Thinning Hair Remedies

Don't waste your time or money on products that don't work. Learn about thinning hair and find out what works and why.
Thinning Hair Remedies:
Stuff that actually works. 
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What Causes Thinning Hair?
Men's Hair Loss: Hair Thinning in Males
Male pattern baldness, commonly referred to as "androgenic alopecia", a genetic sensitivity of hair follicles to DHT (dihydrotestosterone) is the primary cause of hair loss or hair thinning in males. DHT, a hormone that naturally exists in our bodies, attacks hair follicles that are not genetically programmed to resist this androgenic hormone. DHT "chokes" the follicle and formerly healthy hairs cannot get the nutrients that they require to grow to their potential. Every male has a certain amount of hair follicles that are prone to androgenic alopecia, some males have a lot, other males have very few.

Despite some popular misconceptions, hair thinning is not the product of stress, wearing hats or any nutritional deficiencies. While it is generally seen as an undesirable aesthetic condition, it is otherwise not harmful to your health. Male pattern baldness is the cause of 99% of hair loss (or hair thinning) for men according to Dr. Jerry Wong and Dr. Victor Hasson, senior members of the American Hair Loss Association. Dr. Wong and Dr. Hasson explain that "Only about 1% of hair loss is caused by other conditions; These include various nutritional, metababolic and hormone disorders." If you are a male and are experiencing hair loss, especially in a distinct "male pattern" - alopecia on the temples and/or crown, it is nearly certain that you are experiencing male pattern baldness. You are encouraged to confirm this with your doctor or dermatologist before attempting to treat this condition.

Women's Hair Loss: Hair Thinning in Females
Female hair thinning, unlike male pattern baldness, is less well understood. 

Still, female pattern baldness affects about 50% of women, to some degree, by the age of 50. Like male pattern baldness, female pattern hair thinning is also the product of androgenic alopecia and a hyper-sensitivity to DHT. Female pattern hair loss sometimes does not follow a pattern at all. Women's hair loss is diffuse and at seemingly random spots on the scalp. Female pattern baldness is the main cause for traditional hair thinning in women. 

In other cases of female alopecia, hair loss is temporary and caused by various hormonal factors (not DHT) such as thyroid conditions, pregnancy, or menopause. In these cases, hair often sheds rapidly but the follicles do not miniaturize and are not lost - they can regrow to their previous potential once the hormonal condition is corrected. This type of hair loss is not actually "hair thinning" because the hair follicles do not actually become thinner - the hair is simply shed. There is a good chance that you are not experiencing traditional "hair thinning". You should see your doctor to find out.
What Exactly is Thinning Hair?
Hair thinning is a progressive process where hair follicles become "miniaturized" or smaller-and-smaller, resulting in individual hairs becoming thinner and finer. Eventually the hair follicle is completely shrunk and is permanently lost. 
How Can I Prevent Thinning Hair?
Go to your doctor to determine if you are suffering from male pattern baldness.

Ask for and discuss Propecia (finasteride) with your doctor. 

Take finasteride daily and as directed.
Purchase a minoxidil formula that also contains 5% azelaic acid.
Minoxidil is FDA-approved to regrow hair.
Azelaic acid blocks the conversion of testosterone to DHT.

My recommendation: 
Perfect Image's 15% minoxidil w/ 5% azelaic acid.
Purchase a shampoo that contains ketoconazole.

Ketoconazole is the only shampoo ingredient that inhibit DHT.

My recommendation: Regenepure DR - Hair & Scalp Treatment
Go to your doctor to determine the cause of your hair thinning.

This is even more important for females - since hair loss can be caused by a vareity of factors.
Purchase a minoxidil formula that also contains 1.5% azelaic acid.
Minoxidil is FDA-approved to regrow hair.
Azelaic acid blocks DHT on your scalp.

Perfect Image's 3% minoxidil w/ 1.5% azelaic acid.
Purchase a shampoo that contains ketoconazole.

Ketoconazole is the only shampoo ingredient that inhibit DHT.

Recommendation: Regenepure DR - Hair & Scalp Treatment
Purchase a multivitamin complex that is formulated to promote hair growth.

This is only recommended for women because nutritional factors seem to play a more significant role in hair growth and hormone stability.

Recommendation: Nioxin Recharging Complex
Legitimate Thinning Hair Remedies
... that work and are backed by credible clinical research.
Finasteride (FDA-Approved)

According to the American Hair Loss Association, finasteride is the very of the best thinning hair remedies
Finasteride (the generic name for Propecia) is the treatment that will reduce DHT systematically throughout your entire body. Finasteride at a dose of 1mg will reduce DHT levels up to 70% (source: Dr. Robert Bernstein, Professor of Dermatology at Columbia University). Finasteride is available by prescription only for adult males, females should not use finasteride. The normal dose of finasteride is 1mg, taken everyday. Although finasteride is available from overseas pharmacies, I highly suggest that you purchase it from a legitimate American pharmacy with a prescription from your doctor.
Minoxidil (FDA-approved)

Minoxidil, formally known as Rogaine, is one of the best thinning hair remedies.
Minoxidil is the other FDA-approved remedy for genetic pattern hair thinning. It is clinically proven to regrow hair. 
Minoxidil is available over-the-counter and should be used at least once a day.
For males, it is best when 5% (or 15% minoxidil) is used in combination with finasteride. (recommendation)
Women should use 1% or 3% minoxidil without finasteride. (recommendation)

Minoxidil also reduces the amount of hair that is lost while showering. 
A study explored by the "International Society of Hair Restoration Surgeons" notes that men who used 5% minoxidil for a 12-month period lowered their showering hair loss from an average of 69.7 hairs to an average of 33.8 hairs, over a 50% reduction in hair loss.
Does Nioxin Work?

Specific Information 
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(Nioxin Reviews)

Azelaic Acid

Azelaic acid is one of the most beneficial thinning hair remedies. 
Azelaic acid is also clinically proven to inhibit DHT when topically applied to your skin (or your scalp in this case). 
To topically inhibit DHT, you need to use a minoxidil solution that also contains 5% azelaic acid. 
According to a clinical study published in the 2005 "American Journal of Clinical Dermatology,"  azelaic acid can inhibit up to 100% of scalp DHT.

My suggestion is Perfect Image's 15% minoxidil w/ 5% azelaic acid.
If you have not used minoxidil before, start with Perfect Image's 5% minoxidil w/ 5% azelaic acid.
I've tried about 20 different minoxidil formulas, these are the best. They aren't oily and dry super quick.
The reviews on are overwhelmingly favorable.

In my opinion, azelaic acid is the very best topical solution to block DHT. Better than topical spironolactone (which functions a bit differently).
Ketoconazole (in shampoo)

Ketoconazole, an anti-androgen ingredient in shampoo, is clinically proven to combat hair loss and is one of the most effective thinning hair remedies. As of October 2011, Ketoconazole is the only shampoo ingredient that is clinically proven to prevent genetic pattern hair loss. Ketoconazole, like azelaic acid can prevent the synthesis of testosterone to DHT. 
This compound is the only shampoo ingredient that is among the legitimate thinning hair remedies. 

In a study published in the journal of "Dermatology" Belgian researchers concluded that ketoconazole, when applied topically to the scalp in a shampoo carrier, was as effective as 2% minoxidil in the "long-term" treatment of genetic pattern androgenic thinning hair.

In a study published in the 2005 "Journal of Dermatology," Japanese researchers found that ketoconazole, applied topically, can stimulate hair growth and aid the treatment of thinning hair.

I use a ketoconazole shampoo every other day, it definitely reduces the amount of hair lost when showering.

My recommendations are: 
Perfect Image Hair Loss / Regrowth Shampoo 6 oz $19.99 (click for reviews)
Regenepure DR Shampoo 8 oz $25.00 (click for reviews)

Topical Spironolactone

Topical spironolactone is one of the most popular thinning hair remedies.

There is some clinical evidence that topical spironolactone, when applied to areas of thinning hair and combat androgenic alopecia. Unlike finasteride or azelaic acid, topically spironolactone doesn't directly inhibit or block DHT. It functions by blocking the receptors that DHT can potentially attach to cause thinning hair. 

In a study published in the 1988 "International Journal of Tissue Reactions," scientists found that topical spironolactone had the potential (and was effective) in blocking 5-ar androgen DHT receptors. This only suggests that it could help block scalp DHT rceptors.

In a study published in the 2010 "Journal of Dernatologic Clinics," researchers found that spironolactone (taken orally) lower androgens such as DHT in female. Oral spironolactone is not considered an acceptable hair loss treatment for males because it can have feminizing effects.

Although credible scientific research dates all of the way back to 1971, I personally had no luck with topical spironolactone - I don't recommend it for that reason.

I don't recommend "Topical Spironolactone" 
It didn't work for me.
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