hair loss

Hair Loss and Diabetes

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Hair loss is a common condition affecting millions of people each year. Hair loss occurs for a variety reasons. Diabetes is one of them.

One of the lesser-known effects of fluctuating blood sugar levels is losing hair all over the body. Understanding and acknowledging the relationship between diabetes and hair can help you handle the issue effectively. This article will explore the connections between hair loss and diabetes.

When Should You Worry About Hair Loss?

According to the American Academy of Dermatology (AAD), adults lose about 50 to 100 strands of hair a day, which is to be expected. AAD calls this hair shedding, which is different from hair loss. 

Hair loss occurs when there is excessive hair shedding. Here are some signs that may tell you that you could be losing hair. 

  • Visibly receding hairline
  • The appearance of bald patches
  • Widening center or side partitions
  • Unusually increased hair fall
  • Hair falling out in clumps
  • A noticeable reduction in hair thickness or density

While hair loss is a natural part of aging (for both men and women), you’ll probably know when your hair loss has accelerated to an unexpected level.

How Diabetes Causes Hair Loss

Diabetes mellitus can affect every part of the body, including the hair follicles. The relationship between diabetes and hair loss is complex and multifaceted.

Unfortunately, there’s not much data on the prevalence of diabetes-related hair loss. One academic survey suggests that African American women with diabetes could have a 68 percent increased risk of severe hair loss in the central scalp area, though these results were based only on self-reported responses to an online questionnaire.  

Here are different ways in which this chronic condition affects hair.  

Poor blood circulation 

The hair follicles need oxygen-rich blood flow to grow. Chronic hyperglycemia (high blood sugar levels) will damage blood vessels, including those carrying blood to the hair follicles. This, in turn, will disrupt hair regrowth and lead to shedding. A 2016 article suggests that uncontrolled diabetes leads to diffuse hair loss, characterized by hair thinning and low hair density. 

In fact, your blood sugar concentrations affect hair so directly that your hair preserves evidence of your recent blood glucose history. Some researchers have even proposed using chemical analysis of hair to improve upon a traditional A1C measurement.

Diabetes-induced vascular damage can make you lose hair in other parts of the body, like in the legs or the arms. Losing hair in the extremities could be a definite sign of high blood sugar levels, which should be addressed immediately.

The diabetes -autoimmune relationship

People with type 1 diabetes frequently experience additional autoimmune conditions. One interest here is alopecia areata (AA). According to Everyday Health, AA is a condition where the body’s immune system attacks the hair follicles, leading to hair loss. 

A 2013 study analyzed the prevalence of AA in 3,568 individuals between 2000 and 2011. According to this study, 11.1 percent of individuals with AA also had type 1 diabetes. If you have type 1 diabetes and experience an itchy, tingly scalp with hair falling out in clumps, talk to your healthcare provider so they can test you for this autoimmune condition.  

Use of certain diabetic medications

Certain diabetic medications may encourage excess hair loss. In particular, dipeptidyl peptidase 4 (DPP-4) inhibitors have been associated with hair loss and alopecia in case reports. 

Semaglutide (Ozempic), the diabetes drug the world’s raving about, reportedly causes hair loss. Ozempic controls type 2 diabetes by increasing insulin secretion, reducing appetite, and promoting weight loss. While semaglutide doesn’t directly affect the hair follicles, the dramatic weight loss can cause hair loss due to a condition named telogen effluvium. The metabolic stress of rapid weight loss leads to thinning hair, but thankfully, Ozempic-induced hair loss appears to be temporary.

Other medications commonly taken by people with diabetes are also associated with hair loss, including medications for hypertension, high cholesterol, gout, and depression.

Interestingly, some studies say that metformin, one of the most commonly used medications for treating type 2 diabetes, may actually be beneficial in promoting hair follicle regeneration and helping individuals with male or female pattern hair loss. 

The diabetes -thyroid relationship 

Did you know that there is a relationship between diabetes, thyroid dysfunction, and hair loss? People with diabetes, particularly type 1 diabetes, have a higher risk of developing both hyperthyroidism and hypothyroidism. 

These thyroid conditions are strongly associated with hair loss. According to a 2023 study, 33 percent of people with hypothyroidism and 50 percent of people with hyperthyroidism may experience excessive hair shedding.

Diabetes-induced iron deficiency 

There is a positive correlation between higher A1C levels and iron deficiency. Iron deficiency, on the other hand, directly contributes to both androgenetic alopecia (pattern baldness) and telogen effluvium (excessive hair shedding due to stress).

Polycystic ovarian syndrome (PCOS)

PCOS may affect as many as 10 percent of women during their reproductive years. It shares a common cause with type 2 diabetes — insulin resistance — and the two conditions often coexist.

Polycystic ovarian syndrome is generally characterized by an excess of androgen, a family of sex hormones associated with masculinity, including testosterone. When women secrete too much testosterone, hair thinning is a common side effect, along with facial hair growth, weight gain, and irregular periods. There is no cure for PCOS, but doctors can use many medications to help manage its diverse symptoms, including hair loss.

Mental health challenges

We all agree that managing a chronic condition like diabetes can get challenging. People with diabetes have a higher risk of developing diagnosable mental health issues like depression and anxiety, or of experiencing diabetic distress.

These mental health conditions can affect the body in different ways, including increasing your stress hormone called cortisol. Higher levels of cortisol reduce the levels of certain proteins needed for the hair follicles to function well, causing hair loss. Some studies suggest that stress can also extend the hair resting phase, reducing regrowth. 

Tips to Manage Diabetic Hair Loss

Managing blood sugar levels

If high blood sugars are causing alopecia, stabilizing it as quickly as possible with drugs, diet, and lifestyle changes may help curb and hopefully reverse the condition. 

Early screening for hair loss

If you have type 1 or type 2 diabetes, speaking to a doctor can help you understand what’s your ‘normal’ hair loss. If you think you are suddenly losing a lot of hair, spotting bald patches, or finding an unexplained reduction in hair density, early screening will help identify the root cause and get preventive measures in place.

Medications

There are many medications approved to treat hair loss.

Minoxidil is an FDA-approved topical medication that may help in hair regrowth. Minoxidil also comes in a pill — in this form, it is only approved as a therapy for hypertension, but some doctors prescribe it off-label to help with hair loss.

Corticosteroids (oral, injectibles, and topical) are commonly used in treating AA. However, there is a risk of steroids causing or worsening hyperglycemia, which may make them less appropriate for people with diabetes.

Other medications that may be used to treat hair loss include:

  • Birth control pills that contain estrogen can help address androgenetic alopecia.
  • Spironolactone (topical and oral applications) to treat both male and female androgenic alopecia.
  • Finasteride (5-alpha reductase inhibitor for male pattern baldness).
  • Dutasteride (for male hair loss)

Dietary supplements

There is a strong connection between diabetes and nutritional deficiencies, which studies may cause changes in hair structure and affect hair regrowth.  

Metformin can cause vitamin B12 deficiency, which can lead to hair loss. Low vitamin D levels, which are common in people with types 1 and 2 diabetes, may also contribute to hair loss. It is possible that dietary supplements could help address these deficiencies.

Aesthetic solutions 

A more direct approach is to adapt your look to hide hair loss. Everyday Health recommends experimenting with coverings, including wigs, scarves, and hats, or using other cosmetics to camouflage hair loss. A new haircut or hairstyle could help, as well as clip-in extensions and wiglets.

Platelet-rich plasma (PRP) is a treatment in which your own blood is collected, refined, and injected directly into the skin along the scalp. This refined blood is especially rich in platelets, which secrete growth factors that can act directly on hair follicles, stimulating hair growth. PRP is used specifically to treat androgenetic alopecia.

Finally, hair transplant surgery is always a solution to permanent balding or excessive hair shedding. 

Takeaways

Diabetes is one of many factors that can contribute to excessive hair shedding. There are no easy answers, but optimal blood sugar control, good nutrition, and stress reduction can all help curb hair loss and may even promote new hair regrowth. While you concentrate on getting your diabetes management under control, a doctor can also recommend medications that may help your scalp, and there are many aesthetic solutions available, from wigs to hair transplant surgery.

What Does Hair Loss Signal About Your Health? Treatment and Prevention Strategies

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Discover the reasons behind premature graying and methods for its treatment and prevention.

What Does Hair Loss Signal About Your Health? Treatment and Prevention Strategies

Everyone wishes for lustrous and healthy hair. However, many people have experienced the sudden onset or exacerbation of graying hair symptoms during periods of high psychological stress, disrupted daily routines, physical weakness, or illness. This is a warning sign that the body might have underlying issues. In this article, we will delve into the reasons behind premature graying and methods for its treatment and prevention.

Understanding Hair Physiology and Anatomy

Each strand of hair grows from a hair follicle, and the dermal papilla and hair matrix form the hair bulb at the follicle’s base. The dermal papilla regulates the number of matrix cells, determining the length of the hair; it also contains capillaries to supply nutrients to the hair. The hair matrix contains melanocytes responsible for hair pigmentation. In the middle part of the follicle, sebaceous glands secrete oils to nourish both the hair and scalp.

When the blood supply from the capillaries at the base of the hair follicle is inadequate or when the sebaceous glands secrete excessively, it can lead to blocked pores and inflammation. This, in turn, causes the hair bulb to shrink, resulting in hair loss. On the other hand, insufficient melanocytes in the hair matrix can lead to the development of gray hair.

8 Major Causes of Hair Loss

The leading causes of hair loss are often associated with factors such as genetics, stress, illness, hormones, nutrition, and dietary habits.

  1. Genetics: Primarily affecting males, male pattern baldness, or androgenetic alopecia, is a hereditary condition caused by male hormones and is the most common form of baldness. This type of hair loss typically starts around 20 to 30, shows a familial tendency, and progresses most rapidly around 30.
  2. Excessive stress and immune imbalance: Hair loss resulting from these factors often manifests as alopecia areata, also known as the “ghost shaved head” in traditional Chinese medicine (TCM). It also includes conditions such as seborrheic hair loss. Patients may observe a sudden patch of hair loss. This is characterized by non-inflammatory, nonscarring alopecia in round or oval shapes on the scalp, with clear boundaries and smooth skin in the affected area.
  3. Medication: Many medications can cause hair loss as a side effect. These include drugs used to treat conditions such as hypertension, diabetes, heart disease, and high cholesterol. Additionally, contraceptives, hormonal replacement therapy for both females and males, steroids, medications for adolescent acne, anti-thyroid drugs, anti-seizure medications, and chemotherapy drugs are also known to have this side effect.
  4. Hormonal changes: Women may experience significant hair loss during periods of hormonal fluctuations, such as postpartum and menopause. Generally, the situation improves once hormonal levels stabilize.
  5. Hypothyroidism: The thyroid releases various hormones to regulate the body’s metabolism, and an underactive thyroid may lead to hair loss.
  6. Iron deficiency anemia: Anemia can cause insufficient microvascular blood supply to the hair, leading to diffuse hair loss.
  7. Deficiency in essential nutrients: Apart from iron deficiency, inadequate intake of essential nutrients such as protein or vitamins C and B group and the mineral zinc can also lead to hair loss.
  8. Unhealthy dietary habits: Excessive consumption of fried, spicy, or charred foods can contribute to hair loss. The primary reason is that such foods tend to induce chronic inflammation in the body, leading to abnormal secretion of sebaceous glands. This, in turn, results in excessive scalp oiliness, clogging pores and causing hair loss.

Additionally, a fungus called Malassezia coexists with the human body on the scalp and thrives by consuming sebum. When there is an excess secretion of sebum, Malassezia rapidly multiplies, leading to inflammation in hair follicles and, consequently, hair loss.

A study published in Nature in 2021 found that when fed a high-fat diet, mice developed sparse fur due to inflammation of hair follicle stem cells.

Treatment for Alopecia Areata

In the ancient medical text “Golden Mirror of Medicine,” alopecia areata is described as follows: “This condition presents with dry and scorched hair, patchy hair loss, bright red and shiny skin, accompanied by itching resembling insect movement, commonly known as ghost shaved head. It is caused by the dilation of hair follicles, allowing pathogenic wind to invade the body. This leads to an excess of wind and blood dryness, preventing the nourishment of hair. It is recommended to take Shen Ying Yang Zhen Dan to address the root cause while using Hai Ai Tang externally to alleviate the symptoms.”

1. Shen Ying Yang Zhen Dan

Ingredients: Angelica sinensis, white peony root, Chuanxiong rhizoma, prepared Rehmannia root (steamed with wine, then mashed into a paste), Notopterygium incisum, and Gastrodiae Rhizoma. In ancient medical texts, there is also mention of adding papaya and dodder seed, each in equal parts, grounding them into powder, and forming honey pills about the size of a pea.

Formula analysis: This formula is derived from the “Treatise on the Three Categories of Pathogenic Factors and Prescriptions (San Yin Ji Yi Bing Zheng Fang Lun).” Angelica sinensis, Chuanxiong rhizome, white peony root, and prepared Rehmannia root work to nourish the blood and activate blood circulation. Prepared Rehmannia root, papaya, and dodder seed nourish the liver and kidneys. Gastrodiae Rhizoma and Notopterygium incisum, being acrid and warm, dispel wind, remove collateral obstruction, and guide the medicinal properties upward to the crown of the head.

Method: Take 0.35 ounce (10 grams) each time, twice a day. Administer after meals with warm wine or a salty soup.

2. 7-Star Needling Technique

The seven-star needle, also known as the plum-blossom needle, is used to tap on the affected area of the scalp. This technique can activate local qi and blood circulation, stimulate metabolism, and accelerate hair growth. It is particularly effective for issues such as receding hairlines and alopecia areata.

Method: Sterilize the seven-star needle with alcohol, then gently tap the area of hair loss on the scalp until it becomes slightly flushed and warm. Follow by applying some safflower oil. It is crucial to avoid excessive force during tapping to prevent skin injury. If bleeding occurs, apply sesame oil or topical skin medication

A study revealed that patients with seborrheic alopecia, after applying a TCM solution to the affected area and gently tapping with the seven-star needle, in combination with oral Chinese medicine, exhibited significant improvement in hair loss and promotion of hair growth, with an effectiveness rate reaching 95 percent.

Treatment for Diffused Hair Loss

The main causes of diffused hair loss include insufficient qi and blood, liver and kidney essence, blood deficiency, and local blood stasis. The treatment approach involves nourishing qi and blood, tonifying liver and kidney essence and blood, promoting blood circulation, and removing stasis. Formulas such as Shiquan Dabu Tang, Renshen Yangrong Tang, Qibao Meiran Dan, and Tongqiao Huoxue Tang can be employed for therapy.

Diet Therapy for Hair Loss

To ensure the activation and strength of our hair, it is essential to provide it with an adequate supply of nutrients, particularly the following five essential nutrients:

  1. Iron: Animal sources include pig’s blood, duck blood, meat, and seafood. Plant sources include red amaranth, Okinawan spinach, seaweed, legumes (such as soybeans, red beans, and green beans), red dates, black dates, raisins, and nuts and seeds (such as sesame seeds and cashews). The absorption and utilization of iron from animal sources are generally superior to those from plant sources in the human body.
  2. Protein: dairy products, eggs, seafood, meat, legumes, and whole grains.
  3. Vitamin B: foods rich in vitamins B6, B9, and B12. Animal-based foods include tuna, salmon, pork liver, beef liver, beef, chicken breast, clams, and milk. Plant-based foods include white rice, potatoes, spinach, asparagus, cauliflower, avocado, and banana.
  4. Vitamin C: kiwi, citrus fruits, guava, papaya, strawberries, and tomatoes.
  5. Zinc: oysters, mussels, clams, lobster, crab, pork, beef, lamb, egg yolk, milk, cheese, nuts (cashews, almonds, and pumpkin seeds).

Simple and Effective Hair Care Techniques

1. Massaging the Scalp With Infused Alcohol

The primary method for treating hair loss is to enhance the circulation of qi and blood in the scalp, thereby stimulating the regeneration of hair follicles. One technique involves soaking approximately 1 ounce (30 grams) of ginger peel and 2 ounces (60 grams) of Rhizoma Drynariae in alcohol for 10 days. The infused alcohol is then applied to the affected area three times a day.

2. Combing the Hair With 10 Fingers

The simplest and most convenient method for treating and preventing hair loss is “frequent hair combing.” In ancient times, hair combing was highly emphasized in health preservation. Su Dongpo, a renowned poet from the Song Dynasty who experienced significant hair loss, received advice from a skilled physician to diligently comb his hair morning and night. Following the physician’s guidance to comb his hair over a hundred times before sleep and allowing his hair to scatter while lying down, Su Dongpo was able to cure his hair loss in a short period.

TCM considers the head the “convergence of all yang energies” and the “house of the original spirit,” where all the body’s meridians (energy pathways) eventually gather. According to TCM’s holographic theory, the head reflects the entire body. By stimulating specific scalp areas through acupuncture, corresponding internal organs can be treated. Therefore, scalp massage promotes blood circulation in the scalp and can address various ailments throughout the body.

Method: Use all 10 fingers to comb the hair, starting from the hairline and moving toward the roots. Begin with both hands moving from the center toward the back, then separate both hands and comb toward the sides. Repeat this process 100 times every morning, afternoon, and evening. Consistency is the key to yielding positive results with this practice.

Is Biotin as Good as Advertised for Your Hair Loss?

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There’s a difference between hair loss and hair growth when it comes to biotin’s benefits

woman checking thinning hair in mirror

If you find yourself browsing the hair care aisle or searching the internet for hair treatments, one thing that might pop up is biotin. This B vitamin has a reputation for helping your locks stay healthy, and it’s frequently recommended by dermatologists to help with hair loss.

But can biotin actually help your hair grow, too?

“We find biotin to be very helpful for hair disorders,” says dermatologist Wilma Bergfeld, MD. “It also makes nails thicker, and oral biotin is exceedingly safe.”

Does this mean it can also help your hair longer? Not quite. Biotin contains essential proteins that help with the development of your skin, nails and hair, but this doesn’t mean it’s a miracle product for your locks. Let’s brush up on what biotin can — and can’t — do for your hair.

Why does hair fall out?

If you’re dealing with hair loss, you’re likely wondering not only what you can do about it, but also why it’s happening in the first place. Hair loss has multiple causes, many of which are systemic. “If your hair is falling out at the roots, often something is going wrong in your body or in your life situation,” Dr. Bergfeld says.

Certain medical conditions are linked to hair loss. Among them are endocrine disorders, which include problems with your pituitary, parathyroid or adrenal glands, or your ovaries or testes. “For example, premenopausal women who bleed excessively may be losing iron, and anemia causes hair loss,” Dr. Bergfeld explains.

Anything that disrupts your gastrointestinal (GI) tract can also affect hair growth, she adds.

But one of the most common causes may surprise you: nutrition. “When we look at what our patients eat, we find they are often low in protein and essential vitamins,” Dr. Bergfeld notes. “Also, you need some carbohydrates to make hormones, and your brain needs fat.”

It’s important to understand what’s causing your hair loss, but this can take some detective work. Dr. Bergfeld says dermatologists start with a thorough physical exam. They consider not just your diet, but your exercise habits and family history as well. Then, they review your medications (because some can cause hair loss) and bloodwork.

Does biotin help increase hair growth?

Biotin is an essential vitamin that helps with the production of keratin (a protein that’s in charge of forming nails, skin and hair). Some research, including a 2016 study, has shown that a lack of biotin in your system can lead to hair loss.

In which case, you may be wondering if increasing your intake of biotin will lead to better hair growth. And any googling you may have done on the topic has likely brought up such claims. But first, it’s first important to know that there’s a difference between something that helps promote hair growth and something that helps prevent hair loss.

For now, there isn’t enough research to definitively state that biotin can help grow hair.

But biotin has been shown to help with preventing balding and hair loss.

In fact, biotin is primarily used for alopecia — a condition that causes hair loss in all sexes. “Biotin helps maintain hair growth and helps with inflammation,” Dr. Bergfeld says. “The hair follicle, the skin and the nails all benefit.”

In a small 2012 study, women with self-perceived thinning hair experienced improvement in their hair’s overall thickness and growth after taking a multivitamin that contained biotin. But as the multivitamin contained other ingredients, it’s hard to attribute it completely to biotin.

Without robust research, is biotin something you should try? The good news is that taking biotin in reasonable amounts won’t do any harm.

How much biotin should you take?

If you want to make sure you’re getting enough biotin, the daily recommended biotin intake is 30 micrograms (mcg) for adults, according to the National Institute of Health. If you’re pregnant, you need about 35 mcg a day.

If you’re experiencing alopecia, your doctor may recommend certain biotin supplements or a higher biotin-rich diet as a way to combat hair loss. They may recommend upping your dosage to 3 milligrams (or 3,000 mcg) a day.

What types of biotin are there?

There are a couple different ways to reap the benefits of biotin. Believe it or not, you may be already getting a decent dose without knowing it.

Here are some ways you can get biotin:

Biotin-rich foods

First, you may consider working some biotin-rich foods into your diet. This is the best way to get biotin into your system naturally. And you may already have some items in your pantry or fridge that fit the bill.

Biotin is present in many foods, including:

  • Beef liver (30.8 mcg).
  • Eggs (10 mcg).
  • Salmon (5 mcg).
  • Pork chop (3.8 mcg).
  • Sweet potatoes (2.4 mcg).
  • Almonds (1.5 mcg).
  • Broccoli (0.4 mcg).

Mega-B vitamins

If you have certain dietary restrictions or need an extra biotin boost, certain supplements may be used as alternatives.

For supplementation, many dermatologists favor a mega-B vitamin combination that includes:

  • 3 milligrams (mg) of biotin.
  • 30 mg of zinc.
  • 200 mg of vitamin C.
  • < 1 mg of folic acid.

“Occasionally, the mega B-vitamin combination gives some patients minor gastric trouble, but switching them to biotin alone relieves it,” Dr. Bergfeld notes.

And if you can’t find the mega B-vitamin combination, you can buy biotin, zinc and vitamin C separately.

Biotin shampoo

If your goal is for biotin to help your hair grow, you may consider adding a biotin shampoo into your wash routine. Sounds like an easy fix, right?

It’s true that many shampoo brands utilize biotin in their formulas as a way to combat hair loss. However, similar to the research around biotin supplements, the data to support hair growth from biotin-infused shampoo is limited. But there’s no harm really in giving this kind of shampoo a try if you want your hair to feel fuller — but don’t expect a magical regrowth of hair.

Possible side effects of biotin

Working more biotin into your system (whether through supplements or diet) is generally safe. But it’s important not to overdo it. In some rare cases, too much biotin from supplements can cause stomach issues, trouble sleeping and skin rashes.

Another concern surrounding biotin is that it may interfere with certain common lab tests done by your doctors. Best way to avoid this? Don’t take too much. Stick to the recommended amount and be sure to talk to your doctor before upping your dosage. And if you’re taking large amounts of biotin, be sure your healthcare provider knows before you do any lab tests.

While there’s still a lot of research needed on the effects of biotin on hair growth, as well as preventing hair loss, it has been shown to work for some. But it’s best to first make sure you’re eating a well-balanced diet of biotin-rich foods before considering too many supplements.

Smoking Associated With Increased Risk for Hair Loss Among Men

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Men who have smoked or currently smoke are significantly more likely to develop androgenetic alopecia (AGA) than men who have never smoked, according to a new study.

In addition, the odds of developing AGA are higher among those who smoke at least 10 cigarettes per day than among those who smoke less, the study authors found.

“Men who smoke are more likely to develop and experience progression of male pattern hair loss,” lead author Aditya Gupta, MD, PhD, professor of medicine at the University of Toronto, Toronto, and director of clinical research at Mediprobe Research Inc., London, Ontario, Canada, told this news organization.

“Our patients with male pattern baldness need to be educated about the negative effects of smoking, given that this condition can have a profound negative psychological impact on those who suffer from it,” he said.

The study was published online in the Journal of Cosmetic Dermatology.

Analyzing Smoking’s Effects

Smoking generally has been accepted as a risk factor for the development and progression of AGA or the most common form of hair loss. The research evidence on this association has been inconsistent, however, the authors wrote.

The investigators conducted a review and meta-analysis of eight observational studies to understand the links between smoking and AGA. Ever-smokers were defined as current and former smokers.

Overall, based on six studies, men who have ever smoked are 1.8 times more likely (P < .05) to develop AGA.

Based on two studies, men who smoke 10 or more cigarettes daily are about twice as likely (P < .05) to develop AGA than those who smoke up to 10 cigarettes per day.

Based on four studies, ever smoking is associated with 1.3 times higher odds of AGA progressing from mild (ie, Norwood-Hamilton stages I-III) to more severe (stages IV-VII) than among those who have never smoked.

Related Analysis Finds Risk of Alopecia Areata After COVID-19 Infection

Based on two studies, there’s no association between AGA progression and smoking intensity (as defined as smoking up to 20 cigarettes daily vs smoking 20 or more cigarettes per day).

“Though our pooled analysis found no significant association between smoking intensity and severity of male AGA, a positive correlation may exist and be detected through an analysis that is statistically better powered,” said Dr. Gupta.

The investigators noted the limitations of their analysis, such as its reliance on observational studies and its lack of data about nicotine levels, smoking intensity, and smoking cessation among study participants.

Additional studies are needed to better understand the links between smoking and hair loss, said Dr. Gupta, as well as the effects of smoking cessation.

Improving Practice and Research

Commenting on the findings for this news organization, Arash Babadjouni, MD, a dermatologist at Midwestern University, Glendale, Arizona, said, “Smoking is not only a preventable cause of significant systemic disease but also affects the follicular growth cycle and fiber pigmentation. The prevalence of hair loss and premature hair graying is higher in smokers than nonsmokers.”

Dr. Babadjouni, who wasn’t involved with this study, has researched the associations between smoking and hair loss and premature hair graying.

“Evidence of this association can be used to clinically promote smoking cessation and emphasize the consequences of smoking on hair,” he said. “Smoking status should be assessed in patients who are presenting to their dermatologist and physicians alike for evaluation of alopecia and premature hair graying.”

Is My Thyroid to Blame for My Hair Loss?

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The endocrine gland in charge of hormone production may be causing your hair to shed or stop growing

close up of female pulling hairs from a brush

While taking a shower, you look down and notice more clumps of hair than usual circling the drain. In fact, you swear you might be losing hair from your armpits as well. You’ve Googled endlessly about the possible causes, but none of them seem to make sense as to why you might be losing hair.

In truth, rapid hair loss and thinning can happen for a number of reasons, including medications, medical conditions or simply the passing of time. But another possible cause could be your thyroid. Whether you know you have a thyroid condition or not, it may be worth looking into the connection between your hair’s health and your thyroid.

Endocrinologist Mary Vouyiouklis Kellis, MD, dives into how to know if your hair loss is linked to your thyroid — and what you can do about it.

Can thyroid problems cause hair loss?

In short — yes, they can. In fact, thyroid dysfunction can cause you to not only shed hair, but also to stop growing hair altogether. Fortunately, this usually isn’t permanent. But it can be a common symptom of your thyroid’s hormone production not working correctly.

Unlike other types of baldness, thyroid-related hair loss affects not just your scalp, but also your eyebrows, pubic hair and hair on other parts of your body. It can also be caused by certain autoimmune diseases that often go hand in hand with thyroid conditions (more on that in a moment).

“The hair loss is typically reversed after your thyroid hormone levels are normalized,” explains Dr. Vouyiouklis Kellis. “But this may take some time.”

The relationship between your thyroid and your hair

If you’re not familiar with what (or where) your thyroid is — or how it relates to your hair — let’s review a few basics first.

Your thyroid is an endocrine gland located in the front of your neck and serves an important role in your body. It’s in charge of producing and releasing the endocrine hormone into your bloodstream.

Thyroid diseases occur when this hormone production is disrupted. And this can cause your hair to stop growing or even fall out.

This hair loss can happen due to your thyroid making either too many hormones (hyperthyroidism, or an overactive thyroid) or not making enough (hypothyroidism, or an underactive thyroid).

Both underactive and overactive thyroid conditions can cause hair to stop growing, as well as hair loss. In particular, autoimmune thyroid conditions can cause thyroid-related hair loss. Some of these conditions include:

In some cases, you may also be more likely to develop alopecia areata due to a thyroid autoimmune condition. This condition can cause patchy hair loss on the scalp or other areas of your body.

How do you know if hair loss is from your thyroid?

Of course, every day, we lose up to 100 strands of hair from our heads — usually when showering or brushing our hair. But hair loss caused by thyroid conditions has more specific symptoms, including:

  • Diffuse hair thinning. The hair loss often occurs as a diffuse thinning rather than specific bald patches. You may notice a decrease in hair density and volume all over your scalp.
  • Increased shedding. People with thyroid issues may experience excessive hair shedding during washing, brushing or styling. This is known as telogen effluvium, a condition when a higher percentage of hairs enter the resting phase (telogen) and eventually fall out.
  • Hair loss on other body parts. In addition to scalp hair loss, individuals with thyroid disorders may experience hair thinning or loss on other body parts, including eyebrows, eyelashes, pubic hair and armpit hair.
  • Hair texture changing. Thyroid-related hair loss can also lead to changes in the texture of your hair. Notice if your strands feel more dry, coarse and prone to breakage.

Treatment options for thyroid-related hair loss

Depending on your symptoms and the exact thyroid condition you’re experiencing, your treatment options may vary. It’s important to see a healthcare provider to discuss in detail your symptoms so they can develop the best treatment plan.

Medications

If your healthcare provider links thyroid issues with your hair loss, they’ll likely prescribe some treatments to help minimize or reverse hair loss. Your healthcare provider may recommend going on certain medications that can help balance your thyroid’s hormone production, including:

  • Levothyroxine.
  • Propylthiouracil.
  • Methimazole.
  • Beta-blockers.

Lifestyle changes

With any kind of extreme hair loss, there are things you can work into your everyday hair routine that can help. The best tactic is to be gentle with your hair. If you’re dealing with hair loss for any reason, it’s important to be aware of the sensitivity of your hair follicles.

Try to avoid:

  • Pulling hair back into tight ponytails, buns or braids. Instead, try wearing looser hairstyles.
  • Twisting or pulling your hair. Instead, be gentle when drying, combing or styling your hair and try not to cause too much tension.
  • Using harsher brushes when loosening knots in your hair. Instead, use a wide-toothed comb that gives your follicles more breathing room.

Consider taking biotin

The vitamin biotin has been recommended by healthcare professionals to boost your keratin (the protein that helps with the formation of hair, skin and nails). While more research is needed on the effects of biotin on hair growth, some studies have suggested a link between the supplement and improved hair thickness.

But you should always talk to your healthcare provider before starting any new supplements — they’ll know what is the right amount for you to take for your hair loss. You can also try working in more biotin-rich foods like almonds, broccoli and eggs as a fail-safe way to introduce more biotin into your system.

Dr. Vouyiouklis Kellis also stresses the importance of remembering how biotin can affect lab results. “Remember to not take biotin for at least 72 hours before labs, as it can potentially cause false lab results,” she explains.

Can hair loss be caused by something else?

It’s important to note that your hair loss may be caused by something other than your thyroid. Other possible causes for hair loss include:

  • Thyroid medications. Yes, you may be dealing with a chicken or the egg situation here. What caused the hair loss first? The thyroid dysfunction or the thyroid medication? If you think this may be the case, talk to your healthcare provider about which medications you’re currently on.
  • Celiac disease. This condition can be associated with iron deficiency, which triggers hair loss.
  • Lupus. Among other symptoms like rashes and joint pain, this autoimmune disease can also cause hair loss that can range from hair thinning to clumps of hair falling out.
  • Menopause. If you’re going through menopause, you may be experiencing a low estrogen state that can thin the hair follicles, giving the appearance of overall hair loss.

The bottom line

Losing your hair can be distressing, there’s no doubt about that. But knowing the cause can help you learn how best to treat and manage this symptom. If a thyroid issue is behind your hair loss, there are steps you can take. If you’re noticing that you’re starting to shed more hair than usual, be sure to speak with a provider.

Ozempic, Wegovy under investigation for side effects like suicidal ideation, hair loss

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The Food and Drug Administration is investigating possible side effects from GLP-1 drugs, including suicidal ideation, hair loss, and aspiration.Jaap Arriens/NurPhoto via Getty Images

  • As GLP-1 medications increase in popularity, researchers continue to examine potential side effects.
  • The FDA is investigating reports of side effects from GLP-1 receptor agonists, including suicidal ideation and hair loss.
  • A large new study found no link between semaglutide, the active ingredient in GLP-1 drugs like Ozempic and Wegovy, and suicidal ideation.

GLP-1 drugs, such as semaglutide, liraglutide, and tirzepatide, are type 2 diabetes medications that have become popular over the last year for weight loss.

It’s estimated around 24 million people in the United States, or 7% of the population, will take GLP-1 medications by 2035.

Wegovy, Saxenda, and Zepbound are currently the GLP-1 medications that are FDA-approved as weight loss drugs. Ozempic, Mounjaro, and others may be prescribed off-label to help with weight loss.

As demand for these medications increases, researchers and health experts are looking closely at the potential side effects of GLP-1 receptor agonists.

The Food and Drug Administration (FDA) is investigating reportsTrusted Source of adverse events, including hair loss, suicidal thoughts, and aspiration — received by its FDA Adverse Event Reporting System (FAERS).

But new researchTrusted Source shows no link between semaglutideTrusted Source — the active ingredient in certain GLP-1 medications like Ozempic and Wegovy — and suicidal ideation.

Still, previous research has shown that potential side effects of GLP-1 medications include gastrointestinal issuesTrusted Source such as nausea and vomiting, increased heart rateTrusted Source, and an increased riskTrusted Source for pancreatitis and gastroparesis.

Despite the possible side effects, GLP-1 drugs are considered safe. Medical News Today spoke with three obesity experts to learn more.

Can GLP-1 drugs cause suicidal thoughts? 

The FDA investigation is not the first time an association between suicidal ideation and GLP-1 medications has been reviewed.

The European Medicines Agency (EMA) began investigating this potential side effect in July 2023.

However, a recent studyTrusted Source funded by the National Institutes of Health (NIH) concluded there was no evidence that GLP-1 drugs containing semaglutide cause suicidal thoughts.

The researchers examined the medical record data of more than 1.8 million patients and found that semaglutide is associated with a lower risk of suicidal ideationsTrusted Source compared to other medications prescribed for obesity or type 2 diabetes.

The researchers followed patients for 6 months after they were prescribed the medications and found those who took semaglutide for weight loss had a 0.1% risk of first-time suicidal ideation. The risk of recurrent suicidal ideation increased to 7% among subjects with a prior history of self-harming behavior.

However, not all GLP-1 drugs contain semaglutide, such as Mounjaro and Zepound, which means the possibility of suicidal thoughts as a side effect may require further evaluation, particularly among those with a history of mental health conditions.

As a precaution, Dr. Seth Kipnis, medical director of bariatric and robotic surgery at the Jersey Shore University Medical Center at Hackensack Meridian Medical Group in New Jersey, told MNT that patients may wish to undergo screening for psychological disorders before they’re prescribed GLP-1 medications.

GLP-1 drugs may cause hair loss

The FDA is also investigating hair loss, medically known as alopeciaTrusted Source, as a side effect of GLP-1 medication.

Dr. Mir Ali, a bariatric surgeon and medical director of MemorialCare Surgical Weight Loss Center at Orange Coast Medical Center in Fountain Valley, CA, told MNT he was not surprised to hear that hair loss may be an adverse effect of GLP-1 drugs.

“I’m not surprised because any kind of significant weight loss, whether it’s on medications or patient dieting on their own or even surgery, patients do experience hair loss,” Dr. Ali explained. “It’s typically in women and it’s typically because of the hormonal changes that accompany weight loss, and not necessarily a direct effect of the medication.”

Dr. Lydia C. Alexander, chief medical officer for Enara Health and president-elect of the Obesity Medicine Association, agreed and said that the most common causes of hair loss during obesity treatment are rapid weight loss and trace mineral and vitamin deficiency.

“In some studies, up to 57% of patientsTrusted Source undergoing metabolic bariatric surgery experienced alopecia generally beginning at three months and lasting one year,” Dr. Alexander continued.

“The most common vitamin and mineral deficienciesTrusted Source seen in patients with alopecia following bariatric surgery or weight loss are zinc, iron, folic acid, [and] B12. Protein malnutrition may also cause hair thinning. Over-supplementation of vitamin A is also reported to increase hair loss.”

“Since GLP-1 medications cause greater and more rapid weight loss as do restrictive very low calorie diets, it is not surprising to hear of case reports and increased incidence of hair loss. In our experience, hair regrows three to six months following weight stabilization, with nutrient replacement and dietary monitoring/nutritional counseling.”

— Dr. Lydia C. Alexander, obesity expert

Can GLP-1 drugs cause difficulty swallowing?

Aspiration occurs when liquid, food, or something else accidentally enters a person’s airway and makes its way to the lungs. This can happen either when a person swallows something — known colloquially as “going down the wrong way” — or food or liquid coming back up from the stomach.

Dr. Ali said that aspiration as a side effect of GLP-1 medications makes sense because one of the effects of these medications is it slows down the emptying of the stomach.

“In some patients that are more sensitive, instead of the stomach emptying as normal it’s staying full for a longer period of time,” he explained. “So if they are sleeping on a full stomach, some of the contents may go off and they can aspirate.”

“There is a warning for patients who are to undergo surgery to stop these medications at least a week before surgery to give your stomach a chance to kind of revert to normal,” Dr. Ali added. “It’s important not to eat too soon before going to bed or especially if you’re going to have surgery to hold medications before surgery.”

“If you overeat and ignore the effect of the medication it will cause nausea, vomiting, and possibly aspiration,” Dr. Kipnis added. “People need to follow appropriate diets and food quantity guidelines for these drugs to work.”

Will the FDA make changes to GLP-1 labels? 

MNT asked an FDA spokesperson what prompted the agency to investigate the potential side effects of GLP-1 drugs and whether there were any plans for specific recommendations or further research into causal effects that couldmerits labeling changes.

The spokesperson told MNT the FDA monitors the safety of drugs throughout their life cycle, including post-approval.

“In addition, the FDA maintains a system of postmarketing surveillance and risk assessment programs to identify and evaluate adverse events that did not appear during the drug development process. If newly identified safety signals are identified, the FDA will determine what, if any, actions are appropriate after a thorough review of available data,” the FDA spokesperson said.

Dr. Alexander said the FDA’s current evaluation of these potential side effects is the correct avenue to aggregate, report, and further investigate medication-related side effects to understand if there are additional minor to serious side effects that may not have been seen or identified as significant during clinical trials.

“It is the job of the FDA to evaluate all drugs for potential signals of serious risk and, if found to be significant, update and release new safety information to prescribers and the public on the identified medication,” Dr. Alexander noted.

When asked what needs to be done to establish a direct link between taking GLP-1 drugs and side effects like hair loss, suicidal ideation, or aspiration, Dr. Kipnis said that more studies are needed to know what happens when someone stops taking these medications.

“Short-term, these drugs cause significant weight loss with minimal side effects, [but] what are the long-term side effects?” Dr. Kipnis questioned. “How long can someone stay on these drugs? “Obesity is a long-term problem. Are these drugs just a short-term solution?”

Preventing GLP-1 side effects

For those who may be taking or considering a GLP-1 receptor agonist, all experts agree it is important to go through a physician who will continuously monitor them and keep them updated on any side effects they may experience.

“It’s important to thoroughly discuss side effects with your medical provider,” Dr. Alexander said.

“Physicians board certified in obesity medicine and advanced practitioners holding the NP/PA certificate of obesity medicine are well-equipped to discuss the risks and benefits of GLP-1 medications, monitor, and identify potentially serious medication side effects related to your specific health profile.”

“These new drugs should be prescribed by a doctor with an in-person visit that includes a physical exam and weight being taken,” Dr. Kipnis said.

“Patients should also be seeing a registered dietitian while taking these medications. Routine follow-up with the prescribing doctor should be required to avoid complications and to monitor for patient compliance.”

“Patients taking these medications should meet the current FDA guidelines. Many of these are not being done across the country. These drugs are being used for cosmetic reasons for non-obese patients, exclusively prescribed through telemedicine, or being prescribed by providers who have never managed obesity before and may not be qualified to be prescribing them.”

— Dr. Seth Kipnis, bariatric sugeon

Litfulo becomes first FDA-approved treatment for adolescents with severe alopecia

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Key takeaways:

  • Litfulo is the first FDA-approved treatment for severe alopecia in patients aged as young as 12 years.
  • The approval was based on results from a phase 2b/3 trial recently published in The Lancet.

The FDA has approved Litfulo, a once-daily oral treatment, for the treatment of severe alopecia in individuals aged 12 years and older, Pfizer announced in a press release.

Litfulo (ritlecitinib), a selective dual Janus kinase 3 and tyrosine family kinase inhibitor, is now the first-ever FDA-approved treatment for severe alopecia in adolescents, according to the press release.

“Litfulo is an important treatment advancement for alopecia areata, an autoimmune disease that previously had no FDA-approved options for adolescents and limited options available for adults,” Angela Hwang, chief commercial officer and president of global biopharmaceuticals business at Pfizer, said in the release. “With today’s approval, adolescents and adults who struggle with substantial hair loss have an opportunity to achieve significant scalp hair regrowth.”

Data from ALLEGRO, a phase 2b/3 trial recently published in The Lancet, were used to support the approval.

Results from the study showed that 23% of patients treated with 50 mg of Litfulo achieved 80% or greater scalp hair coverage after 6 months of treatment, whereas 1.6% of placebo-treated patients achieved the same.

Litfulo exhibited similar efficacy and safety outcomes across all age groups. Most adverse events were well-tolerated by patients with the most common being headaches (10.8%), diarrhea (10%), acne (6.2%), rashes (5.4%) and urticaria (4.6%). Sixteen serious adverse events were reported in 14 patients; however, there were no major events or deaths.

According to the release, Litfulo will be available in the coming weeks.

Reference:

Perspective

Back to Top Maryanne Senna, MD)

Maryanne M. Senna, MD

For decades, when patients with severe alopecia areata sought treatment for their condition, the therapies available were either incredibly painful, led to significant long term side effects or were ineffective. Last year, our ability to care for this patient population was transformed with the first FDA approval of a JAK inhibitor for severe alopecia areata in adults. However, the adolescent and young adult alopecia areata population — one that is particularly affected by this chronic autoimmune hair loss condition — was still left without a favorable option.

Adolescence is a complex period of development and an important time of growth and discovery. As a dermatologist and hair loss specialist, I routinely witness the profound negative impact that severe alopecia can have on this patient population. Teens who were once successful students and athletes start avoiding school, sports practice and social activities. These adolescents commonly develop depression and anxiety, and many will experience bullying by their peers.

The FDA approval of ritlecitinib has paved the way for a brighter future for these patients. By successfully treating their alopecia, these adolescents and young adults are able to once again confidently navigate their lives, free from the burdens of stigma and chronic disease. By targeting underlying mechanisms of alopecia, this innovative therapy not only promotes hair regrowth but also effectively mitigates the emotional and social burdens associated with alopecia areata, empowering patients to realize their true potential.

Maryanne M. Senna, MD

Assistant Professor of Dermatology at Harvard Medical School Director of Lahey Hair Loss Center of Excellence at Lahey Hospital and Medical Center

COVID-19 continues to affect hair loss

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Many patients experienced significant hair loss following COVID-19 infection, according to a case series published in the Journal of Drugs and Dermatology.

“The novel coronavirus disease (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 and primarily affects the epithelium of the airways,” Samantha Kalner, BS,and Irene Vergilis, MD, of Dermatology and Skin Surgery in New York City, wrote.

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Many patients experienced significant hair loss following COVID-19 infection.

“Hair loss has emerged as a frequent noted side effect of infection with COVID-19 and has been observed in many patients who have recovered from a documented COVID-19 illness,” the authors continued.

Kalner and Vergilis conducted a retrospective study evaluating the prevalence of hair loss in patients who had recovered from COVID-19.

Of 62 patients with hair loss, histological evaluations of hair samples from 48 had telogen effluvium, 12 showed evidence of androgenetic alopecia and two showed alopecia areata.

“Telogen effluvium is the most commonly seen cutaneous complication following the recovery from COVID-19,” the authors wrote. “This is perhaps due to the physical and emotional stress that accompanies COVID-19. Furthermore, since fever is a common symptom of COVID-19, a few months after having a high fever or recovering from an illness, many people observe noticeable hair loss.”

A strong relationship between hair loss and COVID-19 was found in this study, according to the researchers, raising questions regarding the virus’s effect on autoimmune disorders such as alopecia areata.

“Regardless of its nature, hair loss seems to be a common finding following recovery from COVID-19 infection and a larger study may be needed to evaluate what can be done to reduce the number of cases of hair loss,” the authors added.

Cancer, Chemotherapy and Hair Loss

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Beauty experts, fashion consultants, and hair loss experts discuss how to cope with this side effect of cancer treatment

You can prepare yourself for the chance that you might lose your hair during chemotherapy. Start by asking your doctor how likely it is that the particular drug you’ll receive will cause hair loss (risk differs among drugs). If there’s a good chance that your hair will fall out, consider cutting it short so that you’ll have less hair to shed and the loss won’t be as dramatic.

Think about your options to cover your head—wigs, scarves, and caps. If you choose a wig and want a close match with your natural hair color, shop for a wig while you still have your hair. Contact your health insurance company and ask if they cover the cost of wigs for cancer patients (some do). If you decide not to cover your bare head, be sure to apply sunscreen whenever you’re outdoors.

Remember that hair almost always grows back after chemotherapy. It may come back with a different color or texture, but chances are it will be back!

  • Why does chemotherapy cause hair loss?

Chemotherapy damages rapidly dividing cells, such as cancer cells. Some healthy cells also divide rapidly, such as hair follicles. Chemotherapy damages these cells, leading to hair loss, also called alopecia.

When does hair loss begin and what will happen?

Hair loss will typically begin two or three weeks after your first treatment. In addition to hair on your head, you may lose eyebrows, eyelashes, facial hair, pubic hair, underarm hair and leg hair. The amount of hair that you lose will depend on the type of chemotherapy drug you are taking. Hair typically begins to grow back approximately 2-3 weeks after treatment is finished. The hair may grow back differently than it was before treatment. For example color or texture (curly or straight) may be different.

  • What can be done to cope with hair loss?

Importantly, you should remember that hair loss associated with chemotherapy is temporary and the hair WILL grow back. In the meantime, here are a few tips to help you cope with the loss:

  • You may wish to cut your hair before it starts falling out. The experience of losing the hair is sometimes worse than dealing with it once it’s gone. If you expect to lose all or a lot of your hair, cutting it first may be easier to cope with.
  • Plan ahead; shop for a wig before your hair is gone, especially if you wish to match your natural color. Or, take this opportunity to try something different.
  • Try hats or head scarves; these are good alternatives or a compliment to a wig.
  • Remember to cover your head or use sunscreen on your scalp. Skin that has been covered with hair may be particularly sensitive to UV rays of the sun.
  • Ask your insurance company if they cover the cost of the wig.
  • Treat your new hair gently once it grows back. Avoid chemicals, bleach, peroxide or colors.
  • Wait until you have finished chemotherapy to perm or color your hair. The chemicals used in these treatments may cause damage in addition to the effects of chemotherapy.
  • Learn about cosmetic techniques to compensate for lost eyebrows or lashes. Make-up can be used to create the illusion of brows and lashes. Get involved in a “Look Good… Feel Better” program, a community-based, free, national service that teaches female cancer patients beauty techniques to help restore their appearance and self-image during chemotherapy and radiation treatments.

An interview with renowned style-maker Frédéric Fekkai- one of the most celebrated names in beauty and hairstyling

Acclaimed for his modern, individualistic approach, Frédéric has made an indelible mark on the beauty and fashion communities with his innovative styling, exclusive salons, and luxurious hair care products.

Many women say that the most devastating and obvious change they experience from chemotherapy is hair loss. What advice would you give women on how to create a chic, easy-to-maintain hairstyle if they start to lose their hair due to cancer treatment?

“I think one of the most important tips at the start is to keep a positive outlook and surround yourself with advisers you trust—whether it’s your hairstylist, a best friend, or your daughter. They can help you make the right decisions. Also know that we have a wealth of amazing beauty resources to help you get through this difficult time, and hair loss is almost always temporary.”

“For thinning hair or minimal hair loss, try a shorter style with slight layers, which can add extra fullness to the hair. If hair loss is extreme, you can choose from a large selection of stylish ready-made or custom wigs available through salons and wig stores. Today there are salons that specialize in wigs and hairpieces especially for clients experiencing hair loss from chemotherapy. The key is to locate a hairstylist or wig specialist who is skilled in the art of wig styling—someone who will make you feel comfortable, relaxed, and confident. Ask around for recommendations to learn where people have had the most positive experience.”

If a woman chooses to purchase a wig to camouflage hair loss during cancer treatment, what should she look for?

“There are many options today for women interested in finding a wig, including custom-made to ready-to-wear styles, natural or synthetic fibers, and many colors and styles. The first step should always be a personal consultation with either your hairstylist or a wig specialist. I suggest bringing a photo of yourself from a great hair day. This will give some guidance to the specialist as to what you may want to create when selecting a wig. If you find a wig with the perfect color and texture, a wig specialist can cut it to match your look.”

“Most wigs look natural—even the synthetic ones, which are less expensive. Keep in mind that human hair requires more care and will have to be washed and reset from time to time, depending on use. The focus should be on finding a style that makes you feel confident and beautiful.”

“As you consider your options, take the time to educate yourself before you make a purchase, as prices vary.”

How should a woman go about picking a color that will enhance and brighten her complexion?

“Consult a colorist and pick a shade that will be best for your complexion. I would suggest trying a wig in a shade lighter than your natural color. Some women find that it brightens their appearance and offsets changes in their skin.”

What are some suggestions for stylish alternatives to wearing a wig?

“If you want to take a break from your wig, you’re running late, or you just want to change your look a little, try a scarf. I love a headscarf on a woman. It can be a very chic look. Think Jackie O and try wearing a gorgeous, richly colored scarf and a pair of oversized sunglasses—a classic style.”

There are endless ways to tie scarves. For different scarf-tying techniques, visit the “Beauty Guide” section on the Look Good…Feel Better website (www.lookgoodfeelbetter.org). For additional ideas, visit “Playtime with Your Scarf” on the Hermès website (). There are also some amazing hats available that can disguise hair loss. Use this time to experiment with your style and have fun. Keep it classic and look online to see how past fashion icons have worn hats and scarves.

Once hair starts to grow back after cancer treatment, what do you suggest for keeping it healthy?

“It’s important to moisturize your hair with a light conditioner. Allow the conditioner to sit on the hair for extra time, and massage the scalp to relax the cuticles.”

If a shorter haircut is the only option, what styles would you recommend to make it fashionable or trendy?

“I suggest a short bob like Halle Berry’s current style or a classic like Louise Brooks’s. Keep it short and all one length to give the impression of more body. Use moisturizing products and do regular hair masks to help maintain healthy hair.”

When shopping for wigs, women sometimes want to experiment with fun new styles that they normally would not wear. What guidelines should they follow when picking new styles that complement their face shape and bone structure?

“I always believe in keeping it modern and classic. You want a style that suits your face structure and personality best. I would stay away from being too trendy, as you want to try to feel like your most beautiful and elegant self.”

Dr. Denise Yardley from the Sarah Cannon Research Institute talks about the difficulties of hair loss

https://www.youtube-nocookie.com/embed/ERPRqI6DOxs

Hair loss, I think, is very powerful – and I think the issue with patients who are facing a diagnosis of breast cancer, they realize loss of hair is not life threatening like a diagnosis of breast cancer, but when I talk to patients it is the most visible part of their therapy. The clothes and Band-Aids and garments can hide the wound from the diagnosis of breast cancer and the issues of surgery, but we really don’t have a lot to hide when you begin hair loss and it really takes a very personal issue of facing a diagnosis of breast cancer and making it very public. And I think that is very difficult for patients who are just trying to deal with their diagnosis and cope with that among themselves and with their immediate family, to now making this a very public event.

You know, I think many patients, they’ll acknowledge that they think it’s a vanity component and I tell them it really isn’t. We get used to seeing ourselves every day as we walk by a glass or a mirror and all the sudden when your hair is gone, it’s a totally different face that’s looking back at you and it adds so much, you know, in terms of bringing that diagnosis to light and such a reminder on a day-to-day, moment-to-moment basis for patients that it is very difficult to deal with. We use wigs and scarves but I think many patients, myself included, have had bad haircuts and, you know, are immediately aware of just the slightest amount of abnormality. To have complete loss of hair is so powerful for patients and families. For little children, it’s a whole different look to their mother and they struggle with that and that’s a real entity. It becomes almost as much as struggling with a diagnosis for many patients.

Talking with Kids About Mom’s Hair Loss

Dr. Denise Yardley from the Sarah Cannon Research Institute explains the importance of talking to children about mom’s hair loss.https://www.youtube-nocookie.com/embed/IqQMclQ5wGQ

I think, again, it’s a little bit of peer pressure for, depending on the age of the child, of what your mommy and daddy look like to the public and to their friends. And so for many parents, picking up and dropping off children at school and being at school functions – it’s very important to have a wig or some alternative to help cover their scalp. And I think it just really helps address that peer pressure impact on children. The home circumstance, most children are really comfortable and they have games and color, you know, on scalps and make fun of it, but I think, again, to the public and the peer pressure from that makes it a little bit more of an entity for many of the moms.

Hair Transplant after Cancer Treatment

https://www.youtube-nocookie.com/embed/NMlqDQ3oqek

Amy Gibson and Dr. Craig Ziering discuss hair transplant after cancer treatment in this informative video.

Called “The Voice of Women’s Hair Loss,” Amy Gibson is the leading Women’s Personal Hair Loss Consultant in the US and Cancer Hair Loss Expert for women suffering from medical hair loss. Founder of CreatedHair.com and Salons, since 2000 Amy has worked with thousands of women going through cancer treatment both in her Beverly Hills salon, in- hospital and via Skype.

Emmy Nominated Soap Opera Star – Author – Cancer Hair Loss Expert Female Hair Loss Consultant – Alopecia Activist

Referred to in the Los Angeles Daily News as “a woman on a crusade”, it is Ms. Gibson’s innovative and resilient spirit that led her to find solutions in her own life after losing her hair at the tender age of 13 1/2 while beginning a successful 20+years of starring television roles, which has resulted in her creating and providing many beautiful and elegant wig solutions for the expanding hair loss market.

She created an International Wig line with her design of the First Women’s Swim Wig with CyberHair, and now offers the innovative Active Solution: The Water Wig™, which looks, feels and moves just like human hair.

The most important thing to any woman wearing hair is her discretion. She doesn’t want to anyone to know she is wearing a wig. Up to now, there have only been obvious wig boxes and see through plastic baggies to carry their hair in that scream “I’m wearing a wig!” Amy’s most recent creation solves this problem; The ResQ Bag® ~ The ONLY Sexy Carryall for Wigs and Extensions solves this need. Along with the stylish Mini ResQ Bag® included to hold their wig are 12 Comfort Care Accessories to care for their hair and help be prepared for an wig emergency. No other product of this nature exists in the hair replacement, extensions, fashion wigs or accessory market.

Creative, fashionable ways to deal with hair loss

  • Talk with a hairdresser. He or she may suggest getting a shorter cut to make your hair look thicker. Or, if you are undergoing radiation therapy to your head, maybe you want to grow your hair longer so it is easier to style and cover thinning spots. If you feel comfortable without hair, you may consider the natural look. With a great pair of earrings and the right makeup, this can be a striking alternative.
  • Save a clipping of your hair. Use this to match the color if you get a wig.
  • Ask your hairdresser for styling advice when your hair starts growing back.
  • Use gentle shampoos and avoid chemical treatments (such as perms, coloring, and straightening) until your hair grows back.

The Inside Scoop on Wigs

Considering a Wig? Learn From The Best

Wigs can create the appearance of thick, healthy-looking hair. You can buy wigs in any color, either ready-made or custom-made just for you. Costs vary—try different types of wigs before you decide which to buy. Health insurance may pay for a wig if your doctor prescribes it as a “cranial prosthesis.”

  • Wigs give you a chance to try new hairstyles and colors. You can use this time to find the look that flatters you the best.
  • Comparison-shop. Wigs vary greatly in style, comfort, ease of care, and price. They may be machine-made or hand-tied, composed of human hair or custom synthetics or a blend of the two. Most wigs today look natural—even synthetic ones. Wigs made from human hair require more care and cost more than synthetic wigs. Newer wig styles are made with loose mesh caps and are cooler and more comfortable in warm weather.

Turbans and Scarves

Turbans look good and are inexpensive. Many women like to wear them at home to protect their scalp while sleeping or as a quick, versatile, fashionable look for everyday use or for a special occasion.

  • To give the look of fullness, wear a terrycloth turban or put a shoulder pad at the crown of the head under a turban or scarf.
  • Choose colors that flatter your skin tone.
  • Try different styles of turbans. For instance, some have bangs or hairpieces attached.
  • You can make a fashion statement by adding pins, clip earrings, flowers, or other creative items to your turban or scarf.

Scarves offer an infinite array of colors, styles, and textures.

  • A 32- to 36-inch square can cover the entire head or be folded into a band. You can make bands from smaller squares and oblong pieces as well.
  • Scarves come in many fabrics: silk scarves look elegant but tend to slip; cotton scarves offer a casual look, are cool, and are easy to keep tied; wool challis scarves drape beautifully but can be itchy. Most women choose scarves that match the season and the occasion.
  • Choose colors and patterns that look good with your outfit. Scarves need not match exactly. Sometimes two patterns of the same color yield a very interesting look.
  • Clothing styles with soft curves and draping lines work well with head wraps.

Hats

Hats are always in style and are a fun and fashionable option. They include sporty baseball caps, fedoras, and even chic berets. Some hats are sold with an attached hairpiece (such as a ponytail, a bob, or bangs). You should be able to find such hats at wig stores, hair salons, and department stores as well as in catalogs and online. You can also create your own look by wearing a hat over a wig, partial hairpiece, turban, or scarf.

Turn to nutrition for shiny hair and healthy nails

Diets are a dime a dozen. You can choose from just about any program—eating for your blood type, eating an immune-supportive diet, low carb, high protein, sugar free, gluten free, and more. But did you know there is a healthy hair and nail diet, too? There is—and the good news is that you don’t have to buy a book or subscribe to any program to get lustrous hair and nails. All you have to do is make sure your diet includes the proper nutrients that will give your hair and nails some extra strength and shine.

If you want shiny, healthy hair and strong nails, start incorporating these nutrients into your diet:

Omega-3 Fatty Acids: Omega-3 fatty acids are a critical component of a healthy diet for many reasons, including the fact that these essential fatty acids (EFAs) support scalp health and lock in moisture. A deficiency in EFAs can result in dry scalp or dandruff. So if you want to prevent dry, brittle hair, omega-3s are key. If you want to increase your omega-3 intake, you can swallow a tablespoon of fish oil each morning or simply be sure to consume foods rich in omega-3s, such as eggs, salmon, spinach, tuna, walnuts, flaxseeds, or chia seeds.

Biotin: Biotin is part of the B-vitamin complex. In truth it is vitamin B7, though it is sometimes referred to as vitamin H (as in hair). A deficiency in biotin can result in brittle hair or hair loss. Biotin helps strengthen nails and repair split ends. Biotin can be found in foods such as bananas, eggs, oatmeal, and rice, but it never hurts to supplement with a B complex vitamin.

Protein: Protein intake is critical to a balanced diet. Dietary protein is one of the building blocks for strong hair and nails, both of which are comprised of a protein known as keratin. Vegetarians and vegans have to be especially careful to ensure their diet is meeting their protein needs. Most people think of meat as protein—and it is—but there are many sources of this vital nutrient. Choose from lean meats, chicken, eggs, dairy, nuts, legumes, whole grains, and soybeans.

Vitamin A: Vitamin A helps produce sebum in the body, which acts as a conditioning agent for the scalp. Vitamin A helps to keep hair looking and feeling healthy. To ensure you’re consuming enough vitamin A in your diet, include foods such as apricots, broccoli, cantaloupe, spinach, sweet potatoes, eggs, and mangoes.

Zinc: Zinc does more than help maintain your immune system—it helps regulate the body’s ability to make new proteins that become the building blocks of healthy hair and nails. A deficiency in zinc can result in dry, brittle hair and even alopecia (hair loss). To maintain optimal zinc levels, be sure to consume beans, whole grains, shellfish, cashews, lean meat, and poultry.

Treatments for Thinning Hair: Do They Work?

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So you’re never going to have a thick, lush head of hair again. But at least you’d like to hang on to what you’ve got. Short of a transplant, is there anything you can do to stop thinning hair?

Yes. With some treatments, you can slow down or stop hair thinning — and maybe even grow back some hair you thought was gone forever. Read on to see what works and what doesn’t.

Minoxidil

This is the only over-the-counter medication for hair loss approved by the FDA for use by both men and women. It won’t rescue a receding hairline. It does stimulate hair growth, although scientists aren’t quite sure how it works.

Minoxidil is available as Rogaine or Theroxidil, or in generic form. It’s sold as a liquid or foam and in two strengths: 2% and 5%.

  • Effectiveness: Minoxidil works for about 2 out of 3 men. It’s most effective if you’re under age 40 and have only recently started to lose your hair.
  • How to use it: Twice a day, when your hair is dry, apply minoxidil on your scalp where the hair has started to thin. Then be patient. You may not notice changes for 4 months or more.
  • What it doesn’t do: Minoxidil does not cure baldness. If you stop using it, you will start losing hair again. Your hair may fall out faster than before.
  • Side effects:You may have redness, itching, dryness, flaking, or other scalp irritation, though this is uncommon. It’s more likely if you use the stronger 5% solution.

 

Finasteride

This medication stops your body from making the hormone at the root of male pattern baldness, DHT (dihydrotestosterone). It is available under the brand name Propecia.

  • Effectiveness: Finasteride is very effective. It slows or stops hair loss in nearly 90% of men. About two-thirds of these men also regrow some hair.
  • How to use it: Finasteride is a pill. Usually, you take it once a day. Your dermatologist may recommend using it in combination with minoxidil.
  • What it doesn’t do: Like minoxidil, it doesn’t cure hair loss. If you stop taking it, you will lose hair again.
  • Side effects: Finasteride can cause erectile dysfunction and other sexual side effects, though this is unusual. If it happens to you, it will likely clear up once you stop taking finasteride. But for some men, that can take 3 months or more.

Biotin and Low Level Laser Therapy (LLLT)

Biotin is a B vitamin that is essential for your health. You most likely get plenty of it in your diet in egg yolks, yeast, liver, and other foods. That’s good news because too little biotin can cause hair loss. Does that mean that taking mega-doses of it will give you more hair? Probably not. No scientific studies have shown biotin to prevent or treat hair loss.

You may have heard that laser combs, brushes, hoods, and caps can help halt hair loss. The theory is that when hair follicles absorb laser light at a certain level, it stimulates hair to grow. But there’s not enough evidence that any of these devices restore hair or prevent balding.

When to See a Doctor for Hair Loss

If you lose hair suddenly, see your doctor. It may be caused by illnesses, medicine, or your diet.