Supplements For Hair Growth| Q&A With Dermatologist Dr Dray

TODAY I DISCUSS SUPPLEMENTS FOR HAIR GROWTH (SAW PALMETTO, BETA SITOSTEROL, MARINE COLLAGEN, & VIVISCAL) THIS VIDEO IS NOT SPONSORED.

REFERENCES

Panahi Y, Taghizadeh M, Marzony ET, Sahebkar. A. Rosemary oil vs minoxidil 2% for the treatment of androgenetic alopecia: a randomized comparative trial.

Skinmed. 2015;13(1):15-21.

Nahata A, Dixit VK. Evaluation of 5alpha-reductase inhibitory activity of certain herbs useful as antiandrogens. Andrologia. 2014;46(6):592-601.

Prager N, Bickett K, French N, Marcovici G. A randomized, double-blind, placebo-controlled trial to determine the effectiveness of botanically derived inhibitors of 5-alpha-reductase in the treatment of androgenetic alopecia. J Altern Complement Med. 2002;8(2):143-52.

Nichols AJ, Hughes OB, Canazza A, Zaiac MN. An open-label evaluator blind-ed study of the efficacy and safety of a new nutritional supplement in androgenetic alopecia: A pilot study. J Clin Aesthet Dermatol. 2017;10(2):52-6.

Rossi A, Mari E, Scarno M, et al. Comparitive effectiveness of finasteride vs Serenoa repens in male androgenetic alopecia: a two-year study. Int J Immunopathol Pharmacol. 2012;25(4):1167-73.

Draelos ZD, Jacobson EL, Kim H, et al. A pilot study evaluating the efficacy of topically applied niacin derivatives for treatment of female pattern alopecia. J Cosmet Dermatol. 2005;4(4):258-61.

Davis MG, Thomas JH, van de Velde S, et al. A novel cosmetic

approach to treat thinning hair. Br J Dermatol. 2011;165 Suppl 3:24-30.

Patel DP, Swink SM, Castelo-Soccio L. A review of the use of biotin for hair loss. Skin Appendage Disord. 2017;3(3):166-9.

Soleymani T, Lo Sicco K, Shapiro J. The infatuation with biotin supplementation: Is there truth behind its rising popularity? A comparative analysis of clinical efficacy versus social popularity. J Drugs Dermatol.2017;16(5):496-500.

Berger RS, Fu JL, Smiles KA, et al. The effects of minoxidil, 1% pyrithione zinc and a combination of both on hair density: a randomized controlled trial. Br J Dermatol. 2003;149(2):354-62.

Ablon G. A 3-month, randomized, double-blind, placebo-controlled study evaluating the ability of an extra-strength marine protein supplement to pro- mote hair growth and decrease shedding in women with self-perceived thinning hair. Dermatol Res Pract. 2015;2015:841570.

Ablon G. A 6-month, randomized, double-blind, placebo-controlled study evaluating the ability of a marine complex supplement to promote hair growth in men with thinning hair. J Cosmet Dermatol. 2016;15(4):358-66. 39.

Ablon G. A double-blind, placebo-controlled study evaluating the efficacy of an oral supplement in women with self-perceived thinning hair. J Clin Aes- thet Dermatol. 2012;5(11):28-34. 40.

Rizer RL, Stephens TJ, Herndon JH, et al. A marine protein-based dietary supplement for subclinical hair thinning/loss: Results of a

multisite, double- blind, placebo-controlled clinical trial. Int J Trichology. 2015;7(4):156-66.

Ablon G, Dayan S. A randomized, double-blind, placebo-controlled, multi- center, extension trial evaluating the efficacy

of a new oral supplement in women with self-perceived thinning hair. J Clin Aesthet Dermatol. 2015;8(12):15-21.

Ablon G, Kogan S. A six-month, randomized, double-blind, placebo-controlled study evaluating the safety and efficacy of a nutraceutical supplement for promoting hair growth in women with self-perceived

thinning hair. J Drugs Dermatol. 2018;17(5):558-65. 43.

Guo EL, Katta R. Diet and hair loss: effects of nutrient deficiency and supplement use. Dermatol Pract Concept. 2017;7(1):1-10.

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Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.

While hey guys, I hope your week has gone well in today's video. I am going to go into a topic that I get questions about and that is the role for different supplements: different botanics vitamins. What have you in treating female and male pattern? Hair loss is a type of hair loss that is referred to as androgenetic alopecia. The genetic part underscores the fact that there is a genetic tendency towards this condition, but it is very common presenting in 70 % of males on you know, roughly 30 to 40 percent of females at any time in their adult wife, and I consists of thinning of The hair and bald patches and man this tends to occur on the crown on the vertex of the scalp, as well as it presents with a receding hairline, but in women. It presents us just a few spinning of the hair and hair gradual hair loss over time, and it is a very, very frustrating condition to cut with, particularly when it has been going on for quite some time. I have many videos dedicated to the different treatments that are FDA approved for androgenetic alopecia. A video talking about minoxidil minoxidil is the only over-the-counter treatment that is FDA, approved for hair loss in men and women, and you guys know the limitations in minoxidil. It'S great. It'S effective, however, it can be very irritating to many people it can be drying and for women in particular, one really annoying side effect associated with minoxidil is that if it trickles down on your face, it can cause high perch are Co SACEUR, hair growth in those Areas, so it's not everyone's cup of tea to keep up with, and you guys know for my minoxidil video that once you stop it, then the hair loss just goes back to you where it would have been in the beginning. How do you never use minoxidil? So this is really frustrating a lot of people to here. They want they're gon na do something they wanted to fix the problem and they don't want it to just hide the problem. I have a video talking about just kind of supplements in general for hair, skin and nails and sort of my issue with supplements, and that is that supplements just in general: they're, not drugs, so they're, not regulated like like medications, are in that they do not have To demonstrate necessarily efficacy or safety and they don't undergo the same level of monitoring and scrutiny, oz, s prescription and over-the-counter drugs. So, for example, minoxidil in the case of an over-the-counter or in the case of a prescription pill for hair loss and I've talked about before finasteride, which goes by the brand name for pichia. You know that's a drug side-effect profile is well known and it's monitored and well studied for for male pattern. Hair loss, so you know, supplements they're a bit they're, better, the wild wild west, so to speak, but they do have some evidence to support their role in male and female pattern. Hair loss! That'S why I wanted to do a dedicated video on this topic, because you see them everywhere and I continue to get questions so first up botanicals. I think these are an area that are really popular and you guys are most curious about, particularly you men out there who are frustrated with the idea of having to take potentially finasteride. You don't want to do it, and so you have asked in many of my videos what about plants DHT blockers. So there are a variety of plant based supplements. Botanical based supplements that function kind of their function is postulated to be to decrease something called 5-alpha reductase activity, which is the enzyme responsible for the production of something called dihydrogen stas Tyrone dihydrotestosterone is the culprit hormone at the level of the hair follicle responsible for both Male and female female pattern: hair loss that little male hormone, that everyone has both men and women in some individuals, those with a genetic tendency. There is a sensitivity of the hair follicle to that and it results in premature hair loss. Premature thinning of the hair in that vocal, we don't really know how they work and to what degree there are some randomized controlled trials. However, looking at supplements botanic supplements that are postulated to work this way, specifically, there is a small randomized control trial, the demonstrated efficacy of a 5 alpha reductase inhibitor, a botanic 5 alpha reductase inhibitor in the treatment of male pattern, hair loss in men. So specifically, this was a study. Looking at a combination of two plant extracts saw palmetto as well as something called beta, Saito steer. All and interestingly, 60 % of the men in this randomized controlled trial had improvement in the density of hair growth in the scalp, whereas 11 % of the placebo men in this study had improvements. But what's what's nice about this supplement, I think what is attractive about it is that there are no reported adverse side effects. Specifically, there are no reported adverse sexual side effects. I think fears around. It is fear surrounding the potential for some of the sexual side-effects that I addressed in my finasteride video there's a lot of a lot of patients. A lot of consumers have fears around those and not you know they don't want to take that medication. So this appears to be a a alternative, although how effective it is in comparison to finasteride, it seems it's not as effective, but a potential. There was an open label study, so this is just people coming in and getting getting a supplement that contained biggest itas beta side of steer. All the 5 5 alpha reductase inhibitor and the DHT lowering botanic, along with green tea, extract. Green tea is a polyphenol that functions as an antioxidant, so it can scavenge free radicals, there's any damage going on in the hair follicle due to inflammation that potentially could dampen that, and in this study they demonstrated a statistical improvement in hair growth, hair mass index, meaning The the mass of hair in the prior area of hair loss that improved statistic to assistance 2 and statistical significance, and there was an increase internal hair growth. They they determine this through objective measurements, something a little trichogramma. So they were just you know, looking willy-nilly and also they had improvement in the hair density by photographs. Comparative trial of saw palmetto versus finasteride at 24 months in this in this trial, twenty at 24 months, 68 percent of men who were treated with finasteride had improvement in hair growth at 24 months. That'S that's what we know about finasteride already, though, however, the other group, those that just got saw, palmetto 38 percent of them saw improvements. So what this shows is that, while saw palmetto is not as effective as finasteride, it does seem to be helpful and again no adverse side effects were reported in that in that group. So that that you know, maybe maybe that's the kind of information that you're looking for when you ask me about this, that's that's what I can tell you at this point appears to be safe, but not as effective as finasteride, but not not useless, and then I Get some questions about rosemary oil as well, and, to be honest with you, I had never really heard about using rosemary oil topically for hair loss. I mean it's definitely way out there not standard of care standard of care. Fda-Approved treatment, topically for hair loss in men and women is going to be minoxidil, but you guys wanted to know about rosemary oil, and there is a study that I found of a hundred patients who got either. These were female patients on specify a hundred female patients who used either a rosemary oil or minoxidil, 2 %, and, interestingly, at six months after using either treatment, there was no stew. There was improvement in hair and hair growth in both groups. There was no statistical difference between the two groups, so you know that kind of hints at the fact that, at the idea that I'll say that may be topical, rosemary oil is something we should be exploring exploring further as an alternative to minoxidil. It appeared to be well tolerated in the study with no adverse side effects. However, you know, as a small study, a very short window of time. They'Re, looking at six months is not very long and in terms of looking at the looking at the you know, life cycle of the hair very very preliminary, very, very overly bought. You know I can see why you all were interested in it and it may be something that has been pitched to you, as as a treatment for hair loss doesn't seem to be hurtful now. What about vitamins? I have talked in my videos numerous times about. Biotin biotin continues to be a mainstay and hair supplements. It continues to be, you know, promoted sold. There are thousands of biotin supplements over the counter that you for hair loss. Many dermatologists frequently, you know say short, take biotin. It might be helpful. I myself, you know, have told patients to take biotin for hair loss but, as I told you guys in a video in my video on hair skin and nail someone's when you actually look at the hair literature out there, there's really no supporting evidence to to to Support the role for biotin supplementation in hair loss biotin is critical for the growth of the hair and nails and the success of you know: hair growth and nail growth, but in the developed world in particular biotin deficiency, it is incredibly at rare. I mean there are few genetic diseases that are rare and when biotin is you know, there are issues with the metabolism and absorption of biotin those individuals. Do you have hair loss as a result of God, and you know that's a situation where biotin supplement is actually mandatory for life and those in many in those people. But you know everyone else out there biotin deficiency very, very, very, very unlikely, and so there's no evidence to support just taking biotin supplements for hair loss in the absence of biotin deficiency. Is it harmful? You know we we're pretty cavalier about recommending it, but if you over call back to my hair skin and nail supplement video, we do know now that a lot of the biotin supplement that the biotin supplements can interfere with the accuracy of certain labs lab tests. You might have so it can't interfere with the accuracy of thyroid studies. The other vitamin that husband examined is vitamin b3, which is niacin applied topically to the scalp. There is some evidence that in women not resulted in an improvement in hair, hair, thickness, subjective improvement, so in other words women applying nice topically like an Angele and an oil Dejan, they felt like their hair was healthier thicker and they had improvement in hair loss. And you know anything you would put on your skin always says the potential to cause irritation for you. So you know that that's certainly something that you could run into, but otherwise seems to be okay and then one area that I think gets undersold to you is the role for topical zinc in topical, zinc, pyrithione containing shampoos. I mentioned this in my recent. A recent Walgreens shop with me video, I pointed out the the anti dandruff shampoos right next to the hair supplements I'll talk about this guy. In a moment - and I mentioned not - you know, we kind of a Missouri observed anecdotally - that we tell patients to use an anti dandruff shampoo. Sometimes that seems to help their hair loss and it turns out. You know, we know that zinc. Pyrithione can inhibit some that only East that naturally lives on our skin, who may just call some low-grade inflammation that can kind of contribute further, and we do have good evidence down. Zinc, pyrithione containing anti-dandruff shampoos do perform quite well in in helping hair growth. Specifically, there was a randomized control trial, looking at subjects with with pattern, hair loss who used for six months again a short window used either one percent zinc, parathion shampoo or they use standard 5 %, minoxidil brand name Rogaine or a third group used both and what's Interesting, though, about this study, that is, that the group that used inc, pyrrha theone after six months had improvement in their hair density and hair growth, less hair thinning, less hair shedding. Likewise, a group treated with minoxidil saw the same thing. However, the group that that was treated with both minoxidil and zinc piratey on shrimp combination - they they got better, but they didn't get any better than the group treated with just minoxidil. So, in other words, it doesn't necessarily appear to give you any additive benefit, but it definitely can help. So it's you know low risk potential for high high reward. The one supplement that I'll talk about I get questions about, and I have a video about. Collagen supplements collagen supplements for you notice hairs if most of your skin and talking about wrinkles and fine lines, but what about for hair marine fish extract marine extracts fish colleges there are us actually they're, actually quite a few studies. Looking at this for how dirty hair loss specific, mostly in females, the visit couch - I have here, I got this as a sample at a recent meeting. I don't take this because it's you know derived from fish. It'S not vegan and I consume a vegan diet. This is shark, cartilage and oyster oyster extract powder. It is a dietary supplement, this different marine collagen and there have been five randomized control trials. Looking at marine collagen to date, four of them were done in women, using the visit Cao Viscount and in all of those studies. Women have show that there is an increase in the hair count. The number the actual number of hairs with taking the discount and decrease in shedding and women are in. These studies are much happier compared to you compared to those who do not take it. So it definitely seems to help how much it's you know. These studies don't really give us that kind of information, but it seems promising and they don't appear to be any side effects. It'S just expensive that you know that that's always a side effect. You know the same still holds true. True is what I've said in my other videos supplements kind of like the wild wild west. You never know what you're getting they're not regulated they. You know they don't have to demonstrate the same level of safety and efficacy, but you know here in the hair, in the realm of hair loss and pattern, hair loss. We do have some some studies, albeit small, looking at these things, not sure they're promising and show they're well tolerated and they seem to be saved. So I hope this video is helpful in addressing your questions about these different supplements. I learned a lot. You know. I didn't know too much about things like topical rosemary oil, and so thank you guys for always asking insightful questions. I appreciate it if you like this video, give it a thumbs up, share it with your friends and, as always, don't forget, sunscreen to subscribe to guys

Amanda Cohen: Anyone else just feel like a dermatologist going through the isles, looking at the ingredients. I’m like “oh ceramides” .. Thank you Dr. Dray! I love learning from you and taking care of my skin

Amira L: “Expensive, that’s always a side effect!!!” Hahahahaha so true! Very few people have excess money! I am going through a hard time and I appreciate you tubers who acknowledge that not everyone has money to throw around! Love you Dr. Dray!!!

aiman_b: Thank you for making all these videos Dr. Dray. I know how much of your personal time and money is involved in making these. We appreciate you!

Pennie Rushing: Dr Dray, Thanks so much for taking the time to do these very informative videos. You’re very kind. Menopause sucks! I also love that you sourced the studies. Next time, will you share your sources as links so we can click on them and read them please? Again, thank you so much for everything you do out of the kindness of your heart.

Mary Lawman: Very interesting topic, Dr Dray. Thanks so much for keeping us so well informed.

Toni Balogna: Thank you so much for this video, Doctor ! Question: Does altering DHT levels in women via Saw Palmetto effect Testosterone levels and therefore Estrogen? I've been taking 500mg of Saw Palmetto for about 6 weeks and without going into detail, I'm noticing some hormonal changes within my cycle. Do you think this is the type of thing that might just level out in a few months? Thanks!!

VKB85: I love your honesty at the end about being thankful that viewers bring up questions, such as the topical Rosemary oil, and that you learn from viewers as well Thank you for being honest and humble.

CynVee: So informative. Your wealth of knowledge on any given subject and your willingness to pursue issues that matter to your fans amazes me. I am very thankful and so happy I found your channel. As another poster already remarked, before purchasing any product I scrutinize the ingredients list and actually understand it now thanks to you! Going to look into the Jason dandruff shampoo. Thank you again Dr. Dray. I wish you had been around when I was a young woman but better late than never. BTW, your skin and hair look absolutely glowing and so healthy. Happy Friday. Hope you have a great weekend with your adorable mom and Tybee❤️

Sherry Reis: This was stellar information and worth taking notes for reference. I’ve been taking a collagen supplement for a few months and have seen improvement in my thinning hair on the top of my head. Thank you for all time you put into this video, it’s so appreciated. Enjoy your Friday evening. Hugs,..Sherry

Barbara Settle: Great information, Dr. Dray. Thank you for sharing the studies on this subject!

Ruby Harris: Hello Doc! Really enjoy your videos, and have learned a lot from you. One thing I am not sure about (and I bet others wonder as well): I love to swim, but know that the chlorine is doing damage to my hair. I will sometimes use a swimming cap, but find that it tugs out a lot of my hair. I can't afford to lose any! So, now I just put on a heavy conditioner before I swim, but don't know how much it helps. Do you have a suggestion about how to handle swimming for skin and hair health? Thank you for all that you do!! <3

susanmcf1: Thank you! This is really helpful. I take a multivitamin for hair, skin and nails and it seems to have helped with hair loss. Also, Kenra thickening shampoo has been a game changer as has Living Proof Perfect Hair Day 5 in 1 and Night Cap. They add diameter to my hair. No one would look at my hair and know that it had become thin and fine with age and loss of estrogen.

Ekaterina Kozlovskaia: Hi dr Dray! Very interesting. Had no idea that marine collagen supplements can have such an effect. But yes, they are expensive. Thank you so such useful info. Have a great weekend!

Em: Thank you for this info. I am experiencing sudden, rapid hair loss 2.5 months after having covid illness. I think it's related because I went from thick, long hair to a lot of nonstop thinning in just a couple weeks. I'm even losing multiple eyelashes after washing my face or showering. I'm hoping it's temporary.

Lisa Grandinetti: I'm considering trying saw palmetto and beta sitosterol to treat my hair loss. Is it safe for women? If so, what brands/dosage would be best?

Old and Still Here: I’m so happy for this video! Upon your suggestion, I recently got the masks from Amazon, and now I know exactly what I’m gonna do with them next! SKII is no longer on my list. Well, it really wasn’t on my list, but now I have this knowledge. You rock!

bullitt0713: Thank you SO much for sharing this. I have lost at least half of my hair through the years and it has caused me terrible depression. What do you think about nutraful?

V Fran: I love Dr. Dray and all your videos are so very helpful. Honestly - please don't recommend any product with shark cartiladge products - this is a brutal thing that is responsible for brutal treatment of sharks where fishermen catch them -cut off their fins and throw them back to suffer. I personally would not recommend ever using anything with shark fins - including the soup.

Jennifer Peterson: Just found out that I'm biotin deficient. Been losing my hair for years. Now I'm on a supplement. I really hope it helps! Thanks for the info!

Alyssa Bench: I started losing hair because I was anemic. It started growing back as soon as my iron levels were up. I have also heard that the tocotreinol form of vitamin e can help regrow hair.

Laurel: I use the shampoo and conditioner from Pura D’or which has really helped with my hair falling out. I also have to use Ketoconazle 2% shampoo and Fluocinonide 0.05% topical solution in combination twice a week because for some reason I get really bad dandruff in the spring and that clears that up. The rest of the year I’m dandruff free (weird).

Emily Healy: Great video Dr Dray.I was wondering would you be able to do an all vegan skincare routine for your cruelty free fans out there.Would really really appreciate

Merna Gobran: Hello Dr. Dray, I've been suffering from Seborrheic dermatitis and hair loss for many years. I tried Nutrafol for a month and half and my hair has gotten so oily and fell out even more. I stopped it and I'm still suffering from that problem. I heard it's a good sign that my hair has fell out more meaning that new hairs were responding to the vitamins and pushing out the old ones. Could that be true ?

Polite Reminder:: 10:20 biotin 12:29 niacin /niacinimide topical

TheWatyfly: Love this kind of videos, very helpful, now I know what to look for in a shampoo or in supplements!

Denise Govender: I've been living with alopecia Universalis for around 15years now with no regrowth since completely losing all body hair accept for the eyelashes which is a blessing my dermatologist recommended a wig .

B. J.: Thank you for listing the citations. As for the zinc pyrithione shampoo, was it used daily?

AmazingPaladin: I started taking saw palmetto and other DHT blocking supplements for issues relating to my prostate and have seen a great deal of hair regrowth. But I think my case is atypical because I’m still young and the main issue wasn’t hair loss.

ROLL 96 Shreyashi Mukherjee: Thank you for busting myths but please include more solutions or guide us on how to reach an outcome.

Jackie Marsh: Loved this video Dr. Dray!! Thank you so much for a very interesting video!! Please enjoy the rest of your Day!! xox!

Josephine Nakamura: Hello dr. Dray. Following your videos everyday. Your recipes, aloe vera reviews and today . Thank you a thousand times . I maybe not commenting every videos, but always give it a thumbs up. By the way , just to inform you that amazon customer service just refunded the colorscience 3 in 1 product. Thanking them for the nice gesture. Have a nice day

S B: I love trying new sunscreens. So today I went to the drug store and saw Banana Boat faces, 3oz. Right next to it was a 6oz bottle of the same exact thing but it just didn't say the word "faces". Exact ingredients on both of them. Faces was more pricey too. Marketing is such a huge deal....wow.

Julieanna Foss: Dr. Day, i love your video! It was very informative. I do think that it would be easier for listeners if you summarize at the end. I think you do that in your recent videos but i still wanted to let you know. I appreciate your thorough expert advice!

Jeremy Choo: I know I’m late to this Q&A but has anyone heard about melatonin as a supplement or a treatment for alopecia? A friend’s dog was diagnosed with alopecia and the vet prescribed topical melatonin which after about 3 months, there’s been visible fur regrowth. Wonder whether it works for humans too?

Sally S: I had to take biotin supplements when I was taking a medication that had known hair loss side effects. The medication ended up not working out, but boy did my hair look and feel so thick and amazing after a month. While I agree biotin may not be necessary in the absence of a biotin deficiency, it does appear at least anecdotally, that overexpression does have an additive effect. My hair had never felt so strong and healthy. Unfortunately, I stopped taking it when I stopped the medication, but I may try it again as I'm going through age related thinning right now.

nab239: Thank you for sharing this great information! Were the studies done on Viviscal using the Professional version or the Extra strength? Professional is not sold in store and they’ve stopped carrying it on Amazon

Cindy Stewart: Hi Doc, how are you and your mom doing? I really learned alot from this video, but I always learn so much from you. Thank you for all you do. Take Care and God Bless You and Your Mom

THE GOLDEN DRAGON: Can u make a video on redensyl? Sharing ur thoughts on how effective it is and side effects it can have. Especially for pattern baldness like female pattern/ diffused hair loss. Also if the hair lasts unlike minoxidil. Thankyou.......love from India ❤️

o0Avalon0o: I lost over half of my hair volume over the past year; it started when I got an IUD installed & went through a separate stressful event (where I stopped eating & going to the bathroom for days), so I'm not sure which is the main cause. At first I liked how much lighter my head felt but now I'm really hoping this is reversible. Even if it doesn't work, I appreciate being able to learn from an expert.

Jessica Lynn: Please do a review of the brand Clinique! It’s really hard to find reviews that dive into the ingredients as in depth as you do. I’d love to see your ingredient analysis on products from them for sensitive skin

phai77: Thank you for making all these videos, I find it very helpful.

Monica: I looove that you cite your sources, --really helpful!

CC Peace: Thanks for sharing Dr. Dray! Have you ever heard about the use of Castor oil for helping hair growth?

Kelly Lovegrove: I’d love a video on oral phytoceramides and skin improvement! Thanks.

demonsandlords: I love how you back up your facts in the description. You’re the best!!

Linda Chu: I took Viviscal for 3 months, and my hair grew out so much!!

Nusrat Shermin: I have been taking viviscal for the last two weeks and I have been having mild chest pain. Pain lingers through out the day . Did anyone else have this issue, really want to keep taking these cause I believe i am seeing change.

Nell JM: I lost a lot, but not all, of my hair (including eye brows and lashes) when I had to start having Interferon Alpha injections every night. My dose has been reduced now and my hair is coming back quite well, but brows and lashes are still very sparse. Have a great weekend everyone :)

F Starr: Very helpful video! I appreciate your scientific analysis. Thank you!

Faheem: Have you prescribed/recommended any of your male patients viviscal? If so, did they have good results? Thanks!

Mai Ying Drinkard: Thank you for this video. So informative. I have thyroid issues and get labs done every few months...

Claire Boskovich: Hello Dr Dray I was wondering if you could do a video on trichotillomania with eyelash and eyebrow hair. Love your videos! Thank you ❤️

Lynn Rose: I never really knew how supplements worked with supplements for hair growth. This was very interesting. Have a nice weekend. :)

Pamekay: Great video. I just bought rosemary oil from Maple Holistic. It has many good reviews but after I purchased it I saw one review where the lady said it made her hair fall out smh I bought this to put a few drops in my shampoo as my hair is thinning. Maybe she applied directly to her scalp without diluting it? Now I’m scared to try it lol. Thoughts?

K Bear: I use a product called Estrosense. It regulates estrogen levels in the body. I am from Canada and I don’t know if this is a product available in the US. I’ve taken it on and off over the past 20 years and when I entered perimenopause a few years ago it stopped all the symptoms I was having. Hair loss was a major issue as was severe cystic acne on the chin and hairline at the back of the neck. Cystic acne was gone within a month. The hair took longer to grow back, maybe a couple of years, but regrowth started within the first month of using. As with other products, it is more expensive and things will return to the way they were before if stopped but I’ve made adjustments in other areas to continue using it. It has made a huge difference and I look and feel like my pre perimenopausal self again.

Pencilfriend Paperscribbler: Thank you for doing so much research!

Jennifer Ann Fox: A DHT blocker called Prophidren, you can get through Amazon showed a signficant improvement in my hairloss. My mother has it bad so I new the excess shedding was perhaps genetic. I was on zinc and biotin already and a significant change didn't occur until taking the dht blocker supplement. Kinda expensive but worth it. I had tried another brand DHT supplement and didn't see improvement as I did with this Prophidren brand. I know they are not regulated so I gave another brand a try. Interesting about rosemary oil.

Blinks Bill: I had no idea that I would find hair videos on your channel. I have spent all day researching which medications, oils, and prescriptions have studies behind them to back up any of the claims I hear about these products. It is disheartening to hear that we have a lack of research on many of these products, not only hair products, but also in skincare and beauty. I don’t want to spend hundreds of dollars on products at wholefoods that have anecdotal claims, but have no scientific evidence supporting what various people say about certain products

Elmarie Fourie: Hi Dr. My hubby is on Minoxidil and Propecia treatment with Dr. Alexander at the Hairloss clinic in Bedfordview South Africa. I am on Minoxidil treatment now for 21 yrs (varying between 7% and 11% as I will never be able to stop treatment. The quality of our hair is fantastic .

B Anthony: I started taking Actine: generic name Risedronate Sodium a few years ago for a bone loss and I immediately noticed that my nails and hair grow stronger and faster now. Sometimes I almost feel like I can feel my nails grow. Very odd, I know. Been on vacation – so playing catch-up with you.b

Luís Vaz: Do you think, being regarded in some literature as an antioxidant, azelaic acid may prevent the formation /exacerbation of wrinkles ?

Mr.K: I've been looking for alternatives to help with hair loss I was obsessing today and saw you put up a new video. Thank you so much!

Leta Kennedy: Hello! I, like you, am a vegan. What mineral/supplement would you recommend for vegans for hair? What you you yourself take if needed? Thanks

bnb0510: I use Andrew Lessman’s hair skin and nails vitamins and I really like them. You definitely have to be careful of buying vitamins. Most don’t have the correct dose, or even the correct ingredients. I do know that there’s definitely biotin in the AL ones because i had labs drawn and got a call from My Dr about my biotin results. Lol

Hutoxi Dubash: Great topic & information. I am reluctant to take supplements coz as u say they are not regulated & might have side effects, so then u end up with some other problems!! Might give the anti dandruff shapoo a go though :)

Iuliana Herghiligiu: Hi, Dr. Dray.. I've been prescribed finasteride for acne.. I took it a year or so. Do you think that I could experience hair loss from it? I've got serious bald patches now.. I don't remember having them before taking it. :(

Margie Medina: I'm so happy I found your channel. I can always find informative videos.

A side of Aioli: I was in birth control for 2 years, lost 30-40% of my hair, esp around the hairline ear to ear. I've been off since Oct 2017, and my hair still hasn't come back. I never had issues with my hair receding before

Lindi H: Happy Friday Dr Dray ... Have a wonderful weekend everyone ☕️

shaboom812: one side effect of viviscal is that it can cause cystic acne for people with acne-prone skin. can you do a video reviewing hairtamin supplements?

Jason Ryan: I have worked in the retail supplement business for yrs and I have found that what helps your hair hurts you sexually. Unfortunately the same seems to hold true for drugs for hair loss. Topicals don't seem to affect your sex life which is a positive. There are numerous hair supplements on the market and viviscal outsells most hair supplements. The results I have found are somewhat dismal at best. Saw palmeto in a topical might be the most promising if it is available in topical. Adding beta sitosterol to other hair supplements helps. The problem is most people are not consistent and it can take months to see a difference.

Rainydaz Mel: Happy Friday Dr. Dray! Hope you have a great weekend. another great video, thanks!

Liz Chia: Hi Dr. Dray! This is random and unrelated but as a fellow tea lover, I wanted to let you know about Whole Foods 365 brand of rooibos tea that is orange creme flavored. It’s delicious and tastes just like a creamsicle, but not overbearing. I’m excited to try it as iced tea too. Just thought you’d might be interested to try it :)

Stefanie Blanche: Dr Dray one question about Viviscal. Do you recommend the Pro which you showed in the video more than the Extra Strength? I want to try Viviscal for regrowing more hair (which I lost massively due to hair loss) I already use a marine collagen supplement but I wanna see if I get better results with Viviscal. I also use IRestore Pro which helps

A. Holmes: Biotin and collagen both make my nails grow fast and strong, but I need more time to see the overall impact on my hair.

Anita Nikolova: Hey, Dr. Dray, could you please do such video for dealing with extra hair sebum? :) Thank you! :)

madebymalvika: Hello @Dr Dray, can you suggest what to do in case of Alopecia areata? Do the same recommendations in your video work for Alopecia areata?

Yazmin Osoyo: I am using Nourkrin Women and it is MAGICAL! I noticed results by the hair that falls when I shower after 2 weeks! That covers the “losing hair” part. I am now looking at what I can do to awaken the hair follicle so I can increase the amount of hair in my head! I am looking at the laser helmet, but it is so expensive! I used to take Aminoter and it does work, but it contains Vit B and that was causing acne. My mom uses rosemary washes on her hair and at 80 years she has more hair than I do.

Burren Girl: Thank you so much for your excellent videos, Dr. Dray! I love them all! How would one apply B3 topically? Can you give an example of what that might be? Is it a facial serum? All the niacin I'm seeing is in a pill or a capsule form. I'm confused. :-) Thanks, again!

Shelly Cupp: Thanks for a great video. Wondering if you have tried colorescience sunforgettable tint du Soleil, broad spectrum SPF 30. It does have a tint but it goes on so beautifully ( are used primarily when I'm going to be indoors) and then after work when I'm heading out I can lay more on top and it never looks terrible or I can put my elta md sunscreen over it and it does so well!

0006bella: I love your videos thank you so much for the great information that you bring me

Aly: Hi Dr Dray! There was actually a study comparing a 3% peppermint oil dilution in jojoba oil to minoxidil in mice, & it performed even better than minoxidil! Something to look into (:

Maria Asher: Biotin supplements broke me out horribly. I started taking a collagen powder supplement for my joints and my hair grew so much.

Nicole Goodwin: What are your thoughts on using minoxidil as far as stopping then start using a Rosemary concoction since Rosemary essential oil is compared to minoxidil?

Kris: Dear dr dray, could u take finasteride as well as saw palmetto? Or finasteride alongside another supplement?

Rose: Hey Dr Dray. About two days ago I found out that I have Polycystic ovarian syndrome. Hair growing supplements don't work, other than rogaine, I was wondering if you could recommend other things I can also try, maybe shampoos?

Step Saver: Excellent info as usual, thank you.

Moomin Mai: Re Viviscal, I’ve had thinning hair since my teens and I’m in my forties now. It got so bad I’ve had to use hair pieces since my early twenties. I’ve used Viviscal for approx 2 years now and it’s made a huge impact in increasing the density of my remaining hair. Yes results are slow and yes I wish it wasn’t expensive but I do t drink or smoke and it’s worth prioritising your funds for this if like me it actually started defining me re no confidence or self esteem. Definitely worth a try.

James Towey: I take saw palmetto, biotin and omega 3s (i take double the reccomended dose of both) over the space of 8 days ive seen a noticeable difference. I dont know which is really helping or if its only effecting growth and not density. But its like steroids for my hair. Disclaimer i also take NMN which may be having an effect.

shifa khan: There is also a study that suggests peppermint oil also aids hair growth comparative more than minoxidil Can you give your thoughts on it please.

this is me: If by rosemary oil you mean rosemary essential oil please know it can trigger contractions in pregnant women. I learned this the hard way after rinsing my daughter's hair with a tea mixture with rosemary oil. I kept getting contractions after giving her a bath. At first I thought it was just giving her a bath, but wasn't getting them doing other physical activities. Looked it up and learned pregnant women can't handle rosemary oil

lena nicole: I'm 25 and had my daughter 2 yrs ago After I had her alot of my hair started to full out. I thought it would stop because that's what I hear happens at times. Its been 2 yrs and it's not getting better and my hair has thinned alot and still falling out. I'm at a total loss.

Tina T: Viviscale worked wonders. You have to be patient; my hair grew and texture was softer including down there lol

Shari Schmidt: Catching up with you this evening, interesting topic , really enjoyed it. I take the biotin gummies from Costco,for hair, skin and nails, have no idea if they do anything at all. My fingernails are my nemesis, l can't grow them beyond my finger tips, grrrrrr! Happy Friday, enjoy your weekend

Montana Lacy: Hey Dr. Dray! Hope you have a great weekend thanks for the video!

Samantha B: Hi doc I am on birth control - I think it’s attributing to my hair loss. Can I take prenatal vitamins to help grow hair thank u

indiandiva93: Could you do a video on nutrafol and your thoughts on that supplement system for hair growth?

noo: Hey Doc! Just wondering if you can talk about oral sunblock? Thank you for all your videos!

Kezia E: Thank you for explaining biotin, i notice my nails grow like crazy but nothing else.

Lori Stephens Artist: Do you have any information about Jamaican Black Castor Oil for hair growth as far as helping your hair grow longer and stronger as well as faster? It seems to be popular. I love science and scientific studies, but I do feel like there is also a large issue with scientific studies focusing on mainly pharmaceuticals. I am not super familiar with the research focusing on types of hair as well. For example, I have thick, curly hair and I would expect my results to be much different than someone with very fine, straight hair, but I'm not sure. Plus, is there also any differences depending on hair porosity? I feel like there are so many variables to consider in case these variables could impact the results of these studies. I hope this is making sense in how I've stated it. Sometimes I think I say something clearly, but it comes off differently.

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