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 😊
I am using Castro oil every day all over my body as well because of shingles. I use essential oils on my hair and scalp mix with olive oil. It has been making my hair come back.
I lost A LOT of hair on top, in front, when I was pregnant with my son 25 years ago & it has never grown back. I've lived with this embarrassment this whole time. I need help!!!
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.
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
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!
Check for virus/ bacteria infections. I tried most if not all his recommendations and anti viruses/parasite cleanse alone with probiotics and enzymes and a good multivitamin and minerals helps a lot.
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/). ❤️
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!
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!
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/)!
@@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 !
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.
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!
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?
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/! 💇♀️✨
@@WilliamGaunitzTrichologist wow , thank you the first and best breakdown I’ve ever seen. I had to visit a Trichologist / dermatologist and none of these tests were suggested. Injections of Deer serum , PRP nothing ,then suggested Exosomes which I refused , I can tell you none of these were cheap. I’m so happy you said blood type , I’ve started eating and taking supplements around this , however I’m not totally committed it’s time to be so. Also lots of the foods that were considered poison for me , I was eating in large quantise on a daily basis. ☹️. I’ve only just found your videos today , let me tell you I “ don’t know you but I love your generosity”. 💐💐💐
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.
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
@@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
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 .
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.
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.
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?
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! 😊
@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.
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
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!
@@WilliamGaunitzTrichologistThanks for the detailed response 😀. I highly appreciate you content, really helped me to understand the hair loss from end to end.
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.
@@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. ✌️
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?
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!
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
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.
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!
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?"
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.
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/)!
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
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!
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
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.
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!
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 ?
I was told i have scalp psoriasis, but my scalp has been breaking out, i tried using the micella rosemary oil and it made my hair come out worst, although my hair is growing back but the shedding is outrageous and i was doing good until i started using that, im trying the batana oil, i just want to cry because i have the expensive hair oil and that prescription shampoo. My blood type is Rh negative what can i do
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.
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/.
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 .
Hello Doctor. Excuse me, I’m about to be assigned to a hair transplant surgery day, maybe on January. Before going for surgery, it scares me a little bit and at the same time saddens me not to try to regrow or strengthen my actual hair, therefore, I’m actually researching through your channel. Should I wait before going for a hair transplant ? Should I try all these methods to push my biology to its limit? Is there any time for hair transplant or would you just not recommend it? Thank you.
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".
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.
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🙏
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!
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…
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!
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.
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?
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. 💪
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 🙏🏻…
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!
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!
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?
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 ruclips.net/user/shortsSGuPWJWgIT8?si=JIoL1kdz4R9Yp5Ys MJ - William’s Assistant Trichologist
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?
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...
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.
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.
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 😫
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.
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?
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
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!
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/)!
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.
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
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?? :(
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! 🙏
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
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
@@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?
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.🙏
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 ?
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
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🙏🏽
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).
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.
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.
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.
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?!
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!
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
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!
@@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 !
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
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.
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?
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!
@@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 !
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.
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/.
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.
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😢
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!
@@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?
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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 😊
I am using Castro oil every day all over my body as well because of shingles. I use essential oils on my hair and scalp mix with olive oil. It has been making my hair come back.
Thank you for the simple explanation...makes hair regrowth seem easier.
I lost A LOT of hair on top, in front, when I was pregnant with my son 25 years ago & it has never grown back. I've lived with this embarrassment this whole time. I need help!!!
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.
Most satisfying and knowledge video i seen on hair issue ❤❤❤❤❤❤❤
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
I love this doctor
Please more on Female AGA, what to do when nutrition, hormons, thyroid and all blood test are good. What to check more?
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!
Check for virus/ bacteria infections. I tried most if not all his recommendations and anti viruses/parasite cleanse alone with probiotics and enzymes and a good multivitamin and minerals helps a lot.
Thank you so much doc for this information I've been so stressful for my hair losse now I'm relaxed ❤️
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/). ❤️
Good video, doc. Please could you make a video on how to sort scalp inflammation? thanks
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!
@WilliamGaunitzTrichologist thanks doc appreciate it 👍
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!
Great video!
8:15 | I get that blood tests are crucial for understanding hairloss. But what about scalp dermoscopy?
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/)!
@@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 !
I have a question, I heard topical melatonin helps with hair loss immensely, do oral melatonin equally helpful for hair concerns?
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.
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!
@@WilliamGaunitzTrichologistI’ve never heard this before so thank you! Is it the same liquid melatonin used for sleep?
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?
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/! 💇♀️✨
@@WilliamGaunitzTrichologist wow , thank you the first and best breakdown I’ve ever seen. I had to visit a Trichologist / dermatologist and none of these tests were suggested.
Injections of Deer serum , PRP nothing ,then suggested Exosomes which I refused , I can tell you none of these were cheap.
I’m so happy you said blood type , I’ve started eating and taking supplements around this , however I’m not totally committed it’s time to be so. Also lots of the foods that were considered poison for me , I was eating in large quantise on a daily basis. ☹️.
I’ve only just found your videos today , let me tell you I “ don’t know you but I love your generosity”. 💐💐💐
Thank you so much DR for your good information South Africa 🇿🇦
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.
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
Try once rosemary essential oil..mix with carrier oil and apply..leave it overnight
@@faizspitsfaxx thank you bro
@@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
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 .
100,000 or 10,000 IU?
@ one hundred thousand per week , 50k capsules twice a week.
@@ceilingokay3250 wow , which brand is that?
Is the sauna good?
Blood flow and use shampoo without heavy chemicals and if you live in California the water kills your hair.
Doctor could you explain the effect of each ingredient in the natural DHT blocker as well as the daily dosage recommended for each? thanks!
Thank you for this video. Could you share information about dread shed or accelerated loss when starting hair loss treatment.
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.
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.
Can switch to oral finasteride in to tropical after getting result any shedding problem or losing hair?
How to manage scalp folliculitis
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?
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! 😊
@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.
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
Why you are soo gopd doctor?? ❤❤
Can hard water in the shower be a contributing factor for hair loss?
Hi Dr, is it advisable to jump into exosomes treatment at the early stage of hair loss?
What should eat for O+ blood group
Can weight training cause DHT hair loss? If yes can we avoid it, while still building muscles. Thank you Doctor 😊
Ver curious on this ???
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!
@@WilliamGaunitzTrichologistThanks for the detailed response 😀. I highly appreciate you content, really helped me to understand the hair loss from end to end.
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.
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?
Great question!!
Sounds like internal inflammation.
Are you overly stressed? Insomnia?
I have the same issues.
@@Ax.DaEdge actually yes! I was at the time going through a rough period of my life.
@@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.
✌️
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?
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!
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
How to control ibs related hair loss please help😢😢😢😢 i have scalp inflammation
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.
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!
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?"
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.
Coconut is a good thing for shy
I love Pacificas coconut peptide conditioner and leave in conditioner
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/)!
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
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!
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
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.
@ Thank you!
Hello,doctor,i am O negative blood type.Am i allowed to eat chickpeans,avocado and oats?
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.
Awesome
Using topical minoxdile for minor thinning is it recommended ? Or just use oil
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!
Why some food eating causes hairloss & inflammation on scalp?
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
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 ?
I was told i have scalp psoriasis, but my scalp has been breaking out, i tried using the micella rosemary oil and it made my hair come out worst, although my hair is growing back but the shedding is outrageous and i was doing good until i started using that, im trying the batana oil, i just want to cry because i have the expensive hair oil and that prescription shampoo. My blood type is Rh negative what can i do
But what if your sensitive to all foods exept for 2 avocado and cumcummer how can you heal your gut then doctor?
I cant thank you enough may allah reward you doctor convert to islam
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.
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/.
I think your vitamin d is pretty good bcz mine is 8.20
Sir make a video on stress related hair loss and how to prevent it.
I was able to reduce elevated cortisol (stress hormone) with 1 teaspoon of ashwagandha a day
Ashwagandha increase a testosterone levels@@ananovak1275
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 .
Hello Doctor. Excuse me, I’m about to be assigned to a hair transplant surgery day, maybe on January. Before going for surgery, it scares me a little bit and at the same time saddens me not to try to regrow or strengthen my actual hair, therefore, I’m actually researching through your channel. Should I wait before going for a hair transplant ? Should I try all these methods to push my biology to its limit? Is there any time for hair transplant or would you just not recommend it? Thank you.
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".
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.
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🙏
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!
what happens when you have a blood type of AB positive like me?
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…
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!
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.
Vitamin d and ketokonazol shampo
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?
Same..my hair keeps growing back but thickness has reduced a lot😢
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. 💪
@@WilliamGaunitzTrichologist I believe this answer was meant for someone else 🙈
Doctor, minoxidil causes forehead wrinkles
It does not
@@WilliamGaunitzTrichologist but I found wrinkles on my forehead
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 🙏🏻…
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!
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!
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?
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 ruclips.net/user/shortsSGuPWJWgIT8?si=JIoL1kdz4R9Yp5Ys
MJ - William’s Assistant Trichologist
@WilliamGaunitzTrichologist thank you, will do as mentioned
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?
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...
Hi Dr. William,
Is the HairMax Ultima 12 Laser Comb good for hair loss?
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.
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.
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 😫
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.
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?
“William Gaunitz”. When did David Spade become a trichologist?
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
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!
Thank you so much Doctor, would be glad to take your personalized guidance but I am from India. Love your work.
dude just curious..how many months did u take the vit d supllement
Do I need to stop taking supplements (viviscal) before getting bloodwork done? And if so how long before the bloodwork?
Anything with Biotin stay off it 72 hours before blood work.
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/)!
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.
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 Thank you very much for the very detailed response!
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?? :(
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! 🙏
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
😊➡️ If you have more questions, feel free to reach out at www.advancedtrichology.com/.
Can women use saw palmetto??become its shows like for men
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
What should i do if i have scalp psoriasis?
@@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?
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.🙏
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 ?
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
➡️ If you need more tailored advice or products to support regrowth, feel free to visit www.advancedtrichology.com/.
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🙏🏽
@@WilliamGaunitzTrichologisttnx doc u are doing great job ❤️🙏🏽 and also one more thing can I contact u sometimes from somewhere?
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).
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.
@@WilliamGaunitzTrichologist I have ferritin level 32. How to bring it to optimised level ?
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.
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.
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?!
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!
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
Sir i have seboric skin prblm what should I do 😢
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!
@@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 !
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
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.
@@WilliamGaunitzTrichologist thank you so much. I didnt expect this much detailed ans at all
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?
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!
@@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 !
🔥🔥
🤗WHERE ARE YOU🎉 LOCATED PLEASE 🎉🎉.
NEED HELP NOW 😫
➡️ reach out at www.advancedtrichology.com/ for personalized guidance. 😊
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.
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/.
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?
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.
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😢
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!
@WilliamGaunitzTrichologist Thanks doc,Should i continue minoxidil and finasteride?
@@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?
R u using wig
NO!