Questions about hair loss
Why does minoxidil shedding happen and what can I do about it?
Hair shedding is a common and temporary phase that can happen when you start using hair loss treatments containing Minoxidil. Minoxidil accelerates the shedding of old resting hairs (which would naturally fall out within 3 months) to make way for new healthier growth. The process typically starts within the first 2-8 weeks of using the treatment and may last up to 2-3 months before settling down. Results from Minoxidil can take 3-6 months to be noticeable, which is why it is important to use DOSE consistently for the best results and to reduce that initial shedding period.
How do I deal with facial hair growth caused by minoxidil?
Some users may notice increased facial hair growth due to minoxidil being absorbed through the bloodstream or accidentally transferring to the face. To reduce this, apply DOSE carefully to the scalp, wash hands immediately after application, and avoid touching your face.
Can stress or diet contribute to hair thinning, and how can it be managed?
Yes, both stress and poor diet can significantly contribute to hair loss. Stress-induced shedding (telogen effluvium) can push more hair follicles into a resting phase, leading to increased shedding. Using treatments like DOSE can help manage this, and a balanced diet rich in iron, protein, biotin, and omega-3 fatty acids also supports hair health. Managing stress through mindfulness, exercise, and good sleep can also help reduce your stress levels and could improve your hair growth.
Are there any early signs of hair loss to watch out for?
Yes, early signs include excessive hair shedding (more strands than usual in your brush or shower), a widening parting, thinning at the temples or crown, and increased scalp visibility. Catching hair loss early increases the chances of slowing it down and targeted treatments like DOSE help to promote regrowth. There are less common causes and types of hair loss that can cause bald patches or an itchy inflamed scalp which should always be assessed by a dermatologist.
How does aging affect hair thickness and growth cycles?
As we age, hair follicles shrink, growth phases shorten, and shedding phases extend - this results in thinner, weaker, and shorter hair over time. Hormonal changes, especially during menopause or andropause, can also impact hair density. Using targeted treatments like DOSE and maintaining scalp health can slow down this process.
Do certain hairstyles or hair care habits contribute to hair loss?
Yes, repetitive or prolonged wearing of tight hairstyles like ponytails, braids, or bun can cause traction alopecia by putting stress on the hair follicle. The overuse of heat styling, harsh chemicals, and frequent bleaching can also weaken hair and lead to breakage, so opt for gentle styles, scalp-friendly products, and minimise heat exposure to maintain healthy hair growth.
What role do hormones play in hair loss?
Hormonal imbalances can trigger hair loss, particularly in conditions like polycystic ovary syndrome (PCOS) and postpartum shedding. With PCOS hair loss is caused by an excess of androgens (male hormones) like testosterone, which can shrink hair follicles and lead to thinning, particularly at the crown and temples. This type of hair loss results in gradual thinning rather than complete baldness - and using a product containing minoxidil can help thicken the hair.
Postpartum shedding happens due to the sudden drop in oestrogen after childbirth, The shedding typically returns back to normal baseline within 3-6 months, however the recovery of lost volume can take longer. Using a growth supporting treatment like DOSE can help reduce this shedding and encourage the growth of new healthy hair.
Can hair loss be reversed, or is it always permanent?
This depends on the cause. Hair loss from androgenetic alopecia (male and female pattern hair loss) can often be slowed or reversed if it’s treated early. However, in advanced cases where follicles have become dormant or in rarer types of hair loss where the follicles are scarred, regrowth is not possible. That’s why DOSE products are best suited for the earlier stages of hair thinning. If you have more advanced hair loss or if DOSE products have not helped, we recommend consulting an expert from our DOSE Directory.
How does minoxidil work, and what makes it effective for hair regrowth?
Minoxidil widens blood vessels in the scalp, increasing nutrient delivery to hair follicles. It also prolongs the growth (anagen) phase, encouraging thicker, longer strands. Regular use is key to seeing results with minoxidil.
What’s the difference between the percentages of minoxidil in DOSE?
DOSE offers different strengths of minoxidil to cater to various levels of hair loss and scalp sensitivity. Lower percentages available over the counter (such as 2% or 5%) are typically recommended for those experiencing early-stage thinning or for individuals with sensitive scalps, while higher concentrations (such as 6% to 10%) may be used for more stubborn cases of hair loss and can lead to faster or more noticeable results.
What is the difference between DOSE and over-the-counter minoxidil?
DOSE is formulated in a specialist laboratory, known as a compounding pharmacy. Our compounded minoxidil is tailored for individual needs, often including additional ingredients like melatonin or finasteride for enhanced efficacy.
How long does it take to see results with minoxidil?
On average most users notice reduced shedding within 2-3 months, with visible regrowth appearing around the 4-6 month mark. Consistent use is crucial, as stopping treatment will reverse progress.
What are the potential side effects of using minoxidil?
Common side effects include scalp irritation, dryness, and increased shedding initially. Less common effects include dizziness or unwanted hair growth in other areas, but if irritation persists, stop using DOSE and see your doctor.
If you have a history of heart conditions, you should consult your doctor before using minoxidil. While topical minoxidil is generally safe for most people, it is a vasodilator, meaning it increases blood flow by widening blood vessels. This can sometimes cause side effects like a drop in blood pressure, increased heart rate (tachycardia), dizziness or lightheadedness and fluid retention in rare cases. People with low blood pressure, heart disease, arrhythmias, or a history of heart failure should speak to a healthcare provider before using minoxidil to ensure it is safe for them.
What happens if you stop using DOSE or minoxidil - does the hair fall out again?
Yes, once minoxidil is discontinued, any hair regrowth achieved will gradually shed over a few months, returning to its previous state. To maintain your results, continue using DOSE regularly.
Can minoxidil and DOSE be used with other hair loss treatments, like finasteride or PRP therapy?
Yes, DOSE, and minoxidil in general can be combined with finasteride (topical or oral) and PRP (platelet-rich plasma) therapy for enhanced results. Always consult a professional before combining treatments - see our list of recommended hair-loss experts and practitioners in the DOSE Directory.
Is it safe to use minoxidil on other areas, such as eyebrows or beard growth?
Minoxidil is used off-label for eyebrows or beards, but the skin in these areas is more sensitive, and side effects like irritation or excess growth in unwanted areas can occur. Although DOSE Beard and DOSE Brows both contain minoxidil, we use lower doses and balance this with calming ingredients to soothe the skin.
What are some common myths about minoxidil and hair loss treatments?
- Minoxidil works instantly - this is false. It takes months to see noticeable changes, so take a starting picture and another after a couple of months to monitor your progress. To standardise photos - try to keep the same lighting, hair colour/length, location and angle of photo.
- Once you start, you can never stop - whilst it's possible to stop using products containing minoxidil at any time, you would gradually lose any growth from being on the treatment (usually within 6 months). Androgenetic alopecia is a condition that progresses and gets worse slowly over time so treatments should be continued long term to maintain effect
- Only men can use minoxidil – not true! It is effective for women experiencing hair thinning too.
What should I do if I have just noticed hair loss?
Acting early is key. Assess any potential causes like stress, changes in diet or hormonal fluctuations and we also advise taking our blood test first to screen for the common causes of hair loss. Visit the the LEARN section for more information on the types of hair loss, and which DOSE works best for each. However if hair loss is rapid or severe, consult your doctor immediately.
What should I do if I am not suitable for any DOSE products or if they haven't worked for me?
If DOSE products aren’t suitable for you or haven’t been effective, seeking professional advice is best. Some hair loss types, like scarring alopecia, require prescription treatments, and you can find a list of recommended hair experts and practitioners in our DOSE Directory.
What types of hair loss do DOSE products help with?
DOSE is designed for several types of hair loss, including androgenetic alopecia (pattern baldness) and telogen effluvium (temporary shedding). There are also versions of DOSE suited for those who are post-chemotherapy, during menopause or experiencing traction-related hair loss. However, DOSE does not treat scarring forms of alopecia like frontal fibrosing alopecia, lichen planopilaris, or central centrifugal cicatricial alopecia. For these conditions, consult a specialist (we have a list of recommended hair experts and practitioners in our DOSE Directory.)
What are the risks of using topical finasteride compared to taking the medication by mouth?
Using finasteride topically instead of taking it as a tablet reduces systemic absorption, therefore significantly lowering the risk of side effects like mood change and sexual dysfunction.
What should I do if I have an allergic reaction to minoxidil?
Mild irritation on the skin can occur and can be managed by reducing the frequency of use and or amount applied, but if you experience swelling, severe itching, or breathing difficulties, stop use immediately and seek medical attention.
