Many men who come to The Men’s Clinic are concerned about hair loss. Hair loss has a strong genetic component……it is primarily mediated by Dihydrotestosterone’s (DHT) effect on the hair follicle. Testosterone is converted to DHT by the enzyme 5 alpha reductase. The degree of conversion is genetically determined as is the hair follicle’s sensitivity to DHT. In certain men, DHT causes the hair follicle to miniaturize and basically stop growing.
Their are supplements to nourish the hair follicle and keep it in good form (Nutrafol), vasodilators to increase blood flow to the hair follicle (Minoxidil aka Rogaine), and inhibitors of 5 alpha reductase to decrease the conversion of testosterone to DHT (Finasteride aka Propecia). A lab test can be done to measure the amount of DHT in the blood. For those taking testosterone and worried about hair loss, a DHT level can help guide treatment options.
The Men’s Clinic offers various prescriptions directed at hair loss. Propecia (Finasteride) is a medication taken by mouth. Rogaine (Minoxidil) is a topical liquid or foam that is applied directly to the scalp. Finasteride, Minoxidil, Retin A, and caffeine can be compounded into a liquid that is applied topically to the scalp. I have read recent papers that say topical Finasteride is better at reducing scalp DHT than the pill form. I personally like the compounded version because it combines several hair loss medications into one formulation. I think combining Nutrafol by mouth with the topical compounded version of Finasteride, Minoxidil, Retin A, and caffeine is the most effective treatment regimen.
It is much easier to preserve the hair you have than to grow new hair so starting treatment early is important. Nutrafol is carried in The Men’s Clinic and Matt can compound the other hair loss medications if needed.
Dr. Manning
