Hair Loss Q&A With A Dermatologist: Hair Care Tips
In today’s video I answer your questions about hair shedding, thinning hair, brittle hair, and hair care tips! Stay tuned for next Friday’s Q&A where I will address your questions about postpartum hair loss.
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Well, hey guys! Welcome back to the Friday Q & A I've been getting a fair number of questions from you all about hair care and hair loss. So for today's Q & A I'm gon na address all of your questions on hair loss and hair shedding and if you're new here welcome, my name is Andrea. I'M a dermatologist and I filmed an the life of the dermatologist vlogs as well as skin care. Q & A focused on a skin care topic of interest. So if this sounds of interest and intrigue to you, I encourage you to stick around and let's get into it. So if you've been noticing like more hair on your pillow in the morning or an increased amount of hair and your brush or in your shower drain, you may wonder: is this hair loss? Why am I I suddenly shedding more hair? So I think one of the most frequently asked questions is what what is the difference between just normal hair shedding and like ex will hear a loss, so it's actually quite normal to shed up to anywhere from 100 to 150 hairs a day. Our hair cycle is in three phases, unlike cats and dogs where, and they shed all their fur at once. For example, a proportion of human hair is always undergoing some shedding, and so those are referred to as telogen hairs and so they're they're supposed to fall out and new ones will should grow in their place. Excessive shedding of telogen hairs, however, is referred to as telogen effluvium, and that can occur in a variety of settings. It'S particularly common in individuals who have experienced a stressful life or medical event, and it typically occurs three months after the event. Such events include things like extreme weight, loss, giving birth simply being under a lot of stress like having to take care of a sick loved one starting a new job, a big move going through a divorce or losing your job if you've been sick, and particularly, if You'Ve had a high fever or, if you've undergone any sort of operation, or this also can occur in the setting of starting and or stopping a new birth control. Pill crash dieting is associated with those people going on juice cleanses, for example. Approximately three months afterwards can have excessive hair shedding and hair thinning and people who exercise - and you know, run marathons, for example, will often experience the telogen effluvium approximately three months after the big race. So another common question that I get is well. When can I expect the success is shedding to stop well, the shedding, as I mentioned, usually starts around three months after the event. If the event was chronic, it may persist a little bit longer. However, in general, the shed the amount of shedding usually Peaks about four months after it starts and then then, as your body readjust, the excessive shedding wall will slow down and then stop usually within six to nine months. The hair shedding will stop and your your hair fullness will go back to what it normally was. However, if you stand or a lot of stress - or there are other stressors that occur in your life, the shedding can be long-lived. People who are constantly under a lot of stress can have long term excessive hair shedding. So what should you do about excessive hair shedding? Well, it's very very important to see a healthcare provider for evaluation and management to make sure there's not an underlying medical cause or vitamin deficiency driving the problem and to better identify what could be causing it. Now. I'Ve talked a fair amount so far about hair shedding or telogen effluvium, but this differs from actual hair loss. Hair loss occurs when something actually stopped. The hair from growing in the medical term for this is antigen. Effluvium antigen refers to the phase of our hair cycle. In which the hair is actively growing, the most common causes of this with hair loss include certain genetic diseases, certain diseases of the immune system, some drugs or medications, hairstyles that pull on the hair or harsh hair care products like chemical, straighteners, relaxers and then some compulsion To pull at one's hair and if you have hair loss, the condition will not stop until these insults are removed so like like excessive hair shedding. However, in order to figure out the cause, it's best to see a healthcare provider for evaluation and management to derm to determine if there is an underlying medical problem and how best to manage it. But those are some common causes. If you suspect that a medicine that you're on is contributing to your hair loss, I also encourage you to talk to your doctor, rather than just stopping in, because some some medications can have serious effects. If you just suddenly an arbitrarily decide to stop them on your own and importantly, other causes of hair loss may require treatment. Many people who have genetic causes for hair loss will continue to lose hair without any treatment and in women who have a genetic background that predisposes them for hereditary hair loss. They often notice a gradual thinning and likewise men who have a genetic tendency towards hair loss. Frequently notice a receding, hairline or sometimes a bald patch that that forms at the center of the scalp, and in these cases there are certain treatments that may help. So, if that sounds like you again, it's best to see a healthcare provider for evaluation and management. Some people have a combination of both things going on and the sooner treatment and oftentimes the sooner. The problem is evaluated, potential offending agents are removed and treatment. And/Or treatment has begun the better. The outcome is for your hair loss. So I get many questions about hair care and and tips for hair care, so how you style your hair can country hair loss and hair breakage depending on what you're doing to it. It can cause it to look frizzy dull lifeless, so here are some tips, avoid using a blow dryer or a flatiron tool on the hair. The high heat dries out. The cuticle coating, the waxy cuticle that coats the hair shaft. It dries it out and makes the hair brittle and susceptible to breakage, and if the hair breaks close to the top of your head man, I actually perceive that as hair loss. So that would be one thing to stop doing for sure and instead air dry, the hair or gently wrap the hair in a non terry cloth, gentle towel or like I do a t-shirt. So it's not ruffle the hair cuticle to be very gentle on the wet strands, keep handling of your wet hair to a minimum, never comb or brush wet hair. It'S always tempting to comb out the tangles, but they'll sort of weave themselves out as the hair dries. There'S actually no need to comb comb them out, just gently towel dry, the hair and as it dries, you know you may find just by running your fingers gently through your hair, that the tangles are no longer an issue. White boys, keeping brushing to a minimum, will also cut down on frizz and fracture of the hair shaft. There'S this old wives tale that you should brush your hair a hundred times a day that actually leads to split ends and brittle hair. So I don't follow that to tip certain products that are marketed as long lasting cold. Those should be avoided and particularly, if you're, using it comb to comb these products through and and in doing it can cause the hair to break and in doing so, lead to hair loss over time. And if you do want to use a flatiron, it should be used. I never to wet hair only on dry hair and on a low setting. Ideally so does not fry your poor hair shaft and try and limit it to no more than the other day hairstyles that are hard on the hair. Shaft and the growing hair include tight, braids weaves cornrows, really really tight, ponytails and hair extensions. This chronic pulling on the hair actually can cause the hair to you, know break, but the growing hair itself can be under so much duress from that chronic traction. It can actually scar down and lead to hair loss and in areas subject to the chronic traction so loose. Hairstyles are really best. Many people ask me about biotin supplements for hair, and I personally take a biotin supplement and have noticed an improvement in the thickness of my hair. Talk to your doctor. If this is right for you personally, I take a bison supplement every day and after approximately three months of continued use, I did notice an improvement in the thickness of my hair, but in addition to that, I also had stopped heat styling. My hair and I'd stop. Blow-Drying my hair and introduced my t-shirt toweling method to the to the line up, so those are other factors that may have contributed to to the improved thickness and density of my hair with the biotin, but I still continue to tehnique it. Biotin is a water-soluble vitamin and it seems to be fairly well tolerated. Some people anecdotally report that it worsens their acne, but that's not something that's been reported in the medical literature. One problem, however, with vitamin supplements is that they're not regulated, so there's no way to know that the supplement that you're taking is any good. So you know if some, if your healthcare provider is recommended, that you take biotin supplements, ask them which one that they recommend for you, and that would be the one to go. But it's largely anecdotal because there's these things aren't regulated. So we have no way of knowing that they actually contain biotin or even what a good amount of biotin to be taking is for this. That'S not agreed upon so, but anyways guys. I hope you found this video helpful today. Next week's video I'm going to talk about the most frequently asked questions about hair loss and new moms and postpartum hair loss and sort of a second part to this video. So stay tuned. For that give this video a thumbs up, share it with your friends and, as always, don't forget, sunscreen and subscribe I'll talk to you guys in my next Q & A
Comments
Fitriyani: 1:02 difference between normal vs. actual hair loss 1:40 telogen effluvium : caused by stressful life / crash dieting / exercise / etc 2:56 when can you expect the shedding to stop 4:13 entigen effluvium 6:35 tips for hair loss ( avoid blow dryers/ flat iron , DO air dry or dry hair with old tshirts , never comb wet hair , cut frizzy hair shaft , low setting flat iron , NO tight buns / ponytails / hair extensions , YES to biotin supplement / she used biotin supplements for 3 months and saw improvement on thickness of hair ) She also said few times in the video to consult to your healthcare provider for best results/treatment.
Peace and Love Greene: My hair is doing much better with biotin. Growing strong. I wash every third day and cut down on drying and straightening. Great video. Could you address blackheads versus sebum in a future video? Have a wonderful weekend.
Kristina Nyholm: Yes!!! I lost SO MUCH HAIR when I went off YAZ after being on it for three years. Whenever I tell people this, they tell me I'm nuts! Thanks for making me feel like I actually know my body :)
Judy Luce: As a hairdresser I see a lot of TE with my clients. I have had 3 bouts of TE myself over 10 years. Stress for me brings it on just like you suggested several months after the event. Also my clients that crash diet, stress about college or have weight loss surgery and pregnancy. I always educate them about TE but as you advise see their dermatologist. They do feel better when I let them know its self limiting and will correct over time.
Lei Lei: I went to a dermatologist a couple months ago and she told me my extreme hair fall was due to telogen effluvium, and she said they would grow back eventually, but it’s been 5 years now... and I haven’t seen any regrowth, just more hair loss towards the front of my scalp and even more thinning
Jenifer Jenkins: I just found out recently that I had developed an allergy to the blue dye in my thyroid medication. Every time I would take it I would get a tingling/burning sensation in my scalp, along with excessive hair shed. Switched to a dye free pill and the shedding stopped!! It no longer covers my counters and floor every time I style. Great video! You're a wealth of information!
Rafi I: Dr. Dray, I’ve recently found your channel and have been watching a lot of your videos. I’m a medical student and just finished my second year and am preparing for Step-1. Anyways, I just started Accutane about 2 months ago due to extreme cystic acne and the treatment has been going well. But I have excessively dry scalp and have been losing a LOT of hair. Is there anything you can recommend to help me out here. I’m getting really concerned with my hair loss. Please and thank you.
Afrah Rasheed: I started taking a mood stabilizer about 5-6 months back and about last month I noticed that there is less hair at the crown of my head. If there are any of you out there taking anti-depressants and mood stabilizers and are experiencing hair loss, I'm right there with you!
DenverDryGarden: Thanks for this! It's so interesting regarding a change 3 months after an event! I have found that I have a much healthier scalp and better skin after cutting out all grains and sugars.....it's been over 7 months since I've been eating this way. I'm not sure if it's a lack of inflammation, or some other process, but I'm happy about it! Hoping you have a great weekend!
Sydney J: It's so crazy how you made this video and I have recently been dealing with excessive shedding due to coming off of birth control! The shedding started about 3 months after I stoped and it's still coming out a lot. It's starting to thin slightly around my hair line and I can see more of my scalp... sad, but like you said, it should go back to normal eventually.
Ibelieveinangels yesido: All sensible tips, Dr.Dray! Women fight their hair, torture it, & then wonder why it's damaged & breaking off. Air-drying, scrunching for curl, finger-fluffing work wonders to avoid damage, & I contend that damage is what makes hair behave badly. Keep spreading the word, Dr.Dray; you're getting through! Blessings! Jackie in NY state
jade anthem: Thank you so much for this video! It has been been the most helpful video I have seen on youtube and I feel like I finally have some what of a clue as to why I am struggling right now with hair loss. You have given me a sense of hope xx
Mari H.: Dr dray you're going to get tired of me telling you this...but...you're the friggin best! ;)
salsarme Mimi: Once again, great information. I try not to put heat on my hair anymore than necessary. I was my hair twice a week thus not needing to use a blow dryer. Thanks for all the information, you are such a wealth of it. Blessings to you from Spring.
IamLiza: Thank you for educating us Dr. Dray! More power to you!♥️
Cynthia: My event was from a detox gone bad. Given 18 supplements a day and my hair started shedding. Scary as hell. It’s been 4 months, when my scalp itches, I notice hair loss there. I am seeing a professional dermatologist so I will ask what type of loss this is.
Christy Thompson: I just got here and I am watching way too many of your videos, I'm changing my lifestyle as fast as you are making these videos! Thanks for all the great tips.
Camelia Stoicea: Dr Dray, I really like your videos. I find them really educational, so thank you for that. I was wondering if you could give us some tips on colouring our hair, what products are safe and the ingredients to avoid. Thank you soooo much!!!
Kas: I’ve ticked so many boxes of the causes you mentioned: I’m suprised I have any hair left. Thank you for this informative video!
Laura Lee: Loved this Q&A..... definitely menopause plays a big part in thinning hair!Biotin... is terrific... Your amazing as always Dr.Dray....thanks so much!!! Have a great evening!!!☺
Mar Z: Thank you! This was helpful to me. I have thick hair but very few of it. It's a strange combination that most people don't understand because hair loss to them means thinning hair. But i think chronic stress and me tugging at my hair is the culprit. Also, I like that you mentioned that vitamins are not regulated. There is a site called consumer lab and they do independent testing of vitamins to see if the products contain the exact amount and quality of ingredients that the vitamin companies claim. You have to pay for a report but it was worth it to me because it helped me steer clear of certain brands that had higher/lower doses than they wrote on the bottles.
Vanessa Morris: This was so helpful cause i start birth control for the first time for pcos and after the first set of pills my hair just start thinning so i got really worried so thanks for clearing that up.
Lorraine M: Thanks again for your Q&A I love them, I have an under active thyroid and now convinced it's why my hair is shedding and not growing, have a good weekend
Lauren: I was recently diagnosed with hashimotos a month into my freshman year in college. The past few months, my hair loss has increased significantly. I’m really struggling because my hair has always been my biggest confidence when it comes to appearance, so my self esteem has been really deteriorating lately. My doctor recommended using products to strengthen my hair follicles, such as hair oils or other leave in products. Are there any products that you would recommend? Thanks :)
A Viewer: I'm rubbing Rosemary essential oil into my roots nightly. Twice a week, including castor oil with that massage. Eating a lot of chia and pumpkin seeds. Finally, just started taking prenatal vitamins. Grew up despising my very thick hair. Now dream of those by-gone days...
Aakriti Bhargava: Hey Dr dray , in the month of march this year , i was under severe typhoid. And now since last 20 days I’m suddenly experiencing a lot of hair fall and its kinda made me extremely stressed out cuz it’s something very abnormal for me . Do u think it should stop on its own or should i do something about it .
Annette Hudson: Thanks Dr Dray for your great videos. As a 58 year old woman post menopause, I always suffered from intermittent hair loss. Eventually I found something that has completely stopped the problem and that is marine collegan. Got the tip from utuber Schellea Fowler. It also helps my joints as I have osteoarthritis and my skin. Just want to share my experience!
Shera: I was diagnosed with Anegan disease last year, however I noticed my hair stopped growing around 6-5 yrs ago. Now I’m noticing that my hair is falling out much quicker. Im seriously worried I will have bald spots in a few years. I’m guessing all of this is due to all the medications I’m on. I know I can’t stop taking my meds. Is there any advice you would have for me?
Briar Rose: Dr. Dray, are you familiar with Nioxin for hair loss? I've seen a doctor - no vitamin deficiencies, normal thyroid panel - we determined it's hereditary. I'm 68. My hair loss is gradual, progressive thinning all over the scalp, not patchy. Been taking biotin for greater than a year and using minoxidil much longer with some improvement. But now I'm looking at scalp care like skin care. That's why I bought Nioxin. I'd love to know your thoughts. I have longish fine straight hair. I wash it 2X a week and usually let it air dry. By the 3rd day my scalp gets a bit itchy especially in hot weather. If I want a special style I use soft foam rollers or spiral curlers on damp hair. Curling iron on dry hair or salon blowout only on rare occasions. I love your channel and appreciate your advice. What I've learned from you: Ceramides are my friends! Sunscreen every day, indoors and outdoors, even when it's raining! Facial scrubs for feet, not face! I've just started using OTC Differin gel for anti-aging. I'd love to see Nioxin on a future Q&A. It has 3 products: shampoo, conditioner and leave-in scalp treatment.
Elena Damian: Thank you so much for all this helpful information! I love watching your videos and as an academic I also like that you always mention whether there is solid scientific evidence. I have been wanting to ask your opinion about coconut oil. I use it for hair and as body lotion, do you recom.? Or is the same story as with the essential oils? Thanks again and greetings from Leuven, Belgium!
Destiny Whigham: I heard that biotin only works if you have a deficiency in it already. Eggs, spinach, and cheese are biotin powerhouses if you don’t trust vitamins (I think mushrooms have biotin as well). I was wondering why I never saw results from biotin supplements, then I realized I wasn’t lacking in it, so it wasn’t yielding. Also, vitamin A is the one responsible for hair n nail growth, biotin just helps you absorb vitamins
Paulina Undurraga: Hi Dr. Dray, thanks for discussing this important topic. I am in my early 40's and am wondering if the changes in the quality and quantity of my hair are perimenopausal. Can you discuss that at some point please? There are a lot of shady treatments and therapies out there for us gals in this age bracket, who are feeling vulnerable because of these changes. Can you help us determine which basic treatments are legitimate and worth the expense? Thanks for your generosity in sharing this information with us. Love from Canada!
Melanie: Thanks for the helpful video! My self-care routines are simplifying and improving thanks to you!
Rose J: Dr. Dray, I took Accutane twenty years ago for six months and have experienced excessive hair shedding every since. The volume of my hair is about half what it was. Luckily, my hair does grow back, to a certain extent at least, or I'd be bald by now since this shedding is constant and shows no sign of slowing down. Have you heard of Accutane causing this?
Alyssa Bell: Hi Dr Dray. I'm really loving your videos recently, but I have a question about the blow drying and dandruff thing. I have really thick, long hair that takes awhile to dry and am prone to a itchy and flaky scalp. I started blow drying my hair on a cool air setting near my scalp because I was suspecting that the prolonged wetness of my scalp after washing was contributing to the itchiness. Sure enough, once i began blow drying the itchiness stopped and the flakiness decreased. So two questions, one is the cool air setting on my blow dryer also damaging? And two do you have any comment about a wet scalp contributing to itchiness? Thanks so much!
J: Dr Dray, just found your channel. My hair seems to come out in small chunks when rinsing my hair out in the shower. (I imagine it being what would be pulled out if one had their hair pulled in a fight). More comes out when I brush it, like a lot more. I've noticed bald patches towards the sides, above my neck. Also some thinning throughout, especially at the back of my crown. I stress about it daily! What does it sound like to you? I'm too embarrassed to tell my doctor.
Jenny H.: I just finished my 3rd month of Accutane and I started losing hair after being on it for just 3 weeks. It’s still falling out. I asked my nurse and dermatologist if it is permanent and they said that it could be if I have scarring. I lose about 40 strands of hair every time that I brush it and I wash it once a week and when I get out of the shower to brush it I lose around 100 strands of hair. I am very worried that it could be permanent and I don’t know if I should stop the Accutane. My dermatologist isn’t giving me any answers. It’s like she has never seen this before with Accutane. I have bad cystic acne and it really depresses me and I don’t want to stop it but I am so worried about losing too much hair and it becoming permanent. Can Accutane cause scarring and permanent hair loss and is around 100 strands of hair too much to lose in my brush after I wash it? I don’t know what I should do.
Nevena Tanaskovic: My mom's been under a lot of stress ever since I've known her, now on top of everything, my dad has cancer (he used to be a heavy smoker) and her hair is shedding at an alarming rate all of the time.
Natalie D.: I think I've asked you about hair several times, and yet I completely missed this video until now lol. I'm unfortunately in the midst of likely chronic telogen effluvium and haven't been able to find any reliable content on here about it on here. Thank you so much for posting! :))
Vanessa Scott: You are a dream! The way you interact with us is amazing. We are overloaded with information, much of which is useless. What a present surprise to find a woman such as yourself, who has empowered us with a fantastic resources so, we can make wise decisions for ourselves.
Swan The Queen: Hello Andrea! After a month of being vegan i started to have a lot of hair lost. Im two months vegan now and still not going back to normal. How much time takes to the body to adapt to the new diet? Someone in my Vegan group recommended prenatal vitamins. Do you think this will help? The only supplement i take is B12. Thank you! I love that you are vegan! Love your channel so much!
Natalie R: It's crazy because I lose A LOT of hair when I brush and in the shower. I do have naturally very thick and curly hair, but it always scares me. I've been like this for many years though and I still have a full head of hair.
SCarol: I'm sorry but, for thinned out curly hair, there's no way it untangles on its own after drying. It just forms huge tangled masses that have to be cut off.
Lilian Soares: Great! Thank your for another video Doc! I know I definitely need to cut back on styling my hair, but it's damn hard when your hair is half wave and half straight!
Life Change Advice with Tiffany: The hair tips are very helpful thank you. I love brushing my hair because of the scalp massage but I'm goin to remove my brush from my bathroom and have more discipline after hearing your tips!
Claudia MM: Hi Dr. Dray! I've been using an Olay spf 15 moisturizer (zinc oxide and octinoxate) and top it off with cotz spf 40. I've been using it like that because I find the Cotz too expensive to apply liberally, but I like the matte finish it provides. Do you think this is a good method? Thanks you!!
adti ashok: I have straight knee length hair doc, but sometimes the ends get brittle if I don't trim for over 6-8 months. I oil and wash my hair twice a week, no heat styling, natural air dry, and wear it only in a loose braid or low bun. I would love your recommendations for a good conditioner to maintain the outer layer of the hair. Thanks in advance and I wish you good hair days!! Here's to no more bad hair days..
Sherreen Brusca: I’m new to you videos and have watched 20 of them just today. Love them and can’t wait to try the products you love.
Sherry G: I've lost extra hair from coloring it. Fortunately, the extra shedding dies down after a month. I guess I'm going to have to live with my half gray, half brown hair! Thanks for another informative video!
Sarah Ashley: I have long term health problems plus I'm a single mum of 3, so both of them combined has led to a lot of hair loss especially in the last few months. I'm sure health and stress is mostly responsible for it and I'm at the end of my tether, there are so many treatments and vitamins ect I have no idea where to start. I'm back to crying even writing this. You have given some good steps for me to start with but I was wondering if anyone has recommendations of things that helped you? Xx
Victoria Darmanjian: I appreciate your infinite wisdom Doc!
Tokidoki: Thanks Dr. Dray, love your Q&A's.
Otoki Sicily: On supplement regulation: one workaround is to have the doctor write a prescription for a specific supplement, since most pharmacies carry supplements from reputable pharmaceutical brands such as Rugby or Major. If a prescription isn't the best option, another tip is to look for the USP, UL, Consumerlab, or NSF seals on the bottle. Here's a link to what they look like: https://www.consumerreports.org/vitamins-supplements/what-usp-verified-and-other-supplement-seals-mean/ I recommend these products to patients who come to my pharmacy wanting supplements recommended by their prescriber without a prescription. These verified companies follow strict manufacturing and QA processes to ensure that the products actually contain the listed ingredients (and ONLY the listed ingredients) in the amount specified on the label.
w11917: im 34 years old and never had hair loss problem before. just as i increased TRT and my testosterone went sky high over the norm (for the last 3 month) i started loosing my hair in extreme speed. i allso started intermediate fasting at that time that could increased my stress on the body and cortisol (didnt check cortisol). my TSH and all the other blood work, vitamins and minerals (apart from T and estrogen) are normal. i must add that i do feel much biger stress at those 3 month from my relationship ! and i had 2 gadolinium injections 3 month ago as well. this are many possible causes. my question is basicaly if i would reduce my testosterone levels to normal, reduce fasting time to 13 hours, increase vitamins and take stinging nettle and minoxidil, would my hair loss rait be reduced and could the lost hair grow b
idk: *Video notes* Avoid flat iron Avoid using blowdryer, wrap hair with T-shirt instead Minimise hair brushing Avoid tight braids, weaves, cornrows, really tight ponytails Biotin supplement (for thickness in hair)
Cori: Hi Dr. Dray. Do you have any knowledge of vitamin deficiency with hair loss? I am deficient in B1 and Vitamin D. It's been insane. I lost about 75% of my hair. I had to cut it off which was very traumatic. Theres a slight improvement but not on the sides of the hair as much. Crazy shit!!!
Lyrah 🌙: Thyroid disease thinned out my hair, it's been corrected for over a year now but I still haven't had any hair improvements :( Been on biotin for months and still have brittle nails too.
Chandini Mohapatra: Dr Dray, i would like you to do a video on hair care for people who have hypo thyriodism. I’m a 23 year old and I have been diagnosed with hypo thyriodism for over 10 years now. And I take regular medication, however hairloss and hair thinning is still an major issue for me. Please share your views on it, you’d be of great help.
Zeth: Hi Dr. Dray, I’m a new subscriber to your channel. I’ve been suffering from Alopecia areata since I was 12 yrs old. I was diagnosed with a chronic immune sytem condition. When getting bold spots I get cortisone injections. In the meanwhile I wanted to ask for your recommendation on what shampoos to use. I heard that tea tree oil would work . I’ve been using Monat hair products , but they are wayyy expensive . Any suggestion will be helpful, I’m shedding like crazy
Sofia Karolina: I was on spironolactone (25 mg for a month, 50 for two weeks) and came off right away when i started noticing increased shedding. Now after a month i have lost about half of my hair and the shedding has not slowed down. Shedding more than 500 a day. Can telogen effluvium occur so fast (only 1,5 months of spiro in a low dose?) and is this permanent :(? anyone with similar experiences?
Andrea Nehl: Hi Dr. Dray, Can biotin alter lab tests, such as thyroid panels? I have read this multiple places and don't know if it is true. Should I avoid taking biotin or vitamin B supplements containing it before my thyroid tests? Thank you
Krystin Adams: Kind of a long question Dr dray but, I have hypothyroidism dondeal with stress and occasionally color my hair with an all natural semi permanent color would you recommend a biotin supplement or something more directed towards hair loss like viviscal or rogaine? Will that work for someone with hypothyroidism?
Lena L: Thank you for the information you share with us! What do you think about meso therapy for the hair?
Michelle Mora: Lol the little smile after every phrase :) so cute, we love you Dr. Dray! ☺️
Marc Possoff: I’m on a combo of pemetrexed and Keytruda maintenance treatments. My oncologist told me I would experience hair thinning not hair loss. To me thinning and loss is almost the same. I am experiencing my hair thinking and it doesn’t seem as healthy. I do understand these are one of the side effects. I’m a male with shoulder length very wavy hair and I’m not ashamed that I’m vain and take pride. My hair has always been my trademark. With that being said would hair thinning / loss treatments, medication etc be counter productive with my treatments that I get every 3 weeks? Thanks!
Saeide Kaivani: Thank you Dr. Dray for your helpful video. What do you think about DHT blocker shampoos such as Propidern shampoo and PURA D'OR anti-thinning shampoo?
Pebbles: I've been to my derm many times over the years begging for help from heredity hair loss. My hair barely covers the top the top of my scalp and sadly this started to happen in my 30's. I don't really feel that science has done anything much to address this issue. I've used Rogaine for years with absolutely no results and different oral supplements, which biotin did help, but not enough that I have anywhere near a full head of hair on top. I keep hearing about new treatments but a couple years ago when I asked my derm about them he told me that it was media hype and the treatment was unavailable. I believe it was something about injecting your own blood plasma (from your donated blood ) into your scalp at the derms office which was completely unfeasable according to my Dr. Anyway my point is, when it comes to hair loss in women if it's severe and makes you cry your best option is to go get a wig or topper so you can face yourself in the mirror, and go on with your life. Toppers are great but you still have to face the people in the gym, atleast I do, because I can't tolerate the added warmth during exercise. If you can find a cure Dr. Dray you'll be Gazillionaire and I'll be the first in line! I think all you derms try to help but honestly for many people, it's hopeless.
aonori71: Thank you so much for your great video!! I am still not sure why my hair falls. Seen by primary provider a year ago, led could be genetic ( my dad is bold). Not using hair drier ( funny because my hair stylist told me to use dryer to prevent hair damage, but I could not keep doing it because I am lazy.) Is it too frequent washing hair everyday? How long did you take to see the effect of hair growth after used biotin ( I started taking biotin last month ) ?
GG AA: Very informative as usual Thanks for sharing May I ask what is the recommended dose of biotin per day ??
cafeaulait79: I’m African American and use to get chemical relaxers to straighten my hair. I stopped 8 years ago but I still have a few bald spots from the chemicals. Does anything help with this or is it permanent if it doesn’t grow back after this long?
MargaritaILP: Hey dr. Dray, I always wondered if heat protection sprays work or is it just marketing? Sorry if the question was addressed before but I couldn't find
KarennAnnn: Hello. I have hypothyroidism and have been on Levothyroxine for about 10 years. I had no hair loss issues until a couple years after taking this. Do you think the meds could be the culprit? I’ve tried everything (vitamins, supplements, thousands on Regenix, snake oil) to stop the shedding with no results. So frustrating. Thank you; you’re awesome!
SirFadong: Im a guy, 16 years of age. I recently found that there was a unusually increase in the rate at which my hair falls. There is a section of my head where hair is now quite thinned out... What can I do?
Suzanne: What brand of Biotin do you take, Andrea?? Thank you for your informative and myth-busting videos!! Love them!
Shelley Nayak: I have never used any heating tools other than being done on salon for a haircut, which occurs only in 6 months or so! Never dyed my hair, no stiff hairstyles, no pulling or scratching on scalp, avoid combing as far as possible and even oils, because oil literally make my dry scalp itchy and trigger hairfall. I am keeping short hair for low maintenance! Still I feel a soreness at root of my hair and hair fall!! Treatment give only temporary results. Can you make a video on shampoo and do they really work as they claim? Ingredients to avoid in shampoo! SLS, Paraben, etc. Thanks.
Godsgirl001: Thanks Dr. Dray. I had major surgery a couple of times and was horrified to see huge clumps of hair coming out. Anyway I am in menopause and last summer my hair became so dry a section broke off. I've since eliminated the beloved flat iron. I love the look of straight hair but would rather have frizzy hair over no hair. Coincidentally I started Bioten Saturday. I'll take it for at least three months and see if I can get some thicker hair. God bless
Little Bird: Thank you so much for your insight! What would you recommend to someone (me) with extremely greasy hair (but not greasy skin) to the point where I have to use Prell shampoo everyday which helps a bit but goes back to disgusting grease levels in mere hours. Is this probably hormonal? I have dealt with oilier than average hair since middle school and am currently 27. I have been on birth control for endometriosis for 5 years but haven't noticed a difference while on it compared to before. I have yet to come across anyone with as severe hair oiliness. Also, I do not have much dandruff and no hair loss.
TheLifeofAngelaBree: Omg!! I just found your channel and I love it!!! I’ve been binge watching What do you recommend for thinning edges???
Christine Saint Ours: Thank so much for the informative videos!!! Could you please address scalp care r/t sensitivity, itching and swelling of the scalp (like a histamine reaction)?
Phalaenopsis80: Hi Dr Dray! How about men's receiding hair line. Could you give us your thoughts on that too? Thank you for all the nice videos!
Lexia 19: Dr. Dray I been under lots of stress, for the last year. I've lost lots of hair. I notice is slowing down, but now I'm stressing about hair lost. I went to see my doctor, all my blood work was normal. I been using hair dye and blowdrying hair. Thinking on stopping the hair dye. Maybe I can restore some of my hair back!?
Alyssa: Dr dray I was wondering what your opinions are regarding heat protectant products for the hair. I never blow dry my hair but I do occasionally straighten and curl it. Do you think it is worth it to get a heat protectant spray to apply to my hair before styling? What ingredients should I be looking for when deciding what heat protectant to purchase?
Ayesha Qureshi: Hi Dr. Dray, Happy Friday! Do eye lashes go through the same shedding cycle? Sometimes my eyelashes fall out.
YenieD13: Three months after I gave birth my hair has been shedding like crazy. It's scary how even brushing my hair away from my face with my fingers even have hair falling out. My OB said if by the time the baby turns 1 my hair is still shedding then go see the doctor
Christi E: Hi Doctor Gray. I am suffering from severe hairloss. When is the best time to brush hair?
Healing_and_Humor: A lot of great tips here BUT my kinky coily hair is not going to "detangle itself as it dries," - so I'd really like to hear what you have to say as to detangling textured hair that does wrap around itself and is prone to single strand knots that get entangled with nearby strands and take them out with them?
Aliciaa Cervantez: Your the best Dr Dray. I love your videos ❤
glo 1029: Hi Dr. Dray love your videos :) I have a hard bump on the front of my head/scalp I notice hair is not growing on that bump so I have a little bald spot there (very noticeable) doesn't hurt at all! Just wondering why I have a little bald spot on that bump:/
Cheyenne Maria: I am on my last month of accutane and have been experiencing hair loss in the center of my scalp. Should I continue to take accutane through the rest of the month? I have about 20 days left on the medication. What should I do? If I lose anymore hair, people will start to notice. I’m starting to get really self conscious. Help!
m cassidy: Would hair loss in the temporal areas be a sign of telegen effluvium or female pattern hair loss? Thank you so much for your videos Dr. Dray.
Castro Laura And: About my bald spots, my primary care provider just said "that's to bad" and nothing else
pinkpop37: What are your thoughts on heat protectant before blow drying/flat ironing the hair?
Adam Scott: There is a study on microneedling with minoxidil vs just minoxidil and the results where insane. The microneedling with the minoxidil results where so much better than just minoxidil !
polly jetix: I've got a serious problem. Since menopause began, my hair has become extremely fragile and superfine. If I use any hairspray to try to control the flyaways, combing it out tears and breaks the hair shafts. So my dark hair looks speckled, and is very rough. I simply don't know how to manage my hair. If I use no hairspray, I'm like an uncontrolled haystack all over. But the top layer of my hair turns into a disaster area, if I dare spritz it!
Melody Crawford: Also thyroid issues! I had graves but got it controlled! I use to take biotin but my endocrinologist told me that biotin affects synthroid meds !
Jose J: Hello Dr Dray is Nioxin shampoo/treatment good for a mild hair loss? I have read a lot of good reviews but I want to know your opinion about it. Thanks
Marleen G.: I have wavy/curly hair and need to brush while wet because you simply cannot brush wavy or curly hair dry (frizzball alert LOL). But that's about the only different thing I would recommend for those of us with this type of hair. I loved this video! Thank you for sharing.
Victoria Biel: Does regular hair dyeing contribute in any way to hair loss or hair thinning?
Don't be mad: Hi! You mentioned in another video Rogain/ Minoxidil 5% is more effective than 2%. Is it safe for a woman to take 5% (men's version) Rogain/minoxidil?
Mari M: Dr Dray can you do a video talking about the ingredientes on shampoos and conditioners that are good for dry damaged hair and the ones that should be avoided pleaase, I suffer a lot with my hair cause it's very dry /: