The Palm Beach Post

Woman with thinning hair wonders if anything helps

- Dr. Keith Roach To Your Health Write to Dr. Roach in care of The Palm Beach Post, 2751 S. Dixie Highway, West Palm Beach, FL33405- 1233.

Question: After a diagnosis of low thyroid levels, my formerly long, thick hair has thinned out.

I’d say 50 to 60 percent over the years since menopause ( I am 78). It is especially thin from the front to the middle of my head. All I have found to help my hair look presentabl­e and fuller is a product to increase hair volume, which just clings to the hair, giving it fullness and shine. It’s been a lifesaver as far as appearance goes.

There are so many ads for pills and scalp treatments ( some very expensive), but is there really anything that works to stimulate the follicles to regrow more hair? I’ve tried using biotin for long periods, but did not notice any difference in my hair or nail strength. I’d truly appreciate your opinion. — Anon.

Answer: Female pattern hair loss is the most likely cause of your problem. Thirtyeigh­t percent of British women over 70 have this condition, though it is less common in women of Asian and African descent. The crown of the head to the forehead is the area most frequently involved, and the overall appearance is of thinning hair without scarring.

A dermatolog­ist is best suited to make the diagnosis for certain. If confifirme­d, the most effective treatment is minoxidil:

I usually recommend the 2 percent solution twice daily to begin with. It takes at least four months to see benefifit, although there can be some increased hair loss in the fifirst two to eight weeks of treatment as the follicles become stimulated.

Some women think this means the product isn’t working, but they need to continue using the product for it to work.

The results vary dramatical­ly from woman to woman, with some having no benefifit at all, others having progressio­n slowed or stopped, and some having dramatic hair regrowth.

Q: I had a stroke 22 months ago due to a subarachno­id hemorrhage. I’m OK, I guess. I feel both lucky and cursed — lucky I’m around, and cursed that I am around.

I’ve been accepted for a clinical trial for stemcell treatment by one company, but I want to know about other reputable trials. Can you suggest anything? I am desperate.— M. K.

A: Preliminar­y studies using stem cells on people with chronic stroke have shown signifific­ant benefifit. A study in 2016 from Stanford University was very promising. I certainly admire your willingnes­s to participat­e in studies.

My recommenda­tion for fifinding a clinical trial is to go to https:// clinicaltr­ials. gov, and enter the terms you are interested in. I put in “stroke” and “stem cells” and found four studies that are actively recruiting in nine different states. Most of these are being done by reputable research institutio­ns.

Depression is a common issue after a stroke. I hope you have a profession­al to discuss your feelings with. There are effective treatments.

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