I don't think it takes a Rhodes scholar to see that many
bodybuilders, both male and female, are particularly thin
on top. The top of their heads' that is. A few years back
I wrote an article on dyhydrotestosterone (DHT) and its
effects on hair loss, prostate enlargement, and acne. Specifically,
I talked about the effects of the enzyme 5-alpha reductase
(5AR) and its role in the above problems and ways to shut
this enzyme down using 5AR inhibitors such as Proscar and
Saw Palmetto. In my book, I also discuss these topics at
length and add in some useful additional information that
was not in the article.
So what am I doing here, you might ask, writing another
article on hair loss? Well our knowledge of what actually
causes hair loss has dramatically expanded over the past
few years and several new products have hit the market.
I thought a new article for those people who are really
bumming that their hair is falling out, want to make sure
their hair does not start falling out, or are just real
paranoid about their hair falling out, was in order. If
you fit any one of the above descriptions-which most people
do- than this is the article for you!
So why do I care so much about hair loss? My mother's father
was bald, my father is mighty thin up top, my hair started
to thin a while back -you do the math! Now I have a lot
of respect and admiration for those people who can lose
their hair and say things like "It's natural and the
way of nature. If I lose my hair, so be it." Well I
am not one of these people! I have never said such a stupid
statement in my entire life and I will fight my hair loss
until the day they put me in the grave! Anyway, over the
past few years, and in addition to my usual research into
nutrition, training, and other topics, I have also been
keeping up with the latest research and products for hair
loss. Have I found the absolute cure for hair loss? No,
but we're getting damn close!
Hair loss 101 - Hair Loss Product &
Hair Loss Remdy
So what makes your hair fall out? Well for a long time
scientists thought that DHT was the sole cause of hair loss,
but this does not appear to be the case. As most of you
already know, androgens such as testosterone (natural and
otherwise) can convert to DHT by the previously mentioned
enzyme 5AR. People who have high levels of the enzyme 5AR
have higher levels of DHT and are prone to losing their
hair. Men with a congenital deficiency in 5AR show no receding
of the hair line. This knowledge of the relationship of
DHT to hair loss kicked off the big race to find things
that shut down the 5AR enzyme and thus reduce the amount
of DHT. Simple enough right? Well I have said it a thousand
times before and I will now say it a thousand and one times:
two plus two rarely makes four in the human body and this
is the case again regarding the relationship of DHT to hair
loss.
People and researchers who used 5AR inhibitors such as
Proscar and Saw Palmetto found it helped with the hair loss
but in no way shut it down or regrew much of the hair that
was lost. What appears to be the ultimate cause of hair
loss for most people is an auto immune response where the
body actually attacks the hair follicle like some kind of
foreign invader thus causing an inflammatory response. By
yet unknown mechanisms, DHT causes a change in the follicle
signaling the immune system to attack the follicle and your
hair starts falling out (If you take a close look, you can
actually see a red line of inflammation on the scalp of
some people losing their hair). How do we know this? It
was discovered that the hair follicles of people losing
their hair look very similar under a microscope to people
who experience organ rejection after surgery. And, it has
been found that the immune system suppressing drug which
is used to stop the organ rejection (Cyclosporine) grows
hair like crazy because it shuts down the immune response
in the body.
A cure you say? NO! If you take some Cyclosporine and you
grow hair it will be because you have no immune system and
you will get very sick and possibly die. I shit you not-don't
mess with this stuff. Anyway, though DHT is clearly important
in the cause of hair loss, it is not the final cause and
a new race has been started to address the inflammatory
response which ultimately causes you hair to fall out. Clearly,
you have to attack hair loss from both the DHT and inflammatory
response, and that's what most of this article is about....sort
of. There are also other factors related to hair growth
and hair loss such as nutrition, SODases, Nitric Oxide (NO)
and others, but DHT and the immune response are the two
biggies.
As most of you know, certain anabolic steroids will make
your hair fall if you are genetically susceptible to hair
loss. However, steroids generally will not make your hair
fall out if you are not destined to lose your hair in the
first place (lucky you). OK, as we all know androgens such
as testosterone, Anadrol, D-bol, and others can convert
to DHT much easier than low androgen steroids such as Primobolan,
Anavar, or Winstrol. Some steroids are actually derived
from DHT but do not necessarily cause hair loss, though
it really depends on the individual steroid. For example
(don't you just love steroid examples?), Winstrol is derived
from DHT and generally does not cause hair loss in the majority
of those who use it.
Anadrol on the other hand, which is also derived from DHT,
will cause hair to fall out on all but the most resistant
heads. Personally, one of the many reasons I don't use steroids,
besides the fact that they're expensive, illegal, and fake
99% of the time, is I don't care how much muscle I have
if it makes me a life long member of the Hair Club For Men!
Ever wonder why the guy on the Golds Gym logo is bald? Now
you know! Being this is not an article on steroids, I will
not go into great detail on this topic. If you really want
to know more about it, I go into much more depth in my book
Priming The Anabolic Environment.. The point is, if you
are losing your hair, regardless of whether or not you are
using steroids, you should be able to do something about
it. Below is a list of various products that I have found
effective for hair loss. Some are new products and others
are products that have been around a while but are still
useful, and maybe I have found new ways of using them.
Copper binding peptides: Recently a drug
called Iamin was approved by the FDA for wound healing.
Another drug similar to Iamin is Tricomin. Both Iamin and
Tricomin were invented and subsequently patented by Dr.
Loren Pickart. These drugs are copper based compounds that
have certain peptides added to them. When put on the skin
they have profound anti inflammatory properties and increase
the rate at which skin heals dramatically (hence Iamin's
approval for wound healing). As I mentioned earlier, chronic
inflammation at the site of the hair follicle appears to
be a major link in the chain of what makes hair fall out.
Dr. Pickart set out to formulate an improved version of
Iamin and Tricomin specifically for hair that could be purchased
over the counter without a prescription. This product is
called Folligen and is made by Skin Biology, Incorporated.
They can be contacted at 1-800-405-1912. I consider this
product to be very promising for hair loss, but it is too
early to tell exactly how useful it will be. This product
is used by rubbing it on the scalp before bed then washing
it out in the morning.
Nizoral Shampoo: Nizoral Shampoo was first
brought to the attention of bodybuilders by Mike Mooney
who learned of it from a doctor friend of his. Mike is the
publisher of the Metabolics news letter and a writer for
Muscle Media 2000. Nizoral is an anti fungal shampoo and
the active ingredient is a plant derivative called Ketoconazol
and is produced by Janssen Pharmaceuticals. How and why
Nizoral works on hair loss in not very well understood.
It might work by blocking the DHT at the follicle and/or
working by reducing the amount of inflammation at the hair
follicle. Unfortunately, there is not much hard data regarding
this product and hair loss, but a lot of people (including
Mike) really swear by this stuff. It is not particularly
expensive or hard to use, but it does require a prescription.
Many people are getting it without a prescription by ordering
it from other countries. Non controlled medications can
be ordered from other countries. Nizoral is just used as
a regular shampoo, left on the scalp for at least five minutes,
then rinsed out.
There is also such a thing as Nizoral tabs. Nizoral tabs
should never be used as they are quite liver toxic and generally
bad for your health. Nizoral shampoo does not get into general
circulation and is perfectly safe. I have been told by a
few Dr.s who specialize in hair loss that Nizoral works
even better when it is alternated every third or fourth
day with a selenium based shampoo such as Head and Shoulders.
Hopefully some research to look specifically into Nizoral's
effects on hair loss will be carried out in the near future.
Mooney feels Nizoral is particularly effective at stopping
the hair loss caused by certain steroids, but I can't say
whether or not this is true.
Proscar: As most people already know,
Proscar is a very specific inhibitor of the enzyme (5AR)
that converts androgens into DHT. Its official use is for
prostate enlargement which is also related to DHT levels
(among other things). It was felt originally that Proscar
would not be effective for hair loss because it only inhibits
the enzyme found in the prostate and not in the hair follicle.
Well again, nothing is cut and dry in the human body, and
Proscar has been found to reduce the amount of DHT in circulation
which reduces the amount of DHT the follicle has to deal
with and thus less hair is lost. Several recent studies
have shown Proscar is effective for hair loss and can help
regrow some hair on some people, but as I said before, the
use of 5AR inhibitors only deals with a part of the problem
and are generally not very effective when used as the only
treatment. One thing people should be aware of is the fact
that the use of these compounds can raise estrogen. I mentioned
this several years ago (I think I was the first to do so)
and the PDR now includes gyno (bitch tits) as a possible
side effect of using Proscar. The trick is to use just enough
to reduce the DHT but not enough to raise estrogen levels
significantly.
Several studies have shown that using just 1 or 2 mg is
virtually as effective as using 5mg of Proscar for reducing
DHT, so you do not have to use much, and this saves a lot
of money. Also, there is research that shows taking just
one 5mg tab of Proscar every five days keeps DHT levels
suppressed. I have found the most effective way to use Proscar
is to take one quarter of a tab a day (1.25mg) and one 5mg
tab every 5-7 days. This is the most cost effective and
side effect free way of taking Proscar. Now I don't know
if this regimen would be totally effective for a person
taking large amounts of steroids high in androgens or not.
Most of the people I have told to take Proscar this way
who use steroids felt it worked for them, but that's all
I can say at this time. Again, I am sure it depends on how
genetically susceptible a person is to hair loss, which
type(s), and how much, steroids are being used.
Minoxidil: Ok, Minoxidil did not turn
out to be the hair growth stimulant we all hoped it would
be and if it had not recently gone OTC I would not even
have included it in this list. However, being minoxidil
can now be purchased without a prescription and is about
half the price of what it used to cost, I think it is a
useful addition to a person's regimen. For hair growth,
minoxidil has pretty much been a bust, but for reducing
hair loss, I have found it is definitely better than nothing.
Its only about twenty five bucks a bottle these days and
it lasts over a month. Personally, I just use it once a
day before bedtime, so it lasts several months for me.
RU 58841: This is the mother of all topical
anti androgens. RU58841 is made by the Roussel Corporation
of France. This stuff shuts down DHT at the hair follicle
like nothing else. One of the major problems has been that
anti androgens such as Spironolactone and Flutamide taken
orally might be good for hair loss, but they cause all sorts
of problems related to having low androgens in your body,
such as loss of muscle, increased fat, loss of sex drive,
gyno, etc. When these same anti androgens have been used
topically (put directly on the scalp) they do not cause
the negative systemic side effects, but they did not seem
to do much of anything for hair loss or growth either. Therefore,
a topically active anti androgen without systemic effects
would be highly desirable. RU58841 is a topical anti androgen
that shuts down DHT at the follicle without any systemic
side effects in the body!
This stuff is the best thing since the invention of the
vibrator! Woops, did I actually say that aloud? Now for
the bad news. RU58841 is not out for sale and probably won't
be for quite some time. It is in the early stages of testing
and I understand there are other reasons that it might be
a long time until it hits the market. I would tell you what
those reasons are, but then I would have to kill you, and
that would be bad for magazine sales...... Make no mistakes
about it, RU58841 is the drug of choice for hair loss and
would stop hair loss cold in conjunction with a good topical
anti inflammatory. Through my secret source, I was told
that the initial feelings about this stuff by the researchers
who tested it was that it would probably even grow back
a lot of hair for some people. I would give my right-no
make that left-gonad for some of this stuff. Oh well, maybe
I can find some crazy chemist to whip me up some of this
nifty compound for my own personal use. Will it cost me
a nad?
The Ultimate Hair Stack
We all know what a "steroid stack" is and most
people know what a "supplement stack" is, but
have you heard of a hair stack? Probably not. Well I am
going to give you the hair stack I, and a bunch of other
people I know, currently use based on the above information.
I would say better than 90% of the people I have given this
stack to who have followed it religiously (didn't you know
that the science of hair loss is a religion for some people?),
have noticed a total cessation of hair loss and even some
moderate regrowth. As for me, I could definitely use some
more hair, but I am a lot better off than my mothers father
was or my father is now, not to mention my brother (good
thing my brother does not read bodybuilding magazines!).
Obviously, I can't and won't make any guarantees that this
will work for you, but it should.
\However, the causes of hair loss are many and depend on
numerous physiological variables (certain medications, stress,
diet, genetics, etc.) , so keep your expectations to something
that is realistic for your particular level of hair loss.
Translated, if you are a young person (male or female) and
have started losing some hair but still have most of it,
this stack should work like gang busters for you. If you
are older and don't have much hair on your head and have
not had much hair on you head for some time, than this stack
will be helpful for sure. How helpful, I have no clue. "Right,
enough blabbering Brink, give us the damn stack!" you
say? Here it is:
- Wash hair with Nizoral shampoo every day leaving it
on the scalp for at least 5 minutes. Every third or fourth
day, use a selenium based shampoo such as Head and Shoulders
instead.
- Take one quarter of a tab of Proscar (1.25mg) with a
meal and a 5mg tab every 5-7 days.
- Put Minoxidil on your head in the morning and before
bed. Note: I have found using Minoxidil once a day before
bed with the above compounds is sufficient, and putting
it on in the morning gives you an ugly "do"
(or is that a "don't?!"). However, the directions
on the bottle say to put it on twice a day for best results.
- Finally, rub Folligen in the scalp where the hair is
thinning before bedtime and wash it out in the morning.
Note: Put the Minoxidil on first but make sure it has
dried before adding theFolligen. Here's the best way to
do it. Put the Minoxidil on first, then do your other
pre bedtime activities, like brush your teeth, take some
vitamins, turn out the lights, kick the cat, or what ever.
Now put on the Folligen after the Minoxidil has dried.
- Pray to the hair Gods that RU58841 gets on the market
before we all look like Kojak!
Conclusion
If you have mild hair loss, any one of the above products
might do the trick, but if you have heavy to moderate hair
loss, than I assure you, you will need to attack it with
multiple products and from various angles. I have not put
the prices down of all this stuff because it varies so much
depending on where, and from who, you get it. So where do
you find all these products? I have given you the phone
number for Folligen.
Minoxidil can now be found in any drug store without a
prescription. The RU58841 is out or reach for now, unless
you know something I don't. As for the Nizoral shampoo and
Proscar, you can ask your doctor for a script or you can
call the DR Foundation. They should have information on
how to obtain these products from various sources (doctors,
foreign mail order, etc.). Their number is 305-758-3173.
"What does DR stand for" you ask? Dermatology
Research Foundation of course! Us "hair guys"
are a little strange........
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