Category: Hair Loss

By John C. Anderson Ph.D. Introduction Over 80 million Americans experience hair loss with as many as 25% seeing the first signs by the time that they are 21 years old.  Hair loss has a wide variety of causes ranging from heredity and medical conditions to hormones, diet, stress and simply poor hair care practices.  To match the range of causes, medical professionals have identified a range of solutions to address the causes. The amount of hair loss and the percentage of people who experience it increases with age.  So, while topical (minoxidil), oral (finasteride) and  vitamin or botanical solutions often help arrest hair loss, some physicians have recommended alternatives to increase the growth cycle and to generate new hair growth in areas that have seen significant hair loss.  One recommended procedure is PRP (platelet rich plasma) injections, with and without adult stem cells. What is the PRP Procedure? Our blood contains two different elements – red blood cells and plasma.  The plasma contains white blood cells and platelets.  Platelets are rich in growth factors.  PRP has been used for decades to increase healing injured tendons, ligaments and muscles, for example in joints with arthritis and more recently to help increase collagen production in facial skin rejuvenation.  PRP is a three-step process by which a small amount of a patient’s blood is drawn (Step 1) and put in a centrifuge.  Spinning the blood allows it to be separated, obtaining the platelet rich plasma (PRP) (Step2).   The PRP is then placed in a syringe and injected into the area of thinning hair (Step 3) at the level of the hair follicle.  Combining the PRP with thrombin or calcium chloride results in the production of growth factors (cytokines).  By performing multiple injections about one half an inch apart in the target area, the PRP stimulates growth of existing hair follicles and generation of new growth.  Each hair follicle can have multiple hairs growing from it.  The PRP increases blood supply to the hair follicle and increases the thickness of the hair shaft as a result. The standard protocol is for this less than one-hour procedure to be performed once a month for three months initially and then once every four to six months to continue the growth cycle. Information from realself shows that 73% of patients believe that it is worth it.  Research from India indicates that average increase in hair growth experienced was approximately 30%. PRP with Adult Stem Cells Recently, there has been more and more interest in the use of human adult stem cells in a wide range of treatments.  One of the most promising has been in the field of hair restoration.  The standard PRP protocol (described above) is augmented with adult stems cells derived from adipose fat.  The doctor uses liposuction to extract 40 to 100ccs of adipose fat.  This fat is then filtered to purify it and it is added to the PRP solution.  The rationale behind this is that the purified fat contains adult stem cells that both provide energy for the new growth and reduce the concentration of androgens like testosterone in the tissue that may be limited growth.  While this procedure is not currently FDA approved, a series of studies are currently underway to test the effectiveness of PRP with adult stem cells in hair restoration. One of the benefits of PRP, with or without adult stem cells is that the procedure uses the patient’s own blood.  This means that there is no risk of getting a communicable disease due to introduction of outside agents.  It is important to note that there are some situations in which PRP may not be recommended including being on blood thinners, having acute or chronic infections or certain diseases. Understanding the causes of your particular hair loss and identifying the stage of hair loss is very important in developing a treatment plan that can range from addressing the underlying cause (medical or hormonal) to topical or surgical alternatives.  This includes determine whether or not PRP is appropriate in your situation.  The doctors associated with the Capily Institute can help diagnose and treat all forms of hair loss, recommending the best strategy for hair restoration or replacement.

Who is Losing Their Hair? We take our full head of hair for granted when we’re young. Then one day, it suddenly seems we have either a bald spot at the back of the crown or widow’s peaks that rise higher and higher. Men seem to lose hair broadly, while women tend to see overall thinning, mostly across their frontal and temporal hairlines.  In fact, statistics from a number of sources indicate that about 25% of men start to see hair loss as early as 21 with the percentage increasing to 66% by 35 and almost 85% for those 50 and over (American Hair Loss Association).  Women are also not immune as almost 40% experiencing hair loss are women, with 50 percent experiencing the problem by the time that they reach 50.  Women become particularly concerned about hair loss in their eye brows and eye lashes will for men, the problem is more focused on pattern baldness. On average, we lose approximately 100 hair follicles per day.  The total number of hair follicles on average is between 100,000 and 150,000, so 100 does not seem like many.  However, as we age, the rate of growth of new hair also declines, according to WebMD.  And with 10% of our hair follicles at rest at any one time combined with slower growth and hair loss, thinning areas will appear to increase in size. What Causes Hair Loss in Men and Women? Research and studies by organizations such as the American Hair Loss Association and the International Society of Hair Restoration Surgery have identified a wide range of factors that contribute to hair loss.

• Heredity and genes – It is estimated that due to DNA, approximately 30 million women and 50 million men experience hair loss.
• Hormones – the presence of DHT in the hair follicles can block the growth of new hair. DHTis an androgen that is thought to cause hair follicles to miniaturize, and this contributes to pattern baldness in men and women.
• Medical conditions -.there are also a series of medical conditions that can contribute to hair loss. These include: anemia, lupus, and hypothyroidism.  Medications such as anabolic steroids, blood thinners, lithium, antidepressants and beta blockers for high blood pressure also can contribute.
• Diet – scientists have also identified a number of issues related to diet that can have an impact on hair loss, including too little protein, vitamin B deficiencies and too much vitamin A.
• Emotional and physical stress – severe stress can trigger telogen effluvium, which results in hair going into a shedding phase. This is usually related to a significant traumatic event such as surgery, car accidents, family tragedies or severe illness.
• Poor Hair Care Practices -.ranging from over stressing the hair with excessive use of hair dryers, pulling the hair too tight in a pony tail, braids and corn rows or using too many hair relaxants or other chemicals to treat the hair.

What Are Some of the Common Solutions for Hair Restoration? Depending on the specific cause of hair loss, there are specific treatments available.  The FDA has approved two treatments – one over the counter (Minoxidil) and another by prescription (Finasteride) – to address DHT, which shrinks hair follicles and impedes further growth.

• Rogaine (Minoxidil). To fight this form of hair loss, Upjohn released prescription-based minoxidil in 1988 under the trade name Rogaine, with FDA studies finding nearly 40 percent of men saw “moderate to dense hair growth on the crown of the head.” In 1992, a version for women hit the market, and in 1996, both were approved for over-the-counter use. It’s believed minoxidil widens blood vessels and opens potassium channels to allow more oxygen, blood and nutrients to reach the follicle.
• Propecia (Finasteride). In 1992, the FDA okayed finasteride for men after a study showed an 83 percent success rate in subjects who continued use for two years. In 1997, Merck released the drug as an ingestible pill under the brand name Propecia, which is shown to affect the anterior mid-scalp and crown regions specifically. Then, in 2002, dutasteride was brought to market as Avodart, which demonstrated a curtailing effect on androgenetic alopecia in each sex.  Both drugs are available by prescription only and act as 5-alpha reductase inhibitors, which slow the creation of hair-loss agent DHT.

A number of new products have hit the market using these formulae or basic on proprietary botanical and natural ingredients.  Some of the highest rated systems include Revivogen, Viviscal, Nutrafol and BallVic. How Effective is PRP for Hair Restoration? Our blood contains two different elements – red blood cells and plasma.  The plasma contains white blood cells and platelets.  Platelets are rich in growth factors.  PRP is a three-step process by which a small amount of a patient’s blood is drawn (Step 1) and put in a centrifuge.  Spinning the blood allows it to be separated, obtaining the platelet rich plasma (PRP) (Step2).   The PRP is then placed in a syringe and injected into the area of thinning hair (Step 3) at the level of the hair follicle.  Combining the PRP with thrombin or calcium chloride results in the production of growth factors (cytokines).  By performing multiple injections about one half an inch apart in the target area, the PRP stimulates growth of existing hair follicles and generation of new growth.  Each hair follicle can have multiple hairs growing from it.  The PRP increases blood supply to the hair follicle and increases the thickness of the hair shaft as a result. The standard protocol is for this less than one-hour procedure to be performed once a month for three months initially and then once every four to six months to continue the growth cycle. Information from realself shows that 73% of patients believe that it is worth it.  Research from India indicates that average increase in hair growth experienced was approximately 30%. Some medical practitioners have successfully combined adult stem stems obtained by purifying the patient’s adipose fat tissue obtained through liposuction to the PRP to make the process even more effective. What Is SmartGraft Hair Transplantation? Formerly, hair transplantation required that an extensive patch of scalp with hair be taken from the lower back of the head. Once the strip was surgically removed, the remaining skin was stretched back together and stitched closed. As you would imagine, this left a long scar at the closure line. Hair wasn’t able to grow there, so the scar was very visible, especially when doing things like swimming. Plus, the transplanted strip on the balding area didn’t look like natural hair growth. It looked more like a strip of sod. Those days are over thanks to follicular unit extraction (FUE). In FUE, hair follicles are removed and transplanted one by one. While there are a number of different FUE devices (e.g. NetGraft, Artus, SmartGraft), Capily Institute recommends the SmartGraft device and procedure as it produces follicles with higher viability for the transplant.  Why is this the case?  The SmartGraft device allows all follicles to be collected, counted, stored in a sterile temperature-controlled and hydrated environment. As each follicle is individually extracted it is sent through a tube where it is cleaned and kept in a climate-controlled environment to maintain hydration and viability while waiting to be transplanted.  As it can take a few hours for the individual follicles to be harvested, depending on the extensiveness of the transplant procedure, other devices may allow the follicles to dry out, reducing their viability. Would I Be A Good Candidate For Hair Transplantation? Patients seeking FUE transplantation need to have an ample supply of functioning hair follicles on the lower back of the scalp. This is the area where the healthy follicles will be harvested for transplantation to the balding/thinning areas. These hairs from the back of the head (occipital area) are to be resistant to hormonal influences and subsequent balding. How Is FUE Transplantation Done? You’ll arrive in the morning and meet with the Hair Transplant team, who will describe the entire procedure for you again, and answer any new questions you might have. You may be provided with a light sedative. Next, local anesthetic will be provided to the donor area at the back of your head. Then the SmartGraft device is used to gently remove the individual hair follicles one by one from the donor area. Each follicle has from 1-4 hairs in it. The SmartGraft device enables the team to immediately collect, sort, count, and store each graft in a sterile, temperature controlled and hydrated environment prior to implantation. The SmartGraft system thus ensures a high graft survival rate. After the desired amount of hair has been harvested, the transplant recipient area is then locally anesthetized. This is the area that you and the Hair Transplant Expert Team had marked together at the very beginning. One hair follicle at a time is transplanted using the device. It first creates holes for the donor follicles. A scalpel isn’t needed for this step. The hairs are then inserted into these holes. The system ensures the hairs will be placed at the right depth and the correct natural angle. Your transplantation procedure will take around five to six hours. You will go home thereafter and may return to normal social life after 2 days. What Are The Advantages Of The SmartGraft Method Of Hair Restoration? SmartGraft has advantages over other restoration devices:

• It gives you better results in less time.
• It’s ideal for both men and women.
• SmartGraft has the highest hair viability rates on the market.
• It allows the implantation of hair grafts in just the right spots, easily.
• It can be used to harvest grafts from other parts of the body, such as the chest, back, and face, if needed.
• SmartGraft provides great results for eyebrows.

When Will The Hair Start To Grow On Its Own? Your transplanted hair is very likely to fall out soon after the treatment over the next two to three weeks. This can be discouraging, but it is totally natural.  This doesn’t mean transplantation failed; it simply is a reaction to the trauma of transplantation. The follicles that survive (usually around 90 percent) will then fully take and will return to the anagen (growth) phase in 3-4 months. As the anagen cycle continues, hair will grow naturally through these transplanted follicles. Will My Hair Look Natural After Transplantation? Fully functioning hair follicles are transplanted to your balding areas. As mentioned earlier, these occipital follicles are not susceptible to the reasons that caused your balding, so they will grow hair normally which will be your natural scalp hair. This new hair will thus be immune to future balding. The Hair Transplant Team achieves the most natural results by ensuring to place the angle of the implanted hair in a natural way for each particular area and also taking care to follow the pattern of a natural hairline. Recovery After SmartGraft Transplantation Recovery is easy. There might be mild discomfort around the donor or recipient sites, and occasionally patients take a regular Tylenol for it. Both the donor sites and the transplant sites heal quickly and most people go back to work between 1 – 3 days You may wash your hair in three days after your procedure. We’ll show you how to wash the transplanted area with water to keep the recipient area clean and to stop it from developing crusts on the implanted follicles; it’s important not to rub the follicles and not to use a towel to dry the area. And…. you are on your way to new youthful hair! Enjoy!

By John C. Anderson Ph.D. Introduction One day you wake up and realize that your hair has disappeared.  Well, no everywhere but whether it is a receding hairline or a growing bald spot on the crown or your head, you are seeing more skin that hair.  What do you do?  Historically, for many men and women, the first alternative was disguise – comb your hair in a way that minimizes the amount of visibility of the amount of thinning or baldness.  Few will remember Ron Popeil’s (the king of TV inventions and infomercials) Hair Formula #9 – hair in a spray can.  The next choice often involved weaves, wigs or toupees for complete coverage.  Unfortunately, this alternative rarely looked natural. Hair transplants became more popular in the 1980s.  However, the first phase of this trend involved the transplantation of hair plugs (many follicles in a group like a shrub) in rows on the patient’s head.  It was a painful procedure that announced to the world exactly what you were doing.  Over time, this process became much more refined but still involved the excision of a strip of hair from the back of the patient’s head.  The incision was then stitched closed leaving a significant scar that was visible (especially when swimming) and needed to be covered by the hair that was left. Follicular Unit Extraction (FUE) The hair replacement field changed dramatically with the development of FUE.  With this procedure, individual follicles are harvested from the back of the head – the area in which hair tends to remain the thickest and healthiest even when losing hair elsewhere.  The follicles that are extracted are then individually transplanted into the area of the head targeted for hair replacement.  A single follicle may contain a number of individual hairs attached to it. The procedure involves a careful diagnosis of the current need for hair replacement using the Savin scale (see Figure below).  The areas in need of transplant are identified along with the number of follicles that will be needed to obtained the desired coverage.  A technician then harvests the areas from the safe area (immune from DHT) in the back of the head and transplants them into the target area on the crown, top of the head or eyebrows. While there are a number of different FUE devices (e.g. NetGraft, Artus, SmartGraft), Capily Institute recommends the SmartGraft device and procedure as it produces follicles with higher viability for the transplant.  Why is this the case?  The SmartGraft device allows all follicles to be collected, counted, stored in a sterile temperature-controlled and hydrated environment. As each follicle is individually extracted it is sent through a tube where it is cleaned and kept in a climate-controlled environment to maintain hydration and viability while waiting to be transplanted.  As it can take a few hours for the individual follicles to be harvested, depending on the extensiveness of the transplant procedure, other devices may allow the follicles to dry out, reducing their viability. After the desired amount of hair has been harvested, the transplant recipient area is then locally anesthetized. This is the area that you and the Hair Transplant Expert Team had marked together at the very beginning. One hair follicle at a time is transplanted using the device. It first creates holes for the donor follicles. A scalpel isn’t needed for this step. The hairs are then inserted into these holes. The system ensures the hairs will be placed at the right depth and the correct natural angle. Your transplantation procedure will take around five to six hours. You will go home thereafter and may return to normal social life after 2 days. When Will The Hair Start To Grow On Its Own? Your transplanted hair is very likely to fall out soon after the treatment over the next two to three weeks. This can be discouraging, but it is totally natural.  This doesn’t mean transplantation failed; it simply is a reaction to the trauma of transplantation. The follicles that survive (usually around 90 percent) will then fully take and will return to the anagen (growth) phase in 3-4 months. As the anagen cycle continues, hair will grow naturally through these transplanted follicles. Will My Hair Look Natural After Transplantation? Fully functioning hair follicles are transplanted to your balding areas. As mentioned earlier, these occipital follicles are not susceptible to the reasons that caused your balding, so they will grow hair normally which will be your natural scalp hair. This new hair will thus be immune to future balding. The Hair Transplant Team achieves the most natural results by ensuring to place the angle of the implanted hair in a natural way for each particular area and also taking care to follow the pattern of a natural hairline. Recovery After SmartGraft Transplantation Recovery is easy. There might be mild discomfort around the donor or recipient sites, and occasionally patients take a regular Tylenol for it. Both the donor sites and the transplant sites heal quickly and most people go back to work between 1 – 3 days You may wash your hair in three days after your procedure. We’ll show you how to wash the transplanted area with water to keep the recipient area clean and to stop it from developing crusts on the implanted follicles; it’s important not to rub the follicles and not to use a towel to dry the area. And…. you are on your way to new youthful hair! Understanding the causes of your particular hair loss and identifying the stage of hair loss is very important in developing a treatment plan that can range from addressing the underlying cause (medical or hormonal) to topical or surgical alternatives.  The doctors associated with the Capily Institute can help diagnose and treat all forms of hair loss, recommending the best strategy for hair restoration or replacement.

By John C. Anderson Ph.D. Introduction If you are worried about losing your hair, you are not alone.  Seeing hair collecting in your brush or in the shower drain is not unusual.  In fact, statistics from a number of sources indicate that about 25% of men start to see hair loss as early as 21 with the percentage increasing to 66% by 35 and almost 85% for those 50 and over (American Hair Loss Association).  Women are also not immune as almost 40% experiencing hair loss are women, with 50 percent experiencing the problem by the time that they reach 50.  Women become particularly concerned about hair loss in their eye brows and eye lashes will for men, the problem is more focused on pattern baldness. On average, we lose approximately 100 hair follicles per day.  The total number of hair follicles on average is between 100,000 and 150,000, so 100 does not seem like many.  However, as we age, the rate of growth of new hair also declines, according to WebMD.  And with 10% of our hair follicles at rest at any one time combined with slower growth and hair loss, thinning areas will appear to increase in size. The Causes of Hair Loss Research and studies by organizations such as the American Hair Loss Association and the International Society of Hair Restoration Surgery have identified a wide range of factors that contribute to hair loss.  Articles have touted the 21 reasons (health.com), the 10 causes of hair loss in women (prevention.com) and identify the significant causes of hair loss outlined below.

1. Heredity and Genes. It has been shown that you are more likely to lose your hair if it is a family trait.  It has been said the probability is associated with your mother more that your father.  However, research shows that it can be passed down through the DNA of both parents.  It is estimated that due to DNA, approximately 30 million women and 50 million men experience hair loss.  There has also been a gene isolated that is related to hair loss according to a study by GlaxoSmithKline.  With a sample of 1,125 men, an in-depth study of hair loss awareness revealed that 1 in 7 men were more likely to lose their hair as a result of a specific gene.
2. Hormones for Both Men and Women. Male pattern baldness has been strongly linked to hormones in men.  It turns out that the old adage that bald men are more virile is partly true if measured by testosterone levels.  The presence of DHT in the hair follicles can block the growth of new hair. DHT is an androgen and helps give males their male characteristics. DHT is thought to cause hair follicles to miniaturize, and this contributes to male pattern hair loss. Female hormones can also lead to hair loss.  This often happens during pregnancy, as a result in changes in birth control and during menopause.  These changes can cause telogen effluvium in women, which means that hair growth is in the shedding phase, limiting hair growth.
3. Medical Conditions. There are also a series of medical conditions that can contribute to hair loss.  These include: anemia, lupus, and hypothyroidism.  Hypothyroidism can reduce your metabolism and slow growth in general, including in hair. Alopecia areata is also a result of an overactive immune system, resulting in hair loss.  Finally, certain classes of medications can contribute to hair loss including anabolic steroids, blood thinners, lithium, antidepressants and beta blockers for high blood pressure.
4. Scientists have also identified a number of issues related to diet that can have an impact on hair loss.  These include too little protein, vitamin B deficiencies and too much vitamin A.  Most of these conditions are easily treatable.   Research has also shown that dramatic weight loss may have an impact on hair loss.
5. Emotional Related Causes. Emotional and physical stress have also been associated with hair loss.  Severe stress can trigger telogen effluvium, which results in hair going into a shedding phase.  This is usually related to a significant traumatic event such as surgery, car accidents, family tragedies or severe illness.  Some people also have a nervous disorder called trichotillomania.  This is where people will compulsively pull out their hair and often affects the eyebrows and genital area as well as the head.
6. Poor Hair Care Practices. Sometimes the hair loss is caused by poor hair care practices.  These can range from over stressing the hair with excessive use of hair dryers, pulling the hair too tight in a pony tail, braids and corn rows or using too many hair relaxants or other chemicals to treat the hair.

Understanding the causes of your particular hair loss and identifying the stage of hair loss is very important in developing a treatment plan that can range from addressing the underlying cause (medical or hormonal) to topical or surgical alternatives.  The doctors associated with the Capily Institute can help diagnose and treat all forms of hair loss, recommending the best strategy for hair restoration or replacement.

By John C. Anderson Ph.D. Introduction As many young men and women start experiencing hair loss in their early 20s, the first question they ask is how can I nip it in the bud?  Clearly, a major issue before jumping into solutions is a clear identification of the reasons for the hair loss.  Good hair care is always the first step in a process of ensuring healthy hair. Good Hair Care is the First Step Before addressing more serious reasons for hair loss, Capily Institute has identified five easy ways to strengthen your hair to both prevent hair loss and stimulate more growth.

1. Protect Your Hair From Damage. Try to avoid washing hair too often, using harsh cleaning and styling products, wearing tight ponytails, brushing hair when wet and exposing it to high temperatures or styling tools.
2. Balance Your Diet. Ensuring your meals are rich in protein, iron, zinc and vitamins is integral when it comes to maintaining and promoting healthy hair. Opt for eating foods that are rich in nutrients; such as fish, meat, green vegetables, fruit, yogurt and pulses. You’ll also want to make sure to keep well hydrated, so make a conscious effort to drink six to eight glasses of water throughout the day to encourage healthy hair growth.
3. Complement Your Diet with Supplements. Including supplements in your diet is a great way to provide extra care for your hair. Biotin, a B-complex vitamin, is one of the most common supplements you can take to increase hair elasticity and reduce breakage. Other vitamins and elements that can also offer beneficial properties include vitamins A, C, D and E, zinc, iron and omega-3.
4. Choose Natural Hair Products. When purchasing hair conditioner and treatments, look out for natural, organic products that contain botanical properties and essential oil extracts in their ingredients list. Using natural remedies, along with sulfate and silicone-free products, offers a milder, healthier alternative to care for your hair.
5. Stimulate New Hair Growth. Increasing blood flow to the scalp helps provide essential nutrients and stimulate hair follicle growth. Enjoy giving yourself a mini head massage a few times a week, working in circular motions on the scalp with your fingertips, treating your scalp with a massaging brush in the evenings, or try physical exercise that will increase blood circulation. Workouts that are great for the scalp include yoga, aerobics and running.

Topical and Oral Solutions to Arrest Hair Loss May be the Next Step The most common cause of hair loss for both men and women is dihydrotestosterone (DHT), a derivative of the male hormone testosterone that leads to androgenetic alopecia (male or female pattern baldness).  DHT is created through a chemical reaction between testosterone and an enzyme called type II 5-alpha reductase, which lives in a hair follicle’s oil glands. The DHT binds to the follicle’s receptors, shrinks the follicle and impedes further growth. There have been and are a significant number of topical solutions on the market to address this problem.

1. Rogaine (Minoxidil). To fight this form of hair loss, Upjohn released prescription-based minoxidil in 1988 under the trade name Rogaine, with FDA studies finding nearly 40 percent of men saw “moderate to dense hair growth on the crown of the head.” In 1992, a version for women hit the market, and in 1996, both were approved for over-the-counter use. It’s believed minoxidil widens blood vessels and opens potassium channels to allow more oxygen, blood and nutrients to reach the follicle.
2. Propecia (Finasteride). In 1992, the FDA okayed finasteride for men after a study showed an 83 percent success rate in subjects who continued use for two years. In 1997, Merck released the drug as an ingestible pill under the brand name Propecia, which is shown to affect the anterior mid-scalp and crown regions specifically. Then, in 2002, dutasteride was brought to market as Avodart, which demonstrated a curtailing effect on androgenetic alopecia in each sex.  Both drugs are available by prescription only and act as 5-alpha reductase inhibitors, which slow the creation of hair-loss agent DHT.

The Latest Products on the Market Based on the research and FDA approvals of the topical and oral solutions outlined above, a number of companies have entered the market with new packages of solutions.

1. Revivogen. Revivogen has released two complete treatment sets for men (Revivogen MD) and women (Revivogen PRO).  Their treatment package includes a Scalp Therapy Thinning Hair Serum, Bio-Cleansing Shampoo and Thickening Conditioner developed by dermatologists.  The natural ingredients utilized in Revivogen MD have been proven to reduce DHT production, block the androgen receptors, and initiate the hair follicles growth cycle.  The scalp therapy has been shown in clinical studies to have an 88% success rate, showing improvement in 90 days.  Customer reviews on a variety of websites have generally been positive with 4 stars+ ratings.
2. Lifes2good launched Viviscal, a series of over-the-counter, drug-free vitamin supplements directed mostly at women that claim to nourish follicles during the crucial anagen (growth) phase when thinning or loss is most likely. Results are supposed to be visible in three to six months and the product can be used simultaneously with other remedies.  Viviscal hair growth supplements nourish hair follicles from within in four stages. Users may notice a difference in as little as three or four months.  Stage 1 – Nourishes hair follicles from within;  Stage 2 – Strengthens and promotes the growth of existing hair*; Stage 3 – Promotes the growth of hair that has slowed or stopped growing and; Stage 4 – Hair is noticeably stronger, healthier and more vibrant.  Viviscal received an A- review on smarter-reviews.com with a 9.1/10 rating.
3. Nutrafol’s 100% drug-free botanical ingredients are shown to target the multiple causes of thinning hair without compromising sexual health, or any other kind.  Nutrafol addresses dysregulated signaling molecules that disrupt healthy hair growth and deficient nutrient absorption and delivery at the hair follicle.  Nutrafol includes botanicals like vitamin E extracted from palm oil, ashwagandha, and biocurcumin; vitamins, such as biotin and keratin; and antioxidants such as resveratrol shown to reduce thinning hair.  With thousands of reviews, Nutrafol receives and overall rating of 4.7 out of 5.

Understanding the causes of your particular hair loss and identifying the stage of hair loss is very important in developing a treatment plan that can range from addressing the underlying cause (medical or hormonal) to topical or surgical alternatives.  The doctors associated with the Capily Institute can help diagnose and treat all forms of hair loss, recommending the best strategy for hair restoration or replacement.