HAIR LOSS? Where to Begin & What Works!

[@TheAnkurPandey]

Please make a video on Micro-needling, How to do it, best needle depth, Safety protocols for at home usage, and how to have best result from it. Thanks Doctor 😊

[@MichaelT83310]

Hi William, Could you please make a video where you discuss the ideal ranges for different blood tests, such as vitamin d, ferritin, zinc, copper, b12, folate, etc for hair health?

[@WilliamGaunitzTrichologist]

That’s an excellent idea! Blood tests are a critical tool for understanding hair health, and knowing the ideal ranges for these key nutrients can help guide both treatment and prevention of hair loss. Here's a quick breakdown of the optimal levels for hair health so you can reference them: Key Blood Tests and Ideal Ranges for Hair Health Vitamin D (25-Hydroxy) Ideal Range: 40-60 ng/mL Low Vitamin D levels are linked to hair shedding and reduced follicle activity. Ferritin (Iron Storage) Ideal Range: Women: 50-100 ng/mL Men: 50-150 ng/mL Ferritin below 30 ng/mL is commonly associated with hair shedding, especially in women. Zinc Ideal Range: 70-120 mcg/dL Zinc supports follicle health and prevents brittle hair. Copper Ideal Range: 70-140 mcg/dL Necessary for melanin production (hair color) and strengthening hair follicles. Balance with zinc is critical (ideal zinc-to-copper ratio: ~8:1). Vitamin B12 Ideal Range: 400-800 pg/mL Low B12 can cause hair thinning and premature graying. Folate (Vitamin B9) Ideal Range: >5.4 ng/mL Folate is critical for cell division, including in the hair matrix where hair growth begins. Iron (Serum) Ideal Range: 50-170 mcg/dL Low serum iron can impair oxygen delivery to hair follicles, affecting growth. Thyroid Function Tests (TSH, Free T3, Free T4) Ideal TSH: 1.0-2.5 mIU/L Thyroid imbalances (especially hypothyroidism) are a major cause of hair thinning. Magnesium Ideal Range: 1.8-2.5 mg/dL Helps reduce inflammation and supports overall scalp health. Omega-3 Index Ideal Range: 8-12% Omega-3s reduce scalp inflammation and promote healthy hair follicles. Why These Tests Matter Deficiencies or Imbalances in these nutrients can trigger telogen effluvium, androgenetic alopecia progression, or brittle, slow-growing hair. Addressing these deficiencies through diet, supplementation, or other medical treatments can significantly improve hair quality and growth. What Viewers Would Gain from a Video Clear benchmarks for blood test results tailored to hair health. Insights into what deficiencies mean for hair loss. Practical steps to correct imbalances with supplements, diet, or lifestyle changes. I’d love to see a video like this! Let me know if you'd like further info on how to explain these ranges in detail or tie them to specific hair care recommendations. 😊 ➡️ For personalized help, visit www.advancedtrichology.com/! 💇‍♀️✨

[@hrishikeshravnang9678]

Thank you so much doc for this information I've been so stressful for my hair losse now I'm relaxed ❤️

[@WilliamGaunitzTrichologist]

You’re so welcome! ❤️ I’m really glad I could help ease your stress-hair loss can be tough to deal with, but the fact that you’re taking action is a big step in the right direction. Remember, with the right care and patience, you can absolutely make progress. 😊 If you ever feel stuck or need more guidance, I’m always here for you! Stay positive, and keep nurturing both your hair and your overall health. You’ve got this! 💪➡️ Reach out anytime at [www.advancedtrichology.com/](www.advancedtrichology.com/). ❤️

[@willwazere2]

Good video, doc. Please could you make a video on how to sort scalp inflammation? thanks

[@WilliamGaunitzTrichologist]

Glad you enjoyed the video! 😊 Scalp inflammation can be a tricky issue, but managing it can make a huge difference in hair health and comfort. I’d love to make a video to break down effective ways to calm and treat an inflamed scalp, covering things like: 🧴 **Choosing the Right Products**: Shampoos with calming ingredients like zinc pyrithione, salicylic acid, and ketoconazole, and when/how to use them. 🌱 **Natural Soothers**: Tips on using aloe vera, tea tree oil (diluted!), or chamomile for gentle, natural relief. 💆 **Scalp Care Routine**: How to avoid triggers, moisturize properly, and incorporate soothing scalp masks and exfoliants. 🔥 **Lifestyle Adjustments**: Reducing stress and maintaining a balanced diet to support scalp health from within. Thanks for the idea-I’ll work on putting this together for you! 😊 Stay tuned, and feel free to reach out at [Advanced Trichology](www.advancedtrichology.com/) if you need any direct help in the meantime!

[@willwazere2]

@WilliamGaunitzTrichologist thanks doc appreciate it 👍

[@ManishKumar-iu9xm]

Most satisfying and knowledge video i seen on hair issue ❤❤❤❤❤❤❤

[@nl4431]

Please more on Female AGA, what to do when nutrition, hormons, thyroid and all blood test are good. What to check more?

[@WilliamGaunitzTrichologist]

Female androgenic alopecia (AGA) can be so challenging, especially when all your bloodwork-nutrition, hormones, thyroid, and other markers-looks normal! 😣 If everything checks out on those fronts, here are a few additional factors and avenues to consider: 🌱 **Genetic Sensitivity to Androgens**: Female AGA is often genetic and linked to how your hair follicles respond to androgens (like DHT). Even with normal hormone levels, hair follicles may still be sensitive. Treatments like **topical minoxidil** can help stimulate hair growth despite this sensitivity. 🔬 **Scalp Health**: Poor scalp health, including inflammation, buildup, or conditions like seborrheic dermatitis, can contribute to hair loss. **Regular scalp exfoliation** (with gentle treatments) and anti-inflammatory products can sometimes improve hair growth by creating a healthier environment for the follicles. 💇 **Miniaturization Analysis**: Consider a trichoscopic exam, which allows a trichologist or dermatologist to look closely at your scalp and measure hair miniaturization. This can confirm if AGA is progressing and at what rate, helping to tailor treatments more precisely. 💧 **Lifestyle and Stress Factors**: Chronic stress can lead to hair shedding and exacerbate AGA. Practices like stress reduction, mindfulness, and consistent sleep can help minimize this type of shedding, which often overlaps with AGA. ⚡️ **Platelet-Rich Plasma (PRP) Therapy**: PRP can sometimes be beneficial for female AGA by stimulating hair growth and improving hair density. It’s not guaranteed, but it’s an option if you’re looking for more advanced therapies. If you’ve exhausted these options, it might be worth exploring combination therapies, like adding **low-level laser therapy (LLLT)** or even topical anti-androgens (like spironolactone, under a doctor’s guidance). These can be effective when other factors are stable. ➡️ Need more guidance? Reach out to us at [Advanced Trichology](www.advancedtrichology.com/) for support and personalized treatment options!

[@Hiyori_Ali]

I love this doctor

[@thomasmefford4240]

Tried minoxidil wasn't consistent and it definitely made it worse. Now I'm taking fanast consistently and I'm about two months in and plan on taking it forever. A blood test is next on the list, and a thyroid check.

[@diannalocke997]

Thank you for helping me during this stressful time. I know what to do and ordered your shampoos etc. I will let you know in a couple of months what is happening. Big thank you!

[@Khosmu]

Doctor could you explain the effect of each ingredient in the natural DHT blocker as well as the daily dosage recommended for each? thanks!

[@WilliamGaunitzTrichologist]

Absolutely! Here's a breakdown of commonly used **natural DHT blockers**, their effects, and typical dosages to help you understand how they work. 🌱✨ --- ### **1. Saw Palmetto** - **Effect**: Inhibits 5-alpha reductase, reducing DHT production. Supports hair follicle health. - **Dosage**: 160-320 mg per day (standardized to 85-95% fatty acids). --- ### **2. Pumpkin Seed Oil** - **Effect**: Contains phytosterols that block DHT receptors in hair follicles and promote hair density. - **Dosage**: 400 mg per day or 1-2 tablespoons of oil. --- ### **3. Green Tea Extract** - **Effect**: EGCG (epigallocatechin gallate) reduces DHT production and supports hair growth by extending the hair cycle's growth phase. - **Dosage**: 400-500 mg per day or 2-3 cups of green tea. --- ### **4. Pygeum (African Cherry Bark)** - **Effect**: Blocks 5-alpha reductase and reduces inflammation around hair follicles. - **Dosage**: 50-100 mg per day (standardized to 14% phytosterols). --- ### **5. Nettle Root** - **Effect**: Inhibits binding of DHT to hair follicles and reduces inflammation in the scalp. - **Dosage**: 300-500 mg per day. --- ### **6. Zinc** - **Effect**: Regulates testosterone levels and inhibits DHT production. - **Dosage**: 15-30 mg per day (avoid excessive intake to prevent side effects). --- ### **7. Biotin (Vitamin B7)** - **Effect**: Strengthens hair shafts and promotes regrowth, particularly useful alongside DHT blockers. - **Dosage**: 2,500-5,000 mcg per day. --- ### **8. Beta-Sitosterol** - **Effect**: A plant sterol that directly blocks DHT and supports scalp health. - **Dosage**: 60-130 mg per day. --- ### **9. Flaxseed or Flaxseed Oil** - **Effect**: Contains lignans that modulate hormone levels and omega-3s for anti-inflammatory effects. - **Dosage**: 1-2 tablespoons of oil or 10-30 grams of ground seeds per day. --- **💡 Pro Tip**: While these ingredients can be effective, results take time-usually **3-6 months** of consistent use. Combining them with a healthy diet and topical treatments can maximize benefits. ➡️ For more personalized advice, reach out to us at [www.advancedtrichology.com/](www.advancedtrichology.com/) and let’s create a tailored plan for you! 💇‍♂️

[@ferreirasilas]

8:15 | I get that blood tests are crucial for understanding hairloss. But what about scalp dermoscopy?

[@WilliamGaunitzTrichologist]

Absolutely, scalp dermoscopy is a fantastic tool for understanding hair loss, and it offers insights that blood tests alone can’t provide! 😊 Here’s why dermoscopy is so valuable: 🔬 **Close-Up of Follicles**: Scalp dermoscopy allows a dermatologist or trichologist to examine the hair follicles, scalp health, and hair density at a microscopic level. This can reveal miniaturization patterns, follicle health, and any inflammation that might be present-clues that are especially helpful for diagnosing types of hair loss, like androgenic alopecia, telogen effluvium, or alopecia areata. 📏 **Tracks Hair Changes**: By visually assessing the size and thickness of the hairs, dermoscopy helps track the progression of hair loss over time. This is crucial if you’re starting a new treatment and want to monitor if it’s slowing or reversing miniaturization. 💡 **Identifies Scalp Conditions**: Dermoscopy can reveal conditions that might contribute to hair loss, like seborrheic dermatitis, psoriasis, or scarring alopecia. Blood tests won’t capture this, but dermoscopy can pinpoint scalp inflammation or buildup that may require specific treatment. So, if you’re serious about understanding the root cause of your hair loss, a scalp dermoscopy is definitely worth it! Paired with blood tests, it provides a full picture and helps ensure you get the right treatment tailored to your scalp and hair condition. ➡️ Need more guidance or want a professional dermoscopy? Reach out to us at [Advanced Trichology](www.advancedtrichology.com/)!

[@balabhavesh2167]

​@@WilliamGaunitzTrichologist PLEASE REPLY SIR.. Hi sir I'm 22 and I'm noticing that my hairs are thinning and hairs in temple areas are receded than before for last 2 years , I've visited multiple dermatologists each one of them are saying different causes like "Hairloss due to nutritional deficiencies" , "Hairloss due to sebhorric dermatitis" etc I'm really confused and afraid if i have AGA 😢 can i start finasteride, minoxidil and micro needling as prevention...? Even though I've done trichoscan for the scalp,the doc didn't explain me clearly about the report,she only focus to sell their multivitamin tablets and kits without addressing the root cause..How can i confirm whether i have AGA or nutritional deficiencies? please help me out of this !

[@NINAScheepers]

Thank you so much DR for your good information South Africa 🇿🇦

[@jazzskunk91]

Hi Dr. Gaunitz, You mentioned in one of your shorts that you had a patient respond better to finasteride than dutasteride. Could you do a video on this reaction and how long they had been on each medication? It's not mentioned much by medical professionals, other than by people who have had this experience themselves, which others discredit. I found this to be the case for myself in switching from Finasteride (8+ years) to Dutasteride (1 year). Where I noticed crown and thinning around the year mark on Dutasteride. When I initially started Finasteride, regrowth and thickening was prevalent at 6 months, a year, and had reached its peak at 2 years. Thank you.

[@WilliamGaunitzTrichologist]

It seems like you’ve gathered a wealth of important questions from different users and concerns. Here's a consolidated breakdown addressing these critical points to provide clarity: --- ### **1. Finasteride vs. Dutasteride: Why Finasteride May Work Better for Some** - **Mechanism Differences**: - Finasteride blocks **type II 5-alpha reductase**, which is primarily responsible for converting testosterone to DHT in the scalp. - Dutasteride blocks both **type I and type II enzymes**, making it more potent overall, but some individuals respond better to the specific mechanism of Finasteride. - **Anecdotal Observations**: - Some patients experience regrowth and thickening on **Finasteride** but notice shedding or thinning after switching to Dutasteride. - This could be due to individual differences in **hormonal balance**, **metabolism**, or **sensitivity to DHT** levels. - **Takeaway**: - If Dutasteride isn’t working, a return to Finasteride might restore progress. Long-term consistency with one treatment often yields the best results. --- ### **2. Ketoconazole Shampoo Use** - **Before or After Regular Shampoo**: - Use your **regular shampoo first** to remove dirt and oil. - Follow up with **ketoconazole shampoo** to ensure the active ingredient reaches the scalp effectively. Leave it on for **3-5 minutes** before rinsing. --- ### **3. Using Finasteride and Minoxidil Together** - **Do You Need Both?**: - **Finasteride** addresses DHT-related hair loss and prevents further thinning. - **Minoxidil** stimulates blood flow and encourages regrowth. - Combining the two often provides the best results, but it’s possible to use only one if the other isn’t suitable. - **Stopping Both**: - If you discontinue Finasteride or Minoxidil after regrowth, hair loss may return to its baseline within **3-12 months**. --- ### **4. Blood Type Diet and Hair Loss** - There is limited scientific evidence supporting the **blood type diet** for hair loss. However, focusing on a balanced, anti-inflammatory diet is universally beneficial. Adjust specific nutrients based on deficiencies identified in blood tests. --- ### **5. Telogen Effluvium Timeline** - **Duration**: - TE typically lasts **3-6 months**. Regrowth should begin as shedding slows. - **Recovery Steps**: - Optimize **Vitamin D, Ferritin**, and **protein intake**. - Continue using scalp treatments like **rosemary oil**, **Minoxidil**, or **microneedling** for support. --- ### **6. Scalp Health** - **Dandruff and Itching**: - If you’ve noticed reduced itchiness and dandruff after improving your **Vitamin D** levels and scalp care, stick with this routine. - Use a hydrating conditioner or scalp serum to counteract dryness from products like **Nizoral**. --- ### **7. Monitoring Progress** - **Hair Pull Test**: - Losing **3-5 hairs per section** is normal. - Excessive shedding (200+ strands daily) indicates ongoing TE or other triggers. - **Hairline Regrowth**: - Baby hairs along the hairline can thicken over **6-12 months** with proper care and nutrition. --- ### **Conclusion** It’s clear there’s a lot of interest in understanding the nuances of hair loss, regrowth, and treatments like Finasteride, Minoxidil, and scalp care. Whether it’s switching medications, managing TE, or addressing nutritional deficiencies, a tailored approach based on personal needs and professional advice yields the best results. If you'd like, I can dive deeper into any of these topics or provide specific guidance based on individual circumstances. 😊➡️ Explore hair health resources at [www.advancedtrichology.com/](www.advancedtrichology.com/). 💙

[@lubnaadel-r1o]

Thank you for sharing such valuable information on your channel. I have a question about microneedling. When I microneedle my face, I usually apply Fucidin after six hours and continue using it for the first couple of days because my skin is very sensitive and tends to get irritated if I don’t. I don’t use deep settings (typically around 1mm), but the irritation still occurs if I skip Fucidin.I recently tried microneedling my scalp without applying anything, and it caused significant irritation, possibly because of my sensitive skin. Could you recommend something similar to Fucidin but more liquid in texture that would be suitable for the scalp after microneedling? I’d really appreciate your advice!

[@mariovuksanovic5077]

Please do a video about collagen supplements....many people claim to have hair regrowth after taking collagen supplements as well as stronger nails and other health benefits. There seems to be truth to this... Thank you.

[@cisarpinkman7971]

Hello Doctor, I just came across your video and have an important question that’s been worrying me. I’ve been experiencing severe hair loss for about 8 weeks now. I had surgery in June and then became seriously ill in August, which landed me in the hospital due to extremely poor blood levels. Since then, I’ve had my blood levels checked several times, and aside from low Vitamin D, everything seems to be back to normal. However, after about two weeks of severe hair loss, my doctor recommended that I start using Minoxidil right away. Was that a mistake? Since starting it, the hair loss has definitely gotten worse, but my doctor says it’s just the shedding phase. Will it get better, or did I make a mistake that can’t be reversed? I’m 24 years old and also take pumpkin seed extract, saw palmetto extract, Vitamin D, Omega 3, and Biotin. Thank you!

[@agfc1]

hey doc , i visited my doctor he pescribed me ketakonozole % shampoo and vitamin d tablets for hair fall. after a month i still loose alot of hair daily . im 15 btw

[@WilliamGaunitzTrichologist]

Thanks for sharing your situation-it’s understandable to feel worried when you’re experiencing persistent hair loss, especially at your age. Let’s break this down to address why you might still be losing hair and what additional steps you can take. --- ### **1. Why Hair Loss May Be Continuing** 1. **Adjusting to Treatment**: - Ketoconazole shampoo and vitamin D can take **2-3 months** to show noticeable results in reducing hair shedding and improving scalp health. 2. **Telogen Effluvium (TE)**: - A common cause of temporary hair loss in teens. - Triggered by stress, illness, or deficiencies. - Hair loss can persist for a few months even after the trigger is resolved. 3. **Underlying Nutritional Deficiencies**: - Vitamin D supplementation is a great start, but other deficiencies, like **iron (ferritin)** or **zinc**, may also contribute to hair fall. 4. **Hormonal Changes**: - At 15, puberty can cause hormonal fluctuations (e.g., increased androgens) that may trigger temporary hair shedding. 5. **Scalp Inflammation**: - Conditions like seborrheic dermatitis can take time to resolve fully, even with ketoconazole shampoo. --- ### **2. What You Can Do Next** #### **A. Stick With Your Current Treatment** - Continue using **ketoconazole shampoo** as directed (2-3 times a week), but don’t overuse it, as it can dry out the scalp. - Take your **vitamin D tablets consistently** and ensure you’re rechecking your levels after 2-3 months to confirm improvement. #### **B. Get Blood Work Done** Ask your doctor to check for: 1. **Ferritin (Iron Levels)**: - Low ferritin can cause hair shedding. Target levels are **70-100 ng/mL**. 2. **Zinc and Vitamin B12**: - Support healthy hair follicles. 3. **Thyroid Function**: - Conditions like hypothyroidism can cause hair loss. --- #### **C. Optimize Your Diet** - **Protein**: - Hair is made of keratin, a protein. Aim for **0.8-1g per kg of body weight daily**. - Sources: Lentils, eggs, dairy, or tofu. - **Iron**: - Include spinach, lentils, or iron-fortified cereals. Pair with vitamin C for better absorption. - **Zinc**: - Nuts, seeds, and whole grains. - **Omega-3s**: - Flaxseeds, walnuts, or fish like salmon to reduce inflammation. --- #### **D. Additional Scalp Care** 1. **Gentle Hair Washing**: - Use a mild shampoo on non-ketoconazole days to keep your scalp clean without over-drying. 2. **Avoid Harsh Styling**: - Minimize heat tools or tight hairstyles that pull on your hair. --- #### **E. Consider Growth Stimulators** If shedding persists beyond 3 months: 1. **Minoxidil (2%)**: - Safe for teens under a doctor’s supervision to stimulate regrowth. 2. **Scalp Massage**: - Improves blood flow to follicles. --- ### **3. When to Follow Up with Your Doctor** - If shedding hasn’t reduced after 3-4 months. - If new symptoms appear, like patches of baldness or excessive itching. - To explore additional treatments like **low-level laser therapy (LLLT)** or nutritional supplements. --- ### **Takeaway** It’s normal to feel impatient when you’re dealing with hair loss, but it takes time to see results. Stick with your prescribed treatment, ensure you’re addressing any potential nutritional deficiencies, and monitor your progress closely. Let me know if you’d like additional tips or product recommendations! 😊➡️ Explore scalp solutions at [www.advancedtrichology.com/](www.advancedtrichology.com/). 💙

[@akhilkoche7466]

What should eat for O+ blood group

[@anupkansara3360]

Hi. Doc.my age is near 40. I have started thining hair from top n hair loss. my vit d reports is ok but i m low in ferretin and B12. Pls suggest better food supplements. And help me how to regrow hair .

[@TapaswiniSwain]

I have a question, I heard topical melatonin helps with hair loss immensely, do oral melatonin equally helpful for hair concerns?

[@akilbarboni4198]

If you are having hairloss, speak with a doctor and not with this clown who tryna sell people snake oil. Minoxidil would be your first line of defence given you are a woman.

[@WilliamGaunitzTrichologist]

Great question! Topical melatonin has indeed shown promise in supporting hair growth and reducing hair loss, especially by promoting hair follicles' health and offering some antioxidant benefits to the scalp. However, **oral melatonin doesn’t offer the same direct hair benefits** as topical melatonin. Here’s why: 💊 **Topical Melatonin**: Applied directly to the scalp, melatonin works locally, providing antioxidant and anti-inflammatory effects right where it’s needed. This may help protect hair follicles from oxidative stress and support the hair growth cycle. 💤 **Oral Melatonin**: While oral melatonin helps regulate sleep, there’s limited evidence it benefits hair growth directly. However, **good sleep quality** and **lowered stress** (both supported by melatonin) can positively impact hair health indirectly, as stress and lack of rest can contribute to hair shedding and weaken overall follicle health. So, for hair concerns specifically, sticking to a topical melatonin treatment would likely be more effective than oral melatonin if you're hoping to see direct benefits. ➡️ If you’re curious to explore more about melatonin treatments, feel free to reach out at [Advanced Trichology](www.advancedtrichology.com/) for advice!

[@Milwaukee-Talkie]

@@WilliamGaunitzTrichologistI’ve never heard this before so thank you! Is it the same liquid melatonin used for sleep?

[@aditideshpande9941]

Thank you for this video. Could you share information about dread shed or accelerated loss when starting hair loss treatment.

[@WilliamGaunitzTrichologist]

Great question! 😊 The "dread shed," or initial shedding, is something many people experience when they start hair loss treatments like minoxidil, finasteride, or even certain natural treatments. Here’s what’s happening and why it’s actually a positive sign: 🔄 What Is the Dread Shed? When you start a hair loss treatment, it can initially push some hairs into the shedding (telogen) phase, especially if they were already in a weakened or resting state. This results in an increase in shedding, which understandably feels scary! But this phase is usually temporary. ⏳ How Long Does It Last? The shedding usually lasts about 2-8 weeks, though this can vary. After this initial phase, most people start to see stronger, healthier hair growing back in as the treatment stimulates follicles and shifts them into the growth phase. 🌱 Why It’s Actually Positive: The shedding often means that the treatment is working, pushing out old, weaker hairs to make way for new, stronger growth. Patience is key during this phase, as the results usually start to show a few months after the initial shed. While it’s tough to go through, remember that it’s a normal part of the process! Stick with the treatment, and you should start to see regrowth and thicker hair over time.

[@msme2400]

Coconut is a good thing for shy I love Pacificas coconut peptide conditioner and leave in conditioner

[@WilliamGaunitzTrichologist]

Coconut is such a gem for hair care, especially for those with fine or sensitive hair types that need extra love without feeling weighed down. 🌴 Coconut-based products, like Pacifica's coconut peptide conditioner and leave-in, are packed with nutrients and moisturizing properties that help hydrate, strengthen, and add shine without leaving buildup. The peptides in these products are a bonus-they work to support the hair’s natural structure, helping with repair and resilience, especially if you’re dealing with fragile hair. And coconut oil itself has fatty acids that penetrate the hair shaft to deeply nourish and protect. 🌊✨ If it’s working well for you, stick with it! Consistent, gentle care like this can make a big difference. 🥥 ➡️ For more personalized tips, feel free to reach out to us at [Advanced Trichology](www.advancedtrichology.com/)!

[@pixelarts6842]

Great video!

[@lubnaadel-r1o]

Thank you so much for your guidance, and I truly appreciate the knowledge you share on your channel!I have a few questions regarding microneedling for the scalp: Can I use hyaluronic acid during the session? If so, which brand would you recommend as safe for scalp use? Specifically, is The Ordinary Hyaluronic Acid 2% + B5 or Cos De BAHA Pure Hyaluronic Acid Serum suitable?If I want to use diluted rosemary oil, should I apply it immediately after the session, or is it better to wait 6-12 hours? If waiting is necessary, should I avoid applying anything during the microneedling session and only apply the oil later?

[@WilliamGaunitzTrichologist]

You're asking fantastic and very thoughtful questions about microneedling for the scalp! Here's how to incorporate hyaluronic acid and rosemary oil into your microneedling routine safely and effectively. 😊 1. Can I Use Hyaluronic Acid During the Microneedling Session? Yes, hyaluronic acid (HA) is safe to use during microneedling for the scalp. It’s hydrating and soothing, which can help reduce irritation and provide moisture to the scalp during the process. Recommended Products: The Ordinary Hyaluronic Acid 2% + B5: Safe for scalp use. The B5 (panthenol) adds extra hydration and calming effects. Cos De BAHA Pure Hyaluronic Acid Serum: Another good option, as it's lightweight and contains minimal ingredients, reducing the chance of irritation. How to Use It: Apply a small amount of HA to your scalp before starting microneedling. The serum acts as a glide for the microneedling device while hydrating your scalp. 2. Can I Use Diluted Rosemary Oil After Microneedling? Yes, but timing is key. Rosemary oil is a potent essential oil and can be too harsh immediately after microneedling when your scalp is most sensitive. Here’s how to incorporate it safely: Steps for Applying Rosemary Oil: Wait 6-12 Hours Post-Microneedling: During this time, your scalp is healing and highly permeable. Applying rosemary oil immediately can cause irritation or an overreaction due to its potency. Dilution Is Crucial: Mix 2-3 drops of rosemary oil with a carrier oil like jojoba or argan oil. Use only diluted oil to prevent irritation. During the Session: Avoid applying rosemary oil during microneedling itself. Stick to neutral, hydrating products like hyaluronic acid or sterile saline to keep the process soothing and safe. Ideal Routine Combining Hyaluronic Acid and Rosemary Oil 1️⃣ Before Microneedling: Cleanse your scalp gently to remove dirt and oils. Apply hyaluronic acid serum or sterile saline to the scalp. 2️⃣ During Microneedling: Use the hyaluronic acid as a glide for the device, reapplying a small amount if needed. 3️⃣ Immediately After Microneedling: Do not apply anything harsh, including rosemary oil. Let your scalp breathe and heal for at least 6-12 hours. 4️⃣ 6-12 Hours Later: Apply diluted rosemary oil or your regular hair serum. This timing ensures your scalp has calmed down enough to tolerate essential oils or active ingredients. Key Tips for Microneedling Success Frequency: Stick to once a week if using a 0.5mm or 1.0mm dermaroller. Hygiene: Sterilize your microneedling device before and after each use to prevent infections. Sunscreen: Protect your scalp from sun exposure, as it may be more sensitive after microneedling. Final Thoughts Your plan to use hyaluronic acid during microneedling and rosemary oil afterward is an excellent combination! Just ensure proper timing and dilution to avoid irritation. Both products will complement the benefits of microneedling, boosting scalp hydration and promoting healthy hair growth. 🌿✨ ➡️ If you have more questions or want product recommendations, let me know-I’m here to help! 😊

[@lubnaadel-r1o]

@WilliamGaunitzTrichologist Thank you so much for your quick and detailed reply to my question. I genuinely appreciate the time and effort you put into addressing my concerns with such clarity and depth.

[@kiyosaki2479]

Hey doc, please answer i think youre only one i can trust. Im 19, and Ive been using minoxidil since 17, so its like 2 years, and ive seen somewhere in internet thats the minoxidil is really dangerous and powerful so i stopped using it like for 1,2 months but then i saw video wheres talking about "you cant stop usung minoxidil straightaway, bc you will lose all the hair" and then they said that there is one year after stopping using minoxidil - you lose all the hair. Doc my English is bad but please help what should i do, bc i dont want to use minoxidil twice a day for rest of my life, can i do it at least once a week, or what should i do, I genuinely dont know.

[@faizspitsfaxx]

first you need to fix the underlying condition that causing you hairfal like Biotin , zinc , iron , phosphorus , vitamin D deficiencies and if your scalp is itchy or inflamated , dandruff problems than treat it first , if your hairfall isn't genetical and caused by one of these factor than after quitting minoxidil you may loose hair in shedding but as the underlying condition will be treated they'll grow back but it won't be as thick that minoxidil made them , you'll have your natural hair thickness , You can switch with Rosemarry essential oil with derma roller if you like , its result is same as 2% Minoxidil and if you quit it you won't really face any hair shedding as its 100% natural treatment

[@almasmeraj2957]

Try once rosemary essential oil..mix with carrier oil and apply..leave it overnight

[@kiyosaki2479]

@@faizspitsfaxx thank you bro

[@itsbloggingtime3106]

​​​​@@faizspitsfaxx hey brother I am 17 facing the same problem my hairline is receding and I think it's genetically inherited from my father side So should I use minoxidil and finasteride or rosemary oil and pumpkin seed oil with derma roller Becoz i have heard many people saying that minoxidil is bad and it's side effects are serious as it falls in the category of drug and finasteride reduces testosterone and fertility and stuff like that so iam super confused and i don't know where to start

[@TheAnkurPandey]

Can weight training cause DHT hair loss? If yes can we avoid it, while still building muscles. Thank you Doctor 😊

[@Kor-A1steak]

Ver curious on this ???

[@WilliamGaunitzTrichologist]

Great question! 😊 Weight training itself doesn’t directly cause hair loss, but here’s how it can *indirectly* influence it through DHT (dihydrotestosterone) levels, especially if you’re predisposed to androgenic alopecia (male or female pattern hair loss): 💪 **Weight Training and DHT**: Intense weightlifting, especially with heavy weights, can increase testosterone levels slightly, which may raise DHT levels since DHT is derived from testosterone. For those genetically sensitive to DHT, this may contribute to hair follicle miniaturization and hair loss over time. 🌱 **Balancing Muscle Gain and Hair Health**: - **Moderate Intensity**: Avoid excessively intense or prolonged weight sessions, as this may help minimize the temporary rise in testosterone. - **Focus on Nutrition**: Proper nutrition, particularly a diet rich in zinc and omega-3 fatty acids, can support both muscle recovery and hair health. - **Consider DHT-Blocking Foods**: Foods like green tea, pumpkin seeds, and flaxseeds are known for their potential to inhibit DHT and can be easily added to your diet. - **Topical or Oral DHT Blockers**: If you’re particularly concerned about hair loss, topical DHT blockers (like saw palmetto or caffeine-based treatments) might help reduce the effects on the scalp. Oral options like finasteride can be effective, too, but should be discussed with a healthcare provider. 💡 **Low-Impact Exercises**: Adding some low-impact strength training (like bodyweight exercises) can also support muscle growth with less effect on testosterone levels, so you get the benefits without potentially impacting hair. With the right balance, you can definitely build muscle and maintain hair health. I hope this helps! ➡️ Need more personalized advice? Reach out to us at [Advanced Trichology](www.advancedtrichology.com/) anytime!

[@TheAnkurPandey]

@@WilliamGaunitzTrichologistThanks for the detailed response 😀. I highly appreciate you content, really helped me to understand the hair loss from end to end.

[@sabrinazaman5469]

I am getting bald patches above my ears. My vitamin d and ferritin levels are quite low. My dermatologist gave me serum and a shampoo will these stop hair loss?

[@WilliamGaunitzTrichologist]

Bald patches above your ears, combined with low vitamin D and ferritin levels, suggest that your hair loss may have a **nutritional or hormonal basis** or even an underlying condition like **alopecia areata**. Let’s break it down. 👇 --- ### **Will the Serum and Shampoo Stop Hair Loss?** - **Shampoo**: A medicated shampoo can help with scalp health by reducing inflammation or buildup, creating a healthy environment for hair growth. - **Serum**: Hair serums often include growth-stimulating ingredients (like peptides, biotin, or DHT blockers) that can encourage regrowth or strengthen hair. However, these products will likely **manage symptoms**, not fix the root cause of your hair loss, which is tied to your low vitamin D and ferritin levels. --- ### **How to Address the Underlying Causes**: 1. **Vitamin D Deficiency**: - Low vitamin D is directly linked to hair loss because it affects the hair follicle cycle. - **Action**: Take a high-quality vitamin D3 supplement (consult your doctor for the right dosage) and spend more time in the sun (if possible). 🌞 2. **Low Ferritin (Iron Stores)**: - Ferritin is crucial for hair production. Levels below 70 ng/mL can lead to shedding. - **Action**: Increase dietary iron through red meat, lentils, spinach, and fortified cereals. Consider an iron supplement paired with vitamin C for better absorption. 🍊 3. **Investigate Patchy Loss**: - Bald patches could indicate **alopecia areata**, an autoimmune condition. If this is suspected, your dermatologist may suggest treatments like corticosteroids or topical immunotherapy. --- ### **Additional Tips for Hair Loss**: - **Gentle Hair Care**: Avoid harsh styling, heat, and tight hairstyles to reduce stress on the follicles. - **Scalp Stimulation**: Use gentle scalp massages to improve blood flow and nutrient delivery to the follicles. - **Nutrition**: Focus on a diet rich in biotin, zinc, omega-3s, and iron to support overall hair health. --- Your serum and shampoo can help manage scalp health, but combining them with proper supplementation and addressing deficiencies will give you the best results. 💪➡️ Reach out to us at www.advancedtrichology.com/ for more support on restoring your hair health! 🌱

[@GeraldNkhoma-oy6di]

Hi Dr William. After cutting off my locks, I suddenly experienced thinning hair & minimal growth on the crown of my head & upper sides. This was accompanied by horrendous & persistent itching & a burning sensation. I've tried using apple cider vinegar to clean the scalp but to no avail. Any recommendations . Problem is now in its 3rd month & getting worse. TiA

[@WilliamGaunitzTrichologist]

Hey there! 😊 It sounds like your scalp is going through a lot after cutting off your locks, and the symptoms you're describing-itching, burning, thinning, and minimal growth-are concerning. Let’s break this down and get you some relief: ### What Might Be Happening: 1. **Traction Alopecia**: If your locks were worn tightly, the scalp may have experienced prolonged tension, leading to follicle damage, especially at the crown and sides. This can result in thinning and irritation. 2. **Scalp Inflammation**: The burning and itching suggest underlying inflammation, which could be caused by folliculitis (inflamed hair follicles), seborrheic dermatitis, or even an allergic reaction to products. 3. **Disrupted Scalp Barrier**: After years with locks, your scalp may be adjusting to a different care routine, and the use of apple cider vinegar might be too harsh, exacerbating irritation. ### Steps to Calm and Heal the Scalp: 1. **Soothe Inflammation**: - Use a gentle, sulfate-free shampoo with anti-inflammatory properties. Look for ingredients like **zinc pyrithione**, **tea tree oil**, or **aloe vera** to calm irritation. - Try a warm compress infused with chamomile tea to reduce the burning and itching. 2. **Moisturize**: - After washing, apply a lightweight, non-comedogenic scalp oil or serum with **jojoba oil** or **rosemary oil** to nourish the scalp without clogging follicles. 3. **Treat Folliculitis or Dermatitis**: - If there are signs of infection (redness, pus), a dermatologist may prescribe a medicated shampoo (like ketoconazole) or topical steroids to treat persistent inflammation. 4. **Promote Hair Regrowth**: - Scalp massages daily to increase blood flow. Use a serum with **minoxidil** or DHT blockers if you suspect hormonal involvement in the thinning. - Ensure your diet is rich in iron, zinc, and biotin to support hair regrowth. 5. **Avoid Over-Cleansing**: - Skip the apple cider vinegar for now-it may be stripping natural oils and irritating the scalp barrier. Stick to gentler cleansers. 6. **See a Specialist**: - Persistent symptoms like yours (3+ months) warrant a visit to a dermatologist or trichologist to rule out more serious conditions like scarring alopecia. Healing takes time, but with the right care, you can absolutely get your scalp and hair health back on track. 💚➡️ Reach out to us at www.advancedtrichology.com/ for personalized help and product recommendations! 🌱

[@Baadb]

Can switch to oral finasteride in to tropical after getting result any shedding problem or losing hair?

[@WilliamGaunitzTrichologist]

Switching from **oral finasteride** to **topical finasteride** can be a good option if you're looking to minimize systemic side effects while maintaining results. However, it’s important to understand how the transition might affect your hair: --- ### **1. Will Switching Cause Shedding or Hair Loss?** - **Initial Shedding Risk**: - Hair shedding can happen when there’s a change in treatment, but this is not guaranteed. Shedding typically occurs if the transition leads to a temporary drop in DHT suppression. - If the topical formulation is equally effective at reducing scalp DHT, the risk of shedding is minimal. - **Maintaining Results**: - Consistency is key. Ensure you use the topical formulation as directed without interruptions to avoid any rebound effect or loss of regrowth. --- ### **2. Factors to Consider Before Switching** - **DHT Levels**: - Oral finasteride reduces systemic DHT levels, while topical finasteride primarily targets scalp DHT. - If your hair loss is primarily DHT-sensitive (e.g., androgenic alopecia), ensure the topical formulation is potent enough to maintain suppression. - **Effectiveness of Topical Finasteride**: - Topical finasteride has been shown in studies to be nearly as effective as oral finasteride for many people, with fewer systemic side effects. - **Dosage Matching**: - A 0.1% to 0.25% topical finasteride concentration is often recommended to match the effects of 1 mg oral finasteride. Consult your doctor to ensure the dosage is appropriate. --- ### **3. How to Transition Smoothly** 1. **Overlap Treatments**: - For 1-2 months, use both oral and topical finasteride together to allow your body and scalp to adjust gradually. 2. **Monitor Hair Health**: - Keep track of your hair density and shedding over the transition period. If shedding increases significantly, consult your doctor. 3. **Add Supportive Treatments**: - Use complementary therapies like **minoxidil**, **PRP therapy**, or **low-level laser therapy (LLLT)** to maintain growth during the transition. --- ### **4. Post-Switch Maintenance** - Stick to the new topical routine consistently (typically daily or as prescribed). - Continue monitoring for shedding or thinning and adjust treatment if necessary. --- ### **5. When to See a Doctor** If you notice: - Increased or prolonged shedding beyond 3-6 months. - A significant reduction in hair density after switching. Your doctor might suggest adjusting the dose or combining treatments temporarily. --- ### **Key Takeaway** Switching from oral to topical finasteride can work well with minimal shedding if done correctly. Gradual transitioning, consistent use, and monitoring your progress are essential to maintaining results. ➡️ For more personalized guidance on transitioning treatments, visit [www.advancedtrichology.com](www.advancedtrichology.com). 🌟

[@jayasudhans887]

Hi Doctor, the video is really helpful. I am been using minoxdhil for the last 7 years, i have seen my hair growth and shredding. I believe mine is a Hormonal problem, as I can see my scalp in frontal and crown area. Wanted to check with you if it is really possible for me to grow from frontal hair again wih only minoxidhil and DHT blockers?

[@WilliamGaunitzTrichologist]

Hi there! It may be possible but you need to address all the reasons for your hairloss first. Aside from taking DHT blocker and using minoxidil, we recommend getting blood tests to check nutrient levels like ferritin, iron panel, zinc, B12 and vitamin D3 to achieve the best results, then you can use Low level laser therapy to enhance the results. This video might help kzbin.infoSGuPWJWgIT8?si=JIoL1kdz4R9Yp5Ys MJ - William’s Assistant Trichologist

[@jayasudhans887]

@WilliamGaunitzTrichologist thank you, will do as mentioned

[@PeacefulTea-qb4js]

Can you please make a video about postpartum hair loss? I already know what the underlying cause is..It’s DHT. when can I use the DHT blockers after giving birth? I want to completely avoid this.

[@WilliamGaunitzTrichologist]

Postpartum hair loss is such a common concern, and I’d love to break it down in a video for you! Here’s a quick overview for now: First, you're spot-on that DHT (a byproduct of testosterone) can play a role, but postpartum hair loss is largely due to **hormonal shifts**. During pregnancy, estrogen levels are high, keeping hair in the growth phase (anagen). After delivery, estrogen drops, triggering shedding (telogen effluvium). 😔 ### Using DHT Blockers After Birth: 1. **Timing Matters**: Wait until you've finished breastfeeding (or consult your doctor if you're breastfeeding) before starting oral or topical DHT blockers. These can affect hormones and potentially transfer through breast milk. 2. **Safe Options During Breastfeeding**: Natural DHT blockers like saw palmetto shampoos, pumpkin seed oil, or caffeine-based serums are generally safer and can help minimize hair loss while nursing. 3. **Dietary Support**: Nourish your hair with a balanced diet rich in protein, iron, and zinc. Consider a postpartum multivitamin to support recovery and hair regrowth. 4. **Be Patient**: Postpartum shedding peaks around 3-6 months after delivery but typically resolves on its own as hormones stabilize. I’ll include all these details in the video! Thanks for the great suggestion. 💡➡️ Reach out to us at www.advancedtrichology.com/ for personalized postpartum hair care support!

[@PeacefulTea-qb4js]

@ Thank you!

[@kristiant9615]

My vitamin D was on 44 of 50-178 and my Ferratin was on 29. Is this a good reason for my thinning hair? Have been bolding for over 1,5 years and I’m 19 soon.

[@WilliamGaunitzTrichologist]

Yes, those levels could definitely contribute to hair thinning! 💡 Low vitamin D and ferritin (a key iron storage protein) are common culprits behind hair loss, especially when levels are below optimal ranges. 📉 **Vitamin D**: A level of 44 is on the lower side of the normal range. Vitamin D is crucial for hair follicle health and function, so getting it up can support regrowth. Many experts recommend a vitamin D level of around 100 or higher for hair health, but always check with a healthcare provider for the best target for you. 🔋 **Ferritin**: A level of 29 is low when it comes to hair health. Ideally, ferritin should be closer to 70-100 for optimal hair growth. Iron is essential for delivering oxygen to the hair follicles, and low levels can lead to hair shedding and thinning. Since you’ve noticed thinning for over a year, and you’re still young, getting these levels up could really help stabilize things. Keep working on your nutrition, supplements, and consider seeing a trichologist or dermatologist for tailored treatment advice. 🌱 ➡️ For personalized advice on boosting regrowth, feel free to reach out at www.advancedtrichology.com/.

[@sumit7487]

I think your vitamin d is pretty good bcz mine is 8.20

[@spandanroy9801]

How to control ibs related hair loss please help😢😢😢😢 i have scalp inflammation

[@AwaisKhan-ls1eg]

I had IBS C and also experienced hair loss. Now IBS free and yes no hair loss. Here is how I was healed. 1: Got prescription, took sertraline for 10 months and then slowly withdrew the drug. 2: During the treatment I shifted my routine to 2 meals a day and 16-8 intermittent fasting. 3: Hair loss was due to dryness. Reason: I was taking strong black tea with milk. So avoided it and lowered the dosage. 2nd reason. Biggest reason I was losing hair was Shampoo. Reason: Sulfates and parabens . Yes, I completely stopped using it and now everything is fine.... Let your scalp generate it's own essential oil and sebum which is necessary for hair growth. Plz don't put sulfates on it .. Food modifications. Started adding Turmeric, ginger powder, cloves in my recipes, grean tea and pure black tea without milk in my routine. Took vitamin D supplement, Taking seeds like sesame, mustard, Topical, Mustard oil 100ml Rosemary oil 7-10 drops Mix. I massage 10ml of this on my scalp once a month. 😂 I'm lazy.

[@Sajjad-b9i]

Hey doc I have questions I want to know your opinion about caffeine shampoo Alpecin what do u think about it does it really work? And also I wanted to ask about that can I start saw palmetto for my hairline ?

[@WilliamGaunitzTrichologist]

Great questions! Let’s unpack both topics-**caffeine shampoos** and **saw palmetto**-so you can make the best decision for your hair care. 🌟💆‍♂️ --- ### **Does Caffeine Shampoo (Alpecin) Really Work?** ☕ Caffeine shampoos like Alpecin are marketed as solutions for hair thinning, but their effectiveness depends on a few factors: #### **How It’s Supposed to Work** - **Boosts Blood Flow**: Caffeine can increase blood circulation to hair follicles, which is essential for healthy growth. - **Blocks DHT Locally**: Some studies suggest caffeine can counteract the effects of DHT (the hormone responsible for androgenetic alopecia) on hair follicles. #### **Reality Check** - **Shampoo Duration**: Since shampoo is rinsed off after just a couple of minutes, it’s unclear how much caffeine actually penetrates the scalp and reaches the hair follicles. - **Best for Mild Cases**: It may help reduce shedding or support healthier hair, but it’s unlikely to reverse advanced hair loss or significantly improve a receding hairline. #### **Verdict** Caffeine shampoos can be a good **supportive treatment**, but they’re not a standalone solution. Pairing it with proven treatments like **minoxidil or finasteride** offers better results. If you’re using Alpecin, give it time and monitor for subtle improvements in texture or shedding. --- ### **Can You Start Saw Palmetto for Your Hairline?** 🌿 Saw palmetto is a natural DHT blocker and a popular alternative to medications like finasteride. Here’s what you need to know: #### **How It Works** - Blocks the enzyme **5-alpha reductase**, which converts testosterone into DHT. - May reduce scalp DHT levels, slowing hair follicle miniaturization. #### **Effectiveness** - **Studies**: Some research shows that saw palmetto can help with mild to moderate androgenetic alopecia, but it’s not as strong as finasteride. - **Results**: Expect gradual improvements-typically after 3-6 months of consistent use. #### **Dosage** - Look for **320 mg/day** of saw palmetto extract standardized to 85-95% fatty acids (the active component). - You can find it in capsule form or as an ingredient in topical hair products. #### **Should You Use It?** - It’s worth trying, especially if you’re looking for a natural DHT blocker or can’t tolerate finasteride. - For stubborn hairline thinning, combining saw palmetto with **minoxidil** or **microneedling** could enhance results. --- ### **Pro Tips for Both** 1️⃣ **Caffeine Shampoo**: Pair it with a gentle, sulfate-free shampoo to avoid drying out your scalp. 2️⃣ **Saw Palmetto**: Give it time-results are subtle and need consistent use over months. 3️⃣ **Scalp Care**: Don’t forget to massage the products in to stimulate blood flow, especially around the hairline. --- ### **Bottom Line** - **Caffeine Shampoo**: It’s helpful but not a game-changer. - **Saw Palmetto**: A great natural option for DHT blocking, but be patient with the results. You’re on the right track by exploring multiple options-hair health is all about the right combination of treatments for *your* needs! 😊 ➡️ For tailored guidance, reach out to us at [www.advancedtrichology.com](www.advancedtrichology.com/).

[@_kaidreezy]

Good day, doc. I am 21 years old and I started noticing my hairline receding when I was 18 or 19. Now that I'm 21, I'm not completely bald yet, but my hairline is rising and my hair is thinning a bit in the middle. However, my hair texture is very dry, flaky, and itchy. I only shampoo twice a week and wash my hair three times a week. When I gently brush or comb my hair, I notice a lot of hair falling out, I think more than 100 or 200 strands. What could be the reason for my hair conditio

[@Williammccall-yw5yw]

Shower filter helped me out and natural soap

[@_kaidreezy]

@Williammccall-yw5yw what soap u use

[@WilliamGaunitzTrichologist]

Good day! It sounds like you’re going through a lot with your hair and scalp health, and I’m glad you reached out! 😊 At your age, hair thinning and a receding hairline could be early signs of androgenic alopecia (male pattern baldness), but the dryness, itchiness, and excessive shedding may also indicate other factors at play. Here are a few possibilities that could be contributing to your current hair condition: 🌱 **Seborrheic Dermatitis or Scalp Irritation**: The dry, flaky, and itchy symptoms can often point to seborrheic dermatitis or scalp inflammation. This can lead to irritation, which in turn may cause more hair shedding. It’s possible that your scalp's natural oil balance is out of sync. 💇 **Telogen Effluvium (TE)**: Excessive hair shedding (like noticing 100-200 hairs in a day) can happen when the hair goes into a “resting” phase due to stress, diet, or lifestyle factors. TE often combines with other types of hair loss, making it seem more dramatic. 💧 **Dryness and Overwashing**: Even washing just 3 times a week might be stripping your scalp if you’re using strong shampoos. Look for sulfate-free, gentle formulas and follow up with a hydrating conditioner to soothe the dryness. Adding a lightweight leave-in conditioner or scalp oil could also be helpful. 🌿 **Underlying Nutritional Deficiencies**: Sometimes deficiencies in vitamins (like B vitamins, vitamin D, or zinc) can lead to poor scalp health, dryness, and increased shedding. A quick blood test can check if you’re low in these areas. Your next step? I’d recommend a visit to a trichologist or dermatologist who can examine your scalp and possibly do a pull test or scalp biopsy. This will help clarify what’s happening and guide the right treatment. ➡️ If you’d like more targeted advice, reach out to us at [Advanced Trichology](www.advancedtrichology.com/) for a tailored plan to help calm your scalp and support your hair growth!

[@_kaidreezy]

@WilliamGaunitzTrichologist My father has stage 5 hair loss, but my eldest brother, who is 25 years old, has very thick hair and a low hairline. My second brother has silky and shiny hair, but his hairline is a bit high. Actually, none of us have a history of being completely bald, like stage 7 male pattern baldness. I also live a healthy lifestyle, exercising three times a week, eating eggs three times a day, fruits and vegetables, and taking fish oil and vitamin C.

[@BlastbeatsRtreats]

Hello,have you seen a study on lard and hair growth?

[@araalikhanyan9943]

Hey sir, really like your content and advices, I had one question, can I use styling products, like sea salt spray, clay, or pomade while trying to prevent hair loss, cus I’m going to do a blood work, learn about my hair loss problems and solutions and really dedicate myself for stoping it, I use really high quality styling products with no harsh engridients and use moderately and not every day. I started losing my hair at the age of 17, and I started using styling products at 18, and it gave 0 affects on hair loss/growth. And also can creating cause hair loss? Again thank you sir 🙌🙌, I believe I will stop losing my hair with your directions.

[@b.smulders6078]

Since my puberty i’ve been pulling my hair, Which started out as a Tic. I’ve had wonderful reddish Brown hair. Inflammation like seborric eczema made me rub and pulling my scalpe while it was itching. As a result i believe that my crown & inlets started to decrease in strength. 2 years ago i decided to get a hair transplant(at 25) , to cover up. For a while it worked, however it starting to balding again nevertheless. I’m clueless what to do. I could you use some adequate advice…

[@WilliamGaunitzTrichologist]

I hear you-it sounds like you’ve been through a long journey with this, and dealing with hair-pulling, itchiness, and even seborrheic eczema can make it even more challenging. Here are a few tailored tips that might help: 🌱 **Focus on Scalp Health First**: Since inflammation seems to trigger the itchiness, soothing your scalp is key. Look for gentle, anti-inflammatory scalp treatments or shampoos designed for sensitive skin (like those with zinc pyrithione or ketoconazole). These can help calm seborrheic dermatitis, reduce itch, and make the scalp environment healthier for hair growth. 💆 **Consider Behavioral Therapy for Trichotillomania**: Hair-pulling often stems from underlying anxiety or as a tic, so working with a professional who specializes in Cognitive Behavioral Therapy (CBT) for trichotillomania can help manage and possibly reduce the urge to pull. There are also habit-reversal techniques you can try to redirect the behavior. 🧴 **Strengthen Your Hair and Scalp Post-Transplant**: Transplanted hair may weaken over time, especially if the scalp remains inflamed. Strengthening treatments like low-level laser therapy (LLLT) and gentle hair-thickening serums may help stimulate growth and maintain density. 🌿 **Explore Nutritional and Supplement Support**: Deficiencies in nutrients like B vitamins, zinc, and omega-3s can impact scalp health. A supplement regimen focused on these essentials could support healthier growth from the inside out. You're not alone in this, and there are definitely options to explore! 💫 ➡️ Reach out to us at [Advanced Trichology](www.advancedtrichology.com/) if you’d like more personalized guidance on treatment options!

[@edwardkenway2652]

Hi Dr. William, Is the HairMax Ultima 12 Laser Comb good for hair loss?

[@WilliamGaunitzTrichologist]

Hi there! The HairMax Ultima 12 Laser Comb can indeed be a helpful tool for hair loss. It uses low-level laser therapy (LLLT), which is designed to stimulate hair follicles, increase blood flow to the scalp, and potentially encourage hair growth 🌱. Many people with hair thinning and pattern hair loss (androgenetic alopecia) have found it beneficial as part of a broader hair care routine. That said, results can vary, and it often works best when combined with other treatments like minoxidil, nutritional support, or scalp health improvements. Consistency is key, as it typically takes a few months to see noticeable results. If you’re curious whether it’s the right option for your specific hair concerns, a tailored approach might give you the best results! 🌟➡️ Reach out to us at www.advancedtrichology.com/ for guidance.

[@florabliss6664]

Hello dr … really love watching your videos… my mother has female pattern baldness where she lost 99% of hair in the centre of her head… I am 37 and I already see my hair thinning in the same areas … I have allergic rhinitis and asthma… I am on medication and I see my hair partitions are too obvious and the scalp is shiny in those areas where the hair is thinning … it is very depressing …🥺….any solution doctor ..question :- can we grow hair with auto immune disorders..??please help 🙏🏻…

[@lpgirl]

I had the same problem and tried a lot of different things to combat it. About 10 months ago, I began taking saw palmetto soft gels with 85 % fatty acids. My hair has returned and looks better than ever. I order it from Swanson online. By the way, I'm a 74 year old woman. Good luck!

[@WilliamGaunitzTrichologist]

Thank you so much for watching and for reaching out! ❤️ I can absolutely understand how difficult and emotional this must be for you-especially when seeing a similar pattern to your mother’s hair loss. Female pattern baldness (FPHL) and autoimmune conditions like asthma and allergic rhinitis can make things more complex, but let’s talk about some hopeful steps that can help. 😊 💡 **Can Hair Grow with Autoimmune Disorders?** The answer is yes, though it can be challenging. Autoimmune conditions can contribute to inflammation that might impact hair follicles, making them more sensitive to thinning triggers. But with the right approach, it’s possible to support hair health and even regrow some hair. 🌱 **Topical Treatments**: Consider starting with *topical minoxidil*, as it’s often effective for female pattern hair loss. Minoxidil can stimulate hair growth in the thinning areas and help maintain the density you currently have. For sensitive scalps, there are foam formulas that are easier on the skin. 💊 **Anti-Inflammatory Support**: Since autoimmune conditions involve inflammation, treatments that reduce inflammation can sometimes help. Look for products with ingredients like *caffeine*, *niacinamide*, or *green tea extract*, which are known to be soothing and promote circulation. 🔬 **Explore PRP Therapy**: Platelet-rich plasma (PRP) is an option worth exploring. It uses your own growth factors to stimulate hair follicles and can be particularly helpful in areas where the scalp is becoming shiny, as it may help “wake up” dormant follicles. 🧴 **Scalp Health and Gentle Care**: Keeping your scalp healthy is essential. Opt for gentle, sulfate-free shampoos, and avoid hairstyles that pull on the thinning areas. A well-moisturized, balanced scalp is better at supporting hair growth. 🌞 **Nutritional Support**: You may want to check with your doctor to ensure your vitamin D, iron, and zinc levels are optimal, as deficiencies in these nutrients can worsen hair thinning. Also, omega-3 supplements can support both hair health and help with autoimmune-related inflammation. It sounds like you’re proactive and paying close attention, which is great. Don’t lose hope-there are options out there, and a multi-faceted approach can make a big difference. 🌻 ➡️ For personalized guidance, feel free to reach out at [Advanced Trichology](www.advancedtrichology.com/). We’re here to support you on this journey!

[@aamermohammed3678]

Using topical minoxdile for minor thinning is it recommended ? Or just use oil

[@WilliamGaunitzTrichologist]

Using topical minoxidil for minor thinning can be a good option, especially if you want to proactively support hair growth. Minoxidil is clinically proven to help stimulate hair follicles and can be effective even in the early stages of thinning, helping to maintain density and prevent further loss. Here’s what you might consider: 🌱 **Minoxidil for Thinning**: Minoxidil is especially useful if you’re noticing any miniaturized (thinner, finer) hairs, as it can help these hairs grow back stronger. It typically works best when used consistently over time, and results can take 3-6 months to appear. 💧 **Oil as a Natural Boost**: Oils like rosemary, castor, and peppermint have gained popularity for their potential to promote circulation and add nourishment to the scalp. While these oils may not be as potent as minoxidil, they can improve scalp health, which is beneficial for hair growth. For mild thinning, a high-quality oil can be a good supplement to your routine. 🔄 **Combining Both**: Some people find that combining minoxidil with scalp massages and oil treatments (used at different times of day) gives the best results. Just make sure to apply minoxidil to a clean scalp and allow it to dry before using any oils. If you’re hesitant to start minoxidil, trying oils first might be an option, but if you want a targeted approach with more proven results, minoxidil is worth considering. ➡️ Need more guidance? Feel free to reach out to us at [Advanced Trichology](www.advancedtrichology.com/) for a personalized plan!

[@Kumarimaya9688]

Doctor, minoxidil causes forehead wrinkles

[@WilliamGaunitzTrichologist]

It does not

[@Kumarimaya9688]

​@@WilliamGaunitzTrichologist but I found wrinkles on my forehead

[@behzadq41]

Why you are soo gopd doctor?? ❤❤

[@shivasoni8624]

Sir, i have very dry scalp psoriasis since birth. Condition improves sometimes but in winter condition becomes worse . I am 21 year old i have never face any hairfall in my life, but now i am facing hairloss since 4 months . What should i do suggest me a shampoo routine to reduce scalp psoriasis.

[@dantervil6103]

Vitamin d and ketokonazol shampo

[@user-do3im4vz9c]

Hello doctor, I want to buy your product but I have a question. Can I use your 2 products in the same time or just one. I want to buy DHT products, (DHT Blocker with Immune Support Nutraceutical) and this (NutraM DHT Blocking Hair Serum) can I use them both or just one and which one is better? Thank you for answering the question!

[@WilliamGaunitzTrichologist]

Hello! Yes, absolutely! All Advanced Trichology products are designed to work together. We recommend using both the supplement and serum for best results! MJ - William’s Assistant Trichologist

[@horikrichard8647]

What u think of prp doctor i have inflammatory allopecia not sure if 3 times prp works if u tell me yes i will deff do it

[@WilliamGaunitzTrichologist]

PRP (Platelet-Rich Plasma) can absolutely help with **inflammatory alopecia**, but its effectiveness depends on the type and severity of your condition. Let me break it down for you so you can feel confident about making a decision: --- ### **How PRP Works for Inflammatory Alopecia** 1. **Reduces Inflammation**: - PRP is rich in anti-inflammatory cytokines and growth factors, like **TGF-beta (transforming growth factor)**, which calm scalp inflammation and support follicle recovery. - This is crucial in conditions like **alopecia areata**, **seborrheic dermatitis**, or **lichen planopilaris**, where inflammation attacks follicles. 2. **Restores Dormant Follicles**: - PRP helps restart hair growth by encouraging follicles to re-enter the **anagen phase** (growth phase). It’s especially effective for follicles that are inflamed but not yet scarred. 3. **Boosts Overall Scalp Health**: - By improving blood flow and providing concentrated growth factors, PRP creates an environment for healthier, stronger hair. --- ### **Will 3 PRP Sessions Be Enough?** - **Typically**, 3 sessions spaced 4-6 weeks apart are considered the standard starting point. - You might start to see improvement (less shedding, small regrowth) by the **second or third session**, but significant changes may take up to 6 months. - For ongoing conditions like inflammatory alopecia, **maintenance sessions every 6-12 months** can help sustain results. - **Inflammatory Conditions**: If your inflammation is under control (e.g., through steroids or anti-inflammatory treatments), PRP has a better chance of working effectively. --- ### **What Else Can Help PRP Work Better?** 1. **Control Inflammation**: - Before starting PRP, make sure your scalp inflammation is managed with: - **Ketoconazole shampoo** or a medicated shampoo. - Topical steroids (prescribed by a dermatologist). 2. **Pair with Nutrition**: - Ensure you’re addressing deficiencies like **vitamin D**, **iron**, or **zinc**-these can affect your results. 3. **Combine Therapies**: - Adding **low-level laser therapy (LLLT)** or a topical treatment like **Minoxidil** can enhance the regrowth potential when used with PRP. --- ### **When PRP Might Not Work** - If there’s **severe scarring** (e.g., advanced lichen planopilaris) or the follicles are completely damaged, PRP won’t revive hair. - However, PRP can still improve the scalp’s overall health and prevent further loss in those areas. --- ### **My Verdict: Should You Do It?** **YES**-PRP is worth trying for inflammatory alopecia, especially if the condition is in the early stages or under control. With 3 sessions as a start, you’ll likely see reduced inflammation, less shedding, and some regrowth. If it works well, you can decide on maintenance sessions for long-term benefits. Let me know how it goes or if you need further guidance-rooting for your success! 😊➡️ Reach out to us at www.advancedtrichology.com/ if you need additional support.

[@mccheezen20]

I had burning on the top of my head and my hair line. The areas that burn are the only places in losing hair. Is this from DHT?

[@Ax.DaEdge]

Great question!!

[@Ax.DaEdge]

Sounds like internal inflammation. Are you overly stressed? Insomnia? I have the same issues.

[@mccheezen20]

@@Ax.DaEdge actually yes! I was at the time going through a rough period of my life.

[@Ax.DaEdge]

@@mccheezen20 Yes, it's like the Cortisol (Stress hormone) is/has flooded your body. This causes body+ wide inflammation. Inflammation DESTROYS! Hope you get away from the Stress / Stressor/s .In the meantime lightly massage your head/scalp/ face just before where it meets your hairline. Could be the tension in your shoulders/ head/ neck/face, etc. Maybe research some Adaptogens to help with Stress relief. I recently started Ashwaganda. Also Magnesium (Bis) Glycinate. ✌️

[@afaqkhan6511]

Please answer me I've been taking isotretinoin for over five months . Initially, my hair was fine, but last monthof isotretinoin treatment, I started experiencing hair loss. In an attempt to mitigate this, I began massaging my scalp as I neared the end of my treatment. Regrettably, my hair loss has increased, with approximately above 100 hairs falling out daily. I'm concerned - is this a normal side effect?"

[@artimudaliar2312]

From my own experience isotretinoin causes massive hair loss which gets back to normal after finishing the treatment but the bad news is isotretinoin lowers vitamin d level which can affect hair growth. So work on your vitamin d level.

[@sirpetrosy]

its more than 10 hair in the each zone after the pull test, my scalp is also very itchy on the second day of my hair wash, but still not dirty or oily, i wash my hair 4-5 days once

[@smallk6453]

Blood flow and use shampoo without heavy chemicals and if you live in California the water kills your hair.

[@WilliamGaunitzTrichologist]

You’re absolutely right-**blood flow**, **chemical-free shampoos**, and even **water quality** play a huge role in hair health. Let’s break it down: --- ### **1. Blood Flow to the Scalp** - **Why It Matters**: - Good circulation ensures your hair follicles get oxygen and nutrients, promoting strong and healthy growth. - **Boosting Blood Flow**: - **Scalp Massages**: Use your fingers or a scalp massager daily for 5-10 minutes. - **Inverted Positions**: Hanging your head upside down briefly during a massage can help stimulate circulation. - **Exercise**: Activities like yoga or cardio improve overall blood flow, including to the scalp. --- ### **2. Shampoos Without Harsh Chemicals** - **What to Avoid**: - **Sulfates**: Harsh detergents that strip natural oils. - **Parabens**: Preservatives linked to scalp irritation. - **Silicones**: Can build up on hair and scalp, suffocating follicles. - **What to Look For**: - Gentle, sulfate-free shampoos with natural ingredients like **aloe vera**, **rosemary oil**, or **tea tree oil**. - Consider medicated shampoos (e.g., with zinc pyrithione or ketoconazole) if you have dandruff or scalp issues. --- ### **3. California Water and Hard Water Effects** - **How Hard Water Damages Hair**: - Contains high levels of minerals like calcium and magnesium, which can: - Leave residue on the scalp and hair, making it brittle and prone to breakage. - Block hair follicles and cause dullness. - **Solutions**: - Install a **shower filter**: Filters out minerals and chlorine, making the water gentler on your hair. - Use a **chelating shampoo**: Removes mineral buildup (use 1-2 times per month). - Rinse with diluted **apple cider vinegar**: Helps clear hard water residue and balance scalp pH. --- ### **Key Takeaway** - **Healthy Hair Habits**: - Stimulate blood flow with massages and exercise. - Use gentle, chemical-free shampoos tailored to your needs. - Protect your hair from hard water damage if you live in areas like California. It’s all about creating the right environment for your hair to thrive! 🌟 ➡️ For more tips on hair and scalp care, visit [www.advancedtrichology.com](www.advancedtrichology.com). 🌿

[@ceilingokay3250]

I went to dermatologist 4 months ago to figure out why my hair started thinning after losing 15 kg in a short period . Vitamin D level was 24/100 . Ferritin , Zinc and Bitoin was ok . I have never noticed too much shedding during this period. He told me it is a combination of genetics and nutritional hair loss . I have been taking VitD 100.000 IU / week for the last 4 months . I haven’t noticed further hair loss. How can I grow my lost hair back ? Pull test ; only 1 or 2 hair comes from vertex or crown area for every 2 -4 attempts . Also I had Trichodynia scalp pain but it disappeared suddenly. Thank you .

[@EVETTTTT]

100,000 or 10,000 IU?

[@ceilingokay3250]

@ one hundred thousand per week , 50k capsules twice a week.

[@EVETTTTT]

@@ceilingokay3250 wow , which brand is that?

[@milik05]

hi i would love if you reply me in my family every female has great amount of hair (but male are bald) except my mom because after 3 child birth in normal delivery and of course not taking care of herself but she had great hair in her 20s in my case initially i had good amount of hair like others..i am a female and had chronic typhoid in my early age like 7..after that i also had great amount of hair but i started to loss hair at the age of 11 when my period started and still now i am 25 and lossing hair very badly and going to be bald..i have never did blood test but now i am considering to do do you have any advice for me?

[@shanshackyloveduck]

Are your prodcuts safe for people with thyroid issues? All thyroid levels have been normal for years. My hair isn't coming back anymore. Less and less has "come back".

[@WilliamGaunitzTrichologist]

Yes, many hair growth products, including ours, are generally **safe for people with thyroid issues**, especially if your thyroid levels have been stable and in the normal range for years. However, hair regrowth for individuals with a history of thyroid imbalance requires a targeted approach, as thyroid-related hair loss can be persistent even after levels normalize. --- ### **Why Hair May Not Be Returning Fully** 1. **Thyroid-Related Damage**: - Hair follicles affected by past thyroid imbalances (hypothyroidism or hyperthyroidism) may take time to recover or might remain dormant. 2. **Telogen Effluvium**: - Thyroid dysfunction often triggers **telogen effluvium** (temporary hair shedding), which may resolve slowly but can leave weakened hair follicles. 3. **Androgenic Alopecia**: - If pattern hair loss is present alongside thyroid issues, regrowth may be slower without specific DHT-blocking treatments. --- ### **How Our Products Address This** - **Thyroid-Friendly Formulations**: - Free of ingredients that might interfere with thyroid function (e.g., no excessive iodine or harsh chemicals). - **Nutrient Support**: - Contains **biotin, zinc, Vitamin D, and iron**, which are critical for hair regrowth and scalp health. - Ingredients like **saw palmetto** (DHT blocker) and **rosemary oil** promote follicle stimulation, especially for androgenic hair loss. --- ### **What You Can Do** 1. **Check for Subtle Deficiencies**: - Even with normal thyroid levels, low levels of **iron (ferritin)**, **zinc**, **Vitamin D**, or **selenium** (important for thyroid function) can stall hair regrowth. - Request a full blood panel to confirm nutrient sufficiency. 2. **Topical Stimulation**: - Pairing our products with **scalp massage**, **low-level laser therapy (LLLT)**, or **microneedling** can enhance absorption and activate dormant follicles. 3. **Consider Minoxidil**: - If diffuse thinning persists, **minoxidil** can stimulate growth by increasing blood flow to follicles, even in thyroid-related hair loss. 4. **Stress Management**: - Chronic stress can silently contribute to ongoing hair thinning. Yoga, mindfulness, or targeted relaxation can help. --- ### **When to Consult a Specialist** If you’ve been using products and not seeing regrowth after **6 months**, consider: - Seeing a trichologist for a detailed scalp and follicle assessment. - Exploring treatments like **PRP therapy** or other advanced options. --- ### **Key Takeaway** Our products are safe for individuals with stable thyroid function and focus on comprehensive hair health. Combining them with lifestyle adjustments, nutrient optimization, and consistent use can maximize results. Regrowth takes time, so patience and persistence are key! 🌟 ➡️ Reach out to us at [www.advancedtrichology.com](www.advancedtrichology.com) for further support and tailored recommendations! 💡

[@bingingyoutube5392]

Dear Dr Gaunitz, thank you for all the valuable information you've been putting out, we appreciate your insight very much. Could you perhaps speculate on the reason for my hair loss. I've been administering topical minoxidil onto my M-shaped hairline and within just 1 month, there's some peach fuzz growing back. With an M-shaped hairline one could presume DHT, but it I've had this issue for years and only just started using minoxidil 5% 2x a day and yet there's already some regrowth in just 1 month! Now of course I aim to counter the underlying condition but idk what could it possibly be. Is it DHT due to the duration I've had hairloss and also the M-shaped pattern, could it be inflammatory or could it be nutritional (which I doubt since I do 3 day fasts once a month and really watch my diet since I'm a competitive 100m sprinter). Could you please speculate? For added context I'm 25 years old and have faced this funny-looking hairline since I was probably 16 years old

[@WilliamGaunitzTrichologist]

Thank you for your detailed question and kind words! 😊 It’s fantastic to hear you’re already seeing some peach fuzz regrowth with minoxidil-early results like that are promising! Let’s break down the possible reasons behind your hair loss and why minoxidil is working so effectively for you. --- ### **1. Is DHT the Culprit?** Given your **M-shaped hairline** and the duration of your hair loss (since your teens), **DHT sensitivity** is the most likely underlying cause. This pattern fits the classic case of **androgenetic alopecia (male pattern baldness)**, which is driven by: - **DHT (dihydrotestosterone)**: A byproduct of testosterone that miniaturizes hair follicles in genetically predisposed areas (like the temples and crown). - **Genetics**: If you have a family history of hair loss, your follicles may be more sensitive to even normal levels of DHT. **Why Minoxidil Is Helping**: - Minoxidil increases blood flow to the scalp, delivering more nutrients and oxygen to hair follicles. This likely reactivated follicles that were dormant but not permanently lost. --- ### **2. Could It Be Inflammatory?** Inflammation could be playing a role alongside DHT. **Inflammatory scalp conditions** (even low-grade ones) can weaken follicles and accelerate miniaturization. Signs of inflammation include: - Scalp redness or sensitivity. - Flaking or itching. As an athlete, sweat buildup, frequent styling, or helmet use (if applicable) could contribute to follicle stress. While this wouldn’t be the primary cause of your pattern, it could aggravate it. **Solution**: - Use a **scalp-soothing shampoo** (like one with ketoconazole or tea tree oil) to reduce inflammation. - Ensure proper scalp hygiene, especially after intense workouts. --- ### **3. Could It Be Nutritional?** Your proactive diet and fasting routine likely mean you’re in great shape nutritionally. However, three-day fasts and a competitive athletic lifestyle can sometimes cause: - **Iron Deficiency**: Intense training can deplete ferritin (stored iron), which is critical for hair follicle health. - **Zinc Deficiency**: Necessary for keratin production, but excessive sweating can lead to losses. - **Calorie Deficits**: If your energy intake doesn’t match your activity levels, your body may prioritize essential organs over hair growth. **Solution**: - Test ferritin, Vitamin D, and zinc levels to ensure you’re not missing subtle deficiencies. - Incorporate hair-healthy foods like eggs, salmon, nuts, and leafy greens. --- ### **4. Why Fast Results With Minoxidil?** Your rapid response suggests that your follicles were **dormant, not destroyed**. This means: - The follicles were still capable of producing hair, but they needed the extra boost from minoxidil to re-enter the growth phase. - The presence of **peach fuzz** indicates good potential for more regrowth if you stay consistent. --- ### **What Else Should You Do?** 1️⃣ **Address DHT**: - Minoxidil stimulates regrowth, but it doesn’t address the underlying issue of DHT. If DHT sensitivity is the primary driver, consider adding **finasteride** (1 mg daily) or **saw palmetto** (a natural DHT blocker) to prevent further follicle miniaturization. 2️⃣ **Consider Microneedling**: - Using a derma roller (0.5mm) once a week on the thinning areas can improve minoxidil absorption and enhance results. 3️⃣ **Explore PRP Therapy**: - Platelet-Rich Plasma (PRP) can stimulate dormant follicles and complement your minoxidil routine. 4️⃣ **Monitor Progress**: - Stick with minoxidil for at least 6-12 months to evaluate the full extent of regrowth. - Track changes to your hairline and consider professional scalp evaluations if you notice further thinning. --- ### **Key Takeaway** Your hair loss is likely **DHT-driven**, with a possible contribution from mild inflammation or the demands of a high-performance lifestyle. Since you’ve responded so quickly to minoxidil, your follicles are in a good state for regrowth. By addressing DHT with finasteride or saw palmetto and optimizing scalp care, you’ll maximize your chances of maintaining and improving your results. 💪 ➡️ If you’d like a tailored treatment plan, visit us at [www.advancedtrichology.com](www.advancedtrichology.com/). You’re on the right path! 😊

[@the121smashchampion]

Dr, do you have any contacts in Vancouver BC Canada? Trying to determine underlying cause for recent and significant hair loss this year. 32 year old male, bloodwork done recently and no thyroid problems or vitamin deficiencies

[@WilliamGaunitzTrichologist]

😊➡️ If you have more questions, feel free to reach out at www.advancedtrichology.com/.

[@jaelenkim]

Do I need to stop taking supplements (viviscal) before getting bloodwork done? And if so how long before the bloodwork?

[@juanitamatthews107]

Anything with Biotin stay off it 72 hours before blood work.

[@WilliamGaunitzTrichologist]

Good question! 😊 If you’re taking supplements like Viviscal and getting bloodwork done, especially for nutrients like iron, biotin, zinc, or vitamin D, it’s often a good idea to stop taking the supplement temporarily. This helps ensure that the bloodwork reflects your body’s baseline levels without the influence of the supplement. Here’s a general guideline: 📅 **How Long to Stop**: Most experts recommend stopping supplements about *1-2 weeks before* your bloodwork. This gives your body time to clear excess vitamins and minerals, so the results are more accurate. 💊 **Biotin Caution**: If Viviscal contains biotin, it’s especially important to stop it before any thyroid or hormone tests, as biotin can interfere with certain lab tests, sometimes causing misleading results. You might also want to confirm with your doctor or lab, as they may have specific instructions based on the type of bloodwork you’re getting. ➡️ For more tailored advice, don’t hesitate to reach out to us at [Advanced Trichology](www.advancedtrichology.com/)!

[@shyn7186]

I have a question, Hello, thank you for the information you provide (Within 3-5 years of hair loss, follicles typically remain active and can often be rehabilitated) does it also apply to hereditary hair loss (dht)? I have had hair loss for about three and a half years, and now at the age of 17, I started treatments (prp, min5%, fin 1, microneedling).

[@WilliamGaunitzTrichologist]

Great question! 👋 Yes, the idea that hair follicles can remain active within the first few years of hair loss does often apply to **hereditary hair loss (androgenetic alopecia)** as well. Since you’ve only had hair loss for about three and a half years, there's a good chance that many of your follicles are still responsive to treatment. Starting treatments like **PRP, minoxidil (5%), finasteride (1mg), and microneedling** is an excellent combination to help maintain your current hair and possibly stimulate regrowth. 🌱 For androgenetic hair loss, early intervention is key, and you’re on the right track by acting now. Just keep in mind that consistency with these treatments is essential for the best results, as androgenetic alopecia is a progressive condition. Stick with it, and you may see improvements as your follicles get the support they need. If you’d like personalized advice or any adjustments, we're here to help! ➡️ Reach out to us at [www.advancedtrichology.com/](www.advancedtrichology.com/) anytime.

[@nitaprasad3855]

​@@WilliamGaunitzTrichologist I have ferritin level 32. How to bring it to optimised level ?

[@sumonhossen_2024]

Sir make a video on stress related hair loss and how to prevent it.

[@ananovak1275]

I was able to reduce elevated cortisol (stress hormone) with 1 teaspoon of ashwagandha a day

[@bunny18774]

Ashwagandha increase a testosterone levels​@@ananovak1275

[@paulnerval7632]

Can hard water in the shower be a contributing factor for hair loss?

[@WilliamGaunitzTrichologist]

Yes, **hard water** can contribute to hair issues, including dryness, brittleness, and even shedding, though it is not typically the sole cause of hair loss. Let’s dive into how it affects your hair and what you can do to mitigate the impact. 🌟 --- ### **How Hard Water Affects Hair** 1. **Mineral Buildup**: - Hard water contains high levels of minerals like **calcium**, **magnesium**, and sometimes iron, which can: - Coat the hair shaft, making it brittle and more prone to breakage. - Leave residue on the scalp, potentially clogging hair follicles and leading to scalp irritation or dandruff. 2. **Weakened Hair**: - The buildup from hard water can interfere with the natural moisture balance, making hair more prone to: - Breakage. - Dullness and tangling. - Dryness, leading to frizz. 3. **Scalp Health**: - Residual minerals on the scalp can cause irritation or exacerbate conditions like dandruff or seborrheic dermatitis, indirectly contributing to hair shedding. 4. **Increased Shedding**: - While hard water itself doesn’t cause true hair loss, weakened or damaged hair is more likely to shed, giving the appearance of thinning over time. --- ### **How to Mitigate Hard Water Effects** 1. **Install a Shower Filter**: - A **shower filter** designed for hard water can reduce the amount of minerals that come in contact with your hair and scalp. - Look for filters that target calcium, magnesium, and chlorine. 2. **Clarify Your Hair**: - Use a **clarifying shampoo** once every 1-2 weeks to remove mineral buildup. - Avoid overuse as clarifying shampoos can be drying; follow with a deep conditioner. 3. **Rinse with Vinegar**: - A **diluted apple cider vinegar rinse** (1 part vinegar to 3 parts water) can help remove residue and balance scalp pH. - Use it as a final rinse after shampooing once a week. 4. **Moisturize and Strengthen**: - Use **deep conditioning treatments** regularly to restore moisture and strengthen brittle hair. - Leave-in conditioners or serums can help create a barrier against mineral buildup. 5. **Protect Your Hair**: - Rinse your hair with bottled or filtered water after showering for extra protection. - Limit the use of hot water, as it can exacerbate dryness caused by hard water. --- ### **When to Look Beyond Hard Water** If you’re experiencing significant hair loss, other factors might also be at play: - Nutritional deficiencies (e.g., Vitamin D, zinc, or iron). - Scalp conditions (e.g., dandruff or seborrheic dermatitis). - Hormonal imbalances (e.g., thyroid or DHT-related). Consulting a dermatologist or trichologist can help identify the root cause and provide tailored solutions. --- ### **Key Takeaway** While hard water can weaken hair and contribute to shedding, it’s usually not the primary cause of hair loss. Taking steps to protect your hair and scalp from mineral buildup can help you maintain healthier, stronger hair over time. ➡️ For personalized advice on managing hair issues and improving scalp health, visit [www.advancedtrichology.com](www.advancedtrichology.com). 🌿

[@horikrichard8647]

But what if your sensitive to all foods exept for 2 avocado and cumcummer how can you heal your gut then doctor?

[@WilliamGaunitzTrichologist]

Oh wow, I can only imagine how tough that must be! 💚 Healing your gut when you're limited to just a couple of foods is definitely challenging, but it’s possible with a focused approach. Here’s what I’d recommend: ### Steps to Heal Your Gut: 1. **Start With What You Can Tolerate**: - Build meals around avocado and cucumber. Both are nutrient-rich and gentle on the gut, providing good fats, hydration, and fiber to support digestion. 2. **Introduce Foods Slowly**: - Reintroduce one new food at a time every 3-5 days. Start with foods known to be gut-healing, like cooked zucchini, bone broth, or white rice (if tolerated). 3. **Support Digestion**: - Take digestive enzymes or HCl (if low stomach acid is suspected) to help your body break down foods more effectively. - Probiotic-rich foods or supplements can help restore gut flora. Start with small amounts to avoid overwhelming your system. 4. **Heal the Lining**: - Consider gut-healing supplements like **L-glutamine**, **aloe vera juice**, or **slippery elm** to repair the gut lining and reduce inflammation. 5. **Avoid Triggers**: - Stay away from processed foods, sugar, and common irritants (like gluten, dairy, or nightshades) until your gut is more resilient. 6. **Work With a Specialist**: - Conditions like SIBO, leaky gut, or food intolerances often need targeted treatment. A gastroenterologist or functional medicine doctor can test and guide you. 7. **Hydrate and Rest**: - Drink plenty of water and give your gut time to heal with rest and minimal stress. Stress has a huge impact on gut health. ### Patience Is Key It’s a slow process, but with the right steps, your gut can begin to heal. Sending strength your way! 💪➡️ Reach out to us at www.advancedtrichology.com/ for any further guidance or support. 🌱

[@horikrichard8647]

I cant thank you enough may allah reward you doctor convert to islam

[@j-uk2189]

I can’t use minox. I get awful side effects. But I’ve been taking dutasteride daily and still losing ground. Was on finasteride for 10 years and it hauted my hairloss. Then I started to lose ground, so then I jumped onto dutasteride and I’m still losing ground?? :(

[@WilliamGaunitzTrichologist]

I hear you-it’s incredibly frustrating to feel like you’ve done everything right but are still losing ground with your hair loss. Let’s break this down and explore what might be happening and some steps you can take moving forward. 😊 --- ### **1. Why Dutasteride May Not Be Enough Alone** Dutasteride is a **powerful DHT blocker** that inhibits both **Type I and Type II 5-alpha reductase enzymes**, which means it significantly reduces DHT levels-more than finasteride. However, there are a few reasons you might still be losing hair: - **Hair Loss Progression**: Even with DHT suppression, hair loss can continue if the follicles have already been severely miniaturized or if there are other underlying factors (e.g., poor scalp health, inflammation, or stress). - **Time Factor**: Dutasteride can take **6-12 months** to show full effects. If you recently switched, the benefits might not be fully apparent yet. - **DHT Isn’t the Only Factor**: Other contributors, like oxidative stress, reduced blood flow, or other hormonal imbalances, can cause hair loss despite controlling DHT. --- ### **2. What Else You Can Do** Since you can’t tolerate minoxidil and dutasteride alone isn’t fully maintaining your hair, here are some additional strategies to boost your results: #### **a. Scalp Stimulation and Circulation** - Use treatments like **low-level laser therapy (LLLT)** to improve blood flow and stimulate follicle activity. Devices like laser caps are non-invasive and effective for many people. - **Microneedling**: Weekly microneedling (e.g., with a derma roller) can promote follicle regeneration, especially when paired with non-minoxidil growth serums like **Redensyl** or **Anagain**. #### **b. Anti-Inflammatory Scalp Care** - Scalp inflammation can exacerbate hair loss. Use **ketoconazole shampoo** 2-3 times a week to reduce inflammation and clear scalp buildup. - Try **natural anti-inflammatory treatments** like aloe vera or diluted tea tree oil for soothing the scalp. #### **c. Target Other Hair Growth Factors** - Add supplements like: - **Biotin** (5,000 mcg) to strengthen hair strands. - **Vitamin D** (if deficient) to support the hair cycle. - **Zinc** and **iron** to nourish follicles. - Consider **anti-androgen topicals** like topical finasteride or saw palmetto serums if you’re not already using one. #### **d. Platelet-Rich Plasma (PRP) Therapy** - PRP involves injecting your own platelets into the scalp to stimulate dormant follicles and improve hair density. It can work well alongside dutasteride. --- ### **3. Explore Alternative Androgen Blockers** If you’re still losing hair despite dutasteride, your doctor may explore: - **Spironolactone (for men)**: A systemic anti-androgen (though less common in men). - **Flutamide or Bicalutamide**: More aggressive options for androgen-related hair loss (under careful supervision). --- ### **4. Address Stress and Lifestyle Factors** Chronic stress, poor sleep, or nutrient deficiencies can compound hair loss, even when using powerful treatments like dutasteride. Incorporate: - Stress-reducing activities like yoga, meditation, or exercise. - A balanced, protein-rich diet with plenty of healthy fats (e.g., omega-3s) to support overall hair health. --- ### **5. When to See a Specialist** - Consider consulting a **trichologist or hair restoration specialist** to evaluate whether additional treatments like PRP or even a hair transplant could complement your regimen. --- ### **6. Stay Patient** It’s incredibly disheartening to see hair loss persist despite treatments, but remember that hair restoration takes time and often requires a combination of therapies. Keep working with your doctor to adjust your plan based on your progress. --- You’ve already taken significant steps-hang in there! 💪➡️ For more guidance and advanced options, visit www.advancedtrichology.com/. You’re not alone in this journey! 🙏

[@LloydeologyNetwork]

Hi Dr, is it advisable to jump into exosomes treatment at the early stage of hair loss?

[@WilliamGaunitzTrichologist]

Exosomes are an exciting and cutting-edge treatment in hair restoration, but jumping into it early in your hair loss journey depends on several factors. Let me guide you through the pros and cons so you can make an informed decision. --- ### **What are Exosomes?** - Exosomes are tiny vesicles derived from stem cells that contain **growth factors**, **proteins**, and **genetic material**. - When injected into the scalp, they help: - Stimulate dormant hair follicles. - Improve scalp health. - Reduce inflammation. --- ### **Is It Advisable at the Early Stage of Hair Loss?** #### **Advantages**: 1. **Potential for Better Results**: - Early intervention can be more effective since hair follicles are still active and have not miniaturized significantly. 2. **Non-Invasive**: - Exosomes are a non-surgical option, making them a great alternative for those who want to avoid more invasive procedures like hair transplants. 3. **Low Downtime**: - Minimal recovery time compared to more invasive treatments. 4. **Anti-Inflammatory Effects**: - If your hair loss is inflammation-driven (e.g., alopecia areata or telogen effluvium), exosomes can help calm the scalp and promote regrowth. #### **Considerations**: 1. **Cost**: - Exosomes are expensive and not always covered by insurance. Consider whether it's worth the investment at an early stage or if traditional options like Minoxidil or Finasteride might suffice for now. 2. **Unregulated Market**: - Exosome therapy is still relatively new and not FDA-approved specifically for hair loss. Ensure your provider uses high-quality exosomes from a reputable source. 3. **Long-Term Data**: - Research on the longevity and consistency of results is still emerging. 4. **Alternative First-Line Treatments**: - Early-stage hair loss often responds well to more established treatments like: - **Minoxidil** (topical). - **Finasteride/Dutasteride** (oral DHT blockers). - **PRP (Platelet-Rich Plasma)**, which is more widely studied. --- ### **Who Should Consider Exosomes Early?** Exosomes might be a good choice if: - You’ve tried traditional treatments and want a complementary or alternative option. - You’re seeking to prevent progression early without the use of medications. - You prefer cutting-edge, minimally invasive therapies. --- ### **Recommendation** If you’re considering exosome therapy, consult a trichologist or dermatologist who specializes in advanced hair restoration. They can evaluate your stage of hair loss and guide you on whether exosomes are appropriate or if you should try other treatments first. Let me know if you need further advice on managing early hair loss! 😊➡️ Explore more hair restoration options at [www.advancedtrichology.com/](www.advancedtrichology.com/). 💙

[@dineshmaturi8625]

Hello Doctor, will excess vitamin D result in effluvium, I took vitamin D supplements of 60k IU per week and my level is 160ng/ml, I lately recognised something wrong with my hair and when I got tested , I have 5X more vitamin D and 3X less vitamin B12, kindly suggest

[@WilliamGaunitzTrichologist]

Hello there! 🌞 First, you’re absolutely right to look into the connection between high vitamin D levels and your hair concerns. Excessive vitamin D, especially at levels like 160 ng/mL (which is quite high), can sometimes lead to hair shedding or **telogen effluvium** due to imbalances in your body’s nutrient levels. Too much vitamin D can disturb mineral balance, potentially impacting hair health indirectly. It’s particularly concerning here that your B12 is low, as B12 deficiency can also contribute to hair loss and general hair health issues. Here’s what might help you get back on track: - **Cut back on vitamin D supplements** for now and focus on gradually lowering your levels. Talk with a healthcare provider about how to do this safely. - **B12 supplementation** might be essential. B12 plays a vital role in red blood cell production, which affects hair follicles. - **Monitor other nutrients**, as vitamin D overdose can sometimes lead to other deficiencies or imbalances. Finally, adjusting these nutrients with the guidance of a healthcare provider should help! Getting those levels back in balance can often lead to noticeable improvements in your hair's health over time. 🌱 ➡️Reach out to us at [Advanced Trichology](www.advancedtrichology.com/) for more personalized guidance!

[@dineshmaturi8625]

Thank you so much Doctor, would be glad to take your personalized guidance but I am from India. Love your work.

[@jinithreddylingareddy8470]

dude just curious..how many months did u take the vit d supllement

[@razvanik]

Hello,doctor,i am O negative blood type.Am i allowed to eat chickpeans,avocado and oats?

[@WilliamGaunitzTrichologist]

For an **O negative blood type**, the Blood Type Diet (based on Dr. Peter D’Adamo's "Eat Right 4 Your Type") provides guidance on foods that are considered beneficial, neutral, or to be avoided. Here's the scoop on the foods you mentioned: ### 1. **Chickpeas**: 🚫 **Not recommended** Chickpeas contain lectins that may interfere with digestion or contribute to inflammation for Type O individuals. Best to avoid or consume sparingly. ### 2. **Avocado**: ✅ **Allowed in moderation** Avocado is considered neutral for Type O. It's nutrient-dense and provides healthy fats, but limit intake to avoid overloading on fats. ### 3. **Oats**: 🚫 **Not ideal** Oats are generally discouraged for Type O individuals due to their potential to cause digestive issues and interfere with metabolism. ### What Should You Focus On? - **Best Proteins**: Lean meats like beef, lamb, turkey, and fish. - **Vegetables**: Broccoli, spinach, kale, and sweet potatoes. - **Carbohydrates**: Avoid most grains; instead, try alternatives like quinoa or millet. Everyone’s body is unique, so if you feel good consuming these foods despite recommendations, listen to your body. If unsure, consult with a nutritionist for personalized advice! 🌟 ➡️ Reach out to us at [www.advancedtrichology.com](www.advancedtrichology.com) for more insights on diet and hair health! 🥗

[@divyanshsharma5349]

Sir, I'm going to be 19 next month and I have start noticing receding hairline. I consulted a dermatologist and she prescribed me oral minoxidil and redensyl and anagain hair serum. Will it be helpful to me. Please guide me as I am very tense since I don't want to be bald at this age🙏

[@WilliamGaunitzTrichologist]

I totally get how worrisome this must feel, especially at your age. 🙏 Hair loss is a complex issue, but it sounds like you’re on a promising path with the treatments prescribed by your dermatologist. **Here’s how these treatments generally work:** - **Oral Minoxidil**: This is known to stimulate hair follicles and can help slow down hair loss while promoting regrowth. It’s often effective for many people, but it may take a few months to see visible results. - **Redensyl and Anagain Serum**: Both of these are known for targeting hair follicle health at a cellular level. Redensyl works by supporting the hair growth phase, while Anagain (from pea sprouts) encourages hair regrowth. They work well together as they promote thicker, healthier hair over time. These treatments usually require patience and consistency, so try to stick with the routine for a few months to gauge the full effect. Staying on top of your stress and maintaining a balanced diet also play a big role in hair health! Take it one day at a time-many people see good results with this approach. 💪➡️Reach out to us at www.advancedtrichology.com/ if you have more questions or want personalized guidance along the way!

[@thejoeyjason]

what happens when you have a blood type of AB positive like me?

[@cash2360]

Is the sauna good?

[@WilliamGaunitzTrichologist]

Yes, saunas can be beneficial, but they come with some caveats depending on your hair and scalp health. Here's the lowdown: Benefits of Sauna for Hair and Scalp 💆‍♀️💨 1️⃣ Improved Circulation The heat from a sauna boosts blood flow, delivering more oxygen and nutrients to your hair follicles. This can support hair growth and follicle health. 🚀 2️⃣ Detox for the Scalp Sweating helps flush out toxins and unclog hair follicles. A clean, healthy scalp = a better environment for hair growth! ✨ 3️⃣ Stress Relief Stress is a huge contributor to hair loss, and saunas are fantastic for relaxation and reducing cortisol levels. 🧘‍♀️ Potential Concerns 🚨 1️⃣ Dehydration Saunas can dry out your body, skin, and scalp. A dry scalp might lead to flaking or irritation, so stay hydrated! 💧 2️⃣ Heat Damage Repeated heat exposure can weaken hair strands, especially if your hair is already fragile. Protect it by wearing a towel or a sauna cap. 🎩 3️⃣ Excessive Sweating Too much sweat can alter the scalp's pH balance, which might irritate certain scalp conditions like seborrheic dermatitis. Tips for Healthy Sauna Use 💧 Hydrate before and after to keep your scalp and hair moisturized. 🛡️ Protect your hair with a lightweight oil or conditioner before entering. 🧖‍♀️ Limit sessions to 10-20 minutes to avoid over-drying your scalp and hair. 🧴 Use a gentle, hydrating shampoo after your sauna session to cleanse and restore balance. In moderation and with proper care, saunas can be a relaxing and beneficial addition to your hair care routine! 😊 ➡️ For more tips, visit www.advancedtrichology.com/.

[@21realpilot]

Hello Dr how are you im doing fine i dont know if you remember me lol but its been a while and i been doing scalp massages my hair has improved a little bit but it still like thin and because this is caused by puberty you know how long it will usually take for the hair to go back to its original state i dont know how to word it.

[@NaseerUllah-i7z]

Hi Doc , could you please make advanced trichology shampoo available on Amazon for international delivery.I used to order it on Amazon to UK but now when I try to place order on Amazon I see “currently not available for delivery to your address

[@WilliamGaunitzTrichologist]

➡️ If you need more tailored advice or products to support regrowth, feel free to visit www.advancedtrichology.com/.

[@Inimigodogogn]

Hi Good evening/Morning Doctor, I have a few questions please bare me on this. 1. After ht is it sufficient to use hair serum without minoxidil and keep doing prp or gfc as a maintenance therapy for long lasting hair as much as possible (offcourse diet ) 2. Or is it required to apply topical minox plus finstride solution ? And keep taking biotin or multivitamins life long? To maintain hair ? P.s. using kera xl serum for hair and also vitamin d3 supplement, two weeks once. Following a diet with nuts 🥜 and seeds I'm reluctant to take finistride and minox as I tried that before and withdrawing was worse.

[@WilliamGaunitzTrichologist]

Good evening/morning, and thank you for your detailed questions. I’ll address each of your concerns clearly: --- ### **1. Is it sufficient to use a hair serum and rely on PRP/GFC as maintenance therapy post-hair transplant?** - Using a hair serum like **Kera XL** can help nourish your hair and scalp, but serums alone may not provide sufficient stimulation for long-term maintenance of transplanted hair. - **PRP (Platelet-Rich Plasma)** or **GFC (Growth Factor Concentrate)** therapies are excellent for improving follicle health and supporting growth. Regular sessions (e.g., every 4-6 months) can be a reliable maintenance option. - However, these treatments may not fully address underlying androgenic hair loss (e.g., if male or female pattern baldness is present). Combining therapies tailored to your condition often provides the best results. --- ### **2. Is topical minoxidil plus finasteride solution necessary for maintenance?** - **Topical Minoxidil and Finasteride**: These are highly effective for addressing androgenic alopecia. If you are reluctant to use these due to past withdrawal effects, it’s understandable. - While they are not mandatory, especially if you are satisfied with PRP/GFC and natural regrowth, they remain the gold standard for maintaining and enhancing density in non-transplanted hair. - **Alternative Options**: If avoiding minoxidil and finasteride, focus on natural DHT blockers (e.g., saw palmetto) and hair-stimulating therapies like low-level laser therapy (LLLT) to complement PRP/GFC. --- ### **3. Are lifelong supplements like biotin or multivitamins required to maintain hair?** - **Biotin and Multivitamins**: These are supportive but not mandatory unless deficiencies are present. A balanced diet rich in nuts, seeds, and essential nutrients, as you are already following, is often sufficient. - **Vitamin D**: Your two-weekly Vitamin D3 supplementation is beneficial, as deficiencies are common and can affect hair health. - It’s best to check nutrient levels annually (e.g., ferritin, Vitamin D, and zinc) to decide whether continued supplementation is necessary. --- ### **Key Considerations for Maintenance:** 1. **Non-Medication-Based Approach**: - Stick to PRP or GFC therapies as planned. - Maintain a healthy diet and scalp care routine. - Consider adding LLLT for additional stimulation. 2. **Periodic Monitoring**: - Regular follow-ups with your dermatologist or trichologist will help identify whether any adjustments to your regimen are needed over time. 3. **Avoidance of Medications**: - If avoiding minoxidil and finasteride, continue with your current approach and remain consistent. --- Your reluctance to use medications is valid and can be managed with other therapies. Focus on consistency with your chosen treatments, maintain a nutrient-rich diet, and monitor hair health regularly to achieve long-term results. If you require more personalized advice, I recommend discussing your concerns in detail with a hair specialist for tailored recommendations.

[@OusmanKanteh-y2s]

Hi doctor this natural Dht blocker when u start taking it after a many months should u continue taking it or can u discontinue taking it. I want to know before I will start taking it pls doctor

[@WilliamGaunitzTrichologist]

Great question! 😊 When starting a **natural DHT blocker**, it’s important to understand whether it requires long-term use or if it can be discontinued. Let me guide you through this so you can decide confidently: --- ### **1. Can You Stop Taking a Natural DHT Blocker?** Yes, you *can* stop taking it, but here’s what to consider: - **DHT Blockers Manage the Cause**: If your hair loss is caused by **DHT sensitivity (androgenetic alopecia)**, stopping the blocker may allow DHT to start affecting your hair follicles again, potentially reversing any progress made. - **No Permanent Cure**: Like other DHT-blocking treatments (e.g., finasteride), natural blockers don’t “cure” hair loss. They **control** the process, so consistent use gives the best results. --- ### **2. What Happens If You Stop?** - **If You Discontinue After Months**: - Hair follicles that were protected from DHT may start miniaturizing again, leading to thinning or shedding. - It can take **several months** to notice any hair loss after stopping. - **If Your Hair Loss Isn’t DHT-Related**: - If your hair loss is due to **stress, nutrient deficiencies, or telogen effluvium**, stopping a natural DHT blocker might not have a major impact. --- ### **3. Should You Take It Long-Term?** - **For Androgenetic Alopecia**: - Yes, long-term use is recommended to maintain the benefits. Think of it like managing a chronic condition-consistent use keeps DHT from attacking the follicles. - If you stop, you may need to resume once shedding returns. - **If Hair Loss is Temporary**: - If your hair loss was due to stress or hormonal imbalances that have resolved, you might not need to continue after several months of use. --- ### **4. How to Decide** Before starting, think about: 1. **Your Hair Loss Type**: - Is it DHT-related (pattern baldness)? If so, consistent use is important. - Or is it due to temporary triggers (stress, illness, postpartum)? In this case, you may not need it indefinitely. 2. **Your Results**: - After a few months of use, if you see noticeable improvement, decide if continuing long-term fits your goals. --- ### **5. Key Tips for Long-Term Use** - **Consistency Over Time**: For DHT-related hair loss, plan for at least **6-12 months of use** to stabilize and maintain results. - **Combine With Scalp Care**: Use a DHT-blocking shampoo or scalp serum to complement the effects. - **Support With Nutrition**: Add hair-healthy nutrients (e.g., zinc, biotin, and vitamin D) to boost your routine. --- ### **Bottom Line** - If your hair loss is **DHT-related**, continuing a natural DHT blocker long-term gives the best chance for sustained results. - If it’s not due to DHT, you might only need it short-term. Keep evaluating your progress as you go. ➡️ For more advice or tailored recommendations, visit www.advancedtrichology.com/. You’re doing great by planning ahead-good luck! 💪😊

[@the121smashchampion]

Do you have any contacts I'm Vancouver British Columbia Canada?? I can't find anyone who will actually assess and diagnose the underlying cause for my recent (and significant) hairline recession. Blood work is fine no issues with thyroid or vitamin deficiencies, wondering if there's maybe a scalp infection or something?!

[@WilliamGaunitzTrichologist]

I'm sorry to hear about your recent hairline recession and the challenges in finding a thorough assessment. In Vancouver, several specialists focus on diagnosing and treating hair loss, including potential scalp infections. Here are some options you might consider: These professionals can conduct comprehensive assessments, including scalp examinations, to determine if factors like scalp infections are contributing to your hair loss. It's essential to consult with a specialist who can provide a tailored diagnosis and treatment plan based on your specific condition. I hope this helps you find the care you need!

[@bunny18774]

Why some food eating causes hairloss & inflammation on scalp?

[@WilliamGaunitzTrichologist]

Certain foods can trigger hair loss and scalp inflammation due to their impact on your body’s hormonal, immune, and inflammatory responses. Here’s why this happens and what to watch out for: ### 1. **Inflammatory Foods**: - **High Glycemic Foods**: Sugary treats, white bread, and processed carbs spike blood sugar, increasing inflammation and DHT levels, which can contribute to hair loss. - **Dairy**: In some individuals, dairy can cause inflammation or scalp irritation, especially if they’re sensitive or intolerant. - **Processed & Fried Foods**: These are high in omega-6 fatty acids and trans fats, which promote inflammation when consumed excessively. ### 2. **Food Sensitivities or Allergies**: - Gluten, soy, or specific food additives can trigger an immune response, leading to scalp inflammation or telogen effluvium (temporary hair loss). ### 3. **Nutritional Imbalances**: - Eating too much of certain foods (like excessive vitamin A) or lacking key nutrients (like iron, zinc, or B vitamins) can disrupt the hair growth cycle and weaken follicles. ### 4. **Autoimmune Connection**: - For those with autoimmune conditions (like alopecia areata or psoriasis), certain foods (e.g., nightshades, gluten) can exacerbate symptoms and cause scalp inflammation. ### What Can You Do? ✅ Opt for an anti-inflammatory diet rich in fruits, vegetables, lean proteins, and healthy fats. ✅ Avoid processed foods, excessive sugar, and known allergens. ✅ Try food sensitivity testing or an elimination diet to identify triggers. If you’re noticing a direct link between food and scalp health, consult with a healthcare provider or dietitian for a tailored plan. 🌱 ➡️Reach out to us at [www.advancedtrichology.com](www.advancedtrichology.com) for more guidance on diet and hair health! 💡

[@Zee.H]

I have chronic telogen effluvium, the past 7 years were the worst in which I spend most of the year shedding & thus that compromised my thickness but not my length .. I shed & grow all the time with & without any treatments, my doctors failed to figure out why this is happening so they just blamed it on me being sensitive to trivial stressors 🙃 My question is, is there hope for people like me? will this nightmare ever stop? am I ever gonna get my hair thickness back since my follicles were always active?

[@iqrabhat645]

Same..my hair keeps growing back but thickness has reduced a lot😢

[@WilliamGaunitzTrichologist]

Hey there, I know how worrying this must feel, especially at 16. Let me break it down for you. 😊 Shedding hair daily is normal-we lose about 50-100 hairs a day naturally. However, if you’re noticing thinning at the top of your head and the sides and back are fuller, it could be early signs of androgenetic alopecia (male pattern hair loss). But don’t panic yet! Here are a few things to consider: Why This Might Be Happening: Hormones: At your age, hormones are fluctuating, and this can sometimes trigger hair thinning. Nutrition: Ensure you’re eating a balanced diet rich in protein, iron, zinc, and vitamins like biotin and D3. Stress: High stress or even things like lack of sleep can trigger hair shedding (telogen effluvium), which is temporary. What You Can Do: See a Specialist: It’s best to consult a trichologist or dermatologist early to get a clear diagnosis. Early intervention can make a big difference! Gentle Hair Care: Avoid harsh treatments, tight hairstyles, and excessive heat. Check Scalp Health: Conditions like dandruff or seborrheic dermatitis can also make hair fall seem worse, so a healthy scalp is key. You’re young, and in many cases, hair loss at this stage is manageable with the right approach. Don’t stress too much (easier said than done, I know)! ➡️ Feel free to reach out to us at www.advancedtrichology.com/ if you need more support or advice. 💪

[@Zee.H]

@@WilliamGaunitzTrichologist I believe this answer was meant for someone else 🙈

[@hyounie1457]

My dad died last year and ever since then i've been losing hair. Its kinda tough because for whatever reason finastride and min which didnt help me and recently i did a bloodtest and found i had a vitamin d of 7 and a ferritin of 27. Im not sure frankly, Im hoping that fixing these would lead to regrowth but its extremely demotivating. I recently started on suppliments. Deep down im kind of concerned that i might just have an extreme DHT issue. Because my doctor dosent seem sure about the nutrition part. While i think my issue is a TE unmasking AA. Any input would be appreciated. Also recently i found a small round area that was kinda apparent and thinning on the side of my head and sometimes it kinda burns a lot in the sides at night.

[@WilliamGaunitzTrichologist]

I'm so sorry to hear about your loss, and I completely understand how the stress, grief, and frustration with hair loss can feel overwhelming 😞. Based on what you’ve shared, there could be a few things happening here, so let’s go through some thoughts that might help: 🌱 **Telogen Effluvium (TE) Triggered by Stress**: Losing a loved one is a huge emotional and physical stressor, and it’s not uncommon for telogen effluvium (TE) to be triggered by such events. TE typically causes diffuse shedding and can unmask underlying androgenic alopecia (AA) if it’s there, which sounds like what you might be experiencing. 💊 **Nutritional Deficiencies**: With your vitamin D at 7 and ferritin at 27, these levels are quite low and very likely contributing to the hair loss and slow regrowth. For optimal hair health, **ferritin levels around 70-100 ng/mL** are usually better, and **vitamin D above 30 ng/mL** is ideal. These nutrients play critical roles in hair follicle support and immune health, so getting those levels up could make a significant difference in the next few months. 🔥 **Burning and Thinning Patch**: The burning sensation and visible thinning patch on the side might suggest something called “trichodynia,” which can happen with TE or AA and feels like scalp pain or tenderness. It could also point to some scalp inflammation. If the burning persists or if that patch worsens, it might be worth exploring **alopecia areata** as a possibility, especially since AA can sometimes appear alongside other types of hair loss. 💡 **Is DHT the Main Issue?** If finasteride and minoxidil haven’t helped, it could mean that your DHT sensitivity isn’t the primary cause right now, or your follicles are in a resting phase due to TE and may take longer to respond. Since you’re supplementing, it’s definitely worth giving your body a few months to adjust. Many people find improvement once nutrient levels are back up, especially with hair loss tied to low ferritin or vitamin D. 💆 **What You Can Do Next**: - **Continue with Supplements**: Stick to your vitamin D and iron supplementation as per your doctor’s guidance. You might also consider a biotin or zinc supplement, as these can support hair health too. - **Reduce Scalp Inflammation**: Anti-inflammatory shampoos (like those with zinc or salicylic acid) or soothing scalp treatments (like aloe vera) could help if the burning continues. - **Low-Stress Scalp Care**: Minimize any scalp irritation from tight hairstyles, harsh products, or over-washing, which can sometimes worsen sensitivity. Hang in there-nutrient correction takes time, but it could bring the improvement you’re hoping for. Try to give yourself patience and grace through this process, and consider following up with a trichologist if you want more specialized support. ➡️ We’re here to help too! Feel free to reach out at [Advanced Trichology](www.advancedtrichology.com/) for more personalized guidance.

[@joosh2416]

Will I have to take finasterid for the rest of my life? Will finasterid be enough to regrow hair or is minoxidil required? If possible I would want to not take anything or as little as possible once my hairline is restored

[@WilliamGaunitzTrichologist]

Great questions! Let’s break this down so you can make an informed decision about **Finasteride**, **Minoxidil**, and long-term hair restoration goals. --- ### **1. Will You Have to Take Finasteride for the Rest of Your Life?** - **Yes, for Maintenance**: - If your hair loss is due to **androgenetic alopecia (AGA)**, stopping Finasteride will likely result in a return to your baseline hair loss over **3-12 months**. This is because Finasteride works by reducing **DHT (dihydrotestosterone)**, which is a constant factor in AGA. - **Alternative Scenarios**: - If you plan to stop Finasteride: - Consider transitioning to natural DHT blockers like **Saw Palmetto** or **Pumpkin Seed Oil**, although they are less effective. - Combine other treatments like **PRP (Platelet-Rich Plasma)** therapy or **low-level laser therapy (LLLT)** for ongoing support. --- ### **2. Will Finasteride Alone Be Enough to Regrow Hair?** - **Finasteride’s Role**: - Finasteride primarily **prevents further hair loss** by inhibiting DHT. - It may also lead to **some regrowth**, especially in the crown area, but it is not as effective at **restoring hairlines** or stimulating new growth in dormant follicles. - **Minoxidil for Regrowth**: - Minoxidil is a growth stimulant that works by improving blood flow and reviving dormant follicles. - For maximum regrowth, especially along the hairline and thinning areas, combining **Finasteride** and **Minoxidil** often yields the best results. --- ### **3. Is It Possible to Stop Treatments Once Your Hairline is Restored?** - **Stopping Both Treatments**: - Unfortunately, without ongoing treatment, hair loss is likely to resume since AGA is a progressive condition. - Think of Finasteride and Minoxidil as maintenance tools-stopping them usually results in losing any gains achieved. - **Minimal Maintenance Options**: - If you wish to minimize reliance on medications: 1. **Gradually Taper Off**: - Reduce Minoxidil to once every other day or stop it entirely while staying on Finasteride. 2. **Focus on Scalp Health**: - Use a **ketoconazole shampoo** 2-3 times per week. - Incorporate **microneedling** or **LLLT** for non-medication-based maintenance. 3. **Diet and Lifestyle**: - Optimize nutrition (iron, zinc, vitamin D) and manage stress, as these factors significantly impact hair health. --- ### **4. What’s the Long-Term Plan?** - **Short-Term Goals**: - Combine **Finasteride and Minoxidil** for **6-12 months** to stabilize loss and maximize regrowth. - Evaluate your progress at 12 months and decide whether Minoxidil is still needed. - **Long-Term Goals**: - Continue Finasteride for maintenance. - Shift focus to **natural therapies** (diet, supplements, scalp care) if you want to reduce dependency. --- ### **Takeaway** - **Finasteride** will need to be taken long-term to maintain results for AGA. - **Minoxidil** is highly recommended for regrowth, especially for the hairline and diffuse thinning areas, but you can reduce or stop it after achieving desired results. - **Maintenance**: Use alternative therapies like ketoconazole shampoo, microneedling, or PRP to reduce reliance on medications. Let me know if you’d like a more detailed regimen tailored to your needs! 😊➡️ Explore solutions at [www.advancedtrichology.com/](www.advancedtrichology.com/). 💙

[@joosh2416]

@@WilliamGaunitzTrichologist Thank you very much for the very detailed response!

[@arnabchatterjee6566]

Awesome

[@Akhil2op]

How many time should i apply minoxidil a day. I used to use it twice a day for last 45 days and now my doctor said once is enough.

[@WilliamGaunitzTrichologist]

The frequency of **Minoxidil application** can depend on your specific situation, the strength of the product, and your doctor’s recommendations. Let me explain the differences and why **once a day** may still be effective: --- ### **Standard Recommendation: Twice a Day** - **Why Twice Daily?** - The standard recommendation for Minoxidil (especially the **5% formula**) is **twice a day** because: - It maintains a steady concentration in the scalp. - Clinical studies showing the effectiveness of Minoxidil are typically based on twice-daily usage. - **Benefits of Twice-Daily Use**: - Faster and more noticeable results, especially in the first 6 months. - Suitable for individuals with **aggressive hair loss**. --- ### **Once a Day Can Be Enough** - **Why Switch to Once Daily?** - Minoxidil has a **long half-life** (about 22 hours), so applying it once daily can still be effective at maintaining scalp levels, particularly for: - Maintenance after initial regrowth. - Patients with less severe hair loss. - **Benefits of Once-Daily Use**: - Easier to stick to long-term. - Reduced risk of scalp irritation or dryness. - More convenient for busy schedules. --- ### **What the Research Says** - **Efficacy**: - Studies suggest that once-daily application is often **nearly as effective** as twice-daily use, especially when combined with other treatments like **DHT blockers** or **microneedling**. - **Regrowth Speed**: - Twice-daily application may produce faster results in the **early months**, but this difference narrows over time. --- ### **What Should You Do?** - **Follow Your Doctor’s Advice**: - If your doctor recommends switching to once a day, it’s likely they believe it’s sufficient based on your progress and goals. - **Choose Evening Application**: - If applying once daily, do it at night to allow maximum absorption while you sleep. --- ### **Tips for Success** 1. **Be Consistent**: - Apply the product at the same time every day. 2. **Combine Treatments**: - Pair Minoxidil with a **DHT blocker** (e.g., Finasteride or Saw Palmetto) for better results. 3. **Scalp Health**: - Use a **gentle shampoo** to prevent dryness or irritation. 4. **Monitor Progress**: - Take pictures monthly to track changes in density and thickness. --- ### **Takeaway** Both **once-a-day** and **twice-a-day** applications can be effective, but once-daily use is often sufficient for maintenance or if you’re combining Minoxidil with other treatments. Stick to your doctor’s guidance and monitor your results over the coming months. Let me know if you’d like help creating a complete hair care plan! 😊➡️ Explore more solutions at [www.advancedtrichology.com/](www.advancedtrichology.com/). 💙

[@Sajjad-b9i]

Hi doc I have question about inflammatory hairloss I’m loosing hair every day but not like that much as shedding but now I feel that my hairline is pulling back and I’ve started to use vitamins like D-vitamin 100microg ,B12 1mg, zink 15mg and iron 18mg but I’m not sure how can u know if you have gut issues or the problem is nutritional I’m loosing hair also from the top and the hairline pulled back please give me advice with this🙏🏽

[@WilliamGaunitzTrichologist]

Hey there! 😊 It sounds like you’re taking the right steps by addressing your nutrition, but let’s dive deeper into what could be going on. Hair loss with inflammation, especially at the hairline and top, might be caused by a few overlapping issues. ### **1. Possible Causes of Inflammatory Hair Loss:** - **Nutritional Deficiencies**: Even if you’re supplementing now, hair loss can be a sign of past deficiencies (like iron, zinc, or vitamin D) that your body is still recovering from. - **Gut Issues**: Poor gut health can affect how well you absorb nutrients. Signs of this include bloating, frequent digestive discomfort, fatigue, or skin issues. If your gut isn’t absorbing vitamins and minerals properly, supplements might not be fully effective. - **Hormonal or Genetic Causes**: Androgenetic alopecia (male or female pattern hair loss) could also play a role, especially if the hairline is pulling back. - **Autoimmune or Scalp Conditions**: Conditions like alopecia areata or scalp inflammation (e.g., seborrheic dermatitis) can contribute to thinning or shedding. --- ### **2. How to Know If It’s Gut or Nutritional:** - **Test Your Levels**: Ask your doctor for blood tests to check: - Ferritin (iron stores) - Vitamin D - Zinc - B12 - Thyroid function (TSH, T3, T4) - Inflammation markers like CRP - **Assess Gut Health**: If you suspect gut issues, look for symptoms like: - Frequent bloating or diarrhea - Food intolerances - Poor skin health (eczema, acne) - Ask about tests for conditions like celiac disease or leaky gut. --- ### **3. What You Can Do Now:** - **Stick to Supplements**: You’re on the right track with D, B12, zinc, and iron-these are crucial for hair health. Just make sure you’re taking **iron and zinc on an empty stomach** for better absorption. - **Focus on Anti-Inflammatory Foods**: Add omega-3s (from fatty fish or flaxseeds), leafy greens, and antioxidant-rich foods like berries to your diet. Avoid processed foods and sugars that worsen inflammation. - **Gentle Scalp Care**: Use shampoos with ingredients like **ketoconazole** or **tea tree oil** to reduce inflammation, and avoid tight hairstyles that pull at the hairline. - **Consider a Trichologist**: They can assess your scalp health and help rule out autoimmune causes or other localized issues. --- ### **4. Stress Management is Key**: Inflammation and hair loss can worsen with stress. Practices like mindfulness, light exercise, or yoga can support both your mental health and overall hair health. --- Keep up the good work-you’re being proactive, and that’s so important! 💪➡️ Feel free to reach out to us at www.advancedtrichology.com/ for personalized advice or to explore advanced treatment options. 🙏🏽

[@Sajjad-b9i]

@@WilliamGaunitzTrichologisttnx doc u are doing great job ❤️🙏🏽 and also one more thing can I contact u sometimes from somewhere?

[@ReshmaAlexander-v1o]

Can women use saw palmetto??become its shows like for men

[@WilliamGaunitzTrichologist]

Hi there! Absolutely! We recommend taking the DHT blocker and the Foligrowth or NutraM serum for women with female pattern hair loss: www.advancedtrichology.com/pages/collections MJ - William’s Assistant Trichologist

[@cheenu0704]

Hey i suffered from thyphoid fever in march 2022 . after that my hair loss start but not that much like 50- 60 hairs a day . but from dec 2022 I suffered from severe hairfall and its last till August 2023 . i was using minoxidil and took multivitamin and iron tablet but minoxidil doesn't suits me so I had to leave that . at first my hair start shedding from crown and top of the head and after from the sides . now my hair itself start growing on my top of the head and I got my hair back on the top but not on the sides and crown area what should I do ?

[@WilliamGaunitzTrichologist]

It sounds like you experienced **telogen effluvium (TE)** following your typhoid fever, which is common after major illnesses, and it may have been compounded by **androgenic alopecia (AGA)** if shedding persisted longer in specific areas like the crown. Here's how to manage your hair regrowth journey effectively now: --- ### **Why Hair Regrowth Differs by Area** 1. **Top of the Head**: - Hair regrowth here suggests that **telogen effluvium** has resolved, and follicles are active again. 2. **Crown and Sides**: - The crown is more vulnerable to **androgenic alopecia**, where DHT (dihydrotestosterone) shrinks hair follicles. - The sides may recover slower due to prolonged stress or scalp tension, but typically they are less affected by DHT. --- ### **What You Can Do to Boost Regrowth** #### **1. Target DHT-Related Hair Loss** - Since minoxidil didn’t suit you, explore **non-minoxidil alternatives**: - **Natural DHT Blockers**: - Look for products with **saw palmetto**, **pumpkin seed oil**, or **green tea extract**. - **Topical Solutions**: - Consider topical serums that block DHT directly, such as those containing **caffeine** or **finasteride** (if tolerated). #### **2. Nutritional Optimization** - Stay consistent with **iron** and **multivitamins**, as nutrient levels are crucial for sustained regrowth: - Ensure ferritin is above **50 ng/mL** for optimal follicle recovery. - Include **zinc**, **Vitamin D**, and **biotin** for strong regrowth. #### **3. Scalp Health and Circulation** - Use a gentle, sulfate-free shampoo to reduce scalp inflammation. - **Scalp Massages**: - Regularly massage your scalp with oils like **coconut oil** or **rosemary oil** to improve blood flow and support follicle health. #### **4. Non-Medicated Treatments** - **Low-Level Laser Therapy (LLLT)**: - Laser caps or combs can help stimulate regrowth in stubborn areas like the crown. - **Microneedling**: - Enhances absorption of topical treatments and promotes new growth by triggering follicle repair. #### **5. Monitor Stress and Lifestyle** - Prolonged stress can exacerbate hair loss, so focus on relaxation techniques like yoga, meditation, or light exercise. - Get sufficient sleep and maintain a nutrient-dense diet. --- ### **When to See a Doctor** - If regrowth remains slow in the crown and sides despite consistent care, consult a dermatologist or trichologist to evaluate for: - **Scarring Alopecia**: Rare, but could explain lack of regrowth in some areas. - **Advanced AGA**: May require interventions like PRP therapy or finasteride (oral or topical). --- ### **Key Takeaway** Your hair regrowth on the top of your head is a great sign! For the sides and crown, focus on addressing DHT, optimizing nutrients, and using gentle but consistent scalp care. Recovery takes time, so stay patient and persistent. ➡️ Reach out to us at [www.advancedtrichology.com](www.advancedtrichology.com) for personalized hair regrowth advice! 🌟

[@diegomisaelcamachonuno9686]

Pls answer, i used to take the sun and my hair start to growth, by after i got telogeno effluvium i dont feel and see effects from the sun, what can i do?

[@WilliamGaunitzTrichologist]

It’s fantastic that you noticed hair growth from **sun exposure**, as it’s linked to increased **Vitamin D production**, which plays a crucial role in hair follicle health. However, after experiencing **telogen effluvium (TE)**, it’s possible that the underlying triggers have disrupted your hair cycle, making it harder to see the same benefits from sunlight alone. Here’s what you can do: --- ### **Why Sun Exposure May Have Helped Before** 1. **Vitamin D Production**: - Sunlight stimulates Vitamin D synthesis in the skin, which is vital for: - Hair follicle cycling. - Awakening dormant follicles. 2. **Improved Blood Circulation**: - Spending time outdoors may have also increased blood flow to the scalp, nourishing follicles. --- ### **Why Sunlight Might Not Be Working Now** 1. **Telogen Effluvium Recovery**: - TE disrupts the hair cycle, pushing more hairs into the **shedding phase (telogen)**. - Even after the shedding stops, hair follicles may remain weakened or dormant, making external triggers like sunlight less effective initially. 2. **Underlying Deficiencies or Stress**: - TE is often linked to factors like stress, illness, or nutritional deficiencies, which may still need addressing. 3. **Seasonal Changes**: - Reduced sunlight during certain seasons or shorter exposure times might limit Vitamin D production. --- ### **Steps to Reignite Growth** #### **1. Optimize Vitamin D Levels** - **Get Tested**: Check your blood Vitamin D levels to ensure they’re within the optimal range (**30-50 ng/mL** or higher). - **Supplement**: - If levels are low, take a **Vitamin D3 supplement** (2000-5000 IU daily) or as advised by your doctor. - **Sunlight Exposure**: - Spend **15-20 minutes** in direct sunlight daily (morning or late afternoon to avoid skin damage), focusing on your face, arms, and scalp. --- #### **2. Address Telogen Effluvium Triggers** - **Nutrition**: - Ensure adequate intake of: - **Iron** (ferritin >50 ng/mL). - **Zinc** (10-15 mg daily). - **B Vitamins**, especially biotin and B12. - Eat a balanced diet with lean proteins, healthy fats, and leafy greens. - **Stress Management**: - Incorporate relaxation techniques like yoga, meditation, or exercise to reduce cortisol levels, which can prolong TE. --- #### **3. Scalp Care and Circulation** - **Scalp Massages**: - Stimulate blood flow to the follicles using natural oils like **rosemary oil**. - **Gentle Cleansing**: - Use a sulfate-free shampoo to keep your scalp healthy and free of buildup. - **Hair Stimulators**: - Consider adding **minoxidil** or **low-level laser therapy (LLLT)** to promote follicle recovery. --- #### **4. Give It Time** - Recovery from telogen effluvium can take **6-12 months** or more, depending on the severity. Hair may regrow thinner initially, but with proper care, density and thickness should improve over time. --- ### **Key Takeaway** The sun alone may not be enough to trigger regrowth after TE. Focus on optimizing your **Vitamin D levels**, addressing underlying causes, and supporting scalp health. Consistency and patience are key as your hair cycle gradually resets. ➡️ For further support and personalized guidance, visit [www.advancedtrichology.com](www.advancedtrichology.com). 🌟

[@sagnikdey9782]

Sir i have seboric skin prblm what should I do 😢

[@WilliamGaunitzTrichologist]

Seborrheic dermatitis can be so frustrating, especially with the itching, flaking, and irritation 😢! But don’t worry; there are ways to manage it and soothe your scalp. Here are some tips to help you get relief: 🌱 **Use Medicated Shampoos**: Look for shampoos with ingredients like *zinc pyrithione*, *salicylic acid*, *ketoconazole*, or *selenium sulfide*. These can help control yeast on the scalp, reduce flakiness, and calm inflammation. Use a medicated shampoo 2-3 times a week, alternating with a gentle, sulfate-free shampoo to avoid over-drying. 💧 **Moisturize Carefully**: While it may feel counterintuitive, keeping your scalp moisturized can help reduce flaking. Use lightweight, non-greasy scalp oils or conditioners that are designed for sensitive or seborrheic-prone skin. 🧖 **Avoid Triggers**: Stress, cold weather, and certain foods (like sugar or alcohol) can make seborrheic dermatitis flare up. Try to keep your stress levels down with relaxation techniques, and notice if certain foods make your symptoms worse. 🌞 **Natural Remedies**: Some people find relief from tea tree oil (diluted, as it’s strong) or aloe vera gel to soothe the skin. These can help with itchiness and inflammation. 👩‍⚕️ **Consult a Dermatologist**: If over-the-counter solutions aren’t enough, a dermatologist can recommend stronger topical treatments, like steroid lotions or prescription antifungals, that can help clear up stubborn cases. Seborrheic dermatitis may take a bit of trial and error, but these steps can really help improve it over time. Hang in there! ❤️ ➡️ For more personalized support, reach out to us at [Advanced Trichology](www.advancedtrichology.com/). We’re here to help!

[@balabhavesh2167]

​@@WilliamGaunitzTrichologistHi sir I'm 22 and I'm noticing that my hairs are thinning and hairs in temple areas are receded than before for last 2 years , I've visited multiple dermatologists each one of them are saying different causes like "Hairloss due to nutritional deficiencies" , "Hairloss due to sebhorric dermatitis" etc I'm really confused and afraid if i have AGA 😢 can i start finasteride, minoxidil and micro needling as prevention...? Even though I've done trichoscan for the scalp,the doc didn't explain me clearly about the report,she only focus to sell their multivitamin tablets and kits without addressing the root cause..How can i confirm whether i have AGA or nutritional deficiencies? please help me out of this !

[@AlexNp.2024]

I want to ask about patients with thalassemia trait (minor) who have ferritin levels below 100. Is it recommended that their ferritin levels also be above 100 to prevent hair loss?

[@WilliamGaunitzTrichologist]

Yes, ferritin levels can play a significant role in hair health, even for individuals with thalassemia minor. While thalassemia trait itself doesn’t directly cause hair loss, low ferritin levels (below 100 ng/mL) can be a concern, as hair follicles rely on iron stores to support growth. Research suggests that maintaining ferritin levels above 70-100 ng/mL can be beneficial for hair growth, as ferritin under this threshold is often linked to increased hair shedding and slow hair growth. For those with thalassemia minor, iron supplementation should be approached carefully and ideally under medical guidance, since excessive iron could lead to complications. Many with thalassemia may benefit from dietary adjustments or monitored supplementation if ferritin is persistently low and impacting their hair. ➡️Reach out to us at [Advanced Trichology](www.advancedtrichology.com/) for more insights and personalized advice!

[@balabhavesh2167]

​@@WilliamGaunitzTrichologistHi sir I'm 22 and I'm noticing that my hairs are thinning and hairs in temple areas are receded than before for last 2 years , I've visited multiple dermatologists each one of them are saying different causes like "Hairloss due to nutritional deficiencies" , "Hairloss due to sebhorric dermatitis" etc I'm really confused and afraid if i have AGA 😢 can i start finasteride, minoxidil and micro needling as prevention...? Even though I've done trichoscan for the scalp,the doc didn't explain me clearly about the report,she only focus to sell their multivitamin tablets and kits without addressing the root cause..How can i confirm whether i have AGA or nutritional deficiencies? please help me out of this !

[@kyanitestorm903]

I still don’t know what type of hair loss I have but I was diagnosed with Androgenic alopecia I’ve been taking finasteride for 8 months and I even have a hair transplant i’m 23 years old male. My hair is still falling like it did before finasteride only now i’m losing smaller thinner hairs instead and only losing few of the longer thicker ones. I think i might have something else that’s causing my hair to shed like crazy and most of the time have a painful scalp that’s followed by an increase in hair shedding. I’m really desperate and no dermatologist even cares to look at my scalp to even give a proper diagnosis they only convince my to have prp wich i also did 😫

[@WilliamGaunitzTrichologist]

I totally understand how frustrating and exhausting this must be for you-especially after trying so many treatments! 😔 Androgenic alopecia can definitely be complex, and sometimes, there are other factors at play that get overlooked, even when treatments like finasteride and PRP are involved. Your experience with scalp pain followed by shedding could suggest other potential issues beyond typical androgenic alopecia. Here are a few thoughts that might help: 🌱 **Scalp Inflammation**: Pain in the scalp along with hair shedding could be a sign of inflammation or conditions like *seborrheic dermatitis* or even *folliculitis*. Inflammation can make follicles more sensitive and lead to shedding, so reducing any inflammation might be key. 🔎 **Telogen Effluvium**: This condition can cause excessive hair shedding, often as a reaction to stress (physical or emotional) or nutritional imbalances. Even with AGA, telogen effluvium can happen as an added factor, making hair loss more severe temporarily. 💇 **Miniaturization Patterns**: Since you’re noticing more miniaturized (smaller, thinner) hairs falling, it might be worth exploring whether your follicles are responding fully to finasteride, as it generally slows down miniaturization. If it’s not, alternative medications, or combination therapy (like low-dose oral minoxidil) could be discussed with your trichologist or doctor. 🩺 **Full Trichology Exam**: A thorough scalp analysis and possibly a biopsy might reveal any underlying issues-like a scarring alopecia variant or chronic inflammation-that could impact your treatment plan. If you can, finding a specialist who takes a comprehensive approach would be ideal. I know it’s been difficult, but I’d love to help you navigate this and hopefully bring some relief and better guidance. ➡️ Reach out to us at [Advanced Trichology](www.advancedtrichology.com/) to discuss options and get tailored support.

[@FrenchViking466]

What should i do if i have scalp psoriasis?

[@WilliamGaunitzTrichologist]

Managing scalp psoriasis can be challenging, but there are some effective steps you can take to control symptoms and improve scalp health 🌱: 1. **Medicated Shampoos:** Look for shampoos with **coal tar, salicylic acid, or ketoconazole** to help reduce scaling and inflammation. Use them regularly, as directed, for the best results. 2. **Topical Treatments:** Prescription-strength treatments like **topical corticosteroids**, **vitamin D analogs**, or **retinoids** can help manage flare-ups. Your dermatologist can prescribe a formula that’s right for you. 3. **Moisturize:** Keeping the scalp hydrated can reduce dryness and itching. Consider using natural oils like **coconut oil or olive oil**, which can soften scales-just apply and leave them on for a bit before gently rinsing. 4. **Avoid Triggers:** Stress, cold weather, and certain foods can worsen psoriasis. Try to identify and avoid any triggers you notice, like alcohol, smoking, or specific foods. 5. **Light Therapy (Phototherapy):** For some people, controlled exposure to UVB light can improve psoriasis. Your doctor can guide you if this treatment is suitable for you. Since scalp psoriasis is a chronic condition, managing it often requires a combination of treatments. For tailored guidance, you can consult a trichologist or dermatologist. ➡️ Reach out to us at [www.advancedtrichology.com/](www.advancedtrichology.com/) if you'd like help creating a plan for relief and healthier scalp care.

[@balabhavesh2167]

​@@WilliamGaunitzTrichologistPLEASE REPLY ! Hi sir I'm 22 and I started to notice my hairs are thinning and hairs in temple areas are receded than before, I've visited multiple dermatologists each one of them are saying different causes like nutritional deficiencies Hairloss, Hairloss due to sebhorric dermatitis etc...I'm really confused and afraid if i have AGA 😢 can i start finasteride, minoxidil and micro needling as prevention...? Even I've done trichoscan for the scalp but,the doc didn't explain me clearly about the report,she only focus to sell their multivitamin tablets and kits..please help me out of this ! What can i do to know whether it is nutritional hairloss or genetic Hairloss?

[@tarannumjahansara7833]

Sir what should a 26 years old women do! I can't express my feelings. I have pcos for all most 5 years..not have thyroid issues but i have high level of lh hormone. At first i didn’t notice the frontal baldness or receding hair lines..but at this age it becomes visible more and i can see my hair has become very thin. I have tried minoxidil 2%. But it didn’t work for me.. Plz sir help me...

[@WilliamGaunitzTrichologist]

I understand how overwhelming this must feel, but there are ways to address hair thinning caused by **PCOS** and hormonal imbalances like high **LH (Luteinizing Hormone)**. Managing **PCOS-related hair loss** requires a combination of hormone balancing, targeted hair treatments, and lifestyle adjustments. Let’s create a comprehensive plan for you. --- ### **Understanding PCOS and Hair Loss** 1. **Hormonal Imbalances**: - High LH often indicates a disruption in the normal hormone ratio (LH:FSH), which can increase **androgens (like testosterone and DHT)**. This leads to **androgenetic alopecia (AGA)**, causing frontal baldness and thinning. 2. **Sensitivity to DHT**: - PCOS often makes hair follicles more sensitive to **DHT**, causing miniaturization of hair over time. 3. **Underlying Triggers**: - Insulin resistance, chronic inflammation, and stress are common in PCOS and can exacerbate hair thinning. --- ### **What You Can Do** #### **1. Balance Your Hormones** - **Anti-Androgen Therapy**: - **Spironolactone**: A prescription anti-androgen that reduces DHT levels. This can significantly slow hair loss and promote regrowth over time. Speak to your doctor about this option. - **Oral Contraceptives**: Certain birth control pills can regulate hormones and reduce androgen levels, but this depends on your individual needs. - **Insulin Sensitivity**: - If you have insulin resistance, medications like **Metformin** can help regulate blood sugar levels, indirectly improving hormone balance. - **Lifestyle Adjustments**: - Maintain a low-glycemic diet to stabilize blood sugar and reduce insulin spikes. - Avoid processed carbs and sugars; focus on whole grains, lean proteins, and vegetables. --- #### **2. Use Targeted Hair Treatments** - **Minoxidil Alternatives**: - If 2% Minoxidil didn’t work for you, consider **5% Minoxidil** or **Minoxidil Foam** (less irritating and stronger formulation). - Microneedling (once a week) can enhance absorption of topical treatments. - **Topical DHT Blockers**: - Apply a scalp serum containing **saw palmetto, green tea extract, or caffeine** to reduce DHT activity locally. - **Ketoconazole Shampoo**: - Use 2-3 times a week to reduce scalp inflammation and block DHT at the scalp level. --- #### **3. Nutritional Support** - **Iron and Ferritin**: - Low ferritin is common in women with PCOS. Check your levels and aim for **70-100 ng/mL** for optimal hair growth. - **Vitamin D**: - Ensure levels are between **40-50 ng/mL**, as deficiencies are linked to hair thinning. - **Zinc and B12**: - Zinc (15-30 mg daily) and Vitamin B12 are crucial for hair follicle repair. - **Inositol Supplements**: - Supplements like **Myo-Inositol and D-Chiro-Inositol** can regulate insulin, balance hormones, and improve PCOS symptoms, potentially reducing hair loss. --- #### **4. Scalp and Hair Care** - **Daily Scalp Massage**: - Stimulate blood flow to the follicles with a scalp massager or your fingertips. - **Gentle Hair Care**: - Avoid tight hairstyles, excessive heat, or harsh chemical treatments that can worsen hair thinning. --- #### **5. Advanced Therapies** - **Low-Level Laser Therapy (LLLT)**: - Devices like laser caps can stimulate dormant follicles and improve hair density. - **Platelet-Rich Plasma (PRP)**: - PRP injections deliver growth factors directly to the scalp and can help regenerate thinning hair. --- ### **Monitor Your Progress** 1. **Set Realistic Expectations**: - It may take **6-12 months** to see noticeable improvements, especially when balancing hormones and supporting regrowth. 2. **Track Changes**: - Take monthly photos of your scalp to monitor progress. 3. **Consult a Specialist**: - If the situation doesn’t improve, consider visiting a dermatologist or trichologist for more personalized solutions. --- ### **Takeaway** Your thinning hair can improve with a multi-faceted approach. Focus on balancing hormones, using effective topical treatments, and supporting your hair with the right nutrients and scalp care. PCOS-related hair loss is treatable, but it requires consistency and patience. Let me know if you’d like further guidance or specific product recommendations-I’m here to help! 😊➡️ Explore solutions at [www.advancedtrichology.com/](www.advancedtrichology.com/). 💙

[@alisina10]

Hello doctor Gaunitz! I need help, could you please read my comment and reply to it! I moved from Asia to Europe but through new environment I got scalp problems like dandruff or something not hair loss and then I went to dermatologist and he gave me minoxidil 5% for my scalp although I didn't have hair loss and I had no idea what minoxidil was and I used that for two months of something and I stopped using it after stopping minoxidil I had hair loss/ shedding like crazy so because of the hair loss after that I went to another dermatologist and he gave me oral minoxidil 0.5mg and I didn't know what minoxidil was so I took it about 3 months or something and I stopped taking it and I had again hair loss because of minoxidil so now it's been a year I have crazy hair loss/ shedding although I don't have genetics hair loss be no one has in my family! I've done blood test for vitamin I had zinc deficiency and low D3 but still I have hair loss! I've done the pull test I loss hair from front of my head where DHT as you said causes hair loss! - I used minoxidil on healthy hair without hair loss so is my hair loss bc of minoxidil or DHT ( i have no genetics hair loss) -I have extreme stress be of my hair loss so much stress that I feel pain in my heart and my body Could you please help me.🙏

[@WilliamGaunitzTrichologist]

I’m so sorry you’re experiencing this-it’s understandably distressing, especially when it feels like treatments have made things worse. Let’s break this down step by step to help you understand what’s happening and what you can do to recover. 🌟 --- ### **What Could Be Causing Your Hair Loss?** 1. **Minoxidil-Induced Shedding**: - When you use **minoxidil**, it pushes hairs into the **anagen (growth phase)** by shedding weaker, telogen-phase hairs first. This is normal but temporary. - Stopping minoxidil abruptly can lead to a "rebound" shedding phase, as the hair that was dependent on minoxidil prematurely sheds. 2. **Stress-Related Hair Loss**: - The extreme stress from your situation may have triggered **telogen effluvium (TE)**, a condition where more hairs enter the shedding phase due to physical or emotional stress. 3. **Nutritional Deficiencies**: - Your **zinc deficiency** and **low Vitamin D3** are significant contributors to poor scalp and hair follicle health. Hair follicles need these nutrients to thrive. 4. **Possible DHT Sensitivity**: - Even without a family history of androgenic alopecia, **DHT sensitivity** can sometimes cause hair thinning at the front or crown (areas prone to DHT influence). - Stress can also exacerbate DHT's effects by disrupting hormone levels. --- ### **How to Address the Hair Loss** Here’s a multi-pronged approach to get your hair and scalp back to health: #### **1. Focus on Scalp Health** - **Anti-Dandruff Treatments**: - If dandruff or scalp buildup persists, use shampoos with: - **Ketoconazole** (antifungal and mild DHT blocker). - **Zinc Pyrithione** to reduce scalp irritation. - Wash 2-3 times weekly with these, alternating with a gentle, sulfate-free shampoo. - **Moisturize the Scalp**: - Use aloe vera gel or light oils like jojoba oil to soothe dryness. #### **2. Replenish Deficiencies** - **Zinc**: - Take **15-25 mg daily** (don’t exceed 40 mg to avoid imbalance). - **Vitamin D3**: - Supplement with **2000-5000 IU daily**, or follow your doctor’s recommendation. - **B Vitamins and Biotin**: - These support follicle repair and regrowth. #### **3. Manage Stress** Stress is a huge contributor to shedding: - Practice **mindfulness**, **meditation**, or light exercise to reduce cortisol levels. - Address your extreme stress levels-your body and heart pain are warning signs. Seek support from a therapist or counselor if needed. #### **4. Consider DHT Management** - Even if genetic hair loss isn’t a factor, sensitivity to **DHT** may still play a role. Options include: - Natural DHT blockers like **saw palmetto** (oral or topical). - Scalp massages with **rosemary oil**, which promotes circulation and reduces DHT locally. #### **5. Avoid Abrupt Changes** - Minoxidil-related shedding can take **3-6 months** to stabilize after stopping. Avoid abrupt treatment changes in the future. - If reintroducing treatments, do so gradually and under medical supervision. --- ### **When to See a Specialist** - If shedding persists beyond 6 months despite addressing these factors, consider consulting a **trichologist** or **dermatologist** specializing in hair loss. - Advanced therapies like **PRP (Platelet-Rich Plasma)** can boost follicle recovery. --- ### **Your Recovery Timeline** - **1-3 Months**: Nutritional corrections and scalp care begin improving the hair environment. - **3-6 Months**: Telogen effluvium or stress-related hair loss should stabilize. - **6+ Months**: Regrowth becomes noticeable as follicles recover. --- ### **Key Takeaway** Your situation seems to involve a combination of **minoxidil-related shedding**, **nutritional deficiencies**, and **stress-related telogen effluvium**. Focus on restoring your scalp and overall health, managing stress, and being consistent with nutrient support. You’re not alone, and recovery is absolutely possible with time and the right steps. 🌿 Sending you strength and positivity! ➡️ For personalized advice or support, visit [www.advancedtrichology.com](www.advancedtrichology.com). 💡

[@CondorAHLS]

“William Gaunitz”. When did David Spade become a trichologist?

[@anemia1v117]

Hey Doctor i need ur help pls ? So i go to doctor so he suggested me bionnex shampoo with ecrinal lotion and novophane for vitamins and zinq , but im doing gym and my scalp hurts everytime cuz it needs clean everyday , should i use shampoo baby for daily ? I have super oily thining hair so what should i use combined with bionnex ? Bionnex only twice a week but rest of days i need shampoo ? So what should i do pls help me , i have oily hair if i dont wash it everyday it becomes greasy and looks bad

[@WilliamGaunitzTrichologist]

It sounds like you’re dealing with **oily, thinning hair** and the need to wash frequently due to gym workouts. Here’s how to maintain a clean scalp while being gentle enough to avoid further thinning or irritation: --- ### **1. How to Balance Shampoo Use** - **Bionnex (Twice a Week)**: - This is likely a medicated shampoo targeting your hair thinning, so stick to using it twice a week as advised. - Overuse of medicated shampoos can sometimes strip the scalp, making oiliness worse in the long run. - **For Daily Washing**: - A **gentle daily shampoo** is ideal for your oily hair and frequent gym sessions. Baby shampoos are an option, but they may not be effective enough for very oily hair. - Look for shampoos labeled **"gentle," "daily use," or "balancing"** and avoid harsh sulfates. --- ### **2. Shampoo Recommendations for Oily Hair** - **Sulfate-Free Shampoos**: - **CeraVe Hydrating Shampoo** or **Vanicream Shampoo**: Gentle enough for daily use and won’t over-dry the scalp. - **Clarifying Shampoos (1-2 Times/Week)**: - Use a mild clarifying shampoo like **Neutrogena Anti-Residue** or a **green tea-based shampoo** to remove oil buildup. - **Tea Tree Oil Shampoos**: - Shampoos with tea tree oil or salicylic acid (e.g., **Paul Mitchell Tea Tree Special Shampoo**) can reduce excess oil and soothe your scalp. --- ### **3. How to Wash Without Overstripping** - **Alternate Shampoos**: - Combine Bionnex with your daily-use shampoo in your routine. Example: - Monday & Friday: **Bionnex**. - Other Days: **Gentle daily shampoo**. - **Don’t Over-Scrub**: - Massage gently to clean your scalp without irritating thinning areas. - **Rinse Well**: - Leftover shampoo can cause build-up, which exacerbates oiliness. --- ### **4. Scalp Care Post-Wash** - **Ecrinal Lotion**: - Use as recommended. This will help nourish the scalp and promote healthier hair growth. - **Drying Scalp Oils**: - If needed, apply a small amount of diluted **rosemary oil** to the scalp to reduce oil production. --- ### **5. Nutritional Support** - The vitamins (Novophane and zinc) prescribed by your doctor are great for managing oily hair and improving follicle health. - Stay hydrated and focus on a diet rich in: - Omega-3s (fish, flaxseed). - Lean protein (eggs, chicken, tofu). --- ### **Key Routine Example** 1. **After the Gym**: - Use a gentle daily shampoo to clean sweat and oil without irritation. 2. **Twice a Week**: - Substitute with Bionnex to target thinning and strengthen hair. 3. **Ongoing**: - Apply Ecrinal lotion as a post-wash treatment. 4. **Monthly Reset**: - Use a clarifying shampoo occasionally to clear buildup. --- ### **Key Takeaway** Daily washing is fine for oily hair, but focus on using a gentle shampoo on non-Bionnex days. Balancing cleansing with scalp care will help manage oiliness while supporting healthy hair growth. ➡️ If you’d like more personalized guidance, visit [www.advancedtrichology.com](www.advancedtrichology.com). 🌿

[@AnxietyDepression-u3r]

I've lost a lot of hair in the sides and back of my head in the crown area and it isn't growing back either. What should I do doc?

[@WilliamGaunitzTrichologist]

I’m sorry to hear you’re going through this-it’s tough when hair loss is happening in areas like the sides and back, especially around the crown. This pattern isn’t typical for androgenic alopecia (which usually affects the top and front), so it might suggest something else going on. Here are some possibilities and steps you can take: 🌱 **Possible Causes**: Hair loss in areas like the sides and back can be linked to conditions such as: - **Diffuse Alopecia Areata**: This autoimmune condition can cause unpredictable patchy or widespread hair loss. - **Telogen Effluvium (TE)**: TE is usually a response to stress, illness, or nutritional imbalances, and it often causes more general thinning across the scalp. - **Scarring Alopecia**: Some rare types of hair loss, like scarring alopecia, can lead to permanent loss in certain areas if left untreated. 🔬 **Diagnosis**: The first step is to get a proper diagnosis to understand the root cause. A trichologist or dermatologist might perform a scalp biopsy or trichoscopy to look closely at the hair follicles and determine if inflammation, scarring, or miniaturization is happening. 💇 **Treatment Options**: Depending on the diagnosis, you could consider treatments like: - **Topical or Oral Treatments**: Options like minoxidil can sometimes help stimulate regrowth, but it depends on the cause. - **Steroid Injections or Anti-inflammatory Treatments**: If it’s autoimmune-related, corticosteroids or other medications might help reduce inflammation. - **Nutritional Support**: Ensuring optimal iron, vitamin D, and other nutrient levels can make a big difference in hair resilience and regrowth. 💧 **Gentle Hair Care**: For now, focus on gentle handling of your hair and scalp. Avoid tight hairstyles and harsh chemicals, and consider a mild shampoo to keep your scalp balanced. ➡️ If you’re looking for a thorough assessment or further guidance, reach out to us at [Advanced Trichology](www.advancedtrichology.com/), and we’ll help you explore the best options for your situation.

[@Rohit-rx5rz]

Which all are the mandatory tests in this before taking finasteride Total Testasterone Free Testasterone Dht Free Dht Estrogen estradiol SHBG Iron Vitamin D Vitamin B12 Complete blood count Glucose Zinc IGF-1 BPH FSH LH Lipid panel Thyroid panel

[@WilliamGaunitzTrichologist]

Great question! Before starting finasteride, it’s wise to get a clear picture of your baseline hormone and health markers, especially since finasteride affects hormone pathways. Here’s a rundown of the most important tests to consider and why they’re relevant: ### 1. **Hormone Panel** - **Total Testosterone** & **Free Testosterone**: Finasteride can indirectly impact testosterone levels, so knowing your baseline is helpful. - **DHT (Dihydrotestosterone)**: Since finasteride works by lowering DHT, a baseline level is crucial to gauge its effect. - **Estrogen (Estradiol)**: Finasteride can sometimes cause a slight increase in estrogen, so checking this baseline helps monitor any potential imbalances. - **SHBG (Sex Hormone Binding Globulin)**: SHBG can bind to sex hormones, affecting free testosterone and DHT. Knowing your level can help interpret hormone changes over time. ### 2. **Thyroid Panel** - **TSH, T3, and T4**: Thyroid health directly affects hair growth, and it’s essential to rule out thyroid imbalances as a contributing factor to hair loss. ### 3. **Nutritional Markers** - **Iron & Ferritin**: Low iron is a common cause of hair loss, so it’s wise to ensure your levels are optimal. - **Vitamin D** & **Vitamin B12**: Both are critical for hair health and overall well-being. Many people are deficient, and low levels can impact hair growth. - **Zinc**: Zinc is essential for hair growth and immune function, and deficiencies can contribute to hair loss. ### 4. **Metabolic & General Health Markers** - **Complete Blood Count (CBC)**: A general health check to rule out anemia or other blood-related issues. - **Glucose**: Insulin resistance can impact hormone health and hair loss, so it’s good to know your glucose level. - **Lipid Panel**: Some people experience changes in lipid levels on finasteride, so knowing your baseline is helpful. ### 5. **Additional Hormones (Optional)** - **FSH** & **LH**: These aren’t always necessary, but they provide a fuller picture of your reproductive hormone balance. - **IGF-1**: If there are concerns about growth factors or if you’re dealing with male pattern hair loss at an unusually young age, IGF-1 can be insightful. ### 6. **Prostate Health** - **BPH (Benign Prostatic Hyperplasia)**: If there’s a family history of prostate issues or symptoms, screening can be helpful. Finasteride is sometimes used to treat BPH, but it’s good to understand your baseline. ### Summary The **mandatory** tests to consider include: - Total Testosterone, Free Testosterone, DHT - Estradiol, SHBG - Iron, Vitamin D, Vitamin B12 - Thyroid Panel (TSH, T3, T4) - Complete Blood Count (CBC) - Glucose and Lipid Panel These tests should give you a strong baseline before starting finasteride. As always, consult with your doctor for personalized guidance based on your health history and specific needs.

[@Rohit-rx5rz]

@@WilliamGaunitzTrichologist thank you so much. I didnt expect this much detailed ans at all

[@AdamGatrell-gr8ix]

🔥🔥

[@jinithreddylingareddy8470]

hello doctor.iam loosing hair since 1 year .and its been terrible now..i got to know that i got vitamin d and b12 def...iam taking supllements for that since 2 months..and i have been using multi peptide serum ,but still hairfall is more..iam taking a perfect diet which includes nuts seeds fruits and protien...still there is no stopping for hairfall....iam so stressed abut this..plz me doc? thank you.

[@WilliamGaunitzTrichologist]

Hey there! 🌻 I totally understand how stressful this can be, and you’re already doing a lot of the right things, so don’t lose hope! Hair loss can take time to respond to treatments, and even with great nutrition and supplements, sometimes other factors play a role. Here are some ideas that might help: 🌞 **Vitamin D & B12**: It’s good you’re supplementing - these are key for hair health! But it can take a few months for deficiencies to reverse. Keep going, and make sure your levels are being monitored by a doctor. 💆 **Scalp Health**: Hair loss often responds well to a healthy scalp, so you might want to try a scalp tonic or shampoo designed to stimulate circulation and reduce inflammation, especially if there’s any itching or flakiness. 🧬 **Addressing Other Causes**: If your hair fall is severe, have you checked for other possible causes like thyroid levels, stress hormones, or iron deficiency? Sometimes, multiple factors contribute to shedding. 💪 **Stay Consistent**: The multi-peptide serum is a good choice! But with any topical treatment, consistency is key, and results may show after about 3-6 months of use. Stress can add to hair loss too, so do take care of yourself mentally as well. 🧘 You’re on the right track, and sometimes just a little more time and the right combination of treatments make all the difference! ➡️ For more guidance, reach out anytime at www.advancedtrichology.com/.

[@johny3754]

Doctor, i had huge hair shedding few years ago in pandemic,Since then,I have many thin hairs all over the scalp.what type of hairloss it could be?Right now using minoxidil and finasteride, but not having good result but it is stable condition with moderate hairloss😢

[@WilliamGaunitzTrichologist]

It sounds like you might have experienced something called **telogen effluvium** during the pandemic. This type of hair loss is often triggered by stress, illness, or major life changes-exactly what many people went through during that time 😟. Telogen effluvium can lead to excessive shedding and thinning, but usually, the hair starts to regrow once the stressor is removed. Since you’re seeing **many thin hairs** across your scalp, it's possible these are miniaturized hairs, a characteristic sometimes seen with **androgenetic alopecia** (genetic hair thinning). In androgenetic alopecia, hairs gradually shrink over time, becoming thinner and finer. This is where treatments like minoxidil and finasteride are typically prescribed, as they help maintain and sometimes thicken existing hair. The fact that your condition is stable suggests they may be helping prevent further miniaturization, even if regrowth is limited. Given your stable condition but lack of regrowth, you might also benefit from a few other options like **microneedling**, **PRP therapy**, or **low-level laser therapy (LLLT)**. These can sometimes stimulate new growth alongside your current treatments, but consulting a trichologist can provide a more tailored approach. 🌱➡️ Reach out to us at [www.advancedtrichology.com/](www.advancedtrichology.com/) to discuss your options and develop a plan that works best for your unique hair condition!

[@johny3754]

@WilliamGaunitzTrichologist Thanks doc,Should i continue minoxidil and finasteride?

[@balabhavesh2167]

​@@WilliamGaunitzTrichologistPLEASE REPLY ! Hi sir I'm 22 and I started to notice my hairs are thinning and hairs in temple areas are receded than before, I've visited multiple dermatologists each one of them are saying different causes like nutritional deficiencies Hairloss, Hairloss due to sebhorric dermatitis etc...I'm really confused and afraid if i have AGA 😢 can i start finasteride, minoxidil and micro needling as prevention...? Even I've done trichoscan for the scalp but,the doc didn't explain me clearly about the report,she only focus to sell their multivitamin tablets and kits..please help me out of this ! What can i do to know whether it is nutritional hairloss or genetic Hairloss?

[@SBryan-zh6mi]

🤗WHERE ARE YOU🎉 LOCATED PLEASE 🎉🎉. NEED HELP NOW 😫

[@WilliamGaunitzTrichologist]

➡️ reach out at www.advancedtrichology.com/ for personalized guidance. 😊

[@arjitsingh5989]

R u using wig

[@WilliamGaunitzTrichologist]

NO!

[@adrishasaha1573]

Hi doctor I am from India, facing excessive hair shedding from last 2 months. Want to consult with you please provide your mail id.

[@WilliamGaunitzTrichologist]

➡️ For hair loss or health concerns related to vitamin D, reach out to us at www.advancedtrichology.com/. 💪🌱