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Oud 22 september 2008, 23:20   #1
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Interessant artikel o.a. minox en finas en laser

By Karen Fittall
September 07, 2008 12:00am

Treatments to fix baldness are everywhere. But how do you sort the facts from the fiction?
Balding is to men what stretch marks are to women: a body-image issue, a condition that’s sparked an entire industry of creams and procedures, and something about which, to a large extent, there’s not a lot you can do.

And yet most men hate it.
The thought of losing their hair is, well, enough to make their hair fall out. Which isn’t surprising when you learn what the Hair Sciences Center in Colorado, US, recently discovered about people’s perceptions of baldness.

A whopping 66 per cent of people surveyed said they thought men with a full head of hair were more successful, while more than 46 per cent thought they were more intelligent than those who were balding or already bald. It’s not surprising that the billion-dollar hair-loss industry is booming.

But what is at the root of all this hair loss? And why does it seem to happen to men and not women?

“As we get older, our hair follicles shrink and reduce in number, and that happens to everyone, both males and females, as a natural part of the ageing process,” says the honorary secretary of the Australian College of Dermatologists, Dr Stephen Shumack.
“But the baldness that we commonly see in men, where they lose large amounts of hair, that’s typically a genetic problem.”

And if the statistics are anything to go by, it’s a problem that affects many males.
Called male pattern baldness, or androgenic alopecia if you want to get technical, according to a study published in the British Medical Journal, it strikes 30 per cent of Caucasian men by the age of 30, 50 per cent by the time they hit 50 and 73.5 per cent once they’ve celebrated their 80th birthday.

“In men who have inherited the condition, testosterone, or more accurately the enzyme which testosterone is converted to, actually targets the hair follicle and, in effect, switches it off so that it shrinks to a microscopic size and the hair shaft becomes very short and fine,” says Dr Shumack.

This is why women aren’t typically afflicted by this type of balding, because even if they inherit the condition, they don’t have enough testosterone to create the same effect.

If the genes fit
So if the condition is hereditary, which side of the family should you point your bottle of thickening shampoo at?

Some researchers – particularly those from Germany’s Dusseldorf University Clinic – believe the gene that is responsible for some men having more of the male-pattern-balding hormone receptors lies on the X chromosome – and is therefore inherited from the mother.
But Dr Shumack says the jury is still out.

“It’s not clear cut,” he says. “So this type of balding is called polygenic because it’s likely that there are several genes involved.”

So just because your dad was bald, it doesn’t necessarily mean you will be.
“You may have inherited the condition from your maternal grandfather,” says Dr Shumack. “So you and your brothers might start to go bald at 30 even though your dad still has a full head of hair at 60.”

But one thing is certain: if you’re predisposed to going bald, then sooner or later your hair will start to fall out.

Can you keep your hair on?
Believe what you read and see on TV, and there are all sorts of treatments for preventing and reversing baldness.
Tablets, creams and even laser therapies that promise to kick-start those hair follicles seem to be a dime a dozen. But do they work? We asked Dr Shumack for his opinion on three popular hair-loss treatments.

Treatment Tablets
The most popular pharmaceutical involved in the battle against male pattern balding is a product called Finasteride.
A prescription-only medicine, Dr Shumack says it’s anti testosterone, “so it works by inhibiting the conversion of testosterone into the enzyme which can affect the hair follicles on the scalp”.

And according to a string of different studies, it does work.
“There is good clinical evidence to show that Finasteride stops the hair falling out, and in about 40 per cent of men it’ll also encourage some noticeable hair regrowth.”

It won’t happen overnight, though; you’ll have to wait at least six months – and sometimes up to two years – before you start to see a difference, and at roughly $100 for a one-month supply, it doesn’t come cheap.

“The important thing is that you have to keep taking it,” says Dr Shumack. “If you stop, your new head of hair will go back to the way it was before medication in about four to six months.”

Treatment Lotions
There are several lotions and creams that claim to treat baldness, but if you want a treatment to pack a punch, then it should contain an ingredient called Minoxidil.
Sold under a variety of different brand names - including Rogaine - it works to a certain extent, says Dr Shumack.

“Around 30 per cent of men will see a noticeable amount of regrowth, but again, you have to be vigilant about keeping up with the treatment.”

In the case of Minoxidil, that means rubbing a lotion into the scalp twice a day and, like Finasteride, as soon as you stop, your hair will revert back to its balding state.
You can buy these products over the counter without a prescription, but it will still set you back around $40 to $50 a month.

Treatment Laser therapy
Advertisements for laser treatments which claim to give you back a full head of hair are all over our TV screens – many of them being touted by celebrities, costing thousands of dollars, and failing to mention that they often also rely on tablets and lotions in order to be effective.

Dr Shumack has a few words of warning: “There is no hard evidence which proves laser therapy – whatever that term means, because it’s frequently used to describe any number of different treatments and products - actually works to halt or reverse hair loss.
It’s my opinion that it doesn’t work.”

Dr Shumack isn’t alone.
Last year, British advertising regulators gave the Shane Warne-endorsed Advanced Hair Studio advertisements a slap over the wrist, saying the ads were misleading and could be construed to imply that the product halted or reversed hair loss, two things for which there is no hard evidence.

If you are determined to have a bash at any or all of the treatments listed above, Dr Shumack has one last piece of advice: “Remember that the sooner you catch the problem the better,” he says.

“So, where a treatment has been clinically proven to work, the younger you are and the less balding you have, the better, as far as seeing an improvement goes. If you’re already experiencing a significant amount of balding, then no matter what you do, it’s not likely to make much of a difference.”

Laatst gewijzigd door henk1106; 22 september 2008 om 23:52
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Oud 22 september 2008, 23:28   #2
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Hair Restoration Treatments: Hope or Hype?





Both men and women tend to lose hair thickness and amount as they age. Inherited or "pattern baldness" affects more men than women. Approximately 25 percent of men begin to bald by the time they are 30 years old, and about two-thirds are either bald or have a balding pattern by age 60. Women, on the other hand, generally have diffuse thinning that affects all parts of the scalp. In this situation, much of the hair remains, but the thickness of the hair shaft is smaller than normal.
There are a number of treatment options available designed to re-grow hair and to replace hair that's already been lost. Currently in the United States, there are more than 2,000 topical and oral products, about five surgical procedures and several hair restoration devices, but only a few that actually work. Out of all the topical and oral treatments available, only two are approved by the Food and Drug Administration (FDA). They are Propecia and Rogaine.
Propecia is an oral medication; its chemical name is Finasteride. It was developed nearly 40 years ago as a treatment for prostate hypertrophy (extended prostate). However, users found that the hair in their crown and bridge areas of their scalps was getting thicker, and they weren't losing hair at the same rate they once were. Propecia is known as a DHT-inhibitor, actually slowing or halting the conversion of testosterone into di-hydrotestosterone (DHT), a hormone that shrinks hair follicles as men age. Because DHT is known to be the primary cause of male-pattern baldness, stopping the conversion of DHT allows genetically susceptible hair follicles to remain intact, and in some cases increase in size. The side effects of Propecia are minimal and can include a reduced desire for sex (1% chance) and possible breast enlargement (less than .25% chance).
Rogaine is a topical treatment, the latest version being foam. Its active ingredient is Minoxidil, which was originally developed as a product to control blood pressure. But users found that they were growing hair in areas where hair didn't previously exist. Minoxidil comes in a number of strengths: the maximum non-prescription strength of five percent usually recommended for men, two percent formula recommended for women and prescription strength 12 ½ percent, which is seldom used.
Rogaine is a hair growth stimulator, meaning that when it is effectively applied to the scalp, it absorbs into the skin where it increases blood flow to the tissue and hair follicles underneath. It primarily benefits the crown and bridge area of the scalp, but some users have seen minimal benefit in the front and along the hairline. Rogaine is approved for use by men and women. It must be used twice a day, EVERY day. When used as directed, Rogaine has been reported to work in 60-70 percent of cases. Skin irritation is a side-effect and primary frustration for users.
Lasers are used with great success in a variety of medical specialties, but what about in improving hair density? The concept is simple; low-level lasers are known to increase blood flow to underlying tissue and can stimulate natural processes beneath the skin. If lasers are effective in stimulating blood flow to hair follicles and accelerating the hormonal process of hair regrowth, users should be able to realize slightly thicker hair and possibly more hair on the scalp at any given time.
In addition to the in-office laser treatment, there is a "laser comb" device that has been approved by the FDA. Reportedly, the laser comb, when brushed through the hair and over the scalp, administers phototherapy to the scalp. A six-month study reviewed by the FDA shows that men who used the comb grew an average of 19 more ‘thick' hairs per square centimeter than those who used sham devices. There are a variety of laser combs on the market, all for use three times per week. Prices range from $395 to $545, depending on the version.
Electro-magnetic stimulators claim to actually stimulate the hormones responsible for hair growth into growing new hairs in follicles that have long stopped. Small, acupuncture-type needles are injected into the areas of the scalp with thinning and loss. When the device is activated, slight electro-magnetic pulses are transmitted into the scalp. Supposedly, over time, the hormones responsible for hair growth and ultimately new hair are reactivated. While the product is receiving a lot of attention, there is virtually no clinical data to support its claims and very few medical doctors take it seriously.
Surgical hair transplantation is the fastest growing cosmetic surgery today. There are currently a few surgical procedures available: the ‘donor strip' hair transplant, ‘follicle unit extraction', and scalp reduction.
The donor strip method is the most commonly used, provides the best results and is considered the only viable surgical treatment by over 95 percent of hair restoration surgeons in the United States. The surgeon first removes a section of hair-bearing skin from the back of the head, right around the base of the skull. The removal area is sutured together, leaving a thin scar blended into the hair in the back of the head. The follicular units are extracted and placed in cool saline solution. Then, small incisions are made in the areas of thinning and loss and one-by-one the follicular units are implanted.
Follicular Unit Extraction is just that; instead of making an incision in the back of the head, each individual follicular unit is removed with a punch blade and then relocated to the areas of thinning and loss, all in one step. Unfortunately, it isn't as simple as it sounds. First of all, hair follicles do not grow straight up and down beneath the skin; they grow at angles. Not only that, but each follicle can be at a dramatically different angle than the follicle next to it. Clinical studies have shown that 25-40 percent of all follicular units being extracted are destroyed, simply cut in half. In addition, the punch blade will leave multiple scars throughout the donor area. Bottom line: follicular unit extraction procedures cost more, result in less density and compromise the donor area. This is why few surgeons employ this technique, and respected names in hair restoration caution against it.
Scalp reduction surgery involves removing an area of the scalp, eliminating part of the area affected by hair loss. The result can be a reduced bald spot and greater coverage by surrounding hair-bearing skin as it is pulled towards the spot where the skin was removed. However, there are risks associated with this procedure. Stretching is a likely possibility since the resulting scar has a great deal of tension on it. Another possibility is traction alopecia, which is the permanent hair loss caused by great stress on hair follicles. Also, reduction in scalp elasticity from a scalp reduction can compromise future hair transplant procedures.
The cost for hair transplant surgery? The average procedure is about $5,200, and depending upon the procedure, could rise to $10,000 or more.
If you are experiencing hair loss, only you can judge the procedure that is right for you. Be sure to do your homework and keep in mind the relative risks and benefits of each procedure.
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Oud 22 september 2008, 23:32   #3
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The bald truth about hair loss treatments: most don't work

BY ANNA T. HIRSH
Sunday, September 21st 2008, 4:00 AM
According to one estimate, Americans spend more than $3.5 billion a year to prevent balding.


Experts agree that about 75 percent of men and 10 percent of women will experience some degree of hair loss in their lifetime, and, according to a report published in the Washington Post, Americans spend more than $3.5 billion a year in an attempt to manipulate their manes into regrowing. Unfortunately, 99 percent of these ethically questionable products are completely ineffective, says the American Hair Loss Association (AHLA).
There are actually two different types of hair loss. The first is called shedding, and is a healthy part of our hair's growth cycle - hairs with diameters of normal size fall out in a diffuse fashion around the head, and, after a rest period, a new normal hair grows in its place, says Bernard Cohen, MD, a certified dermatologist and hair restoration surgeon in. Coral Gables, Fla.
In contrast, the problematic type of hair loss is called, plainly, balding. One form of balding, called telogen effluvium, is basically just excessive shedding brought on by unusual circumstance or trauma, such as chemotherapy, high fever, pregnancy, drugs, anemia or even stress. These instances are generally temporary, and each hair lost will eventually be replaced with a full-sized hair. But the other, more common type of balding which we all know and don't exactly love, is actually properly referred to as androgenetic alopecia, or thinning.
"With thinning, the number of hairs stays the same, but each time they re-grow, they have a smaller diameter and length until eventually they vanish - this process is called miniaturization," Cohen says. "The underlying skin becomes more and more visible as the hairs become smaller and smaller, however, a person will already have lost 50 percent of their hair before it is even noticeable."
According to Marsha Scott, vice president of the American Hair Loss Council and creator of Marsha Scott's Hair Loss Clinic for Women, Bethel, Conn., the biggest contributing risk factor for thinning is genetics, and, contrary to popular belief, baldness is not determined by any particular relative or side of the family - this applies to both men and women.
Products like Rogaine (minoxidil), Propecia, Dutasteride and other DHT inhibitors, work in different ways but all promote hair growth and retention. However, the regrowth that occurs is fine hair, not your original full, lush mane of hair.
"These products can make a small hair's diameter 20 to 30 percent bigger so that the hair is once again visible," Cohen says. "But once it's gone, nothing will regrow it."
According to the AHLA, future hair loss treatments will most likely include hair follicle cloning and gene therapy, both of which are methods that have the potential to actually "cure" inherited pattern baldness.
"But let me put it this way," Scott says. "If there was a product out there that truly caused hair to regrow once it was gone, everybody in the would know what it was and would be using it. Scientists are certainly working on it, but as of right now, there is no such thing."
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Oud 22 september 2008, 23:40   #4
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Stopping female baldness


Friday, September 19, 2008 at 6:50 p.m.

BACKGROUND: Most men resign themselves to the fact they might bald, but how many women need to worry about losing their hair? The Hair Loss Learning Center says hair loss affects 21 million women in the United States alone. Baldness occurs when hair falls out and new hair doesn't take its place. Normally, hair grows at an average rate of about half an inch per month for two to six years, then rests and then falls out. Soon after that, a new hair begins to grow in its place. At a given point in time, 85 percent of your hair is growing and 15 percent is resting, according to the National Institutes of Health. Unlike men, women with female pattern baldness can begin losing their hair at any age through 50 or later, may not be genetically predisposed to hair loss and may not fall prey to the recognizable thinning over the top of the scalp.

CAUSES: The cause of female baldness is not well understood, but is associated with genetics, aging and levels of endocrine hormones. In particular, androgens, or male sex hormones, are associated with hair loss. As in men, the most likely cause of hair loss is androgenetic alopecia, or an inherited sensitivity to the effects of androgens on hair follicles in the scalp. Other causes include trichotillomania, or compulsive hair pulling; alopecia areata, a disorder that causes patchy hair loss ranging from diffuse thinning to extensive balding with "islands" of retained hair; triangular alopecia, or loss of hair in the temporal areas that sometimes begins in childhood; scarring alopecia, or hair loss due to scarring of the scalp area typically involving the top of the head; and telogen effluvium, a common type of hair loss that takes place when a large portion of hair shifts into the "shedding" phase. Telogen effluvium can be hormonal, nutritional, drug associated or stress-associated. Menopause can be associated with both scarring alopecia and telogen effluvium.


TREATMENT: Female pattern hair loss can begin as early as the late teens to the early 20s in women who have experienced early puberty, says the International Society of Hair Restoration Surgery. If left untreated, this type of hair loss can progress to a more advanced form. Treatment is also recommended for women whose self-esteem is damaged by hair loss. The only drug approved by the Food and Drug Administration (FDA) to treat female pattern baldness is minoxidil (Rogaine). For women, the FDA recommends the two percent concentration. Minoxidil may help hair grow in 20 to 25 percent of women, and in the majority may slow or stop the hair loss process. Another option for women suffering from baldness are hair transplants. Hair transplants involve removing tiny plugs of hair from healthily growing areas and placing the hair in balding areas. The procedure usually requires multiple sessions and can be expensive. In addition, it can cause minor scarring and carries a risk of skin infection; however, results are often pleasing and permanent.


DETECTION: In order to effectively treat baldness, experts recommend a physician's diagnosis. It is important to catch and treat baldness as early as possible to prevent further hair loss. A new genetic test may help women treat baldness before its effects even show. It's called HairDX and through it doctors can predict whether or not a woman will have significant hair loss. After swabbing the inside of your mouth, the doctor sends the sample off to the laboratory for testing. Three to four weeks later, the results are sent back. The test costs about $150.
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Oud 22 september 2008, 23:46   #5
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Boomers turn to tested therapies, experimental techniques, cosmetic solutions to beat hair loss

Boomers with thinning hair have options: Time-tested, experimental and cosmetic

by Connie Midey - Sept. 16, 2008 12:00 AM
The Arizona Republic
Of all the indignities of Baby Boomerdom - the wrinkles, the hot flashes, the frequent bathroom breaks - hair loss may be one of the toughest to accept.
"It can be really traumatic," said physician George Cotsarelis, director of the University of Pennsylvania Hair and Scalp Clinic in Philadelphia. "Some women had such beautiful hair they were defined by it, and for men, there's often the feeling that they're falling apart."
But even if heredity is the culprit, as it is for most women and men, these solutions from Cotsarelis, Scottsdale surgeon John Hamilton and Phoenix hairdresser Carmen Andrade might make your locks look almost as healthy and youthful as you feel.
See your doctor first to rule out medical conditions or drug side effects that may be contributing to your hair loss.
3 tried-and-true solutions

Rogaine

• How it works: Minoxidil, an anti-androgen, is the active ingredient in Rogaine, available over the counter in liquid and foam and in 2 percent and 5 percent strengths. Androgens, the male sex hormones present in both sexes, contribute to male and female pattern baldness.

• Upside: One of only two Food and Drug Administration-approved medicines for the treatment of hereditary hair thinning in men, and the only one for women. When applied properly, it usually maintains hair and in some cases can regrow thick hair, doctors say.

• Downside: Expect to apply the solution to your scalp twice a day for up to a year before seeing results and to continue using it for the rest of your life. If you stop, any gains will be lost.

• Cost: About $30 to $50 for a one-month supply.

• Keep in mind: "Rogaine can prevent further hair loss in women, especially if they fix (underlying conditions) like low iron or thyroid problems," said Cotsarelis, a dermatologist.
Propecia

• How it works: Propecia, a once-a-day prescription tablet, is the other FDA-approved treatment for male pattern baldness. (Women can't use it because it may cause abnormalities in their baby boys' sex organs.) The drug's active ingredient is finasteride, which blocks the conversion of the male hormone testosterone into the more-active dihydrotestosterone. DHT destroys hair follicles.

• Upside: Helps maintain and in some cases regrow hair. Because it and Rogaine are better at maintaining than growing hair, you'll be happier with results if you start using either or both medicines before too much thinning has occurred, said Hamilton, a long-time general surgeon now specializing in hair transplants at Bosley Medical Scottsdale.

• Downside: You may need to take the tablets for up to 12 months before noticing a benefit, and any gains will be lost if you stop taking them. Propecia can cause a slight increase in sexual dysfunction, but side effects disappear when use is stopped, Cotsarelis said. In about half of those who continue taking it, side effects cease with time.

• Cost: About $60 to $70 for a three-month supply.

• Keep in mind: "DHT is also found in the prostate," Cotsarelis said, "so anything (like Propecia) that prevents prostate enlargement too is a bonus."
Hair transplant

• How it works: The surgeon takes tiny, healthy "donor strips" - hair in natural groupings capable of lifelong growth - from the patient's scalp and transplants them into balding areas, where they can take root and grow. The in-office procedure, performed under local anesthetic, may take five to six hours.

• Upside: "In the past, we took plugs, round little punches of 12 to 15 hairs each, and put them in the scalp," Hamilton said. "It looked like doll's hair. Now it's not as dense and is virtually undetectable."
• Downside: Women hoping for a full head of hair may be disappointed with the results because their supply of donor hair may be limited, Hamilton said. And with more extensive work needed, the procedure may be more expensive for them. One transplant surgery usually is enough, but some patients return after a year to achieve thicker hair.

• Cost: At $3 to $10 per graft, transplant surgery can cost anywhere from $2,500 to $15,000.

• Keep in mind: Transplanted hairs usually begin to look natural after about six months. Today's hair transplants are combined with the use of Rogaine, Propecia and other treatments.
4 for which jury's still out

Laser therapy
The HairMax LaserComb, a hand-held device for home use, is said to promote hair growth in men with male pattern baldness by increasing blood flow to their follicles. Hamilton uses one and has found that it thickens his hair. Laser therapy also is available in hair-restoration clinics or salons, where it's delivered through hair dryer-like devices.
"There is some effect, but I think it's probably transient," Cotsarelis said, adding that the wavelength used in laser light therapy for hair is the same as in the laser pointers used by speakers.
Genetic testing
Some doctors offer tests to assess whether you're genetically predisposed to hair loss. Your genes can't be changed, making the information of questionable value except for prompting you to begin early treatment. Besides, your relatives' hair is a pretty good - and free - indicator of what's ahead, Cotsarelis said.
Dietary supplements
Biotin (a B vitamin), certain amino acids and other vitamin, mineral and herbal combinations sometimes are marketed as directly or indirectly stimulating hair growth, but there's little evidence they work. Low iron often is a culprit in women's hair loss, Hamilton and Cotsarelis said, and that usually can be corrected with improvements to your diet and perhaps a daily multivitamin with minerals.
Hair 'cloning'
Known as follicular neogenesis, growing multiple hairs from part of a follicle is a promising development for the hair-challenged, but it's at least five to 10 years away, Hamilton said. This summer, Stanford University researchers announced the discovery of a molecule in mouse embryos that signals embryonic stem cells in the skin to grow hair.
3 tricks to fool the eye

Scalp makeup
That pink scalp visible through your thinning locks draws attention like a neon sign. Products such as Toppik, Couvré and DermMatch color the scalp to more closely match your hair color and reduce the contrast between the two. Toppik does so with tiny, static electricity-charged keratin protein fibers that you sprinkle on your scalp. Couvré is a lotion and DermMatch is a hard-packed powder, each rubbed onto the scalp with an applicator.
Hair-care products
Nioxin products have lots of fans, including hairstylist Andrade, a Baby Boomer who has used them for years. She owns El Y Ella salon on McDowell Road in Phoenix. The products, with vitamins, proteins and amino acids, don't claim to regrow hair but can improve the appearance of what you have. Folligen products contain copper peptides, small bits of protein that the company says can increase follicle size. Some shampoos include small amounts of minoxidil.
"But any good shampoo, especially volumizing shampoo, will have some effect," Cotsarelis said. "Everyone's hair is different, so you have to find what works best for you."
Hairstyling techniques
People like Andrade, who has naturally curly hair, are better able to hide hair loss. Try for a little curl and fullness while styling hair, doing so gently to avoid further damage, she said. Keep hair neatly trimmed and on the short side because long hair can make the loss more obvious. Hair bonding and extensions temporarily camouflage loss but put stress on the hair, "and over time, they cause you to lose more hair," Cotsarelis said.

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Oud 23 september 2008, 00:17   #6
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Ik heb het niet helemaal gelezen, Maar ik kwam dit tegen:
Citaat:
Rogaine

• How it works: Minoxidil, an anti-androgen, is the active ingredient in Rogaine, available over the counter in liquid and foam and in 2 percent and 5 percent strengths. Androgens, the male sex hormones present in both sexes, contribute to male and female pattern baldness.
???
__________________

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Oud 23 september 2008, 10:04   #7
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Oorspronkelijk geplaatst door vrosjnivosj Bekijk bericht
Ik heb het niet helemaal gelezen, Maar ik kwam dit tegen:
???
Lol wat slecht. Dat krijg je ervan als je journalisten over een onderwerp laat schrijven waar ze geen verstand van hebben.
__________________
Regimen:
Rogaine foam
Minoxidil 5%
HW-topical III
Multi vit / fibers / DHA+EPA

Experimenteel

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Oud 24 september 2008, 22:20   #8
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Of deze: uit de eerste post: over aga:

This is why women aren’t typically afflicted by this type of balding, because even if they inherit the condition, they don’t have enough testosterone to create the same effect.

Jemig, zo blijft het voor ons vrouwen een groot taboe met alle psychishe gevolgen van dien. Wanneer houdt het eens op??!!!
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