Transcript: Hair Loss | Jan 22, 2001

The title “More to health” appears inside the shape of a house.

The opening sequence shows a wooden table with a small lit candle as several words fly by: Nutrition, medicine, prevention, treatment and health.
Fast clips show different sets of hands performing activities on the table such as drawing a big red heart, tuning a violin, flipping through the pages of a book, cooking, and pouring a glass of red wine.
In animation, the title appears inside the shape of a house: “More to life.”

Maureen Taylor sits in a studio with yellow walls and a carved board that reads “More to life” in the background.

Maureen is in her late thirties, with wavy red hair in a bob. She wears a white shirt under a coral sweater.

Maureen says HI, AND WELCOME
TO “MORE TO LIFE.”
I'M MAUREEN TAYLOR.
DO YOU DREAD LOOKING AT THAT
RECEDING HAIRLINE EVERY TIME
YOU LOOK IN THE MATTER ROAR?
DOES IT SEEM YOU'RE LOSING
MORE AND MORE HAIR RECENTLY?
IF SO, YOU'RE NOT ALONE.
UP TO 7 MILLION CANADIANS
EXPERIENCE SOME FORM OF HAIR
LOSS.
FOR SOME IT'S NOT A BIG
DEAL.
FOR OTHER, IT'S TRAUMATIC.
IN A FEW MOMENTS, RENOWNED
HAIR LOSS SPECIALIST
DOCTOR WALTER UNGER WILL ANSWER
OUR QUESTIONS ABOUT AIR LOSS
AND THE LATEST TREATMENTS,
INCLUDING THOSE FOR ALOPECIA
AREATTA, SUDDEN UNEXPLAINED
HAIR LOSS THAT OCCURS IN 2 PERCENT
OF THE POPULATION

A clip rolls.

A set of hands appear pouring some oils on a bathroom sink full of water. Then, a completely bald woman appears washing her face and head with the solution.

A caption reads “Martha Randall.”

Martha is in her early forties and completely bald. She wears a dark brown sweater, a taqiyah cap and a pair of pendant earrings.

She says I WAS GETTING MY HAIRCUT
AT A HAIRDRESSER AND HE
NOTICED A LITTLE BALD SPOT
IN THE BACK OF MY HEAD.
AND I WENT ON WITH MY LIFE,
NOT BRINGING ANY ATTENTION
TO IT AT AALL.
AND THEN I HAPPENED TO BE
PLAYING WITH MY HAIR IN THE
MIRROR AND NOTICED THAT ALL
OF THE HAIR UNDERNEATH MY
HAIRLINE WAS GONE.
MY HAIR JUST STARTED
FALLING OUT ON THE PILLOW,
IN THE SHAW WE ARE, IT WAS
JUST COMING OUT IN HANDFULS.

An album full of Martha’s pictures appears on screen.

Maureen says 17 YEARS AGO MARTHA
RANDAL'S HAIR STARTED
FALLING OUT.
LITERALLY.
WITHIN SIX MONTHS SHE'D LOST
ALL THE HAIR ON HER HEAD.

Martha says I WAS 26 AT THE TIME.
YES, AND ABSOLUTELY, YOU'RE
MORTIFIED.
I THINK BECAUSE THE ONLY
ASSOCIATION I HAD WITH
LOSING ONE'S HAIR WAS
RELATIVE TO CANCER.
SO YOU THINK THAT, YOU KNOW,
YOU'VE GOT SOME AWFUL
DISEASE GOING ON INSIDE THAT
NO ONE KNOWS ABOUT.

Maureen says WHAT MARTHA HAD GOING ON
INSIDE WAS A DISORDER THAT
EFFECTS ALMOST 2 PERCENT OF THE
POPULATION.
A CONTINUE CALLED ALOPECIA
AREATTA.

The caption changes to “Doctor Charlene Linzon. Dermatologist.”

Charlene is in her early forties, with shoulder-length slightly wavy blond hair with bangs. She wears a gray top and a gray blazer.

She says ALOPECIA ITSELF IS JUST
THE GREEK WORD FOR HAIR
LOSS.
AND ACTUALLY IT'S NOT EVEN
FOR HAIR LOSS, IT MEANS FOX
IN GREEK AND THAT'S BECAUSE
FOXES TRADITIONALLY HAVE
THIS PATCH 'YA HAIR LOSS.
ALOPECIA AREATTA, WHICH OF
COURSE MEANS ROUND, SO
ALOPECIA AREATTA, THE
PATIENTS WHO HAVE THAT OFTEN
PRESENT WITH ROUND AREAS OF
HAIR LOSS.

Pictures of patients with round areas of hair loss in different locations on the scalp appear.

Maureen says IT CAN HAPPEN TO
ANYONE.
IT CAN START WITH PATCHES OR
A THINNING HAIRLINE.
SOME PEOPLE LOSE ALL THE
HAIR ON THEIR BODY AND
DOCTORS AREN'T SURE WHAT
CAUSES THE HAIR TO FALL OUT.

Charlene says THE FIRST THING IS THAT
WE DO KNOW THAT THERE IS A
GENETIC PREDISPOSITION AND
THAT'S BEEN PROVEN WITH TWIN
STUDIES AND GENE MAPPING.
THEN WE KNOW THAT THERE MUST
BE SOME FORM OF A TRIGGER,
AND IT MAY BE VIRAL.
WE'RE NOT CERTAIN WHAT THE
TRIGGER IS.
AND THEN, OF COURSE, WE KNOW
THAT IT IS DEFINITELY AN
AUTO IMMUNE DISORDER WHERE
THE BODY IS FIGHTING OFF THE
HAIR FOLLICLES.
WHY, WE DO NOT KNOW WHY AND
IF WE WERE ABLE TO FIGURE
THAT OUT OUR TREATMENTS
WOULD BE PROBABLY MORE
APPROPRIATE.

Maureen says TREATMENT FOR
ALOPECIA AREATTA DEPENDS ON
THE EXTENT OF HAIR LOSS AND
THE INDIVIDUAL.
DERMATOLOGISTS CAN PRESCRIBE
TOPICAL CREAMS, MINOXIDIL,
CORTISONE PILLS, ULTRA
VIOLET LIGHT TREATMENTS AND
STEROID INJECTIONS CAN
STIMULATE HAIR GROWTH IN
SMALL AREAS LIKE THE
EYEBROWS.

A fast clip shows a doctor performing procedures on a patient´s scalp and eyebrows.

Charlene says THE MOST INNOVATIVE AND
PROBABLY MOST IMPORTANT FORM
OF THERAPY FOR SEVERE
ALOPECIA AREATTA AND ONLY
PATIENTS WHO HAVE 50 PERCENT HAIR
LOSS IS SOMETHING WE DO AT
THE HOSPITAL CALLED TOPICAL
IMMUNE THERAPY.

Maureen says DOCTOR LINZON USES A CHEMICAL
CALLED DCPC AND APPLIES IT
DIRECTLY TO THE SCALP.
IT HASN'T BEEN APPROVED BY
THE HEALTH PROTECTION BRANCH
OF CANADA.
IT'S STILL IN THE
EXPERIMENTAL STAGE AND ITS
LONG-TERM EFFECTS AREN'T
KNOWN.

At her office, Charlene says to a patient SO LET'S TAKE OFF YOUR
WIG AND START THE TREATMENT.

Maureen says DOCTOR LINZON IS SEEING
SUCCESSFUL HAIR REGROWTH
WITH MANY OF HER PATIENTS
BUT THERE ARE SOME SIDE
EFFECTS WITH THIS TREATMENT.

Charlene says NO REACTION.
BUT THE WEEK BEFORE IT WAS A
LITTLE BIT WORSE?

The patient says YEAH, I HAD A PRETTY GOOD
RASH ON THIS SIDE.
IT WAS ALL OVER THIS PART
RIGHT HERE.

Charlene says ALMOST ALL THE PATIENTS
WHO HAVE THE TREATMENT HAVE
SWOLEN GLANDS MAINLY IN THE
FRONTAL AREA, AND THAT'S
PROBABLY NEEDED FOR THE
TREATMENT TO BE SUCCESSFUL.
THIS IS WHAT WE'RE TRYING
TO DO.
WE'RE TRYING TO FORM AN
INFLAMMATORY REACTION,
ALLERGIC REACTION ON THE
SCALP AND TO HAVE A GOOD
REACTION, THE LYMPH GLANDS
LOCALLY IN THAT AREA HAVE TO
BECOME ACTIVATED AND USUALLY
BECOME SWOLLEN WITH THAT AND
SLIGHTLY TENDER.

Martha says I DIDN'T HAVE ANY
TREATMENT.
THAT'S THE REALITY.
THAT, YOU KNOW -- AND THAT
WAS PROBABLY PART OF MY
DISINTEREST IN BEING A
GUINEA PIG, I THINK.
THAT NO ONE COULD CONVINCE
ME THAT ANY OF THE
TREATMENTS THEY WERE USING
WERE REALLY GOING TO MAKE A
DIFFERENCE.
AND BY THEN I'D MET A NUMBER
OF OTHER PEOPLE WHO ALSO,
YOU KNOW, HAD PLAYED AROUND
WITH DIFFERENT TREATMENTS
AND NONE OF THEM WERE
GETTING, YOU KNOW, MAJOR
SUCCESS.
AND THE REALITY IS THAT IF
THEY HAD A CURE FOR HAIR
LOSS, WE'D HEAR ABOUT IT.
ABSOLUTELY.

Maureen says ROB AND NANCY SIMPSON
WERE EMOTIONALLY DEVASTATED
WHEN BOTH OF THEIR YOUNG
CHILDREN WERE DIAGNOSED WITH
ALOPECIA AREATTA.

The caption changes to “Nancy Simpson.”

Nancy is in her mid-thirties, with long wavy blond hair with bangs. She wears a black turtleneck sweater and a patterned black and white vest.

She says WE'D NEVER HEARD OF IT
BEFORE.
AND WHEN -- JUST AFTER
ALEXANDER WAS BORN ABOUT,
THREE MONTHS AFTER ALI WAS
BORN GORDON LOST A PATCH OF
HAIR ON THE BACK OF HIS
HEAD, AND WE FREAKED.
WE WERE REALLY SCARED.
TOOK HIM TO THE DOCTOR, THE
DOCTOR DIDN'T KNOW WHAT IT
WAS, SENT US TO A
DERMATOLOGIST, AND SHE SAID
THIS IS WHAT IT IS, BLAH
BLAH BLAH BLAH, AND IT
WASN'T A LIFE THREATENING
DISEASE IT WASN'T SCARY SO I
WENT HOME AND MY HUSBAND
SAID SO, WHAT IS IT?
“I DON'T KNOW, IT'S FINE.”
JUST PUT THIS CREAM ON, IT'S
GOING TO GROW BACK.
AND SO IT DID.
TWICE THAT HAPPENED AND WHEN
HE WAS SIX HE LEFT SCHOOL IN
JUNE WITH A FULL HEAD OF
HAIR AND WENT BACK IN
SEPTEMBER WITH NOT A HAIR
ANYWHERE.
IT JUST FELL OUT LIKE RAIN.
IT WAS MAYBE TWO OR THREE
WEEKS, EVERYTHING GONE.
AND THAT WAS THE HARDEST,
THE HARDEST TIME FOR US, I
THINK, WAS WATCHING IT GO.
WATCHING IT FALL.

Alexander is in his mid-teens and completely bald. He wears a V-neck black sweater.

He says I, ACTUALLY I WAS LIKE
“OH, HEY, COOL.”
BUT MY MOM WAS LIKE... SHE
WAS FREAKING.

Nancy says WHILE HIS HAIR WAS
FALLING OUT HE LOOKED SORT
OF MANGEY.
THERE WERE PATCHES WITH NO
HAIR AND HIS HAIR WAS FINE,
WHAT THERE WAS LEFT OF IT.
WE WERE AFRAID FOR WHAT WAS
GOING TO HAPPEN TO HIM.

Nancy does homework with her daughter Ally.

Ally is in her early teens and completely bald. She wears glasses and a pale blue sweater.

Nancy says OKAY, WHAT'S THAT?

Ally says PUDDLE.

Maureen says THEN ALLIE LOST ALL HER
HAIR BEFORE SHE TURNED TWO.

Nancy says THERE ARE TREATMENTS.
A LOT OF THEM I WASN'T
WILLING TO TRY BECAUSE THE
KIDS WERE SO YOUNG.
I DIDN'T WANT TO CAUSE A
PROBLEM FIFTEEN YEARS DOWN
THE ROAD TRYING TO GROW
THEIR HAIR BACK FOR THEM.
SO WHAT THERE WAS, WE TRIED.
WE TRIED -- I, I WENT WILD.
I MADE THEM EAT BANANAS BY
THE DOZENS EVERYDAY,
THINKING IT WAS A POTASSIUM
DEFICIENCY OR SOMETHING THAT
I'D DONE, OR BREWERS YEAST
IN WITH THEIR ORANGE JUICE
AND STUFF.
THEY SUFFERED THROUGH A LOT
OF THINGS FROM MOM.
CORTISONE INJECTIONS IS A
COMMON TREATMENT FOR
ALOPECIA IN THE PATCHY FORM
BUT WHEN YOU'RE DEALING WITH
A WHOLE HEAD, WHERE DO YOU
START?

Ally says SWINGS!
I HAVE A LOT OF FRIENDS,
AND IT DOESN'T REALLY MAKE A
DIFFERENCE TO THEM.
AND I HAVEN'T REALLY HAD ANY
PROBLEMS.
EXCEPT, YOU KNOW, THE LITTLE
KIDS.
THEY MAKE FUN OF IT.
LIKE --

Nancy says WHAT DO THEY SAY?

Ally says OH, LOOK, THERE'S THE
BALD GIRL.
(LAUGHING)
THERE SHE IS!
LOOK!
I THINK THEY'RE JUST MAKING
FUN OF ME BECAUSE, LIKE
CALLING ME NAMES AND STUFF,
JUST FOR THE FUN OF IT,
BECAUSE THEY'RE SCARED.
AND THEY DON'T KNOW WHAT,
WHAT IT IS.
SO THEY DON'T...

Alexander says IT'S JUST BECAUSE THEY
DON'T UNDERSTAND WHAT IT IS,
RIGHT?
SO THEY'RE INCLINED TO ASK,
OR NOT ASK BUT MAKE COMMENTS
ABOUT IT.
AND THEN IF YOU TELL THEM,
THEY'LL JUST BE LIKE “OH,
OKAY.”
RIGHT.

On the phone, Martha says WELL, WE HAVE TWO
DIFFERENT SUPPORT GROUPS
HERE IN TORONTO.
ONE IS AT MY HOME ONCE A
MONTH AND THEN THERE'S
ANOTHER ONE OUT IN
MISSISSAUGA.
AND THAT ONE IS RUN BY A
COUPLE WHO HAVE TWO CHILDREN
WITH ALOPECIA, SO QUITE A
FEW CHILDREN DO ATTEND THAT
ONE.

Nancy says TO BE ABLE TO TALK TO
SOMEBODY ELSE WHO HAS IT,
AND KNOWS THE PROBLEMS
YOU'RE GOING THROUGH, KNOWS
THE FRUSTRATION, KNOWS THAT
IT'S NOT JUST YOUR HAIR,
THAT IT'S A PART OF YOUR
BODY, THAT IT'S YOUR SELF
ESTEEM, THAT IT'S YOUR LOOK,
THE THING THAT PEOPLE LOOK
AT YOU RIGHT AWAY AND SEE,
IT'S NOT JUST YOUR HAIR.
AND THE PEOPLE -- OTHER
PEOPLE WHO HAVE IT
UNDERSTAND THAT.

Alexander says WE SAVE A LOT OF MONEY ON
SHAMPOO AND HAIRCUTS AND
STUFF.

Ally says YEAH.

Charlene says IF SOMEONE WERE TO TELL
ME TODAY THAT THEY'VE LOST
THEIR HAIR, THEY HAVE
ALOPECIA, I WOULD BE
ENCOURAGING TO THEM, BECAUSE
THIS IS AN AREA OF RESEARCH
WHERE THERE IS A LOT BEING
FOUND OUT ON A DAILY BASIS,
AND WE'RE PROBABLY GOING TO
COME UP WITH SOME GREAT
TREATMENT VERY SOON.
YOU KNOW, THE HAIR FOLLICLES
ARE STILL THERE, THEY'RE
JUST SLEEPING, AND THEY JUST
HAVE TO BE WOKEN UP.

Martha says LOOK AROUND FOR DOCTORS
THAT ARE SYMPATHETIC TO THE
EMOTIONAL JOURNEY THAT
YOU'RE GOING THROUGH.
BECAUSE OFTEN THEY'RE NOT.
AND I'VE HAD KIND OF UNHAPPY
EXPERIENCES THAT I'VE HEARD
ABOUT THAT, YOU KNOW, PEOPLE
WERE JUST, “WELL, IT'S JUST
YOUR HAIR.”
YOU KNOW, SORT OF GET OVER
IT KIND OF THING.
AND YOU KNOW, IT'S, IT'S
DEEPER THAN THAT.
AND A DOCTOR WHO CAN REALLY
SUPPORT YOU IN ALL THAT
YOU'RE GOING THROUGH IN THAT
LOSS.
BECAUSE THERE'S A GRIEVING
PROCESS THAT GOES ON, AND IT
NEEDS TO BE ACKNOWLEDGED.

A fast clip shows Martha performing on stage.

She says SOMETIMES WHEN I'M
DANCING I GET -- AND I'M
MOVING MY HEAD, I GET THAT
FEELING OF THE WEIGHT OF
HAIR AND THE KIND OF FLOW OF
HAIR.
AND I THINK I -- I THINK I
MISS THAT.
THERE'S STILL A LITTLE SENSE
OF VULNERABILITY AROUND IT.

Back in the studio, Maureen says AMAZING PEOPLE
IN THAT ITEM.
ALOPECIA AREATTA IS JUST ONE
OF THE CONDITIONS THAT MY
GUEST TODAY CAN TALK ABOUT.
DOCTOR WALTER YOU THINK DISBER
A DIRECTOR OF THE UNIVERSITY
OF TORONTO'S HAIR LOSS
CLINIC AT WELLESLEY HOSPITAL,
AND AN ASSISTANT PROFESSOR
OF MEDICINE.
HE'S HERE TO TAKE YOUR
QUESTIONS ON HAIR LOSS, PALDNESS
AND TREATMENTS TO GET THE
HAIR BACK SO, GIVE US A CALL
IN TORONTO AT 416-484-2727.
IF IT’S LONG DISTANCE, THE
TOLL FREE NUMBER IR
1-888-411-1234 AND YOU CAN
SEND THIS VIA e-mail AT
MORETOLIFE@TVO.ORG
AND DOCTOR UNGER, WELCOME BACK.

The caption changes to “Doctor Walter Unger. Hair loss expert.”

Walter is in his early fifties, clean-shaven and with short wavy gray hair. He wears dark gray trousers, a brown blazer, a yellow shirt and a dark gray tie.

He says THANK YOU.

Maureen says YOU WERE SAYING
AS YOU WERE WATCHING THAT
PIECE THAT THE DERMATOLOGIST
MADE A GOOD POINT.
IF THE DOCTOR TELLS YOU
THERE'S NO TREATMENT FOR
YOUR HAIR LOSS NOW, COME
BACK IN A FEW MONTHS.
THINGS ARE EVOLVING IN THIS
AREA.

Walter says YES, EXACTLY.
PHONE BACK ONCE A YEAR, ONCE
EVERY TWO YEARS, NOT ONLY
FOR HAIR LOSS, ALMOST ANY
MEDICAL CONDITION.
IF YOU'RE EVER TOLD “NOTHING
WE CAN DO ABOUT IT” IT'S
SOMETIMES HEARTBREAKING WHEN
YOU SEE SOMEBODY COME BACK
WITH SOME DISORDER, AND
WE'VE HAD GOOD TREATMENTS
FOR THAT DISORDER FOR YEARS.
AND YOU SAY “WELL WHY DIDN'T
YOU COME BACK SOONER?”
AND THEY SAID “WELL, I SAW A
DOCTOR 15 YEARS AGO, HE SAID
THERE WAS NOTHING THAT COULD
BE DONE SO I ASSUMED THERE
WAS NOTHING COULD BE DONE.”

Maureen says OKAY, WHAT ABOUT
THAT SEVERE FORM OF ALOPECIA
AREATTA.

Walter says
UNFORTUNATELY THERE ISN'T A
WHOLE LOT THAT CAN BE DONE.

Maureen says NO, THAT'S THE
ONE AREA.
YEAH.

Walter says BUT YOU
KNOW, I THINK THOSE PEOPLE
WHO WE JUST SAW ARE
RELATIVELY WELL-ADJUSTED.
INTERESTINGLY ENOUGH, I
THINK THE CHILDREN MORE THAN
THE ADULT.
AND THAT'S -- THE PARENTS OF
THE CHILDREN DESERVE A
TREMENDOUS AMOUNT OF CREDIT.
WE WERE TALKING JUST BEFORE
THE PROGRAMME, AND I WAS
SAYING, THE MORE SEVERE THE
FORM OF ALOPECIA AREATTA,
AND THE YOUNGER THE AGE ON
WHICH IT BEGINS, GENERALLY
SPEAKING, THE WORSE
THE PROGNOSIS IN TERMS OF
GETTING A PERMANENT RELIEF
FROM IT.
OR IT COMING BACK.
OR HOW MUCH YOU HAVE TO
TREAT IT.
SO WHEN THIS OCCURS IN A
YOUNG CHILD, UNLESS IT IS
EMOTIONALLY DEVASTATING,
TRAY TO GET THEM TO -- AND
BY THEM, I MEAN NOT ONLY THE
CHILDREN, BUT THE PARENTS,
TO ACCEPT IT AND TO MAKE THE
MOST OF IT.
YOU CAN MAKE A JOKE OF IT.
AS THE YOUNG FELLOW SAID, HE
SAID “YOU KNOW, YOU SAVE A
LOTS OF MONEY ON HAIRCUTS
AND SHAMPOOS.”

Maureen says NO HAIRCUTS, NO
MOUSSE.

Walter says AND I
GIVE A LOT OF CREDIT TO
THEIR PARENTS.

Maureen says YEAH.
NOW THEY DID SHOW US IN THAT
PIECE THAT TREATMENT THAT
WAS NOT APPROVED YET, STILL
EXPERIMENTAL SO YOU'RE
SAYING THAT TREATMENT
WOULDN'T REALLY HELP KID
LIKE THOSE WHOSE CONDITION
IS SO SEVEN VEAR SO YOUNG?

Walter says NO, I DIDN'T SAY THAT.
YOU CAN TREAT IT, IT'S JUST
MORE LIKELY IT WON'T RESPOND
WELL OR IF IT DOES IT'LL
FALL OUT AGAIN SO YOU HAVE
TO BE PREPARED FOR LONG-TERM
TREATMENT.
SORT OF LIKE GOING, IF YOU
WILL TO A BARBER EVERY FEW
WEEKS.
YOU KNOW, IF YOU HAVE THAT
SEVERE FORM OF THE DISORDER.
I THINK IT'S IMPORTANT TO
POINT OUT THOUGH, IN YOUR
PROGRAMME YOU SAID 2 PERCENT OF
PEOPLE HAVE THIS PROBLEM.
IT'S A VERY, VERY TINY
FRACTION OF THOSE PEOPLE WHO
HAVE ALOPECIA URSALIS, WHICH
IS WHAT THOSE PEOPLE HAD.

Maureen says UNIVERSEALIS
MEANING THE ENTIRE BODY?

Walter says ALOPECIA TOTALIS IS THE
WHOLE HEAD, AND THE FAR MORE
COMMON TOMORROW OF IT IS
ALOPECIA AREATTA WHERE YOU
GET LITTLE ROUND SPOTS THAT
COME UP OUT OF THE BLUE AND
QUITE OFTEN GROW BACK ON
THEIR OWN WITHIN 16 TO --
WITHIN SIX TO 18 MONTHS BUT
YOU CAN SPEED UP THE
REGROWTH OF HAIR EITHER WITH
TOPICAL COURT COESTEROIDS OR
INJECTIONS OF CORTISONE?
ISOLATED AREAS SO THOSE
AREAS ARE VERY AMENABLE TO
TREATMENT AND IT WILL COME
BACK, IF YOU FOLLOW THESE
PEOPLE LONG ENOUGH IT ALWAYS
COMES BACK, BUT IT MAY BE
MANY YEARS BEFORE IT COMES
BACK.
IT'S EASY THEN TO GET THE
HAIR TO GROW BACK.
MOST PEOPLE HAVE THESE SMALL
AREAS OF ALOPECIA AREATTA
THAT ARE VERY AMENABLE TO
TREATMENT.

Maureen says LET'S TALK ABOUT
SOMETHING ELSE.
THERE WAS A STUDY EARLIER
THIS YEAR THAT MAKES A LINK
BETWEEN HAIR LOSS AND HEART
ATTACKS.

Walter says YES.

Maureen says HOW SO?

Walter says WELL, FOR
A LONG TIME WE HAVE BELIEVED
THAT THE MALE HOR MORNGS THE
HIGH MALE HORMONES MAKE YOU
MORE SUSCEPTIBLE TO
CARDIOVASCULAR DISEASE AND
THAT'S WHY MEN HAVE A HIGHER
INCIDENCE OF CARDIOVASCULAR
DISEASE THAN WOMEN.
THE CAUSE OF HAIR LOSS IN
MALE PATTERN BALDNESS, WHICH
IS THE COMMONEST TOMORROW OF
HAIR LOSS IN MEN IS AN OVER
PRODUCTION OF A PARTICULAR
KIND OF MALE HORMONE CALLED
DIHYDRA TESTOSTERONE.
EVERYBODY KNOWS THE
TESTOSTERONE PART.
IT'S A SORT OF BY PRODUCT OF
THAT.
AND MEN WHO GO BALD IN THE
AREAS THEY GO BALD IN
PRODUCE MORE OF THAT HORMONE
AND THAT'S WHY THE HAIR
FALLS OUT IN THOSE AREAS SO
THAT'S AN ANDROGEN-DEPENDENT
DISORDER AS WELL.
SO THAT THEORY HAS BEEN
BANDIED ABOUT FOR A LONG
TIME.
IF YOU'VE GOT ELEVATED
ANDROGENS THAT TRIGGER A
GENE IN YOU THAT CAUSES
BALDNESS, THEN MAYBE IT
COULD ALSO TRIG EAR GENE
THAT CAUSES CARDIOVASCULAR
DISEASE AND IN FACT THAT
SEEMS TO BE SO BASED ON A
NUMBER OF STUDIES.
I THINK IT'S IMPORTANT TO
DISTINGUISH BETWEEN HAIR
LOSS ON YOUR CROWN BACK HERE
AND FRONTALLY HERE.
THE MEN WHO ARE THINNING
FRONTALLY DON'T SEEM TO HAVE
MUCH OF AN INCREASE IN
CARDIOVASCULAR DISEASE.
IT'S MORE THE MEN IN THE
BACK.
IF YOU HAVE MILD THINNING IN
THE BACK, ACCORDING TO A
VERY LARGE SCALE STUDY
RECENTLY, THE CHANCES OF YOU
DEVELOPING CARDIOVASCULAR
DISEASE ARE 23 PERCENT HIGHER IF
YOU'VE GOT MODERATE THINNING
IT'S 32 PERCENT HIGHER AND IF
YOU'VE GOT SEVERE THINNING
OR BALDNESS, I THINK IT'S
36 PERCENT HIGHER.

Maureen says SO IT GOES UP
CORRESPONDINGLY.

Walter says SO IT
GOES UP.
AND SO IF YOU'VE GOT
THINNING IN YOUR CROWN IT
MIGHT BE A GOOD IDEA TO KEEP
YOUR HIGH BLOOD PRESSURE
UNDER CONTROL, MAKE SURE YOU
DON'T GET IT.
KEEP YOUR LIPIDS UNDER
CONTROL, KEEP YOUR WEIGHT
UNDER CONTROL.
LIKE MOST THINGS IN MEDICINE,
IT'S NOT A SINGLE FACTOR.
IN FACT THE BALDNESS IS
PROBABLY A SIGN.
IT'S NOT A CAUSE OF YOUR
CARDIOVASCULAR DISEASE.

Maureen says RIGHT.

Walter says IF YOU
HAVE CROWN BALDNESS THOUGH,
THIS BALDNESS BACK HERE, AND
YOU HAVE HIGH LIPID LEVELS,
THE CHANCE OF YOU GETTING
ARE HEART ATTACK ARE
INCREASED THREE TIMES.

Maureen says WOW!

Walter says NOT 23 PERCENT, NOT 32 PERCENT, NOT 36 PERCENT,
BUT THREE TIMES.
SO CHECK YOUR LIPIDS, GO SEE
YOUR DOCTOR, MAKE SURE YOU
GET THOSE UNDER CONTROL.
ANY HIGH BLOOD PRESSURE
YOU'VE GOT OR EXTRA WEIGHT,
GET RID OF IT.

Maureen says OKAY.
LET'S TAKE SOME QUESTIONS
FOR DOCTOR UNGER NOW.
IF YOU HAVE ONE ABOUT HAIR
LOSS, BALDNESS, EXTREME,
GIVE US A CALL.
IN TORONTO AT 416-484-2727
IF IT’S LONG DISTANCE IT’S FREE
1-888-411-1234 AND THE e-mail
ADRESS MORETOLIFE@TVO.ORG
KELLY IS IN
TORONTO.
HI KELLY, WELCOME.

Kelly says HI.

Maureen says HI.

Kelly says HI, I'VE GOT A
QUESTION, AND I CAN'T SEEM
TO GET ANY ANSWERS FROM
HAIRDRESSERS ON THIS ONE.
SO I'M WONDERING IF THE
DOCTOR CAN HELP.

Maureen says OKAY.

Kelly says I'VE HAD TWO
BABIES, AND AFTER EACH BABY,
ABOUT SIX MONTHS DOWN THE
ROAD MY HAIR HAS FALLEN OUT.
AND IT'S VERY LONG, SO IT'S
KIND OF ALL DIFFERENT
LENGTHS.
AND I'M WONDERING IF THERE'S
ANYTHING FOR THIS THIRD BABY,
THAT I CAN DO TO PREVENT IT?

Maureen says HMM.
OKAY, IS THIS COMMON, LOSING
HAIR AFTER PREGNANCY?

Walter says IT'S VERY
COMMON.
THE GOOD NEWS IS THAT THAT
SORT OF HAIR LOSS ALWAYS
RETURNS.
SO IT'S NOT PERMANENT LOSS.
UNLESS, OF COURSE -- IF
YOU'RE ONE OF THOSE
UNFORTUNATE WOMEN WHO ARE
DESTINED TO GET THINNER HAIR
AS THE YEARS GO BY.
AND THAT SEEMS TO BECOME --
TO BE BECOMING A MORE COMMON
PROBLEM.
THEN IT ALL DOESN'T COME
BACK, BUT MOST OF IT WILL
COME BACK.
IN MOST WOMEN, ALL OF IT
WILL COME BACK.
IT USUALLY OCCURS A LITTLE
SOONER, ABOUT THREE, FOUR
WEEKS AFTER THE BIRTH OF THE
BABY, UP TO THREE MONTHS
AFTER THE BABY, AND THEN IT
GROWS BACK, BEGINNING ABOUT
SIX MONTHS LATER.
BUT YOU'VE LOST A LONG HAIR,
AND WHAT YOU GET BACK IN
RETURN IS A VERY TINY ONE
INITIALLY SO, IT TAKES QUITE
A WHILE.
THE HAIR GROWS HALF INCH A
MONTH.
SO IT TAKES QUITE A WHILE
BEFORE THE HAIR IS BACK TO
ITS LENGTH.
ALSO ITS BULK AND YOU'RE
BACK TO WHERE YOU STARTED
FROM.
BUT IN MOST PEOPLE IT WILL
COME BACK.
IN ANSWER TO HER QUESTION,
YOU KNOW, IS THERE ANYWAY TO
PREVENT IT?
UM, DON'T GET PREGNANT.
(LAUGHING)
WHICH IS NOT A GOOD ANSWER,
BUT --

Maureen says BUT THERE ARE
THESE PRODUCTS THAT CLAIM
THAT, YOU KNOW IT WILL
EITHER RESTORE HAIR OR KEEP
HAIR OR MAKE HAIR STRONGER,
KEEP IT FROM BREAKING.
NEW TRUTH TO THOSE?
THERE'S PROBABLY A MILLION
OF THOSE.

Walter says YOU CAN'T
MAKE A GENERAL RULE.
THERE ARE MEDICATIONS FOR
DIFFERENT TYPES OF HAIR LOSS
BUT IT DEPENDS WHAT THE
CAUSE IS.

Maureen says I'M TALKING
ABOUT SHAMPOOS, JUST LIKE ON
THE DRUG STORE SHELF.

Walter says NO, SHAMPOOS ARE NOT
GOING TO STOP YOU FROM
LOSING YOUR HAIR UNLESS
YOU'VE GOT AN AWFULLY BAD
SCALP TO BEGIN WITH AND EVEN
THEN IT'S PRETTY UNLIKELY.

Maureen says YOU SAID THAT
MORE AND MORE WOMEN ARE
FINDING THEIR HAIR THING
OVER TIME.
ANY IDEA WHY THAT IS?

Walter says DO YOU
KNOW, IT WOULD BE SHEER
SPECULATION.

Maureen says YEAH, GO AHEAD,
SPECULATE.

Walter says
(LAUGHING)
SPECULATE?
THAT WAS THE FIRST LESSON I
WAS TAUGHT IN MEDICINE WAS
NOT TO SPECULATE.
SECOND THING IS TO TELL
PEOPLE TO DO SOMETHING MORE
THAN YOU KNOW THEY'RE GOING
TO DO SO IF IT DOESN'T WORK
YOU CAN BLAME THEM.

Maureen says RIGHT.

Walter says THERE ARE
A COUPLE OF REASONS WHY THAT
MIGHT BE HAPPENING.
THE FIRST IS -- IT'S MY OWN
PET THEORY, THAT MORE AND
MORE WOMEN ARE ON ORAL
CONTRACEPTIVES OVER THE
YEARS AND ORAL CONTRACEPTIVES
ARE A COMBINATION OF MALE
HORMONE-LIKE DRUGS AND
FEMALE HORMONE-LIKE DRUGS
SO THEY'RE ADDITIVE TO YOUR
MALE HORMONE LEVELS SO I
THINK IF YOU'RE ON THESE FOR
MANY YEARS THAT MAY BE
TRIGGERING HAIR LOSS IN
WOMEN WHO ARE GOING TO GET
IT ANYWAYS BUT GET IT LATER
IN LIFE.
THAT'S NUMBER ONE.
NUMBER TWO, WOMEN HAVE A LOT
MORE STRESS IN THEIR LIFE
NOW THAN THEY USED TO HAVE.
ALTHOUGH THIS IS SUPPOSED TO
BE AN EGALITARIAN SOCIETY,
MEN AND WOMEN ARE HELPING
OUT AT HOME EQUALLY WHILE
BOTH GO OFF TO WORK.
YOU AND I KNOW THAT DOESN'T
HAPPEN IN MOST CASES.
IT CERTAINLY DOESN'T HAPPEN
IN MY HOUSE.
AND SO I THINK WOMEN HAVE A
LOT MORE STRESS.
AND STRESS DOESN'T MAKE YOU
GO BALD, BUT IF YOU WERE
GOING TO GO BALD, THERE'S A
GREAT LIKELIHOOD THAT IT'LL
MAKE IT --

Maureen says REALLY?!

Walter says AND I DON'T MEAN BALD.
I SHOULD RETRACT THAT I
SHOULD SAY IF YOU WERE GOING
TO GET THINNER, YOU WILL GET
THINNER SOONER.

Maureen says STRESS CAN
CONTRIBUTE TO THE SPEED.

Walter says YEAH,
THING CONTRIBUTES TO IT,
YEAH.

Maureen says WOW.
ALL RIGHT SO, THANK YOU FOR
YOUR CALL, KELLY.
CINDY IS IN TORONTO.

Cindy says HELLO?
HI DOCTOR UNGER.

Walter says HI.

Cindy says HI.
I JUST WANTED TO AND YOU
ABOUT KELOID.
MY HUSBAND IN THE PAST HAS
HAD A HAIR TRANSPLANT AND
NUMEROUS OF THEM, SO YOU
KNOW, HE TOOK OUT THE HAIR
FROM THE BACK PUTTING IT OF
COURSE ON TOP AND WHAT
HAPPENED IS OVER THE -- AT
THE BEGINNING IT WASN'T
NOTICEABLE BUT OVER A FEW
SESSIONS HE'S DEVELOPED THIS
KELOID ON TOP OF HIS HEAD
AND AS WELL AS IN THE BACK
AND KEEPS ON CUTTING OUT
SKIN IN THE BACK IT KEEPS ON,
OF COURSE, REGROWING.
IS THERE ANY SUGGESTION THAT
YOU HAVE?
LIKE HE'S TRIED THE
CORTISONE INJECTION AND THAT
HASN'T HELPED.
IS THERE ANY CURE OUT THERE
NOW THAT YOU -- OR ANYTHING
OUT THERE THAT YOU COULD
SUGGEST FOR HIM?

Walter says WELL,
FIRST OF ALL, I THINK IT'S
IMPORTANT FOR YOUR VIEWERS
TO KNOW WHAT KEYLOID IS.
KELOID IS SORT OF LUMPY
SCARS THAT OCCUR IN
PREDISPOSED INDIVIDUALS DUE
TO TRAUMA, WHATEVER THE
TRAUMA IS.
THEY DON'T HEAL NORMALLY.
THEY GET ALMOST LIKE TUMORS
ON THEIR SKIN WHERE THEY
WERE CUT.
THIS IS THE FIRST CASE I'VE
HEARD OF A KELOID OCCURRING
IN THE RECIPIENT AREA, IN
THE BALD AREA, UNLESS THERE
WAS A PREVIOUS HISTORY OF
KELOID, IN WHICH CASE WE
PROCEED CAUTIOUSLY.
UNFORTUNATELY IN HAIRY AREAS,
IS NOT -- THERE'S NOT A
PARTICULARLY GOOD TREATMENT
FOR KELOID OTHER THAN
INTRALESIONAL INJECTIONS OF
CORTISONE.
NOW SHE SAID HER HUSBAND HAD
THAT AND IT DIDN'T WORK.
BUT IT DEPENDS HOW STRONG
THE CORTISONE WAS THAT WAS
INJECTED.
I MEAN, THERE'S A DIFFERENCE
BETWEEN INJECTING A ONE
MILLIGRAM PER CUBIC CENTIMETRE
CONCENTRATION OR A TEN
MILLIGRAM PER CC
CONCENTRATION.
ALSO, HOW FREQUENTLY THE
INJECTIONS ARE GIVEN.
WHETHER THEY'RE GIVEN ONCE
EVERY WEEK OR ONCE EVERY
THREE WEEKS OR ONCE EVERY
THREE MONTHS.
SO THE ONLY THING -- MY ONLY
SUGGESTION WOULD BE THAT
MAYBE HE ASK THE DOCTOR WHO
DID THE SURGERY IF HE COULD
GO TO SEE SOMEBODY FOR A
SECOND OPINION WHO THAT
PERSON RESPECTS.
AND A LOT OF PEOPLE WHO DO
HAIR TRANSPLANTING ARE NOT
DERMATOLOGISTS ANYMORE, AND
IF YOU'VE GOT A KELOID, YOU
REALLY SHOULD SEE A
DERMATOLOGIST.
I DON'T KNOW IF THIS LADY'S
HUSBAND HAD GONE TO A
DERMATOLOGIST OR NOT, BUT IF
HE ISN'T A DERMATOLOGIST, HE
CERTAINLY SHOULD SEE A
DERMATOLOGIST.
THERE ARE OTHER TREATMENTS
FOR KELOIDS BUT NONE OF
THEM ARE VERY GOOD,
UNFORTUNATELY.

Maureen says YOU'RE SAYING
THIS GENTLEMEN WAS PROBABLY
PREDISPOSED TO KELOIDS
BEFORE HE HAD THE TRANSPLANT
IN.

Walter says
DEFINITELY.
THE TRICK IS FINDING OUT WHO
IS AND ISN'T.
MOST PEOPLE PREDISPOSED TO
IT HAVE A HISTORY OF HAVING
KELOIDS DEVELOP ELSEWHERE
ON THEIR BODY DUE TO TRAUMA
AND IT'S A WARNING SIGN.
IT'S ALSO MORE COMMON IN
BLACK PATIENTS AND IN
ORIENTAL PEOPLE THAN IN
CAUCASIANS.

Maureen says OKAY.
SORRY WE COULDN'T BE MORE
POSITIVE ABOUT THAT CINDY
BUT NOW THAT WE'VE BROUGHT
UP HAIR TRANSPLANTS MAYBE
WE'LL LOOK AT SOME OF THE
PHOTOGRAPHS THAT YOU'VE
BROUGHT IN AND THIS IS SORT
OF YOUR THING.
YOU DO HAIR TRANSPLANTS.

Walter says ACTUALLY
MY PRIVATE PRACTICE IS
LIMITED ENTIRELY TO HAIR
TRANSPLANTING.
PLEASE DON'T CALL MY OFFICE
ABOUT HAIR LOSS UNLESS YOU
NEED A TRANSPLANT.

Maureen says OKAY, LET'S HAVE
A LOOK.
I DON'T KNOW IF WE'RE GOING
TO SEE THE MALE OR FEMALE
ONE FIRST.
THERE'S THE MAN.
OKAY, SO HE HAD THE FRONT
PATTERN AND THE CROWN WOULD
YOU SAY?

A picture of a man´s balding scalp appears.

Walter says YES, HE DID AND I
EVENTUALLY TREATED BOTH BUT
THE BLACK LINE YOU SEE THERE
IS THE OUTLINE OF THE
FRONTAL HAIRLINE THAT HE AND
I DECIDED TO --

Maureen says THAT'S OFF HE
WANTED BACK.

Walter says EXACTLY.
THAT'S HIM BEFORE TREATMENT.

Maureen says ALL RIGHT, AND
WE'LL TAKE A LOOK AT HIM
AFTER TREATMENT NOW.
THERE WE GO.

An after picture shows the man with a normal hairline.

Walter says THIS IS HIM AFTER TWO
SESSIONS THAT WERE DONE
ABOUT FIVE TO SIX MONTHS
APART.
USUALLY WE LET ONE GROW IN
BEFORE WE DO THE SECOND AND
MOST PEOPLE WHO ARE BALD
WILL DO THE BALD AREA TWO OR
THREE TIMES TO GET THE SORT
OF DENSITY THEY WANT.
YOU CAN'T PUT THE GRAFTS TOO
CLOSE TOGETHER WITHOUT
KILLING SOME OF THE HAIR.
AND WHAT WE'VE DONE IN THE
FRONT OF HIS HAIRLINE IS
LITTLE GRAFTS CALLED MICRO
GRAFTS THAT JUST HAVE ONE,
TWO, OR THREE HAIRS IN THEM
AND THEN FARTHER BACK WE'VE
USED SLIGHTLY LARGER GRAFTS
THAT HAVE MORE HAIR TO
PRODUCE MORE DENSITY.
THAT'S QUITE A TYPICAL
RESULT.

Maureen says DOES THAT HAIR
GROW?

Walter says YES.
WHAT WE'VE BASICALLY DONE IS
REMOVE THE HAIR FROM THE
BACK AND SIDES OF HIS HEAD
IN AREAS THAT WE THINK WILL
GROW HAIR FOREVER.
AND WHEN WE MOVE IT, IT DOES
WHAT IT WOULD HAVE DONE
WHERE WE TOOK IT FROM.
THAT'S CALLED DONOR
DOMINANCE.
AND IF HE'S DESTINED TO KEEP
HIS HAIR WHERE YOU TOOK IT
FROM FOR HIS LIFETIME, HE'LL
KEEP IT WHERE WE PUT IT FOR
HIS LIFETIME.

Maureen says DO YOU ASK
PATIENTS TO GROW A LOT OF
HAIR IN THOSE AREAS?
GO WITHOUT A HAIRCUT FOR A
FEW MONTHS?
DOESN'T MATTER?

Walter says NOT NECESSARY.
YOU KNOW, IT'S ADVANTAGEOUS
TO LEAVE YOUR HAIR ABOUT AN
INCH, INCH AND A HALF LONG
IN THE DONOR AREA SO THE TUT
TOURS CAN BE COVERED UP BY
YOUR HAIR.
BASICALLY WE REMOVE A STRIP
OF HAIR FROM THE BACK OF
YOUR HEAD OR SIDE OF YOUR
HEAD AND IT'S ABOUT THAT
WIDE, AND THEN WE SEW IT
TOGETHER.
SO IT'S JUST LIKE A CUT
THAT'S SEWN UP.
AND IT'S QUITE EASY TO COVER
IT WITH YOUR EXISTING HAIR,
IF YOU LEAVE IT LONG ENOUGH.
BUT IT ACTUALLY WILL COVER
EVEN WITH A HALF INCH OF
HAIR AND THEN THE STRIP IS
DIVIDED UP INTO LITTLE
GRAFTS CONTAINING SOME ONE
HAIR AND SOME TWO, THREE
HAIRS AND SOME, YOU KNOW, IN
A FEW PATIENTS, UP TO 23, 24
HAIRS BUT VERY FEW.
WE GENERALLY TEND TO USE
SMALLER GRAFTS NOWADAYS THAN
BIGGER ONES.

Maureen says I THINK LAST
TIME YOU WERE HERE I WAS
ASKING IF IT WAS POSSIBLE
FOR A DIFFERENT DONOR TO
DONATE HAIR --

Walter says NO.

Maureen says IT WON'T GROW
HEN?

Walter says NOT YET.
BUT WE'RE WORKING ON MAKING
IT GROW FROM YOUR OWN HAIR.
THAT'S ANOTHER STORY.

Maureen says OKAY.
ALL RIGHT.
WE'LL GO TO RITA IN
THORNHILL.
HI RITA.

Rita says OH, HI.
HELLO DOCTOR UNGER.

Walter says HI.

Rita says I WAS WONDER
PHYSICAL YOU COULD DISCUSS
TELEJOM IFLUVIUM A LITTLE
BIT AND ALSO IS IT COMMON
FOR YOU TO LOSE YOUR HAIR AT
YOUR TEMPLES WITH THIS?

Walter says WELL, FIRST OF ALL IT'S
TELOGEN EFFLUVIUM. THROW A NAME AT A DOCTOR
TORB, HE'LL ONLY THROW IT
BACK AT YOU.
AND THAT'S EXACT WHAT THE
LADY WHO HAD THE BABIES HAD.
HAIR DOESN'T GROW FOREVER ON
YOUR HEAD.
IT GROWS USUALLY FOR A
PERIOD OF THREE TO SEVEN
YEARS AND THEN IT GOES INTO
WHAT WE CALL A TELOGEN PHASE
OR RESTING PHASE.
IT FALLS OUT AND RESTS FOR A
FEW MONTHS USUALLY AND THEN
IT GROWS BACK.
IF YOU'RE NOT GOING BALD, IT
GROWS BACK EXACTLY THE WAY
IT DID BEFORE, SAME, IT'LL
BE JUST AS STRONG, GROW JUST
AS LONG.
IT'LL GROW FOR JUST -- IN
JUST THE SAME WAY AS IT USED
TO GROW.
IF YOU'RE GOING BALD, IT
GROWS BACK A LITTLE FINER
AND IT DOESN'T GROW FOR AS
LONG AS IT DID ORIGINALLY
AND THAT GOES ON OVER AND
OVER AGAIN WITH OTHER CYCLES
UNTIL YOU'VE JUST GOT PEACH
FUZZ.
NORMALLY IN THE HEAD,
THERE'S ONE OUT OF TEN HAIRS
IN THAT TELOGEN PHASE, GOING
INTO THAT RESTING PHASE.
BUT THERE ARE SOME
SITUATIONS WHERE THE NUMBERS
OF HAIRS IN TELOGEN INCREASE
AND THE COMMONEST CAUSE FOR
THAT IS HAVING A BABY.
THE SECOND COMMONEST IS
BEING ON OR RAL COULDN'T
SEVENTHIVES FOR MANY YEARS,
OR BEING ON OR RAL
CONTRACEPTIVES AND SUDDENLY
GOING OFF THEM.
BECAUSE ORAL CONTRACEPTIVES
SORT OF MIMIC PREG FANCY.
SO YOU GO OFF THEM AND YOU
SOMETIMES LOSE YOUR HAIR.
THERE ARE OTHER CASES.
ANYTHING THAT CAUSES GREAT
PHYSICAL OR EMOTIONAL STRESS
CAN INCREASE THE NUMBER OF
HAIRS IN TELOGEN.
THE IMPORTANT THING TO KNOW
WITH THAT SORT OF LOSS IS
AGAIN IT'S TEMP RARERY.
IT'LL GROW BACK AND IN MOST
PEOPLE YOUR HAIR WILL LOOK
EXACTLY THE SAME AS IT DID
ORIGINALLY.
IF YOU WERE DESTINED TO THIN
OUT, YOU'LL BE ONE STEP
FURTHER ALONG THE LINE TO
GETTING THIN.
THINNING IN THE CORNERS LIKE
SHE JUST DESCRIBED MAY OR
MAY NOT BE RELATED TO
TELOGEN EFFLUVIUM AND USUALLY
ISN'T.
IT'S A VERY COMMON FORM OF
MALE PATTERN BALDNESS IN
WOMEN.
IF YOU LOOK AT MOST WOMEN
OVER THE AGE OF THE 20s YOU
WILL SEE SOMETHIN'ING IN
THESE FRONTAL TEMPORAL
TRIANGLES.
SOME WOMEN IT BOTHERS THEM
TREMENDOUSLY, IN OTHERS
DOESN'T BOTHER THEM AT ALL.
OF COURSE IT DEPENDS HOW BIG
THAT FRONTAL TEMPORAL
TRIANGLE IS.
IF IT'S JUST A LITTLE ONE
DOESN'T BOTHER YOU THAT
MUCH.
I SEE MORE AND MORE WOMEN
WITH THAT PROBLEM.
I RECENTLY SAW A WOMAN FOR
TRANSPLANTING WHO WAS COMING
BECAUSE SHE HAD A FACELIFT
AND THEY FULLED THIS BACK
AND SHE DIDN'T HAVE
SIDEBURNS AND THERE WAS A
PECULIAR SHAPE TO HER TEMPLE
HAIR.
AND I SAID TO HER “DOES THIS
NOT BOTHER YOU?”
AND I POINT TO THE TRIANGLE
AND SHE SAID “NO, THAT
DOESN'T BOTHER ME AT ALL.”
AND I SAID OH, FORGET I SAID
IT.
BUT BEFORE SHE LEFT SHE SAID
“THIS BOTHERS ME.”
ONCE YOU'RE AWARE OF IT -- I
SAID I'M SORRY I MENTIONED
IT.
YEAH, BUT IT'S VERY COMMON
AND MOST HAIR STYLING
TECHNIQUES CAN CAMOUFLAGE IT
AND NOBODY KNOWS IT.
BUT SOME WOMEN ARE REALLY
BOTHERED BY IT AND IT CAN BE
FIXED BY TRANSPLANTING IF IT
BOTHERS YOU ENOUGH.

Maureen says HOW MUCH WOULD
IT COST TO TRANSPLANT JUST
HERE AND HERE?

Maureen points at two areas above the ears.

Walter says DEPENDS HOW BIG AN AREA
IT IS.
USUALLY WOMEN WHO HAVE
SEVERE THINNING IN THOSE
FRONTAL PEMP RAL TRIANGLES
ALSO HAVE SOMETHIN'ING ALONG
THE TRIANGLE AND SOME ON THE
TEMPLE RARE AND TOP OF THE
HEAD.

Maureen says SO YOU COULD
ALWAYS FIND MORE TO DO.

Walter says WELL, TO
BE HONEST WITH YOU, YOU
DON'T WANT WOMEN HAVING TO
COME BACK ALL THE TIME SO IF
YOU CAN SEE AN AREA THAT'S
GOING TO BE A PROBLEM A YEAR
OR TWO OR THREE OR FOUR DOWN
THE ROAD, IT'S I THINK
FOOLISH TO JUST DO VERY
SMALL AREAS.
AND THAT'S WHY I PAINTED
THAT PROBLEM OUT TO THAT
LADY.
I DIDN'T WANT TO DO ONE AREA
AND SHE COME BACK AND SAY
WELL WHAT ABOUT THIS AREA?
WHY DIDN'T YOU DO IT?
SO YOU HAVE TO LOOK AHEAD
AND APPROACH THIS LONG-TERM.

Maureen says OKAY, I HAVE AN
E-MAIL QUESTION.
THIS IS MORE ABOUT THE
RESULT OF HAIR LOSS AFTER
CHEMOTHERAPY.
WHY DOES HAIR GROW BACK A
DIFFERENT COLOUR?
IS THIS A PERMANENT CHANGE
OR DOES IT HAVE TO DO WITH
THE RESIDUE OF THE
CHEMOTHERAPY DRUGS IN THE
BODY?

Walter says WELL,
IT'S NOT PERMANENT, AND IT'S
AN INTERESTING PHENOMENON
THAT OCCURS AND GENERALLY A
POSITIVE ONE.
SOMETHING I'VE ALWAYS MEANT
TO INVESTIGATE, BUT THERE
ARE SO MANY THINGS I'VE
MEANT TO INVESTIGATE THAT I
JUST CAN'T GET TO ALL OF
THEM.
MANY PEOPLE WHO HAVE
CHEMOTHERAPY -- FIRST OF ALL
THEY FALL OUT BECAUSE THAT
IS -- THAT FALLS IN THE
GROUP OF THE THINGS THAT
CAUSE GREAT PHYSICAL STRESS
TO THE BODY.
AND TO HAIRS.
AND SO THE HAIR FALLS OUT
TEMPORARILY.
GOES INTO TELOGEN PHASE AND
FALLS OUT AND GROWS BACK.
BUT WHEN YOU HAVE
CHEMOTHERAPY AND LOSE YOUR
HAIR, WHEN THAT GROWS BACK,
MANY PEOPLE NOTICE THAT HAIR
THAT HAD TURNED GREY COMES
BACK DARK.

Maureen says HMM.

Walter says IT'S
ALMOST LIKE THE HAIR
FOLLICLES HAVE HAD A LITTLE
REST AND NOW THEY'RE READY
TO PRODUCE PIGMENTED HAIR
AGAIN.

Maureen says YEAH.

Walter says AND IT'S
A VERY NICE LITTLE SIDE
EFFECT.

Maureen says AND WE DON'T
REALLY UNDERSTAND WHY.
FOR THAT MATTER WHY WAS I
BORN WITH THIS GORGEOUS
FLAXEN BLOND HAIR?
I SEE IT IN OLD BABY
PHOTOGRAPHS OF ME AND BY THE
TIME I WAS, YOU KNOW, TEN OR
TWELVE, IT WAS DIRTY MUDDY
BROWN AND THAT'S THE COLOUR
IT STAYED -- THAT'S WHY I
DYE IT.

Walter says IT'S NOT
DIRTY --

Maureen says I COLOUR MY HAIR,
OKAY?
WHY IS THAT?
NOBODY'S HAIR IS NATURALLY
BLOND BEYOND A CERTAIN AGE?

Walter says WELL I
WOULDN'T SAY NOBODY,
CERTAINLY THERE ARE, BUT A
LOT OF PEOPLE START OFF
BLOND.
I WAS A PLATINUM BLOND WHEN
I WAS A LITTLE BABY.
I REMEMBER THE NEXT DOOR
NEIGHBOUR ASKING MY
GRANDMOTHER HOW I GOT
PLATINUM BLOND HAIR, SHE WAS
A LITTLE SUSPICIOUS.
MY PEAR AND MOTHER DIDN'T
HAVE PLATINUM BLOND HAIR.

Maureen says WHAT COLOUR WAS
THE MILKMAN'S HAIR?

Walter says AND I GOT QUITE DARK VERY
SOON ON.
BUT YOU KNOW, NO ASPECT OF
US STAYS THE SAME AS IT
ORIGINALLY WAS.
I MEAN, NOTHING ABOUT US
STAYS THE SAME.
SO THERE ARE MOMENTARY
CHANGES, JUST LIKE THERE ARE
YOUR SKIN AND MUSCLES AND
EVERYTHING ELSE.

Maureen says OKAY.
HELLEN IN MOUNT FOREST, HI
HELEN?

Helen says HI.

Maureen says HI.

Helen says I HAVE COUPLE OF QUESTIONS.
JUST RECENTLY -- WELL, ABOUT
TWO YEARS, I WOULD SAY MY
HAIR HAS BEEN FALLING OUT
SORT OF GRADUALLY, BUT I
WOULD SAY WITHIN THE LAST
COUPLE OF MONTHS I REALLY
NOTICE, LIKE WHEN I RUN MY
FINGERS THROUGH MY HAIR,
THERE'S A LOT OF HAIR,
PARTICULAR HY IN THE BACK,
AND MY HAIR IS JUST SHOULDER
LENGTH.
BUT THE HAIR THAT I'M LOSING
IS LONG, LIKE AS LONG AS MY
HAIR IS.
I WAS WONDERING IF -- I'M
GOING TO BE 37, AND A I'VE
NOTICED CHANGES IN MY SKIN
AND SUCH WITH ADVANCING AGE,
IF IT COULD HAVE SOMETHING
TO DO WITH MY AGE, IF I'M
EXPERIENCING A HORMONE
CHANGE?
ALSO I NOTICE WHEN I PLUCK
MY EYEBROWS IT DOESN'T SEEM
TO HURT AND THE EYEBROWS
SEEM TO COME OUT QUITE
EASILY.
AND ANOTHER QUESTION I HAVE,
I DID SEE A COMMERCIAL ON
THE TV FOR ROGAINE FOR WOMEN
AND I WAS WONDERING IF
THAT'S AN OPTION FOR PEOPLE
WHOSE HAIR IS STARTING TO
FALL OUT, IF IT WOULD KEEP
IT IN THEIR HEAD.

Maureen says OKAY, LOTS OF
QUESTIONS THERE.

Walter says A LOT OF QUESTIONS THERE.
FIRST OF ALL, I DON'T KNOW
WHY HER HAIR IS FALLING OUT
WITHOUT, YOU KNOW, EXAMINING
HER AND DOING A HISTORY.
PEOPLE DO LOSE HAIR IN CYCLE,
THOUGH.
BECAUSE SHE'S HAVING A HEAVY
PERIOD OF LOSS, THAT DOESN'T
MEAN SHE'S GOING BALD.
37 IS A LITTLE EARLY FOR THE
KIND OF HORMONAL CHANGES
THAT HAVE TO TAKE PLACE FOR
YOU TO START REALLY THINNING
OUT IF YOU HAVE A GENETIC
PREDISPOSITION.
THAT USUALLY GOES ON AROUND
MENOPAUSE, WHEN YOUR
ESTROGEN LEVEL IS GOING DOWN
AS A WOMAN.
AND THEN THE ANDROGENS IN
YOUR BODY, MALE HORMONES IN
YOUR BODY HAVE MORE OF AN
EFFECT.
THE ESTROGENS PROTECT YOU,
SO TO SPEAK, FROM THE
EFFECTS OF THE ANDROGENS AS
LONG AS THEY HANG AROUND.
SO 37 IS A LITTLE EARLY FOR
HAVING REAL PROBLEMS.
I CAN'T EXPLAIN HER EYEBROWS
AND SO ON.
MAYBE SHE'S USED TO THE PAIN
NOW OR MAYBE THEY'RE JUST --
MAYBE THE FOLLICLES ARE
BIGGER, SEEING AS SHE'S BEEN
PLUCKING THEM OUT FOR A LONG
WHILE BUT I WOULD WARN HER
NOT TO DO THAT TOO MUCH
SEEIN' AS SHE MAY BE SORRY
SHE DOESN'T HAVE ENOUGH
EYEBROW HAIR.
WE SEE WOMEN SOMETIMES WHO
WANT EYEBROWS PUT IN AND
MEN.

Maureen says ROGAINE?

Walter says YEAH,
THERE ARE TWO FORMS OF IT
AVAILABLE.
IT'S A TOPICAL PREPARATION.
IT'S A SOLUTION YOU DROP ON
YOUR HEAD TWICE A DAY AND IT
COMES IN TWO STRENGTH, 2 PERCENT
AND 5 PERCENT.
THEY COST ALMOST THE SAME
THING.
THE 5 PERCENT MIGHT BE 7 OR 8 DOLLARS
MORE THAN THE 2 PERCENT.
IT'S FAR MORE EFFECTIVE.
IT GROWS HAIR IN ABOUT 45 PERCENT
MORE PEOPLE, THE 5 PERCENT THAN THE
2 PERCENT.
THEY SAY, AND IT DEPENDS ON
THE STUDY THAT PEOPLE
BETWEEN 80 AND 98 PERCENT OF
PATIENTS WILL GET SOME
BENEFIT FROM USING THIS
MEDICATION REGULARLY.
I HAVEN'T DONE ANY STUDIES
WITH ROGAINE FOR ABOUT 15
YEARS OR SO I KNOW THE
RESULTS WERE GREATLY
EXAGGERATED WHEN, IN MY VIEW
ANYWAYS, WHEN IT FIRST CAME
OUT, BUT IF YOU'RE GOING TO
USE IT USE 5 PERCENT.
IT'S PRETTY SAFE.
I MEAN, THE ONLY SYSTEMIC
SIDE EFFECTS ARE SOME PEOPLE
GET PALPITATIONS OR LIGHT
HEADEDNESS.
IF YOU NOTICE THAT YOU HAVE
TO CUT BECOME ON IT OR USE
SOMETHING LESS STRONG.
IT ALSO CAN CAUSE IRRITATION
OF YOUR SCALP AND IF IT DOES
IT CAN ACCELERATE HAIR LOSS
BUT IF IT DOESN'T GIVE YOU
PALPITATIONS OR LOW BLOOD
PRESSURE OR IRRITATION,
THERE'S NOTHING TO BE LOST
BY TRYING IT.
I WOULD NOT TRY IT INITIALLY
THOUGH, BECAUSE THIS MAY BE
A TRANSITORY THING THAT WILL
CLEAR UP ON ITS OWN.

Maureen says IT SOUNDS LIKE
YOU'RE SAYING YOU SHOULD
WAIT A CERTAIN PERIOD TO SEE
IF THE HAIR WILL GROW BACK.
HOW LONG IS THAT PERIOD FOR
MOST PEOPLE?

Walter says WELL, THERE'S NO GENERAL
RULE.
HOW WORRIED ARE YOU GOING TO
BE ABOUT IT?
AS SOON AS YOU'RE WORRIED
ABOUT IT, YOU SHOULD -- IF
YOU HAVE A DERMATOLOGIST GO,
SEE THE DERMATOLOGIST.
IF YOU DON'T, CALL YOUR
FAMILY DOCTOR AND ASK HIM TO
REFER YOU TO A DERMATOLOGIST.
AND YOU KNOW, TAKE CARE OF
IT, BUT DON'T LOOK AT
NEWSPAPER ADS AND TELEVISION
ADS AND TRY AND FIGURE OUT
WHAT YOU SHOULD BE DOING.
THERE ARE SOME DISORDERS
THAT CAUSE HAIR LOSS THAT
CAN BE TREATED, YOU KNOW?
VERY EASILY.
SO, YOU KNOW, JUST BECAUSE
YOU'RE LOSING HAIR -- ALSO
THE OTHER SIDE OF THE
EQUATION IS DON'T ASSUME
IT'S JUST MALE PATTERN
BALDNESS.
IT MOST LIKELY IS.
OR IT MAY BE TELOGEN
IFLUVIUM OR ALOPECIA AREATTA,
THOSE ARE THE THREE
COMMONEST THINGS.
GO SEE WHAT IT IS.
GO SEE YOUR DERMATOLOGIST.

Maureen says OKAY, WE'RE
TAKING QUESTIONS THIS
AFTERNOON FOR DOCTOR WALTER
UNGER ABOUT HAIR LOSS,
TRANSPLANTS AND AL PEERBSHA.
GIVE US A CALL IF YOU HAVE A
QUESTION.
IN TORONTO AT 416-484-2727.
IF IT’S LONG DISTANCE, THE
TOLL FREE NUMBER IR
1-888-411-1234 AND
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Maureen says WE'VE GOT A MAN
FINALLY.
PAUL IN THUNDER BAY.
HI PAUL.

Paul says HI.

Maureen says HI.
WHAT'S YOUR QUESTION?

Paul says WHEN I TURNED
ABOUT 13 OR 14, I LOST
PROBABLY 60 PERCENT OF THE HAIR ALL
OVER THE TOP OF MY HEAD.
NOT LIKE A RECEDING HAIRLINE
OR FROM THE CROWN, IT WAS
JUST GENERALLY ALL OVER THE
TOP OF MY HEAD.
AND IT TOOK ABOUT, I WOULD
SAY FOUR TO SIX MONTHS AND
THEN IT STOPPED.
AND NOW I'M 30, AND I'M
VIRTUALLY IN THE SAME STATE
AS I WAS THEN.
NO MORE HAIR HAS FALLEN OUT
AND NONE REALLY HAS GROWN
BACK.
I WAS JUST WONDERING WHERE
DOES THAT LEAVE ME AS FAR AS
HEART DISEASE GOES?
BECAUSE I KNOW YOU'VE
COMPARED THE FRONTAL LOSS
AND THE CROWN.

Walter says YEAH.
WELL I WOULD SAY WATCH YOUR
WEIGHT AND LIPIDS AND BLOOD
PRESSURE BECAUSE YOU HAVE
INVOLVEMENT IN THE CROWN
AREA, THE VERTEX AREA, AND
AGAIN, THE EARLIER IT HAPPEN,
PROBABLY THE WORSE THE
PROGNOSIS.
NOW THAT ISN'T A GUARANTEE
YOU'RE GOING TO HAVE HEART
DISEASE.
THERE ARE A LOT OF FACTORS
THAT GO INTO WHETHER YOU'RE
GOING TO HAVE HEART DISEASE
OR NOT.
BUT THIS IS SORT OF A
WARNING SIGN FOR YOU, YOU
KNOW?
THAT YOUR TISSUES ARE MORE
SENSITIVE THAN AVERAGE TO
MALE HORMONE.
IF YOU WANT TO MAKE A
GENERAL RAT, WHICH I
PROBABLY SHOULDN'T BE
MAKING.

Maureen says HE DIDN'T ASK
ABOUT THIS, AND I'M NOT
SAYING PAUL NEEDS TO GET A
HAIR TRANSPLANT, BUT IF
SOMEBODY WHO LOST ALL THAT
AREA THAT YOUNG, ARE THEY
STILL A CANDIDATE FOR
TRANSPLANT?

Walter says OH, YEAH, SURE THEY ARE.

Maureen says SO YOU DON'T
NEED TO GET THESE PATIENTS
AS THE HAIR IS ACTUALLY
FALLING OUT?

Walter says NO, MOST
PATIENTS COME BEFORE THEY'RE
TOTALLY BALD AND IT CAN BE
DONE IN SUCH A WAY THAT
NOBODY KNOWS THEY'RE HAVING
A TRANSPLANT.
BUT SOME WAIT UNTIL THEY ARE
BALD.
AND, YOU KNOW, AS LONG AS
YOU HAVE A REASONABLE RATIO
BETWEEN PERMANENT HAIR AND
THE SIZE OF THE BALD AREA,
YOU CAN DO SOMETHING.
MAYBE JUST TRANSPLANTING THE
FRONT THIRD TO HALF OF YOUR
HEAD TO FRAME YOUR FACE AND
MAKE YOU LOOK YOUR AGE.
OR IT MAY BE JUST TO PRODUCE
A LIGHT COVERAGE.
THAT MAY OR MAY NOT BE
ENOUGH FOR YOU.
SO, YOU KNOW, IF IT BOTHERS
YOU, AGAIN, YOU GO SEE YOUR
DERMATOLOGIST, ASK HIM TO
REFER TO YOU SOMEBODY WHO
DOES HAIR TRANSPLANTING.
DON'T LOOK AT ADS IN THE
NEWSPAPER OR ON THE WEB.
I MEAN THERE IS SO MUCH
MISINFORMATION ON THOSE
SITES IT'S TERRIBLE.

Maureen says ANOTHER THING
THAT OCCURS TO ME.
IF MEN LIKE THAT ARE -- OR
EVEN LIKE PAUL, ARE
SUSCEPTIBLE TO THESE MALE
HORMONE, WHEN YOU TRANSPLANT
HAIR BACK TO THAT AREA, WHY
DOESN'T IT FALL OUT AGAIN?

Walter says THAT'S A
GOOD QUESTION.
YOU'LL HAVE TO ASK THEM WHEN
YOU GET THERE.
WE DON'T KNOW WHY THAT
HAPPEN.
YOU KNOW, WE KNOW THE
CHEMICAL CHANGES THAT ARE
TAKING PLACE.
THE AREAS THAT GO BALD IN
MALE PATTERN BALDNESS
CONTAIN HAIRS OR HAIR
FOLLICLES THAT ARE OVER
PRODUCING THIS HORMONE I
MENTIONED EARLIER, DIHYDRA
TESTOSTERONE AND THAT
TRIGGERS A JEANETTE
PARTICULAR PREDISPOSITION,
THE JEN THAT CAUSES YOU TO
GO BALD.
WITHOUT THE MALE HORMONE,
YOU DON'T GO BALD.
IF YOU DON'T WANT TO BE BALD,
YOU CAN BE CASTRATED.

Maureen says THAT'S A LITTLE
HARSH.

Walter says YEAH, A
LITTLE HARSH.
BUT WHY DOES THAT HAPPEN AND
THE HAIR, LET'S SAY HERE –

He points at the one side of the front hair line.

He continues AND YOU KNOW, AN INCH AWAY
OR A HALF INCH AWAY, THE
HAIR DOESN'T OVER PRODUCE
THAT HORMONE AND IT STAYS
THERE?
WE DON'T KNOW.

Maureen says BUT YOU'VE NEVER
HAD A PATIENT COME BACK AND
YELL AT YOU BECAUSE THE HAIR
THEY PAID SO MUCH MONEY TO
HAVE TRANSPLANTED FELL OUT
AGAIN?
THAT LARGELY DOESN'T HAPPEN?

Walter says NO, IT DOESN'T HAPPEN
AT YOU WILL BECAUSE I'VE
BEEN VERY CAREFUL IT TAKE IT
JUST WHERE IT'S GOING TO
STAY PERMANENT.

Maureen says ALL RIGHT.
HERE'S AN INTERESTING
QUESTION FROM MARK IN
TORONTO.
MY HAIR HAS REACHED A LENGTH
THAT IT WON'T GROW PAST.
I HAVEN'T HAD IT CUT FOR
FOUR YEARS.
I'M CONCERNED THAT IF I GET
IT CUT IT STILL WON'T GROW
AND I'LL BE STUCK WITH SHORT
HAIR.
(LAUGHING)

Walter says WELL FIRST OF ALL I
RATHER DOUBT THAT'S
OCCURRING OVER HIS WHOLE
HEAD.
IF IT IS, HE AGAIN SHOULD
SEE A DERMATOLOGIST, BECAUSE
HE MAY HAVE A TYPE OF HAIR
DYSTROPHY, AN ABNORMALITY OF
HAIR THAT THE HAIR BREAKS
OFF.
THE COMMONEST CAUSE,
UNFORTUNATELY FOR MARK, THE
COMMONEST CAUSE OF HAIR NOT
GROWING IS BECAUSE IT'S
DYING.
IT'S GOING THROUGH THAT
STAGE OF BEING LOST IN MALE
PATTERN BALDNESS.
YOU RECALL, I SAID EVERY
TIME IT FALLS OUT IT GROWS
BACK BUT IT DOESN'T GROW FOR
AS LONG BEFORE IT FALLS OUT
AGAIN SO, THAT THE HAIR GETS
SHORTER AND SHORTER AND
AREAS THAT ARE GOING BALD
WITH MALE PATTERN BALDNESS,
ONE OF THE EARLIEST SIGNS IS
THAT THE HAIR DOESN'T GROW
LONG ENOUGH TO CUT IT
ANYMORE.

Maureen says OKAY.

Walter says AND IT
ALSO HAS A SORT OF A LIMP
FEEL TO IT.
SO IT MAY BE THAT HE IS
EARLY MALE PATTERN BALDNESS,
AND IF HE'S EVER GOING TO DO
HAIR TRANSPLANTING, THIS IS
PROBABLY A GOOD TIME TO DO
IT BECAUSE HE CAN COVER,
COVER IT AND NOBODY WILL
NOTICE HE'S DOING IT.

Maureen says BUT IN MOST
HUMAN, IF WE NEVER CUT OUR
HAIR FROM THE TIME WE WERE
BORN IT WOULD JUST KEEP
GROWING AND GROWING --

Walter says NO, IT'LL
ONLY GROW ON THE SCALP FOR,
AS I SAID TWO TO THREE YEARS
AND THEN THAT HAIR WILL FALL
OUT AND IT WILL REGROW.
BUT THAT VARIES TREMENDOUSLY
FROM PERSON TO PERSON.
SO THAT'S WHY SOME WOMEN OR
MEN, I SUPPOSE IF THEY
WANTED TO, CAN GROW THEIR
HAIR TO THEIR WAIST, BECAUSE
THEY HAVE A LONGER GROWTH
CYCLE, A LONGER ANDROGEN
GROWTH PORTION OF THE HAIR
CYCLE, AND SO THEY GROW
LONGER HAIR AND OTHERS OF US
CAN'T GROW IT THAT LONG.
WE HAVE SHORTER NATURAL
ANDROGEN PHASES.

Maureen says GOT CHA.
ALL RIGHT, LYNN IN TORONTO.
HI LYNN IN.

Lynn says HI.

Maureen says HI WHAT HE IS
YOUR QUESTION FOR DOCTOR UNGER?

Lynn says HELLO DOCTOR UNGER,
THERE ARE A COUPLE OF
QUESTIONS I WANT TO ASK BUT
I DO WANT TO GIVE YOU A
LITTLE BACKGROUND.
AT THE APPROXIMMAL AGE OF 16
I DID LOSE A PATCH OF HAIR
AND THAT CONCERNED ME AND I
DID GO SEE A DOCTOR AND I
DID GET TESTED AND YES, I
WAS PUT ON MEDICATION AS
WELL, BIRTH CONTROL PILL,
THE REASON BEING -- RIGHT
NOW I DON'T RECALL BUT THEY
WANTED TO SLOW DOWN THE
PROCESS, IS WHAT I'M TRYING
TO REMEMBER AND I HAVE NOT
BEEN BACK SINCE I'D SAY THE
LAST YEAR OR SO AND THEY ARE
STILL KEEPING ME ON BIRTH
CONTROL.
NOW WHAT IT IS -- I DON'T
HAVE PATCHY BALD SPOTS, IT'S
A MATTER OF NATURAL LOSS ALL
OVER.
SO I'M NOT QUITE SURE, IS
THIS A FORM -- IS THIS A
SPECIFIC FORM OF HAIR LOSS?
IS THIS TREAT SNABL SHOULD I
BE SEEING A DERMATOLOGIST?
HE DID SEND ME TO A DOCTOR
BUT IT WASN'T A
DERMATOLOGIST, IT WAS A
SPECIALIST AND RIGHT NOW I
CAN'T RECALL WHAT HER
SPECIALTY WAS.
BUT I'M JUST WONDERING WHAT
CAN I DO?
IS THERE SOMETHING TO HELP
IT?
IS THIS A FARM OF BALDNESS
OF SOME SORT?

Walter says WELL, IN
ANSWER TO THE MOST IMPORTANT
QUESTION YOU'VE POSED, IS
YES, YOU SHOULD SEE A
DERMATOLOGIST.
AGAIN, I CAN'T DIAGNOSE
THESE THINGS OVER THE PHONE.
WHAT YOU MOST LIKELY DO HAVE
IS, FROM YOUR DESCRIPTION,
IS A FORM OF MALE PATTERN
THINNING, WHICH BY THE WAY
MOST WOMEN DOES NOT PROCEED
TO ANYTHING LIKE REALLY
SEVERE BALDNESS.
IT'S JUST YOUR HAIR GETS
THINNER.
AND THERE ARE THINGS YOU CAN
DO TO SLOW IT DOWN.
WE'VE ALREADY COVERS
MINOXIDIL, AND IT STOPS HAIR
LOSS IN A LOT OF PEOPLE.

Maureen says IS THAT THE
ROGAINE?

Walter says ROGAINE,
AND IT'LL REGROW HAIR ON
SOME PATIENTS, SO THAT'S AN
EASY THING TO TRY.
YOU CAN'T USE THE OTHER DRUG
THAT IS COMMONLY USED IN
MALE PATTERN THINNING, AND
THAT IS FENASTERIDE OR
PROPESCIA THAT IS A NEW DRUG
FOR THE TREATMENT OF --
REALLY, MALE PATTERN
BALDNESS IN MEN.

Maureen says WHY CAN'T WOMEN
USE IT?

Walter says
UNFORTUNATELY NO.

Maureen says DOES IT WORK?

Walter says IF YOU USE IT IN
YOUNG WOMEN, PRE MENOPAUSAL
WOMEN AND YOU HAPPEN TO GET
PREGNANT, YOU CAN GET
ABNORMALITIES IN MALE
CHILDREN SO, YOU DON'T WANT
TO USE IT AND IT'S NOT
APPROVED FOR US A IN
PRE-MENOPAUSAL WOMEN, AND IN
POST MENOPAUSAL WOMEN IT
DOESN'T WORK, APPARENTLY
FROM ONE STUDY THAT'S BEING
DOESN'T RECENTLY IN ABOUT
JUST UNDER 150 WOMEN.
YOU CAN USE TOPICAL ESTROGEN,
WHICH CAN SLOW DOWN HAIR
LOSS.
YOU HAVE TO PUT IT ON ONCE A
DAY OR ONCE EVERY SECOND
DAY.
THAT'LL SLOW DOWN THE RATE
AT WHICH YOU'RE LOSING YOUR
HAIR IN MOST CASES BUT IT
WON'T REGROW HAIR.
MINOXODIL SOMETIMES WILL
REGROW HAIR.
THERE ARE OTHER DRUGS THAT
YOU CAN USE, BUT REALLY
SHOULD BE ADMINISTERED BY A
DERMATOLOGIST OR
ENDOCRINOLOGIST, GLANDULAR
SPECIALIST, AND THEY WILL
EITHER SLOW DOWN HAIR LOSS
OR CAUSE MORE HAIR TO GROW.
BUT AGAIN, YOU SHOULDN'T
REALLY PANIC IF YOU'RE
THINNING A LITTLE.
JUST GO AND FIND OUT ABOUT
IT FROM A DERMATOLOGIST AND
THEN HE'LL GUIDE YOU AS TO
WHEN YOU SHOULD DO SOMETHING
ABOUT IT.
AND PART OF HIS GUIDANCE
WILL BE YOUR GUIDANCE.
HOW YOU'RE REACTING TO THIS
THINNING.

Maureen says RIGHT, HOW MUCH
OF A PROBLEM IT IS.
LET'S LOOK AT THE FEMALE
PATIENT.
THE PICTURES OF THIS HAIR
TRANSPLANT THAT YOU BROUGHT
IN NOW IS THIS MALE PATTERN
BALDNESS?

A picture of a woman’s scalp with thinning and very scarce hair appears.

Walter says THIS IS MALE PATTERN
THINNING IN A FEMALE.
AND A LOT OF WOMEN MAINTAIN
A VERY STRONG FRONTAL
HAIRLINE BUT SOME WOMEN
DON'T.
THIS WOMAN DIDN'T.
THIS IS ACTUALLY THE CORNERS
OF THE FRONT OF HER HEAD.

Maureen says OH, I SEE.
HER BANGS ARE COMBED DOWN.

Walter says THAT'S RIGHT.
THAT'S WHERE MEN WOULD THIN
OUT IN RECESSIONS.
AND I SEE THIS VERY COMMONLY
IN WOMEN.
AGAIN, THAT BLACK LINE
DENOTES HOW FAR WE WENT
FORWARD WITH GRAFTS OR WE
PLANNED ON PUTTING GRAFTS.
SO THAT'S HER BEFORE
TREATMENT.
AND THIS IS HER AFTERNOON
TWO TREATMENTS.

Another picture appears. The hair is now visually thicker and fuller.

Walter says TWO TRANSPLANTS WITH HER
HAIR COMBED BACK, AGAIN
DEMONSTRATING THE INCREASE
IN DENSE TEAM.
LOTS OF TIME WOMEN CAN JUST
DO IT ONCE, BUT AS THE YEARS
GO BY AND THEY THIN OUT MORE,
THEY MIGHT WANT TO DO THE
SAME AREA TWICE OR EVEN
SOMETIMES THREE TIMES.
AND NEW AREAS CAN DEVELOP.
SOME PEOPLE FIND THAT
DISCOURAGE.
THEY SAY “WELL THIS NEVER
END?”
WELL, WELL AGING NEVER END?
IT DOESN'T MEAN WHICH DON'T
DO THINGS ABOUT IT.
IF YOU GET CAVITIES, YOU
FILL THEM.
AS LONG AS YOU'VE GOT HAIR
TO TRANSPLANT, YOU CAN DO
MORE IF MORE DEVELOPS BUT
MORE MAY NOT DEVELOP.
THERE ARE OTHER TRUCKS YOU
CAN DO, BY THE WAY, IF
YOU'RE THINNING AND YOU'RE A
WOMAN.
YOU CAN LATE TEN THE COLOUR
OF YOUR HAIR, THE LESS
CONTRAST BETWEEN THE COLOUR
OF YOUR HAIR AND THE SKIN
THE THICKER IT LOOKS.
YOU CAN PERM YOUR HAIR.
YOU CAN ALSO USE SUBSTANCES
THAT COLOUR YOUR SCALP TO A
COLOUR CLOSER TO YOUR HAIR.

Maureen says REALLY?

Walter says YEAH.

Maureen says INTERESTING.

Walter says SO THAT
MAKES YOUR HAIR LOOK
THICKER.

Maureen says WE WERE TALKING
EARLIER ABOUT WOMEN AT
MENOPAUSE AND THE THINNING.
BUT MOST WOMEN -- I MEAN,
YOU DON'T WANT US JUMPING ON
H.R.T. JUST TO KEEP UP OUR
ESTROGEN LEVELS BECAUSE
WE'RE WORRIED OUR HAIR WILL
THIN.
MOST WOMEN DON'T EXPERIENCE
THIS, RIGHT?

Walter says I WISH I
COULD SAY THAT.

Maureen says IS THAT RIGHT?

Walter says YEAH.
I'M AFRAID -- MY GUT
FEELING -- I MEAN, I SEE A
SELECT GROUP OF PEOPLE THAT
ACCORDING TO STUDIES THAT
HAVE BEEN DONE AND REPORTED,
MOST WOMEN IN FACT HAVE SOME
DEGREE OF HAIR LOSS AT SOME
POINT IN THEIR LIFE.
HAVE SOME DEGREE OF MALE
PATTERN THINNING.
USUALLY IT'S RELATIVELY MILD
AND AS I MENTIONED EARLIER,
A LOT OF THEM HAVE THIS
THINNING IN THEIR CORNERS
THAT IS VERY EASILY
CAMOUFLAGED.
BUT ONCE NOTICED WILL DRIVE
YOU CRAZY.

Maureen says WILL ESTROGEN
SOMEHOW HELP YOU HANG
ONTO --

Walter says IT'LL HELP YOU HANG ONTO
IT AS LONG AS YOU USE IT.
BUT IT WON'T GROW HAIR BACK.

Maureen says HMM.
H.R.T. TO PREVENT MALE
PATTERN BALDNESS.
I CAN SEE THE DRUG COMPANIES
JUMPING ON THIS NOW, HUH?
NEVER MIND HEART DISEASE.
HERE'S A QUESTION ABOUT
LINKS BETWEEN DIET IN HAIR
LOSS --

Walter says BY THE
WAY BEFORE WE GO ON, MAYBE
YOU SHOULD TELL YOUR VIEWERS
WHAT H.R.T. IS.

Maureen says OH, HORMONE
REPLACEMENT THERAPY.
WE TALK ABOUT THAT A LOT ON
THIS SHOW.
THEY'RE CLUED IN.

Walter says OKAY.

Maureen says DIET AND HAIR
LOSS OR QUALITY OF HAIR --

Walter says YOU HAVE
TO HAVE A PRETTY RESTRICTED
DIET TO HAVE HAIR LOSS.
WITH -- AGAIN THERE'S ALWAYS
AN EXCEPTION TO THESE
GENERAL RULES.
IF YOU HAVE A CRASH DIET TO
LOSE WEIGHT, THAT IS A
STRAIN ON YOUR BODY.
ONE OF THE MOST RAPIDLY
TURNING OVER TISSUES IN YOUR
BODY IS THE HAIR ROOT.
AND ANYTHING THAT PUTS
STRESS, PHYSICAL STRESS ON
YOUR BODY WILL AFFECT THOSE
RAPIDLY TURNING OVER TISSUES
THE MOST.
THE BONE MARROW AND THE
LINING OF YOUR GUT ARE THE
OTHER AREAS THAT ARE VERY
RAPIDLY TURNING OVER.
SO THAT WOMEN WHO CRASH DIET
CAN EXPECT TO GET THIS
TELOGEN EFFLUVIUM SEVERAL
MONTHS LATER SO YOU DON'T
WANT TO GO ON AND OFF THESE
CRASH DIETS.
AGAIN IT GROWS BACK BUT IF
YOU'RE DOING IT ALL THE TIME,
YOU DON'T GIVE IT MUCH OF A
CHANCE TO GROW BACK.
AS FAR AS DIET IS CONCERNED,
THOUGH, AS LONG AS YOU EAT
ENOUGH CALORIES AND YOU HAVE
ENOUGH ESSENTIAL PROTEIN, IF
THERE'S -- ESSENTIAL PROTEIN
IS PROTEIN THAT YOUR BODY
CAN'T MAKE FROM OTHER
FOODSTUFF, AND IF YOU DOUBT
WHETHER YOU HAVE ENOUGH
ESSENTIAL PROTEIN, THREE
GLASSES OF SKIM MILK A DAY
WILL GIVE YOU ALL THE
ESSENTIAL PROTEIN YOU NEED.
YOU PROBABLY DON'T NEED
THREE GLASSES, BUT IF YOU
DOUBT WHETHER YOU'RE EATING
ENOUGH --

Maureen says MOST NORTH
AMERICANS DO GET PLENTY OF
PROTEIN.

Walter says YEAH,
MOST OF THEM DO.
AND IF YOU HAVE ENOUGH OF
THE RECOMMENDED DOSES OF
VITAMINS AND MINERALS --
AGAIN MOST NORTH AMERICAN
ALSO GET ENOUGH WITH A
COUPLE OF EXCEPTIONS.
THERE ARE A FEW PECULIAR
VITAMINS AND MINERALS THAT
UNLESS YOU EAT FUNNY TOODZ
LIKE WHEAT GERM AND BREWERS
YEAST AND SO ON, YOU MAY NOT
BE GETTING ENOUGH OF CERTAIN
VITAMINS.
IF YOU WANT TO BE SURE
YOU'RE GETTING ENOUGH
VITAMINS AND MINUTE RAS YOU
GET A GOOD ONE A DAY VITAMIN
MINERAL SUPPLEMENT.
DON'T BUY EVERYTHING THEY
RECOMMEND, BUT JUST A GOOD
ONE A DAY VITAMIN MINERAL
SUPPLEMENT, THREE GLASSES OF
MILK PER DAY AND ENOUGH
CALORIES YOU'LL HAVE
EVERYTHING YOUR HAIR AND
BODY NEEDS.

Maureen says COLLEEN IN
WINDSOR NEXT.
HI COLLEEN.

Colleen says HI.

Maureen says HI.

Colleen says HOW ARE YOU?

Maureen says GOOD.

Colleen says GOOD.
RAVE REALLY GOOD QUESTION
FOR YOU, DOCTOR.
OKAY I JUST RECENTLY TURNED
40.
I HAVE BEEN DEVELOPING THIS
HAIR LOSS SINCE I WAS 30.
EXTREMELY BAD.
ALMOST MY ENTIRE HEAD EXCEPT
FOR THE BACK OF MY HEAD.
IT'S A VERY DEGRADING
EXPERIENCE.
I HAVE GONE IT EXTREMES TO
SHAVING MY HEAD TOTALLY TO
LYING I HAVE CANCER TO
WEARING WIGS.
WHAT MY QUESTION IS TO YOU I
THINK IS MORE POLITICAL THAN
MEDICAL, IS WHY IS IT THAT
HAIR TRANSPLANTS ARE SO
EXPENSIVE AND WHY CAN'T THEY
BE COVERED WITHOUT IT BEING
CONSIDERED COSMETIC SURGERY?
WOMEN WITH TUMMY TUCKS GET
THAT DONE FREE.
AND WHY CAN'T THIS?

Walter says I DON'T
KNOW.
I THINK YOU SHOULD ASK A
POLITICIAN WHY IT ISN'T,
ISN'T COVERED.
WHY THEY'RE SO EXPENSIVE, I
THINK -- FIRST OF ALL IT
DEPENDS ON THE DOCTOR YOU GO
TO AS TO HOW EXPENSIVE IT
IS.
BUT THERE ARE DIFFERENT
DOCTORS, YOU KNOW, WHO
CHARGE VERY LITTLE, AND
OTHERS WHO CHARGE A LOT.

Maureen says WHAT'S THE
RANGE?

Walter says WELL, I
DON'T KNOW, MAYBE BETWEEN
3,000 DOLLARS AND 12,000 DOLLARS FOR EACH
OPERATION.

Maureen says SO IT'S LIKE --
FOR EACH TIME?

Walter says AND
THERE'S A SERIES OF THEM.

Maureen says RIGHT.

Walter says BUT YOU
KNOW, THERE ARE A LOT OF
PEOPLE INVOLVED IN A
TRANSPLANT.
FOR EXAMPLE IN MY OFFICE I
HAVE 13 NURSES.
THERE'S A LOT OF FOLLOW-UP
FOR IT AS WELL.
YOU NEED A SPECIAL OPERATIVE
SET-UP.
IT'S A VERY TIME CONSUMING
THING.
I SPEND FIVE, SIX HOURS ON
EACH CASE.
SO IT'S, IT'S A VERY
INVOLVED PROCEDURE.
BUT, YOU KNOW, YOU'LL HAVE
TO ASK A POLITICIAN WHY IT
ISN'T COVERED.

Maureen says WOULD YOU AGREE
THAT FOR SOME PEOPLE IT'S
TRAUMATIC AND -- I DON'T
KNOW THAT I AGREE ABOUT THE
TUMMY TUCKS BEING COVERED
FOR EVERYONE.
THERE WOULD PROBABLY HAVE TO
BE A MEDICAL REASON.

Walter says I DON'T
KNOW THAT THEY ARE OR ARE
NOT.
BUT I SUPPOSE IF YOU GET A
PSYCHIATRIST TO SAY YOU, YOU
KNOW, YOU'RE SUFFERING
SEVERELY ENOUGH, MAYBE THEY
WOULD COVER IT.
BUT I DON'T THINK SO.
I THINK THE GOVERNMENT --
ANYBODY COULD ARGUE, I THINK
THAT A HORRIBLE NOSE OR EARS
THAT STICK OUT LIKE MINE,
YOU KNOW, ARE DRIVING THEM
CRAZY AND THEY'RE ENTITLED
TO HAVE IT FIXED.
SO I SUPPOSE THE GOVERNMENT
IS A LITTLE RELUCTANT TO GET
INVOLVED IN COSMETIC ISSUES.

Maureen says OKAY.
ALL RIGHT, I THINK WE'RE
GOING TO HAVE TO LEAVE IT
THERE.
THAT'S ALL THE TIME WE HAVE.
THANK YOU VERY MUCH FOR
COMING, THAT WAS VERY
INTERESTING.

Walter says PLEASURE.

Maureen says DOCTOR WALTER UNGER
IS A DIRECTOR AT THE
UNIVERSITY OF TORONTO'S HAIR
LOSS CLINIC.
THAT'S AT WELLESLEY HOSPITAL
AND HE'S AN ASSISTANT
PROFESSOR OF MEDICINE.
YOU CAN VISIT HIS WEBSITE
FOR MORE INFORMATION AT
www.walterunger.com
AND THAT’S “MORE TO LIFE” FOR TODAY.
I’M MAUEREN TAYLOR AND WE’RE HERE MONDAY
THORUGH FRIDAY 1 TO 2 O’CLOCK.

A slate appears with the caption “The advice given in the preceding program is of general nature only. Viewers should consult their own medical professional for medical advice specific to their circumstances.”

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