Hair Thinning & Hair Loss

Hair loss is progressive, but it is also one of the most treatable conditions in medicine. The key is starting before the follicles go dormant permanently.

83%of patients maintain or regrow hair with treatment

Understanding hair loss

Androgenetic alopecia, commonly known as pattern hair loss, affects approximately 50 million men and 30 million women in the United States. It is the most common cause of hair thinning and is driven primarily by the hormone dihydrotestosterone (DHT), a potent androgen derived from testosterone. DHT binds to receptors in genetically susceptible hair follicles, causing them to shrink progressively with each growth cycle until they eventually stop producing visible hair.

In men, pattern hair loss typically begins with recession at the temples and thinning at the crown, eventually progressing to varying degrees of baldness. In women, the pattern is usually diffuse thinning across the top of the scalp with preservation of the frontal hairline. The process is gradual, often spanning years or decades, which is both a curse (you may not notice until significant loss has occurred) and an opportunity (early intervention can preserve substantially more hair than waiting).

The critical fact about hair loss is that it is far easier to maintain existing hair than to regrow hair from dormant follicles. Once a follicle has been miniaturized for long enough, it may lose its capacity to produce a full terminal hair. This is why dermatologists and hair restoration specialists consistently emphasize early treatment. The sooner you intervene, the more hair you keep.

What causes hair loss

1

DHT sensitivity

Genetically susceptible follicles shrink in response to DHT, producing progressively finer, shorter hairs until the follicle goes dormant. This is the primary driver of pattern hair loss.

2

Hormonal changes

Thyroid dysfunction, polycystic ovary syndrome, menopause, and postpartum hormonal shifts can trigger or accelerate hair thinning beyond genetic pattern loss.

3

Nutritional deficiency

Iron, zinc, biotin, vitamin D, and protein deficiencies impair the hair growth cycle. Restrictive diets and malabsorption are common culprits.

4

Stress-related shedding

Telogen effluvium, triggered by physical or emotional stress, illness, or surgery, pushes large numbers of follicles into the resting phase simultaneously, causing diffuse thinning 2-3 months after the triggering event.

How we treat hair loss

INA's hair loss protocols use the two most clinically validated approaches: DHT blocking and growth stimulation. Finasteride blocks the enzyme (5-alpha reductase) that converts testosterone to DHT, reducing scalp DHT levels by approximately 70% and halting the miniaturization process. Dutasteride offers stronger DHT suppression for patients with more advanced loss or those who have not responded adequately to finasteride. Minoxidil stimulates blood flow to the hair follicle and extends the growth phase of the hair cycle, promoting regrowth of thicker, longer hairs.

Our Custom Hair Kit combines these approaches for maximum efficacy. Your INA physician evaluates your hair loss pattern, severity, duration, and medical history to determine the optimal combination and dosing. For patients early in the process, finasteride alone may be sufficient. For those with more advanced thinning, a multi-mechanism approach produces the best outcomes. Consistent treatment is essential: most patients see visible improvement within 3-6 months, with full results at 12 months.

Recommended treatments

Frequently asked questions

How soon will I see results?
Hair growth is a slow biological process. Most patients notice reduced shedding within 1-2 months. Visible thickening typically begins at 3-4 months. Full results, including regrowth in thinning areas, are usually apparent at 9-12 months. Patience and consistency are essential.
Will I lose hair if I stop treatment?
Yes. If you discontinue finasteride or dutasteride, DHT levels return to pre-treatment levels and the miniaturization process resumes. Hair gained during treatment will gradually be lost over 6-12 months. Most patients who achieve good results choose to continue treatment indefinitely.
What are the side effects of finasteride?
The most commonly discussed side effects are sexual, including reduced libido and erectile changes, occurring in approximately 1-2% of patients in clinical trials. These effects are reversible upon discontinuation. Your INA physician will discuss the risk-benefit profile specific to your situation.
Is dutasteride stronger than finasteride?
Yes. Dutasteride blocks both type I and type II 5-alpha reductase enzymes, reducing DHT levels by approximately 90% compared to finasteride's 70%. It is typically recommended for patients with more aggressive hair loss or those who have not achieved adequate results with finasteride.
Can women use these medications?
Minoxidil is safe and effective for women with pattern hair thinning. Finasteride and dutasteride are not recommended for women who are or may become pregnant due to teratogenic risk, but may be prescribed to postmenopausal women in certain cases. Your INA physician will determine the safest and most effective option for your situation.
Does minoxidil actually regrow hair?
Yes. Minoxidil has been shown in multiple clinical trials to stimulate new hair growth, not just slow loss. It works by extending the anagen (growth) phase of the hair cycle and increasing follicular blood supply. Results are best when combined with a DHT blocker like finasteride.

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Medical disclaimer

The information provided on this page is for educational purposes only and does not constitute medical advice. All treatments require a physician consultation and prescription. Individual results vary. Treatment eligibility is determined by a licensed healthcare provider based on your medical history and current health status. Do not start, stop, or change any medication without consulting your physician.

Warning: Compounded GLP-1s (Tirzepatide & Semaglutide)

Please contact your doctor ASAP and seek in-person care immediately if a side effect becomes problematic or you experience:

  • Severe nausea and/or vomiting resulting in dehydration - it is important to stay well hydrated and drink plenty of fluids while on this medication. Kidney problems/kidney failure - vomiting, nausea, diarrhea can cause dehydration and kidney issues and make kidney problems worse in individuals who have pre-existing kidney conditions; may sometimes lead to the need for hemodialysis.
  • Thyroid C-Cell Tumor: Trouble swallowing, hoarseness, a lump or swelling in your neck, or shortness of breath (see black box warning below).
  • Pancreatitis: Severe pain in your abdomen or back that will not go away.
  • Acute gallbladder disease: Pain in the middle or right upper stomach, fever, white parts of your eyes turn yellow or skin turns yellow, nausea/vomiting.
  • Hepatitis: Elevated liver enzymes/Jaundice.
  • Diabetic retinopathy problems: Changes in vision in those with type II diabetes, particularly vision problems may worsen in those with a history of diabetic retinopathy.
  • Severe gastrointestinal disease: may cause gastrointestinal disease; do not use if you have a history of severe gastrointestinal disease.
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