Addressing Common Hair Concerns: White Hair and Thinning Issues - Dermatology

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Hair-related issues?


Hello Doctor, my wife and I are both 40 years old.
Over the past year, I've noticed an increasing number of white hairs (about several dozen), although I had some since high school.
I once saw a health program on television that suggested consuming mulberry leaf powder mixed with black sesame powder (the ground black sesame seeds sold in the market) to improve this condition.
I've been taking it for over six months, but I feel like there hasn't been much effect.
I would like to ask if consuming these supplements is really beneficial? Currently, I take them once a day; is that not enough?
My second question is related to family genetics.
Over the past two years, I've noticed signs of thinning hair starting from my hairline.
I bought Minoxidil 5% for maintenance and have been applying it for almost a year, but the results don't seem very significant (I think a few new hairs have grown).
Does this mean that other hair follicles may have already died and are beyond recovery, which is why the regrowth is not very noticeable?
I would like to consult you on these two questions.
Thank you!

Lin Sir, 40~49 year old female. Ask Date: 2020/03/05

Dr. Wu Yuxin reply Dermatology


Regarding the white hair, I'm not certain, as there is no absolute treatment for it.
For hair loss, a physical examination of the scalp and hair follicles is necessary to make an accurate assessment.

Reply Date: 2020/03/05

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding white hair and thinning issues. These are common problems that many individuals face, especially as they age. Let's address your questions one by one.


1. The Effectiveness of Dietary Supplements for White Hair
You mentioned consuming mulberry leaf powder and black sesame powder for over six months in hopes of improving your hair condition. While these supplements are often touted for their potential benefits in promoting hair health and possibly delaying the onset of white hair, scientific evidence supporting their effectiveness is limited.
The appearance of white hair is primarily due to a decrease in melanin production in hair follicles, which can be influenced by several factors, including genetics, age, and stress. While certain nutrients, such as vitamins B12, D, and E, as well as minerals like zinc and iron, are essential for healthy hair, simply consuming these powders may not yield significant results if your diet lacks overall balance or if other underlying issues are present.

If you are considering dietary changes or supplements, it might be beneficial to consult with a healthcare professional or a registered dietitian. They can help assess your nutritional intake and recommend a more comprehensive approach to support hair health.


2. Thinning Hair and the Use of Minoxidil
Regarding your thinning hair and the use of minoxidil (often marketed as Rogaine), it’s important to understand that while minoxidil can be effective for some individuals, results can vary widely. Minoxidil works by stimulating hair follicles and increasing blood flow to the scalp, which can promote hair growth in some users. However, it may take several months to see noticeable results, and not everyone will respond to the treatment.

If you have been using minoxidil for nearly a year and have only seen minimal improvement, it could indicate that some of your hair follicles may be in a state of miniaturization or have already entered a phase where they are no longer viable for regrowth. This is often the case in hereditary hair loss conditions, such as androgenetic alopecia (male or female pattern baldness), where genetic predisposition plays a significant role.


Recommendations
1. Consult a Dermatologist: It would be beneficial to see a dermatologist who specializes in hair loss. They can conduct a thorough examination of your scalp and hair follicles, possibly including a scalp biopsy or blood tests to rule out other underlying conditions.

2. Consider Other Treatments: If minoxidil alone is not yielding the desired results, your dermatologist may discuss other treatment options, such as finasteride (for men), low-level laser therapy, or even hair transplant procedures, depending on the severity of your hair loss.

3. Healthy Lifestyle: Maintaining a balanced diet rich in vitamins and minerals, managing stress levels, and ensuring adequate sleep can also contribute positively to hair health. Regular exercise and hydration are equally important.

4. Patience and Realistic Expectations: Hair regrowth treatments often require time and consistent use. It's essential to have realistic expectations and understand that results can vary based on individual factors.

In conclusion, while dietary supplements may offer some benefits, they should not be relied upon as the sole solution for hair health. A multifaceted approach, including professional guidance and possibly more aggressive treatments, may be necessary to address your concerns effectively.

Best wishes for your health and hair journey!
Sincerely,
Doctor Q&A Teams



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