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  1. One of the more debated topics on the forum is whether or not "young" patients should undergo hair transplant surgery. The controversy revolves around the fact that these patients are very early in the hair loss process and have an unpredictable future ahead. Using too many grafts now or starting with an "aggressive" plan may set a patient up for a lifetime of multiple surgeries or deplete donor resources before acceptable coverage can be achieved. There is also controversy surrounding the donor area in young patients: Will it thin aggressively and end up only providing a small "strip" of safe donor in the future? Are grafts taken from the "expanded" donor area in a young patient actually safe or will these thin in the future? For these, and other, reasons, many hair transplant doctors do not like to perform hair transplants on "young" patients. While cutoffs vary, many do not like to take patients under the age of 25 and others want to wait until their hair loss pattern has really revealed itself -- which can often take decades. My philosophy on young patients is a little different. I frequently perform hair transplantation on appropriate "young" patients as long as a few absolute "musts" are understood and accepted by the patient. If the patient is mature thinking and accepts the "long term" reality of hair transplantation at a young age and the potential for future surgeries up the road, I feel like they do quite well. In order to successfully undergo hair transplantation at a young age, I feel a patient must acknowledge and really feel comfortable accepting the following: 1) We must start conservative with the hairline. Many young patients remember a very low, flat, immature hairline from only a few years prior. And sometimes it is hard to get them to understand that this is not advisable. If a young patient insists on rebuilding an immature hairline, I do not think they should have a hair transplant. However, if the patient understands that hair transplants are permanent and the hairline must "age well;" if they understand that starting conservative now will allow us to get coverage from front to back as they continue to thin and we can go lower later once things cool off and the majority of the scalp has been treated with hair transplants; and if they understand that the lower we go now, the more grafts we use in the front that we now cannot use in other areas, then I think they are good candidates. 2) We must start with FUT Not to stoke the flames here at all, but I insist on starting all young patients as FUT. Not only is this the only way to truly maximize the amount of donor grafts available over a lifetime, but it is also the only way to really take continuously from the small true safe donor area (SDA) zone. We never know how these patients may thin up the road, and grafts taken from even slightly outside the safest part of the donor area may be susceptible to hair loss and fall out in the future. We need to maximize donor potential and only work where we absolutely know it is safe until these patients are older. Then we can usually augment with FUE. 3) The patient must accept that he will very likely want/require more procedures up the road Androgenic alopecia is a progressive process and while hair transplants do thicken and restore thinned areas, the procedure does not treat the progressive hair loss. Patients who are thin enough to seek hair transplantation at a young age will likely continue to thin in the future. With a hair transplant plan "started" in one area, the patient will likely want more. We never design anything that would absolutely require a patient to have more surgery up the road, but chances are that you will want to address additional thinning regions at a later date. The patient needs to accept that this is likely not a "one and done" deal. 4) We really should (maybe not "must") start in the front and work back The frontal third (hairline, frontal scalp, and slight transition into the mid-scalp) is the most visible region of the scalp. It also is responsible for re-framing the face and really creating the appearance of thick, full hair from the perspective of how most of the world sees you (IE "front on" or from the sides). Furthermore, if this region is done properly the rest of the scalp can thin and still look natural. For these reasons, we really should address this area first in young guys. Many times younger patients are focused on the "bald spot" in the back, but starting in the front and working back if and when necessary creates the greatest cosmetic impact and prevents creating anything that may look unnatural up the road. To better demonstrate this philosophy, I want to share a case: The patient in this video is a young guy in his early 20's; he's in that transition between college and the rest of his life. He has aggressive thinning for his age and is likely to become a NW VI up the road. I discussed all of the above with him and he completely agreed and wanted to move forward. We did a 3,000 graft FUT and everything went very well. I saw him back at 6 and 12 months. The first video features an explanation of how I approach young patients (similar to what I wrote above) and a detailed 6 month result video. The second video is an update at 12 months. 6 month results: 12 month results: As a final note: I do think all young patients considering hair transplant should do their research carefully. If you do it as out outlined above, I think you will be happy for many years to come; however, there are some potential "pitfalls" for younger patients. So do your research, ask your questions, and remember to start conservative and keep the long-term in mind. Hope everyone enjoyed the presentation. Look forward to the discussion. Dr. Blake Bloxham Feller & Bloxham Medical, PC
  2. Hello all, I finally bit the bullet. To give everyone a rundown I’m 39 years old this year. I live out of Austin, TX but I’m from closer to the Houston area. I started thinning when I was 18 and I tried everything to slow down the process, admittedly without a lot of knowledge back then. This was 1998 and I didn’t know much about propecia or minoxidil. I tried shampoos and all kinds of gimmicks. I did try propecia and minoxidil liquid but because I didn’t know enough about it and didn’t see immediate results I just stopped and got on with my life. It all started in my crown and then over the course of a decade marched its way forward toward my hairline. While my crown was very noticeably thin my hairline and frontal third stayed noticeably strong until my mid to semi late 20’s. At 24 I went and had my first consultation at a Bosley clinic in Houston and the whole experience made me feel uneasy. The doctor wasn’t really concerned with my crown which is where all the thinning was happening and wanted to lower my hairline which was still a teenage hairline. It was less than four fingers down on my forehead and still really thick. Ah, how I miss that wall of hair... lol. I politely passed but they called me every single day for two years straight trying to get me to come in for the transplant. They wanted to charge me 20K to lower my hairline and sprinkle some grafts in the crown. Knowing what I know now I think back about how they didn’t even bother to mention propecia to help slow loss. Bullet. Dodged. I got married in 2010 which ended really badly very soon after and my hair really started to go after that. Around 2012 I went to Dr Brad Limmer and got on Propecia/biotin/minoxidil foam to slow things down. Sadly he passed away the next year almost to the day of my consultation with him. I’m an actor and I was staying in Houston with a friend in 2014 while filming a movie in Louisiana when someone mentioned Dr. Arocha. I scheduled a consultation and we immediately got on very well. I loved his attitude, how much knowledge he wanted to share, that he was very honest about what we could achieve. I was traveling a lot though and it just wasn’t the right time to pull the trigger. While I traveled around the states for jobs I would schedule consultations with other doctors. I spoke with Feller and Bloxham, Gabel, Hasson and Wong, and others-some through email, FaceTime, in person. Ultimately it came down to me feeling the most comfortable with Arocha although Gabel was pretty close. I’m a diffused thinner and if my father and maternal grandfather are any indication I’m going to end up a 6 on the Norwood’s scale. I was going to go ahead with the procedure last year but my wife (I got married again in 2017) and I found out we were pregnant with twins so I decided to wait until things settled down with them. Side note: I did not stop taking finasteride when we found out we were pregnant and our babies our beautiful and healthy and at the time of this post almost 6 months old. The Big Day! I got to Arocha’s office a little after 7:30 am (traffic in Houston sucks) I signed the paperwork. We took some preop pics. Dr Arocha designed the hairline basically within my existing one. The plan was to work through the existing hairline, fill in the temple corner recession, and bulk up the frontal forelock. We discussed what we would do next year, reassess the front or go ahead and work on the crown. Everybody was really nice. I was visibly nervous and my blood pressure was a little high due to my being a little antsy. The Valium quickly helped out with that. When they were injecting the numbing solution into the back of my scalp I noticed I started shaking and feeling queasy so I spoke up immediately. They turned me over and raised my legs and put ice on my chest. I almost immediately felt better. Dr Arocha was there and cracked a joke about how I was his first patient of the day but probably his 7000th patient altogether so there was really nothing to worry about. TBH I wasn’t nervous about his ability to help me as much as I was just nervous about this giant step I was taking. After this procedure there was no going back. I turned back over when I was ready and they took the strip out. They kept complementing me on how good my donor was however I never got a number from them. I asked but they were just like, “don’t worry, it’s really really good.” I believe I heard say as they were looking at it that it looked like 80 to 90. Dr Arocha started to make the incisions and we talked for awhile before I dozed off and the next thing I know is I’m waking up to salmon kabobs, a killer salad, and potato and black bean soup. I eat up and then I go back to the chair where the techs start to insert the grafts. We chat for quite awhile. Dr Arocha was there for quite a bit of it as he would interject in our conversations. Every once in a while he would remind them about this or that concerning my grafts. I dozed off again and when I woke up we were basically done. They informed me that while I was out they put PRP all over my head. They went over cleaning instructions and we took some post op pics. My wife came in to pick me up and everyone came out to meet our twins. After that we were off and back to Austin. The ride back was pretty rough. There was a lot of pressure in my head and I got a pretty bad headache. Even with the pain pills. It didn’t even last the entire three hour drive though. I’m attaching some pics. Some preop through day two. I don’t have any pics with the design yet. I’m going to speak to Arocha’s office and see if I can get my hands on the hairline design.
  3. Thank You Dr. Barghouthi & Dr. Bloxham for your kind opinion, As requested I have attached a close-up picture of my Donor Area and also a link to the Video of May Scalp Donor Area. I do understand the Fundamentals of Hair Transplant and the fact that, to create a Hairline, Body Hair grafts should not be used, but that is in Ideal Situation !! what in a scenario where in the Candidate is completely out of Scalp Donor Hair and he still wants something to be done in terms of Hair Transplant, then what ? Attached is my Photo and Video of Scalp Donor Hair Area. https://imgur.com/pxDxqgB - Photo https://imgur.com/7kaOhlp - Video One more question to you, lets say if as you have been suggesting that even in worst case scenario 200 Scalp Hair Grafts is completely doable, but lets say I am told that Only 100 Hair Grafts can be harvested tops, in such a case can a Mix and Match of 100 hair Grafts from the Scalp Donor Area and rest Body Hair Grafts can this be cleverly used ? with a Mix and Match. I do get the point that BHT should not be used in creating Hairline, but what If I am said I do not have any Scalp Hair Donor left then what do I do ?
  4. Yes I totally agree with Dr. Bloxham. Avoid body hair for your hairline area. I also agree that it is probably possible to get this number from your donor area. Will be nice to see your donor pics.
  5. Hi, folks. I'm a 60 yr old male who's had multiple hair transplants ( HT ), with 4 different doctors. My first HT was in 1984 when the technology was in the Stone Age compared to today. As a result, some of my surgeries have been as much about remediation of large, poorly- placed plugs, transected grafts, etc, as it's been about trying to add new hair. My last HT was in 2013 with Dr. Feller. It was my first HT with him, and by far the best. He's outstanding. But now Feller has cut back on the number of surgeries he's doing. This is likely my LAST hair transplant since I have very little donor left, so i really wanted to make the right choice for a surgeon. After considering going many different surgeons my gut told me to return to Feller Bloxham. I'm going to do my HT on April 30th with Dr. Blake Bloxham, Feller's partner at Feller Bloxham Hair. I met with Dr. Bloxham last fall was greatly impressed with his professionalism, knowledge, and empathy for my situation. He estimates that he can do another FUT of ~ 1200 grafts from my remaining donor area. I'm confident Dr. Bloxham and his staff will do an outstanding job, and am really looking to the procedure. I realize ~1200 grafts is nothing these days, but that's about all I have left for a strip. All the previous HT's have left me with very little donor area. I'll post some pictures when I get a chance. This is likely my LAST HT since I have very little donor left. Now, I have only the left side of my head ( above my ear and running towards the back of my head ) available for a donor strip. I have thinning in the middle of my scalp that runs from front to back. Dr. Bloxham's goal is to provide density to the middle front, as well as provide more density to the thinning middle that goes to back to my crown. My crown area has the thinnest coverage. I've been told many times that the front area is much easier to get better results. Dr. Bloxham plans to go from front to back until the grafts run out. My plan after this last HT is to try SMP to address the remaining lack of coverage/density that might exist. So my game plan consists of a combination of a final HT and then SMP? Have other people been in this same situation? Thanks for letting me know.
  6. Lennney

    Fue or fut for me????

    First of all, @Dr Blake Bloxham is the MVP with the response! I agree with looking into using body hair as a supplement to whatever HT you ultimately go with. If I were you, to help you decide FUE v FUT, I would look at similar demographic patients and what hairstyle you would wear if you had the hair for it. There are definitely pros and cons to both procedures, but the scarring with FUE really is minimal, and less noticeable while FUT may (potentially) get you better HT results. I think the advice Dr. Blake mentioned about "unpredictable curving" is something you should pay attention to. Address the issue with all docs you reach out to. Your case is a little more complicated than others, so it is imperative you spend that much more time researching and collecting information.
  7. JohnCasper

    Fue or fut for me????

    Good advice from Dr. Bloxham. Based on the pictures I’m just not sure you have ample donor area to really make the difference you may be looking for. The crown area is difficult to cover. I’ve had over 7,000 grafts transplanted with over 2,000+ in the crown area. Make sure you get more than one consultation. Best of luck to you..
  8. I took some pics yesterday and they came out very poorly. I'll try again soon with better lighting. I'm really looking forward to having Dr. Bloxham perform my final ( probably ) hair transplant. He's a great guy and very highly regarded. Just curious, I wonder if people had to choose one surgeon to perform their last hair transplant, who would they choose to do it?
  9. pre op pics? Dr. Bloxham has been posting great results lately. I look forward to following this.
  10. It may be unsurprising to many long-time readers of the forum, but one of the most popular topics right now seems to revolve around FUT versus FUE. However, this topic is not an "FUE vs. FUT" debate, but is a very good question revolving around which technique a patient should start with and the best way to utilize both. Specifically, in patients looking to maximize donor potential and future surgeries, which technique should be used first: FUT or FUE? As many may know, I am an advocate of clinics who can offer and regularly perform both, and I typically advise patients who have uncertain or advanced levels of hair loss and may want multiple procedures to start with FUT. Because I am a "fan" of this approach, I wanted to share a presentation of a patient who went this route. The patient first presented to the clinic with classic frontal hair loss several years ago. He wanted to "test the waters" a bit with hair transplantation, so I did a very conservative frontal band procedure via FUT. He did very well and after seeing that hair transplant surgery really works, he decided to "dive in" and undergo a more aggressive hairline lowering and dense pack frontal band procedure. I did this via FUT as well. After two strip surgeries he was fairly confident with the scalp in general except for a small spot in the crown -- which had been static for years -- that he wanted to address. This procedure only required 500 - 800 grafts and he decided that since the bulk of the work was done via FUT and he was happy with the incision line (which was still very good after two harvests), he wanted to now switch to FUE. Because we started with FUT, I was happy to do a conservative pass via FUE and address the crown. Here are a few "before and after" comparisons after the two strip procedures: And here is a very thorough walk-through video I encourage all those wondering which technique they should start with to watch. Not only does the video include comb-through of the results, it also features a discussion about the approach, video of his incision line after FUT #1 and FUT #2, video of me performing the FUE procedure, and a post-op of the FUE crown surgery. Also, as a little "bonus" here: I have included video from his 6 month visit, just in case any members need reassurance that results do change from the 6 to 12 month mark: Thank you for watching. I hope this sparks some good discussion and I look forward to the conversation. Dr. Blake Bloxham Feller & Bloxham Medical, PC
  11. Melvin-Moderator

    Please recommend doctors to me

    Feller and bloxham, Dr. Wesley, True&Dorin, Dr. Bernstein also Dr. Rahal
  12. Greetings all, I've been a lurker of these forums and other related forums for a while now, and I would like to share my hair transplant experience/results by Dr. Bloxham of Feller & Bloxham who performed a FUT of 2500 grafts on me back in July of 2017. I e-mailed him a few days back thanking him for the amazing results and apologizing for taking such a while to get back to him (Told him he could interpret that as a good sign given that I was enjoying life with my new head of hair!). I couldn't be happier with my result! I hope this post helps someone out! All photos below are taken with dry hair (with the exception of the immediate post op photo) , no product in them whatsoever (only styled with my hands or a comb). I also got on Finasteride 1mg daily for the first time roughly 2 weeks post-op and have been on it since. Some basic info about me: currently 26, was 25 when I received the transplant. Multiple instances of hair loss on my fathers side (including my father), none on my mothers side. Hair loss was most prominent on my temples (Left temple being the worst). It's hard to say when I first started experiencing hair loss but if I had to take an educated and conservative guess it would be in my early 20s (20-22). During the procedure: Head was shaved down, got numbed up. Dr. Bloxham performed the slits and kept me alert with good conversation, genuinely enjoyed talking to him. 3-4 technicians performed the graft installations - they were great as well and thoroughly enjoyed talking to them. Post-op: I slept upright at a 30-45 degree angle for a about a week and lightly rinsed my hair/grafts with shampoo & water mixture in a cup which formed suds. I let my hair air dry afterwards, didn't use a towel until 2 weeks in really (and even then I would be gentle with it). Nothing else for my post-op routine. Photos: Pre-Op: Immediately Post-op: Roughly 1 year post-op (August 2nd, 2018) August 14, 2018 (Shorter hair, after a haircut) January 2019 March 24, 2019 March 31, 2019
  13. Those are fantastic additions Dr. Bloxham thanks for contributing.
  14. Dr Blake Bloxham

    Missing chunk of grafts?

    The dreaded "cracking." I think I receive at least one email per week from an understandably nervous post-op patient. Rest assured that this is expected. You did not lose an entire row of grafts, nor did you some how dislodge a perfect row or "chunk" of grafts. I have heard differing explanation as to why doctors think this occurs. I believe these cracks occur because the skin contracts as it heals. When you have thousands of small wounds covering tissue that has been stretched and swollen, you will get contractions that will appear like little rivers, canyons, cracks, or roads in the grafted area -- I have heard it described using all these different illustrative analogies. It happens even more frequently when dense packing is utilized. It can also appear more dramatic when you are scabbed up and a larger region of superficial scabbing (with or without some hairs attached) falls out. Rest assured, however, that even if you see these "cracks" or missing "chunks" above the surface, the grafts are safely anchored below the skin. They may be temporarily displaced from where they will eventually settle, but they are secure. Many people also assume that areas were missed during the transplant itself, and this is typically not the case. Just part of the healing process. Graft dislodging is a pretty specific event that happens within the first 3 days (when true follicular units are used). If you did not see an active bleed accompanied by an event within the first few days post-op, it is very unlikely that you lost a graft. And this to me just appears like the classic contraction from healing. Of course you should always keep your doctor in the loop and run this by him/her as well. Hope this helps. Dr. Blake Bloxham Feller & Bloxham Medical, PC | Great Neck, NY
  15. Hi Everyone, I wanted to share a good example of the way I like to showcase hair transplant results: HD video footage with "slick" wet hair. The reason I like this is because there is simply no way to fake it; it is a brutally honest representation of what can be achieved with modern hair transplant surgery. This type of presentation gives the prospective patient a very clear example of how they may look in 6-12 months, and allows them to make an informed decision as to whether or not they would be happy with a hair transplant. The patient in this video is male with classic androgenic alopecia (genetic male pattern hair loss) exhibiting a Norwood IV pattern. He takes no hair loss medications. We evaluated the patient and decided to recreate an age-appropriate hairline, perform a dense pack of the frontal scalp, and strategically work into his mid-scalp with 2,500 grafts using the FUT technique. The video shows his pre-operative appearance, the surgical plan, intra-op. and post-op. photos, a comb-through of his 6 month results, a comb-through of his incision line scar at 6 months, and a few "before and after" comparison shots. I am only going to share a few "teaser" images here, because I really encourage watching the video itself: Thank you for watching. I hope you enjoyed. Dr. Blake Bloxham
  16. BACKGROUND I'm in my late 20s and started receding around the age of 18. my scalp is very light compared to my forehead. my natural hairline sat right on the line where the pigmentation changed color. (Pictured) I stalked these forums regularly but never posted until recently. I'm Latino with African/Italian ancestry, my hair grows straight for about .5cm before it curls over. I'm located in NY Moving Forward I consulted online or in person with various doctors that were recommended on these forums the likes of (Arocha, Bloxham, Diep, Vories, and Frank). after many Q&As with each I felt most comfortable with Dr.Arocha in Texas. I flew to TX on Thursday met him and the staff that same day we went over my loss and future strategies as well as design. He recommended a higher hairline than the one I received based on the rule of thirds which I understood but felt it wasn't near my original hairline. we agreed on a lower line (pictured) The Big Day After medications and local numbing was administer a strip was taken from back of the head – 3140 grafts were harvested. Dr. Arocha mentioned he was aiming for 40 grafts cm2 coverage and that my hair was straight at short length. He did the strip removal, stitching and incisions at recipient site. Technicians did the graft cutting and placement. The procedure was done on FRIDAY I was very pleased with the service. everyone from medical staff and administration were very welcoming and ensure I had an excellent operation. it was to such extent that Dr. Arocha came in on Saturday to review the post op and ensure things were okay. he even gave me a tour of the city in his personal car. he even had one staff member come in on Saturday - the same day as her son's birthday just in case some work was needed (thanks Michelle). On Sunday (Father’s Day) he called to check up on me. Again, I’m extremely pleased with the service. Has First week post op I had swelling which is normal which has gone down considerably between days 4-7. I have followed the post op instructions to the T. I have used the shampoo and bacitracin provided by the Doctor as per instructed no harsh touching and trickle water. I feel like the treatment and operation were world class and I’m inclined to use the doctor again Pictures posted include my original hairline, my baldness pattern, hairline design and post op results at day 5/6. Please contact for any questions I will maintain this thread with my progression. PLEASE FEEL FREE TO CONTACT WITH QUESTIONS
  17. Hi Everyone, Many of the members and frequent contributors to the forums are obviously very knowledgeable about the hair transplant process. At this point, it is probably difficult for most to even remember a time when they were not "fluent" in the world of hair transplant surgery. But think back to when you first discovered hair restoration or first began your own research process. It is overwhelming and many ask themselves: "Where do I even begin?" Most patients have many "frequently asked" questions about even the most basic aspects of surgery; "How is a hair transplant performed?" "What will it feel like?" "What will I look like after and when can I go back to work?" "When will I see results?" To try and help some of those new to the hair transplant process, I put together a video narrating one patient's "hair transplant journey" from day 0 to month 6. While it does not cover every single aspect of his process, it does touch on the highlights of what most researching patients want to know. This includes: the steps of the surgery itself and the surgical experience; the immediate post-op; getting back to work; the beloved "ugly duckling" phase; and growth and results. The patient in the video underwent a 2,500 graft FUT mega-session, and his 6 month results are included as well; so those who are more knowledgeable about the process may want to watch just to see these. Thanks for watching and commenting. I truly hope new members finds this helpful. Dr. Blake Bloxham Feller & Bloxham Medical, PC
  18. Melvin-Moderator

    Synthetic Sandalwood Scent May CURE Hair Loss!

    😆 I’m glad you liked it Dr. Bloxham. Sure here is the original study https://www.nature.com/articles/s41467-018-05973-0 https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE102887
  19. Great Video Dr. Bloxham you've been on fire lately 🙌
  20. Konior, Hasson and Wong, and Shapiro are top FUT doctors. I'm sure there are more, but those are the ones I'm familiar with. I think Dr. Feller, Bloxham and Cooley are pretty good too, but I haven't done that much research on them. If you do another big FUE session your donor area is most likely gonna be done, but if you opt for FUT you're still gonna have areas above and below the scar to take from. It's pretty simple math. Plus, FUT is cheaper if money is an issue for you.
  21. I’m with Dr. Blake on this one. Your donor area heals very quickly on the surface and looks good in a short amount of time but beneath the surface, a lot is going on. Be patient and see if more time takes care of the situation. Sounds like “pkipling” may have a helpful solution. Share that idea with your doctor.
  22. gillenator

    Large scab area question

    Yes it is very nice to see Dr. Bloxam back!...welcome back Dr. Blake...
  23. gillenator

    Large scab area question

    As Dr. Bloxham eluded, it is not unusual for some spots within the recipient area to scab more than others. Incisions can heal somewhat differently as the scalp repairs them. The key I believe was that the wound was not unusual in coloration and shape. Regarding the lost hair between the grafts...this was IMHO more related to shock loss and this can especially occur to hair that is more diffused...and how the existing native hair responds to the level of trauma induced from the recipient incisions. Will it come back?...some of it should...it really depends on how diffused the hair was because hair that is in an advanced stage of diffusion usually does not....only time will tell and again why it will take the full maturation period to visually see the end result....and, also evaluate if another pass ( more density) will be desired. The nice aspect of all this is that terminal hair is being transplanted into the area and will provide much better visual coverage as opposed to diffused hair.
  24. Thank you! I am not in one of their youtube videos as of yet...I submitted my 1 year and 18 month photos to Dr. Bloxham about a week ago! Incision line is not really noticeable unless I go below a 4 guard. Overall, pretty unimpressionable.
  25. pkipling

    Can Going Vegan Cure Hair Loss

    Resident vegan here, and as much as I would like to say that going vegan can reverse MPB in order to encourage other people to get on board, I simply don't think it's true from a scientific/physiological standpoint alone. As Dr. Bloxham mentioned, hair loss is genetic - and no matter what you eat, your genes are your genes. That said - being vegan/eating healthy in general does support my body/hair in other ways. The more balanced your diet is and the more nutrients you're getting, the better your skin, body, and often even your hair will respond - and if someone's hair loss is being caused by something other than MPB, like a lack of nutrients, then maybe the'll see improvements when they improve their diet. But reversing MPB? I'll stick with science and say no.
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