Why does hair loss feel so sudden—and so personal?
Is it stress, hormones, diet… or something deeper happening in the body?
And why do so many “miracle” hair products never actually work?
In this episode of A Really Good Cry, Radhi Devlukia is joined by board-certified dermatologist Dr. Noreen Galaria for a grounding, science-forward conversation about hair loss, scalp health, and what your body is really communicating through your hair.
Dr. Galaria breaks down the hair growth cycle using a simple seasonal analogy, explaining why hair loss today often reflects stress from months ago—and why patience is essential when it comes to regrowth. Together, they unpack the two most common causes of hair loss in women: chronic stress and hormonal pattern hair loss, and why each requires a completely different approach.
In this episode, you’ll learn:
- Why hair loss has a 3-month delay—and what that means for healing
- The difference between stress-related shedding and hormonal pattern hair loss
- How cortisol and chronic anxiety affect hair growth
- Why scalp health matters more than most products
- What ingredients actually help (and which ones are overhyped)
- The truth about Minoxidil, biotin, rosemary oil, and onion juice
- How protein intake directly impacts hair density
- Why tight hairstyles can cause permanent hair loss
- What your hair can reveal about your overall health
This episode is a reminder that hair loss isn’t a personal failure. Your body isn’t betraying you, it’s responding.
Follow Dr Noreen:
https://www.instagram.com/galariadermatology
https://www.linkedin.com/in/noreen-galaria
Follow Radhi:
https://www.instagram.com/radhidevlukia/
https://www.youtube.com/channel/UCxWe9A4kMf9V_AHOXkGhCzQ
https://www.facebook.com/radhidevlukia1/
https://www.tiktok.com/@radhidevlukia
See omnystudio.com/listener for privacy information.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
I can tell you without a doubt that there has
been a definite uptick in the amount of hair loss
we're seeing in younger women and people who have this
chronically low level of elevated cortisol. There's two things that
suffer the most, and those are sleep and hair growth.
Speaker 2 (00:14):
Doctor Nori and Galaria is a board certified dermatologist and
the CEO and founder of Inner Glow Vitamins, an award
winning nutraceutical brand. After spending time as an academic dermatologist,
training residents, doing research, and publishing papers, she moved into
private practice thirteen years ago and opened three clinics outside
of the DC area. You Were twenty twenty five is
one of the most viewed and listened to episodes for
(00:34):
such an expert in HECA, and it's the thing that
people ask me about the most, So I feel like
we can really deep dive into all things her during
this conversation, perfect and we're back for round two. The
people have spoken. I'm Raley Wukia and on my podcast
A Really Good Cry, we embrace the messy and the beautiful,
providing a space for raw, unfiltered conversations that celebrate vulnerability
(00:57):
and allow you to tune in to learn, connect and
find comfort together. Lauren, I'm so excited that you've come
back on the show because you were twenty twenty five
is one of the most viewed and listened to episodes,
and we're back for round two.
Speaker 1 (01:11):
The people have spoken thank you so much for having
me back.
Speaker 2 (01:15):
They wanted you back, and I thought, well, at first,
I was thinking, let's do a skincare part too, But
I also realized that you were such an expert in
hairca and it's the thing that people ask me about
the most, So I feel like we can really deep
dive into all things hair during this conversation.
Speaker 1 (01:30):
Perfect, Okay, let's go Okay.
Speaker 2 (01:32):
So when people talk about hair loss and they say
I'm losing my hair, what does that actually mean? And
what is hair loss? How was it described?
Speaker 1 (01:40):
So I think one of the things that makes hair
loss so confusing is that your hair is actually always
growing and it's always shedding. So it's hard for someone
to know like, am I just losing a normal amount
of hair or have I actually moved into hair loss?
And I will say that usually if someone has moved
into hair loss, you have to look at what is
(02:01):
normal for you and So if you're losing like fifty
two one hundred hairs and suddenly you're like, I don't know,
but there is way more on my shower floor and
maybe this is two hundred, Well you're not just doing
normal shedding anymore. And it's kind of like if you
think of like a beautiful house plant that has like
these lush leaves and suddenly you look down one day
(02:21):
and you're like, wow, there's a lot of leaves falling
on the ground. Now, if you ask a gardener, they
will tell you, well, you know, maybe it's the soil,
and maybe the plant is old, or maybe you don't
have enough water, and so the leaves falling are just
a symptom of something else that's going on, and you
really have to get to the bottom of what that
symptom is. And I think hair loss is very similar.
(02:43):
It's you know, when you see hair loss, we have
to kind of look at the whole person and figure
out what really is causing the hair to fall out
and all.
Speaker 2 (02:50):
Is it true that there's different phases of our hair
cycle where you know, there is a specific time of
the month or time of this cycle where we can
spects more shedding, or is that not true.
Speaker 1 (03:02):
No, it's actually totally true. So it doesn't so much
go month by month. But our hair is think of
your scalp to be kind of like a tree, and
you know how in the spring the tree will form
a little bud, and then the summer you get a leaf.
In the autumn the leaf falls and then you've got
this period of dormancy right in the winter. And our
(03:24):
hair is very, very similar. So our hair also goes
through four stages or four seasons if you want to
call it seasons. But unlike a tree where it's all
synchronized and you know, everything falls out in the winter
or in the autumn and everything grows back in the
spring and summer, our hair, every single hair follicle is
(03:45):
going through these four stages at its own pace. Wow.
And that's great because if it wasn't, we would like
be bald in our summer and you know, or have
hair at our summer and then be bald in our winter. Right.
And so if I take a look at you hair
like under a microscope, I will see that at any point,
about ninety percent of your hairs are in the growth
(04:08):
phase and engen, which is like the summer, and about
ten percent are in fall or winter. Now, what that
translates to is for most people, it translates to about
fifty or one hundred hairs a day are falling out
at any given time.
Speaker 2 (04:23):
I can significantly tell when my hair loss has increased
because my hair is just everywhere.
Speaker 1 (04:28):
Yeah, and also because you've got long hair, so it's really.
Speaker 2 (04:30):
Noticeable, right, And what are some of the main causes
that you're noticing for people four hair loss?
Speaker 1 (04:36):
So I think if I'm seeing somebody for hair loss,
I can usually kind of put them into five broad categories.
I think we should probably talk about two of the categories.
And the first two categories I want to talk about
are stress and hormones because they are the cause of
a major part of, you know, the hair loss that
I see every day in my office, and there is
(04:58):
something you can do about them. And so the first
cause of hair loss that we should discuss is stress. Now,
when we're going through a stressor whether it's a physical
stress like maybe we've gone through a surgery or you've
broken a leg, or maybe it's a psychological or emotional
stress like there's been a death in the family or
(05:19):
someone's going through a divorce. What happens is during those
times of stress, your body only has a certain amount
of nutrition and it has to decide where it's going
to send that nutrition. And in the hierarchy of important organs,
your hair will always come in dead last. So if
the body has to choose, it will choose the heart,
(05:40):
the lungs, the kidneys, but it's never going to choose
the hair because if we don't have good hair, we're
still alive. The body does a really good job with this,
and in fact, it's programmed to do this. So if
you are stressed and you release cortisol, which is what
we all do, one of the things that cortisol does
is it actually sends a signal to the hair and says,
(06:03):
stop growing. Oh. And the reason is if you're in
a you know, in a crisis of some sort, like
let's say a surgery, your body is like, gush, I
have this imminent problem that I need to solve, and
I need to take all of my resources and I
need to shunt them all to the problem at hand,
(06:23):
and then I will get back to growing hair when
things are better. And so the body actually makes a really,
really good choice. But what happens is from the time
you have a stressor to the time that the hair
falls out is about three months, right, And so when
the body sends a signal to the hair and says, hey,
times are not good right now, stop growing, I've got
(06:44):
other things to do, to the time you actually see
that hair release and fall out is three months.
Speaker 2 (06:50):
That's so interesting. You said that because I interrupted it. No, No,
because when when I was going through looking off to
my grandma when she's bossing, I was on a physical
stress because I really wasn't sleeping when I was a greta,
but also obviously I was emotionally it was so difficult, right,
But when I got back here, yeah, I was literally
felt like there was hair everywhere, and I was like,
(07:12):
what has happened? Maybe I'm knowing this, maybe I'm lowing.
Speaker 1 (07:14):
Yes, And I was like, no, Actually, now with that
you're saying, I'm like, oh, it's probably the repercussions of this.
Speaker 2 (07:20):
Yeah, I was going through a couple of months ago.
Speaker 1 (07:21):
You actually just hit the nail on the head. Because
one of the reasons hair loss is so confusing is
people don't think to link the two things. So let's
say you have a baby and just when you're feeling like, Okay,
I finally got my life back in order. Three months later,
that's when suddenly you start to lose hair, or you
went through something traumatic, or you had a surgery. You're
(07:42):
not even linking it because right when your body is
finally starting to feel better, that is when you start
to grow your hair. And so I think people often
just don't realize that they have to link the two.
And I guess the one thing I do want to
say about stress related hair loss is that if you
are going through this type of hair loss and you're
listening and you're making this link, I want you to
(08:02):
know that this kind of hair loss generally all grows back, right, Okay,
So when your body is out of that period of stress,
it will get back to growing hair because hair is
something that your body does when things are calm, not
when you are in a super stressed mode. And so
give yourself time if you're going through stress relaid hair loss,
(08:25):
and do the things that help you to get back
to kind of you know, these normal functions. So prioritize
seventy eight hours of sleep, prioritize protein. If you are
someone who likes to take supplements, choose a comprehensive supplement
that has all of the building blocks you need to
grow good hair. And if you do that, you will
notice your hair grow back.
Speaker 2 (08:44):
So from the time that you notice it starting to
fall out, how long should you wait and kind of
let it go on for until you realize it's probably
time to get it checked checked.
Speaker 1 (08:55):
Yeah, So from the time you have your stress to
the time your hair falls out is three months. From
the time your hair falls out to the time you
may start to see and you growth is another three months. Okay,
so it's about six months from your stressor where you're
going to be like, oh yeah, I see all these
like new little baby hairs coming in. That's it feels
(09:15):
like a long time, but that's about six months for
most people.
Speaker 2 (09:18):
Can we so scary for people when they're just seeing
had just falling out falling out, well, especially when you
wash your heart.
Speaker 1 (09:24):
It's terrifying. And the thing about stress related hair loss,
we call it telogion of fluvium. It is gobsbs of
hair loss. And you were like, oh my god, I
mean it's one of the reasons when I was having
my kids that I was like, I got to figure
this out, you know, what I was like studying hair.
But it is very impressive, and I think that's why
(09:44):
it's so so scary, and which is why I really
want to tell people listening, if you know you've been
through a stresser, you know, really hang in there.
Speaker 2 (09:51):
Yeah, and then you say over the second one.
Speaker 1 (09:53):
Second one. So the second one that's worth talking about
is hormones.
Speaker 2 (09:58):
And a lot of.
Speaker 1 (09:58):
People refer to this as past hair loss. So there's
male pattern and then there's female pattern hair loss. And
both men and women actually make testosterone. Men just make
a lot more, and testosterone actually makes a hormone called
DHT or die hydro testosterone. What THHT does is when
(10:19):
it's around your hair follicle, it tells it to start shrinking.
So let's say in your twenties you have like this nice, big,
you know, thick hair. What will happen if DHT is
around and your hair is sensitive? So if you're someone
who can get male or female pattern hair loss, every
time that hair falls out, the next one that replaces
(10:40):
it is just a little bit thinner.
Speaker 2 (10:42):
Interesting, and this is kind of like.
Speaker 1 (10:45):
A movie where you push play, so that in your
twenties you've kind of got this hair that is falling out,
the next one's just a bit thinner. You don't even
notice that it's thinner because it's just a fraction. And slowly.
What happens is to time goes on over decades, that
hair goes from that nice thick hair you used to
have to like that peach fuss that you have on
(11:06):
your cheek, and that process we call it miniaturization.
Speaker 2 (11:10):
And so then will you have feel thinner.
Speaker 1 (11:13):
Well. So unlike stress related hair loss where people are like,
oh my god, I'm losing gobs, like you know, they're
bringing their hair in to show me, you know, patterned
hair loss is very, very sneaky. So what patterned hair
loss people will tell me is, I remember in my twenties,
I used to need like two clock clicks yes and
put my hair up. I used to be able to
make these two thick braids or a thick ponytail, and
(11:35):
now that's smaller. And so with patterned hair loss, it
is a really slow process where sometimes it's been happening
for like a decade before you even notice that, oh
my god, I think my hair is getting a little
bit thinner. And this is like I was saying, like
a movie where you've pushed play, and if you're listening,
(11:56):
you should just know that there are very good ways
for us to press pots, yes and even rewind a
little bit, so we can bring your hair back if
you have pattern hair loss. But if you want to
bring your hair back, the earlier you come in, the
more hair I'm likely to bring back. So once it's
miniaturized to a certain point, I can only basically grow
back maybe fifteen to twenty percent of your hair. So
(12:18):
if you wait till your hair follicles, you know, half
the size or three quarters of the size, well, the
hair I'm going to bring back is not going to
be as great as if you had started a little
bit earlier.
Speaker 2 (12:28):
Okay, So tell me these magical things that you do
to help people bring their head back, Like what are
some of the procedures or the things that people should
be doing at home that can really help to rebuild
that growth.
Speaker 1 (12:40):
Okay, So at home, So there's a lot of things
you can do at home to slow down patterned hair loss.
But then in the office, this is one of those
types of hair loss. If you come in, I'm going
to be able to help you a little bit better.
So at you know, in the office. What we're often
doing is we are doing things that either dampen the
malemone that androgen DHT or maybe they increase the female
(13:04):
hormones in you, which I can get to you know
as we go. But there are actually some kind of
home remedy things that help with this. Certain herbs like
ashwaganda ands help palm meadow, and then there are actual
medicines that help with it.
Speaker 2 (13:16):
I'm going to get into that a little bit later.
How much of a role does scalp health playing this
when you talk about hair loss? Are you noticing a
lot of people coming in because their scalp is inflamed
or irritated? And does that cause a lot of hair
loss or is it mainly the first two that you
see a lot.
Speaker 1 (13:32):
No, So scalp health I think is a really kind
of probably underdiscussed reason for hair loss. So when if this,
imagine the scalp has come like the soil. So if
your scalp is inflamed, whether that's from you know, your
normal flora is off balance, or maybe you're over coloring,
or the products don't suit you, or you're allergic to something,
(13:54):
or maybe you have like an autoimmune condition or psoriasis. Well,
if your scalp is not healthy, you're not going to
grow good hair.
Speaker 2 (14:01):
Okay, Well, let's talk about products a little bit, Okause
I feel like we put so much energy and thought
into shampoos, masks, serum supplements, Like there are just so
many hair products out there. Yes, and within one routine
you could have be recommended ten different things to do
in your weekly hair wash. So what actually impacts hair
(14:22):
growth versus just makes it look a little bit better?
Speaker 1 (14:26):
I think the first thing we should talk about is
that the hair you're seeing on your head today is
hair that your body grew anywhere from three months ago
to five years ago.
Speaker 2 (14:34):
Wow.
Speaker 1 (14:35):
Right, So for the average person, hair is growing about
five years And so when we are talking about topical products,
you know, shampoos, conditioners, serums, for the most part, those
things are helping the hair that we see today, not
the hair that is growing. Oh so what can products do.
They can improve the look of the hair, the feel
of the hair. If you've got frizzy hair or limp hair,
(14:58):
you know, we can improve the text, sure, the decrease breakage.
But if you're looking to grow hair, that work is
happening under the skin. Surface, and what you're doing right
now to grow your hair, you're actually not going to
see on the skin surface for about three months. Right. So,
having said that, though, there are two over the counter
(15:18):
topical products that I think do work to help improve
hair growth.
Speaker 2 (15:22):
Okay.
Speaker 1 (15:23):
The first is a shampoo that helps to control yeast.
So all of us have yeast that lives on our scalp.
It is part of what we call the normal flora. Now,
if you have too much yeast, you're going to have Dandroff.
But regardless of whether or not you have Dandroff, you
are going to have yeast on your scalp. And if
you can keep that yeast in balance, you are going
(15:44):
to grow better hair. Okay, So I recommend to everybody
who's coming into my office, whether or not you have Dandroff,
that you should be using a shampoo that helps to
control yeast. A shampoo that helps to control a yeast
will have one of four active ingredients in it. For
a shampoo that has either ketoconazole, zinc, pyrothione, selenium sulfide,
(16:06):
or apple cider vinegar. Okay. So, and it's not so
much clarifying as it is balancing, Okay. And so if
you are someone who has dandruff, well you should be
using this every time you shampoo. But if you don't
have dandruff, you still should be using it maybe like
once a week, once every other week, just to help
(16:29):
keep your scalp and balance. Okay, Now, the second thing
that really does work over the counter is topical monoxidal
or rogate. So if you are using a topical monoxidole,
that is one of the few things that can actually
soak into the scalp and help your body to improve circulation.
So it will bring more blood to the hair focles,
(16:50):
which also translates to bringing more nutrients to the hair fockle,
and it will keep your hair in its growth phase
the summer part of the hair longer. So, but like
I do, you want to give you a word of
caution here, So if you are choosing a topical monoxidle, one,
do not buy the week percentages, like don't buy two percent.
(17:11):
Five percent is the way to go. And whether you're
a man or you're a woman, you should buy the
men's five percent. And the reason is the men's and
women's products are actually identical, but because they know women
are going to pay more for their hair. They actually
up charge it no way, So there's what we call
a pink tax. Rude, rude, so rude. And you should
(17:33):
also know that what minoxidyl does is it keeps your
hair in the summer phase longer. So if you stop
it abruptly, you're going to go into fall or autumn.
And so people always say, well, I've heard that after
you stop monoxidal you will shed your hair, and it's true.
So if you're if you've been using monoxidil, you've grown
your hair back, and now you want to stop the monoxidil,
(17:55):
don't go cold turkey. So if you've been using it,
let's say seven days a week, drop like three days
a week or two days a week and slowly wean
yourself off of it so you don't get this dramatic shed.
Speaker 2 (18:05):
Oh wow. Okay, And any recommendations of the shampoos that
you suggested with there's ingredients. Do you have any yeah,
specific brands that you've really liked. Yes, there's a brand
that I use right now that I really like. It's
called Remedy. It's made by a friend of mine who's
a dramatologist. The reason I like that.
Speaker 1 (18:21):
One is because it actually has a mix of two
of the active ingredients. So it has ketoconazole and it
has selenium selfide, and so I like that one. The
tried and true one is head and shoulders. Oh, and
then there's something called nysral. If you're somebody who wants
to use apple sider vinegar, or if you're listening to
this and you're thinking, oh my god, I color my hair.
(18:43):
I'm not using any of those shampoos, then know that
actually you can improve the balance in your yeast by
drinking apple side of vinegar. And so what I recommend
to patients, I do recommend it usually with a shampoo,
But if you don't want to do the shampoo, take
a tablespoon of apple side of vinegar, dilute it to
a shot glass of water, and drink it once every morning,
(19:03):
do you. So it actually does help to improve yeast
balance a lot. If you can't stomach the shot, then
you can like do an oil and vinegar dressing. But
what you can't do is you can't cook with it
or use a gummy apple sider vinegar. It doesn't have
the same effect for people who sweat and their sweat
smells a lot, or even like some people have like
(19:24):
just an odor that comes from their hair. Drinking that
apple cider vinegar actually helps to get rid of that
because the flora in your body is what's making that odor.
And so I give this a lot to you know,
women who maybe they work out a lot, they're not
being able to wash their hair as much, or even
young kids who maybe aren't quite ready for deodorant. But
(19:45):
then moms are like, oh my god, doctor Claria, do.
Speaker 2 (19:50):
You think you use apple side of vinegs apple.
Speaker 1 (19:52):
Side of vinegar. It's true if you are using a shampoo.
The one other thing I want to tell you about
the shampoo is make sure you let that shampoo sit
for a couple of minutes.
Speaker 2 (20:01):
So we say that about conditioner.
Speaker 1 (20:04):
Yeah, so wash on wash off isn't on there long
enough to actually make an impact on your flora. So
let us sit for two minutes. Okay.
Speaker 2 (20:11):
And you said if you if people color their hair,
so if people are used to coloring their hair, should
they not be using these?
Speaker 1 (20:18):
Does it strip the well, yeah, so it'll get rid
of your color a little faster. There are colors safe versions.
So most of these shampoos have realized that people are
avoiding them, and so they have made color safe versions
that you can find and.
Speaker 2 (20:31):
All those products, like all the serums that you see,
there are obviously all these brands that say visibly thicker hair.
So they'll put the serum on your hair. And it's
obviously not the minot whatnxident axident it's not that, But
there's all these brands of serums. Yes, you put it
on your scalp and every single day and it says
visibly thicker hair. What is that doing?
Speaker 1 (20:50):
Okay, so visibly thicker is actually a cosmetic claim, and
so think of it like you know, when you go
and buy mascara and it says visibly thicker lashes, us
one use right, I mean none of us are thinking
that our lashes are actually getting thicker, right, it's because
we know that it's actually just meant to kind of,
you know, temporarily thicken up our lash. And most of
(21:12):
these hair serums are making a cosmetic claim. If they
are telling you it's going to thicken your hair, well
that should take about three months.
Speaker 2 (21:20):
Oh okay, so we need to be careful with that one.
Speaker 1 (21:23):
Yeah, So if you're looking just to thicken it up
temporarily yes, use them, but don't think that they're growing hair.
Speaker 2 (21:28):
Okay, good to know. God, so many products out there
that make claims.
Speaker 1 (21:32):
That you just yes, I mean it's the same with.
Speaker 2 (21:34):
Skin, right, it really is.
Speaker 1 (21:35):
Yeah. So what do you think is the main reason?
Speaker 2 (21:37):
Because in my friend's ucle, whether it's people who are
in their twenties or whether it's people in their thirties,
there seems to be a lot of hair loss going on.
I don't know whether that's something that is just in
our generation and whether that's that you've seen over the
years that that just seems to be a problem for
women full stop. But these days I feel like there's
just more and more and happening from a younger age.
Speaker 1 (21:57):
You're absolutely right. So I have been treating hair loss
for gosh, twenty five years, and I can tell you
without a doubt that there has been a definite uptick
in the amount of hair loss we're seeing in younger women. Now.
I think to understand this, we have to kind of
go back to that stress related hair loss for a second.
(22:18):
So we know that if we're stressed, our body will
release cortisol, and cortisol will send a signal to our
hair to say hey, stop growing now. In the olden days,
and I'm talking really old like evolution, So in the
olden days, usually our stressors were physical, right, So if
(22:39):
a bear was chasing you, your body would peak its
cortisol super high, and then when things were back to normal,
it would you know, say, okay, the cortisol can now finish.
You know, the cortisol is now done being made. Let's
get back to our regularly scheduled programming. But in today's society,
I think what's happening is our stresses can be physical,
(23:00):
but in many cases they're psychological. It's work, it's deadlines,
it's you know, kind of chronically being online. And so
what happens is there's no clear on off switch anymore.
So it's not like we have a peak and then
we go back to normal. It's more that we kind
of are oscillating at this low chronic stress level, and
(23:21):
so your body is constantly releasing a little cortisol, not
a super high amount, but just enough that normal body
functions are going to suffer. And so we know in
people who have this chronically low level of elevated cortisol,
there's two things that suffer the most, and those are
sleep and hair growth, and so I think this has
(23:41):
a lot to do with why younger people are now
losing hair. It's kind of this chronic stress response that.
Speaker 2 (23:46):
We have, the underlying anxiety. Yes, just feel like that
there's an unsettled feeling, and every time you're feeling that
for a long period.
Speaker 1 (23:53):
Of long period of time, your cortisol is, you know,
being released.
Speaker 2 (23:57):
Have you got any tips for people who are noticing
that they're hearing this and then like, God, my cortsal
sounds like it's it's off the charts. Is there anything
that they should be eating? Number one, you.
Speaker 1 (24:07):
Should probably be prioritizing your protein if that's the case.
But also I think, you know, just on a day
to day basis, it is important to bring your stress
down whenever possible, right, And that looks different for everybody.
So for some people that might be meditation. For some people,
it might be going for a walk or working out.
(24:28):
For some people it might be reading a book. But
I would say, if you are someone who is just
living a really stressful life, try to find something that
you can do every day that just allows your body
to be able to kind of feel this relief where
it doesn't need to be releasing cortisol.
Speaker 2 (24:45):
And sometimes I think it's in the little things that
you notice it, because I think if you've lived it
for such a long time, like if you've been in
a high stress day for a really long time, you
don't sometimes even notice that that it's not normal. And
the way that I catch myself is when I realize
I'm not taking breaths in the day and I'm like, oh, gosh,
I'm stressed out. I need to take some breaths, Or
if I'm sitting at the table and I'm eating really
really fast and I'm like, where are you going?
Speaker 1 (25:08):
What are you eating this for? Right?
Speaker 2 (25:10):
And so I think it's if you if you may
not have lab results that show that your quartercill is
high now and you know what you will have are
your daily habits, yes, and how you're speaking, how you're eating,
how you're moving through the day, how many thoughts are
running through your head, how you're waking up. I remember when,
for a long period of time, especially during my grandma's
(25:30):
stuff that was happening, or whenever I've been in stressful states,
I was waking up with anxiety. I was waking up
not in a oh this time to wake up in
like oh my gosh, or I'd wake up and straight
away there's all those thoughts going through my head. And
so I think it's if you create that normality, whether
it's with work or personal life, you'll think that that's
a normal stake to be in, but just know that
(25:52):
it's it's not. And so then there will be areas
that you have to look at in your life to think, Okay,
this is what's probably spiking my cortsal or keeping my
corsola adult.
Speaker 1 (26:01):
Yes, yes, absolutely, and I will say I had the
same experience when my dad passed away. I think that
I forgot what it was like to just be calm
for a little bit. And if you're going through that,
you can fake it a little bit with deep breathing.
It's so true, it's so true. It is the trick
behind everything. Yes, and we do forget to breathe, you know,
(26:25):
And so if you are, just take if you're busy,
take thirty seconds even once or twice a day. And
I often do it right when I'm lying down or
if I have a few minutes right before I wake up,
Just take a few deep abdominal breaths right, and you
will fake your body into thinking that things are actually
okay at this moment.
Speaker 2 (26:46):
That you're safe. Yeah, that your body is safe, your
mind's safe.
Speaker 1 (26:48):
Yes, I know. I feel like everyone's like, oh yeah, breathwork, breathwork.
But I'm like, it doesn't have to be breathwork now.
It has to be is a few breaths.
Speaker 2 (26:54):
You don't have to think of it as a practice
you need to put into your life. It's something that
you do naturally. Yes, to do a little bit better,
a little bit deeper, right, and you know, and habit
stack it right.
Speaker 1 (27:04):
So I think if you're like, I don't have time
for one more thing, I'm so stressed because I have
so much on my plate, well, then you know, just
do your deep breathing after you wash your face, before
you lie down for bed. Just attach it to something
you're doing. Like I have a friend and I always
tell her because she's like, I have no time of
the day, and I tell her, Okay, listen, when you're
making your coffee in the morning, that's when you're going
(27:25):
to do your deep breathing. So find of time when
you can just take a few deep breaths. It does
make a big difference.
Speaker 2 (27:30):
To your cortisos when you get into beds.
Speaker 1 (27:33):
Yes, that is the best time. But it's such a
nice yess to do it.
Speaker 2 (27:35):
Yeah, let's talk about all these products that we use
on oscops. So for example, there's micro needling tools, there
are the scalp massages. There's so many things out there. Yes,
what do you recommend people buy or have in the
house that is a useful tool to have every day.
Speaker 1 (27:51):
I'm going to just say here that I fully recognize
that for men and women both here is our crowning glory, right.
And so usually by the time I'm seeing somebody and
they've waited a few months to see me, those people
have thrown the kitchen sink at their hair loss, right,
and so they are on a million products. And usually
(28:12):
by the time the hair starts growing back in three months,
you kind of don't know what worked because you've been
doing all kinds of stuff. And so if I say
something and you're like, but it worked for me, you know,
hopefully it did work for you. But also remember that
maybe you had the type of hair loss that was
going to grow back anyways, because you're at the three
month mark. And so sometimes what happens is people associate
(28:36):
like the last thing they were doing with growing hair,
when in fact maybe that wasn't the actual cause. And
I think that's why there's so much out there for hair,
because we sometimes kind of forget or don't even realize
what worked. So all of these at home tools, scalp rollers,
at home micro needling, scalp massagers, what they are doing
(28:56):
is they are improving the blood flow the scalp. So
any of these tools, or you don't even need the tool,
you can just massage, will actually improve the blood flow
to your scalp, will reduce scalp tension, and it will
help you to grow hair. Okay, but I wouldn't say
you need a special tool. If you like the tool,
buy it.
Speaker 2 (29:13):
But otherwise things, Yes, what about hair oiling? So I've
noticed that when people start losing their head, they're like, oil,
should I be using all my hair? And should I
be oiling my hair? And sometimes it can be a
good thing, but also I think sometimes it can maybe
not be so helpful. So well on that, and this
goes back to not one size fits all right for
(29:35):
many people.
Speaker 1 (29:35):
If you're oiling your hair, it's actually the massage that
we just talked about. That's what's actually doing. It's that
taking that time to do a ritual where you're calming
yourself down, you're actually massaging and improving not just circulation,
but you know, especially if you're working on your temples
or your occiput, which is like the back of the neck,
you're actually decreasing scalp tension. So I think that oiling
(29:56):
is especially good for people who have really dry hair
or dry scalp, or maybe they're perimenopozzle. But for many people,
the oiling is more ritual that is improving circulation.
Speaker 2 (30:07):
Okay, So it's how would they know whether it's working
for them or is it just gonna have to be
trial and error?
Speaker 1 (30:13):
Sometimes it's trial and error. But as a rule of thumb,
if you're somebody who has dandruff hair, oiling is not
for you, okay. And the reason is is that, especially
if you're South Asian, often people are using coconut oil
for their massage, and cocon and oil is known to
grow the yeast on your scalp. So if you don't
(30:34):
have an overgrowth of yeast, you don't have a ton
of dandroff, you're probably okay. But if you have dandruff.
Oiling your scalp with cocon and oil will actually make
it worse. So then in that case, maybe you are just.
Speaker 2 (30:45):
Doing a massage and does cutting your hair regularly like
when people say, oh, I feel like i'man losing cameras,
but maybe you just need a little trim, yeah, to
help your hair grow? Is that true for cosmetic reasons?
Speaker 1 (30:57):
It's true. Okay, So if you cut your hair, you're
going to get rid of split, split ends, You're going
to decrease breakage. But what you're not going to do
is put it into a growth pace. So I do
think it's helpful, but not for a group.
Speaker 2 (31:11):
It makes it's almost like a visibly thicker.
Speaker 1 (31:13):
It's a cosmetic thing.
Speaker 2 (31:14):
Yeah, exactly thicker, but it doesn't exactly increase the growth.
Speaker 1 (31:18):
That's correct. Yeah, let's get into.
Speaker 2 (31:19):
Supplements, because you are supplement queen, and I've been taking
you in a glow for what I mean, since I've
known you years. Yeah, the gummies, the vitamins are just
so good, and we need to talk about that, like
what are the ingredients in that? And then tell me
some foods that people should be eating every single day
for her growth.
Speaker 1 (31:38):
I think, Yeah, I love the gummies them, I faith
thank you. So I think when it comes to hair,
one of the mistakes that people make is there's no
magic bullet, right, So if you're taking a supplement and
it's just like one ingredient like biot in, that is
not going to grow you your best hair because that
because you need all of the building blocks good hair.
(32:00):
So taking only biotin for hair growth is like me
giving you drywall and saying can you please go build
a house?
Speaker 2 (32:06):
Okay?
Speaker 1 (32:07):
And so what happens is if you're really looking for
a good complete hair supplement, it should have multiple things
in it, and you know usually those are twenty one
ingredients that we need to grow hair. So you should
have a You should choose a supplement that has all
the vitamins and minerals. Ideally, it should have herbs that
help to control stress, that help to control hormones, things
(32:30):
like ashwagandha, saw palmetto, turmeric, maringa leaf. Ideally you'd have
a little zinc and selenium, which we know helped to
balance the flora, and maybe a little bit of collagen.
Even before we created an inner glow, I had already
been seeing hair lost patients for like fifteen years. And
what was happening is I was seeing patients come in
and they were either megadosing or an ingredients like let's
(32:54):
say biotin, and they were actually getting liver damage because
you know, your body day after day can't clear so
much of an ingredient. Or what was happening was I was,
you know, looking at them, and I was saying to them, Okay,
you need to buy these five bottles, Like you didn't
get two of this thing. You're gonna take half of
this thing. And I was like making my own concoctions.
And that's when I realized. I was like, oh gosh,
(33:16):
there is no supplement on the market today that has
all twenty one ingredients that is effective and also that
is safe. Because as a physician, you know, safety is
really important to me. And so I think, you know,
one of the things that I love about Interglow now
that it's been out for so long, is one our
studies and we do a lot of research. So the
(33:37):
studies show that over ninety three percent of people are
going to improve their hair wow. And maybe even more importantly,
we did a five year study of over five hundred patients.
It was a big study, and what it showed was
zero patients had liver damage or even liver elevation of enzymes. Nothing,
(33:58):
And so I think one of the keys to that.
The reason is is that we use very physiologic doses
because your body has trouble if you give it too
much of any one ingredient. Like if you're let's say
you're sick and you give yourself a mega dose of
vitamin C, no problem, You're gonna maybe take that for
five days, right, But if day after day, year after year,
(34:20):
you are mega dosing certain ingredients, your body just can't
clear them after a while. And so I do think
it's important for people to choose a supplement that is
not putting in too much of anything because that can
be dangerous.
Speaker 2 (34:33):
And you have one for skin and for hair. It's
all in one, reson't it.
Speaker 1 (34:37):
So we have one that's predominantly for hair, So this
is the hair one, and then there's age defense, which
is more for age, and that's the one you and
I take very regularly. And then the gummies are like
an internal sunscreen, so they are meant for sun protection
and anybody can take those actually ages two and up.
So if you've got a kid and you're like, gosh,
this kid is always in the sun. Like I have
(34:59):
kids who run across country and I will tell them, hey,
before you go run or before you go swimming, take
two gummies. And so it's an herb. So it's you know,
it's all natural. And the nice thing is is that
it is a proof for kids. And is there does
diect hair role in this?
Speaker 2 (35:14):
So are there specific foods that there's been research on
to show it helps with the quality of your hair
or your hair growth or is it more the vitamins
and minerals in the foods.
Speaker 1 (35:25):
So, because the body sees hair as kind of an
unimportant organ, what happens is even if you're eating well,
what is going to happen is your body will prioritize
giving that to certain body organs and then eventually it'll
give it to hair. So even if you said, okay,
I know that for example, you know, eating high protein
(35:47):
is important, the body will still first use that protein
to you know, and give it to let's of your heart,
and then when there's enough around, it'll give it to
the hair. So that's why I think, you know, a
physiologic supplement is important because because you have a mega
dose doesn't mean your body knows how to use it.
And so food wise, it's a little different from the skin.
So with the skin, I can give you a ton
(36:08):
of foods that make a big difference with the body.
Actually stress relief, proper sleep, high protein is actually what
makes a difference with the hair.
Speaker 2 (36:17):
That's so good to know. Yeah, I would love to
touch on post when my friends give birth, yes, and
it's like, oh, I'm just losing so much hair and
I just don't know what to do. What is it
about pregnancy that does that to women where they just
start shedding their hair after Is it the traumatic event
or is it something else?
Speaker 1 (36:36):
So there's actually two things, and so one thing is
that and this happens with birth control too. So with
birth control, when you were taking birth control, your estrogen
is super consistent and it's at a pretty high level.
And so what happens is, let's say you stop birth
control or you have a baby, your estrogen will suddenly drop.
(36:57):
And we know that estrogen keeps your hair in its
summer phase, so it's growth face. So what happens when
you stop it is all of a sudden, a lot
more hair goes into the phase where it's being lost
or it's being shed. Now in addition to that with
a baby, Yeah, it's a traumatic thing. And so I mean,
(37:19):
in addition to losing all that hormone, all of a sudden,
your body has just been through a lot. I mean
it has created another human being, right, And so three
months after that, that was about the most major stress
that most of them will go through, you know, at
a younger age. And so three months after that you
will experience stress related hair loss. But then three months
(37:41):
after that you will start to grow it back. And
that's when I always say, you know, prioritize the things
that can help you grow your hair, and even if
you did nothing, you will start to grow hair back.
Speaker 2 (37:53):
Is there a time where you recommend people definitely go
to see a dermatologist or do you think that most
people are able to handle it at home and you know,
use these products wisely to create a better situation for themselves.
Speaker 1 (38:06):
So I think it depends on what category your hair
loss falls into, right, So if you're falling into the
stress related category, I think you can handle it at home, right.
If you're falling into pattern hair loss, you may need
some help yeah. Right, and then if you're falling into
some of those other categories where maybe you have an
autoimmune condition or thyroid or you know, a scalp condition,
(38:27):
you have psoriasis, well, then I think your hair will
be best served by seeing somebody. Yeah, and that's a
dermatologist that they should. Yeah, ideally you're looking for a dermatologist.
And if you can find someone who loves to do
hair like me, like a hair loss expert, it's even better. Right.
Speaker 2 (38:40):
What are three things that if someone's starting out and
they've got all this stuff in their cupboards and they're like,
I don't know where to begin. Three It could be lifestyle,
it could be products. Three things that they should just
start with and continue for at least the three months.
Speaker 1 (38:54):
The number one thing that you can do at home
is control your yeast. Okay, so balance your flora, whether
that's you know, with apple cider vinegar, with a shampoo,
take that out of the equation. That plays a really
big role. And there are a lot of studies that
show that controlling your yeast slows your hair loss. The
second thing is I think massage is really helpful, and
(39:17):
so you know a couple of minutes five to ten
minutes of massage, maybe I know, two or three times
a week. And if you're using an oil, maybe choose
jjoba or almond oil and put a few drops of
rosemary oil in it, because we know that that actually
boosts your circulation. So that is another easy thing that
you can do at home. The third thing is increase
(39:38):
your protein, because when there's enough protein your body will
then it definitely have enough to grow hair. And if
you're someone who likes to take supplements, you want to
add a supplement at this point that gives you all
of the building blocks that you need to grow hair,
and then be patient. Yeah that's the hot Yes, twelve weeks.
Twelve weeks.
Speaker 2 (39:58):
Yeah, it's going to feel long, but it will make
such a difference. I think the problem is when you
try it, like you said, all these different things first week,
second week, third week. By the third week, you're using
like three different supplements, four different hair Yes, you're like,
I don't.
Speaker 1 (40:13):
Know, nothing is working, And I guess I should say
to people if you're wondering and you're like, I cannot
wait for twelve weeks. So at eight weeks, so month two,
what you should start to notice is if you're doing
everything right. You might not be growing hair, but you
will be starting to lose less hair. Yes, okay, so
at eight weeks at least it's a month earlier, and
you can say, okay, I can see that there's definitely
(40:35):
less in the shower. Something is happening even though I'm
not growing new hair. Or One of the things that
my patients tell me is when they, you know, start
to prioritize diet and stress relief and they take the
vitamin at about three weeks, they notice their nails are stronger,
and so that's another tip that things are working.
Speaker 2 (40:52):
You're so good. When you came on last time, we
were talking about different skincare products and how sometimes the
most expensive ones are definitely not batter Would you say
the same works for hair products too, it's the drugs ones.
Speaker 1 (41:06):
Yes, I mean, in fact, I just told you shampoo's
like head and shoulders work well and so yes, So
I think that you know, if you remember that the
hair that you have was grown at least three months ago,
right then we know that the products are only going
to improve the look and feel. So if you love
a product because of the way it smells or the
(41:26):
way it makes your hair feel use it, But the
expense of the product does not equal the effectiveness of
the product.
Speaker 2 (41:33):
Okay, you know, I know you mentioned that the products
helped to enhance the quality of the hair. You already
have walk me through the ideal hair care routine on
a weekly basis that someone should do. Maybe if they're
not even they don't have hair loss necessarily, Okay, they're
trying to maintain good, healthy, luscious hair. What are we
doing in the shower and after?
Speaker 1 (41:52):
And I should also tell you what we're not doing?
Ok Yeah, And so one of the things that I
think is really really popular right now is exfoliating. Yes, right,
there are all these hair scrubs and you know the
hair exfoliants, and your hair is not like a kitchen
counter where it needs to be scrubbed clean. It's think
(42:14):
of it more like grass on a lawn, where if
you scrub that, you're going to destroy the normal flora.
You're going to disrupt your barrier and so be a
little cautious about what you're putting on your scalp. Now,
I think for most people, and this varies widely depending
on how much you know oil your hair makes. So
so for someone African American, they might be washing their
(42:35):
hair once a week or even less. For someone who
makes a lot of oil, they might need to wash
their hair daily. And definitely when you're going through puberty,
you need to wash your hair a lot more. There's
just a lot more oil. But in general, what you
want to do is you want to choose your shampoo
and have it be something that is balancing your yeast.
(42:55):
And you know, I have three college age kids and
so girls, three called girls, and so when I talk
about shampooing to them, one thing that I realize is
a lot of people don't know how to shampoo their hair.
So a lot of girls are kind of shampooing their
hair like this, like the way they've seen it on commercials, right,
They're actually never getting to their scalp. It's like this,
(43:16):
you know, air shampoo where you're only hitting your hair,
and shampoo is not meant for your hair. It's actually
meant for your scalp. And the reason is the scalp
is where all the oil, the sweat, you know, all
of the flora lives. And so when do you shampoo
your hair, I want you to get your fingers in there,
and I want you to actually wash your scalp, and
(43:38):
then if you're using a shampoo that is going to
fight yeast, I want you to let that sit for
two minutes. Ideally your shampoo routine should be get in there,
scrub your scalp, let it sit for two minutes, and
then rinse it off and don't rinse so and you know,
be careful if you're using something that's really hydrating. You
don't want to rinse your shampoo and your conditioner off
(43:59):
onto your back because then I end up seeing a
lot of backne because let's say you wash your hair
and then you condition. Now, conditioner is not really meant
for your scalp, it's meant for your ends, and so
I want people to kind of be conditioning maybe to
the side a little bit, and wash that off to
the side after you know you've left it on for
(44:20):
a few minutes. Because if you take all those heavy
moisturizing ingredients and rinse them towards the back or rinse
them onto your face, well, guess what, then you're going
to be coming in to see me for acne. And
so I think hair washing the way you do it
is important, and how often you do it is based
on your own oil production. Okay, whether or not your
hair is frizzy or you know, curly, will kind of
(44:41):
determine if you do a hair mask once a week,
if you massage and do an oil once a week.
And I do think trims are helpful because when a
hair is split, it does break more. But I don't
think you need one more than every like three months
to be like a Leavin conditioner, or I do, I
think for the right person. So, because we're talking in generalities,
(45:03):
I think if your hair is dry for zy curly,
you're gonna lovel even condition and so if your hair
is super oily, no, you're gonna hate it. Okay, I
washed my hair upside down, yeah, because what I've heard
is better for my curls anyway, So you're upside down, yes, But.
Speaker 2 (45:19):
Now I know why I don't have bacne because I
washed my hair upside down so it doesn't even touch
my bag.
Speaker 1 (45:26):
Right, And so yeah, curly hair girls tend to wash
upside down, and so yeah, I definitely back me is
less of more problem.
Speaker 2 (45:33):
It also gets I'm able to get into my scalp
a lot more. Yes, by having an upside down you
definitely get a neck ache. But it makes your back
stronger and you don't get that me. So I think
it's a win.
Speaker 1 (45:42):
It's a win. It's a win.
Speaker 2 (45:44):
Okay. I have some truth or myths I wanted to
ask you. Okay, you can elaborate if you want to.
We could just say true or false. Do hair gummies
actually work?
Speaker 1 (45:56):
Okay?
Speaker 2 (45:57):
My hair gummies work?
Speaker 1 (45:58):
Yeah, Well gummies or sunscreen, so we'll talk about those.
But okay, So the problem with gummies is really that
there's only so much active ingredient that you can pack
into a gummy. So by the time you account for
the gelling agent and the sweetener and the flavor, there's
(46:19):
very little room left in there. So if you maybe
have a single vitamin deficiency, like maybe you're vitamin D deficient,
well there's probably enough a room and a gummy to
put in enough vitamin D to be able to get
the vitamin D you need every day. Okay, But if
you're looking for a comprehensive vitamin, like you're trying to
(46:39):
get all twenty one ingredients you need for hair growth,
well they're not going to fit in a gummy, and
then you're going to need to take capsules and the
same goes for ours. So in Innerglow, we have a
gummy and if you want the fern that works like
an internal sunscreen, well, I can pack that fern into
a gummy, and you can take the gummy and get
just the internal sunscreen. But I, like you and I,
(47:00):
we're looking for not just the internal sunscreen portion, but
we also want all of the other antioxidants that are
going to help us to age better. For our skin. Well,
then we're going to end up with something like age defense,
which is a capsule, because I again can't pack all
of those ingredients into just a gummy. So it's not
so much that I'm anti gummy, it's more than I'm
(47:22):
pro appropriate dosing. So if you can get the dose
into a gummy, which is usually a single ingredient, great,
But if you're looking for a lot of things, don't
look for it in a gummy.
Speaker 2 (47:31):
Okay, just dyeing your hair.
Speaker 1 (47:35):
Loss, no, So let's see, I want to elaborate for
a second. So if you are dyeing your hair, as
long as you don't have an allergy to your hair dye,
then if you overde you might contribute to breakage or dryness.
But as long as you're only coloring every six to
(47:55):
eight weeks, you're not going to create hair loss. Said that, though,
there is one little like tip I want to give people,
especially if you're salv Asian. Yeah, okay, So I am
seeing a ton of women come in now who have
allergies to hair dyes.
Speaker 2 (48:14):
Yea.
Speaker 1 (48:15):
And the reason that that's happening is because we now
tend to use a lot of temporary tattoos that are
you know, Hannah, but we're using more and more the
kind of that quick tattoo that has hair color in it.
So you know, like in the olden days, if you
(48:36):
ever put henna on your hand, it would take hours
for that color to soak it in, and the color
was like this beautiful orange. But now you can get
these cones that within minutes the color comes out. Well,
the reason that color is coming out in minutes is
because it's not just mend your Hannah anymore. It's got
hair dyeing. Oh my god, no way. And what happens
(48:57):
is if you start to expose people to hair dye
from a young age, they are more likely to be
allergic to it later on in life. So you know,
for us, every wedding every the volley, every eve. We
are doing mainly on our hands or temporary, you know, Hannah.
And so a lot of people are now coming in
and they actually have analogy to hair dye, and so
(49:18):
be cautious. If you can do it, please use just
the you know, the old fashioned hair Okay, well I
didn't know that, yeah, Hannah, Yeah.
Speaker 2 (49:27):
So interesting hair extensions? Does that cause hair loss?
Speaker 1 (49:31):
It causes more breakage than hair loss because of the
way they're tied.
Speaker 2 (49:34):
Okay, washing your hair too often causes hair loss.
Speaker 1 (49:38):
False. You're usually seeing the hair that was going to
be released anyways fall out. But what you're not seeing
is you know, real like hair loss.
Speaker 2 (49:49):
Okay. Biot In is all you need for healthy hair.
Speaker 1 (49:53):
Okay, this is so dangerously fond. I want to just
give people a PSA here. So if if you are
taking megados as a biotin and you come to see
me for hair loss, I am going to check some laps,
and I'm probably going to check your thyroid, your vitamin
D maybe your hormone levels, and if you're on high
dose biotin, every single one of those blood tests will
(50:15):
be inaccurate and so I will miss the real cause
of your hair loss. And so not only does it
not work, hair loss experts will tell you we've never
really seen a case of biotin deficiency in America, but
it can actually mask the real costs. And so if
you are on biotin, at least stop it for two
weeks before going to get your blood test.
Speaker 2 (50:35):
Tight hairs dolls can permanently damage. You know, there's a
slickback that's really trending.
Speaker 1 (50:39):
Yes, yes, okay, so it can actually cost permanent hair loss.
So if you remember in the early two thousands when
all those icons like j Lo Beyonce, I'll had those
like ultra tight you know, slick back cointails, and that's
exactly what's coming back. People who did those hairstyles for
months and months and months now come in with not
(51:00):
just hair loss, but permanent hair loss. So I often
see hair loss at the temples and I can't bring
it back.
Speaker 2 (51:07):
I can vouch for that. Yeah, because I went through
a face. My head's quite heavy. And so whether it's
with workouts, especially workouts when I go yeah and I
have a ponytail, all I feel unless I do it
right up here, like do a bun up here, or
I have it right below. If I have something here,
it is pulling everything. Yes, yeah, and I can feel
it now. I don't do it because I started noticing. Yeah,
(51:29):
when I was pushing my hair back that I was
losing my hairline was moving backwards.
Speaker 1 (51:34):
Yeah, and that chronic tension over time does cause permanent
hair loss. So you probably stopped early enough that it
came back, but if you keep on doing it, it's permanent. Yeah.
Speaker 2 (51:43):
Okay, so listen, the slick back bun is cute, but
is it really worth that's not worth it?
Speaker 1 (51:48):
Yeah, do a cute.
Speaker 2 (51:50):
Little bun loose bun. Let's bring that back.
Speaker 1 (51:53):
Yeah exactly.
Speaker 2 (51:54):
Silk pillowcases actually matter.
Speaker 1 (51:57):
Maybe, so I like silk and I use it myself,
but it tends to be better for people who have
curly hair to decrease frizziness and to kind of decrease
that friction. It's not actually growing here.
Speaker 2 (52:09):
Oh okay, good to know cutting your hair makes it
grow faster. Now false, and rosemary oil works like monoxidil.
Speaker 1 (52:17):
There's a whole rosemary Yes.
Speaker 2 (52:19):
Pray is going on on TikTok, rosemary water, rosemary oil.
Speaker 1 (52:22):
Yes, they're so false. So the rosemary was tested against
a really weak percentage of monoxidil, and that study hasn't
been repeated, like been able to be rerepeated. So I
think that there's something called carnosic acid in rosemary oil.
It does improve circulation. Okay, so use a few drops,
but don't think it's going to do monoxidal work.
Speaker 2 (52:40):
This isn't on my thing, but I just thought of it.
So if someone naturally is born with a thinner hair pattern, yes,
let's say like my hair, I was born with quite
thick hair, even I feel like the heair, the diameter, Yes,
feel a little bit thicker. My hair doesn't get oily
very fast, like I definitely have more of like a
thicker text. My hair is your hair patent, just your
(53:01):
hair patent, And so can someone with thin hair create
a thicker full of hair patent or is that just
you can't really transfer into those A.
Speaker 1 (53:10):
Lot of that is genetics. So yeah, so you're going
to you know, you can maybe make some slight improvements
a couple of percentage, but no, you're not like somebody
with very fine hair will never have your hair.
Speaker 2 (53:21):
Is it anything that you would tell anybody in their
thirties or their forties if they haven't got any hair loss,
but they want prevention. Is there anything else that you
feel like you wanted to tell them or warn them about?
Speaker 1 (53:32):
Okay, don't OVEREXFOLI eight, Yeah, okay, remember your scalp health.
What else do I tell them? Collagen, which a lot
of people are taking for hair. If you think collagron
is working for your hair, you probably were just not
getting enough protein in. And so for most people, it's
not that they needed collagen, it's that they just needed
more protein. And I see a ton of people in
(53:53):
the office asking me about collagen, and so I think
I would want to tell people in their thirties who
were all on collagen, you probably need more protein, not
more collagen.
Speaker 2 (54:01):
My friend, every time she wasn't having enough protein, eybraw
hair would fall out. Yes, And so she noticed such
a significant correlation between increasing her protein and her eyebrow
hair staying on her face.
Speaker 1 (54:14):
Yes.
Speaker 2 (54:15):
And so that was such a visual example of yeah,
how important protein actually is, right growth?
Speaker 1 (54:21):
Yeah, No, it's true. PRP it works, okay, but more
for pattern hair loss.
Speaker 2 (54:27):
Oh okay, fine, and keroten treatments to strengthen.
Speaker 1 (54:31):
Hair also work. So but what they're doing is they're
working on your strand that you have. And so if
you're going to choose keratin, don't choose a shampoo. Choose
a leading product because a shampoo isn't on long enough.
And then also I think that it's important to choose
something that says it's hydrolyzed and low molecular weight because
(54:51):
that will soak into your hair better. And don't overuse it.
So use it for like a week and then give
it a break.
Speaker 2 (54:57):
Costoral people putting costal on the eyelashes, on the eye brows.
Speaker 1 (55:01):
So think of castor oil on your hair, kind of
like lip gloss on your lips. So it gives you
kind of this glossy slight, you know, kind of shiny look,
but probably not growing hair really well.
Speaker 2 (55:11):
It feels too thick to absorbing, very haftic, it's very
heavy anything. Yeah, onion juice. Have you seen that?
Speaker 1 (55:18):
Oh my god? This was the bane of my existence.
In twenty twenty five, and so, there was this small
study on an autoimmune kind of hair loss called alopicheriata
where it seemed like if you irritated the scalp enough
with onion juice, you could maybe grow some hair back.
But for most people who do not have that condition,
it's just irritating your scalp.
Speaker 2 (55:40):
You had people coming into your clinic and they will
just smell You're like, you need some appleside.
Speaker 1 (55:45):
It was like the ondion juice is not done it.
Speaker 2 (55:47):
Yeah, and you said collagen for your hair.
Speaker 1 (55:51):
Yeah, protein for your hair is what that translates to.
Speaker 2 (55:54):
Can gray hair actually be reversed?
Speaker 1 (55:57):
That is mostly to do with biology. So unless you
have a specific nutritional deficiency, like, for example, if somebody's
deficient copper, I can bring their hair color back with
a little bit of copper. And that's why we include
that in our supplement. Actually, but for most people, no, no, yeah,
it's part of life. It's part of life.
Speaker 2 (56:15):
Yeah, part of you.
Speaker 1 (56:16):
It's a beautiful part of aging. Yes, thank you so much,
thank you for having me back. I really appreciate it.
Speaker 2 (56:21):
No, I really really love this conversation. Thanks again, Thank
you so much. Happy to have you here. And I
can't wait. We need to do a skincare part two
for sure.
Speaker 1 (56:29):
Thank you so much.
I can tell you without a doubt that there has
been a definite uptick in the amount of hair loss
we're seeing in younger women and people who have this
chronically low level of elevated cortisol. There's two things that
suffer the most, and those are sleep and hair growth.
Speaker 2 (00:14):
Doctor Nori and Galaria is a board certified dermatologist and
the CEO and founder of Inner Glow Vitamins, an award
winning nutraceutical brand. After spending time as an academic dermatologist,
training residents, doing research, and publishing papers, she moved into
private practice thirteen years ago and opened three clinics outside
of the DC area. You Were twenty twenty five is
one of the most viewed and listened to episodes for
(00:34):
such an expert in HECA, and it's the thing that
people ask me about the most, So I feel like
we can really deep dive into all things her during
this conversation, perfect and we're back for round two. The
people have spoken. I'm Raley Wukia and on my podcast
A Really Good Cry, we embrace the messy and the beautiful,
providing a space for raw, unfiltered conversations that celebrate vulnerability
(00:57):
and allow you to tune in to learn, connect and
find comfort together. Lauren, I'm so excited that you've come
back on the show because you were twenty twenty five
is one of the most viewed and listened to episodes,
and we're back for round two.
Speaker 1 (01:11):
The people have spoken thank you so much for having
me back.
Speaker 2 (01:15):
They wanted you back, and I thought, well, at first,
I was thinking, let's do a skincare part too, But
I also realized that you were such an expert in
hairca and it's the thing that people ask me about
the most, So I feel like we can really deep
dive into all things hair during this conversation.
Speaker 1 (01:30):
Perfect, Okay, let's go Okay.
Speaker 2 (01:32):
So when people talk about hair loss and they say
I'm losing my hair, what does that actually mean? And
what is hair loss? How was it described?
Speaker 1 (01:40):
So I think one of the things that makes hair
loss so confusing is that your hair is actually always
growing and it's always shedding. So it's hard for someone
to know like, am I just losing a normal amount
of hair or have I actually moved into hair loss?
And I will say that usually if someone has moved
into hair loss, you have to look at what is
(02:01):
normal for you and So if you're losing like fifty
two one hundred hairs and suddenly you're like, I don't know,
but there is way more on my shower floor and
maybe this is two hundred, Well you're not just doing
normal shedding anymore. And it's kind of like if you
think of like a beautiful house plant that has like
these lush leaves and suddenly you look down one day
(02:21):
and you're like, wow, there's a lot of leaves falling
on the ground. Now, if you ask a gardener, they
will tell you, well, you know, maybe it's the soil,
and maybe the plant is old, or maybe you don't
have enough water, and so the leaves falling are just
a symptom of something else that's going on, and you
really have to get to the bottom of what that
symptom is. And I think hair loss is very similar.
(02:43):
It's you know, when you see hair loss, we have
to kind of look at the whole person and figure
out what really is causing the hair to fall out
and all.
Speaker 2 (02:50):
Is it true that there's different phases of our hair
cycle where you know, there is a specific time of
the month or time of this cycle where we can
spects more shedding, or is that not true.
Speaker 1 (03:02):
No, it's actually totally true. So it doesn't so much
go month by month. But our hair is think of
your scalp to be kind of like a tree, and
you know how in the spring the tree will form
a little bud, and then the summer you get a leaf.
In the autumn the leaf falls and then you've got
this period of dormancy right in the winter. And our
(03:24):
hair is very, very similar. So our hair also goes
through four stages or four seasons if you want to
call it seasons. But unlike a tree where it's all
synchronized and you know, everything falls out in the winter
or in the autumn and everything grows back in the
spring and summer, our hair, every single hair follicle is
(03:45):
going through these four stages at its own pace. Wow.
And that's great because if it wasn't, we would like
be bald in our summer and you know, or have
hair at our summer and then be bald in our winter. Right.
And so if I take a look at you hair
like under a microscope, I will see that at any point,
about ninety percent of your hairs are in the growth
(04:08):
phase and engen, which is like the summer, and about
ten percent are in fall or winter. Now, what that
translates to is for most people, it translates to about
fifty or one hundred hairs a day are falling out
at any given time.
Speaker 2 (04:23):
I can significantly tell when my hair loss has increased
because my hair is just everywhere.
Speaker 1 (04:28):
Yeah, and also because you've got long hair, so it's really.
Speaker 2 (04:30):
Noticeable, right, And what are some of the main causes
that you're noticing for people four hair loss?
Speaker 1 (04:36):
So I think if I'm seeing somebody for hair loss,
I can usually kind of put them into five broad categories.
I think we should probably talk about two of the categories.
And the first two categories I want to talk about
are stress and hormones because they are the cause of
a major part of, you know, the hair loss that
I see every day in my office, and there is
(04:58):
something you can do about them. And so the first
cause of hair loss that we should discuss is stress. Now,
when we're going through a stressor whether it's a physical
stress like maybe we've gone through a surgery or you've
broken a leg, or maybe it's a psychological or emotional
stress like there's been a death in the family or
(05:19):
someone's going through a divorce. What happens is during those
times of stress, your body only has a certain amount
of nutrition and it has to decide where it's going
to send that nutrition. And in the hierarchy of important organs,
your hair will always come in dead last. So if
the body has to choose, it will choose the heart,
(05:40):
the lungs, the kidneys, but it's never going to choose
the hair because if we don't have good hair, we're
still alive. The body does a really good job with this,
and in fact, it's programmed to do this. So if
you are stressed and you release cortisol, which is what
we all do, one of the things that cortisol does
is it actually sends a signal to the hair and says,
(06:03):
stop growing. Oh. And the reason is if you're in
a you know, in a crisis of some sort, like
let's say a surgery, your body is like, gush, I
have this imminent problem that I need to solve, and
I need to take all of my resources and I
need to shunt them all to the problem at hand,
(06:23):
and then I will get back to growing hair when
things are better. And so the body actually makes a really,
really good choice. But what happens is from the time
you have a stressor to the time that the hair
falls out is about three months, right, And so when
the body sends a signal to the hair and says, hey,
times are not good right now, stop growing, I've got
(06:44):
other things to do, to the time you actually see
that hair release and fall out is three months.
Speaker 2 (06:50):
That's so interesting. You said that because I interrupted it. No, No,
because when when I was going through looking off to
my grandma when she's bossing, I was on a physical
stress because I really wasn't sleeping when I was a greta,
but also obviously I was emotionally it was so difficult, right,
But when I got back here, yeah, I was literally
felt like there was hair everywhere, and I was like,
(07:12):
what has happened? Maybe I'm knowing this, maybe I'm lowing.
Speaker 1 (07:14):
Yes, And I was like, no, Actually, now with that
you're saying, I'm like, oh, it's probably the repercussions of this.
Speaker 2 (07:20):
Yeah, I was going through a couple of months ago.
Speaker 1 (07:21):
You actually just hit the nail on the head. Because
one of the reasons hair loss is so confusing is
people don't think to link the two things. So let's
say you have a baby and just when you're feeling like, Okay,
I finally got my life back in order. Three months later,
that's when suddenly you start to lose hair, or you
went through something traumatic, or you had a surgery. You're
(07:42):
not even linking it because right when your body is
finally starting to feel better, that is when you start
to grow your hair. And so I think people often
just don't realize that they have to link the two.
And I guess the one thing I do want to
say about stress related hair loss is that if you
are going through this type of hair loss and you're
listening and you're making this link, I want you to
(08:02):
know that this kind of hair loss generally all grows back, right, Okay,
So when your body is out of that period of stress,
it will get back to growing hair because hair is
something that your body does when things are calm, not
when you are in a super stressed mode. And so
give yourself time if you're going through stress relaid hair loss,
(08:25):
and do the things that help you to get back
to kind of you know, these normal functions. So prioritize
seventy eight hours of sleep, prioritize protein. If you are
someone who likes to take supplements, choose a comprehensive supplement
that has all of the building blocks you need to
grow good hair. And if you do that, you will
notice your hair grow back.
Speaker 2 (08:44):
So from the time that you notice it starting to
fall out, how long should you wait and kind of
let it go on for until you realize it's probably
time to get it checked checked.
Speaker 1 (08:55):
Yeah, So from the time you have your stress to
the time your hair falls out is three months. From
the time your hair falls out to the time you
may start to see and you growth is another three months. Okay,
so it's about six months from your stressor where you're
going to be like, oh yeah, I see all these
like new little baby hairs coming in. That's it feels
(09:15):
like a long time, but that's about six months for
most people.
Speaker 2 (09:18):
Can we so scary for people when they're just seeing
had just falling out falling out, well, especially when you
wash your heart.
Speaker 1 (09:24):
It's terrifying. And the thing about stress related hair loss,
we call it telogion of fluvium. It is gobsbs of
hair loss. And you were like, oh my god, I
mean it's one of the reasons when I was having
my kids that I was like, I got to figure
this out, you know, what I was like studying hair.
But it is very impressive, and I think that's why
(09:44):
it's so so scary, and which is why I really
want to tell people listening, if you know you've been
through a stresser, you know, really hang in there.
Speaker 2 (09:51):
Yeah, and then you say over the second one.
Speaker 1 (09:53):
Second one. So the second one that's worth talking about
is hormones.
Speaker 2 (09:58):
And a lot of.
Speaker 1 (09:58):
People refer to this as past hair loss. So there's
male pattern and then there's female pattern hair loss. And
both men and women actually make testosterone. Men just make
a lot more, and testosterone actually makes a hormone called
DHT or die hydro testosterone. What THHT does is when
(10:19):
it's around your hair follicle, it tells it to start shrinking.
So let's say in your twenties you have like this nice, big,
you know, thick hair. What will happen if DHT is
around and your hair is sensitive? So if you're someone
who can get male or female pattern hair loss, every
time that hair falls out, the next one that replaces
(10:40):
it is just a little bit thinner.
Speaker 2 (10:42):
Interesting, and this is kind of like.
Speaker 1 (10:45):
A movie where you push play, so that in your
twenties you've kind of got this hair that is falling out,
the next one's just a bit thinner. You don't even
notice that it's thinner because it's just a fraction. And slowly.
What happens is to time goes on over decades, that
hair goes from that nice thick hair you used to
have to like that peach fuss that you have on
(11:06):
your cheek, and that process we call it miniaturization.
Speaker 2 (11:10):
And so then will you have feel thinner.
Speaker 1 (11:13):
Well. So unlike stress related hair loss where people are like,
oh my god, I'm losing gobs, like you know, they're
bringing their hair in to show me, you know, patterned
hair loss is very, very sneaky. So what patterned hair
loss people will tell me is, I remember in my twenties,
I used to need like two clock clicks yes and
put my hair up. I used to be able to
make these two thick braids or a thick ponytail, and
(11:35):
now that's smaller. And so with patterned hair loss, it
is a really slow process where sometimes it's been happening
for like a decade before you even notice that, oh
my god, I think my hair is getting a little
bit thinner. And this is like I was saying, like
a movie where you've pushed play, and if you're listening,
(11:56):
you should just know that there are very good ways
for us to press pots, yes and even rewind a
little bit, so we can bring your hair back if
you have pattern hair loss. But if you want to
bring your hair back, the earlier you come in, the
more hair I'm likely to bring back. So once it's
miniaturized to a certain point, I can only basically grow
back maybe fifteen to twenty percent of your hair. So
(12:18):
if you wait till your hair follicles, you know, half
the size or three quarters of the size, well, the
hair I'm going to bring back is not going to
be as great as if you had started a little
bit earlier.
Speaker 2 (12:28):
Okay, So tell me these magical things that you do
to help people bring their head back, Like what are
some of the procedures or the things that people should
be doing at home that can really help to rebuild
that growth.
Speaker 1 (12:40):
Okay, So at home, So there's a lot of things
you can do at home to slow down patterned hair loss.
But then in the office, this is one of those
types of hair loss. If you come in, I'm going
to be able to help you a little bit better.
So at you know, in the office. What we're often
doing is we are doing things that either dampen the
malemone that androgen DHT or maybe they increase the female
(13:04):
hormones in you, which I can get to you know
as we go. But there are actually some kind of
home remedy things that help with this. Certain herbs like
ashwaganda ands help palm meadow, and then there are actual
medicines that help with it.
Speaker 2 (13:16):
I'm going to get into that a little bit later.
How much of a role does scalp health playing this
when you talk about hair loss? Are you noticing a
lot of people coming in because their scalp is inflamed
or irritated? And does that cause a lot of hair
loss or is it mainly the first two that you
see a lot.
Speaker 1 (13:32):
No, So scalp health I think is a really kind
of probably underdiscussed reason for hair loss. So when if this,
imagine the scalp has come like the soil. So if
your scalp is inflamed, whether that's from you know, your
normal flora is off balance, or maybe you're over coloring,
or the products don't suit you, or you're allergic to something,
(13:54):
or maybe you have like an autoimmune condition or psoriasis. Well,
if your scalp is not healthy, you're not going to
grow good hair.
Speaker 2 (14:01):
Okay, Well, let's talk about products a little bit, Okause
I feel like we put so much energy and thought
into shampoos, masks, serum supplements, Like there are just so
many hair products out there. Yes, and within one routine
you could have be recommended ten different things to do
in your weekly hair wash. So what actually impacts hair
(14:22):
growth versus just makes it look a little bit better?
Speaker 1 (14:26):
I think the first thing we should talk about is
that the hair you're seeing on your head today is
hair that your body grew anywhere from three months ago
to five years ago.
Speaker 2 (14:34):
Wow.
Speaker 1 (14:35):
Right, So for the average person, hair is growing about
five years And so when we are talking about topical products,
you know, shampoos, conditioners, serums, for the most part, those
things are helping the hair that we see today, not
the hair that is growing. Oh so what can products do.
They can improve the look of the hair, the feel
of the hair. If you've got frizzy hair or limp hair,
(14:58):
you know, we can improve the text, sure, the decrease breakage.
But if you're looking to grow hair, that work is
happening under the skin. Surface, and what you're doing right
now to grow your hair, you're actually not going to
see on the skin surface for about three months. Right. So,
having said that, though, there are two over the counter
(15:18):
topical products that I think do work to help improve
hair growth.
Speaker 2 (15:22):
Okay.
Speaker 1 (15:23):
The first is a shampoo that helps to control yeast.
So all of us have yeast that lives on our scalp.
It is part of what we call the normal flora. Now,
if you have too much yeast, you're going to have Dandroff.
But regardless of whether or not you have Dandroff, you
are going to have yeast on your scalp. And if
you can keep that yeast in balance, you are going
(15:44):
to grow better hair. Okay, So I recommend to everybody
who's coming into my office, whether or not you have Dandroff,
that you should be using a shampoo that helps to
control yeast. A shampoo that helps to control a yeast
will have one of four active ingredients in it. For
a shampoo that has either ketoconazole, zinc, pyrothione, selenium sulfide,
(16:06):
or apple cider vinegar. Okay. So, and it's not so
much clarifying as it is balancing, Okay. And so if
you are someone who has dandruff, well you should be
using this every time you shampoo. But if you don't
have dandruff, you still should be using it maybe like
once a week, once every other week, just to help
(16:29):
keep your scalp and balance. Okay, Now, the second thing
that really does work over the counter is topical monoxidal
or rogate. So if you are using a topical monoxidole,
that is one of the few things that can actually
soak into the scalp and help your body to improve circulation.
So it will bring more blood to the hair focles,
(16:50):
which also translates to bringing more nutrients to the hair fockle,
and it will keep your hair in its growth phase
the summer part of the hair longer. So, but like
I do, you want to give you a word of
caution here, So if you are choosing a topical monoxidle, one,
do not buy the week percentages, like don't buy two percent.
(17:11):
Five percent is the way to go. And whether you're
a man or you're a woman, you should buy the
men's five percent. And the reason is the men's and
women's products are actually identical, but because they know women
are going to pay more for their hair. They actually
up charge it no way, So there's what we call
a pink tax. Rude, rude, so rude. And you should
(17:33):
also know that what minoxidyl does is it keeps your
hair in the summer phase longer. So if you stop
it abruptly, you're going to go into fall or autumn.
And so people always say, well, I've heard that after
you stop monoxidal you will shed your hair, and it's true.
So if you're if you've been using monoxidil, you've grown
your hair back, and now you want to stop the monoxidil,
(17:55):
don't go cold turkey. So if you've been using it,
let's say seven days a week, drop like three days
a week or two days a week and slowly wean
yourself off of it so you don't get this dramatic shed.
Speaker 2 (18:05):
Oh wow. Okay, And any recommendations of the shampoos that
you suggested with there's ingredients. Do you have any yeah,
specific brands that you've really liked. Yes, there's a brand
that I use right now that I really like. It's
called Remedy. It's made by a friend of mine who's
a dramatologist. The reason I like that.
Speaker 1 (18:21):
One is because it actually has a mix of two
of the active ingredients. So it has ketoconazole and it
has selenium selfide, and so I like that one. The
tried and true one is head and shoulders. Oh, and
then there's something called nysral. If you're somebody who wants
to use apple sider vinegar, or if you're listening to
this and you're thinking, oh my god, I color my hair.
(18:43):
I'm not using any of those shampoos, then know that
actually you can improve the balance in your yeast by
drinking apple side of vinegar. And so what I recommend
to patients, I do recommend it usually with a shampoo,
But if you don't want to do the shampoo, take
a tablespoon of apple side of vinegar, dilute it to
a shot glass of water, and drink it once every morning,
(19:03):
do you. So it actually does help to improve yeast
balance a lot. If you can't stomach the shot, then
you can like do an oil and vinegar dressing. But
what you can't do is you can't cook with it
or use a gummy apple sider vinegar. It doesn't have
the same effect for people who sweat and their sweat
smells a lot, or even like some people have like
(19:24):
just an odor that comes from their hair. Drinking that
apple cider vinegar actually helps to get rid of that
because the flora in your body is what's making that odor.
And so I give this a lot to you know,
women who maybe they work out a lot, they're not
being able to wash their hair as much, or even
young kids who maybe aren't quite ready for deodorant. But
(19:45):
then moms are like, oh my god, doctor Claria, do.
Speaker 2 (19:50):
You think you use apple side of vinegs apple.
Speaker 1 (19:52):
Side of vinegar. It's true if you are using a shampoo.
The one other thing I want to tell you about
the shampoo is make sure you let that shampoo sit
for a couple of minutes.
Speaker 2 (20:01):
So we say that about conditioner.
Speaker 1 (20:04):
Yeah, so wash on wash off isn't on there long
enough to actually make an impact on your flora. So
let us sit for two minutes. Okay.
Speaker 2 (20:11):
And you said if you if people color their hair,
so if people are used to coloring their hair, should
they not be using these?
Speaker 1 (20:18):
Does it strip the well, yeah, so it'll get rid
of your color a little faster. There are colors safe versions.
So most of these shampoos have realized that people are
avoiding them, and so they have made color safe versions
that you can find and.
Speaker 2 (20:31):
All those products, like all the serums that you see,
there are obviously all these brands that say visibly thicker hair.
So they'll put the serum on your hair. And it's
obviously not the minot whatnxident axident it's not that, But
there's all these brands of serums. Yes, you put it
on your scalp and every single day and it says
visibly thicker hair. What is that doing?
Speaker 1 (20:50):
Okay, so visibly thicker is actually a cosmetic claim, and
so think of it like you know, when you go
and buy mascara and it says visibly thicker lashes, us
one use right, I mean none of us are thinking
that our lashes are actually getting thicker, right, it's because
we know that it's actually just meant to kind of,
you know, temporarily thicken up our lash. And most of
(21:12):
these hair serums are making a cosmetic claim. If they
are telling you it's going to thicken your hair, well
that should take about three months.
Speaker 2 (21:20):
Oh okay, so we need to be careful with that one.
Speaker 1 (21:23):
Yeah, So if you're looking just to thicken it up
temporarily yes, use them, but don't think that they're growing hair.
Speaker 2 (21:28):
Okay, good to know. God, so many products out there
that make claims.
Speaker 1 (21:32):
That you just yes, I mean it's the same with.
Speaker 2 (21:34):
Skin, right, it really is.
Speaker 1 (21:35):
Yeah. So what do you think is the main reason?
Speaker 2 (21:37):
Because in my friend's ucle, whether it's people who are
in their twenties or whether it's people in their thirties,
there seems to be a lot of hair loss going on.
I don't know whether that's something that is just in
our generation and whether that's that you've seen over the
years that that just seems to be a problem for
women full stop. But these days I feel like there's
just more and more and happening from a younger age.
Speaker 1 (21:57):
You're absolutely right. So I have been treating hair loss
for gosh, twenty five years, and I can tell you
without a doubt that there has been a definite uptick
in the amount of hair loss we're seeing in younger women. Now.
I think to understand this, we have to kind of
go back to that stress related hair loss for a second.
(22:18):
So we know that if we're stressed, our body will
release cortisol, and cortisol will send a signal to our
hair to say hey, stop growing now. In the olden days,
and I'm talking really old like evolution, So in the
olden days, usually our stressors were physical, right, So if
(22:39):
a bear was chasing you, your body would peak its
cortisol super high, and then when things were back to normal,
it would you know, say, okay, the cortisol can now finish.
You know, the cortisol is now done being made. Let's
get back to our regularly scheduled programming. But in today's society,
I think what's happening is our stresses can be physical,
(23:00):
but in many cases they're psychological. It's work, it's deadlines,
it's you know, kind of chronically being online. And so
what happens is there's no clear on off switch anymore.
So it's not like we have a peak and then
we go back to normal. It's more that we kind
of are oscillating at this low chronic stress level, and
(23:21):
so your body is constantly releasing a little cortisol, not
a super high amount, but just enough that normal body
functions are going to suffer. And so we know in
people who have this chronically low level of elevated cortisol,
there's two things that suffer the most, and those are
sleep and hair growth, and so I think this has
(23:41):
a lot to do with why younger people are now
losing hair. It's kind of this chronic stress response that.
Speaker 2 (23:46):
We have, the underlying anxiety. Yes, just feel like that
there's an unsettled feeling, and every time you're feeling that
for a long period.
Speaker 1 (23:53):
Of long period of time, your cortisol is, you know,
being released.
Speaker 2 (23:57):
Have you got any tips for people who are noticing
that they're hearing this and then like, God, my cortsal
sounds like it's it's off the charts. Is there anything
that they should be eating? Number one, you.
Speaker 1 (24:07):
Should probably be prioritizing your protein if that's the case.
But also I think, you know, just on a day
to day basis, it is important to bring your stress
down whenever possible, right, And that looks different for everybody.
So for some people that might be meditation. For some people,
it might be going for a walk or working out.
(24:28):
For some people it might be reading a book. But
I would say, if you are someone who is just
living a really stressful life, try to find something that
you can do every day that just allows your body
to be able to kind of feel this relief where
it doesn't need to be releasing cortisol.
Speaker 2 (24:45):
And sometimes I think it's in the little things that
you notice it, because I think if you've lived it
for such a long time, like if you've been in
a high stress day for a really long time, you
don't sometimes even notice that that it's not normal. And
the way that I catch myself is when I realize
I'm not taking breaths in the day and I'm like, oh, gosh,
I'm stressed out. I need to take some breaths, Or
if I'm sitting at the table and I'm eating really
really fast and I'm like, where are you going?
Speaker 1 (25:08):
What are you eating this for? Right?
Speaker 2 (25:10):
And so I think it's if you if you may
not have lab results that show that your quartercill is
high now and you know what you will have are
your daily habits, yes, and how you're speaking, how you're eating,
how you're moving through the day, how many thoughts are
running through your head, how you're waking up. I remember when,
for a long period of time, especially during my grandma's
(25:30):
stuff that was happening, or whenever I've been in stressful states,
I was waking up with anxiety. I was waking up
not in a oh this time to wake up in
like oh my gosh, or I'd wake up and straight
away there's all those thoughts going through my head. And
so I think it's if you create that normality, whether
it's with work or personal life, you'll think that that's
a normal stake to be in, but just know that
(25:52):
it's it's not. And so then there will be areas
that you have to look at in your life to think, Okay,
this is what's probably spiking my cortsal or keeping my
corsola adult.
Speaker 1 (26:01):
Yes, yes, absolutely, and I will say I had the
same experience when my dad passed away. I think that
I forgot what it was like to just be calm
for a little bit. And if you're going through that,
you can fake it a little bit with deep breathing.
It's so true, it's so true. It is the trick
behind everything. Yes, and we do forget to breathe, you know,
(26:25):
And so if you are, just take if you're busy,
take thirty seconds even once or twice a day. And
I often do it right when I'm lying down or
if I have a few minutes right before I wake up,
Just take a few deep abdominal breaths right, and you
will fake your body into thinking that things are actually
okay at this moment.
Speaker 2 (26:46):
That you're safe. Yeah, that your body is safe, your
mind's safe.
Speaker 1 (26:48):
Yes, I know. I feel like everyone's like, oh yeah, breathwork, breathwork.
But I'm like, it doesn't have to be breathwork now.
It has to be is a few breaths.
Speaker 2 (26:54):
You don't have to think of it as a practice
you need to put into your life. It's something that
you do naturally. Yes, to do a little bit better,
a little bit deeper, right, and you know, and habit
stack it right.
Speaker 1 (27:04):
So I think if you're like, I don't have time
for one more thing, I'm so stressed because I have
so much on my plate, well, then you know, just
do your deep breathing after you wash your face, before
you lie down for bed. Just attach it to something
you're doing. Like I have a friend and I always
tell her because she's like, I have no time of
the day, and I tell her, Okay, listen, when you're
making your coffee in the morning, that's when you're going
(27:25):
to do your deep breathing. So find of time when
you can just take a few deep breaths. It does
make a big difference.
Speaker 2 (27:30):
To your cortisos when you get into beds.
Speaker 1 (27:33):
Yes, that is the best time. But it's such a
nice yess to do it.
Speaker 2 (27:35):
Yeah, let's talk about all these products that we use
on oscops. So for example, there's micro needling tools, there
are the scalp massages. There's so many things out there. Yes,
what do you recommend people buy or have in the
house that is a useful tool to have every day.
Speaker 1 (27:51):
I'm going to just say here that I fully recognize
that for men and women both here is our crowning glory, right.
And so usually by the time I'm seeing somebody and
they've waited a few months to see me, those people
have thrown the kitchen sink at their hair loss, right,
and so they are on a million products. And usually
(28:12):
by the time the hair starts growing back in three months,
you kind of don't know what worked because you've been
doing all kinds of stuff. And so if I say
something and you're like, but it worked for me, you know,
hopefully it did work for you. But also remember that
maybe you had the type of hair loss that was
going to grow back anyways, because you're at the three
month mark. And so sometimes what happens is people associate
(28:36):
like the last thing they were doing with growing hair,
when in fact maybe that wasn't the actual cause. And
I think that's why there's so much out there for hair,
because we sometimes kind of forget or don't even realize
what worked. So all of these at home tools, scalp rollers,
at home micro needling, scalp massagers, what they are doing
(28:56):
is they are improving the blood flow the scalp. So
any of these tools, or you don't even need the tool,
you can just massage, will actually improve the blood flow
to your scalp, will reduce scalp tension, and it will
help you to grow hair. Okay, but I wouldn't say
you need a special tool. If you like the tool,
buy it.
Speaker 2 (29:13):
But otherwise things, Yes, what about hair oiling? So I've
noticed that when people start losing their head, they're like, oil,
should I be using all my hair? And should I
be oiling my hair? And sometimes it can be a
good thing, but also I think sometimes it can maybe
not be so helpful. So well on that, and this
goes back to not one size fits all right for
(29:35):
many people.
Speaker 1 (29:35):
If you're oiling your hair, it's actually the massage that
we just talked about. That's what's actually doing. It's that
taking that time to do a ritual where you're calming
yourself down, you're actually massaging and improving not just circulation,
but you know, especially if you're working on your temples
or your occiput, which is like the back of the neck,
you're actually decreasing scalp tension. So I think that oiling
(29:56):
is especially good for people who have really dry hair
or dry scalp, or maybe they're perimenopozzle. But for many people,
the oiling is more ritual that is improving circulation.
Speaker 2 (30:07):
Okay, So it's how would they know whether it's working
for them or is it just gonna have to be
trial and error?
Speaker 1 (30:13):
Sometimes it's trial and error. But as a rule of thumb,
if you're somebody who has dandruff hair, oiling is not
for you, okay. And the reason is is that, especially
if you're South Asian, often people are using coconut oil
for their massage, and cocon and oil is known to
grow the yeast on your scalp. So if you don't
(30:34):
have an overgrowth of yeast, you don't have a ton
of dandroff, you're probably okay. But if you have dandruff.
Oiling your scalp with cocon and oil will actually make
it worse. So then in that case, maybe you are just.
Speaker 2 (30:45):
Doing a massage and does cutting your hair regularly like
when people say, oh, I feel like i'man losing cameras,
but maybe you just need a little trim, yeah, to
help your hair grow? Is that true for cosmetic reasons?
Speaker 1 (30:57):
It's true. Okay, So if you cut your hair, you're
going to get rid of split, split ends, You're going
to decrease breakage. But what you're not going to do
is put it into a growth pace. So I do
think it's helpful, but not for a group.
Speaker 2 (31:11):
It makes it's almost like a visibly thicker.
Speaker 1 (31:13):
It's a cosmetic thing.
Speaker 2 (31:14):
Yeah, exactly thicker, but it doesn't exactly increase the growth.
Speaker 1 (31:18):
That's correct. Yeah, let's get into.
Speaker 2 (31:19):
Supplements, because you are supplement queen, and I've been taking
you in a glow for what I mean, since I've
known you years. Yeah, the gummies, the vitamins are just
so good, and we need to talk about that, like
what are the ingredients in that? And then tell me
some foods that people should be eating every single day
for her growth.
Speaker 1 (31:38):
I think, Yeah, I love the gummies them, I faith
thank you. So I think when it comes to hair,
one of the mistakes that people make is there's no
magic bullet, right, So if you're taking a supplement and
it's just like one ingredient like biot in, that is
not going to grow you your best hair because that
because you need all of the building blocks good hair.
(32:00):
So taking only biotin for hair growth is like me
giving you drywall and saying can you please go build
a house?
Speaker 2 (32:06):
Okay?
Speaker 1 (32:07):
And so what happens is if you're really looking for
a good complete hair supplement, it should have multiple things
in it, and you know usually those are twenty one
ingredients that we need to grow hair. So you should
have a You should choose a supplement that has all
the vitamins and minerals. Ideally, it should have herbs that
help to control stress, that help to control hormones, things
(32:30):
like ashwagandha, saw palmetto, turmeric, maringa leaf. Ideally you'd have
a little zinc and selenium, which we know helped to
balance the flora, and maybe a little bit of collagen.
Even before we created an inner glow, I had already
been seeing hair lost patients for like fifteen years. And
what was happening is I was seeing patients come in
and they were either megadosing or an ingredients like let's
(32:54):
say biotin, and they were actually getting liver damage because
you know, your body day after day can't clear so
much of an ingredient. Or what was happening was I was,
you know, looking at them, and I was saying to them, Okay,
you need to buy these five bottles, Like you didn't
get two of this thing. You're gonna take half of
this thing. And I was like making my own concoctions.
And that's when I realized. I was like, oh gosh,
(33:16):
there is no supplement on the market today that has
all twenty one ingredients that is effective and also that
is safe. Because as a physician, you know, safety is
really important to me. And so I think, you know,
one of the things that I love about Interglow now
that it's been out for so long, is one our
studies and we do a lot of research. So the
(33:37):
studies show that over ninety three percent of people are
going to improve their hair wow. And maybe even more importantly,
we did a five year study of over five hundred patients.
It was a big study, and what it showed was
zero patients had liver damage or even liver elevation of enzymes. Nothing,
(33:58):
And so I think one of the keys to that.
The reason is is that we use very physiologic doses
because your body has trouble if you give it too
much of any one ingredient. Like if you're let's say
you're sick and you give yourself a mega dose of
vitamin C, no problem, You're gonna maybe take that for
five days, right, But if day after day, year after year,
(34:20):
you are mega dosing certain ingredients, your body just can't
clear them after a while. And so I do think
it's important for people to choose a supplement that is
not putting in too much of anything because that can
be dangerous.
Speaker 2 (34:33):
And you have one for skin and for hair. It's
all in one, reson't it.
Speaker 1 (34:37):
So we have one that's predominantly for hair, So this
is the hair one, and then there's age defense, which
is more for age, and that's the one you and
I take very regularly. And then the gummies are like
an internal sunscreen, so they are meant for sun protection
and anybody can take those actually ages two and up.
So if you've got a kid and you're like, gosh,
this kid is always in the sun. Like I have
(34:59):
kids who run across country and I will tell them, hey,
before you go run or before you go swimming, take
two gummies. And so it's an herb. So it's you know,
it's all natural. And the nice thing is is that
it is a proof for kids. And is there does
diect hair role in this?
Speaker 2 (35:14):
So are there specific foods that there's been research on
to show it helps with the quality of your hair
or your hair growth or is it more the vitamins
and minerals in the foods.
Speaker 1 (35:25):
So, because the body sees hair as kind of an
unimportant organ, what happens is even if you're eating well,
what is going to happen is your body will prioritize
giving that to certain body organs and then eventually it'll
give it to hair. So even if you said, okay,
I know that for example, you know, eating high protein
(35:47):
is important, the body will still first use that protein
to you know, and give it to let's of your heart,
and then when there's enough around, it'll give it to
the hair. So that's why I think, you know, a
physiologic supplement is important because because you have a mega
dose doesn't mean your body knows how to use it.
And so food wise, it's a little different from the skin.
So with the skin, I can give you a ton
(36:08):
of foods that make a big difference with the body.
Actually stress relief, proper sleep, high protein is actually what
makes a difference with the hair.
Speaker 2 (36:17):
That's so good to know. Yeah, I would love to
touch on post when my friends give birth, yes, and
it's like, oh, I'm just losing so much hair and
I just don't know what to do. What is it
about pregnancy that does that to women where they just
start shedding their hair after Is it the traumatic event
or is it something else?
Speaker 1 (36:36):
So there's actually two things, and so one thing is
that and this happens with birth control too. So with
birth control, when you were taking birth control, your estrogen
is super consistent and it's at a pretty high level.
And so what happens is, let's say you stop birth
control or you have a baby, your estrogen will suddenly drop.
(36:57):
And we know that estrogen keeps your hair in its
summer phase, so it's growth face. So what happens when
you stop it is all of a sudden, a lot
more hair goes into the phase where it's being lost
or it's being shed. Now in addition to that with
a baby, Yeah, it's a traumatic thing. And so I mean,
(37:19):
in addition to losing all that hormone, all of a sudden,
your body has just been through a lot. I mean
it has created another human being, right, And so three
months after that, that was about the most major stress
that most of them will go through, you know, at
a younger age. And so three months after that you
will experience stress related hair loss. But then three months
(37:41):
after that you will start to grow it back. And
that's when I always say, you know, prioritize the things
that can help you grow your hair, and even if
you did nothing, you will start to grow hair back.
Speaker 2 (37:53):
Is there a time where you recommend people definitely go
to see a dermatologist or do you think that most
people are able to handle it at home and you know,
use these products wisely to create a better situation for themselves.
Speaker 1 (38:06):
So I think it depends on what category your hair
loss falls into, right, So if you're falling into the
stress related category, I think you can handle it at home, right.
If you're falling into pattern hair loss, you may need
some help yeah. Right, and then if you're falling into
some of those other categories where maybe you have an
autoimmune condition or thyroid or you know, a scalp condition,
(38:27):
you have psoriasis, well, then I think your hair will
be best served by seeing somebody. Yeah, and that's a
dermatologist that they should. Yeah, ideally you're looking for a dermatologist.
And if you can find someone who loves to do
hair like me, like a hair loss expert, it's even better. Right.
Speaker 2 (38:40):
What are three things that if someone's starting out and
they've got all this stuff in their cupboards and they're like,
I don't know where to begin. Three It could be lifestyle,
it could be products. Three things that they should just
start with and continue for at least the three months.
Speaker 1 (38:54):
The number one thing that you can do at home
is control your yeast. Okay, so balance your flora, whether
that's you know, with apple cider vinegar, with a shampoo,
take that out of the equation. That plays a really
big role. And there are a lot of studies that
show that controlling your yeast slows your hair loss. The
second thing is I think massage is really helpful, and
(39:17):
so you know a couple of minutes five to ten
minutes of massage, maybe I know, two or three times
a week. And if you're using an oil, maybe choose
jjoba or almond oil and put a few drops of
rosemary oil in it, because we know that that actually
boosts your circulation. So that is another easy thing that
you can do at home. The third thing is increase
(39:38):
your protein, because when there's enough protein your body will
then it definitely have enough to grow hair. And if
you're someone who likes to take supplements, you want to
add a supplement at this point that gives you all
of the building blocks that you need to grow hair,
and then be patient. Yeah that's the hot Yes, twelve weeks.
Twelve weeks.
Speaker 2 (39:58):
Yeah, it's going to feel long, but it will make
such a difference. I think the problem is when you
try it, like you said, all these different things first week,
second week, third week. By the third week, you're using
like three different supplements, four different hair Yes, you're like,
I don't.
Speaker 1 (40:13):
Know, nothing is working, And I guess I should say
to people if you're wondering and you're like, I cannot
wait for twelve weeks. So at eight weeks, so month two,
what you should start to notice is if you're doing
everything right. You might not be growing hair, but you
will be starting to lose less hair. Yes, okay, so
at eight weeks at least it's a month earlier, and
you can say, okay, I can see that there's definitely
(40:35):
less in the shower. Something is happening even though I'm
not growing new hair. Or One of the things that
my patients tell me is when they, you know, start
to prioritize diet and stress relief and they take the
vitamin at about three weeks, they notice their nails are stronger,
and so that's another tip that things are working.
Speaker 2 (40:52):
You're so good. When you came on last time, we
were talking about different skincare products and how sometimes the
most expensive ones are definitely not batter Would you say
the same works for hair products too, it's the drugs ones.
Speaker 1 (41:06):
Yes, I mean, in fact, I just told you shampoo's
like head and shoulders work well and so yes, So
I think that you know, if you remember that the
hair that you have was grown at least three months ago,
right then we know that the products are only going
to improve the look and feel. So if you love
a product because of the way it smells or the
(41:26):
way it makes your hair feel use it, But the
expense of the product does not equal the effectiveness of
the product.
Speaker 2 (41:33):
Okay, you know, I know you mentioned that the products
helped to enhance the quality of the hair. You already
have walk me through the ideal hair care routine on
a weekly basis that someone should do. Maybe if they're
not even they don't have hair loss necessarily, Okay, they're
trying to maintain good, healthy, luscious hair. What are we
doing in the shower and after?
Speaker 1 (41:52):
And I should also tell you what we're not doing?
Ok Yeah, And so one of the things that I
think is really really popular right now is exfoliating. Yes, right,
there are all these hair scrubs and you know the
hair exfoliants, and your hair is not like a kitchen
counter where it needs to be scrubbed clean. It's think
(42:14):
of it more like grass on a lawn, where if
you scrub that, you're going to destroy the normal flora.
You're going to disrupt your barrier and so be a
little cautious about what you're putting on your scalp. Now,
I think for most people, and this varies widely depending
on how much you know oil your hair makes. So
so for someone African American, they might be washing their
(42:35):
hair once a week or even less. For someone who
makes a lot of oil, they might need to wash
their hair daily. And definitely when you're going through puberty,
you need to wash your hair a lot more. There's
just a lot more oil. But in general, what you
want to do is you want to choose your shampoo
and have it be something that is balancing your yeast.
(42:55):
And you know, I have three college age kids and
so girls, three called girls, and so when I talk
about shampooing to them, one thing that I realize is
a lot of people don't know how to shampoo their hair.
So a lot of girls are kind of shampooing their
hair like this, like the way they've seen it on commercials, right,
They're actually never getting to their scalp. It's like this,
(43:16):
you know, air shampoo where you're only hitting your hair,
and shampoo is not meant for your hair. It's actually
meant for your scalp. And the reason is the scalp
is where all the oil, the sweat, you know, all
of the flora lives. And so when do you shampoo
your hair, I want you to get your fingers in there,
and I want you to actually wash your scalp, and
(43:38):
then if you're using a shampoo that is going to
fight yeast, I want you to let that sit for
two minutes. Ideally your shampoo routine should be get in there,
scrub your scalp, let it sit for two minutes, and
then rinse it off and don't rinse so and you know,
be careful if you're using something that's really hydrating. You
don't want to rinse your shampoo and your conditioner off
(43:59):
onto your back because then I end up seeing a
lot of backne because let's say you wash your hair
and then you condition. Now, conditioner is not really meant
for your scalp, it's meant for your ends, and so
I want people to kind of be conditioning maybe to
the side a little bit, and wash that off to
the side after you know you've left it on for
(44:20):
a few minutes. Because if you take all those heavy
moisturizing ingredients and rinse them towards the back or rinse
them onto your face, well, guess what, then you're going
to be coming in to see me for acne. And
so I think hair washing the way you do it
is important, and how often you do it is based
on your own oil production. Okay, whether or not your
hair is frizzy or you know, curly, will kind of
(44:41):
determine if you do a hair mask once a week,
if you massage and do an oil once a week.
And I do think trims are helpful because when a
hair is split, it does break more. But I don't
think you need one more than every like three months
to be like a Leavin conditioner, or I do, I
think for the right person. So, because we're talking in generalities,
(45:03):
I think if your hair is dry for zy curly,
you're gonna lovel even condition and so if your hair
is super oily, no, you're gonna hate it. Okay, I
washed my hair upside down, yeah, because what I've heard
is better for my curls anyway, So you're upside down, yes, But.
Speaker 2 (45:19):
Now I know why I don't have bacne because I
washed my hair upside down so it doesn't even touch
my bag.
Speaker 1 (45:26):
Right, And so yeah, curly hair girls tend to wash
upside down, and so yeah, I definitely back me is
less of more problem.
Speaker 2 (45:33):
It also gets I'm able to get into my scalp
a lot more. Yes, by having an upside down you
definitely get a neck ache. But it makes your back
stronger and you don't get that me. So I think
it's a win.
Speaker 1 (45:42):
It's a win. It's a win.
Speaker 2 (45:44):
Okay. I have some truth or myths I wanted to
ask you. Okay, you can elaborate if you want to.
We could just say true or false. Do hair gummies
actually work?
Speaker 1 (45:56):
Okay?
Speaker 2 (45:57):
My hair gummies work?
Speaker 1 (45:58):
Yeah, Well gummies or sunscreen, so we'll talk about those.
But okay, So the problem with gummies is really that
there's only so much active ingredient that you can pack
into a gummy. So by the time you account for
the gelling agent and the sweetener and the flavor, there's
(46:19):
very little room left in there. So if you maybe
have a single vitamin deficiency, like maybe you're vitamin D deficient,
well there's probably enough a room and a gummy to
put in enough vitamin D to be able to get
the vitamin D you need every day. Okay, But if
you're looking for a comprehensive vitamin, like you're trying to
(46:39):
get all twenty one ingredients you need for hair growth,
well they're not going to fit in a gummy, and
then you're going to need to take capsules and the
same goes for ours. So in Innerglow, we have a
gummy and if you want the fern that works like
an internal sunscreen, well, I can pack that fern into
a gummy, and you can take the gummy and get
just the internal sunscreen. But I, like you and I,
(47:00):
we're looking for not just the internal sunscreen portion, but
we also want all of the other antioxidants that are
going to help us to age better. For our skin. Well,
then we're going to end up with something like age defense,
which is a capsule, because I again can't pack all
of those ingredients into just a gummy. So it's not
so much that I'm anti gummy, it's more than I'm
(47:22):
pro appropriate dosing. So if you can get the dose
into a gummy, which is usually a single ingredient, great,
But if you're looking for a lot of things, don't
look for it in a gummy.
Speaker 2 (47:31):
Okay, just dyeing your hair.
Speaker 1 (47:35):
Loss, no, So let's see, I want to elaborate for
a second. So if you are dyeing your hair, as
long as you don't have an allergy to your hair dye,
then if you overde you might contribute to breakage or dryness.
But as long as you're only coloring every six to
(47:55):
eight weeks, you're not going to create hair loss. Said that, though,
there is one little like tip I want to give people,
especially if you're salv Asian. Yeah, okay, So I am
seeing a ton of women come in now who have
allergies to hair dyes.
Speaker 2 (48:14):
Yea.
Speaker 1 (48:15):
And the reason that that's happening is because we now
tend to use a lot of temporary tattoos that are
you know, Hannah, but we're using more and more the
kind of that quick tattoo that has hair color in it.
So you know, like in the olden days, if you
(48:36):
ever put henna on your hand, it would take hours
for that color to soak it in, and the color
was like this beautiful orange. But now you can get
these cones that within minutes the color comes out. Well,
the reason that color is coming out in minutes is
because it's not just mend your Hannah anymore. It's got
hair dyeing. Oh my god, no way. And what happens
(48:57):
is if you start to expose people to hair dye
from a young age, they are more likely to be
allergic to it later on in life. So you know,
for us, every wedding every the volley, every eve. We
are doing mainly on our hands or temporary, you know, Hannah.
And so a lot of people are now coming in
and they actually have analogy to hair dye, and so
(49:18):
be cautious. If you can do it, please use just
the you know, the old fashioned hair Okay, well I
didn't know that, yeah, Hannah, Yeah.
Speaker 2 (49:27):
So interesting hair extensions? Does that cause hair loss?
Speaker 1 (49:31):
It causes more breakage than hair loss because of the
way they're tied.
Speaker 2 (49:34):
Okay, washing your hair too often causes hair loss.
Speaker 1 (49:38):
False. You're usually seeing the hair that was going to
be released anyways fall out. But what you're not seeing
is you know, real like hair loss.
Speaker 2 (49:49):
Okay. Biot In is all you need for healthy hair.
Speaker 1 (49:53):
Okay, this is so dangerously fond. I want to just
give people a PSA here. So if if you are
taking megados as a biotin and you come to see
me for hair loss, I am going to check some laps,
and I'm probably going to check your thyroid, your vitamin
D maybe your hormone levels, and if you're on high
dose biotin, every single one of those blood tests will
(50:15):
be inaccurate and so I will miss the real cause
of your hair loss. And so not only does it
not work, hair loss experts will tell you we've never
really seen a case of biotin deficiency in America, but
it can actually mask the real costs. And so if
you are on biotin, at least stop it for two
weeks before going to get your blood test.
Speaker 2 (50:35):
Tight hairs dolls can permanently damage. You know, there's a
slickback that's really trending.
Speaker 1 (50:39):
Yes, yes, okay, so it can actually cost permanent hair loss.
So if you remember in the early two thousands when
all those icons like j Lo Beyonce, I'll had those
like ultra tight you know, slick back cointails, and that's
exactly what's coming back. People who did those hairstyles for
months and months and months now come in with not
(51:00):
just hair loss, but permanent hair loss. So I often
see hair loss at the temples and I can't bring
it back.
Speaker 2 (51:07):
I can vouch for that. Yeah, because I went through
a face. My head's quite heavy. And so whether it's
with workouts, especially workouts when I go yeah and I
have a ponytail, all I feel unless I do it
right up here, like do a bun up here, or
I have it right below. If I have something here,
it is pulling everything. Yes, yeah, and I can feel
it now. I don't do it because I started noticing. Yeah,
(51:29):
when I was pushing my hair back that I was
losing my hairline was moving backwards.
Speaker 1 (51:34):
Yeah, and that chronic tension over time does cause permanent
hair loss. So you probably stopped early enough that it
came back, but if you keep on doing it, it's permanent. Yeah.
Speaker 2 (51:43):
Okay, so listen, the slick back bun is cute, but
is it really worth that's not worth it?
Speaker 1 (51:48):
Yeah, do a cute.
Speaker 2 (51:50):
Little bun loose bun. Let's bring that back.
Speaker 1 (51:53):
Yeah exactly.
Speaker 2 (51:54):
Silk pillowcases actually matter.
Speaker 1 (51:57):
Maybe, so I like silk and I use it myself,
but it tends to be better for people who have
curly hair to decrease frizziness and to kind of decrease
that friction. It's not actually growing here.
Speaker 2 (52:09):
Oh okay, good to know cutting your hair makes it
grow faster. Now false, and rosemary oil works like monoxidil.
Speaker 1 (52:17):
There's a whole rosemary Yes.
Speaker 2 (52:19):
Pray is going on on TikTok, rosemary water, rosemary oil.
Speaker 1 (52:22):
Yes, they're so false. So the rosemary was tested against
a really weak percentage of monoxidil, and that study hasn't
been repeated, like been able to be rerepeated. So I
think that there's something called carnosic acid in rosemary oil.
It does improve circulation. Okay, so use a few drops,
but don't think it's going to do monoxidal work.
Speaker 2 (52:40):
This isn't on my thing, but I just thought of it.
So if someone naturally is born with a thinner hair pattern, yes,
let's say like my hair, I was born with quite
thick hair, even I feel like the heair, the diameter, Yes,
feel a little bit thicker. My hair doesn't get oily
very fast, like I definitely have more of like a
thicker text. My hair is your hair patent, just your
(53:01):
hair patent, And so can someone with thin hair create
a thicker full of hair patent or is that just
you can't really transfer into those A.
Speaker 1 (53:10):
Lot of that is genetics. So yeah, so you're going
to you know, you can maybe make some slight improvements
a couple of percentage, but no, you're not like somebody
with very fine hair will never have your hair.
Speaker 2 (53:21):
Is it anything that you would tell anybody in their
thirties or their forties if they haven't got any hair loss,
but they want prevention. Is there anything else that you
feel like you wanted to tell them or warn them about?
Speaker 1 (53:32):
Okay, don't OVEREXFOLI eight, Yeah, okay, remember your scalp health.
What else do I tell them? Collagen, which a lot
of people are taking for hair. If you think collagron
is working for your hair, you probably were just not
getting enough protein in. And so for most people, it's
not that they needed collagen, it's that they just needed
more protein. And I see a ton of people in
(53:53):
the office asking me about collagen, and so I think
I would want to tell people in their thirties who
were all on collagen, you probably need more protein, not
more collagen.
Speaker 2 (54:01):
My friend, every time she wasn't having enough protein, eybraw
hair would fall out. Yes, And so she noticed such
a significant correlation between increasing her protein and her eyebrow
hair staying on her face.
Speaker 1 (54:14):
Yes.
Speaker 2 (54:15):
And so that was such a visual example of yeah,
how important protein actually is, right growth?
Speaker 1 (54:21):
Yeah, No, it's true. PRP it works, okay, but more
for pattern hair loss.
Speaker 2 (54:27):
Oh okay, fine, and keroten treatments to strengthen.
Speaker 1 (54:31):
Hair also work. So but what they're doing is they're
working on your strand that you have. And so if
you're going to choose keratin, don't choose a shampoo. Choose
a leading product because a shampoo isn't on long enough.
And then also I think that it's important to choose
something that says it's hydrolyzed and low molecular weight because
(54:51):
that will soak into your hair better. And don't overuse it.
So use it for like a week and then give
it a break.
Speaker 2 (54:57):
Costoral people putting costal on the eyelashes, on the eye brows.
Speaker 1 (55:01):
So think of castor oil on your hair, kind of
like lip gloss on your lips. So it gives you
kind of this glossy slight, you know, kind of shiny look,
but probably not growing hair really well.
Speaker 2 (55:11):
It feels too thick to absorbing, very haftic, it's very
heavy anything. Yeah, onion juice. Have you seen that?
Speaker 1 (55:18):
Oh my god? This was the bane of my existence.
In twenty twenty five, and so, there was this small
study on an autoimmune kind of hair loss called alopicheriata
where it seemed like if you irritated the scalp enough
with onion juice, you could maybe grow some hair back.
But for most people who do not have that condition,
it's just irritating your scalp.
Speaker 2 (55:40):
You had people coming into your clinic and they will
just smell You're like, you need some appleside.
Speaker 1 (55:45):
It was like the ondion juice is not done it.
Speaker 2 (55:47):
Yeah, and you said collagen for your hair.
Speaker 1 (55:51):
Yeah, protein for your hair is what that translates to.
Speaker 2 (55:54):
Can gray hair actually be reversed?
Speaker 1 (55:57):
That is mostly to do with biology. So unless you
have a specific nutritional deficiency, like, for example, if somebody's
deficient copper, I can bring their hair color back with
a little bit of copper. And that's why we include
that in our supplement. Actually, but for most people, no, no, yeah,
it's part of life. It's part of life.
Speaker 2 (56:15):
Yeah, part of you.
Speaker 1 (56:16):
It's a beautiful part of aging. Yes, thank you so much,
thank you for having me back. I really appreciate it.
Speaker 2 (56:21):
No, I really really love this conversation. Thanks again, Thank
you so much. Happy to have you here. And I
can't wait. We need to do a skincare part two
for sure.
Speaker 1 (56:29):
Thank you so much.
Host
Radhi Devlukia
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