New Dermaroller Study; Thoughts, comments?

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Parsia

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I would agree with you, but we don't have "people with results". The photographs that forum users have posted don't prove anything positive – in the photos, people have grown their hair out (which hides diffuse balding and balding patches on crown and vertex areas) or taken photos at misleading angles or in differing lighting conditions, or a combination of those. There is no convincing user evidence.

Kirby , the problem here is that most of us using combination method , For instance I do not find " many people " who ONLY dermarolling , So whenever we get some result we actually do not sure how much is that relate to rolling and how much relate to minoxidil or other part of Regimen , But the point is most of us can't take a risk and using dermarolling alone , You know the male pattern baldness is really powerful so its not possible to underestimate it , As you see in your profile picture it looks like a CASTLE , lol , Anyhow , If you just ask my personal opinion I would say Dermarolling is MORE than NOTHING , It obviously do something but does it worth to have that pain every week and blood on the scalp each time? Well , I would say we need to wait and see more result ! I personally did my 7th rolling and I need to wait more .
 

CharlesXavier

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I too woudnt say dr isnt good or even effective..if anything its a necessity to further combat hair loss and restore it..the problem is the growing hair part..while dr does activate many growth factors and what not it still isnt enough to get the hair growing fully as we all could be with a good pgd2 inhibitor or whatever else...it seems to me our efforts and research must be put forth thoroughly in finding this missing link...for those in doubt of dr id say continue to do so it is so far one of our strongests bets and most effective tools many see results...but the process of hair growth will not be complete and most effective until we figure this out...arrrghh ****'!!!!! 0:!!
 

sweetsymphony

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I recently made a hair growth tonic that (hopefully) does something. Seems like all of the ingredient help combat hairloss / block DHT in some way or the other. I actually got the ingredients from an ebook that claims to help regrow hair. The author has some pretty impressive before and after pictures and he combines the tonic with DRing (no minoxidil). Ingredients are:

Emu oil - 100% triglyceride (penetrates the skin well), antibacterial and anti-inflammatory, rich source of protein, and shows to be a DHT blocker
Borage (starseed) oil - contains the highest concentration of gamma linoleic acid (GLA) of all the plants. GLA has been proven to inhibit 5-alpha reductase types 1 and 2 from converting testosterone into DHT locally
Apple polyphenols supplement - really powerful anti-oxidant. One Japanese study reports that in a double blind test, apple polyphenols were twice as effective as Minoxidil at promoting hair growth
High strength saw palmetto soft gels - DHT blocker
Magnesium oil - supposedly helps remove calcification
Tea Tree oil - strong, natural antibacterial. It also has anti viral, antiseptic and anti fungal properties. It is capable of killing demodox mites in 4 minutes when used at 50% concentration, I only used about 20 drops in my hair growth tonic.

When mixed together, the tonic is a light brownish color and doesn't smell too pleasant. Hopefully this helps boost my results!

I'm about 5 months into dermarolling and I currently roll once every 2 weeks. I really do feel like its working, I have lots of small hairs sticking up on my hairline that it looks funny when I tie my hair up. However the results have been slow. It has 100% stopped my hair loss from progressing which is huge in itself.
 

Parsia

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I recently made a hair growth tonic that (hopefully) does something. Seems like all of the ingredient help combat hairloss / block DHT in some way or the other. I actually got the ingredients from an ebook that claims to help regrow hair. The author has some pretty impressive before and after pictures and he combines the tonic with DRing (no minoxidil). Ingredients are:

Emu oil - 100% triglyceride (penetrates the skin well), antibacterial and anti-inflammatory, rich source of protein, and shows to be a DHT blocker
Borage (starseed) oil - contains the highest concentration of gamma linoleic acid (GLA) of all the plants. GLA has been proven to inhibit 5-alpha reductase types 1 and 2 from converting testosterone into DHT locally
Apple polyphenols supplement - really powerful anti-oxidant. One Japanese study reports that in a double blind test, apple polyphenols were twice as effective as Minoxidil at promoting hair growth
High strength saw palmetto soft gels - DHT blocker
Magnesium oil - supposedly helps remove calcification
Tea Tree oil - strong, natural antibacterial. It also has anti viral, antiseptic and anti fungal properties. It is capable of killing demodox mites in 4 minutes when used at 50% concentration, I only used about 20 drops in my hair growth tonic.

When mixed together, the tonic is a light brownish color and doesn't smell too pleasant. Hopefully this helps boost my results!

I'm about 5 months into dermarolling and I currently roll once every 2 weeks. I really do feel like its working, I have lots of small hairs sticking up on my hairline that it looks funny when I tie my hair up. However the results have been slow. It has 100% stopped my hair loss from progressing which is huge in itself.
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Hi Sweetsymphony , How are you doing? Good to see you again , Yes you're right , GLA , EMU OIL AND APPLE POLYPHOENOls , and Saw palmetto , all are good DHT blocker and accepted in some studies , If you remember I was using Lipogaine which has all these Combined with minoxidil 5 % and also Retinol , I have posted my result pictures after 4 months and people admitted that I have got good result by that , I just wanna let you know if someday you would like to have the alternative for your tonic you can also try lipogaine which has good stuff for DHT blocker , I personally switch it to higher minoxidil by last week as you see in my Regimen . Hope you will be successful with your Regimen.
 

sweetsymphony

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Hi Sweetsymphony , How are you doing? Good to see you again , Yes you're right , GLA , EMU OIL AND APPLE POLYPHOENOls , and Saw palmetto , all are good DHT blocker and accepted in some studies , If you remember I was using Lipogaine which has all these Combined with minoxidil 5 % and also Retinol , I have posted my result pictures after 4 months and people admitted that I have got good result by that , I just wanna let you know if someday you would like to have the alternative for your tonic you can also try lipogaine which has good stuff for DHT blocker , I personally switch it to higher minoxidil by last week as you see in my Regimen . Hope you will be successful with your Regimen.

Hi Parsia! Yes I remember you. Good to hear you are experiencing good results too!

I have looked into Lipogaine and the ingredients look promising but I feel it is too expensive. It's about $30 a month vs $30 for a 6 month supply of Kirkland minoxidil.

Keep us posted on your results! I'm excited to see the progress of your hair :)
 

peacemaker

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I am sure it has been answerd somewhere in this 500 page thread, but why are we drawing blood when we dermaroll but the original study participants didn't?

If you look at Follica's patent (which is much more reliable than the study quoted here), they used dermabrasion. Dermabrasion removes the whole epidermis layer of the skin and it bleeds a lot. However, it iincreases the risk of scarring so DRing is much healthier
 

Parsia

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Hi Parsia! Yes I remember you. Good to hear you are experiencing good results too!

I have looked into Lipogaine and the ingredients look promising but I feel it is too expensive. It's about $30 a month vs $30 for a 6 month supply of Kirkland minoxidil.

Keep us posted on your results! I'm excited to see the progress of your hair :)

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Sweetsypmphony , Lipogaine has changed their price to 20 $ on amazon recently( the women version). Anyhow just wanna give you the option , I look at your regimen and I just wanna tell you something as a friend , I have used minoxidil once daily around 2 years and I didn't get impressive result , There was a huge discussion about half-life of minoxidil , some believes its 4hours and some 8hours , so if you can please use your minoxidil twice daily , if its greasy you can switch to other minoxidil which I have mentioned with 20 $ monthly ( If that amount is o.k for you)
And thanks very much for your good wishes and I had put my pictures after 4 months of use , because I didn't like to get negative comments , but for sure I would do that for you and others and post new pictures monthly to share my results, I really need these positive comments and I can't forget the day I was so depressed after first time of using rolling but you replied to me positively and you told me its painful for everyone and I should be patient about that . Now I'm going to do my 8th rolling today !:)
 

I.D WALKER

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Just a quick drop by to express my gratitude to everyone's generous outreach and continued interest in promoting a positively altruistic atmosphere and informative exchange Thank you and best wishes to all.
 

SCALPMASTER

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Hi guys, i just found this information about lowering PGD2 what are peoples thoughts on these ideas.

Could tea, ginger or aspirin reduce or prevent hair loss? If some recent findings about male pattern baldness are true they just might be able to. But I'm not talking about eating or drinking them. They would need to be applied to the scalp. This might seem like the strange things people have done over the years to regrow hair, such as putting cow pats on their heads or rubbing in strange concoctions, but there is science behind it.

A team of researchers at the University of Pennsylvania say that an enzyme called prostaglandin D2 synthase (PTGDS) and its product, a protein called prostaglandin D2 (PDG2), is three times more prevalent in the bald scalp areas of men with male pattern baldness than in the areas with hair (1). It is thought that PDG2 interferes with the growth of hair follicle stem cells in their scalps.

Bald areas of scalp still have the hair follicle stem cells but they don't develop into mature hair follicles capable of growing normal hair.

The research team believe that if PGD2's effects could be blocked it might allow the stem cells to do their job of creating mature hair follicles. There are various types of prostaglandins and they have many effects throughout the body. Some, including PGD2, are involved in inflammatory responses. To have an effect they must bind to a receptor on their target cells. PGD2 binds to a receptor on hair follicles called GPR44, also called CRTH2 (yes, I know, very boring names). If the receptor could be blocked, PDG2 wouldn't be able to act and this should result in normal hair growth. If this idea is correct, it might stop further hair loss and it might lead to growth on the bald patches. Or it might stop further loss but have no effect on the bald patches. There are experimental compounds in development now which are designed to block PGD2 from binding to GPR44. These are new drugs that can only be made in a laboratory and that will make a lot of money for the companies that produce them. And cost a lot of money to buy. The good news is that there might be a way to save money and make your own treatments.

As far as I know, there aren't any natural substances in everyday use that have the ability to bind with GPR44 but there definitely are others that can inhibit the production of PGD2. I will deal with the latter, the inhibitors of PGD2, in this article. These substances that can inhibit PGD2 are found in the foodstuffs I mentioned above.

An enzyme called cyclo-oxegenase-2 (COX-2) converts the omega-6 fatty acid, arachidonic acid (AA) to PGD2. If that conversion can be stopped or reduced anywhere along the chain it will stop or reduce the effects of PGD2 on the hair follicles. Constituents of the foodstuffs I mentioned can stop or reduce how much AA is converted to PGD2 or they can reduce the effectiveness or production of COX-2.

The active ingredients in those foodstuffs that could inhibit the production of this prostaglandin are quercetin in tea and various compounds in ginger.

I mentioned aspirin too but this is the drug form of salicylic acid. Salicylic acid is found in many plants (and we also manufacture it in our bodies). Salicylic acid, the stuff found in plants, can be toxic if too much is absorbed through the skin. And, as the form used to test inhibition of COX in vitro is aspirin or sodium salicylate, I'm not sure if salicylic acid from plants such as meadowsweet or willow bark would be safe or even if it would work.

You might be tempted to dissolve an aspirin tablet in water and then apply that to your skin but you'll also be rubbing in all the fillers and caking agents that are used to make tablets. Aspirin toxicity could also be a problem. And some people would get skin reactions. I think it would be better to use tea or ginger. But ginger can also cause skin rashes in some people. If you decide to use these substances you should test some on a small area of skin first where a rash won't be noticeable, such as an arm. No doubt, there will even be some people who would develop a rash after applying tea to their skin, so you must decide if the potential risks are worth it.

I found lots of studies which showed the required effects of quercetin, aspirin and ginger on COX-2 and PDG2. But then I realised that I couldn't use those studies. I forgot about metabolism. In all those studies the foods were fed to the participants. They had the required effects on COX-2 and PGD2 but, as they had gone through the digestive system, their actions could have been due to the changes they underwent during digestion. I needed to find if these substances would have similar effects on isolated cells because, when they are rubbed on the scalp, they will come into direct contact with the skin and follicle cells. They won't be changed by metabolism as they would be if they were eaten as foods. Luckily, there are studies which show that they do affect cells directly and inhibit or reduce the actions of PGD2 or COX-2. This is one case where I will use the results of in vitro studies where cells in a dish are treated with some substance to see what happens. I would usually ignore such studies because I normally deal with substances that are eaten or drunk and so are subjected to all the processes of metabolism.

I have spent more than a week researching this and I want to get on with it so I'll quickly list the studies which I want to use as evidence. They are not about reducing or stopping hair loss. As far as I know there aren't any that examine the properties of these foodstuffs for that purpose. These studies are mainly about cancer and arthritis because of the role played in those diseases by COX-2 and inflammation. They found that the substances under discussion here inhibited COX-2 or the production of PGD2 and they were done with isolated cells - which is what I was looking for.

Quercetin was found to inhibit the enzymatic activity of COX-2(2) and to reduce its production (3).

Ginger inhibited both COX-2 (4) and PGD2 (5).

Aspirin can inhibit the activity or suppress the production of COX-2 (6) (7) (8). But, at least in cultures of smooth muscle cells or endothelial cells (reference 8), its inhibition of COX-2 is transient, and prostaglandin production begins again within 2-5 hours. It may have a longer effect on the cells in the scalp but I can't be sure. There is also the question of aspirin toxicity. For these reasons I think aspirin should be the last of these substances anyone should put their faith in. If you do decide to try it, buy the soluble kind of tablets as they dissolve very easily.

As I said above, none of these studies looked at hair follicles or the skin cells in the scalp and I can't guarantee that the same effects will be found in them but these substances do have affects on PGD2 and COX-2 so could have the same effects in the scalp.

Quercetin

Quercetin is a flavonoid found in many plants and foods. Tea contains very high amounts compared with other foods (9). Green and black tea leaves when dry contain a mean average of between 204 and 264 mg/100g. Decaffeinated tea contains more than ordinary. But Oolong contains hardly any - less than 2mg/100g. Use as little water as possible when infusing the tea or other substances. When tea is brewed normally, with lots of water, 100g only contains about 2mg of quercetin. Naturally, most of the cup of tea is water. So just use enough water to cover the leaves and mash them and squeeze them to get as much out as possible and then you'll approach the 200-odd mg/100g found in dry tea leaves. This will make a stronger, more concentrated, infusion so that you will only need to use perhaps a teaspoonful on your scalp - depending on the size of the bald patch.

There is some confusion about how soluble quercetin is in water. This is because it comes in 2 forms: quercetin aglycone and quercetin glycoside. 'Aglycone' means 'without sugar' and 'glycoside' means 'with sugar'. It's a bit more complicated than that but, not being a biochemist and not wanting to bore you more than I usually do, we'll just leave it at that. Most of the quercetin in foods is the glycoside form but some parts of some foods contain more of the aglycone form. The flesh of onions and shallots, like other food sources, contain mostly the glycoside form (about 90%) but their skins contain about 80% aglycone. It is only the aglycone form that is not soluble in water (although it is a bit more soluble in hot water). The glycoside form is soluble in water and that is the predominant form in tea.

Ginger

Ginger should be cut into small pieces and heated in water. Again, use as little water as possible to obtain a strong infusion.

Ginger contains many constituents. The main one, gingerol, is transformed into shogaols when it is dried or cooked. The study referred to as number 4 used a methanol (alcohol) extract of ginger. This contained various gingerols, shogaols, gingerdiones and other constituents of ginger. One form of gingerol and two of shogaols inhibited COX-2. Luckily, both water and alcohol can be used to extract the constituents of ginger so you can use water to avoid any potential problems of applying alcohol to your skin.

I must point out that a patent was applied for a number of years ago to use a special preparation of ginger extracts as a hair growth inhibitor but this was for body hair. I'm not sure if it was ever put into production nor how successful it would be as a body hair inhibitor. Body hair and scalp hair are affected by different things and, even if it was successful in its intended use, I don't think it would have an inhibitory effect on scalp hair. But that is only my opinion and is not based on any evidence.

Another thing to be aware of is that COX-2 is also involved in the production of another prostaglandin called PGE2, and this is necessary for skin health. Something that interferes with the production or activity of COX-2 might also interfere with PGE2. So, you would have to weigh up the chances of reduced skin health in your pursuit of more hair. Although if you manage to grow some hair it will cover up any dry or flaky skin that might be caused by lack of PGE2.

Many substances have a low permeability through the skin and they need something to help them penetrate deeply enough to have an effect on the skin cells. It's mainly the outer layer of skin, the stratum corneum, that is the barrier. Some oils can provide that permeability to get through the stratum corneum. So can ethanol (alcohol) but I don't think it's a good idea to put alcohol on the skin. It is an irritant for some people and possibly carcinogenic. A study into ways of making formulations more easily absorbed by human skin found that a mixture of 10% jojoba oil and 30% corn germ oil gave the best penetration of the vegetable oils tested.(10). This was made into an emulsion with water. Emulsions are a combination of two liquids that normally wouldn't be able to mix but do so with the addition of an emulsifier. .

I think an emulsion would be the best way of delivering one of our substances to the scalp cells. Make an infusion with hot water and then add an emulsifier such as lecithin and then add a mixture of 25% jojoba oil and 75% corn germ oil. There should be about half water and half oil.

Tocopherols also inhibited COX-2, as was found in the study in reference 3, above. Both alpha- and gamma- tocopherol showed this ability. They are two of the forms of vitamin E. In the study of skin penetration enhancers, olive oil performed the worst. It is one of the main sources of alpha-tocopherol. Corn germ oil is one of the main sources of gamma-tocopherol and, as it shows such good penetration power, is the one to use.

Lecithin, mentioned above, usually comes in granules but liquid lecithin is also available. If you use the granules make sure they dissolve properly in the water.

Making the hair loss prevention lotion

Distilled water would be better than tap water but if you use water from the tap it would be better to filter it. Make the infusion of your choice - tea or ginger - and make it strong with very little water. When you've done that and you've mashed and strained out the tea leaves or ginger pieces, add the lecithin and stir it until it dissolves. Then add the oil a little bit at a time and stir until the oil and water have mixed and formed a creamy texture. Only make enough for a few days so the mixture will always be fresh. If using ginger, cut the pieces as small as you can get them so more of the active ingredients will be absorbed by the water.

I'm sorry if the negative possibilities have dampened any initial enthusiasm but any pharmaceutical product they bring out will also have drawbacks and potentially harmful side effects.

Try this at your own risk or, to put it another way (and I couldn't resist saying this), on your own head be it.

Curcumin, a constituent of turmeric, looked very promising when I first started researching this. Like quercetin, ginger and aspirin it inhibited the production of COX-2 and I wrote at length about it. Then further research turned up the fact that it is used to make a paste for the removal of body hair. It is used a lot for this purpose in India. Apparently, it works by weakening the hair roots. So that idea had to be consigned to the scrap heap. Never mind. If there's any merit in this idea of using common household items to stop hair loss there should be enough power in the other three substances to do the job.


References

1. Science Translational Medicine 2012 Mar 21;4(126):126ra34.
Prostaglandin d2 inhibits hair growth and is elevated in bald scalp of men with androgenetic alopecia.

2. Cancer Chemotherapy and Pharmacology. 2006 Dec;58(6):816-25.
Differential modulation of cyclooxygenase-mediated prostaglandin production by the putative cancer chemopreventive flavonoids tricin, apigenin and quercetin.

3. Mutatation Research. 2004 Jul 13;551(1-2):245-54.
Effect of flavonoids and vitamin E on cyclooxygenase-2 (COX-2) transcription.

4. Fitoterapia. 2011 Jan;82(1):38-43.
Cyclooxygenase-2 inhibitors in ginger (Zingiber officinale).

5. Prostaglandins, Leukotrienes and Medicine. 1984 Feb;13(2):227-35.
Effects of aqueous extracts of onion, garlic and ginger on platelet aggregation and metabolism of arachidonic acid in the blood vascular system: in vitro study.

6. Proceedings of the National Academy of Sciences of the U S A. 1991 Mar 15;88(6):2384-7.
Aspirin inhibits interleukin 1-induced prostaglandin H synthase expression in cultured endothelial cells.

7. Proceedings of the National Academy of Sciences of the U S A. 1999 Apr 27;96(9):5292-7.
Suppression of inducible cyclooxygenase 2 gene transcription by aspirin and sodium salicylate.

8. Proceedings of the National Academy of Sciences of the U S A. 1987 Mar;84(5):1417-20.
Pharmacokinetics of aspirin and salicylate in relation to inhibition of arachidonate cyclooxygenase and antiinflammatory activity.

9. USDA Database for the Flavonoid Content of Selected Foods, March 2003.

10. Journal of Cosmetic Science. 2007 May-Jun;58(3):245-54.
Vehicle and enhancer effects on human skin penetration of aminophylline from cream formulations: evaluation in vivo.

- - - Updated - - -

I recently made a hair growth tonic that (hopefully) does something. Seems like all of the ingredient help combat hairloss / block DHT in some way or the other. I actually got the ingredients from an ebook that claims to help regrow hair. The author has some pretty impressive before and after pictures and he combines the tonic with DRing (no minoxidil). Ingredients are:

Emu oil - 100% triglyceride (penetrates the skin well), antibacterial and anti-inflammatory, rich source of protein, and shows to be a DHT blocker
Borage (starseed) oil - contains the highest concentration of gamma linoleic acid (GLA) of all the plants. GLA has been proven to inhibit 5-alpha reductase types 1 and 2 from converting testosterone into DHT locally
Apple polyphenols supplement - really powerful anti-oxidant. One Japanese study reports that in a double blind test, apple polyphenols were twice as effective as Minoxidil at promoting hair growth
High strength saw palmetto soft gels - DHT blocker
Magnesium oil - supposedly helps remove calcification
Tea Tree oil - strong, natural antibacterial. It also has anti viral, antiseptic and anti fungal properties. It is capable of killing demodox mites in 4 minutes when used at 50% concentration, I only used about 20 drops in my hair growth tonic.

When mixed together, the tonic is a light brownish color and doesn't smell too pleasant. Hopefully this helps boost my results!

I'm about 5 months into dermarolling and I currently roll once every 2 weeks. I really do feel like its working, I have lots of small hairs sticking up on my hairline that it looks funny when I tie my hair up. However the results have been slow. It has 100% stopped my hair loss from progressing which is huge in itself.

This looks like an interesting mixture, please let us know how you get on with it.
 

Sparky4444

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barbecue man didn't need add anything more...

..and??...he had severe burns...DR'ing isn't anywhere near as traumatic...

..DR'ing does push matters..but it isn't enough...I started DR'ing my temples back in September -- just the one side...I still have lost a lot of hair on that temple, although some hairs appear to be trying to make a comeback ...I'm using minoxidil on it now...but it just isn't enough...need more juice...It's going to have to be a strong topical to do it...no internals will have the kick to push matters
 

I.D WALKER

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Hello ScalpMaster, I thoroughly enjoyed your thread particularly because I have always been fascinated with holistic medicine and prefer them over pharmaceuticals. I've been looking into adding black tea extract to my arsenal , you may already know there are a couple studies on black tea that show promising results. Keep researching and thanx for your careful insights and generous contributions.
 

sweetsymphony

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I agree with I.D Walker. Good post, SCALPMASTER!

I also try to be as holistic as I can. I eat pretty well, exercise frequently and would like to regrow my hair the most natural way possible. I only added minoxidil out of desperation because my hairline was looking pretty sparse. It was a tough decision and now I'm too scared to get off of it because I don't want to shed any of the new growth I've gotten.

In the last 2 months, my hair has stopped shedding so much. I used to notice clumps of hair falling out in the shower, now it's so much less that I can actually count how many (about 5-15 hairs). Not sure if I can attribute that to minoxidil or DRing.

I also noticed that my crown is a lot thicker. I would say growing my temples have been the most difficult and the most painful part while dermarolling.

I also read on here that a few of you experienced more hairline recession on the right side, that is also the case for me.

My theory is that it is from all of the cell phone usage. I mostly pick up calls on my right side and I feel like all of the electromagnetic radiation is wreaking havoc on my hair. A recent study showed that when people used a cell phone for 50 minutes, brain tissues on the same side of the head as the phone’s antenna metabolized more glucose than did tissues on the opposite side of the brain. The researchers noted that the results are preliminary, and possible health outcomes from this increase in glucose metabolism are still unknown. If it's doing that to our brain, then what about our hair follicles??

Did another DRing session last night. It was awfully painful. Wanted to stop halfway through but just endured through the pain. I would have hoped that it would hurt less and less with time but nope!

Question -- after how many sessions until you toss it and use a new DR? Maybe my needles are getting too dull.
 

CharlesXavier

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3
Very interesting but while i do believe all that cellphone stuff might be part of it i think hair falling has more to do with the environent and genetics we all have...i mean i have friends who use cell phones watch hourss of tv play music play video games up close get grease and gunk on their hair etc etc but their hairline is majestic i wish i had their hair...no hairloss whatsoever...so the problem is much more that just using cellphones lol

- - - Updated - - -

Hi guys, i just found this information about lowering PGD2 what are peoples thoughts on these ideas.

Could tea, ginger or aspirin reduce or prevent hair loss? If some recent findings about male pattern baldness are true they just might be able to. But I'm not talking about eating or drinking them. They would need to be applied to the scalp. This might seem like the strange things people have done over the years to regrow hair, such as putting cow pats on their heads or rubbing in strange concoctions, but there is science behind it.

A team of researchers at the University of Pennsylvania say that an enzyme called prostaglandin D2 synthase (PTGDS) and its product, a protein called prostaglandin D2 (PDG2), is three times more prevalent in the bald scalp areas of men with male pattern baldness than in the areas with hair (1). It is thought that PDG2 interferes with the growth of hair follicle stem cells in their scalps.

Bald areas of scalp still have the hair follicle stem cells but they don't develop into mature hair follicles capable of growing normal hair.

The research team believe that if PGD2's effects could be blocked it might allow the stem cells to do their job of creating mature hair follicles. There are various types of prostaglandins and they have many effects throughout the body. Some, including PGD2, are involved in inflammatory responses. To have an effect they must bind to a receptor on their target cells. PGD2 binds to a receptor on hair follicles called GPR44, also called CRTH2 (yes, I know, very boring names). If the receptor could be blocked, PDG2 wouldn't be able to act and this should result in normal hair growth. If this idea is correct, it might stop further hair loss and it might lead to growth on the bald patches. Or it might stop further loss but have no effect on the bald patches. There are experimental compounds in development now which are designed to block PGD2 from binding to GPR44. These are new drugs that can only be made in a laboratory and that will make a lot of money for the companies that produce them. And cost a lot of money to buy. The good news is that there might be a way to save money and make your own treatments.

As far as I know, there aren't any natural substances in everyday use that have the ability to bind with GPR44 but there definitely are others that can inhibit the production of PGD2. I will deal with the latter, the inhibitors of PGD2, in this article. These substances that can inhibit PGD2 are found in the foodstuffs I mentioned above.

An enzyme called cyclo-oxegenase-2 (COX-2) converts the omega-6 fatty acid, arachidonic acid (AA) to PGD2. If that conversion can be stopped or reduced anywhere along the chain it will stop or reduce the effects of PGD2 on the hair follicles. Constituents of the foodstuffs I mentioned can stop or reduce how much AA is converted to PGD2 or they can reduce the effectiveness or production of COX-2.

The active ingredients in those foodstuffs that could inhibit the production of this prostaglandin are quercetin in tea and various compounds in ginger.

I mentioned aspirin too but this is the drug form of salicylic acid. Salicylic acid is found in many plants (and we also manufacture it in our bodies). Salicylic acid, the stuff found in plants, can be toxic if too much is absorbed through the skin. And, as the form used to test inhibition of COX in vitro is aspirin or sodium salicylate, I'm not sure if salicylic acid from plants such as meadowsweet or willow bark would be safe or even if it would work.

You might be tempted to dissolve an aspirin tablet in water and then apply that to your skin but you'll also be rubbing in all the fillers and caking agents that are used to make tablets. Aspirin toxicity could also be a problem. And some people would get skin reactions. I think it would be better to use tea or ginger. But ginger can also cause skin rashes in some people. If you decide to use these substances you should test some on a small area of skin first where a rash won't be noticeable, such as an arm. No doubt, there will even be some people who would develop a rash after applying tea to their skin, so you must decide if the potential risks are worth it.

I found lots of studies which showed the required effects of quercetin, aspirin and ginger on COX-2 and PDG2. But then I realised that I couldn't use those studies. I forgot about metabolism. In all those studies the foods were fed to the participants. They had the required effects on COX-2 and PGD2 but, as they had gone through the digestive system, their actions could have been due to the changes they underwent during digestion. I needed to find if these substances would have similar effects on isolated cells because, when they are rubbed on the scalp, they will come into direct contact with the skin and follicle cells. They won't be changed by metabolism as they would be if they were eaten as foods. Luckily, there are studies which show that they do affect cells directly and inhibit or reduce the actions of PGD2 or COX-2. This is one case where I will use the results of in vitro studies where cells in a dish are treated with some substance to see what happens. I would usually ignore such studies because I normally deal with substances that are eaten or drunk and so are subjected to all the processes of metabolism.

I have spent more than a week researching this and I want to get on with it so I'll quickly list the studies which I want to use as evidence. They are not about reducing or stopping hair loss. As far as I know there aren't any that examine the properties of these foodstuffs for that purpose. These studies are mainly about cancer and arthritis because of the role played in those diseases by COX-2 and inflammation. They found that the substances under discussion here inhibited COX-2 or the production of PGD2 and they were done with isolated cells - which is what I was looking for.

Quercetin was found to inhibit the enzymatic activity of COX-2(2) and to reduce its production (3).

Ginger inhibited both COX-2 (4) and PGD2 (5).

Aspirin can inhibit the activity or suppress the production of COX-2 (6) (7) (8). But, at least in cultures of smooth muscle cells or endothelial cells (reference 8), its inhibition of COX-2 is transient, and prostaglandin production begins again within 2-5 hours. It may have a longer effect on the cells in the scalp but I can't be sure. There is also the question of aspirin toxicity. For these reasons I think aspirin should be the last of these substances anyone should put their faith in. If you do decide to try it, buy the soluble kind of tablets as they dissolve very easily.

As I said above, none of these studies looked at hair follicles or the skin cells in the scalp and I can't guarantee that the same effects will be found in them but these substances do have affects on PGD2 and COX-2 so could have the same effects in the scalp.

Quercetin

Quercetin is a flavonoid found in many plants and foods. Tea contains very high amounts compared with other foods (9). Green and black tea leaves when dry contain a mean average of between 204 and 264 mg/100g. Decaffeinated tea contains more than ordinary. But Oolong contains hardly any - less than 2mg/100g. Use as little water as possible when infusing the tea or other substances. When tea is brewed normally, with lots of water, 100g only contains about 2mg of quercetin. Naturally, most of the cup of tea is water. So just use enough water to cover the leaves and mash them and squeeze them to get as much out as possible and then you'll approach the 200-odd mg/100g found in dry tea leaves. This will make a stronger, more concentrated, infusion so that you will only need to use perhaps a teaspoonful on your scalp - depending on the size of the bald patch.

There is some confusion about how soluble quercetin is in water. This is because it comes in 2 forms: quercetin aglycone and quercetin glycoside. 'Aglycone' means 'without sugar' and 'glycoside' means 'with sugar'. It's a bit more complicated than that but, not being a biochemist and not wanting to bore you more than I usually do, we'll just leave it at that. Most of the quercetin in foods is the glycoside form but some parts of some foods contain more of the aglycone form. The flesh of onions and shallots, like other food sources, contain mostly the glycoside form (about 90%) but their skins contain about 80% aglycone. It is only the aglycone form that is not soluble in water (although it is a bit more soluble in hot water). The glycoside form is soluble in water and that is the predominant form in tea.

Ginger

Ginger should be cut into small pieces and heated in water. Again, use as little water as possible to obtain a strong infusion.

Ginger contains many constituents. The main one, gingerol, is transformed into shogaols when it is dried or cooked. The study referred to as number 4 used a methanol (alcohol) extract of ginger. This contained various gingerols, shogaols, gingerdiones and other constituents of ginger. One form of gingerol and two of shogaols inhibited COX-2. Luckily, both water and alcohol can be used to extract the constituents of ginger so you can use water to avoid any potential problems of applying alcohol to your skin.

I must point out that a patent was applied for a number of years ago to use a special preparation of ginger extracts as a hair growth inhibitor but this was for body hair. I'm not sure if it was ever put into production nor how successful it would be as a body hair inhibitor. Body hair and scalp hair are affected by different things and, even if it was successful in its intended use, I don't think it would have an inhibitory effect on scalp hair. But that is only my opinion and is not based on any evidence.

Another thing to be aware of is that COX-2 is also involved in the production of another prostaglandin called PGE2, and this is necessary for skin health. Something that interferes with the production or activity of COX-2 might also interfere with PGE2. So, you would have to weigh up the chances of reduced skin health in your pursuit of more hair. Although if you manage to grow some hair it will cover up any dry or flaky skin that might be caused by lack of PGE2.

Many substances have a low permeability through the skin and they need something to help them penetrate deeply enough to have an effect on the skin cells. It's mainly the outer layer of skin, the stratum corneum, that is the barrier. Some oils can provide that permeability to get through the stratum corneum. So can ethanol (alcohol) but I don't think it's a good idea to put alcohol on the skin. It is an irritant for some people and possibly carcinogenic. A study into ways of making formulations more easily absorbed by human skin found that a mixture of 10% jojoba oil and 30% corn germ oil gave the best penetration of the vegetable oils tested.(10). This was made into an emulsion with water. Emulsions are a combination of two liquids that normally wouldn't be able to mix but do so with the addition of an emulsifier. .

I think an emulsion would be the best way of delivering one of our substances to the scalp cells. Make an infusion with hot water and then add an emulsifier such as lecithin and then add a mixture of 25% jojoba oil and 75% corn germ oil. There should be about half water and half oil.

Tocopherols also inhibited COX-2, as was found in the study in reference 3, above. Both alpha- and gamma- tocopherol showed this ability. They are two of the forms of vitamin E. In the study of skin penetration enhancers, olive oil performed the worst. It is one of the main sources of alpha-tocopherol. Corn germ oil is one of the main sources of gamma-tocopherol and, as it shows such good penetration power, is the one to use.

Lecithin, mentioned above, usually comes in granules but liquid lecithin is also available. If you use the granules make sure they dissolve properly in the water.

Making the hair loss prevention lotion

Distilled water would be better than tap water but if you use water from the tap it would be better to filter it. Make the infusion of your choice - tea or ginger - and make it strong with very little water. When you've done that and you've mashed and strained out the tea leaves or ginger pieces, add the lecithin and stir it until it dissolves. Then add the oil a little bit at a time and stir until the oil and water have mixed and formed a creamy texture. Only make enough for a few days so the mixture will always be fresh. If using ginger, cut the pieces as small as you can get them so more of the active ingredients will be absorbed by the water.

I'm sorry if the negative possibilities have dampened any initial enthusiasm but any pharmaceutical product they bring out will also have drawbacks and potentially harmful side effects.

Try this at your own risk or, to put it another way (and I couldn't resist saying this), on your own head be it.

Curcumin, a constituent of turmeric, looked very promising when I first started researching this. Like quercetin, ginger and aspirin it inhibited the production of COX-2 and I wrote at length about it. Then further research turned up the fact that it is used to make a paste for the removal of body hair. It is used a lot for this purpose in India. Apparently, it works by weakening the hair roots. So that idea had to be consigned to the scrap heap. Never mind. If there's any merit in this idea of using common household items to stop hair loss there should be enough power in the other three substances to do the job.


References

1. Science Translational Medicine 2012 Mar 21;4(126):126ra34.
Prostaglandin d2 inhibits hair growth and is elevated in bald scalp of men with androgenetic alopecia.

2. Cancer Chemotherapy and Pharmacology. 2006 Dec;58(6):816-25.
Differential modulation of cyclooxygenase-mediated prostaglandin production by the putative cancer chemopreventive flavonoids tricin, apigenin and quercetin.

3. Mutatation Research. 2004 Jul 13;551(1-2):245-54.
Effect of flavonoids and vitamin E on cyclooxygenase-2 (COX-2) transcription.

4. Fitoterapia. 2011 Jan;82(1):38-43.
Cyclooxygenase-2 inhibitors in ginger (Zingiber officinale).

5. Prostaglandins, Leukotrienes and Medicine. 1984 Feb;13(2):227-35.
Effects of aqueous extracts of onion, garlic and ginger on platelet aggregation and metabolism of arachidonic acid in the blood vascular system: in vitro study.

6. Proceedings of the National Academy of Sciences of the U S A. 1991 Mar 15;88(6):2384-7.
Aspirin inhibits interleukin 1-induced prostaglandin H synthase expression in cultured endothelial cells.

7. Proceedings of the National Academy of Sciences of the U S A. 1999 Apr 27;96(9):5292-7.
Suppression of inducible cyclooxygenase 2 gene transcription by aspirin and sodium salicylate.

8. Proceedings of the National Academy of Sciences of the U S A. 1987 Mar;84(5):1417-20.
Pharmacokinetics of aspirin and salicylate in relation to inhibition of arachidonate cyclooxygenase and antiinflammatory activity.

9. USDA Database for the Flavonoid Content of Selected Foods, March 2003.

10. Journal of Cosmetic Science. 2007 May-Jun;58(3):245-54.
Vehicle and enhancer effects on human skin penetration of aminophylline from cream formulations: evaluation in vivo.

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This looks like an interesting mixture, please let us know how you get on with it.

Extremely interesting topic tackling this pgd2 issue...i also heard about aspirin as a way to fight this maybe a salycilic based lotion would be good to apply to the scalp i used to apply a glycolic based lotion..helped alot with itching...theres just so much we can try and put on our dam heads it has become a problem to see whats best considering pros and cons..all i know we all have to work together and come up with something and keep researching...because this issue ties in directly with derma-rolling and we have to find a good topical to supplement this treatment and get the most out of it..thanks for your research :)
 

SCALPMASTER

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I am tempted to try and make my own topical pgd2 inhibitor because I don't think minoxidil is enough on its own to get the best out of dermarolling.
 

peacemaker

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I am tempted to try and make my own topical pgd2 inhibitor because I don't think minoxidil is enough on its own to get the best out of dermarolling.


We need more people like you. Dedicated and knowledgeable. Having a topical pgd2 inhibitor would definitely help. Either a dkk1 inhibitor or a pgd2 inhibitor (same thing as dkk1 produces pgd2). The safest one I would assume is Vit C:

http://www.ncbi.nlm.nih.gov/pubmed/20701628

I don't know it's potency (haven't tried it yet), but I would assume a topical with vit C would be a safe start.


 

SCALPMASTER

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I am still trying to decide which pgd2 blocker to go for.
My best idea so far is to try ginger extract possibly with a small amount of DMSO mixed in to help absorption.
 

I.D WALKER

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I attempted to grow ginger root indoors last year. Am happy to report they are growing. I hope to utilize them later this year. I may just have to make my own extract if you should achieve appreciable results.:) Thanx for all your sharing.
 

CharlesXavier

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I am tempted to try and make my own topical pgd2 inhibitor because I don't think minoxidil is enough on its own to get the best out of dermarolling.
I agree minoxidil alone wont cut it..see the whole point of dermarolling is to fix up that messed up scalp of ours by making new circulation and stimulating all these growth cells and what not...also killing some of that collagen build up..all we need (i hope) is an imhibitor or activator to make dr more efficient..we need to jump start these proteins to make ****ing hair!!!! I wish i could literally kick and beat the
**** out of them and get there lazy asses to work and make hair!!!
 
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