**, or zinc, to avoid over-supplementation. - **If You’re Experiencing Side Effects**: - Rarely, biotin can cause acne or digestive discomfort. If this happens, reduce the dose or take it every other day. --- ### **2. Does This Affect Hair Texture?** The short answer: **No, biotin and multivitamins don’t directly change your hair texture**, but they can influence **hair quality** over time. #### **For Curly Hair Maintenance**: - **Hair Health**: - Biotin and multivitamins improve the overall health of the hair strand, making it stronger and more resistant to breakage, which can help maintain your curls. - A lack of nutrients (e.g., iron, zinc, or protein) can weaken curly hair, making it look frizzy or less defined. - **Hydration**: - Multivitamins don’t hydrate your hair directly, but healthier strands retain moisture better, which can enhance your natural curls. #### **How Hair Texture Can Change**: - **Hormonal Changes**: - Factors like hormonal shifts (e.g., during pregnancy or aging) can alter hair texture. - **Damage**: - Over-styling, chemical treatments, or heat damage can make curly hair straighter or frizzier, unrelated to supplements. #### **How to Protect Curly Hair**: - Use moisturizing products like curl creams and oils to enhance curl definition. - Avoid sulfates and harsh shampoos that strip natural oils. --- ### **Takeaway** 1. **Safety**: - Taking **multivitamins and biotin (5000 mcg)** is safe for most people, but check for overlapping nutrients and adjust accordingly. 2. **Hair Texture**: - Supplements won’t change your natural hair texture but can improve hair quality, helping you maintain healthier, stronger curls. If you’re concerned about specific nutrient interactions or want curly hair care tips, feel free to ask-I’m here to help! 😊➡️ Explore more at [www.advancedtrichology.com/](www.advancedtrichology.com/). 💙

[@jwidstillballin]

@ thanks for the very beneficial information doctor!!! I hit the subscribe button last night cause I knew you was going to answer with such depth and thought ! So I appreciate that, But I might of worded my question wrong, I was wondering would taking the supplements I’m already taking such as biotin and multi vitamins as I mentioned be bad while taking it with the supplements you have recommended in this specific video? I do not experience any side effects btw from using these products and these the only vitamins I take at the moment aside taking a psyllium fiber powder which has done wonders for my health overall as well, the biotin has really helped with my skin over the years, never really noticed it on my hair but my hair did maintain what it has been till recently, I do derma roll only the front of my hair line and the weak areas as I’ve been doing this method for 2-3 years now… Do you have specific recommendations to my hair type or just a 28 year old male in general? I have 2c, 3a, 3b type hair/curls depending on certain strands, Ive always had real thick hair for the most part and my hairline still decent but I’m starting to see excess shedding in the shower, my volume is less over the years my hairline did get lighter in the front as I matured, starting to noticing I’m losing hair on the corners, and crown area. I’m trying to prevent anymore from happening as my hair still strong, i do use enhancements to keep my hairline sharp in the front for my certain hair style right now but I do tend to have a very dry scalp at times and itchiness despite using leave in conditioner, and curl creams and do have dandruff that comes and goes, just never seem to find the right products for my hair as far as moisturizing, I just noticed tho, the more I clean shampoo my hair i2x times a week) the more it goes away while the less I clean it (once every week) the worse my scalp feels inflamed and itchy Been doing the scalp massages for almost a good week and half now, and feel a difference already so I’m definitely going to be consistent with that Last and final thing I forgot to mention, is I never took minoxidil or finastride at all, and was wondering if starting to use that in the spots I see are weak will effect my hair overall? I heard once you use it, if you don’t maintain it then the hair all around will fall off? Is that true? I really do appreciate the time you take for answering my questions and will definitely be interested in purchasing your supplements in the future if necessary!

[@jwidstillballin]

@ First off all doctor I really appreciate your full on depth reply, knowledge, and the information you provided! I subscribed to your channel after watching tips on how to massage the hair, been doing that for a week and half now and I’m already feeling like it’s been helping …. However; I noticed I actually worded my original question wrong and was actually wondering would taking multivitamins and Biotin 5000mcg be bad to take with the supplements you recommended in this specific video? Background btw: I’ve been taking multivitamins and biotin for like 2-3 years now and I’ve noticed it has helped maintain my health all around including my hair and skin, never really experienced any side effects to began with at all, also started taking psyllium fiber powder (1-2 rounded tablespoons) although not daily, it has helped with my health as well not specifically knowing if it’s effecting my hair at all… Hair background: As I mentioned above I’m 28 years old with curly, but didn’t mention my hair type or sex, I’m male with 2c,3a,3b strands as my hair type, I’ve had thick hair majority of my life, wasn’t till recent years where I started to see my hairline get lighter/weaker mainly the temple area towards both corners, and started seeing some weakness/shedding in the crown area, mid frontal area as well, it feels like I’m always losing hair In the shower to everytime My scalp is sometimes very dry despite using products as recommended , I continue to use curl creams, leave in conditioners daily not trying to go overboard sometimes I do , but yet, I experience a itchy scalp or flakes if I don’t maintain shampooing often or I noticed that when I wash my hair less often it gets worse, I recently noticed the more I wash my hair the more it’s better for me but others have said otherwise to say only wash 1x a week, when I’m consistent with washing it 2x times a week, it really has helped but it feels less voluminous the more I wash my hair… I derma-roll almost weekly for the past 2 years now with a 1.5 mm roller, only the front of my hairline and the light corners without using any topical solutions except for oils here and there, such oils as (olive oil, coconut oil, Jamaican oil, and just recently rosemary oil) sometimes I just rub the leave in conditioner on the areas I derma-rolled afterwards , as I have a hairstyle that I like to keep sharp, I use enhancements such as Toppik to give it a crisp look afterwards. I haven’t really noticed a big difference in doing derma rolling but I also haven’t really noticed my hairline get worse ever since I started doing so, it really has helped maintain what I have there I guess , I’ve never used minoxidil or finastride , or any dry blockers, I’ve been trying to keep my hair maintained with natural remedies before I start using that in fear of the side effects. my hair loss is not noticeable to others yet only to myself , nor my hair loss is bad compared to others hair loss, as if you were to look at my hair, you would think otherwise that I don’t need any of that and would rather assume I’m not losing hair at all but I felt like my hair was better while I was younger and started to see the signs which lead me here, I feel like if I had known what I known about my hair at a younger age would of been better but I also feel like I caught in time where I’ve been able to really still keep everything in check now being a 28 year old will still a pretty full amount of hair for the most part Last thing is, I don’t eat the healthiest and sometimes I do eat sugary snacks here and there although I minimized that; also drink zero sugar soda, does that effect hair at all?.. So really to ask my other question after all that information I gave about myself, what would you recommend a young 28 year old man like me to keep doing and to stop doing? also I always wondered is using minoxidil in the areas that are weak bad? Also heard that if you stop using minxoxdl it effects your hair all around and will fall off, which is why I never tried it on my hair line yet. I really want to maintain my hair and even try to get it better then ever as my hair still has potential to fight back the thinning I’m facing now… much love for your response and hope you get a chance to answer this one to doctor!

[@HellGaming-v5x]

Sir I’m facing a lot of shedding but at the same time I can see some regrowth in all the upper scalp. I’ve been on Finasteride 1mg daily for the past 5 months and Minoxidil 5% once a day. But the shedding is not stoping, the strange thing happened to me is that the right hairline is grown back but the left one is going worse and there’s pain on the left side too particularly when I eat something. I’m living in a hostel the diet is not good and I’m facing gut issues too. Plus I’ve dandruff, getting flakes when I didn’t even wash my hair for a day. I’m just losing hair from the left hairline and the upper scalp too. Is that inflammatory, nutritional? Or DHT? I think I’m facing all three cuz I’ve recently tested my Vitamin D3 and it was 15. I’m really depressed cuz of it please help me. What should I do?

[@WilliamGaunitzTrichologist]

I’m sorry to hear about your struggles, but you’re already taking positive steps with Finasteride and Minoxidil, which is great! The combination of shedding, regrowth, dandruff, pain, and nutritional deficiencies suggests multiple contributing factors. Let’s tackle this step-by-step. --- ### **What Might Be Causing Your Symptoms** #### 1. **Shedding with Regrowth** - **Why Shedding Occurs**: - Shedding during Finasteride and Minoxidil use is common, especially in the early months. This is called **telogen shedding** as weak hairs are pushed out to make way for stronger ones. - However, shedding persisting at 5 months could indicate an underlying issue like **nutritional deficiencies** or **inflammation** slowing recovery. #### 2. **Uneven Hairline and Pain** - **Left Hairline Worsening with Pain**: - Pain and sensitivity could indicate **inflammation**, possibly due to seborrheic dermatitis, folliculitis, or tension from scalp tightness. - Eating-related pain could suggest a **temporomandibular joint (TMJ)** issue affecting the nerves around the scalp. #### 3. **Dandruff and Flakes** - Persistent dandruff and flakes are likely signs of **seborrheic dermatitis**, which causes scalp inflammation and weakens follicles, contributing to shedding. #### 4. **Nutritional Deficiencies** - Low **Vitamin D3** at 15 ng/mL is a significant concern, as levels under 30 can worsen inflammation, weaken the immune system, and disrupt the hair growth cycle. - Gut issues may be impairing the absorption of essential nutrients like iron, zinc, and biotin, further exacerbating hair loss. --- ### **What to Do Next** Here’s a detailed plan to address all three potential causes (**inflammatory**, **nutritional**, and **DHT-related**): --- #### **1. Inflammation: Control Dandruff and Scalp Health** - **Shampoo**: Use a **ketoconazole-based shampoo** (e.g., Nizoral) 2-3 times a week to reduce dandruff, inflammation, and DHT on the scalp. - **Scalp Soothing**: - Apply a **topical anti-inflammatory serum** (e.g., aloe vera gel or NutraM Scalp Serum). - Avoid harsh styling products and excessive heat. - **Daily Washing**: - Use a gentle sulfate-free shampoo on non-ketoconazole days to prevent buildup and flakes. --- #### **2. Nutrition: Improve Diet and Address Deficiencies** - **Vitamin D3**: - Take **2000-5000 IU daily** with a meal for better absorption. Retest after 8-12 weeks to ensure levels reach **40-50 ng/mL**. - **Iron and Zinc**: - Consider a supplement containing **zinc (15-30 mg)** and **iron** if your diet lacks these nutrients. - **Probiotics**: - Start a high-quality probiotic to address gut health and improve nutrient absorption. - **Diet Tips**: - Focus on **protein-rich foods** (eggs, chicken, lentils), leafy greens, and nuts. Minimize processed hostel food and sugary snacks. --- #### **3. Treat DHT and Support Regrowth** - Stick with **Finasteride (1 mg daily)** and **Minoxidil (5% once daily)**. These are your best tools for addressing DHT and supporting regrowth. - **Microneedling**: - Perform microneedling (once a week) to enhance Minoxidil absorption and promote growth. - Monitor the **shedding phase**: - Improvement typically becomes noticeable at **6-12 months**. Stay consistent. --- #### **4. Manage Pain** - **TMJ Care**: - If pain when eating persists, see a dentist or ENT specialist to evaluate **TMJ dysfunction**. - **Anti-Inflammatory Diet**: - Include turmeric (curcumin), ginger, and omega-3-rich foods (flaxseeds, walnuts) to reduce overall inflammation. --- ### **When to Seek Professional Help** - If shedding doesn’t improve after 6 months of consistent treatment. - If scalp pain or dandruff worsens despite using anti-dandruff treatments. - For persistent gut issues affecting nutrient absorption. --- ### **Takeaway** You’re likely dealing with a combination of **inflammation, nutritional deficiencies, and DHT effects**. By controlling scalp inflammation, improving nutrition, and staying consistent with your current regimen, you should see gradual improvement in 3-6 months. Keep me updated on your progress, and let me know if you need more guidance! 😊➡️ Explore supportive products and scalp solutions at [www.advancedtrichology.com/](www.advancedtrichology.com/). 💙

[@HellGaming-v5x]

@ Thank you Doc

[@zaheer795]

does it ship to uk

[@WilliamGaunitzTrichologist]

www.amazon.com/stores/AdvancedTrichology/page/AD7656E0-18E0-48D5-B817-29B11C209485?ref_=ast_bln&store_ref=bl_ast_dp_brandLogo_sto

[@amanarora9432]

Hello doctor, I am 27 M, I am not losing that much hair but. My hair has become thinner in the last 5 months. No male in my family has. Baldness, I want to understand the underlying reason. Please do reply, I am stressed about this. Thanks

[@WilliamGaunitzTrichologist]

Hey there! 😊 It’s great that you’re paying attention to changes early on-it’s much easier to address thinning before it becomes severe. Let’s go through some possible reasons for your hair thinning and how to figure out the underlying cause: --- ### **Possible Reasons for Hair Thinning** 1. **Nutritional Deficiencies**: - **Iron**, **vitamin D**, **zinc**, or **B12** deficiencies can cause hair to thin, even without noticeable shedding. These are common culprits, especially if your diet isn’t well-rounded. 2. **Stress (Telogen Effluvium)**: - High levels of physical or emotional stress can cause temporary hair thinning. Stress pushes hair into the *telogen* (resting) phase, where it eventually sheds. 3. **Hormonal Imbalances**: - While there’s no family history of baldness, **androgenetic alopecia (AGA)** can still show up in isolated cases. Hormonal shifts or DHT sensitivity might be at play. - **Thyroid dysfunction** is another common cause of thinning hair. 4. **Scalp Health**: - Dandruff, itchiness, or inflammation can weaken hair follicles and lead to thinning. An unhealthy scalp environment might reduce follicle productivity. 5. **Lifestyle Factors**: - Lack of sleep, poor diet, or smoking can also contribute to thinner hair over time. 6. **Recent Illness or Medication**: - Hair thinning can occur 2-3 months after an illness, infection, or change in medications (even supplements). --- ### **What You Can Do Next** #### **1. Get Blood Tests** These tests can reveal if any deficiencies or health conditions are contributing: - **Vitamin D (25-OH)**: Check for insufficiency; optimal levels are 30-50 ng/mL. - **Ferritin and Iron Levels**: Low ferritin can impact hair thickness. - **Thyroid Panel Free (FT3, FT4, TSH)**: Rule out hypothyroidism. - **Zinc and B12**: Essential for hair health. #### **2. Focus on Nutrition** - Include foods rich in **iron** (spinach, lean meats), **omega-3s** (salmon, flaxseeds), and **biotin** (eggs, nuts). - Stay hydrated and avoid processed foods that might trigger inflammation. #### **3. Care for Your Scalp** - Use a **gentle, sulfate-free shampoo** and wash 2-3 times a week to keep your scalp clean. - Consider anti-inflammatory scalp treatments if you have itching or dandruff. #### **4. Minimize Stress** - Practice relaxation techniques like yoga, meditation, or even daily walks to manage stress levels. #### **5. Track Your Hair Health** - Take photos every month under consistent lighting to monitor changes. --- ### **When to See a Specialist** If you don’t see improvement in 3-6 months or notice further thinning, consult a trichologist or dermatologist for an in-depth scalp analysis. Early intervention always helps! Let me know if you need help interpreting blood test results or recommendations for specific products. Don’t stress too much-you’ve got time to turn this around! 😊➡️ Reach out to us at www.advancedtrichology.com/.

[@amanarora9432]

@ thanks Doc

[@kvpielie697]

I'm having g hair loss only one side it's the same for me and my brother but mines on the left side and it's right side for him i didn't check up but I'm sure this could be genetic

[@WilliamGaunitzTrichologist]

It’s entirely possible that the **one-sided hair loss** you’re experiencing could be **genetic**, especially since your brother has a similar pattern. However, there are a few key things to understand and steps you can take to address it: --- ### **1. Why Could It Be Genetic?** - **Asymmetry in Androgenetic Alopecia (AGA)**: - AGA (male or female pattern hair loss) can sometimes present asymmetrically, with one side thinning faster than the other due to individual follicle sensitivity to **DHT (dihydrotestosterone)**. - The fact that your brother has the same pattern suggests a potential genetic link. - **Hair Follicle Distribution**: - Genetics might cause uneven density or growth patterns, making one side more prone to thinning. --- ### **2. Other Possible Causes** While genetics is likely, here are other factors to rule out: 1. **External Pressure or Friction**: - Do you sleep on one side more? This could cause friction and reduce blood flow to hair follicles over time. - Wearing hats or helmets unevenly might also contribute. 2. **Circulatory Issues**: - Reduced blood flow to one side of the scalp can lead to weaker follicles. 3. **Inflammation or Scalp Health**: - Seborrheic dermatitis, psoriasis, or other inflammatory conditions might cause localized thinning. 4. **Traction Alopecia**: - If you style your hair in a way that pulls on one side more than the other, it could lead to thinning. --- ### **3. What You Should Do** #### **A. Rule Out Underlying Conditions** - If possible, consult with a trichologist or dermatologist to confirm if your hair loss is purely genetic or influenced by other factors. - Ask for a **scalp evaluation** to check for inflammation, miniaturization, or other scalp issues. #### **B. Start a Hair Care Routine** 1. **Support Hair Follicles**: - Use **DHT blockers** like **Finasteride** (oral) or **topical Finasteride** to target genetic hair loss. - Apply **Minoxidil (5%)** to stimulate regrowth on the thinning side. 2. **Maintain Scalp Health**: - Use shampoos with **ketoconazole** or **zinc pyrithione** to reduce inflammation and keep the scalp healthy. 3. **Scalp Massage**: - Massage the thinning area daily for 5-10 minutes to improve blood flow. #### **C. Monitor Progress** - Take **photos monthly** to track changes and see if the thinning progresses or stabilizes. --- ### **4. Long-Term Outlook** - If the cause is genetic, treatments like **DHT blockers** and **Minoxidil** can slow or halt further thinning and even regrow some hair. - Early intervention is key-starting now can preserve what you have and improve overall density. --- ### **Takeaway** The asymmetrical hair loss you’re experiencing is likely genetic, especially given your brother’s similar pattern. However, addressing it early with DHT blockers, scalp care, and Minoxidil can significantly slow progression and promote regrowth. Let me know if you’d like further guidance or help tailoring a treatment plan! 😊➡️ Explore more solutions at [www.advancedtrichology.com/](www.advancedtrichology.com/). 💙

[@Gia-m6c]

huhuhu im a 21 y/o filipino guy huhuhu I want to buy your product so bad but i think it will be difficult for me cuz im from the Philippines

[@esther7066]

Sir can i contact you online for my hairloss related conversation

[@WilliamGaunitzTrichologist]

Absolutely! You can reach out to us directly for hair loss consultations and personalized advice through **Advanced Trichology**. Here’s how to get in touch: --- ### **Contact Options** 1. **Website**: Visit [Advanced Trichology](www.advancedtrichology.com/) to explore resources, products, and consultation services. 2. **Email or Chat**: The website often has live chat or contact forms for specific inquiries. 3. **Social Media**: Follow Advanced Trichology on platforms like Instagram or Facebook for updates and quick responses. --- ### **Why Contact Us?** - **Personalized Support**: Share your specific concerns to get tailored recommendations for products, blood tests, or treatments. - **Professional Advice**: All advice is backed by 20+ years of trichology expertise. - **Follow-Up Plans**: Track your progress with regular online consultations. --- Let me know if you need help setting up a consultation or if you have more questions-I’m here to help! 😊➡️ Reach out to us at www.advancedtrichology.com/.

[@rekhamerbisht8717]

Hello sir i am a 15 year old girl sorry to message you in the video related to men's haris but i really wanted to consult some one best i am suffering from hair loss my hair's were thin from onwards my birth , my parents and grandparents do have hair loss issue , due to increased dandruff etc reasons i am suffering thoudh great hair loss please hepl me out with suitable outcomes please

[@WilliamGaunitzTrichologist]

Hey there! I’m so glad you reached out-it’s great that you’re seeking help early to address your hair loss. At 15, you have a lot of potential to improve your hair health with the right approach. Let’s break this down and get you on the right track: --- ### **Why Hair Loss Might Be Happening** 1. **Genetic Predisposition**: - Since your family has a history of hair loss, you might be dealing with an early onset of genetic thinning (**androgenetic alopecia**). 2. **Scalp Health**: - Dandruff and scalp issues can lead to inflammation, which weakens hair follicles and causes hair to fall out prematurely. 3. **Nutritional Deficiencies**: - At your age, deficiencies in **iron**, **vitamin D**, **zinc**, or **B12** can significantly affect hair growth. 4. **Stress and Hormonal Changes**: - Puberty often brings hormonal changes that can trigger temporary hair loss (**telogen effluvium**) or worsen dandruff. --- ### **What You Can Do to Improve Hair Health** #### **1. Treat the Dandruff** - **Anti-Dandruff Shampoo**: - Use a shampoo with **zinc pyrithione**, **ketoconazole**, or **selenium sulfide** 2-3 times a week. These reduce flakes, itching, and inflammation. - **Oil Treatments**: - Apply **coconut oil** or **tea tree oil** to your scalp 1-2 times a week for 20 minutes before washing. This helps moisturize and reduce fungal overgrowth. #### **2. Focus on Nutrition** - Include foods rich in: - **Iron**: Spinach, lentils, eggs. - **Zinc**: Nuts, seeds, whole grains. - **Biotin**: Eggs, sweet potatoes, nuts. - **Omega-3s**: Salmon, flaxseeds, walnuts. - Consider taking a **multivitamin** or a **hair-specific supplement** (like one with biotin, zinc, and vitamin D) with your doctor’s approval. #### **3. Strengthen Hair Follicles** - **Gentle Scalp Massage**: - Massage your scalp with your fingertips for 5-10 minutes daily to improve blood circulation. - **Mild Topical Treatments**: - Apply **aloe vera gel** or diluted **rosemary oil** (mixed with a carrier oil) to your scalp once a week. These are natural and safe ways to soothe the scalp and promote growth. #### **4. Be Gentle with Your Hair** - Avoid: - Tight hairstyles that pull on the scalp. - Excessive heat styling (like blow-drying or straightening). - Overwashing your hair-aim for 2-3 times a week. - Use a **wide-tooth comb** to prevent breakage. #### **5. Manage Stress** - Practice relaxation techniques like yoga or meditation to reduce stress, which can help minimize hair loss. --- ### **When to See a Doctor** If your hair loss continues despite these efforts, consult a: - **Trichologist or Dermatologist**: They can assess your scalp, diagnose any underlying issues, and recommend medical treatments if needed. - **Blood Tests**: Ask for tests like **Vitamin D (25-OH)**, **Iron (Ferritin)**, and **Thyroid Panel (TSH, FT3, FT4)** to rule out deficiencies. --- ### **Takeaway** Focus on improving scalp health, boosting your nutrition, and handling your hair with care. These steps can make a huge difference over time. Remember, hair regrowth takes patience, so stay consistent and positive! Feel free to reach out if you have more questions-I’m here to help! 😊➡️ Reach out to us at www.advancedtrichology.com/.

[@rekhamerbisht8717]

My problem is also related to hormones DHT I checked one of your videos and did that hair pulling test after which I got to know about it please tell me a solution for this as well

[@AQBS-HairLoss-Champion]

I like the focus on the root cause of hair loss. I am reversing over a decade of hair loss and teach men on my channel how to get their high school hair line back.

[@WilliamGaunitzTrichologist]

That’s amazing! 👏 Teaching men how to reclaim their high school hairline is such a powerful mission! Focusing on the **root cause** of hair loss is absolutely the key to long-term success. Whether it's addressing DHT, improving scalp health, or optimizing overall nutrition, your approach aligns with what really works. 🙌 💡 **Some ideas to support your mission:** 1. **Educate on common myths**: A lot of people fall for "quick fixes." Explaining why targeting internal and external factors (like DHT or inflammation) is more effective can build trust with your audience. 2. **Show your journey**: Sharing how you reversed a decade of hair loss will resonate deeply with others in the same boat. 3. **Highlight routines**: Walkthroughs of topical treatments, supplements, and daily habits (like laser therapy or proper shampooing) could be game-changers for your viewers. 4. **Focus on testing**: Encouraging men to get relevant blood tests (Vitamin D, Thyroid, etc.) will empower them to take control. You're making a difference by providing solutions and helping others restore not just their hair, but their confidence. 💪 If you ever need tips or info to share on your channel, I’m here for you! 😊 ➡️Reach out to us at www.advancedtrichology.com/.

[@Abdullah-qt1ul]

1.5k they are losing their hair

[@LeviHancock-p1d]

I was identified by your company as someone that needs DHT blocker for male pattern baldness based on pictures I sent in. I tried the pill but gives me a headache. Any recommendations on what I can use, and how to prevent side effects such as having a lower libido due to the blocker?

[@WilliamGaunitzTrichologist]

It’s great that you’re proactive about addressing male pattern baldness, but I hear you-side effects like headaches or concerns about libido can be discouraging. Let’s explore alternatives and strategies that work without compromising your comfort or overall well-being. 😊 --- ### **Alternatives to DHT Blocker Pills** 1. **Topical DHT Blockers**: - **Topical Saw Palmetto**: Can be applied directly to the scalp to target DHT locally, minimizing systemic side effects. - **Caffeine-Based Serums**: Stimulate hair follicles and may counteract DHT's effects on the scalp. - **Minoxidil**: Not a DHT blocker but works well in combination to stimulate hair growth. 2. **Natural Supplements**: - **Pumpkin Seed Oil**: A gentler natural alternative with fewer side effects. - **Green Tea Extract**: Contains EGCG, which helps inhibit DHT and promotes growth without systemic hormonal changes. 3. **Dietary Adjustments**: - Add **zinc**, **biotin**, and omega-3 fatty acids to your diet for hair follicle support. - Avoid processed sugars and high-fat foods that can exacerbate hair loss. --- ### **Preventing Libido Issues** If you’re concerned about the impact on libido, here’s what you can do: - **Monitor Dosage**: Use a lower dose of DHT blockers if possible and monitor the effects. - **Focus on Circulation**: Exercise regularly and include foods like pomegranate and dark chocolate to support healthy blood flow. - **Adaptogenic Herbs**: - **Ashwagandha**: Helps balance hormones and counteracts stress-related libido loss. - **Maca Root**: Known for supporting energy and sexual health. --- ### **Next Steps** 1. **Speak to Your Doctor or Trichologist**: They can adjust your treatment or suggest an alternative suited to your specific needs. 2. **Combination Approach**: Combine topical treatments with scalp massage and microneedling to enhance effectiveness without relying solely on systemic blockers. --- It’s all about finding the right balance for your body. Let me know if you’d like further guidance or product recommendations! ➡️ For personalized solutions, reach out at [www.advancedtrichology.com/](www.advancedtrichology.com/)! 💇‍♂️✨

[@AdamGatrell-gr8ix]

👍🔥

[@robertlouisebaker-hyde1267]

Are these available in Amazon?

[@WilliamGaunitzTrichologist]

Yes, Advanced Trichology products are available on Amazon. You can find a variety of their offerings, including: - **NutraM Hair Growth Serum**: Dermatologist-tested and approved by the American Hair Loss Association for thinning hair in both men and women. - **DHT Blocker Hair Growth Supplement**: Designed to support healthy hair growth by addressing genetic thinning. - **FoliGROWTH Hair Growth Supplement**: Aimed at revitalizing thinning hair, backed by 20 years of experience in hair loss treatment clinics. - **EFA Complete with Optimal Omega 3-6-9**: Contains high-potency flax oil, fish oil, borage oil, and evening primrose oil. These products have been developed with over 20 years of clinical experience and are designed to address various hair loss concerns. You can explore the full range of Advanced Trichology products on their Amazon store page. If you have any specific questions about these products or need further assistance, feel free to ask! www.amazon.com/stores/AdvancedTrichology/page/AD7656E0-18E0-48D5-B817-29B11C209485?ref_=ast_bln&store_ref=bl_ast_dp_brandLogo_sto