Hair Loss Treatment Progress Report

Patient Information:

• Gender: Male
• Age: 38
• Hair Loss Stage: Norwood Hamilton 4+

Trial Period: 6 months

Treatment Plan:

1. HR23+ Hair Supplement: Daily oral supplementation for hair health.
2. Micro Needling: Weekly scalp treatment to stimulate follicular activity and enhance absorption of topical agents.
3. Minoxidil 5%: Twice-daily topical application to promote regrowth and reduce hair loss.
4. Nizoral 2% Shampoo: Used 2-3 times weekly to control scalp conditions and maintain a healthy environment for hair growth.

Introduction

This report outlines the 6-month progress of a 38-year-old male patient undergoing a comprehensive treatment regimen for advanced androgenic alopecia (Norwood Hamilton Stage 4+). The approach combined supplements, scalp treatments, topical applications, and a medicated shampoo.

Baseline Assessment

At the start of the trial, the patient presented with:

• A prominent receding hairline and temporal balding.
• Significant thinning at the crown and mid-scalp regions.
• Mild dandruff and occasional scalp irritation, suggesting a suboptimal scalp environment.

Treatment Protocol and Compliance

1. HR23+ Hair Supplement: Taken daily without interruption.
2. Micro needling: Performed weekly using a derma roller (1.5mm needles) across thinning areas.
3. Minoxidil 5%: Applied consistently twice daily on the crown and hairline.
4. Nizoral 2% Shampoo: Used 3 times per week to address dandruff and maintain scalp health.

Observations During Treatment

Month 1-2:

• Initial Shedding: Moderate shedding noted, typical of Minoxidil use as dormant follicles entered the growth phase.
• Scalp Health: Reduced dandruff and irritation after regular use of Nizoral shampoo.
• Regrowth: Minimal regrowth observed, with fine vellus hair emerging in some areas.

Month 3-4:

• Crown Area: Early signs of regrowth, with thin hair starting to fill sparse areas.
• Hairline: Slight improvement along the edges, though significant recession remained.
• Hair Density: Overall improvement in thickness and coverage in the mid-scalp region.
• Scalp Health: Notable improvement; scalp appeared less inflamed and healthier.

Month 5-6:

• Crown Area: Noticeable improvement, with thicker regrowth replacing fine hairs.
• Hairline: Marginal improvement, with slow but steady progress near the temples.
• Shedding: Stabilized at minimal levels.
• Hair Quality: Hair appeared shinier, stronger, and more resilient.
• Scalp Health: Dandruff eliminated, and overall scalp condition remained optimal.

Results Summary

• Crown Area: Significant improvement in density and coverage.
• Hairline: Modest gains, particularly at the edges of the receded areas.
• Mid-Scalp: Increased density, with fewer visible patches.
• Overall Hair Quality: Improved strength, thickness, and appearance.
• Scalp Condition: Healthy and free of irritation, providing an ideal foundation for hair growth.

Conclusions

The combination of HR23+ supplements, micro needling, Minoxidil 5%, and Nizoral 2% shampoo has proven effective in reducing hair loss and stimulating regrowth, especially in the crown and mid-scalp regions. Progress at the hairline has been slower but encouraging, given the advanced stage of hair loss.

Recommendations

1. Continue Current Regimen: Maintain the existing treatment plan for an additional 6-12 months to consolidate gains.
2. Enhance Hairline Treatment:
   • Increase micro needling frequency to biweekly for the hairline.
   • Consider adjunctive therapies such as Platelet-Rich Plasma (PRP) injections.
3. Monitor Progress: Schedule a follow-up consultation after 6 months to reassess growth and refine the treatment plan.