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smoking-cannabis-marijuana-weed-hair-lossResults haven’t been published yet but researchers at the University of Amsterdam suggest that regular smoking of cannabis contributes directly to hair loss.

Marijuana is the most commonly used illicit drug and is used by roughly two million people in the UK, despite the many known negative side effects. The study of men and woman aged between 18 and 60 who regular smoked the drug found that young males in particular were prone to the effects of regular smoking and hair loss is one of them.

If we think about it hypothetically for a second, the link between marijuana, skunk, green, gear – whatever you want to call it – and thinning hair makes sense, and can be inferred through previous studies. Regular cannabis use harms the body in two distinct ways – via the effect of the substance itself and via negative lifestyle changes, such as increased stress levels, irregular eating habits and poor dietary intake.

Hormonal link between cannabis and hair loss

Any major change in our lives can be reflected in the condition of our skin, hair and scalp. Studies suggest that smoking cannabis alters multiple hormonal systems within males and females, which can lead to side effects such as hair loss, lowered libido, increased aggressiveness, acne, and increased facial hair.

General link between smoking and hair loss

The general toxicity of smoking has been linked to hair loss. The carcinogen content has been shown to slow down cell proliferation in the hair follicles – the result being significant hair loss as the follicles prematurely enter telogen (resting phase of the hair growth lifecycle) until the environment is more conducive to growth. Sometimes hair loss treatments are necessary to promote regrowth.

Nutritional link between cannabis and hair loss

According to one study, cannabis use “affects food and liquid intake behavior, taste preference, and body weight. Changes in specific nutrient status and metabolism can also develop”. Nutritional deficiencies can contribute to increased hair shedding by weakening hair shafts that cause breakage to the hair and slow regrowth.

Cancer link between cannabis and hair loss

smoking-cannabis-marijuana-weed-drug-use-and-hair-lossStudies have concluded that higher consumption of sodium, lower fruit and vegetable intake, lower serum carotenoid levels, higher alcohol intake, higher cigarette use and the compounded carcinogenic effects of marijuana place users at a higher future risk for cardiovascular disease and cancer,  particularly site-specific cancers such as cervical and prostate. Hair loss has also been linked to cancer, particularly of the prostate, and a recent study suggests frequent or long-term marijuana use may double a man’s risk of testicular cancer. It’s currently one of the most common cancers in younger men, with approximately 2,000 new cases each year in the UK.

Stress link between cannabis and hair loss

Stress is a key player in hair loss and regular marijuana users tend to have a lot of stress and use the substance to alleviate the problem. However, cannabis is a depressant and because it affects hormone levels it only exacerbates stress which in turn aggravates hairloss.

There are numerous factors that can cause thinning hair which must also be considered when diagnosing the condition, such as a genetic tendency to thinning hair despite the use of marijuana. However, as head of the most recent study, Dr Bob van Rossum said: “This just goes on the ever growing list of negative effects of smoking cannabis.”

The Belgravia CentreThe Belgravia Centre

The Belgravia Centre is the leader in hair loss treatment in the UK, with two clinics based in Central London. 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 UK or the rest of the world. View our Hair Loss Success Stories, which are the largest collection of such success stories in the world and demonstrate the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time for our hair loss helpline or to arrange a free consultation.

Related Stories

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

Belgravia Centre Hair Loss Treatments Do Work on Afro HairName: Anon

Question: Have any afro-caribbean customers had success with hair re-growth using the methods employed by the Belgravia Centre?

Answer: Of course! Our hair loss treatment programmes are just as successful for afro hair as they are for caucasian hair.

You can see a selection of Belgravia clients who have been using hair loss treatment for a number of conditions from male or female pattern hair loss, to traction alopecia and alopecia areata, by viewing our Success Stories gallery and filtering by hair type – simply select ‘Afro’ from this category.

You can also filter down further by selecting the relevant gender, pattern of shedding or hair loss condition you are interested in, to make the results as relevant as possible.

Alternatively click here to see our Afro Hair Loss Treatment Success Stories, a few examples of which can be seen below. Click on the images to view each client’s full success story.

Hair Loss Treatment for Afro Hair

Hair Loss Treatment for Afro Hair

Hair Loss Treatment for Afro Hair

Hair Loss Treatment for Afro Hair


Hair Loss Treatment for Afro Hair

Hair Loss Treatment for Afro Hair

The Belgravia CentreThe Belgravia Centre

The Belgravia Centre is the leader in hair loss treatment in the UK, with two clinics based in Central London. 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 UK or the rest of the world. View our Hair Loss Success Stories, which are the largest collection of such success stories in the world and demonstrate the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time for our hair loss helpline or to arrange a free consultation.

Anyone ever told you not to worry about thinning hair because it’s just a phase? There are plenty of occasions in a person’s life where certain events can trigger excessive shedding, so perhaps there’s a common misconception that hair loss isn’t worth worrying about. Telogen Effluvium is one of the most common types of hair loss and it is essentially temporary. It presents as diffuse thinning on the entire scalp (although hair on top of the scalp tends to thin more than it does at the sides and back) and is the result of an alteration of the normal hair growth lifecycle. But how long it takes for your hair (and your life) to get back to normal will vary depending on a number of factors.

What was the trigger?
Due to the nature of the hair growth, you typically won’t notice any excess shedding or hair loss until about three months after the triggering event. This can make it difficult to determine what the trigger was and whether or not your hair loss is likely to continue. Medically speaking, you should see re-growth in about three months but it can take up to a year or continue to shed if the cause isn’t dealt with.

Likely events that cause temporary hair loss include childbirth, a death in the family, planning a wedding, redundancy – any event that inflicts physical or emotional stress can alter hormonal levels and influence the function of the hair growth lifecycle. Other influences could include medication or illness, weight loss, poor nutrition, thyroid diseases or polycystic ovarian syndrome (PCOS). If you can find the trigger and effectively control it, your hair situation should correct itself within three to six months.

Why that long?
Get expert hair growth tips from a professionalDuring the hair lifecycle, most of the hairs are in the growth stage and only around one hundred hairs fall from the scalp each day as they reach the resting (telogen) phase. When a particular event triggers telogen effluvium, a greater proportion of the hairs are pushed into the resting phase and hair shedding is greater than normal. The telogen phase lasts about three months before they shift into the growth (anagen) phase again. Sporadic hair growth should occur in most telogen effluvium patients within a year at the very most.

Can I help my hair growth?
The best thing you can do is to eliminate the cause and provide an optimum environment conducive to healthy hair growth. Eat foods for healthy hair and cut out the lifestyle factors that contribute to hair loss.

However, there are some people who approach the three month mark and there is really no change or slowing of hair loss. Plenty of people even approach the six month mark without seeing any re-growth. This is when it’s typically advised that you to seek professional hair loss treatment.

Hair supplements can show help with the improvement of hair growth but you’ll get a real advantage by seeing a hair loss specialist. The main benefit is that they know the drill and will be able to determine what’s causing your hair loss, even if you think you had your finger on the trigger months ago. You may quite possibly even have a genetic disposition to hair loss and the telogen effluvium is actually a precursor to a male of female pattern hair loss. Sometimes though, a scalp condition or the resulting scalp inflammation may be compromising re-growth.

In any case, you’ll find the answers and treatment you need by consulting a hair loss professional. For a free consultation with a Belgravia specialist, call 020 7730 6666 or send an email. Alternatively, the online consultation form provides the expert advice and an individually tailored hair loss treatment service you need without the need to visit the centre. Maybe you’ll find your family and friends were right – you don’t need to worry about hair loss after all.

More Information:

Hair Growth Success Stories
Foods for Healthy Hair
Lifestyle Choices That Affect Hair Growth
Reversible Forms of Hair Loss in Women
Why Men Worry About Baldness But Do Nothing

Salman Khan's thinning hair and receding hairline were apparent in 2006A man can start balding at any age after puberty and even though Salman Khan shaved his hair for many of his roles, he may have started losing it naturally earlier than you think.

Time was when Khan sported perhaps unnecessarily long hair but it’s no secret that Bollywood’s most eligible bachelor had a hair transplant a few years back. Speculation that Khan’s receding hairline was getting the better of him erupted in 2002 when he shaved his head for a role. Thinning hair is the first indication of imminent hair loss but shaving the hair on your head can disguise its progress.

He joked about it at the time saying that being bald made the summers easier to bear.

“Why is there such a curiosity about me going bald? I mean, isn’t the reason so obvious considering the heat and humidity here,” he said.

Medical hair loss treatments are needed after transplants to maintain growth“Some say, my hair is thinning and I shaved my head bald in the hope that I would get a thicker crop of hair back. Come on, there are other methods to get back your hair, if there is one that is!”

He’s right – there are much more effective methods. Medical hair loss treatments have been proven to stop and reverse the effects of male hair loss but the 43-year-old opted for a surgical hair transplant instead. We can’t be certain why but it is more than likely that he’ll start to thin again if he isn’t using medications to stop the balding process.

Male pattern baldness is the most common cause of hair loss and affects 8 in 10 men.  It’s the result of a genetic predisposition and the root cause can only be controlled with medically licensed treatments for hair loss.

When a man (or woman) gets a hair transplant, follicles that are still actively growing hair are harvested and implanted into the barren, bald patches on the scalp. However, these follicles are still susceptible to the effects of hair loss and unless prescriptive and individualised hair loss treatments are taken to support the renewed hair growth, the patient may still end up bald somewhere down the line.

Thinning hair, receding hairlines – these are all tell-tale signs that indicate you should see a hair loss specialist if you wish to maintain hair growth. Male pattern baldness is quite easily controlled but the earlier you start to do something about it, the more likely you are to become another hair loss success story.

For more information, contact the Belgravia Centre on 020 7730 6666 or send an email. Alternatively, the UK’s leaders in hair loss prevention also provide an online hair loss diagnosis and mail-order treatment program for those who can’t come into the centre (or are too busy filming the next Bollywood hit!).

Hair Loss Treatment Comparison - "My hair is unrecognisably thicker”

Have you ever wondered why there is no known cure for baldness? It’s because there isn’t one clear cause – a number of different factors may be responsible. To effectively combat hair loss, the key is in knowing the cause.

Think of your body as a well-oiled machine – each system operates efficiently so long as the others are functioning as they should. The hair follicles are very sensitive to internal imbalances and anything that disrupts the balance can cause hair loss.

Illness, surgery and even certain medications can cause hair loss, sometimes several months later, from a condition Telogen Effluvium.

thermometer temperatureThere are many triggers for this condition, but those pertaining specifically to ill-health include the following…

High fever, severe infection, severe flu

Sometimes, people can experience hair loss a few months after suffering from high fever, severe infection, the flu and there’s even been a link between tooth infections and hair loss. Perhaps hair loss is too strong a word – thinning hair is the more likely result as the body’s efforts are diverted to combat the infection. It’s generally no cause for major concern and provided you keep active and healthy after the event, any hair loss should correct itself within a few months when the hair growth cycle has had time to kick back into gear.

Thyroid disease

Both an overactive (hyperthyroidism) and an underactive thyroid (hypothyroidism) can cause hair loss. Diagnosis of the condition generally involves a blood test taken by your doctor and the condition can be managed with medical treatment (thyroid treatment generally doesn’t affect hair growth). Once the thyroid condition is controlled, hormone levels should get back to normal and the associated hair loss should be reversed.

Deficient diet

Any diet that eliminates entire food groups (the Atkins Diet, for example) will have negative effects on your hair and health in the long run. There’s also a strong correlation between anaemia and hair loss and if you’re not getting enough iron in your diet or not able to fully absorb iron it could lead to anaemia. Your doctor will be able to test your body for any nutritional deficiencies but generally this type of hair loss can be reversed and prevented by eating a balanced diet and incorporating all the foods that help prevent hair loss. You should look into hair supplements if you’re still not getting all the nutrients your hair needs for optimum growth.

Pills medications illness health drugsMedications

There are some prescription medications that can cause hair loss or temporary shedding in a small percentage of people. It’s usually reversible after treatment has stopped but the prevalence and severity of hair loss depend on the drug as well as on individual predisposition.If you’re taking a medication that you suspect is causing hair loss, don’t stop the treatment. Instead, consult your doctor and ask for an alternative.

Cancer treatments

Chemotherapy prevents the hair cells from dividing and as a result causes severe hair loss, but in the vast majority of cases it will re-grow after the course. You can ask your doctor about the alternative treatments that don’t cause hair loss but if you go ahead with chemotherapy you may want to request a scalp cooling system be used to help in preventing baldness during chemo. You may also wish to consult a hair loss specialist before the cancer treatment starts so you can plan how to manage hairloss if or when it occurs. Hair replacement systems are an effective temporary option, whilst – once cleared by your oncologist – pharmaceutical hair loss treatments may be beneficial afterwards to help encourage hair regrowth. In cases of radiotherapy, the hair loss at the entry and exit points is likely to be permanent when it is used on the scalp, due to radiotherapy destroying hair follicles.

Major surgery or chronic illness

Any situation that involves a tremendous shock to the system, such as undergoing surgery or chronic illness, can have numerous effects of the body. The hair growth cycle may be affected and increased shedding may become noticeable around three months later, but this is generally just a temporary reaction to the event. Regular hair growth should resume naturally within up to six months of the initial incident, but sometimes the hair can have trouble regrowing.

If you think you may be suffering from any of the above problems, it’s best to discuss it first with your doctor to determine what course of action to take, but consult a hair loss specialist if your hair is taking too long to re-grow or is getting worse. You may want to consider using hair growth boosters or a personalised hair loss treatment programme if you’re finding it hard to reverse the effects.

The Belgravia CentreThe Belgravia Centre

The Belgravia Centre is the leader in hair loss treatment in the UK, with two clinics based in Central London. 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 UK or the rest of the world. View our Hair Loss Success Stories, which are the largest collection of such success stories in the world and demonstrate the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time for our hair loss helpline or to arrange a free consultation.

Take note on Belgravia's tips for prevting hair lossIf you’re experiencing a concerning amount of hair loss, you’re reading the wrong article. Depending on the cause of your condition and its stage of progression, you’ll need an individualised combination of hair loss treatments to stabilise and reverse the effects.

However, if you’re genuinely worried that hair loss is in your future – and chances are if you’re reading this you are – there are some simple tips that will help you in your daily life to maximise the quality and minimise the loss or your hair.

TIP: Eat foods for healthy hair
There is no single food that prevents hair loss, but good nutrition is essential for healthy hair growth and there are foods that can help to fight against the balding process. Stick to fresh fruit like bananas for potassium and biotin and oranges for vitamin C, green leafy vegetables for iron and cucumbers, peppers and bean sprouts for silica. Eggs and chicken are great suppliers of protein and lean red meat is your best source of iron.

TIP: Give up smoking
Hair loss is “significantly increased” in smokers according to research. It’s believed that the various toxins, chemicals and carcinogens have a damaging effect on keratins – the basic protein molecules that form the hair structure – by hindering circulation which cuts off the flow of blood to the follicles. As a result, hair becomes weak and brittle, hair growth begins to slow and the health of hair follicles and scalp tissues is heavily compromised.

TIP: Minimise alcohol intake
Alcohol is an enemy to your hair. It’s a diuretic which means it can dehydrate the body, making the hair dull, dry and brittle, and liable to breakage. Not only that, researchers says that alcohol affects nutrient levels and can cause a deficiency in zinc which could lead to hair loss.

TIP: Massage your scalp
Ok, so it may not singularly prevent hair loss but it feels pretty good and a scalp massage is just about one of the most relaxing things in the world. Whenever you’re feeling stressed, take time out to breathe and start massaging your temples in slow, slightly pressurised circular movements, moving all the way over your head. Guaranteed you’ll feel less stressed afterward, handy considering we all know stress accelerates hair loss.

TIP: Get enough consistent rest
The hair is very sensitive to changes within the body, and hair loss is nearly always the consequence of an internal disturbance. Alterations in sleeping patterns have been shown to affect the body’s immune function, hormone secretion, and physical and mental stamina, which can all wreak havoc on our tresses. Everyone’s needs are different but generally speaking you should try to get about eight hours sleep a night and try to go to bed and wake up at the same time as much as possible.

TIP: Don’t over-style
Excessive straightening, curling and dyeing can cause hair to become dry, brittle and susceptible to breakage – all of which damage the quality of your hair. Constant braiding or wearing hair in tightly-pulled styles can not only give you a headache but also result in bald patches. Traction alopecia is a common result of such styling and you may need professional advice about how to reverse the damage and learn how to manage your hair more effectively.

More Information: Contact the Belgravia Centre on 020 7730 6666 or send an email. The UK’s leaders in hair loss prevention also provide a world-wide online hair loss diagnostic form if you’re concerned about thinning hair, hair loss or baldness.

Further Reading:
Hair Loss in Men
Hair Loss in Women
Hair Loss Success Stories

Will baldness strip Joss Stone of her crowning glory?It’s not such a Wonderful World when a woman’s told she’s going bald but it’s a reality soul singer Joss Stone may have to face if she doesn’t quit dyeing her hair, according to one well-wisher.

“I went through a stage where I was dying it blue, purple, pink and wearing really colourful clothes,” the 22-year-old said. “But you have to bleach it before you put the colour on and that was ruining it.”

The Right to be Wrong singer was told she was at risk of hair loss while working on her comeback material.

“Someone said you have to stop otherwise all your hair will drop out. I seriously didn’t want that to happen. So I ditched the colour and went back to being natural again.”

It’s nice to see Stone getting back to her roots so no one better tell her that the use of hair dye won’t render her bald! Of course there’s a limit – dying can result in some degree of thinning hair – but such procedures do not damage the hair follicle within the scalp to cause baldness.

Some degree of chemical damage is unavoidable. Bleaching and dyeing change the hair structure because they have to penetrate the cuticle and get into the cortex where they have their effect. Such damage may result in hair breakage, but it’s only surface hair loss and will grow back if the hair follicles are still healthy.

Significant hair loss as a result of colouring is generally the result of a serious chemical burn to the scalp that destroys the hair follicles – or if you have a predisposition to female pattern hair loss. There are effective hair loss treatments that can halt and reverse the damage so if the condition of your hair isn’t getting any better, talk to a hair loss specialist and determine if it’s related to your hair styling habits, or if it’s something else.

Contact the Belgravia Centre on 020 7730 6666 to book an appointment with a specialist or send an email for more information. Alternatively, fill in the online hair loss diagnostic form and a Belgravia treatment advisor will contact you with the results and individualised advice.

More Information:
Female Hair Loss – Conditions and Treatments
Hair Styling Habits and Hair Loss
Hair Loss in Women – Common Causes and What to do
Halle Berry’s Pregnancy Hair Loss
Balck Eyed Peas’ Fergie is Losing her Hair

We’ve covered it up, shaved it off and even lathered it with chicken dung (well, at least men in the 17th century did!) – but the latest efforts of a university lecturer could pave the way for the development of treatments that would make hair loss, in years to come, seem a ludicrous thing of the past.

Embryonic stem cell research is getting closer to finding a cure for baldnessMariko Yamaki, from the Matsumoto Dental University, was able to regenerate hair on mice with a combination of skin cells and mesenchymal stem cells (ones that develop into various organs of the body).

Yamaki said it would be difficult to regenerate hair using only embryonic stem cells, however, hair growth was observed on all 12 mice that had the mixed clumps implanted on their back muscles.

About 40% of the 48 clumps had one or two hairs growing from them and when protein was added, the hair growth rate increased to about 60%.

“If embryonic stem cells are combined with mesenchymal stem cells, which perform a number of other functions, a different organ can probably be created,” Mr. Yamaki said.

“The first thing I want to try to do is regenerate hair using human embryonic stem cells.”

Here’s hoping – details of his discovery will be published in the May edition of The Japanese Society for Regenerative Medicine magazine.

In the meantime, find out about the most effective medical hair loss treatments for men and women and see the hundreds of hair loss success stories where people are already turning hair loss into hair growth.

More Information:
Male Hair Loss – Conditions and Treatment Options
Female Hair Loss – Conditions and Treatment Options
Hair Follicle Regeneration – The Stem Cell Research Story
Hair Follicle – The Key to Organ Regeneration

Name: Jim

Question Have you heard of Aminexil? Does it work?

Aminexil is produced by cosmetic company L'Oreal and unproven for hair lossAnswer: Aminexil is a patented chemical molecule developed by L’Oreal and is claimed to help prevent perifollicular fibrosis (scarring of the hair follicles) that has been heavily promoted as a treatment for hair loss. The company did come under a bit of fire about that because they’re a cosmetic company and not a pharmaceutical one. Still, aminexil is found in quite a few topical hair loss products, none of which have been proven or licensed for the treatment or prevention of hair loss.

Even after 15 years of independent research, aminexil is not a licensed treatment for hair loss because any medical product must have regulatory approval (such as from the MHRA (UK) or FDA (USA)) before it’s considered a safe and effective treatment. To get a medical license the manufacturer must conduct a scientific study that is statistically relevant and it must meet all of the clinical research regulations published by the regulatory bodies. Currently, there are only two products that have been licensed for the prevention of hair loss by both the MHRA and the FDA, and aminexil is not one of them.

Aminexil is said to work in a similar way to the proven hair loss treatment minoxidil. However, aminexil is often mixed with minoxidil and if it was to work to any degree it’s likely to be the minoxidil that helps and not the aminexil.

That’s not to say using aminexil will have no benefit – there isn’t any evidence to say that it doesn’t work. However, there’s also no conclusive evidence to say that it does.

For more treatment reviews visit our hair loss products page, or find out more about the clinically proven hair loss treatments.

Parents are invariably a source of stress for many people – they may even cause your hair to fall out. If hair loss runs in your family, there’s a significant chance it could affect you at some stage. But spending time worrying about your hair loss will do you no good. In fact, stress is an instigator of hair loss in predisposed people and could lead to thinning hair and a myriad of other health problems in others. Hence, reducing stress will help prevent hair loss.

Your body is like a well-oiled machine – each part is dependent on the other to operate in perfect harmony and when your body is under stress, it does not function as it should. Physical and emotional stress can lead to exhaustion, depression, anxiety – all of which have a damaging effect on your hormones and when your hormones are out of whack, it can trigger a series of events that can wreak havoc on your skin, nails and hair.

Fragile, brittle and thinning hair can be an indication that you’re running your engine dry and that you need to reduce the stress in your life. Hair loss is a manageable condition but you should make every effort to prevent it’s occurrence by looking after and listening to your body.

Reduce stress levels and hang on to your hairWhat Can I Do?

If you’re near the point of exhaustion, make an effort to slow things down. Get your eight hours of sleep a night, make sure you’re getting all the nutrients your hair needs through a balanced diet, and just breathe.  Your body needs oxygen to aid in circulation and your hair follicles benefit from superior circulation. Perform deep breathing exercises, sit upright and take a walk during your lunch break. Open spaces and a little fresh air goes a long way in relieving stress.

Meditation and yoga or any form of relaxation techniques can also help you reduce stress and anxiety and can help you maintain a positive attitude. Not only do people with positive attitudes live longer, they are also healthier, happier and may even have better hair.

If All Else Fails?

Sometimes hair loss cannot be prevented by merely changing your diet, exercising or reducing stress levels. There are a lot of factors that influence hair loss but there are also many misconceptions about what can prevent hair loss. For instance, some people think frequent ejaculation may instigate male pattern baldness so withholding will prevent it. However, while it does temporarily increase testosterone levels, it does not correlate with an increased risk of hair loss. In fact, it could be great stress reliever so – theoretically speaking – it may help prevent the onset of hair loss.

If you do start to notice your hair thinning or are starting to recede, the best thing you can do is accept that there may be times when you cannot do anymore to prevent it and seek the advice of a hair loss professional. Worrying about hair loss only makes it worse so get an experts opinion and an individualised hair loss treatment to address the condition and you may just be surprised at how much better you feel once you decide to do something about it.

To book a free appointment with a hair loss professional, call the Belgravia Centre on 020 7730 6666 or send an email. If you can’t get to the London centre, don’t stress – simply fill in the online diagnostic form for free expert advice and access to a personally tailored hair loss treatment program from anywhere in the world.

More Information:

Male Hair Loss
Female Hair Loss

Interesting Articles:

Lack of Sleep Can Lead to Hair Loss
Foods for Healthy Hair
The Genetics of Hair Loss
Hair Loss in Women Doubles Due to Stress