One speaks of pathological hair loss (alopecia) if you lose more than 100 hairs per day for a longer period. The most common form is hereditary hair loss in men. But what types of hair loss are there? And which treatments help best? Read all about it now!
Hair loss: brief overview
- Forms: Hereditary hair loss (with over 60% the most common form), circular hair loss, diffuse hair loss, unspecific forms (e.g. due to medication, illness, mechanical stress)
- Treatment: depends on the shape. Some promising approaches esp. with hereditary hair loss / balding
- Diagnostics: detailed history and family history ( medical history, family history), physical examination, blood test, epilation test (“pull-out attempt”), trichogram (determination of the growth phase distribution), hair analysis, biopsy (tissue sample of the scalp), exclusion of other diseases
- Prognosis: depending on the cause, often long-term (permanent) treatment, early onset worsens treatment prospects. Circular hair loss sometimes heals spontaneously.
Hair loss: which treatment helps?
“How to stop hair loss?” This is a question that many people type into Google when they notice their hair falling out. Unfortunately there is no solution that fits everyone. The treatment and success depends on the type and cause of hair loss. Androgenetic alopecia is treated differently than patchy hair loss or hair loss due to malnutrition or poisoning.
|Type of hair loss||Means / method||Remarks|
|Hereditary hair loss||finasteride||external application; only for men|
|Minoxidil||external application; for women and men|
|Antiandrogens||internal application; only for women|
|Circular hair loss||Dithranol (Cignolin, Anthralin)||external application|
|Glucocorticoid||external or internal application|
|Topical immunotherapy||external application; only for larger bald areas|
|PUVA||external use of psoralen plus irradiation with UV-A light|
Finasteride is an active ingredient that helps against hereditary hair loss (androgenetic alopecia, AGA), but also has drastic side effects. These include erectile dysfunction, impotence, depression and even suicidal thoughts. The drug has been approved in the US since 1998 and is marketed under various trade names such as Propecia or Finapil. In the US, tens of thousands of men plagued by hair loss take the supposedly harmless tablets.
Finasteride was developed as a new drug (Proscar) for the treatment of benign prostatic hyperplasia (BPH – benign prostate hyperplasia). During therapy, it was shown that in men with hereditary hair loss, not only did the prostate symptoms decrease, but the hair also began to sprout again. A few years later the hair restoration product Propecia was introduced to the market. The only difference is the lower dosage per tablet and the fact that it addresses a different age group.
Indications and dosage of finasteride at a glance:
- benign prostatic hyperplasia, dosage: 5 mg/day, age group: men over 50 years
- hormone induced hair loss, dosage: 1 mg/day, age group: men between 18 and 41 years
How does it work?
Finasteride acts as a 5-alpha-reductase inhibitor in the metabolism of the male sex hormones. The enzyme 5-alpha-reductase converts the prohormone testosterone into the sex hormone (androgen) dihydrotestosterone (DHT), which is five times more potent. As a reductase inhibitor, finasteride prevents the conversion of testosterone into dihydrotestosterone and thus the mechanism of action described below is also inhibited.
Dihydrotestosterone (DHT) has the following mechanism of action:
- In benign prostatic hyperplasia, DHT stimulates the growth of certain prostate cells and thus causes an enlarged prostate.
- Furthermore, DHT alters the growth cycle of the hair follicles, resulting in reduced hair growth and, in the worst case, baldness.
As a result, hair follicles surrounding the hair roots become active again and further prostate growth is inhibited.
The effect against hair loss is clearly proven. However, this only applies if the hair loss is actually hereditary. A doctor can determine whether one is suffering from hereditary or otherwise conditioned hair loss.
As an important sex hormone, DHT is responsible not only for the development of masculinity but also for drive and general lust for life.
What are the side effects of Finasteride?
The range of possible side effects is long and there are increasing reports in the media that Finasteride can lead to persistent erectile dysfunction (PED) or even depression. Many affected men believe that not enough warning has been given about these serious and sometimes even permanent side effects.
The following side effects are known:
- Decreased libido
- Erectile dysfunction
- Depression and suicidal thoughts
- Ejaculation disorders and reduced ejaculation volume
- Touch Sensitivity
- Enlargement of the breast
- Testicular pain
- Heart Restlessness
- Hypersensitivity reactions such as rash, pruritus, urticaria and angioedema (including swelling of the lips, tongue, throat and face).
Those affected also repeatedly report concentration and sleep disorders.
The risk of becoming permanently impotent seems to be related mainly to the length of time you take Finasteride, rather than the dosage at which you take it. According to one study, men who take finasteride for more than 205 days have 5 times the risk of developing persistent erectile dysfunction (PED) compared to men who take it for less than 205 days.
Even if finasteride is discontinued, there is a possibility that side effects such as sexual dysfunction, erectile dysfunction and depression may persist for months or even years. Every 20th man who takes finasteride or dutasteride for more than 9 months up to the age of 41 suffers on average for 3.5 years.
Conclusion: If you take drugs such as finasteride or the related dutasteride, you run the risk of suffering from immense side effects. In comparison, the benefits of a re-budding hair is clearly negligible.
The active ingredient Minoxidil belongs to the active ingredient class of antihypertensives. Active ingredients that belong to this class all have an antihypertensive effect. However, Minoxidil is nowadays primarily used against hereditary hair loss (androgenetic alopecia). The active ingredient can slow down or stop hair loss. In some cases, the growth of head and beard hair can even be stimulated. As with any other active ingredient, however, side effects must be taken into account with Minoxidil.
Products with the active ingredient Minoxidil are primarily used for the treatment of hereditary hair loss in men and women. The dosage of the active ingredient varies according to gender. Women generally use lower doses of products than men. Minoxidil appears to be particularly effective in men between 18 and 49 years of age.
In men, Minoxidil is used for hereditary hair loss in the crown area. However, the bald areas should not be larger than ten centimetres. The smaller the affected area, the better results can usually be achieved. Whether receding hairline fractures can also be reduced by Minoxidil is not yet known for sure. So far, the use is only recommended for the back of the head. In women, Minoxidil can stop hereditary hair loss in the crown area.
In addition to the growth of the main hair, the active ingredient is also said to stimulate beard growth. Through regular use, the beard should grow back more strongly and smaller gaps in the beard should be closed. Scientific studies are still pending, however.
Hereditary hair loss can be stopped by the application of Minoxidil in about 70 to 80 percent of cases. About 30 percent of those affected experience renewed hair growth, but this only leads to a satisfactory result in ten percent of those affected. However, the aim of the treatment is also primarily to slow down or stop hair loss and not to stimulate hair growth.
How Minoxidil works
The active ingredient causes the blood vessels to dilate. This is done by causing the smooth muscles of the blood vessels to relax. As the blood vessels dilate, the blood is pumped through the vessels with less pressure and the blood pressure drops.
The blood circulation in the vessels around the hair root is crucial for hair growth. The exact effect of Minoxidil on our hair is not yet fully understood. It is assumed, however, that the blood vessels at the lower end of the hair root dilate during application and the improved blood circulation allows the hair to be better supplied with blood and nutrients.
In addition, Minoxidil should also stimulate the DNA synthesis in the hair cells. This ensures that the cell division rate increases and the hair grows back stronger than before.
Application of Minoxidil
If the active ingredient is used to treat high blood pressure, the active ingredient is taken orally. The exact dosage of Minoxidil should always be discussed with the treating physician. As a rule, the dose is increased until blood pressure is lowered or the maximum permissible dose is reached. When taking Minoxidil it should be noted that it should normally only be used in combination with a beta-blocker or diuretic.
When Minoxidil is used to treat hereditary hair loss, it is applied to the scalp in the form of a solution or foam and gently massaged in. It is important that Minoxidil is applied directly to the scalp and not to the hair.
During application, care should be taken to ensure that the tincture does not come into contact with the eyes or mucous membranes. Products for the treatment of hair loss can be purchased over the counter at any pharmacy.
If the treatment with Minoxidil is successful, the first successes are seen after about three to four months. It takes about one year until the optimal result is achieved. If the application is discontinued, it can happen that after three to four months the hair loss starts again.
Dithranol (Cignolin, Anthralin)
Dithranol (anthralin) is an active ingredient from the group of antipsoriatric drugs with antiproliferative and anti-inflammatory properties. It is used for the local treatment of psoriasis but is sometimes applied to bald spots in the case of circular hair loss as the skin irritation caused by the drug is said to stimulate new hair growth. Possible adverse effects include discoloration of the skin and clothing and local skin irritation such as redness and burning. Allergic reactions are rare. Due to its skin-irritating properties, precautions must be taken carefully.
A positive aspect of circular hair loss is that it can improve itself within a few months. If this is not the case or if you do not want to leave anything to chance, you should always consult a dermatologist. If the hair loss is particularly extreme, the physician can initiate a therapy with cortisone. Depending on the findings, the doctor may prescribe cortisone cream to be applied to the affected areas or shock therapy in tablet form. It is also possible to inject the cortisone directly into the affected areas.
Cortisone can inhibit the local inflammation that is believed to lead to circular hair loss. However, there is no guarantee of success with this therapy: after discontinuing cortisone, hair loss may reoccur and other side effects are also possible. The advantages and disadvantages of a therapy with cortisone should therefore be carefully weighed up in consultation with the doctor.
In cases of severe and refractory circular hair loss (Alopecia areata), topical immunotherapy with contact sensitisers such as diphenylcyclopropenone or dibutyl quadrate acid ester is considered well documented with regard to its efficacy. However, how well these methods actually work could hardly be quantified due to the different methods for the determination of the growth rates.
In order to be able to make a reliable statement nevertheless, Dr. Solam Lee and colleagues from the University of Wonju in South Korea evaluated 45 studies on the effectiveness of a topical immunotherapy for Alopecia areata and standardized the different evaluation criteria.
The aim of the study was to measure the clinical results of immunotherapy in alopecia areata using standardized criteria. For this purpose 45 studies with 2,227 patients found in a database search were selected and broken down according to several criteria. Hair regrowth was classified according to a 4-step scale.
On the basis of this, it was found that among the immune therapies, 65.5% of patients with alopecia areata sprouted hair again. In the spotted form, the regrowth rate was 74.6%, in the Alopecia totalis/universalis group, 54.5% had hair again.
On average, 32.3% of patients had a full head of hair. In the classic areata form this was 24.9%, in the totalis form even 32.3% of the patients.
Furthermore, the researchers were able to determine which factors affect the success of treatment: These were patients in whom more than half of the head was affected by hair loss (odds ratio [OR] 3.05). Immunotherapy also had a worse response in patients with nail involvement (OR 2.06) or a history of atopic hair loss (OR 1.61).
The rate of new cases was 38.3% with maintenance therapy and 49.0% without continued therapy.
In this therapy, doctors or practice assistants first apply the active ingredient Psoralen to the bald areas. Psoralen makes immune cells in the scalp sensitive to UV rays, including the aggressive immune cells that prevent hair growth in AA. Similar to DCP therapy, each patient needs an individual dosage of the active ingredient.
The scalp is then irradiated with long-wave UVA light (PUVA is the abbreviation for psoralen plus UVA). For example, 3 to 4 sessions per week are recommended.
With PUVA there are definitely successes with AA. The problem is that when the hair grows back, it covers the scalp. Then the effective UV light hardly reaches the affected areas. This explains the rather high relapse rate.
Other treatment options for hair loss
In addition to hereditary and circular hair loss, there are other forms of hair loss. If you lose hair evenly all over the head, one speaks of diffuse hair loss which can have a wide variety of reasons:
Certain medications, e.g. lipid-lowering agents, cytostatics or thyroid antitudes can cause diffuse hair loss. Hair usually grows back when the therapy ends. Depending on the medication, it may also be possible to reduce the dose or switch to an alternative drug that does less damage to the hair.
Sometimes diffuse hair loss can also be caused by infections or other conditions such as thyroid disorders that need to be treated. If there is protein or iron deficiency behind excessive hair loss, you can fix this problem by proper protein, iron etc. intake either via food or supplements.
A mechanically-induced hair loss (traction alopecia) can be stopped by avoiding excessive pulling of the hair roots. That means, for example, avoiding a tightly tied ponytail and often changing hair styles.
The receding hairline and bald head, which form in men with hereditary hair loss, can be concealed with a hair transplant. Small pieces of tissue with hair follicles, which are usually not sensitive to testosterone, are plucked out from the back of the head and “transplanted” to the bald areas. The procedure should be performed by an experienced dermatologist.
Hair transplantation is often unsuitable for women with hereditary hair loss, because they usually do not develop circumscribed bald spots (such as baldness at the temples or the crown of the head), but generally thin out everywhere (especially on the top of the head). There is usually no complete baldness in women.
Even with circular hair loss, a hair transplant is not appropriate because after a few months the hair often grows back on its own (spontaneous healing).
What you can do yourself
There are numerous over the counter products for hair loss. For example, there is caffeine shampoo for hair loss, burdock root and saw palmetto extract, products with vitamin H, millet extract or taurine. For example, they promise to stimulate hair growth and maintain hair by stimulating the scalp and blood circulation. Most of these remedies have yet to prove their effectiveness.
The same applies to hair lotions with alfatradiol (17-α-estradiol). Similar to finasteride, the active substance can inhibit the enzyme 5α-reductase and thus the formation of highly effective dihydrotestosterone (DHT). That is why it is recommended for men with hereditary hair loss. However, the effectiveness is not scientifically proven.
Preparations with zinc for hair loss are also often taken. However, they rarely lead to success, but at least they have no side effects. Biotin is also often recommended for hair loss , especially with circular hair loss, which is often accompanied by brittle nails. Because biotin (like zinc) is generally important for healthy hair and nails. The effectiveness of biotin against hair loss is controversial.
The right haircut or other hairstyle can hide bald spots or thinning hair. Get advice from your hairdresser!
Hair replacement can also hide the affected areas. Today there are wigs and toupees made of real and synthetic hair in all shapes and colors that can be temporarily or permanently attached. You can even go swimming with some hair replacements. In any case, get professional advice in a specialized hair studio! Also ask your health insurance company whether they will contribute to the cost of hair replacement in the event of hair loss.
Hair loss Causes
The different forms of hair loss have different causes.
Hereditary hair loss
Hereditary hair loss (androgenetic alopecia) is by far the most common form of hair loss and affects men in particular : the hair roots of those affected have a genetic hypersensitivity to male sex hormones (androgens), especially to dihydrosterone (DHT). This is the more effective variant of testosterone. In the affected men, the growth phase (anagen phase) of the hair becomes shorter and the follicles shrink more and more. After all, they only produce short, thin, barely visible wool hair (vellus hair). These can persist or ultimately fail without new hair being reproduced.
In women hereditary hair loss occurs much less frequently. Occasionally there is a disease with disturbed estrogen production or increased testosterone production, such as polycystic ovarian syndrome ( PCO syndrome ). However, testosterone levels are normal in most affected women. Rather, the cause is believed to be a reduced activity of the aromatase enzyme in combination with a genetically determined sensitivity of some (not all) hair roots to androgens:
The enzyme aromatase converts the male sex hormones (androgens) into female sex hormones (estrogens) on the female hair follicles. This enzyme activity is reduced in women with hereditary hair loss. The result: the concentration of androgens increases on the sensitive hair follicles. At the same time, fewer estrogens are formed on site, which are said to have a beneficial effect on hair growth.
Circular hair loss
The exact causes of circular hair loss (alopecia areata) have not yet been clarified. However, there are a few factors suspected of contributing to the development of this form of alopecia:
An autoimmune reaction is mostly blamed: due to a disorder, the immune system attacks the hair roots, causing the hair to fall out. This assumption is supported by the fact that people with circular hair loss sometimes also suffer from autoimmune diseases such as psoriasis.
Genetic predisposition and psychological factors can also promote the development of alopecia areata, experts believe.
You can read more about this in the article Circular Hair Loss.
Diffuse hair loss
Diffuse alopecia damages the hair roots. This leads to a more or less even hair loss occurring all over the head, which increasingly thins the hair and shines through the scalp. The causes can be varied. The most common ones are:
- certain medications, for example cytostatics as part of cancer chemotherapy , anti-thyroid drugs (thyroid drugs), anticoagulants (anticoagulants), anti-lipid drugs (lipid-lowering agents) or the pill (ovulation inhibitors)
- Infectious diseases such as typhoid , tuberculosis , syphilis , scarlet fever , severe flu
- Metabolic diseases such as hyperthyroidism and hypothyroidism
- Heavy metal poisoning (e.g. with arsenic or thallium)
- Long-term malnutrition, for example through crash diets or fasting cures or as a result of an impaired food utilization
- Radiotherapy for cancer in the head region
Diffuse hair loss in women can also be linked to hormone changes after childbirth, so that hair falls out about two to three months after childbirth. However, this usually resolves itself after two to four months.
Men in particular complain of a receding hairline in the upper temple area. For some, receding hairline corners develop as young adults. They are often the first sign of hereditary alopecia. On the other hand, receding hairline corners develop very rarely in women with this form of hair loss.
The growing baldness in the upper temple area is usually “only” an aesthetic problem. In very rare cases, receding hairline can also indicate an increased risk of certain diseases. These include prostate cancer and heart disease.
You can read more about receding hairline and health risks that may be associated with them in the article receding hairline.
Rounded, completely bald spots on the scalp with no signs of skin changes (such as inflammation or scarring) indicate circular hair loss. This is also supported by so-called exclamation mark hair (comma hair), which can often be found in the marginal area of the bald areas: These are short, broken hairs that can be pulled out painlessly and have a pointed root instead of a normal round one. In addition, people with circular hair loss often show changes in fingernails (grooves, dimples).
The circular, bald areas sometimes form on other hairy parts of the body, such as in the beard, armpit or pubic hair. Occasionally, those affected completely lose all body hair, which is referred to as alopecia areata universalis. Such extreme hair loss is rare. It also happens only occasionally that the eyelashes fall out of the patients.
Other causes of hair loss
In addition to the three main forms of hair loss, there are other causes for sparse hair growth or increased hair loss. This includes:
- persistent pull on the hair roots, for example by wearing a tight braid or ponytail frequently (this is called traction alopecia and mainly affects the forehead and temples)
- Scars or tissue shrinkage (atrophy) in the head area, e.g. as a result of infections caused by fungi or bacteria, lupus erythematosus, nodular lichen (lichen planus), psoriasis, scleroderma ( scarring alopecia )
- compulsive tearing or plucking of the hair ( trichotillomancy ), often in neurotic children
- Gene defect that causes no or only sparse hair to grow ( congenital alopecia )
Hair loss in women
If women suffer from thinning hair or even bald spots on the head, this can have a variety of causes. The most common cause of hair loss in men – hereditary alopecia – is much less common in women, but it is possible. It can usually be recognized by a thinning of the hair in the crown area.
Round, bare patches indicate circular rounds of hard loss. General hair loss (diffuse alopecia) is widespread in women. It can occur, for example, in the context of hormone changes (e.g. after birth or in the menopause), but also have other explanations.
A summary of the possible causes of hair loss in women and the treatment options can be found in the article Hair loss in women.
Hair loss: Examinations and diagnosis
If you suffer from hair loss, the first thing you should do is see your family doctor. Sometimes he can already determine the cause, such as an iron deficiency based on a blood test. If necessary, he can refer you to a specialist. This can be, for example, a dermatologist (for example if a skin disease is suspected) or an endocrinologist (if a hormonal cause is suspected).
Collection of medical history
The first step in clarifying hair loss is the anamnesis interview, i.e. the doctor-patient interview to collect the medical history. The doctor asks, for example, when the hair loss began, whether you suspect a certain trigger, which medications you are using and whether you have any underlying diseases.
Then there is a physical exam. The hereditary hair loss for example, can often on the pattern of thinning or balding clearly diagnose: receding hairline, a bald spot on the back of the head (tonsure) and a receding hairline are also leading the way.
A blood test is particularly revealing in the case of diffuse hair loss. Among other things, the iron values, the thyroid values and the inflammation values (such as the number of leukocytes , blood cell lowering rate) are determined. The results provide indications of possible causes of hair loss such as iron deficiency, hyperthyroidism or inflammatory diseases.
In younger women with inherited hair loss, it is recommended to determine the blood levels of androgens and estrogens. This is particularly necessary if the women also show signs of an increased level of androgens, such as cycle irregularities and male hair type (hirsutism).
An epilation test can be used to confirm a suspected hair loss: the doctor grabs a small tuft of hair and pulls on it. If hair can be pulled out in several places on the scalp, there is probably an increased hair loss.
The trichogram is a microscopic examination procedure with which pathological processes on the hair roots and hair shaft can be identified. Hair goes through different phases in the course of its life ( hair cycle ):
- Growth or anagen phase: The phase of active hair growth usually lasts four to six years, sometimes up to ten.
- Transitional or catagen phase: It lasts one to two weeks, during which the hair follicle is functionally removed and the hair is shifted towards the scalp surface.
- Rest or telogen phase: It lasts three to four months in which there is no metabolism – the hair “rests”. In the end, it gets rejected (it fails).
The trichogram can be used to estimate the proportion of hair in each stage. This helps to clarify hair loss.
To create the trichogram, a suitable scalp area is exposed using a hair clip. Then a dense row of about 20 to 50 hairs is gripped with an artery clamp just above the scalp and pulled out with a short, strong jerk in the direction of growth. The hair roots are examined under the microscope to determine the stage of the hair cycle at the moment.
With a normal trichogram, more than 80 percent of the pulled hair is in the growth stage (anagen phase) and less than 20 percent in the rejection stage (telogen phase). Only a few hairs (one to three percent) show the transition stage (catagen phase) and are therefore usually difficult to see under the microscope.
Increased hair loss occurs when the proportion of anagen hair is less than 80 percent and the proportion of telogen hair is correspondingly more. A telogen percentage of up to 50 percent indicates pronounced hair loss. When evaluating a trichogram, however, the anamnesis interview and the results of the physical examination must always be taken into account.
By the way: plucking the hair is essential for this examination. Some patients bring hair (that has fallen out already) with them, hoping to avoid plucking. But they are worthless for the trichogram, because they are clearly all in the rejection phase / telogen phase).
Computer aided hair analysis
In the meantime, a trichogram can also be created using a digital camera and special computer software. No hair has to be pulled out of the patient for this. Instead, a small area of the scalp is shaved in an invisible area. Three days later, the area and the re-growing hair are dyed with a hair dye and the whole thing is photographed in high magnification. The result provides the doctor with information on the hair density and the activity of the hair follicles.
Sometimes a small hairy scalp sample (including the hair follicle) has to be cut out and examined more closely. This may be necessary in the case of scarring alopecia or in the case of unexplained diffuse hair loss. Tissue removal should be carefully considered: it is painful, leaves a scar and hair no longer grows in the affected area.
If the doctor suspects a certain underlying disease as the cause of the hair loss, further examinations may be necessary. For example, an ultrasound examination or scintigraphy of the thyroid gland is often carried out to clarify an overactive thyroid .
Hair loss: Forecast
The prognosis for hereditary hair loss is very different. In general, the earlier hair loss begins in life, the worse the prognosis.
The course of circular hair loss cannot be predicted. In many cases there is spontaneous healing – the fallen hair grows back, so that the bald spots disappear again. However, relapses are possible, so that the hair falls out again.
In other patients, spontaneous healing does not occur and the bald spots remain permanently. Many sufferers then resort to a wig. Under certain circumstances, the health insurance company participates in the purchase of this hair piece. It’s worth asking!
The diffuse hair loss is often temporary: If the cause (such as iron deficiency, chemotherapy, poisoning etc.) is eliminated, the hair grows back. Hair loss after a serious infection or after giving birth also subsides on its own. Therapy is generally not necessary here.
With scarred alopecia, hair loss is irreversible: the hair that has fallen out cannot grow back because the hair follicles are damaged.
A mechanical hair loss usually normalizes again if you avoid the damaging strain on the hair roots (for example by tying a ponytail or braid tight).
Incidentally, the best way to prevent hair loss that is mechanical or caused by malnutrition is to wear your hair often loosely tied or open and provide your body regularly with all important nutrients and minerals (protein, zinc, iron, B vitamins etc.)!
When hair loss has begun to plague you, know that there are treatments available to help you. From hair systems to hair loss products, there are options so you do not necessarily have to be bald. Many of them are relatively simple, and not overly expensive, so you may want to research the options.
Hair loss is extremely common in people being treated with chemotherapy drugs. While there are many products available such as wigs and head wraps to disguise this temporary baldness, giving your immune system a boost with a healthy diet and plenty of vitamins can slow down or even prevent hair loss.
If you have tried everything, you can help regrow hair from hair loss, you may want to consider hair transplant surgery. There are a variety of different surgery options, and all of them are non-invasive. The most common is a microscopic follicular unit transplant, in which a doctor transplants follicular units to the bald area.
Be sure to get the correct diagnosis for your hair loss and attempt organic means of treatment before resorting to prescription drugs or surgery. If your baldness can be addressed with dietary changes, a change of hair care treatments, exercise or other lifestyle change, there is no need to subject yourself to surgery or drugs!
Now that you’ve read this, you can see that getting your hair back doesn’t have to be a difficult thing. If you can apply the above tips, you can begin to grow that hair or stop more hair from falling out. So here’s to your hair-growth success!