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Name: Dina

Question: Are there any foods that reduce DHT levels in women? I have been diagnosed with female pattern hair loss and would like to treat it naturally if possible.

Answer: Hi, Dina. In order to answer your question fully, let us briefly explain the role of DHT in genetic hair loss.

DHT – or dihydrotestosterone to give it its full name – is an androgen hormone which is derived from testosterone in both men and women.

It is created when a certain amount of testosterone reacts with an enzyme called 5-alpha-reductase (5aR), producing DHT.

During puberty DHT plays a key role in the development of sexual characteristics. However, once puberty has finished, those with a genetic predisposition to Female Pattern Hair Loss or Male Pattern Baldness will find some of their follicles will be susceptible to some negative effects of DHT.

This involves the DHT latching on to receptors in the hair follicles located along the top of the scalp, from hairline and temples to the crown, gradually weakening them. This results in thinning hair in the affected areas, a loss of hair density, and excessive hair fall through a process known as follicular miniaturisation. Women with this condition tend to eventually experience advanced thinning but, unlike men, do not usually go bald.

Although there is an MHRA-licensed and FDA-approved oral DHT-inhibiting male hair loss treatment, unfortunately this is not suitable for women.

There are certain additives and natural ingredients believed to help with lowering DHT levels, which are appropriate for women, though.

Hair Vitalics for Women Belgravia Centre hair vitamins supplement nutrition healthy hair growth 2019

Whilst not a foodstuff you’ll find in many people’s every day diet, the herb saw palmetto is believed to have DHT-lowering properties. This is generally taken in supplement form and features in our Hair Vitalics for Men food supplement.

Women can also take saw palmetto but Belgravia made the decision to substitute this in the Hair Vitalics for Women formulation because we contraindicated it for women who are trying to conceive (this does not apply to men trying to start a family), simply as a precaution.

The ingredients added to the women’s Hair Vitalics supplement in place of saw palmetto are the phytoestrogens genistein and daidzein. These soybean isoflavones have been shown in studies to inhibit 5 alpha-reductase, therefore reducing the amount of DHT in the body, which should help to also reduce hair loss.

Stinging nettles and panax ginseng, also known as red ginseng, are also believed to have DHT-reducing properties, although their effects have little clinical evidence to support these, often anecdotal, claims.

Although it will not reduce hair loss in genetic cases, ensuring you have a good diet, full of all the nutrients needed to maintain the normal, healthy functioning of your body and hair growth cycle, can help you to make the most of your hair, keeping it in good condition.

Unfortunately there are not yet any scientifically-proven natural hair loss solutions for any hair loss condition; the only female pattern hair loss treatment that is clinically-proven, licensed by the MHRA and authorised by the FDA, is a medication known as high strength minoxidil.

This is a topical product applied directly to the scalp, either once or twice per day, depending on the instructions and formulation of this dose-dependent drug.

Another option which is neither natural nor pharmaceutical but which may be worth considering is the use of low level laser therapy (LLLT).

There are a number of LLLT devices available; those we recommend are the FDA-cleared LaserBand devices which contain medical-grade red light lasers embedded in a convenient headband, which also features patented teeth to ‘comb’ through the hair. This parts the hair, allowing the LLLT to get straight to the scalp where it stimulates the follicles.

Depending on the model, the LaserBand is worn three times per week for between 90 seconds and 3 minutes each session. This causes the light to be absorbed deep into the scalp where it can stimulate production of adenosine triphosphate (ATP) which can promote hair growth.

Belgravia hair specialists normally recommend using such LLLT devices as an additional hair growth supporting product to be used alongside authorised medication for the best chance of seeing results, but it can also be used on its own.

If you would like further information or personalised treatment recommendations based on your medical profile plus your level and pattern of shedding, we recommend having a consultation either in-person or online.


Circ - Belgravia Centre Hair Loss Clinics LondonThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: David

Question: I’m looking into getting a hair transplant and want to be prepared about aftercare and what I need to use to keep up the results from my surgery. I want to get my receding hairline filled in and understand I need to keep using hair loss treatment after but I’m confused about the difference between ATP spray and minoxidil – are they the same thing? Or do you use both or one, and if it’s just one, which is best?

Answer: Hi, David. ATP spray and minoxidil are different products but there is a scientific connection between the two.

spray liquid

High strength minoxidil is a topical vasodilator that is MHRA-licensed in the UK and FDA-approved in America for the treatment of genetic hair loss in both men and women ie. Male Pattern Baldness and Female Pattern Hair Loss.

Liposomal adenosine triphosphate spray, often referred to as just ATP spray, is used after a hair transplant to aid healing and improve the chances of the grafts taking properly.

After hair restoration surgery the scalp will be tender and raw from the incisions, as well as in the donor areas where the implanted hairs were taken from.

Although minoxidil-users will understand they need to use this treatment consistently, it cannot be applied to broken skin so is unsuitable for use after a hair transplant until the scalp has properly healed. This is where the liposomal ATP spray comes in.

The actions of minoxidil and ATP are linked in that minoxidil is transformed into minoxidil sulfate in the hair follicle which then stimulates the sulfonylurea receptor (SUR) into releasing adenosine triphosphate (ATP).

This ATP is then turned into adenosine and appears to spark the hair follicles’ dermal papilla cells’ adenosine receptors into producing vascular endothelial cells, resulting in hair growth.

Liposomal ATP is generally used for the first 48 hours following hair transplant surgery to help improve the grafts’ chances of survival. It is not recommended as a hair loss treatment outside of this.

When the donor hairs are replanted, they have no natural blood or oxygen supplies and ATP spray is believed to increase the supply of both to the follicles, as well as maintaining the cells’ health in order to make them more viable. This, therefore, can give them a better chance of taking and aiding scalp recovery through skin healing.

Anatomy of a hair - diagram hair follicle

Sometimes the liposomal ATP spray will also involve copper peptides as these have been seen to help push the transplanted follicles into the anagen phase of the hair growth cycle, where they start actively growing. You can find out more about this in an article from the Journal of Clinical, Cosmetic and Investigational Dermatology from 2015, called Hair restoration surgery: challenges and solutions.

It is worth noting that ‘ATP treatment’ can actually have two meanings in relation to hairloss. In addition to it being the use of liposomal ATP spray outlined above, it can also refer to Advanced Tricho Pigmentation. This is a type of medical grade scalp tattooing that uses dots in a number of shades to create the illusion of a crew cut. It is also known as micropigmentation and is a method of concealing hair loss rather than treating it.

In order to help you with your research into what exactly is involved in getting a hair transplant, including preparation and aftercare, we recommend you visit as many different well-respected, experienced and licensed surgeons who specialise in this area, as you can. It is important to find a good fit and a surgeon you feel confident with.

Furthermore, a consultation with a specialist at a hair loss clinic that offers non-surgical treatment options can be useful too. Following a scalp assessment – either in-person or online – personalised recommendations can be made for pre- and post-transplant hair loss solutions, as well as a referral to an accomplished surgeon being made.

It is usually recommended that men wanting to have hair restoration surgery first undergo 6 to 12 months of clinically-proven, pharmaceutical male hair loss treatment. This is because it should stabilise shedding and maximise hair growth, giving the surgeon a cleaner area to work with. It also gives the patient the opportunity to see the levels of regrowth that can be achieved without surgery, so they can then decide if they wish to proceed with the operation, delay or cancel it.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Rey

Question: I bought a load of liquid minoxidil because it was on sale but I usually used foam and now I don’t like applying this liquid one. It’s messy and I find the foam much easier so how do I turn the liquid version into a foam? Can I do that? Can I put it in one of those foaming soap dispensers with the pump if I clean it out first or use one of those balloons aerosols. Would that work?

Minoxidil Foam Hair Loss Treatment

Answer: Hi, Rey. I’m afraid we have some bad news for you – you cannot turn your liquid minoxidil into a foam version, certainly not whilst retaining its stability and efficacy.

If you can, the best thing to do in this situation is to return the minoxidil you have purchased to the place you bought it from for a refund or store credit. If you have used some of the bulk purchase, they may be able to do a partial refund so at least you can get some of your money back.

The over-the-counter hair loss solutions you describe are formulated to be used exactly the way they come, as per their accompanying directions. Therefore, to deviate from these is likely to result in the products becoming, at best, less effective and, at worst, dangerous.

We certainly caution against trying the methods you describe regarding the soap dispenser and aerosol.

If one was to just put minoxidil into a foaming soap dispenser, I doubt that it would foam. In order for foam to be created in one of these dispensers there has to be a soap solution present in the first place. Foaming dispensers mix air and liquid soap before dispensing – it is this that creates foam. I would expect minoxidil foam solutions to be specially formulated with products such as emulsifiers to create the foam.

You may be interested to know that Belgravia specialists tend to recommend liquid high strength minoxidil over the foam. The reason for this is that the liquid is more likely to be properly absorbed by the scalp, and less likely to simply get stuck in the hair, than the foam.

Although applying minoxidil in liquid form may take a little getting used to, it’s worth giving it a good try. You may even end up preferring it – after all, you want to know you’re getting your money’s worth!

Our hair loss specialists demonstrate application techniques to all patients, which can be recapped on at any time so they know exactly what they are doing. However, as you are not a Belgravia client, we recommend you speaking to your minoxidil provider or manufacturer to see if they have any tips they can teach you to help make the application process as easy as possible.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Mark

Question: Hi I really appreciate your blog – it has some very reliable advice on various hairloss treatments and related research. I am curious about a hairloss treatment called Regenera Activa – it claims to be FDA and EU certified and seems to be very popular in terms of facilities offering it but I cannot find any research or press on the subject and it is not mentioned on your blog. Unless I have missed it somewhere. What is the Belgravia in-house view on this treatment (presumably you have chosen not to offer it?)

Answer: Hi, Mark. Many thanks for your kind words about the Belgravia blog, we’re glad you find it useful.

I have looked into Regenera Activa for you and this is an overview of my thoughts on the matter…

Regenera Activa rigenera micrografting hair restoration system

Although it may initially look like a type of harvesting tool used in hair transplant surgeries, the Regenera Activa system – called Rigenera (pictured) – though it does also collect hair follicles – breaks these donor follicles down to cells.

I believe the theory behind this micrografting method, which comes from Barcelona, is for these cells to act as stem cells and regenerate hair follicles when injected into the scalp. According to hair loss research information on the company website:

‘In this preliminary study, the authors have developed a new method to isolate human adult stem cells by mechanical centrifugation of punch biopsy from human hair follicles without culture condition, and they reported for the first time, up to our knowledge, the counting of these cells and the preliminary results obtained by the human follicle stem cells injections in the scalp of patients affected by AGA [androgenetic alopecia aka genetic hair loss], improving hair density.’

Regarding the FDA and European authorisations you mention this device having, the FDA clearance from the USA and CE kitemark it has been awarded for Europe relate to the marketing of the product.

CE kitemark certification is awarded to show that devices meet the relevant necessary EU directive criteria. Usually for medical devices this relates to their safety and, essentially, acknowledging they have been shown to do what they claim to. When they have been awarded CE certification – or FDA clearance – the devices can then be marketed for this specific purpose.

What these marks and clearances do not necessarily indicate is how effective a device is at doing what it claims to.

Regenera Activa rigenera micrografting hair restoration system certifications

Regenera Activa literature claims the technique produces new hair growth. Although it does show convincing photos, in my opinion I am still quite sceptical that the technique can create new hair growth, until actual hair follicles can be regenerated.

One of the good things about this novel procedure – as with existing FUE and FUT hair transplantation methods – is that they all use the patients’ own blood or tissues for the treatment. This helps to eliminate allergic reactions or rejection.

The idea appears to be sound and it is likely there is future in the concept. However, at the moment that’s all it is – a concept – as despite on-going research into this, no-one has yet been able to regenerate hair follicles in vitro.

Should it become possible to regenerate follicles in this way, assuming it was shown to be both safe and effective, how hair loss – including both Male Pattern Baldness and Female Pattern Hair Loss – is treated will change quite significantly. This would be a great breakthrough.

With regard to using Regenera Activa’s system, assuming that it works, as a means for preventing baldness from Male Pattern Hair Loss, patients would face the same issues that those who undergo hair transplants do in relation to long-term preservation of their results.

Namely, they would still need to use on-going aftercare which, at present, takes the form of either or both of the only MHRA-licensed and FDA-approved hair loss treatments. These are topical applications of high strength minoxidil to encourage hair growth, and one-a-day tablets of finasteride 1mg which inhibits the hormone which causes genetic hair thinning – dihydrotestosterone, better known as DHT.

DHT binds to susceptible hair follicles – those located from crown to hairline and temples – in men (and women) with pattern hair loss as they have an inherited sensitivity to the testosterone byproduct. This is a process known as follicular miniaturisation.

Even after any form of surgical hair restoration, DHT will continue to attack these hair follicles in genetically prone individuals, however, it will only result in further hair loss in the original follicles – not those replaced during surgery.

As these grafting procedures are rarely carried out on the entire area that is susceptible to Male Pattern Baldness, failing to deter further hairloss in this type of way may result in hair thinning and shedding around the restored areas. This can lead to extremely unnatural looking hair growth patterns, such as developing ‘islands’ of transplanted hairs surrounded by thinning areas or a receding hairline.

This may no longer be a concern should follicle regeneration become possible in humans as over-harvesting and having sufficient donor hair to carry out hair restoration involving the entire area affected by genetic hair loss would be less of an issue, if at all. The price may still provide a barrier though, at least while the procedure was new and limited in its availability – not to mention being in high demand should it be the first, or among the first, to offer hair replication techniques.

We will follow the development of Regenera Activa and publish updates on our blog as more information becomes available. Belgravia will not, however, be offering this type of invasive procedure as we specialise in non-surgical hair loss solutions and hair growth supporting products.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Michelle

Question: Hi, I read about oxygen scalp treatments and wondered if they might treat my hair loss – what do you think? I just have a bit of thinning around my temples and my hair doesn’t feel as thick as it used to be but it’s not terrible. I’d appreciate your advice.

Answer: Hi, Michelle. Oxygen scalp treatments are a fairly new innovation, similar to oxygen facials which have been around for quite a while, and are designed to thoroughly clean the pores and improve circulation.

We have looked in to Oxilogica – who claim to have developed this technique – briefly and its cosmetic procedures are being touted as beneficial for hair growth, however, we are unaware of any clinical research into this type of therapy for this purpose, or any verified scientific evidence to support such claims.

With that said, the idea behind this four-step process is solid and seems to have good quality, well thought out ingredients. These include biotin, azelaic acid, saw palmetto and vitamin E all applied directly to the scalp.

Promotional material for this service says it has been proven to encourage hair growth but, in my opinion, oxygen scalp treatments are more likely to be useful for improving the hair texture and quality, maintaining a healthy scalp and possibly good circulation, than they are for promoting hair growth in any meaningful way.

Whilst the concept of using stem cells from the Stella Alpina’s roots to stimulate hair growth is a good one, I have looked into this and there does not appear to be any independent evidence to support this.

These treatments are generally offered by hairdressing salons or clinics as part of an on-going course, rather than as a one-off. From what I have seen of them, it is unlikely oxygen scalp therapy would show sufficient effects on hair growth to warrant this being the primary reason anyone would undergo such a course, and – in answer to your question – it is extremely doubtful that they would have any effect on hair loss.

The thinning hair you describe sounds consistent with a diagnosis of Female Pattern Hair Loss; This is an hereditary genetic condition that is both permanent and progressive, but can generally be successfully managed with an appropriate hair loss treatment course.

At Belgravia we offer patients presenting with this condition tailored hair loss solutions featuring topical applications of high strength minoxidil, often paired with additional hair growth supporting products.

Minoxidil is clinically-proven, MHRA-licensed and FDA-approved for the treatment of genetic hair loss in women and helps to stimulate hair growth in the affected areas.

This is currently the only women’s hair loss treatment that has been authorised in these ways by both the UK and USA medical regulatory boards as being both safe and effective.

A consultation, either in person at a hair loss clinic or online, will help you to determine the precise cause of your thinning and receive professional treatment recommendations tailored to your diagnosis and needs.

Whilst we don’t believe there to be any substantial hair growth benefits, nor any hair loss treatment elements to oxygen scalp treatments, if you’d like to try them, we don’t think it’s a bad thing to do for your hair.

As before, it may help to improve your hair’s texture and quality whilst also keeping your scalp clean and healthy – which is important – but if the aim is to treat thinning hair, we would recommend using this cosmetic therapy in addition to taking a more established, medically-sound route.


Circ - Belgravia Centre Hair Loss Clinics LondonThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Stu

Question: Hi. I keep reading about ‘the big 3’ hair loss treatments for men. Can you tell me what these are and how I get them?

HairLoss Treatment Men and Lasercomb

Answer: Hi, Stu. There is no official definition of ‘The Big Three’ when it comes to hair loss treatments for men and, as such, there are a number of variations, depending on who you ask.

One thing most will agree on is that two of ‘The Big Three’ are finasteride 1mg and high strength minoxidil – currently the only two clinically-proven, MHRA-licensed and FDA-approved treatments for Male Pattern Baldness.

Finasteride 1mg is a one-a-day oral tablet taken to inhibit formation of the cause of follicular miniaturisation, the hormone dihydrotestosterone (DHT). It is often referred to as ‘Propecia‘, as that was the medication’s first authorised brand name, despite there being various brands offering this drug now.

By targeting the substance that causes thinning hair directly, the aim is to allow hair to grow unhindered, preventing baldness with on-going use.

Minoxidil is a topical vasodilator; a hair loss solution applied directly to the scalp in order to promote accelerated localised hair growth. This is a dose-dependent drug which, when used in high strength formulations, can be particularly beneficial to stubborn areas of shedding, such as a thinning crown or a receding hairline.

You may find some people, especially in online hair loss forums, recommend the use of another DHT-blocker, dutasteride, instead of or in addition to finasteride. It would appear this advice is opinion-based and comes from people who are not medically qualified as dutasteride is not a licensed hair loss treatment in the UK and its off-label use for this purpose is not something Belgravia professionals support or condone.

Some people cite Nizoral or Alpecin shampoo as the third member of the Big Three club. However, we are unaware of any reliable scientific evidence that these cleansers have anything other than a cosmetic effect on the hair.

The third space, in our opinion, should go to FDA-cleared low level laser therapy (LLLT) devices such as the HairMax LaserBand, as this non-invasive method of follicle-stimulation has been shown in clinical trials to improve hair density.

This form of therapy can be self-administered, at home, and used alongside either or both of the two authorised hair loss medications.

If you are worried about losing your hair and would like personalised treatment recommendations and hair growth supporting product suggestions based on your condition, level and pattern of shedding, as well as your medical profile, we recommend visiting a dedicated hair loss specialist for professional advice, even if this is just an information-gathering exercise.

There is a lot of mis-information from unqualified sources, particularly on the internet, regarding hair growth products and treating male hair loss, so it can be beneficial – and, we often hear, comforting – to get advice from an experienced expert before deciding which route is best for you.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Ian

Question: I recently started taking finasteride but am not sure it’s working. I’ve been on it for just over 2 weeks and am thinking of adding in dutasteride. If I want to do this, how often should I take the dutasteride, assuming I continue to take the finasteride every day? I’m 24 with Male Pattern Baldness approx. NW3.

Answer: Hi, Ian. There’s quite a lot to unpack here so, in order to answer your question fully, let’s start with the mechanisms of finasteride and dutasteride.

Dutasteride/Avodart
Avodart is one of the brand names for dutasteride

Both finasteride 1mg and dutasteride are oral 5α-reductase inhibitors which decrease the formation of dihydrotestosterone (DHT) in the body. This is the hormone responsible for follicular miniaturisation in men with a genetic predisposition to Male Pattern Baldness(the process which causes gradually thinning hair and/or a receding hairline, a drop in hair density, shedding and can lead to eventual baldness).

Each of these medications was originally developed as a treatment for an enlarged prostate (Benign Prostatic Hyperplasia – BPH), and this remains the only authorised use for dutasteride in the UK at present.

The 5α-reductase enzyme, responsible for converting testosterone to DHT, exists in two forms: Type 1 and Type 2. Finasteride selectively inhibits Type 2 whereas dutasteride inhibits both forms.

Studies have been done which show that the two drugs used together have significant results. However, it is important to remember that both these medications also have significant potential side effects associated with them and, if both were used together, the side effects would likely be greater when combining finasteride and dutasteride together rather than using either alone.

Dutasteride is more potent and has a longer half life (this refers to the length of time it stays in the bloodstream). Therefore, users would be more prone to the occurrence of adverse effects, which would most probably also be more persistent due to the fact that the drug remains in the body for a longer period of time.

Finasteride 1mg Aindeem tablets
Finasteride 1mg is available under a number of brand names, including Aindeem and Propecia

Finasteride 1mg is currently the only DHT-blocker that is licensed by the UK’s medical regulatory board, the MHRA to treat male hair loss. It is also the only FDA-approved treatment of its kind in the USA.

Dutasteride is not authorised for this purpose in the UK or USA. As such, it is unlikely a medical professional in either country would prescribe this to you.

Given using it as a hair loss treatment is an off license use, and despite there being a greater potential for improved results using dutasteride and finasteride together, we do not recommend this combination due to dutasteride’s use being off-licence and the increased potential for side effects.

If you are planning on acquiring dutasteride via an unauthorised supplier, such as a website, we must caution against this. There are many risks – from the hair loss products sold being counterfeit, mislabelled, or something other than they purport to be – an issue with potentially fatal consequences – to the medication being out of date and ineffective or simply a placebo.

The MHRA has been raising awareness of the growing problem of buying medication, including hair loss treatments, from unauthorised sources as this can have such serious ramifications.

We would advise you ensure your finasteride 1mg, which is widely available for prescription for male pattern hair loss in the UK, is also from a legitimate source. If it is not, then we recommend switching to a batch from an authorised, registered pharmacy so that you know what you are using is safe and should have little qualms about its efficacy given you know it has the requisite provenance.

With regards not seeing any effects from finasteride use so far, we consider it to be far too early on for you to be seeing results. Generally, it can take between three to six months from first starting the medication – assuming it is taken once per day, every day, as directed – to see progress. The more advanced the hair loss, the longer it can take, however.

In cases where the response to one form of treatment is not as expected, additional elements can be considered, depending upon the individual’s medical suitability.

This ranges from adding in the only other MHRA-licensed and FDA-approved genetic hair loss treatment, high strength minoxidil, which is applied directly to the scalp to help stimulate hair growth, to using hair growth supporting products such as FDA-cleared low level laser therapy (LLLT) devices, the HairMax LaserBand or LaserComb for example.

If you would like personalised treatment recommendations and advice on your current situation, a consultation with a professional hair loss specialist may be advisable, even if you do decide to still ‘go it alone’ afterwards.

Whatever you decide, we must reiterate that self-medicating and procuring drugs from unauthorised sources can be dangerous and should be avoided.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Christian

Question: I started using fin and minox from the chemist three months ago and now I have acne. Is it from the treatments and will it go away or do I have to stop using them?

Answer: Hi, Christian. Firstly, as you are not a Belgravia client we would recommend checking directly with your medication provider. This is because they should know more about the precise products you are using and your medical profile.

skin condition acne

Our general advice, however, is that acne is not a listed side effect for either finasteride 1mg or topical minoxidil. You can check the listed known adverse events on the patient information leaflets which should come with your medications, or can be provided by the pharmacist you purchased them from.

People do respond differently to treatments though, so, if you think your hair loss products may be causing acne, it may be a good idea to stop the treatment for a while and see if your skin condition improves.

If the acne gets better, you may restart your treatments one at a time and note if the acne returns.

Should stopping hair loss treatment have no effect on your acne, there is most likely another cause behind it and you should contact your GP.

Tell them of any medications – oral or topical – and food supplements you are using during your appointment so that they can make a full assessment.

There are many potential causes of acne, including genetics, and your GP should be able to help you establish the reason behind your skin condition, and advise you on how best to clear these spots up.

We have assumed that the acne you refer to is on your face and/or body; if it is on your scalp, we recommend seeing a hair specialist for a consultation in addition to taking the above steps.


Circ - Belgravia Centre Hair Loss Clinics LondonThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Henry

Question: I missed my dose of finasteride last night, what do I do? I take one 1mg tablet every day but I fell asleep early last night and forgot to take it before I went to bed do do I take two today or do I just accept that I missed a day? Will missing a dose have any effect on my hair? Please help!

Answer: Hi, Henry. As you know, finasteride 1mg is meant to be taken once per day. When you miss a dose, you should just continue to take your tablet as normal – again, only one per day – the next day.

Missing just one dose is unlikely to have any meaningful effect on your hair growth, however, if you start to miss doses regularly, your progress is likely to slow down and it may cause your hair loss to resume.

Finasteride 1mg Aindeem tablets

Do not double-up and take two the next day to make up for the one you missed. You must not do this, as is clearly stated on the patient information leaflet which should accompany your medication.

We understand you are not a Belgravia patient so if you are missing the patient information leaflet from your hair loss treatment – this is generally contained inside the packaging – please explain this to your treatment provider, or the pharmacist from which you purchased the medication.

They may give you a copy or direct you to a relevant online copy, but either way it is vital that you have this information.

We would always be suspicious when a person is not provided with the relevant information, including the leaflet that details everything you need to know about finasteride for Male Pattern Hair Loss before starting treatment.

If you bought the tablets online or from any potentially unauthorised vendor, and have no-one to contact about this, we would recommend both purchasing your treatment elsewhere in the future, and checking in with your doctor, just to be on the safe side.

There are currently many issues with stolen or fake medication being sold, which may mean that what you believe to be ‘finasteride tablets’ may not be what they were sold as, or may be out of date, or even just unsuitable for you based on your medical profile.

It’s certainly worth having a consultation with a specialist at a dedicated hair loss clinic just to ensure you are on the optimum treatment course for your condition, level and pattern of shedding, as well as your medical and lifestyle needs.

They may also be able to help with tips for working your treatment into your daily routine to minimise the risk of you forgetting doses, as well as to help you get the most out of your treatment course.


Circ - Belgravia Centre Hair Loss Clinics LondonThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Blake

Question: I read about this new product called HairGenesis. Do you rate it for Male Pattern Baldness? I’m looking for a men’s hair loss treatment I can use at home.

Answer: Hi, Blake. We have not used this product, nor are we aware of anyone else who has, but we have looked into this for you.

From what we have seen, HairGenesis does not appear to be a hair loss treatment; it seems to be a food supplement or similar.

Belgravia Centre Hair Loss Trichocheck Consultation Assessment

Medication which is designed to treat any health issue is required to be authorised by the individual country’s medical regulatory board, such as the MHRA and FDA in the UK and America. HairGenesis is not MHRA-licensed, nor is it FDA-approved to treat Male Pattern Baldness, nor any other type of hair loss.

We can see from the way in which the product is being marketed how there may be some confusion, but company literature detailing information about the ingredients suggest that this is not a hair loss ‘treatment’ in the truest sense. Furthermore, what we have seen of the clinical trial data is vague.

HairGenesis claims to contain natural 5AR, or DHT, blockers – DHT being the testosterone byproduct which causes thinning hair in cases of genetic hairloss. It is likely this reference is in relation to saw palmetto, an natural ingredient thought to lower DHT levels and which also features in the highly-targeted Belgravia hair supplement, Hair Vitalics for Men.

The product does not contain the only clinically-proven, MHRA-licensed and FDA-approved Male Pattern Baldness treatments, the DHT inhibiting tablet finasteride 1mg and the topical hair loss solution, high strength minoxidil. Therefore, it is unlikely to significantly prevent hair loss nor actively promote hair growth on its own.

Overall, whilst HairGenesis claims to have established “the effectiveness of naturally occurring 5AR inhibitors against AGA [androgenetic alopecia] for the first time,” it seems this product is a reasonable mix of herbal preparations that would currently probably be better thought of as a nutritional support, in both its topical and oral forms.

The established forms of pharmaceutical treatments outlined above can be used at home, either individually or in tandem, as well as alongside secondary hair growth supporting products – the category we feel HairGenesis is likely best suited to.

If you would like personalised recommendations based upon your condition, level and pattern of shedding, as well as your medical profile, a consultation with a hair loss specialist will provide all of these, as well as answering any further queries you may have.


Circ - Belgravia Centre Hair Loss Clinics LondonThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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