Jump to content

lanthanos

Senior Member
  • Posts

    102
  • Joined

  • Last visited

Posts posted by lanthanos

  1. Please Grow Please knows more about hair transplants than most doctors do.

     

    This is an interesting topic all around.

     

    Hairboy you make some good points. I am glad to see that, imho, this thread is softening in tone. People are relaxing, a little bit, their initial hard attitudes.

    Hairboy, I think your topic is very good for opening dialogue. Like most here, I don't agree with everything you say, but some good points. It's very good to be skeptical. You are struggling with a decision we all struggle with, FUE or strip. It's not an easy choice, there is no right or wrong answer. It depends on what you want, what your expectations are, your hair characteristics, and yes, it does depend on doctor quality. Some doctors know the limitations of FUE and take the extra care and precautions, some don't.

     

    I do agree with some other posters that there are good guys out there, and Please Grow Please is one of them. He has done more research than anyone I know of.

  2. http://www.essentialdrugs.org/.../200003/msg00076.php

     

    March 28, 2000

     

    Page One Feature

     

    Many Medicines Are Potent Years Past Expiration Dates

     

    By LAURIE P. COHEN

    Staff Reporter of THE WALL STREET JOURNAL

     

    Do drugs really stop working after the date stamped on

    the bottle?

     

    Fifteen years ago, the U.S. military decided to find

    out. Sitting on a $1 billion stockpile of drugs and

    facing the daunting process of destroying and

    replacing its supply every two to three years, the

    military began a testing program to see if it could

    extend the life of its inventory.

     

    The testing, conducted by the U.S. Food and Drug

    Administration, ultimately covered more than 100

    drugs, prescription and over-the-counter. The results,

    never before reported, show that about 90% of them

    were safe and effective far past their original

    expiration date, at least one for 15 years past it.

     

    In light of these results, a former director of the

    testing program, Francis Flaherty, says he has

    concluded that expiration dates put on by

    manufacturers typically have no bearing on whether a

    drug is usable for longer.

     

    Mr. Flaherty notes that a drug maker is required to

    prove only that a drug is still good on whatever

    expiration date the company chooses to set. The

    expiration date doesn't mean, or even suggest, that

    the drug will stop being effective after that, nor

    that it will become harmful.

     

    Marketing Issue

     

    "Manufacturers put expiration dates on for marketing,

    rather than scientific, reasons," says Mr. Flaherty, a

    pharmacist at the FDA until his retirement last year.

    "It's not profitable for them to have products on a

    shelf for 10 years. They want turnover."

     

    The FDA cautions that there isn't enough evidence from

    the program, which is weighted toward drugs needed

    during combat and which tests only individual

    manufacturing batches, to conclude that most drugs in

    people's medicine cabinets are potent beyond the

    expiration date. Still, Joel Davis, a former FDA

    expiration-date compliance chief, says that with a

    handful of exceptions -- notably nitroglycerin,

    insulin and some liquid antibiotics -- most drugs are

    probably as durable as those the agency has tested for

    the military. "Most drugs degrade very slowly," he

    says. "In all likelihood, you can take a product you

    have at home and keep it for many years, especially if

    it's in the refrigerator."

     

    Manufacturers' View

     

    Drug-industry officials don't dispute the results of

    the FDA's testing, within what is called the Shelf

    Life Extension Program. And they acknowledge that

    expiration dates have a commercial dimension. But they

    say relatively short shelf lives make sense from a

    public-safety standpoint, as well.

     

    New, more-beneficial drugs can be brought on the

    market more easily if the old ones are discarded

    within a couple of years, they say. Label redesigns

    work better when consumers don't have earlier versions

    on hand to create confusion. From the companies'

    perspective, any liability or safety risk is

    diminished by limiting the period during which a

    consumer might misuse or improperly store a drug.

     

    "Two to three years is a very comfortable point of

    commercial convenience," says Mark van Arandonk,

    senior director for pharmaceutical development at

    Pharmacia & Upjohn Inc. "It gives us enough time to

    put the inventory in warehouses, ship it and ensure it

    will stay on shelves long enough to get used." But

    companies uniformly deny any effort to spur sales

    through planned obsolescence.

     

    Why Not Longer?

     

    Now that the FDA has found that many drugs are still

    good long after they have supposedly expired, why

    doesn't it advocate later expiration dates for

    consumer drugs? One reason is that the consumer market

    lacks the military's logistical reasons to keep drugs

    around longer.

     

    Frank Holcombe, associate director of the FDA's office

    of generic drugs, says that in many cases a

    manufacturer could extend expiration periods again and

    again, but to support those extensions, it would have

    to keep doing stability studies, and keep more in

    storage than it would like.

     

    Mr. Davis adds: "It's not the job of the FDA to be

    concerned about a consumer's economic interest." It

    would be up to Congress to impose changes, he says.

     

    As things stand now, expiration dates get a lot of

    emphasis. For instance, there is a campaign,

    co-sponsored by some drug retailers, that urges people

    to discard pills when they reach the date on the

    label.

     

    And that date often is even earlier than the one the

    maker set. That's because when pharmacists dispense a

    drug in any container other than what it came to them

    in, they routinely cut the expiration date to just one

    year after dispensing. Some states even require

    pharmacists to do this.

     

    Meanwhile, poor countries -- under urging from the

    World Health Organization -- often reject drug-company

    donations of much-needed medicines if they are within

    a year of their expiration dates.

     

    It isn't known how much of the $120 billion-plus spent

    annually in the U.S. on prescription and

    over-the-counter medicines goes to replace expired

    ones. But in a poll done for The Wall Street Journal

    by NPD Group Inc. of Port Washington, N.Y., 70% of

    1,000 respondents said they probably wouldn't take a

    prescription drug after its expiration date; 72% said

    the same of an over-the-counter remedy.

     

    "People think that, upon expiration, drugs suddenly

    turn toxic or lose all their potency," says Philip

    Alper, professor of medicine at University of

    California at San Francisco. In his own practice, Dr.

    Alper says, "I frequently hear -- from patients who

    can't afford medicine -- that they have thrown away

    expired drugs." He says companies should be required

    to test drugs for longer periods and set later

    expiration dates when results warrant.

     

    Some manufacturers first began putting expiration

    dates on drugs in the 1960s, although they didn't have

    to. When the FDA began requiring such dating in 1979,

    the main effect was to set uniform testing and

    reporting guidelines. As now required by the FDA,

    so-called stability testing analyzes the capacity of a

    drug to maintain its identity, strength, quality and

    purity for whatever period the manufacturer picks. If

    the company picks a two-year expiration date, it

    needn't test beyond that.

     

    Testing for a two-year expiration doesn't initially

    entail holding a drug for two years. Rather, the drug

    is tested by subjecting it to extreme heat and

    humidity for several months, then chemically analyzing

    each ingredient's identity and strength. (After the

    date is set and the drug is marketed, testing

    continues for the full two years.)

     

    The FDA also uses chemical analysis in testing for

    possible shelf-life extension; it doesn't test on

    human subjects. Testing conditions are such that any

    medicine that meets, say, the standards for a two-year

    expiration date probably lasts longer, the FDA and

    drug companies agree.

     

    Still Good

     

    Consider aspirin. Bayer AG puts two-year or three-year

    dates on aspirin and says that it should be discarded

    after that. Chris Allen, a vice president at the Bayer

    unit that makes aspirin, says the dating is "pretty

    conservative"; when Bayer has tested four-year-old

    aspirin, it remained 100% effective, he says.

     

    So why doesn't Bayer set a four-year expiration date?

    Because the company often changes packaging, and it

    undertakes "continuous improvement programs," Mr.

    Allen says. Each change triggers a need for more

    expiration-date testing, he says, and testing each

    time for a four-year life would be impractical.

     

    Bayer has never tested aspirin beyond four years, Mr.

    Allen says. But Jens Carstensen has. Dr. Carstensen,

    professor emeritus at the University of Wisconsin's

    pharmacy school, who wrote what is considered the main

    text on drug stability, says, "I did a study of

    different aspirins, and after five years, Bayer was

    still excellent. Aspirin, if made correctly, is very

    stable."

     

    Only one report known to the medical community linked

    an old drug to human toxicity. A 1963 Journal of the

    American Medical Association article said degraded

    tetracycline caused kidney damage. Even this study,

    though, has been challenged by other scientists. Mr.

    Flaherty says the Shelf Life program encountered no

    toxicity with tetracycline and typically found batches

    effective for more than two years beyond their

    expiration dates.

     

    Plea From the Air Force

     

    The program dates to a U.S. effort begun in 1981 to

    increase military readiness by buying large quantities

    of drugs and medical devices for the armed forces.

    Four years later, more than $1 billion of supplies had

    been stockpiled. The General Accounting Office audited

    Air Force troop hospitals in Europe and found many

    supplies at or near expiration. It warned that by the

    1990s, more than $100 million would have to be spent

    yearly on replacements.

     

    The Air Force Surgeon General's office asked the FDA

    if it could possibly extend the shelf life of these

    drugs. The FDA had the equipment for stability

    testing. And because it had approved the drugs' sale

    in the first place, it also had manufacturers' data on

    the testing protocols.

     

    Testing for the Air Force began in late 1985. In the

    first year, 58 medicines from 137 different

    manufacturing lots were shipped to the FDA from

    overseas storage, among them penicillin, lidocaine and

    Lactated Ringers, an intravenous solution for

    dehydration. After testing, the FDA extended more than

    80% of the expired lots, by an average of 33 months.

     

    In 1992, according to the FDA, more than half of the

    expired drugs that had been retested in 1985 were

    still fine. Even now, at least one still is.

     

    Such results came as a revelation for Army Col. George

    Crawford when he took over military oversight of the

    program in 1997. He is a pharmacist, but "nobody tells

    you in pharmacy school that shelf life is about

    marketing, turnover and profits," he says. (The drug

    makers don't agree that it is, however.)

     

    How It Works

     

    The military's base for the program is a dingy

    barracks room in Fort Detrick, Md. There, a group

    headed by Air Force Lt. Col. Greg Russie, who recently

    took over from Col. Crawford, tracks drugs that are

    near expiration at defense facilities all over the

    world, selecting many for retesting. They are shipped

    to the FDA, which sends them to its laboratories.

     

    The FDA's lab in Philadelphia recently tested five

    automatic injectors containing an antidote to chemical

    poisoning, which were purposely held for three months

    in conditions even hotter and more humid than the FDA

    requires in consumer testing of drugs. The FDA tested

    the drug contained in the injectors, pralidoxime

    chloride, by separating its ingredients and measuring

    the strength and quality of each, then applying a

    computer model to determine whether a shelf-life

    extension was warranted.

     

    The injectors' original expiration date was November

    1985. The FDA had retested them periodically ever

    since, each time approving their continued use. The

    batch, made by Ayerst Laboratories, now part of

    American Home Products Corp.'s Wyeth-Ayerst unit, is

    18 years old. It is 15 years beyond the expiration

    date applied by Ayerst. The FDA found it is still

    good.

     

    A spokesman for Wyeth-Ayerst says it "uses scientific

    data to establish expiration dates" and "tries to have

    the longest possible dating on products that

    scientific data supports." The company is aware of the

    FDA retesting program. It says it can't comment

    specifically on the injectors tested by the FDA.

     

    A Few Fail

     

    Shelf-life extensions are "intentionally

    conservative," the FDA's Mr. Flaherty told military

    brass in a 1992 speech. He says that if the agency

    extended an expiration date by 36 months, it had

    concluded the lot would retain all of its safety and

    efficacy for at least 72 months.

     

    A very few drugs aren't retested. The military has

    found that water-purification tablets and mefloquine

    hydrochloride, for malaria, routinely fail stability

    testing beyond their expiration dates, so it has

    removed them from the program.

     

    Also excluded are large-volume intravenous solutions,

    such as saline. "We don't like to test those," says

    Col. Crawford. "Not because we can't, but because it

    would be politically sensitive if G.I. Joe was lying

    in bed and saw it had originally expired three years

    ago."

     

    Mr. Flaherty has said that while he tested a handful

    of drug batches that didn't even make it to their

    expiration dates, most drugs were "surprisingly

    durable." In one instance, he says, drugs labeled for

    room-temperature storage had been kept for two years

    in a warehouse in Oman that averaged 135 degrees

    Fahrenheit in the daytime. Upon expiration, the drugs,

    which included the local anesthetic lidocaine and

    atropine, a nerve-gas antidote also used by eye

    doctors to dilate pupils, "were well within the

    standards for potency and other quality

    characteristics," he says.

     

    Stable Molecule

     

    One medicine the FDA has endorsed for extensions is

    ciprofloxacin hydrochloride tablets, an antibiotic

    marketed by Bayer as Cipro. One batch had an

    expiration date of March 1989. More than 9 1/2 years

    later, the FDA found the tablets still good; it then

    extended some of them for 18 more months and others

    for 24 more months.

     

    Albert Poirier, quality-assurance director for Bayer's

    pharmaceutical division, says he isn't surprised

    because Cipro "is a stable drug molecule" in tablet

    form. "We go for a shelf life that will be safest for

    patients," he says. "We want the drug to be used up

    within three years. We wouldn't want a patient to have

    it for 10 years because they'd have an old package

    insert" that might omit new information or

    contra-indications and because "we'd have no control

    over how they'd store the drug during this time."

     

    Another extended drug is Thorazine, a tranquilizer

    chemically known as chlorpromazine tablets. Batches

    bearing December 1996 expiration dates -- unused and

    unopened, as is the case with all drugs evaluated in

    the Shelf Life program -- were tested in July 1998 and

    extended for two years. A spokesman for the maker,

    SmithKline Beecham PLC, says it applies an expiration

    date 24 months after manufacture. "We think that is

    the appropriate expiration date," he says. "We don't

    benefit from short expiration dates."

     

    Some other drugs the FDA has extended at least two

    years beyond their expiration dates are diazepam, sold

    as Valium; cimetidine, sold as Tagamet; phenytoin,

    sold as Dilantin; and the antibiotics tetracycline and

    penicillin.

     

    Big Savings

     

    On a cost-benefit basis, the program's returns have

    been huge. The first year, the Air Force paid the FDA

    $78,000 for testing and saved 59 times that sum by not

    needing to replace the drugs. After other services

    joined, the military from 1993 through 1998 spent

    about $3.9 million on testing and saved $263.4 million

    on drug expense, according to Lt. Col. Russie.

     

    Says Mr. Flaherty: "We've cost the pharmaceutical

    companies hundreds of millions of dollars in sales of

    new stuff to the Department of Defense."

     

    More than 12 years ago, Messrs. Flaherty and Davis

    explained the program to drug-company chemists at a

    meeting of the American Association of Pharmaceutical

    Scientists in Woodbridge, N.J., going into detail

    about how the FDA decided whether to extend a given

    expiration date. Mr. Davis concluded by noting how

    much the U.S. had saved by extending shelf lives

    instead of "destroying large quantities of

    still-useful medical products... ."

     

    Mr. Flaherty says the FDA was keenly aware that if its

    methodology was flawed, or its results incorrect even

    once, its credibility would be attacked. Yet FDA

    officials say that during the program's 15 years, drug

    makers have never objected to any of its procedures or

    findings. "They may not have liked what we were doing,

    but they weren't able to challenge it," he says.

     

    The Message to Civilians

     

    While the military is finding it can keep most drugs

    longer, civilians hear quite a different message. For

    instance, a campaign called the National Expired and

    Unused Medication Drive has collected and destroyed 36

    tons of drugs since 1991, says its founder, Kathilee

    Champlin. Ms. Champlin, of Colorado Springs, Colo.,

    says her interest derives from experience working with

    the elderly and seeing how hard it was for them to

    keep track of all their medications. She says she

    wasn't aware of any FDA program to extend drugs' shelf

    lives.

     

    Her group has gained sponsorship from the some big

    drug retailers, including Wal-Mart Stores Inc. It

    sponsors the campaign to be "a good corporate

    citizen," says Frank Seagrave, vice president of

    pharmacy merchandising. "We believe that people should

    dispose of unused prescription medicines a year after

    they get them," he says, adding that Wal-Mart

    sometimes gives people a free bottle of vitamins if

    they bring in expired drugs.

     

    Johnson & Johnson's Janssen Pharmaceutica unit, a drug

    maker, also sponsors Ms. Champlin's campaign. "We

    think it's important to educate the public about the

    risk of taking drugs that are expired and to raise

    public awareness," says a spokesman for Janssen. Both

    Wal-Mart and J&J say that supporting the campaign to

    discard expired drugs has nothing to do with their

    sales efforts.

     

    Many pharmacists also play a role in shelf lives. The

    U.S. Pharmacopeia, a not-for-profit scientific group

    that develops standards for the drug industry, urged

    in 1985 that pharmacists set expiration dates at no

    more than one year if they were dispensing drugs in a

    bottle other than the manufacturer's original

    packaging. "New containers may let in more moisture

    and heat than the container the manufacturer used for

    the stability study," accelerating the drug's

    degradation, says the USP General Counsel Joseph

    Valentino.

     

    The recommendation became a USP requirement in 1997.

    As a result, "the majority of pharmacists shorten the

    manufacturers' expiration dates" on prescription drugs

    to one year or less, says Susan Winckler, an official

    of the American Pharmaceutical Association. In fact,

    in 17 states, pharmacists now are legally required to

    do so. Ms. Winckler says shortening the dates makes

    sense because many people store drugs in moist

    bathrooms. She says the one-year rule is "motivated by

    product integrity and not by profit."

     

    Even the FDA has sometimes pushed for throwing out

    drugs at their expiration date. Last October it

    co-sponsored, with the National Association of Chain

    Drugstores and others, a campaign that urged women not

    to use medications beyond the expiration dates

    because, as the brochure put it, "they may not work."

    Mr. Davis says this shows just how obscure the

    military Shelf Life Extension Program is. "Many people

    at the FDA have absolutely no idea this program

    exists," he says.

     

    Write to Laurie P. Cohen at laurie.cohen@wsj.com

  3. Actually in the paper that compared Rogaine 5% liquid, 2% liquid, and placebo, the placebo grew only 20% as many hairs as 5% (18.6 for Rogaine 5% versus 3.9 for placebo at 48 weeks).

     

    There is a really interesting, weird contradiction in the problems with the vehicle. According to the same paper, Rogaine 5% liquid caused contact dermatitis in 6% of patients, while placebo (vehicle) caused contact dermatitis in 0% of patients. So if it was the vehicle that was causing contact dermatitis, you'd expect that the placebo and the 5% Rogaine would have the exact same % of patients with contact dermatitis, but they didn't. Which says to me it's not the vehicle that is the problem.

     

    The contradiction is that 3 patients in the 5% liquid Rogaine group were withdrawn from the study due to contact dermatitis, and they had patch allergy tests done for allergy to propylene glycol, and 2 of the 3 were positive, the third was equivocal. So this tells me it is the vehicle that's the problem.

     

    Confusing.

     

    "A randomized clinical trial of 5% topical minoxidil versus 2% topical minoxidil and placebo in the treatment of androgenetic alopecia in men"

     

    Journal of the American Academy of Dermatology - Volume 47, Issue 3 (September 2002)

  4. The other abstract.

     

    587

    Hair growth efficacy assessment of a new topical minoxidil foam formulation in the stumptail

    macaque

    J Rundegren, AWestin and B Kohut Pfizer Consumer Healthcare, Morris Plains, NJ

    The currently available topical minoxidil formulations for treating pattern hair loss contain a substantial

    proportion of propylene glycol, which makes these formulations appear oily and in some

    cases irritating to the patient's scalp skin. A more cosmetically accepted and user-friendly minoxidil

    5% foam formulation devoid of propylene glycol was developed and tested for hair-growing efficacy.

    A comparison was made to the hair-growing efficacy obtained for a topical minoxidil 5% solution

    (positive control) in a cross-over design in six stumptail macaque monkeys. The animals were

    housed in an AAALAC-accredited facility. Each formulation was applied to the balding scalp of the

    animals by painting with a brush. A scalp target area of one square inch was located by permanent

    tattooing in order to find the identical area repeatedly over the course of the study. The foam is thermo

    labile and will melt in contact with the scalp skin. For the present study the foam was liquefied by

    warming to body temperature before dosing. The dosing was 250 ??l once a day for four months and

    there was a wash-out period of three months. The efficacy endpoint was weight of hairs cut from the

    target area after every 4 weeks. The accumulated hair weight measure during the four months was

    used for comparisons. Any adverse effects arising from use of the new formulations were also assessed.

    The dosing accuracy of the 250 ??l dose was followed during a 17-day period by weighing the brush

    before and after application and was found to be around 20% (CV%), which was considered an

    acceptable accuracy. The minoxidil 5% foam resulted in a mean hair weight over the four months

    of 12.40 mg compared to 9.27 mg for the positive control (p<0.031). The formulations did not produce

    any adverse effects. Body weights were maintained and scalp skin inspections showed normal

    appearance of the skin. It is concluded that the new minoxidil 5% foam formulation is at least as

    effective as the current 5% minoxidil solution in the stumptail macaque.

  5. Ok I found the two references. They were abstracts in conference poster sessions.

     

    Uptake of minoxidil from a new foam formulation devoid of propylene glycol to hamster ear

    hair follicles

    R Stehle,1 G Ewing,1 J Rundegren2 and B Kohut2 1 Pharmaceutical Sciences, Pfizer, Inc,

    Kalamazoo, MI and 2 Consumer Healthcare, Pfizer, Inc, Morris Plains, NJ

    Post-marketing studies show that the present topical minoxidil formulations are considered oily and

    in some cases there are reports of skin irritation. A major cause of the apparent inferior cosmetic

    properties and adverse effects of the current formulations on the skin is the rather high content of

    propylene glycol. Thus a more cosmetically acceptable minoxidil foam formulation, devoid of propylene

    glycol was developed. In order to test the availability of minoxidil to hair follicles hamster ears

    were treated with minoxidil 5% foam in comparison to the current minoxidil 5% solution (Rogaine?®

    Extra Strength), which served as a positive control. The foam was liquefied by gentle heating to 40C

    and then 20 ??l was withdrawn with a positive displacement syringe and spread on the ventral ear

    surfaces of a hamster, continuously and lightly anesthetized by controlled inhalation of isoflurane.

    After 1 to 2 hours, the animal was sacrificed and the ears removed and carefully dissected to isolate

    the sebaceous gland minoxidil content as an aqueous solution. Each sample was analyzed by HPLC

    with electrochemical detection against minoxidil as an external standard. After one hour of minoxidil

    treatment of the hamster ears the foam showed a sebaceous gland uptake of 5.9% of the total

    minoxidil, while the positive control showed an uptake of 2.0% of the total minoxidil. After 2 hours

    of treatment the uptake from the foam was 6.5% in one series of experiments and 4.1% in another

    series of experiments, while the uptake from the positive control was 1.2% only. Thus the delivered

    dose of minoxidil from the foam to the hamster ear sebaceous glands after one hour treatment was

    about three times higher than for the minoxidil 5% solution. After two hours of treatment the minoxidil

    delivery from the foam formulation increased to 3.4 to 5.4 higher than for the minoxidil 5% solution.

    It is concluded that the new minoxidil 5% foam formulation is delivering minoxidil more

    effectively to the sebaceous gland of the hamster ear than does the current minoxidil 5% solution.

  6. There is no study comparing foam to liquid.

     

    The only mention is on page 2 of this paper. They talk about the "hamster ear model"...I don't anything about this, but seems obvious that it's an animal model in which to test hair loss drugs. They say the foam showed greater uptake at 1 and 2 hours but the reference is simply to an abstract that I can't find.

     

    They also talk about the the stump-tailed macaque animal model of testing hair loss drugs. They used 6 monkeys. First they they treated them with water for 4 months, then waited 3 months, then treated them once daily with the liquid for 4 months, than waited 3 months, then treated them with the foam for 4 months. They found that there was a greater increase in hair weight from the foam. The reference for this is also an abstract that I can't find.

  7. Things to note from this paper.

     

    1. New hairs plateau at 4 months. Is this because no new hairs are growing, or is it because the Rogaine is making some hairs in telogen fall out, thus causing a decrease in some hairs, but really it is a good decrease because it has cycled those telogen hairs into anagen? Why wasn't this study done longer than 4 months to determine which of these two is happening, like the liquid study which was done for 48 weeks?

     

    2. The study author is Elise Olsen. olsen001@mc.duke.edu. I tried e-mailing her, no reply.

     

    3. Subject assessment of hair loss condition while on placebo (combining slightly improved, moderately improved, and significantly improved) is 42.4% say their hair is improved!!!!

     

    4. Compare the opinions of subject vs experts. Subjects on foam say: no change 17.8%, slightly improved 22.8%, moderately improved 26.1%, significantly improved 21.7%.

    Expert independent panel review of photographs says: 52.2% no change, 30.6% minimal growth, 7.8% moderate growth, 0% great growth. The subjects had a much higher opinion of their results than the independent reviewers.

  8. these threads always trouble me.

     

    first I should say I too am suffering with this hair loss shit a lot, and a lot of has to do with women. so I fully admit to some hypocrisy on this issue. I try to catch myself on this issue and think about it deeply.

     

    I think this should be taken as a lesson. If you get your hair back, and look good, I think, you have not learned your lesson if you now just look for "hot chicks". Then we are just as superficial.

     

    I think the lesson is, if and when you get hair and confidence, to learn to judge people less on their looks. Isn't that what we want from others? Not to be judged by our hair loss? Break the cycle! Look good so you can feel good about yourself, but learn to not judge others on their appearance.

  9. Hey Bill

    No I didn't lose the dropper, but I have other topicals that I apply, and I don't want to mix the droppers into the different bottles. For example, I have some of Dr. Lee's retin-a 0.025% that I want to apply with a dropper, and I want to apply Tricomin with a dropper. I don't like to use spray applicators because I think anything that gets on your hair is a waste, I want to put it right on my scalp.

    thanks

  10. Does anyone here use Promox from Dr. Klein? Is he legit, or not? Is he just in it for the money? I just had a phone consult with him since I heard about Promox and like to have the option to buy stuff if I want to. He seemed eager to sell me the Promox over the phone because he said it was a 50% discount if I bough it right away on the phone. I've seen some really positive reviews on it, but I just got a bad feeling from talking to him.

    thanks for any replies

×
×
  • Create New...