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Protocol for Women

     

     Women’s hair loss is in practically all cases a genetic predisposition to hair loss caused by an abnormal sensitivity to normal hormone levels (specifically androgens) or a natural reaction to abnormally elevated androgen (male hormone) levels.  The androgen to estrogen ratio can also shift towards favoring androgens immediately after pregnancy and during menopause.  It is during these times and during stress (which elevates certain androgens and cortisol) that women often experience acute hair loss, often termed "effluviums", which are typically androgenetic in nature. 

     Our primary mechanism of treatment and regrowth in women essentially involves systemically normalizing the estrogen to androgen ratio, blockage of androgen action at follicle receptor sites, and the raising of blood levels of sex hormone binding globulin (SHBG).  Secondary avenues of treatment include the usage of topical hair growth stimulators, systemic growth hormone releasing peptides, and the systemic usage of agents that enhance peripheral microcapillary perfusion (circulation to the hair follicle).

     American allopathic medicine typically only addresses the normalization of androgen to estrogen ratio and usually does so with conjugated estrogens(Premarin), with perhaps Rogaine as an adjunct.  This limited approach could explain "modern" medicine's abysmal track record in treating women's hair loss, because other identified mechanisms are left unaddressed and women are subjected to the dangerous side effects of the ongoing usage of conjugated estrogens.

     The following primary treatment recommendations specifically emphasize addressing the hormonal components of hair loss unique to women.  The adjunctive recommendations aim at neutralizing other contributing mechanisms to androgenetic hair loss, which become increasingly more significant with advancing age.  Better singular treatments are continually being researched; however, currently the most significant results are obtainable utilizing a combination approach which addresses a multiplicity of established factors that contribute to hair loss and general aging as well.

 

ROGAINE GENERALLY CONTRAINDICATED

 Based on the preponderance of studies and anecdotal reports, we have omitted Rogaine 2 and 5% from our protocol.  It appears that Rogaine, despite its short term effectiveness in some patients almost invariably loses its effectiveness due to tolerance.  The typical timeframe on tolerance to set in is from 12 to 18 months. More importantly, it causes a tremendous amount of shedding in all patients upon stoppage.  Of real concern is that this shedding is typically above and beyond what one would have normally gained through any treatment response.  This phenomena is clinically termed loss of “minoxidil dependent hair”, and implies that stopping minoxidil use may result in loss of hair that may have been otherwise unaffected by androgenetic alopecia (pattern loss).  Stopping other treatments such as Propecia will result in a gradual regression to the pre-treatment state.  With Minoxidil this loss is much more dramatic.  This seems to occur regardless of other treatments being used to offset this process.  A review of the medical literature will confirm its transient and marginal effectiveness at both 2 and 5 percent concentrations.


 If however, you have been using Rogaine for some time you would be well advised to stay on it.  You likely could use a 2% concentration at once a day to avoid shedding, and there are many low cost generics available.  If you are currently using Rogaine and chose to get off it, it wouyld be wise to gradually reduce your dosage and substitute the Pyridine-N-Oxides (Dr. Proctor)to avoid the hair loss that invariably occurs with the cessation of Minoxidil treatment.  Because of the similarity in their core technology, the Pyridine-N-Oxides appear unique in their ability to do this.  The current thinking on Rogaine by some in the research community is that it is best avoided altogether.


PRIMARY PROTOCOL

Natural Estrogen with Pomegranate Extract- Take two caplets in the morning with or without food, or as recommended by your healthcare practitioner.

Emu Oil- Massage a few drops into affected areas in the PM prior to retiring. Dr. Holick used applications 3 times daily to obtain 80% hair regrowth. It can be used as a daytime hair dressing, if desired.

Nizoral Shampoo- twice weekly, alternated with either Head and Shoulders or Dr. Proctor's Hair Regrowth Shampoo.

Super Saw Palmetto- 1 softgel (320 mg.) daily.

Super Absorbable Soy Isoflavones- 1-2 capsules daily.

Root Food Take 4 capsules a day in divided doses.

Dr. Proctor's Advanced Hair Regrowth Formula- once daily, after shampoo, towel drying.

L-Lysine- One 500 mg. tablet L-lysine, 3 times daily (divided doses on an empty stomach). The addition of Vitamin C (500mg) and Iron;(18-22mg), will replicate the exact formula used by DH Rushton.

Mega Green Tea Extract- One 725 mg capsule, 98% Extract,( 326.25mg EGCG) with heaviest meal of the day.

Iron Protein Plus- Take 1-2 Iron Protein Plus daily, with meals.

Curcumin- 1 capsule daily.


ADJUNCTIVE RECOMMENDATIONS

Natural GH Formula- 3-6 capsules daily, depending on body weight.

Bilberry Extract- 2 capsules daily.

Dr. Proctor's Hair Regrowth Shampoo- alternated with Nizoral Shampoo or Head and Shoulders Shampoo- 2-3 times weekly.

Grape Seed/Resveratrol Extract Take 1 capsule (100 mg Grape Seed Extract, 20mg Resveratrol)daily.

Ginkgo Biloba Extract- 1 capsule(120 mg.)daily. Use only 24% ginkgo extract (6% terpene lactone), not the whole leaf.

Mega GLA- 1-2 softgels daily.

Optizinc- 1-2 capsules daily.

Vitamin D3- 1-2 capsules daily.

L-Taurine- 1 capsule (1000 mg.),daily.

Super Omega 3 EPA/DHA- 2 softgels, twice daily with meals.



NATURAL ESTROGEN with POMEGRANATE EXTRACT – Natural Estrogen with Pomegranate is a multi-component phytoestrogen compound that addresses all the currently identified hormonal components of androgen mediated hair loss. It functions as an estrogen receptor antagonist, displacing strong endogenous estrogens with weaker phyto-estrogens,In so doing its effects in men would be more accurately described as "anti-estrogenic."

     It functions to reduce DHT, Androstendione via 17BHSD inhibition/Enterlactone production, Prolactin, and modulates estrogen in such a way to neutralize its role in hair loss and prostate cancer development. It also functions as an androgen receptor antagonist, and provides a potent dose of ellagic acid, an antioxidant that has been shown to stimulate hair growth and provide numerous other health benefits.

     Natural Estrogen with Pomegranate Extract also contains Black Cohosh(which mimics the safe estrogen, "estriol"), recently patented as a stand alone treatment for hair loss in Germany.

     Natural Estrogen is often used to ameliorate the estrogenic side effects of Propecia and Avodart.

     Directions: Take two caplets in the morning with or without food, or as recommended by your healthcare practitioner.