Robert Nettles, MD

The current FDA approved hair loss treatments were approved over 40 years ago. New medical technologies enable us to see what is causing symptoms in our bodies. It is no longer necessary to try multiple treatments one after the other in the hope of treating a symptom. Now with "science" we have the technology via precision medicine and x-ray crystallography to see individual molecules within our blood to accurately diagnose the underlying causes of symptoms such as hair fall or lack of hair growth. We can then also see the exact molecules and dosages needed to effectively treat the problem, reverse hair loss and regrow hair. Why then would we want to guess what is happening rather than find the true real cause and treat that with 100% effectiveness? My recommendation: find a doctor who can perform a biochemical report card lab tests panel. The BRC will provide a very comprehensive view of your overall health and well being as well as all the biomarkers which lead to hair loss. t also provides guidance to a biomolecular medical specialist as to which ingredients and which doses are needed.

Before jumping to treatment - diagnose the cause of your hair loss The year is 2022 not 1980. New medical technologies enable us now to see what is causing symptoms in our bodies. It is no longer necessary to try multiple treatments one after the other in the hope of treating a symptom. What I have found is that hair loss is not a disease but a symptom. Anything aimed at treating that symptom is a band-aid at best, and can cause severe problems at worst. Did you know that back when fuzzy hair growth was a side effect of oral minoxidil treatment during a clinical trial, someone "assumed" that it worked because of its vasodilation properties of increasing blood flow. Now with "science" we "know" that is not true and that minoxidil is in fact a very mild hair follicle agonist (stimulant). It unfortunately also has many problems including its requirement to be mixed with alcohol to activate it and the fact that hair follicles become dependent on it so that if you stop using it, any hair grown falls out. Since then we have also been able to develop more effective hair growth stimulants, but yoiu also need to understand that now matter how powerful the hair growth "fertilizer" unless you find and stop the underlying cause, it will not effectively reverse the problem or even hold it back for long. Today we have the technology via precision medicine and xray crystallography to see individual molecules within our blood to accurately diagnose the underlying causes of symptoms such as hair fall or lack of hair growth. It makes sense then that we would not want to guess what is happening rather than find the true real cause and treat that? My recommendation: find a doctor who can perform a biochemical report card lab tests panel. The BRC will provide a very comprehensive view of your overall health and well being as well as all the biomarkers which lead to hair loss. Once you know what is causing the problem an effective plan can be created to treat and reverse it.

The year is 2022 not 1980. New medical technologies enable us to see what is causing symptoms in our bodies. It is no longer necessary to try multiple treatments one after the other in the hope of treating a symptom. Did you know that back when fuzzy hair growth was a side effect of oral minoxidil treatment during a clinical trial, someone "assumed" that it worked because of its vasodilation properties of increasing blood flow. Now with "science" we know that is not true and that minoxidil is in fact a very mild hair follicle agonist (stimulant). It unfortunately also has many problems including its requirement to be mixed with alcohol to activate it and the fact that hair follicles become dependent on it so that if you stop using it, any hair grown falls out. Today we have the technology via precision medicine and xrays that can see individual molecules within our blood to accurately diagnose the underlying causes of symptoms such as hair fall or lack of hair growth. Why then would we want to guess what is happening rather than find the true real cause and treat that? My recommendation: find a doctor who can perform a biochemical report card lab tests panel. The BRC will provide a very comprehensive view of your overall health and well being as well as all the biomarkers which lead to hair loss. Once you know what is causing the problem an effective plan can be created to treat and reverse it.

Hair loss types fall primarily into 2 main buckets: acute and chronic. The acute types usually result in hairs being pushed out from mental or physical stress. Generally all hairs in a follicle are pushed out at the same time from the affected follicles. When this happens you would see under the microscope empty follicles where there are no hairs. Unfortunately your pictures are only of very small areas of your scalp so hard to determine if this has happened anywhere. Telogen Effluvium is where this happens on a large scale and many of your follicles are affected. Alopecia Areata is where this happens in small patches or circles. One of the chronic types of hair loss is Androgenetic Alopecia or Male/Female pattern hair loss. This is characterized by miniaturized hairs. I do see some of those in the pictures you posted. However, its important to remember that each hair goes through a growth cycle on average for 7-9 years, it then falls out and is replaced by a new baby hair which over time grows up to be a mature long hair. This does mean that a small percentage of your hairs will be small baby hairs at any point in time. The thing to look for is whether the hairs are miniaturizing vs growing. The other thing to consider is what is causing the hair loss. It is actually not possible to effectively treat hair loss without first treating and stopping the underlying causes. And I say "causes" because particularly for women there is generally more than one thing going on, and unless we find and treat everything going on the treatment will not be effective. My recommended approach is to seek out an accurate diagnosis from a hair regrowth expert who understands molecular biology and who will use blood tests to understand all the different factors that are contributing to your hair loss.

For any kind of surgery (or treatment), its important to understand your treatment and what you expect to occur. The first thing to understand is that a hair transplant is surgery. Your surgeon will cut holes in your scalp in to transplant your harvested hair follicles into. Know that the follicle is much larger than the hairs which you see above the surface. Each follicle is an organ which manufactures the average 5-7 hairs from each you see outside of the scalp. When that hole is cut, it will damage blood supply to the surrounding hairs in the new location and speed up hair loss for those hairs. Additionally due to the size of the whole needed you cannot plant transplanted hairs as close together as they grow naturally meaning that depending on the skill of your surgeon and the number of procedures you won't get more than about 50-60% of the density of your natural hairs in the transplant area. I note also you mention taking finasteride to prevent shock hair loss. Finasteride is an old medication which was first found to slow down hair loss around 40 years ago. It does not stimulate hair growth, it simply reduces the amount of DHT your body produces for only around 6-8 hours per day (short half life). At age 23, hair loss is in its early stages, even if yours is very aggressive. You have both youth and time on your side and you would be an ideal candidate for guaranteed hair regrowth. Rather than proceed with a transplant at this stage I highly recommend you search for and investigate hair regrowth instead. There are solutions around which can both stop your hair loss and regrow your thinning or receding hair without such a drastic irreversible procedure as surgery.