Telogen Effluvium: Is There a Need for a New Classification

Controlled clinical trial for evaluation of hair growth with low dose cyclical nutrition therapy in men and women without the use of finasteride

“…As well as there are other persons who carry the genes, passing them off to the next generation, who do not themselves, manifest any hair loss symptoms. There are several persons losing hundreds of hair per day but not going bald because their fallen hair is regularly replaced with new hair, as the hair cycle continues [1][2][3] . Focus should be on the promotion of hair growth cycles and not on fighting the androgens.…”

“…Today, with the understanding of teloptosis and kenogen by Guarrera et al [1][2][3] , patients develop baldness, not due to hair loss but due to the empty follicle stage. Patients gradually develop empty bald areas as a result of the falling telogen hair no longer being replaced with new anagen hair.…”

“…Patients gradually develop empty bald areas as a result of the falling telogen hair no longer being replaced with new anagen hair. The physiological balance of the hair growth cycle is disrupted [3][4][5][6] leading to loss of density, gradually manifesting into baldness. However, patients assume they are balding due to the visual hair loss and pursue multiple remedies for control.…”

“…Instead of insisting on anti-androgens in management of hair loss patients, we should focus on strengthening the hair follicle and promoting better hair growth to ensure more hair on the head. Eminent research workers Trueb [3] , Klingman [4] , Rook and Dawber [5] in their studies of the dynamics of hair growth, have highlighted the fact that hair loss is a result of dysregulation of the hair growth cycles or imbalance between factors regulating, hair loss and hair growth or to say the factors known to be, favourable and unfavourable for hair growth. The same is also emphasised by the studies of Headington [6] , Paus and Cotsarelis [7] , Liyanage and Sinclair [8] .…”

Telogen Effluvium: Is There a Need for a New Classification A Reply

“…I thank Prof. Trüeb for his precise update on the telogen effluvium (TE) story [1], and for having mentioned my work so vastly. Nonetheless, there are points that I would like to discuss.…”