What to do about annoying hair loss?

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Was tun gegen lästigen Haarausfall?

Our hair is some­thing like our busi­ness card. If some­thing is wrong with this, we and our fel­low human beings usu­al­ly notice this imme­di­ate­ly. One of the biggest prob­lems: hair loss. Miracle drugs from the drug­store or phar­ma­cy promise quick help to those affect­ed. But is that true? We took a clos­er look at some hair myths.


Hello, my name is Capillus and I’m sit­ting on your head at the top.

I’m one of your 120,000 head hairs. We all hope that we will stay with you for about 5 years and then fail. But many of us have been on the chop­ping block before. This may be due, for exam­ple, to the lack of impor­tant nutri­ents. But what do I need to stay in pow­er?

To grow I need vit­a­min H, or vit­a­min “hair”, as I like to call it. It is also known as biotin. This con­sists large­ly of pro­tein. So egg dish­es are good for me. Another impor­tant nutri­ent is zinc. That’s why I like all seafood, such as mus­sels, shrimps and espe­cial­ly oys­ters. However, not because of their aphro­disi­ac effect, but because oys­ters are the lone fron­trun­ners in zinc con­tent.

Zinc pro­vides col­la­gen and this ensures that I can anchor myself well in the scalp. If you don’t like seafood, you can also grab a cere­al from oat­meal, pump­kin seeds and flaxseeds.

And then, of course, I want to look beau­ti­ful. For this I need pan­thenol, also called vit­a­min B5. What else you smear on open wounds is also good for me. Panthenol makes me elas­tic and shiny and is an opti­mal pro­tec­tion against envi­ron­men­tal influ­ences. However, you should not cream me with sore oint­ment now. It is bet­ter, for exam­ple, to eat nuts. But avo­ca­dos, yoghurt and fish also pro­vide pan­thenol.

Let’s sum up: My opti­mal menu would be fried egg with oys­ters and nuts. Instead, you can also eat mush­rooms. Biotin, zinc and pan­thenol are includ­ed. Eating mush­rooms I can remem­ber well.

“But there has to be more that helps,” many will now wonder who are running out of hair.

Dr. Harriet Rapprich, der­ma­tol­o­gist from Darmstadt, is with us.

Hello. — Good evening.

Many I also know use such sham­poos. Does that bring any­thing?

If you only want to treat a pri­ma­ry hair loss, which is hered­i­tary, such sham­poos don’t actu­al­ly bring much. Most sham­poos here con­tain caf­feine. This is only use­ful for the blood cir­cu­la­tion of the scalp. But the ther­a­py of a hered­i­tary hair loss or hair loss with anoth­er rea­son, this is dif­fer­ent.

This should not be the only ther­a­py. These are, for exam­ple, only sham­poos to treat some­times ’né scal­ing.

The two. — Exactly.

This is fol­lowed from time to time by a hair loss. But this should not be used for the sole ther­a­py of hair loss. This usu­al­ly only uses the account of the man­u­fac­tur­er. There is also such a small aster­isk here. At the back you can read that only scaly hair helps.

But what real­ly helps with hair loss that I inher­it­ed from my father or grand­pa?

In the case of man’s hered­i­tary hair loss, there is a drug that we have known for many years. This is the so-called finas­teride. You can take that. This actu­al­ly stops the hair loss. Sometimes it can even improve the actu­al state. However, as a man you have to take the drug per­ma­nent­ly. As soon as you put it down, the hair loss con­tin­ues.

We also know for sev­er­al years that the drug has side effects that need to be not­ed.

They would be?

One describes sui­ci­dal thoughts, the ampli­fi­ca­tion of depres­sion. It can lead to erec­tile dys­func­tion and also to libido loss.

Still, men take that?

Yes. I think it’s worth it to a lot of peo­ple. It also does not hap­pen in every patient, but these side effects are increas­ing­ly described.

And it must be pre­scribed?

Exactly. There are also women with hair loss and men who have not inher­it­ed this. There are var­i­ous rea­sons for hair loss.

When does it become prob­lem­at­ic at all?

Hair loss of up to 100 hairs per day is nor­mal. Nobody should wor­ry about that. From 150 hairs per day it is ques­tion­able. Especially when it’s over sev­er­al months. Then you should see a der­ma­tol­o­gist and have it checked.

What but my genes can lead to hair loss?

It has to be said that it is not only male-induced, genet­ic deter­mined, i.e. pre­dis­posed hair loss. Women can also suf­fer from hered­i­tary hair loss. This is the hair loss that does not affect women in the secret coun­cil cor­ner area. But this hap­pens main­ly in the apex area and then spreads over the entire scalp in the frontal area.

So can a woman get a bald ness?

She does­n’t get a bald­ness. This is the most com­mon ques­tion women ask: “Do I get a bald­ness?” No. It leads to a pro­nounced thin­ning of the hair. But there is nev­er or very rarely a bald­ness, but main­ly a thin­ning. This is good news for women who suf­fer.

In what cas­es does this help?

We have just seen what can be done in terms of nutri­tion.

In what cas­es does this help at all?

There is also dif­fuse hair loss. This most­ly affects women. There is a fail­ure in the entire head area. There can be many rea­sons for this. This can be a nutri­tion­al error, for exam­ple a very strict veg­an diet. But even a very meaty, high-fat diet can cause such a hair loss. But also defi­cien­cy symp­toms such as zinc or iron defi­cien­cy.

In women who have a very strong men­stru­a­tion, iron defi­cien­cy often occurs. This also leads to a hair loss. You have to find out what a defi­cien­cy you have. Circular hair loss is also a pos­si­bil­i­ty.

What can I do about it?

This is very com­mon. It is described that 1–2% of peo­ple can devel­op cir­cu­lar hair loss over the course of their lives. This applies to men and women and to all age groups. But this is often spon­ta­neous­ly reversible. That is, the hairs come back. If this is not the case, it can be treat­ed with cor­ti­sone oint­ments, for exam­ple, or in the case of exten­sive injec­tion. What the foot­ball fan knows most about Jürgen Klopp is the trans­plant of hair. The nor­mal per­son may not be able to afford this. Those who think about it:

Do you rec­om­mend some­thing like that?

This depends on the man’s sense of how much he suf­fers from it. There are dif­fer­ent man­i­fes­ta­tions. You can replen­ish or refor­est a slight­ly lighter hair growth with some­thing like that. But to pro­vide a com­plete bald­ness with grafts is very expen­sive. And you have to imag­ine what that looks like in old age. You can replen­ish that. Mr Klopp, for exam­ple, has done so.

But what about 20–30 years from now, when more has fall­en out?

Then the trans­plant­ed hair stops. This some­times looks grotesque. But you have to know that. And it does­n’t pay a cash reg­is­ter. — The cashier does not bear this. Important infor­ma­tion on hair loss.

I think we have enlight­ened with many myths and adver­tis­ing promis­es. Thank you for help­ing us here.

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