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Suffering from hair loss. Suggest some effective treatment?

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Practicing since : 2005
Answered : 1390 Questions
I am a 39 year old, 82kgs healthy male with normal hairs. I am doing bodybuilding for the past 15 years. In an attempt to reduce my increased waist size I completely stopped eating rice & my weight reduced by 7-8 kgs. But in May 2012 my hair fall problem started which increases day by day, with currently around 50 hair fall per day. To prevent hair fall I adopted natural method as follows:-
1.     I am a nonvegetarian & taking daily- one glass carrot juice, eggs, oats, rice, cucumber, onion, walnuts, almonds dates, bananas, milk, soyamilk, XXXXXXX tea, meat ( thrice a week), flax oil sofgel(once daily), ZEVIT( twice weekly) plus normal diet like rotis etc.
2.     I apply jojoba+ XXXXXXX oil at night 1-2 times a week.
3.     Once a week I apply XXXXXXX cider vinegar & then wash it after 30-60 minutes.
4.     I wash my hair on alternate days (my scalp is oily) with Himalaya Protien shampoo (SLES free) or at times I wash using amla+shikakai+reetha soaked in water.
5.     I apply JOVEES HEENA once in 7-15 days to colour my hair.
6.     I don’t use any other chemical or XXXXXXX on my hairs.
7.     I have no dandruff problem but at times I have itching on the scalp maybe due to hair loss problem.
To know the exact reason for the sudden hair loss I went to a dermatologist who told me that I have Male Pattern Baldness problem & he prescribed me MINTOP FORTE FOAM LA for 3 months to be applied twice daily.
I have read that Mintop( Minoxidil) is effective at the most for 2 years only & when it is stopped, hair fall will start again. Hence I went to a Trichologist at RICHFEEL clinic. They tested my hair & confirmed about Male Pattern Baldness problem & also some mineral deficiency. Following medicines were prescribed by them:
1.     Serenoa complex ( Saw Palmetto + Horsetail ) twice daily.
2.     Hair O2 ( multivitamin) twice daily.
3.     Homeopathy medicines.
4.     Hair oil having saw palmetto+ shampoo
5.     Photobiotherapy every 15th day for hair thinning problem.
I have read reviews on internet about RICHFEEL that the treatment prescribed by them is ineffective & they are cheaters.
One problem which I am facing for quite a few years is that of frequent urination & my bladder does not empty easily. Even once at night I go for urine. I have read that in males this is due to Benign Prostrate Hyperlasia (BPH) problem which is related to Male Pattern Baldness (MPB). Although I have no problems of constipation or irritation or burning problem during urination. This problem of BPH as well as MPB is treatable with Saw Palmetto as given in literature but it is not FDA approved.
After reading all & doing my own analysis I am confused which treatment to adopt to stop my hair fall at the earliest.
Whether to start using Mintop or use Richfeel medicines?
Doctor please suggest me what to choose to arrest hair fall & also with minimum side effects ( finerside, propecia etc has severe side effects) & most effective treatment.
OR Should i take serenoa complex + multivitamin tablet & also aplly minoxidil along with it.
Please guide me or suggest any other method to stop hair fall & which can be continued life long or say atleast for the next 10-15 years.
I am waiting for genuine & sincere advice & also highly obliged for it.
Posted Tue, 2 Oct 2012 in Hair Loss
Answered by Dr. Sudarshan 1 hour later
Hi Dear ,

Thanks for writing in.

I see you are very health conscious.Which is a good thing.

Only two medication are FDA approved for male pattern baldness.

Both are extremely safe and effective drugs.

Ive used them in many patients and yet to see any significant or long term side effects .

Finasteride is effective and safe in long term.Atleast 2 yrs treatment is needed.
Also it will help in your urinary symptoms.

Also shampoos and oils dont have any role in Androgenetic alopecia.

You can use any of the oil or shampoo.Not necessary to use RICHFEEL products.

Multivitamins you can use any.(provided it should have zinc , copper ,biotin)
maintain good health and diet to supplement it
DERMAROLLER , STEM CELL and mesotherapy are very effective treatment .If you want results to last for 15-20 years.
These are available at dermatology clinics.

hope I've made myself clear.


Above answer was peer-reviewed by
Follow-up: Suffering from hair loss. Suggest some effective treatment? 18 hours later
Thanks Doctor for a prompt reply.
I have following more queries:
1.     My hair fall reduces to around 30-35 hairs from 50 hairs per day on days when i wash/clean my hairs. Should i start using MINTOP at the earliest or should I wait to see if hair fall reduces further because of natural diet etc.?
2.     I don’t want to start Finasteride for sometime. Can I take MINTOP (externally) & SERENOA COMPLEX (internally) from RICHFEEL? (since SAW PALMETTO is also useful in urinary problem as given in literature)
Should I use MINTOP only along with a multivitamin?
3.     Prescribe/suggest a good multivitamin for hair growth.
4.     Should I take PHOTOBIOTHERAPY treatment from RICHFEEL? Is it useful in anyway.
5.     When to start Mesotherapy? I mean should I take the medicines & wait to see its result or should I take mesotherapy along with the medicines?
Please be clear & prescribe/suggest your best treatment so that I can maintain a healthy set of hairs for another 15-20 years.
Being health conscious I rely on natural medications but if it is necessary then I do take medicines, so keeping this in mind suggest me the best side effect free treatment.
Thanks in advance for your valuable comments as you have already cleared some of my doubts.
Answered by Dr. Sudarshan 1 hour later
hi AAA

1.Start with mintop.Do not wait.

2.Start with saw palmetto. Not necessarily from richfeel.

3.Tab. Androanagen is a good combination.

4.Photobiotherapy may or may not wait.

5.Mesotherapy should be started simultaneously.Earlier you start better is result.

Hope this helps.

If you are satisfied with my answer.Please accept it and rate it at the end.

Above answer was peer-reviewed by
Follow-up: Suffering from hair loss. Suggest some effective treatment? 2 hours later
Thanks Doctor Once again.
Just few questions more since you give clear cut advice-

1.     I will start following medications in a day or two.
Mintop Forte Foam LA ( to be applied twice daily on clean scalp)
+ Saw Palmetto ( What are the recommended dosage & for how long?) + Androanagen ( What are the recommended dosage & for how long?)
Is it ok?

2.     For how long I have to take the above medications ?

3.     Any idea about where is Mesotherapy facility in Lucknow ?

4.     Also where to get Saw palmetto in India? I have searched everywhere including internet but it is not available in India (only available on WWW.WWWW.WW & that to of Rs1500/- because it is imported)

5. Some people say that initially hair fall increases when using Mintop. In how many days this hair fall stops?

Kindly guide me so that I can start the treatment at the earliest.
I am highly obliged for sharing your precious time with me.
Doctor one last question:-
I have itching in my scalp sometimes so should i use Nizoral shampoo ( although it is anti dandruff but it is said to remove DHT from scalp ) or any other shampoo ( presently i use Himalaya Protien shampoo) ?
I should not worry about itching as it may cease when i will use mintop & other medication?
Should a continue applying XXXXXXX cider vinegar on my scalp before washing my head?

Please tell me how to remove itching although it not very severe.

With Regards
Answered by Dr. Sudarshan 3 hours later
hi again,

For itching in scalp please use nizoral shampoo.even without dandruff it is a treatment for hair loss.
Do not use vinegar.

Saw palmetto is available in india. Start wid androanagen one per day.
It has saw palmetto in it.
Continue the medication till atleast 6months.

Meotherapy should be available in lucknow.check wid the leading
dermatology clinics.

All the treatment should be continued ideally for 1.5 to 2 yrs.which covers the hair life cycle .

Mintop initially causes hair loss which is limited in 1-2 months.

Hope this helps.

Accept and rate my answer in the end if you dont have any
further queries.

Above answer was peer-reviewed by
Follow-up: Suffering from hair loss. Suggest some effective treatment? 4 hours later
Thanks Doctor once again.
I have bought the medicines & will start the treatment soon.
-- Will Androanagen help me in my urine problem?
-- Also if I miss on any whole day or a single dose of mintop will it affect the treatment process?
-- can I apply heena once in 15 days & that too after 4-5 hours of applying mintop?
-- Is using nizoral once a week ok?
Please tell also how soon will I see the results when using simultaneously mintop & Androanagen? Also i will try to find mesotherapy & take its treatment also.
I want to consult you only after 3 months to tell you the progress.How can I contact you?
In the end a warm thanks for all your valuable advice.

With Regards
Answered by Dr. Sudarshan 10 minutes later
Hi Again AAA

Androanagen will help you in urinary problems but not much like finasteride.

Even if you miss single or two doses of minoxidil it does not affect outcome.You can continue application after that.

You can apply heena once in 15 days.

Nizoral is to be used twice a week.

Results will take 3 months to show up.

You can contact me on same site.You can ask for QUERY FOR DR XXXXXXX .

The question will be directed to me .

Wishing you good health and great hair.

Accept and rate my answer in the end if you dont have any
further queries.


Above answer was peer-reviewed by
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