The truth about AGA in 15 seconds

Q25 What happens if I stop AGA treatment?

* Oral medications such as finasteride and dutasteride are commonly used for treatment.

A｜Back to thinning hair
B | Treatment effect lasts
C | Side effects occur

 

　

Answers (click here)

　　

• A｜Back to thinning hair

　　

• If you stop taking the medication, AGA will begin to progress again and any improvements in hair growth and density achieved while taking the medication will be lost, causing hair thinning to revert.
  It is important to talk to your doctor before stopping medication.

Q26 What effect does dihydrotestosterone have on the hair cycle?

*5α-reductase converts testosterone to dihydrotestosterone

A | Extends the growth period
B | Shorten the regression phase
C | Shorten the growth period

 

　

Answers (click here)

　　

• C | Shorten the growth period

　　

• Dihydrotestosterone (DHT) acts on hair papilla cells to shorten the anagen phase of the hair cycle.
  This shortens the hair growth period and causes it to become thinner and shorter, ultimately leading to hair loss.

Q27 What is the effect of finasteride on hair?

Finasteride is a generic version of Propecia.

A｜Hair growth
B | Accelerate the growth phase
C | Slow down hair loss

 

　

Answers (click here)

　　

• C | Slow down hair loss

　　

• Finasteride helps prevent hair loss by suppressing the male hormones that weaken hair and cause hair loss.

Q28 What role do hair papilla cells play in hair?

*Herbal papilla cells exist in the hair papilla and interact closely with hair matrix cells.

A｜Determine thickness
B | Growth promotion
C｜Density reduction

 

　

Answers (click here)

　　

• B | Growth promotion

　　

• Dermal papilla cells play a role in promoting the growth and differentiation of hair matrix cells, which is related to the progression of hair loss.
  A decrease in the function of hair papilla cells weakens the growth signals of hair matrix cells, shortening the growth phase of hair, causing hair loss to progress.

Q29 What components of blood are used in PRP therapy?

※Shohei Ohtani also underwent PRP therapy when he injured his elbow.

A｜Platelets
B | Red blood cells
C | White blood cells

 

　

Answers (click here)

　　

• A｜Platelets

　　

• Platelets secrete a lot of high-quality proteins, including growth factors.
  PRP therapy is a treatment that enhances the body's natural healing powers by concentrating these components and injecting them back into the body.

Q30 What is the effectiveness of hair growth products?

※Hair growth products can be easily purchased at pharmacies.

A｜Hair growth effect
B | Hair loss prevention
C｜Hair loss treatment

 

　

Answers (click here)

　　

• B | Hair loss prevention

　　

• Hair growth products are intended to prevent hair loss.
  It has the effect of "growing" the existing hair.
  It is not a hair growth product and does not have any hair growth effects.

Q31 What causes increased hair loss after taking minoxidil?

*The effectiveness of minoxidil varies from person to person, but you can feel the effects after about three months of taking it.

A | Because the medicine is working
B｜Because it doesn't suit my constitution
C | Because AGA has progressed

 

　

Answers (click here)

　　

• A | Because the medicine is working

　　

• In the early stages of taking minoxidil, hair loss may increase; this is called "initial hair loss."
  Initial hair loss is temporary, and it is simply a reset of the hair cycle causing the bad hairs to fall out.
  This is proof that the medicine is working, so continue the treatment.

Q32 What are the side effects of finasteride and dutasteride?

This side effect is difficult to detect without a blood test.

A | Liver dysfunction
B | Increase in blood sugar level
C | Decreased memory

 

　

Answers (click here)

　　

• A | Liver dysfunction

　　

• Side effects may include liver dysfunction.
  This side effect is difficult to detect without a blood test, so people who purchase the medication through personal import should be especially careful.

Let's approach AGA treatment with the correct knowledge!

Q33: Which ingredient can promote hair loss if consumed in large quantities?

*It is generally considered to be a good ingredient for hair growth.

A | Selenium
B | Vitamin D
C｜Iron

 

　

Answers (click here)

　　

• A | Selenium

　　

• Overdose can cause symptoms like hair loss, nausea, vomiting, nail problems, rashes, fatigue, and nerve damage.

Q34 From what age can AGA treatment be performed?

*This is a safe treatment and can be applied to people of all ages.

A | 18 years old or older
B | 20 years old or older
C | 30 years old or older

 

　

Answers (click here)

　　

• A | 18 years old or older

　　

• Generally, AGA treatment is available to anyone aged 18 or over.
  AGA is a progressive form of hair loss, so the longer you wait before starting treatment, the worse the condition may become.
  If you suspect you have AGA, seek treatment as soon as possible.

Q35 What does AGA stand for?

* Literally, this is called androgenetic alopecia.

A｜Alopecia Glabrous Androgenic
B｜Androgenetic Anagenesis
C｜Androgenetic Alopecia

 

　

Answers (click here)

　　

• C｜Androgenetic Alopecia

　　

• This is called androgenic alopecia (androgenetic alopecia).
  This is a progressive form of hair loss specific to adult men, characterized by thinning hair at the hairline and top of the head, and is primarily caused by genetics and the influence of male hormones.

Q36 What is the name of the table that classifies the progression of AGA and type of hair loss?

*Named after two doctors!

A | Maxwell Classification
B | Hamilton-Norwood Classification
C | Coanda-Schlieren classification

 

　

Answers (click here)

　　

• B | Hamilton-Norwood Classification

　　

• The Hamilton-Norwood Classification is named after the American dermatologist Hamilton, who was the first to classify the progression patterns of AGA hair loss, and Norwood, who later refined the classification into its current form.

Q37 Is AGA only affecting men?

*AGA is an abbreviation for Androgenetic Alopecia.

A | Yes
B｜No

 

　

Answers (click here)

　　

• A | Yes

　　

• AGA stands for androgen-induced alopecia (androgenetic alopecia).
  for women  Femwomanale Androgenetic Alopecia   My name is FAGA.

Q38 Which of the following nutrients is helpful in preventing hair loss?

*This ingredient is found in large amounts in oysters and other foods.

A | Caffeine
B | Zinc
C｜Isoflavone

 

　

Answers (click here)

　　

• B | Zinc

　　

• It is a nutrient necessary for cell division.
  Hair is produced by cell division, so zinc is an essential nutrient for hair growth.
  If you are deficient in zinc, you will not be able to produce new hair, which will lead to noticeable hair loss and eventually thinning hair.

Q39 What are the main causes of AGA?

*It is said that one in three men will develop AGA due to genetic factors.

A | Stress
B | Male hormones
C | Lifestyle habits

 

　

Answers (click here)

　　

• B | Male hormones

　　

• The main cause of AGA is the male hormone (testosterone).
  Testosterone is produced by the action of an enzyme called 5α-reductase, which is present in hair and sebaceous glands.
  It is converted into DHT (5α-dihydrotestosterone), which leads to increased hair loss.

Q40 Can weight training cause baldness?

※Muscle training ⇒ Increased male hormones ⇒ Baldness

A | Yes
B | No

 

　

Answers (click here)

　　

• B | No

　　

• Weight training will not cause you to go bald.
  Even if muscle training increases male hormones, the amount will not reach a level that will affect hair loss.
  In fact, exercise and muscle training promote the secretion of growth hormone, which has a positive effect on hair growth.

Q41 What is the best time to start AGA treatment?

*Even if you develop AGA, your hair will not suddenly thin.

A | When your hair has lost its elasticity and strength
B | When you are concerned about hair loss
C | When someone points out my thinning hair

 

　

Answers (click here)

　　

• A | When your hair has lost its elasticity and strength

　　

• If you notice that the hair around your nape has lost its firmness and elasticity and become softer, it is a sign that AGA has already begun to progress.
  Even if your hair is not thinning, AGA will definitely progress in the future, so now is the perfect time to start treatment.

Q42 Why is scalp massage effective in preventing hair loss?

*Massage your scalp for just a few minutes every day!

A | Protects the skin from dryness
B | Supports hair growth
C | It has a relaxing effect

 

　

Answers (click here)

　　

• B | Supports hair growth

　　

• Massaging your scalp increases blood flow and helps deliver nutrients to the hair roots more smoothly.
  Improving blood flow to the scalp is effective in preventing thinning hair and hair loss.

Q43 Is it true that eating wakame seaweed makes your hair grow?

It's a story we've heard often for a long time, but is it true?

A | True
B | There is no basis

 

　

Answers (click here)

　　

• B | There is no basis

　　

• To put it simply, eating wakame seaweed will not make your hair grow.
  Although it does not have any hair-thickening properties, the minerals contained in wakame are necessary for hair growth.

Q44 What is the most famous brand name for finasteride?

*In addition to the answer, it is sold under various other product names.

A | Rogaine
B | Propecia
C | Minoxidil

 

　

Answers (click here)

　　

• B | Propecia

　　

• Finasteride is commonly known by the brand name "Propecia."
  It is also sold as a generic drug under a variety of names.

Q45 What was the original use of minoxidil?

*Although this drug is well-known as a treatment for AGA, it was actually developed for a different purpose.

A｜Headache medicine
B | High blood pressure medication
C | Antipyretics

 

　

Answers (click here)

　　

• B | High blood pressure medication

　　

• Minoxidil was originally developed as a drug to treat high blood pressure.
  Later, its hair growth effects were discovered, and it began to be used as a hair growth agent.

Q46 In what countries is finasteride approved?

*Minoxidil, a well-known oral medication for treating AGA, is an unapproved drug.

A | America only
B | Japan only
C | Many countries

 

　

Answers (click here)

　　

• C | Many countries

　　

• Finasteride is approved in many countries for the treatment of male pattern baldness.

Q47 In what season do you lose the most hair?

* Correcting your diet and lifestyle is important to prevent hair loss.

A｜Spring
B｜Summer
C｜Autumn

 

　

Answers (click here)

　　

• C｜Autumn

　　

• This is a time when summer fatigue can easily set in and sudden changes in temperature can make you more susceptible to illness.
  In addition, damage that accumulates in the hair and scalp during the summer tends to become more apparent, causing temporary increased hair loss.

Q48 When is Hair Day?

* Established in 1977 by the Japan Hair Science Association, a public interest incorporated association.

A | August 8th
B | October 10
C | October 10

 

　

Answers (click here)

　　

• C | October 10

　　

• The purpose of establishing "Hair Day" is to spread knowledge about hair and the scalp.

Q49 How much hair do you lose per day?

*About 0.1% of the total hair falls out.

A｜10 or less
B｜15 to 30 bottles
C｜50 to 100 pieces

 

　

Answers (click here)

　　

• C｜50 to 100 pieces

　　

• Healthy hair goes through a cycle of growth, then falling out and being replaced by new hair.
  So, hair falls out every day.

Q50 Which hormone is most likely to cause AGA?

*AGA is a disease that has a high genetic factor.

A｜Estrogen
B | Testosterone
C | Dihydrotestosterone (DHT)

 

　

Answers (click here)

　　

• C | Dihydrotestosterone (DHT)

　　

• Dihydrotestosterone (DHT) is a hormone produced from testosterone.
  It disrupts the normal hair growth cycle and shortens the growth phase, causing hair to fall out sooner than usual.

Q51 Is it true that plucking gray hairs will make more gray hairs appear?

It's a story we've heard often for a long time, but is it true?

A | True
B | There is no basis

 

　

Answers (click here)

　　

• B | There is no basis

　　

• Gray hair is hair that no longer contains melanin pigment due to a decline in the function or disappearance of melanocytes.
  Melanocytes are found in each hair follicle, so plucking one grey hair does not affect the colour of the surrounding hairs.

Q52 Is there a difference between men and women in the timing of when gray hair starts to grow?

*Gray hair can occur for a variety of reasons, including genetics and stress.

A | Men are faster
B | Women are faster
C | There is almost no difference

 

　

Answers (click here)

　　

• C | There is almost no difference

　　

• The timing of when gray hair appears does not depend on gender, but varies greatly from person to person.
  Many people start to experience grey hair in their late 30s to 40s.

Q53 Where is type II 5α-reductase found?

*There are two types of 5α-reductase, which causes hair loss: type I, which is distributed throughout the body, and type II, which is distributed in specific areas.

A｜Top of the head
B｜Temporal area
C｜Back of the head

 

　

Answers (click here)

　　

• A｜Top of the head

　　

• Type II 5α-reductase is found in large amounts in the hair roots on the top of the head.
  Therefore, AGA causes hair loss on the top of the head.

Q54 Is it possible to treat AGA fundamentally?

※AGA is a disease caused by male hormones.

A | Can
B | I can't

 

　

Answers (click here)

　　

• B | I can't

　　

• At present, AGA cannot be completely cured.
  It is possible to improve the symptoms by suppressing the production of dihydrotestosterone, the hormone that causes AGA.

Q55 What is important when starting AGA treatment?

*Once AGA develops, it cannot be cured, so make sure to base treatment decisions on correct knowledge.

A | Early treatment
B | Choose expensive medication
C | Don't accumulate stress

 

　

Answers (click here)

　　

• A | Early treatment

　　

• Hair growth treatment is possible as long as the hair follicles are not closed, but the sooner you start treatment the better the hair growth effect will be.

Q56 Who inherits AGA?

*AGA is largely caused by genetic factors, and if the answer is AGA, there is a 75% chance of developing it.

A | Paternal grandfather
B | Maternal grandfather
C | Father

 

　

Answers (click here)

　　

• B | Maternal grandfather

　　

• AGA is said to be inherited from the mother's side of the family.
  There is also data that shows that if your maternal grandfather is bald, there is about a 75% chance of inheriting the trait, and if your great-grandfather is also bald, there is about a 90% chance of inheriting it.

Q57 What new treatments for AGA are attracting attention?

※Recently, regenerative medicine has been used to treat AGA. Dr. TOUHI CLINIC also has a regenerative medicine treatment menu.

A | PRP therapy
B | Creatine Therapy
C | Radiofrequency treatment

 

　

Answers (click here)

　　

• A | PRP therapy

　　

• It is a regenerative medicine that uses your own blood.
  This treatment uses platelets to promote hair growth.
  Because it is derived from the patient's own body, there is almost no risk of rejection or allergies.

Q58 What shampoo is recommended to prevent hair loss?

*If you are concerned about hair loss, please refer to this when purchasing shampoo.

A | High moisturizing power
B | Strong cleaning power
C｜Silicone included

 

　

Answers (click here)

　　

• A | High moisturizing power

　　

• Moisturizing ingredients hydrate the hair and scalp, helping to maintain a healthy scalp environment.
  To prevent hair loss, it is important to maintain a healthy scalp environment.

Q59 What can turn gray hair black?

*Also included in Dr. TOUHI hair care products.

A｜Darknil
B | Hyaluronic acid
C｜Silicon

 

　

Answers (click here)

　　

• A｜Darknil

　　

• This ingredient has the potential to spontaneously darken grey hair by encouraging the proliferation and maintenance of stem cells around the bulge area.
  It also plays a role in protecting hair roots from oxidation, and is expected to reduce oxidative stress caused by lifestyle habits, stress, aging, and other factors.

Q60 Which oral medications are most likely to cause initial hair loss?

*The mechanism by which initial hair loss occurs when taking oral medication has not been clarified.

A | Finasteride
B | Dutasteride
C | Minoxidil

 

　

Answers (click here)

　　

• C | Minoxidil

　　

• In order to regulate the hair growth cycle, hair loss will increase temporarily, but the occurrence of initial hair loss is also evidence that the treatment is working.
  Rest assured that after the initial hair loss, thick, strong hair will grow back.

Q61 How do I stop the initial hair loss caused by oral minoxidil?

*Initial hair loss is a phenomenon in which hair loss increases temporarily when taking AGA medication.

A | Stop taking the medicine
B | Continue taking the medication

 

　

Answers (click here)

　　

• B | Continue taking the medication

　　

• In the initial stage of hair loss, the hair that would normally fall out falls out all at once due to the effects of the medication.
  The more effective the treatment, the more severe the initial hair loss will be, so if you continue taking the medication, the hair cycle will become regulated and strong hair will grow back.

Q62 Does the difficulty of treatment change depending on the area of ​​thinning hair?

*There are various areas where hair thinning can occur, such as the hairline and the top of the head.

A｜Change
B｜No change

 

　

Answers (click here)

　　

• A｜Change

　　

• The difficulty of treatment varies depending on the area of ​​thinning hair.
  Thinning hair at the hairline in particular is the first area where thinning progresses, making it particularly difficult to treat.
  It is important to treat the symptoms accordingly.

Q63 Why is oral minoxidil rated D in the recommendation level?

*The AGA treatment guidelines state that a recommendation level of D means that treatment should not be performed.

A｜Because it has no effect on hair growth
B | There is not enough evidence
C｜Due to strong side effects

 

　

Answers (click here)

　　

• B | There is not enough evidence

　　

• Although oral minoxidil has been proven to promote hair growth in research papers, its effectiveness has not yet been recognized in guidelines because no large-scale clinical studies have been conducted.
  This drug has no serious side effects and does have noticeable hair growth effects, so please feel free to take it under the supervision of your doctor.

Q64 Which nutrients are recommended to prevent gray hair?

*It is found in large amounts in animal foods and seaweed.

A | Omega-3 fatty acids
B | Calcium
C | Vitamin B12

 

　

Answers (click here)

　　

• C | Vitamin B12

　　

• Vitamin B12 is said to activate the function of melanocytes and increase melanin pigment, making it a nutrient that helps prevent gray hair.

Q65 How many hairs typically grow from one hair follicle?

*It is said that the total number of pores on the whole body is around 500 million.

A｜1 bottle
B｜2 to 3 bottles
C｜4 or more

 

　

Answers (click here)

　　

• B｜2 to 3 bottles

　　

• Two to three hairs grow from each hair follicle.
  The density is about 1 hairs per cm, and there are about 150 hairs in total.

Q66: What are the concerns about treatment with oral medication alone?

Other drugs used to treat AGA include minoxidil, finasteride, and dutasteride.

A｜Can't prevent AGA from progressing
B | Strong side effects
C | I can't feel the effect

 

　

Answers (click here)

　　

• A｜Can't prevent AGA from progressing

　　

• Minoxidil promotes hair growth, but it does not prevent the progression of AGA, so it is recommended to take it in combination with finasteride, which slows the progression.

Q67 What is the most relevant cause of grey hair?

*The average age at which gray hair begins to grow is around 35 years old for both men and women.

A｜Increase in hair matrix cells
B | Reduction in melanin pigment
C | Shortening of hair cycle

 

　

Answers (click here)

　　

• B | Reduction in melanin pigment

　　

• Gray hair occurs when there is a decrease in melanin, the pigment in hair.
  The causes of decreased melanin production are genetics, aging, and scalp environment.

Q68 Which of the following is correct regarding PRP therapy?

*More and more people are using PRP therapy, a regenerative medicine treatment, for AGA treatment.

A | Uses components extracted from your own blood
B | Inject the ingredients of oral medication for AGA treatment
C | Treatment method involving application of specific medication

 

　

Answers (click here)

　　

• A | Uses components extracted from your own blood

　　

• PRP therapy involves injecting concentrated platelets extracted from your own blood, which are then enriched with growth factors.
  For AGA treatment, it is injected into the scalp.
  This is a regenerative medicine treatment method that was used by Shohei Ohtani to treat his elbow.

Q69 Why do you need to take oral medication every day to treat AGA?

*There are various oral medications that are well-known for treating AGA, such as minoxidil and dutasteride.

A | To maintain a constant blood concentration
B | To supplement nutrition
C | To eliminate toxins from the body

 

　

Answers (click here)

　　

• A | To maintain a constant blood concentration

　　

• Oral medications work best when the blood concentration is kept constant.
  Therefore, it is best to take it at the same time each day.

Q70 How to deal with initial hair loss?

*Initial hair loss is a phenomenon in which hair loss increases temporarily after starting AGA treatment.

A | Avoid shampooing
B | Continue treatment
C | Discontinue treatment

 

　

Answers (click here)

　　

• B | Continue treatment

　　

• The initial hair loss is evidence that the treatment is working.
  By continuing the treatment, your hair cycle will return to normal and you will begin to notice noticeable hair growth.

Q71 What is one of the benefits of PRP therapy?

*PRP therapy is a type of regenerative medicine.

A | No side effects
B | Permanent effects are obtained
C｜Improves blood circulation in the scalp

 

　

Answers (click here)

　　

• A | No side effects

　　

• PRP therapy is a highly safe treatment method that uses autologous blood and has almost no risk of side effects.

Q72 How long is the growth phase of a normal hair cycle?

*The hair cycle consists of the growth phase, regression phase, and resting phase.

A | 2 to 6 months
B | 1-2 years
C | 2 to 6 years

 

　

Answers (click here)

　　

• C | 2 to 6 years

　　

• Hair grows during the anagen phase, but when AGA develops, the anagen phase is shortened to a few months.