Skinside Out

In this episode of Skinside Out, Dr. Zain, alongside Courtney and Heather, sheds myths and dives into an in-depth discussion on treatments for hair loss. They cover various aspects, including topical treatments like Minoxidil, oral medications such as Finasteride and Spironolactone, and in-office procedures such as PRP and hair transplants. They also address supplements, prevention strategies, and the importance of early intervention. Tune in to learn about innovative and traditional treatments to combat hair loss effectively.

00:00 Introduction to Hair Loss Treatments
00:39 Understanding Hair Loss
01:13 Topical Treatments for Hair Loss
05:46 Oral Medications for Hair Loss
08:58 Supplements and Nutraceuticals
14:24 In-Office Treatments
17:40 Hair Transplantation
22:14 Prevention and Final Thoughts



Creators and Guests

Host
Courtney Carroll, LE
Courtney Carroll, LE is a licensed aesthetician with extensive experience performing non-invasive cosmetic treatments and customized skincare.
Host
Dr. Zain Husain, MD
Dr. Zain Husain, MD FAAD FACMS is a dual board-certified dermatologist and Mohs micrographic surgeon with fellowship training in cosmetic dermatology.
Host
Heather Murray, PA-C
Heather Murray, PA-C is a distinguished board-certified and fellowship-trained dermatology physician assistant specializing in medical and cosmetic dermatology.

What is Skinside Out?

Welcome to Skinside Out, where science meets beauty, the ultimate dermatology podcast! Dive deep into the fascinating world of skin health with expert insights, evidence-based discussions, and myth-busting truths. Each episode explores the medical, cosmetic, and surgical aspects of dermatology, while keeping you informed about trending skincare topics. Whether you’re a skincare enthusiast, medical professional, or just curious about how to achieve your best skin, Skinside Out is your go-to resource for staying informed and inspired.

14 Skinside Out
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[00:00:00]

Dr. Zain Husain, MD: Welcome to Skin Side where Science Meets Beauty. I'm your host, Dr. Zane with Courtney and Heather. So today we're gonna be continuing our discussion of hair loss, but now focusing on treatments.

Heather Murray, PA-C: First understanding hair loss.

I think hair loss is very complicated. If you haven't watched our last episode, go and watch that first 'cause that'll give you a deep dive into the different types. There's androgenetic, alopecia, traction alopecia, any scarring, alopecia, so they're all, um, different causes. And so I think that makes a big difference in the treatments.

Courtney Carroll, LE: Yeah, [00:01:00] so we'll talk about different treatment options, whether that's topicals oral medications, as well as in-office procedures you can do and at-home, supplements you can help take, um, to adjunct a lot of these procedures. So go ahead and get into it. With the topical treatments, um, I think the most.

Um, common treatment that everyone is familiar with is Minoxidil, otherwise known as Rogan over the counter. So Minoxidil helps to stimulate hair growth, um, and it can slow down that hair loss, but it is something that we do see takes time. So, um, it does come over the counter. Like I said, you can get the, the generic or the name brand Rogan.

Um, one thing to look out for is that they do have. Hair rogan for men and for women. And so for the woman, they give us a 2%. Mm-hmm. Instead of a 5%. Um, and the other thing you really wanna be mindful with a topical minoxidil is that you are washing your hands after you [00:02:00] apply it. Because if you are touching your face or other parts of the body, that solution can create hair growth in those areas.

So.

Heather Murray, PA-C: I think Rogan has actually c caught on board now. 'cause I had a patient, um, the other day who brought her box of Rogan and it said Rogan for women. And it was actually a 5%. Sorry. We've complained too much. I know. It was a little biased. I felt, you know, there

Dr. Zain Husain, MD: was something interesting a few years ago.

It's called the pink tax, right? Yeah. Yeah. Um, for women like. Actually a lower strength percentage. The 2% was more expensive than the men's. Yeah. Which I found. It's crazy. Mindboggling crazy, but it is unfortunately a reality. Mm-hmm. But hopefully, you know, things are changing.

Courtney Carroll, LE: Yeah. And I don't know if they worry about women, um, having it drip down their face or things like that.

But I always tell patients if they're using it to make sure that they're tilting their head back, especially women, um, tilting their head back and then, like I said, washing their hands after, because I have had that phone call from a patient before. Mm-hmm. Stressed that she was having hair all over her forehead and down, like on her sideburn [00:03:00] area.

And she went immediately to get it waxed. Um, and after that she definitely learned how to apply it a little bit more evenly.

Dr. Zain Husain, MD: Yeah, and you can get compounded versions of the medication as a prescription at a higher percentages. So, um, they have shown to be helpful. So if you see your dermatologist and you wanna try, you know, a higher strength minoxidil, that is possible.

I mean, I've seen 7%, 8%, um, minoxidil, and that could be helpful.

Courtney Carroll, LE: Mm-hmm. Yeah. And to speak to that, um, there are compounded versions of the monil like we sell in our office, and these are actually compounded with. Um, it can be progesterone for our female patients or it can also be compounded with Finasteride for our male patients.

So that is nice because you get a little bit of benefit from both medications. Mm-hmm. Compounded into just one, and you apply it twice a day, you're good to go.

Dr. Zain Husain, MD: Yeah. And it's very convenient that way. And we say twice a day in reality, do many of our patients use it twice a day?

Courtney Carroll, LE: No. No. We're lucky if we get it once a day.

Yeah. [00:04:00]

Dr. Zain Husain, MD: So if they can get the benefits from that, um, even with like a single application, because we do see results even with once a day. Um, 'cause some patients just with the texture, how it dries, styling their hair, et cetera. And also life. I mean, I. Patients say that, you know, they don't have enough time and I get it.

Mm-hmm. Yeah, they're busy.

Courtney Carroll, LE: Yeah. Um, there are other products as well. Um, we're, you know, exploring growth factors every day now, and those have been shown to have great benefits as far as regrowing that hair, so. We use Care Factor in our office. They have a wonderful shampoo conditioner that they sell as well as a scalp solution.

Mm-hmm. Um, it's actually activated by red light, which can help also influence more growth factors and get a better, um, efficacy out of the medication. But, um, it's really interesting realm to be in right now. Um, as far as you know, medications for hair loss.

Heather Murray, PA-C: Yeah, there's also topical JAK inhibitors, which are, um, used for a lot of different things, but we are starting to [00:05:00] see some really good effects for hair loss.

The biggest thing with JAK inhibitors right now are getting insurance on board, I guess is the biggest one. Um, so we have used a lot of topical, um, jak JAK inhibitors are, are pretty much this class of medications that inhibit the JAK pathway. Um, and that can contribute to numerous things.

There's like eczema, um, hair loss, vitiligo, so there are a lot of different. Um, conditions that JAK inhibitors can treat, but we are definitely starting to see it help with some types of alopecia. Yeah. And

Dr. Zain Husain, MD: the JAK inhibitors are especially helpful for alopecia Ariana. Mm-hmm. Which is an autoimmune condition.

Um, so that's where we've seen the most promise with it.

Heather Murray, PA-C: Yeah. Um, next we'll kind of get into the oral medications. A lot of these are actually very similar to some of the topical regimens, but more, um, prescription based for. I guess for most of them. But, um, we'll start out with Minoxidil. So [00:06:00] like Courtney mentioned, topical minoxidil can be over the counter, but it's also prescription.

Um, oral minoxidil is just a prescription, so it's actually a blood pressure medication. Um, it, it doesn't do a great job at treating blood pressure, but technically it could lower your blood pressure. But the nice thing about Minoxidil for hair loss is we're using it at such a low dose, so it's not really making a huge difference.

But I would say if you do have really low blood pressure, it might be. Worth, you know, being cautious about that one. But really what Minoxidil does is it actually va vasodilates your blood vessels to help bring nutrients and antioxidants, vitamins and minerals to your scalp, to your hair, foll follicles, to help stimulate that hair growth.

Um, it also prolongs the growth phase in general, so you have more of that growth coming in. Um, next is Finasteride. So that comes in a pill as well. Brand name is Propecia. You might have heard of it, and this works very differently. It actually blocks DHT. So the, the, to kind [00:07:00] of explain that the difference between monoxide and Finasteride, minoxidil really helps to stimulate hair growth.

Finasteride is really good about keeping the hair that you have. Um, so. Some people, especially women, don't really like the feeling of taking Minoxidil because it could stimulate hair growth in other places. Mm-hmm. Um, Finasteride we typically only use for men because of that blockage of DHT. It's not something that we do, especially in, um, in childbearing age.

Mm-hmm. Women,

Dr. Zain Husain, MD: yeah. But postmenopausal women, we do use Finasteride and even Dutasteride steroid. Yeah. And then spironolactone has been shown to be very helpful for women with, um, you know, female pattern hair loss. Um, like we had talked about in our last episode, female pattern hair loss and male pattern.

Hair loss has a hormonal influence, and what Spironolactone does is helps to block the effects of male androgens or the male hormones. From binding onto those [00:08:00] receptors on the hair follicles that are, um, have been shown to lead to premature shedding in this condition. So it helps to almost protect those hair follicles.

Heather Murray, PA-C: I love speral lacto. I think it helps with acne, it helps with hair growth on the scalp, but especially for women who get hair growth in other places that they don't want it, it helps control that too. So it has. Phenomenal results. And it takes a little bit of time, but it works really great

Dr. Zain Husain, MD: If only we can use it in men.

Yeah. You get other side that's, I mean, yeah. You can get,

Courtney Carroll, LE: um, breast swelling. Yes. Well, and that one started as a, um, blood pressure medication as well. Mm-hmm. So it's just funny that all of the in Yeah, they, they still use it. But it's funny that, um, all of these medicines. Started with other purposes and yeah,

Heather Murray, PA-C: you definitely have to be really good about hydrating yourself on Spironolactone 'cause it's a diuretic and that's how it actually, um, helps with blood pressure too.

But if you're not hydrating yourself, you could get dizzy and have headaches.

Dr. Zain Husain, MD: Let's talk about supplements and nutraceuticals. So this is often [00:09:00] a hot topic. Um, so first and foremost, I know everyone talks about biotin for hair loss. Biotin is, Ooh,

Courtney Carroll, LE: exactly.

Dr. Zain Husain, MD: I'm not a fan. First of all, I've been treating hair loss for over a decade.

I have not found one patient who has told me, oh my God, biotin has changed my hair loss. Yeah. I regrow my hair back. It stopped the shedding and everything. Like, everyone's like, does nothing. That's

Courtney Carroll, LE: where my, where did the propaganda on bio come from? Yeah, it is amazing.

Dr. Zain Husain, MD: I have no idea, but. Honestly, like, don't waste your money.

Don't buy the biotin supplements. They don't work. And in fact, we routinely do not recommend it because it can interfere with thyroid and cardiac tests. Um, so like when you're in the hospital or you're having labs done, we don't want that influencing your results and making it hard for us to interpret those.

Um, so, um, I'm just not a biotin fan. It can sometimes lead to acne. [00:10:00] Um, you know, un, un unless

Heather Murray, PA-C: you're deficient, then, you know, it might be worth it. But, and

Dr. Zain Husain, MD: it's very hard to be deficient.

Heather Murray, PA-C: Yeah, exactly.

Dr. Zain Husain, MD: Very

Heather Murray, PA-C: hard to, like,

Dr. Zain Husain, MD: you have to be like, you know, starving and, you know, be vegan and just like, have malnutrition, malnutrition, and you would see those signs.

Courtney Carroll, LE: Yeah. That, and

Dr. Zain Husain, MD: you probably have telogen there lost from that

Courtney Carroll, LE: too. Yeah. Yeah.

Dr. Zain Husain, MD: Um, so, yeah. Not to biotin. Yeah. Um, now there are other very popular commercial, um, you know, supplements for hair loss out there. Um, you probably have heard of them. Neutrophil Viviscal. Do they work? Eh. The jury's out, but I really haven't seen many results from patients who have been on them.

Heather Murray, PA-C: Neutrophils expensive too. It's very expensive. It's expensive. You have to take

Courtney Carroll, LE: four. It's huge. Huge. You're like horse pills. Yeah. I literally, so, and I think you have to take four a day, if I'm not mistaken. And I'll never forget the first time I ever took neutrophil, I was only able to actually swallow two of them.

'cause they're so [00:11:00] big. Yeah. I mean, you're literally like swallowing like a whole glass of water with each one. I had a patient who choked on one. Yeah. Yeah. I believe it. I've almost. Did. And I was at the car dealership. I was getting my car fixed and I was like, so nauseous. Oh my gosh. I didn't eat that morning, but I just was like, oh, let take my Neutro falls first day.

And I was like, I will never take this.

Dr. Zain Husain, MD: No, and I'm sorry. Like I know that they have all these big dermatology names behind it, supporting it, and I don't know how much of a conflict of interest it mm-hmm. How much they're being paid by the company. Um, and you know, just whenever I'm at the meetings and I see their booth, um.

I don't know, I just kind of get the Ske V vibe that they're just trying to sell. And they're like, they're not just marketing it to dermatologists. They're like, you know, going through naturopaths and all these other, they've expanded

Courtney Carroll, LE: their branding to be like, oh, we're like a vi, just a vitamin supplement that anyone can take.

And then that makes me, you, it makes you question as a consumer, okay, well were you always targeted towards hair or now you're just trying to like mm-hmm. Make your buck, you

Dr. Zain Husain, MD: know? Yeah, yeah. No, I really do think, um, you know, you just have to be. [00:12:00] Cautious do your due diligence. I mean, I don't think it's gonna hurt.

Courtney Carroll, LE: Yeah.

Dr. Zain Husain, MD: But I don't think it's really gonna help. You're just gonna, you know, lose a lot of money over the years. Yeah. Um, and viviscal similarly, I have not noticed standout results with it. Mm-hmm. Um, and they also have like, you know, marine college, um,

Courtney Carroll, LE: the algae, right? Yeah.

Dr. Zain Husain, MD: Yeah. The marine collagen. I think it's derived from sharks, actually their cartilage or something.

But, um, regardless, um, you know, some patients are kind of skived out by that. Um, so. I'm not a huge fan of either. Um, and there really aren't that many great supplements out there there are some key ingredients that have been shown to help with hair loss, um, that are natural and some patients want a natural, you know, product, you know, derived from plants.

Um, and there has, um, been some data. Pumpkin seeded oil. Um, we've seen that NAD has been helpful. L tourin, , salt palmetto. Um, so there is some evidence behind [00:13:00] those. And you know, recently, um, some of the leading, um, hair dermatologists, um, you know, around the world have, um, created a supplement called extras a, which is really interesting because it really has that proprietary blend of these antioxidants and other ingredients that have been shown to specifically.

Um, help with hair nutrition, facilitate hair growth. Um, we're not saying that these supplements are the one and only treatment. They're a good adjunct. So I've been, um, pretty impressed with their data, um, and what they're putting into their supplements. And the nice thing is they come as gummies. And they taste pretty good.

Heather Murray, PA-C: Yeah. It, it also has ashwagandha in it too. Yeah, that's right. Which I think is huge because that could help with the stressful mm-hmm. Effects of hair loss. And that's

Dr. Zain Husain, MD: turmeric in it too, right? I believe. I

Heather Murray, PA-C: think

Dr. Zain Husain, MD: so. Yeah. Yeah. Yeah. So there's a lot of benefits. Yeah. Sometimes inventory. Yeah.

Courtney Carroll, LE: The other supplements, I think worth mentioning, um, specifically if you do get your labs done and you see that you're low [00:14:00] is, you know, your vitamin D and your iron supplements.

Mm-hmm. Um, I know I tend to get very deficient with my vitamin D in the winter, so I'll tend just to add in like a, um, isolated. Vitamin D supplement during the winter months and then I try to check it usually once through the spring and make sure I'm not still low. But a lot of people do struggle with low vitamin D.

Yeah. Um, you know, especially our patients with skin of color, um, who have a harder time making that.

Heather Murray, PA-C: kind of moving forward some treatments that you can have in offices. Um, first one I think is pretty common, um, is intralesional steroids. So where we're actually using steroids to inject right into those.

Hair loss areas, and that really helps calm down some inflammation, if there's any, um, associated with that hair loss as well as just stimulate the hair growth. This is a very common treatment for specifically alopecia areata, um, also frontal fibrosing alopecia. We don't necessarily use this for like the.

Um, [00:15:00] genetic types of hair loss, like androgenetic alopecia. Mm-hmm. it really helps with those, um, those localized patches of hair loss.

Courtney Carroll, LE: Red light therapy is another, um, treatment in the office that we utilize. So red light's great. I mean, we've talked so much about it.

There's so much science and data on it. Um, it will essentially help increase your blood flow and that can stimulate those hair follicles. We do use it in conjunction with some of our growth factors. As mentioned earlier, the care factor, um, is actually, you know, more effective when stimulated by that red light therapy.

So a lot of places now sell the caps you might see at Costco or. Um, you know, on Amazon, the, the red light caps, and I think those are great at home treatments as well as things you can do in office.

Dr. Zain Husain, MD: , you can do nutritional supplementation through IV hydration, um, you know, kind of have a blend of antioxidants and other, um, nutrients that can help with promoting hair growth.

Vitamin bees, you can have, um, a few other, um, ingredients, um, that go [00:16:00] directly. Into the bloodstream and just can get throughout the entire body, improve the scalp health,

Courtney Carroll, LE: the NAD shots that we've offered, you know, you can add as

Heather Murray, PA-C: to iv. Yeah. So many. Yeah. , next, there's also PRP and PRF, so.

We've talked a lot about those as well. PRP is platelet rich plasma. PRF is platelet rich fibrin, um, which we haven't really dived into very much. Um, so just to kind of break that down, um, PRP is where we actually draw your blood in the office. We spin that down in a centrifuge. It separates layers of your blood.

There's a golden layer called PRP or platelet rich plasma. Um, we have used that, um, historically to actually inject in those, um, alopecia areas to help get growth factors to the area nutrients and vitamins to help kind of stimulate that hair growth. But PRF is showing to be more effective and, um, less painful.

So [00:17:00] PRF platelet rich fiber, and that's where we actually. Mix PRP with calcium chloride to create that platelet rich fibrin. And it, it creates this more robust, um, more effective result.

Courtney Carroll, LE: , we've also been using energy based devices, so such as you know, lays MD for example with their care factor. Um, you might have heard of Carlas.

Um, what that does is it creates these little micro channels in the scalp and we can actually apply that growth factor solution right on top, um, as well as using that red light to help stimulate more growth factors in that area. So that can help just prompt those follicles to start that hair growth production again.

Dr. Zain Husain, MD: Got it. And then finally we're left with our last resort, um, our surgical option, which is hair transplantation. So hair transplantation has been around for decades and it has evolved dramatically over the years. And honestly, I am a big fan of the right candidate getting a hair [00:18:00] transplant. These are for people who have pretty advanced hair loss that.

A aren't either responding to therapy or B, they want, um, just a quicker response and, you know, really regain, you know, their, you know, their hair lines. So typically we take hair follicles. There's two methods. Um, follicular unit extraction as well as follicular unit transplantation. So the original was a strip of hair, like the skin from the scalp containing the hair follicles that was removed and surgically excised.

And then that was broken down into follicular units and then transplanted into the areas of hair loss, typically like the frontal or vertex scalp. But with short hairstyles you can see the visible scar.

Um, but those hairs that are transplanted retain the characteristics of the occipital hair, which tends not to be affected by those hormonal chain as we see. With androgenetic alopecia, [00:19:00] so that's why it works. Um, and over the years, follicular unit extraction has become much more popular where they're actually extracting those units with small little punch, um, devices to remove 'em directly from the scalp or so.

You have tiny little scars that are barely perceptible. You can't really see them. And then you're taking those follicular units and um, implanting them into, you know, the areas of hair loss. So, um, a lot of patients favor that because you don't have that linear scar on the back of the scalp. Women in general, um, tend to favor that as well because they're not shaving a large portion of their occipital scalp to get a strip.

So those are options. And then we also have robots now, the artist, robot. That also can, you know, basically do the follicular unit extractions and also do the transplantation portion of it. So pretty interesting. Um, I do recommend it for some of our patients, but I do recommend going to reputable [00:20:00] surgeon to do that.

It is very popular to go overseas now to get it done, specifically Turkey. Um, and there are some great hair transplant surgeons there, like some of the best in the world. But you really need to know what you're getting into and you're really not getting that much postoperative care. So when you deal with complications, when you come back to the US it's kind of hard to, you know, be managed by your hair transplant surgeon if they're in Turkey.

And we've seen that a few times, um, including a patient not too long ago where they had, you know, the staph infection, um, affecting their, you know, recipient site and, you know, we had to treat it, um, so that we could minimize any losses. From the hair transplantation. So, you know, you just gotta be careful.

I know it's a lot cheaper, um, but you know, you get what you pay for.

Courtney Carroll, LE: Another thing I've seen that's not a true treatment to hair loss, but I just thought it'd be worth mentioning. Are the people doing like permanent makeup to their hairline? Tattooing, like the tattooing? Mm-hmm. Um, yeah. [00:21:00] I, I was, um, I was friends with this guy in high school who ended up going on to be like a barber, but now he's gotten his like tattoo mm-hmm.

License to do. The hairline and they basically just fill in with like these, almost like, almost like uh, when they do the brows. Mm-hmm. You know, the ombre or the shadow browse, things like that. And they just fill in those areas. But then I always wonder, well, what happens when if the hairline starts receding more and more, then you're just going back and touching up.

Dr. Zain Husain, MD: Yeah. Well that's kinda also like the issue that we had with those original plugs. Um, and also a poor design of the hairline because you have to almost design a hair transplant or any of those, um, you know, like more permanent type of, um, you know, treatments like you're looking at. Period of time, like they're looking at decades later on.

So if they continue to get hair loss and you still got those plugs, those plugs are still gonna stay. Mm-hmm.

Heather Murray, PA-C: Yeah.

Dr. Zain Husain, MD: And the rest of the hair that is, yeah, it looks odd. It starts, it looks horrible. And you could, it's a dead giveaway that they got plugs. It looks so unnatural. Yeah.

Heather Murray, PA-C: Wrapping that [00:22:00] up, I think there are a lot of great options for, um, treatments, but definitely consulting with.

A, um, hair professional or dermatologist to help decide what is the most effective option for you? Um, I think it is definitely worth mentioning prevention. Um, if you aren't experiencing hair loss, there are still ways that you can, you know, prevent it. Um, I think the biggest thing is nutrition. So making sure that you are getting enough vitamin D, um, whether that's from.

We don't necessarily recommend going out and baking in the sun to get vitamin D, but taking a supplement, um, iron supplementation or um, iron-rich foods as well as zinc, um, and protein intake, I think that makes a huge difference. Making sure you're getting all of those essential amino acids, acids to support the hair growth.

Courtney Carroll, LE: Also making sure to avoid, um, you know, tight hairstyles mm-hmm. Or hairstyles that might create, um, [00:23:00] that tension in the area. So for, you know, females, um, or men, um, those high ponytails or really tight ponytails, um, buns, things like that, that over time can. Create that hair loss. You know, I always think about back when I did ballet and I always had my hair in like a tight, low bun.

Mm-hmm. And just at the end of practice, my head would hurt so bad. And so I always joke, maybe that's where my, um, temporal reception is coming from. That's me too. Except mine was a tight,

Heather Murray, PA-C: like high pony. Yeah. I cannot do that anymore. I. Feel it immediately. Yeah, I do too. I have like an hour cut off and I'm like, get this off

Courtney Carroll, LE: head.

Yeah.

Dr. Zain Husain, MD: Yeah. I can't relate.

Courtney Carroll, LE: Yeah, well he's growing his, yeah, he's growing his hair out, so who knows? Maybe in a month or two we'll see Dr. Zane with a man bun. Just you weigh and

Heather Murray, PA-C: see.

Dr. Zain Husain, MD: Well, and you know, that's funny because, um, so just some history in my personal journey with hair. Um, so my dad is completely bald.

Yeah, both my brothers are thinning. Um, my mother also [00:24:00] has hair loss and thinning, so I've always been deathly afraid of losing my hair because, you know, it's just something that, um, you know, I always liked having, and actually one of the reasons why my wife married me was my hair. So, I mean, there's nothing wrong with taking some preventative measures as well.

Um, so you know, you can go as far as. Some of these treatments prophylactically. So I've done PRP before, um, you know, I've done the Carla treatment with growth factors. Um, I take, you know, the nutritional supplements. I take extracellular every day. I do red light therapy. Um, I think that helps.

Um, I'm not really taking oral medications right now. I say I'd save that for when I actually do need it. Hopefully I won't need it. Um, but, um, you know, other than that, I mean, there's nothing wrong with, you know, taking some of those measures in your own hands. I, there's nothing harmful, um, with those. And then, you know, if I need to take medications later on, I will.

Um, but until then I'm, do whatever I [00:25:00] can to keep my hair.

Heather Murray, PA-C: Yeah. I think lastly with prevention, um, managing stress plays a, a huge role and. There are some things that you can't really manage very well. Like if you need, if there's a necessary surgery, or like if you're pregnant and you're gonna go through childbirth.

Those are very stressful events that, in order to deliver the baby, you have to go through that delivery. Um, so, you know, trying to manage stress where you can, can play a big, a big difference in the treatment.

Dr. Zain Husain, MD: Yeah, I mean, Heather's mom's a yoga instructor, which she'll join her classes, do yoga.

Yeah, yeah. Do meditate. All the good stuff.

Courtney Carroll, LE: Um, so the earlier you start treatment, the better your results will be. You definitely don't wanna wait until. You've got that, what do they call? Like the crowd, the you, or you just have the hair ring and you're like, let's try to add back hair. You know, at the first sign of thinning.

I think it's always a good idea to get a professional opinion on what's going on because again, there could [00:26:00] be underlying issues and the faster you're able to correctly diagnose, the faster you'll be able to treat and the more hair you'll be able to retain.

Heather Murray, PA-C: Yeah. And I think it's good to keep in mind that these are not gonna be very quick turnaround treatments.

I mean, you do have to be a little consistent in the beginning and be a little patient. Um, yes, there are some treatments that are gonna give you quicker results than others, but if you're a patient and you're willing to go through that waiting process, it's gonna make up for it.

Dr. Zain Husain, MD: Yeah. And if you're struggling with hair loss or your loved ones are struggling with hair loss, um.

You should know that there are options and we are here to help. It's a judgment free zone. Um, you know, we're gonna do whatever we can from a medical standpoint to help you reach your goals. But just remember, you don't have to give up hope. You don't have to shave your head. Although some people look awesome with shaved heads, I have no problem with that.

But if it's something that's bothering you, um, we can try to help. Um, you know, I know that a lot of people are often suffering in silence and they just wait. And, you know, [00:27:00] unfortunately when you get to advanced stages, you really can't do too much. So, early intervention, like Courtney had mentioned, is key for the optimal results.

So I do think that if you do act, we can probably help you. This wraps up our second episode on hair loss. I think that there are a lot of treatment options that we did not have available decades ago, so we're lucky in that sense. And then constant innovation, um, hopefully we'll yield new treatments.

So that'll be exciting. So hopefully you like this episode. Um, please subscribe and like share with a friend. And until next time, skin side

Heather Murray, PA-C: out, out.

[00:28:00]