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Hi - I am new to this site and unfortunately newly diagnosed with FFA. My once thick, rarely plucked, eyebrows began thinning about 2 years ago. I was REALLY freaking out a first, going to 4 different dermatologist and a Holistic Practice trying to find out why and how to stop it. I tried injections once and countless creams (licoid, desonate, clairfoam, etc.) Eventually I noticed it would cycle with dryness, fall out, then regrow - although not to original, but I learned to deal and would just fill in with eye shadow when needed.
However, about 6 months ago I noticed that my hair line was thinning. Particularly on the sides at first, now the top. I mentioned it to a new dermatologist I was seeing at the practice I was going to and she seemed very interested, saying she suspected FFA , told me how rare it is and that I was like the 4th person around my age (40) that she saw with it recently. She recommended I see Dr. Jerry Shapiro in NYC or Dr. Amy Pappert, NJ. I made an appointment with both.
Dr. Shapiro's appointment was first (@$800 and he doesn't take insurance)but I was glad I went. He did some measurements of my hair line and said it was between the normal limits and also measured how many hairs I have per square cm and the hair shaft diameter. He said that I had miniaturization but my other measurements were within the normal limits. He actually did not think I had FFA but rather androgenetic hair loss. I was of course happier with this result. He prescribed 50mg Spironolactone, Minoxidil 5%, Nizoral shampoo for my hair (and face and brows - think that did help with dryness in my brows). However, I was too scared to take the Spironolactone after reading the pamphlet and I did the Minoxidil reluctantly for about a month but got panicked when I saw all the shedding and the increase of shed from my brows and even eye lashes, and my ears were red and irritated so I went off. Dr. Shapiro said I could have been allergic for the ear reaction. And another doctor said it wouldn't help for this type of alopecia anyway.
I then had my appointment a month or later with Dr. Pappert and she suspected FFA and was surprised Dr. Shapiro did not (apparently he is an expert in this field) so she recommended a biopsy, which I did and confirmed it was FFA. In the couple of weeks since the biopsy I notice a difference on my hairline and wonder if it could have sparked more loss. She recommends Pacquenil (400) and Cellcept (sp?)and thinks the Cellcept would be better for me. The problem is I am kinda an organic non GMO type of person and the thought of taking something that can make me blind or give me disease that can kill me, is not a risk I think I can take. Maybe I will feel differently as this gets worse - dunno. Dr. Pappert was great, so asked the doctor in the room with us to look into any medical literature on more natural remedies, said we could start with a topical cream (although she wasn't optimistic) and we could do shots (but again, she didn't see that working much - and from posts, I'm afraid of that as well). So I am going back in a couple of weeks to meet with another head doctors that apparently comes to town every couple of weeks and meets with all the doctors there so they will have me meet with them to.
On my own research, I am trying this Paleo Autoimmune diet (which I am not too happy about but I'll try my best - any body do this and know how hard core you have to be?). I will also be going back to the Holistic practice I go to from time to time and get her thoughts. My iron, D and testosterone are all low as well. I am wondering if anything to increase the testosterone would be helpful - I ordered some organic borage oil that I read may help. I also ordered some organic tumeric and some JustNatural organic hair loss shampoo and conditioner.
Oh - and I have been using Latisse - recommended by one of the early Derms I went to see but didn't start until about a month ago. I was putting on my eyebrows (but around the time the minoxidil shed hit, so hard to tell true results) and also started putting on my hairline. I actually think it may be helping. I do see regrowth but the hairs are super fine. Now, I also notice more thinning, so hard to say if its causing that or the re-growth or what I have to hang on...
Tomorrow, I go back to Dr. Shapiro, so I will bring the biopsy report and see what he recommends. I am trying my best to remain calm about this. My husband has been great, saying he doesn't care, will shave his brows and head too but who knows how he will feel when it really happens. One big fear is that my kids will be embarrassed and feel different about me one day although my bigger fear is to take something that will take me away from them.
So that's my story. With the thought I may not do anything major to stop this, I wonder how long the regression of hair line typically takes and if anyone has had success with any natural remedies?
Sorry this is so long. Good luck to everyone. What a crappy thing to deal with. I certainly did not see this one coming :(
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Hello Sam, welcome to our group. Celia started this group up just a year ago and our numbers have now swelled to 91 ladies. This FFA is not a rare type of alopecia, more and more ladies are being diagnosed unfortunately. Like you I am someone that does not usually take medication and try to use diet and exercise to keep well... I have however been taking plaquenil for almost 6 months. It is a drug that has been used for many years in the treatment of autoimuune conditions and the macular degeneration that can effect eyesight is extremely rare and if it does happen it occurs slowly so you can stop taking the drug to prevent further damage to sight. It has been shown to help approx 50% of women with FFA.
Turmeric is proven to stop inflammation in autoimmune conditions.. I take that as a supplement and also ginger - another proven anti-inflammatory.
Please check out the Joe Cross re-boot juicing website. He is an australian guy that had a very painful autoimmune skin condition. He was actually using many of the drugs we are being given for our FFA. He has a one hour documentary called 'Fat Forty and Nearly Dead'. He was at his wits end and used a juicing diet, supervised by a doctor to re-boot his body. Dr Joel Furhlman in the USA was his doctor. I did a 5 day juice fast in July this year. Since then I am doing the anti-inflammatory diet that the american doctor Dr Weil recommends and i also include at least one fresh vegetable juice a day and I have lost weight (an unexpected side effect) and I feel my skin looks fresher, younger and my front hairline is calmer. Of course the plaquenil may be working too but I feel I am doing everything in my power to help my body heal itself. I go back to my derm in Novmber, like many of the ladies in the UK I go to Dr Harries. I may take antibiiotics if he recommends them but I will not do anything more extreme with my medications as like yourself I don't want to make myself ill with drug side effects.
I therefore suggest the anti-inflammatory diet approach of Dr Weil, turmeric and ginger supplements and of course exercise. Oh and I also have made my own concoction for my scalp. Essential oils: 4 drops turmeric, 2 drops lavender in 10ml of marual oil (I use marula oil as my carrier oil because it has fantastic healing properties and is used in east Africa to heal wounds and burns) I apply this essential oil blend once or twice a day with a cotton bud. It sinks in so does not leave a oily residue. I prefer this to a steriod lotion.
I think many of use really would like to have more natural options to fight FFA with.
Good luck with your treatments.
I also use essential oils. Are they working for you? Have you noticed any regrowth?
How much turmeric should one take? I am just feeling horrible about this diagnosis. Some people's posts seem so calm and rational but I am not there yet...I am panicky and miserable and cry a lot. Thanks.
Hi, Sam. You are lucky to be able to see Dr. Shapiro, he is very well known. One thing I tell everyone to do is to get onto the CARF website. This is an organization that has a lot of information about doctors, treatment and research about FFA.
I am unlike the others in this group and willing to try any pill that I could swallow or use any cream that I can apply. I have been on plaquenil for a year and use clobetasol 3x a week, and also take the supplements of revesterol and turmeric. When I was first diagnosed, I was given the antibiotic doxycycline. This antibiotic has anti-inflammatory properties and is prescribed for other skin conditions such as acne. My understanding is that cellcept is given if plaquenil does not work and is a pretty powerful drug because it suppresses the immune system which can cause other disease. I have also gone gluten free, and avoid whenever possible, sugar and dairy.
I know losing your eyebrows can be stressful but most of us have gotten permanent make-up tattoos and are very happy with them. Good luck to you.
Is the Plaquenil working for you? does it prevent progression and regrow the hair. I'm afraid mine is too far gone now that nothing but the Grace of God could fix this.
Sam, I was recommended to take Plaquenil, Methotrexate, and Griseofulvin by different MD's. I decided that at my age that I did not want to take any drugs with the side effects. Methotrexate is used to treat cancer, Plaquenil originally for malaria. I am in the medical field and I have seen bad things by using drugs "off label" which means using them for things other than what they were made for. In fact, I feel my autoimmune disorder started from a dermatologist prescribing a cream for precancerous spots on my back. The cream activates your immune system to fight the precancer lesions. Terrible stuff. My alopecia started about a month using that stuff. Maybe a coincidence. I went to a new dermatologist and she said I should have never used that on my back. It is made for the head and face only and to be used in bald areas. I decided to forego the meds and use essential oils only.
This weekend is the first year anniversary of wearing hair. I spent six months in hiding, having a huge pity party, felt the joy in my life was gone. This weekend, I went to a wedding and reception and had a great time. I live my life with wearing hair, as it was my own now. I decided that am not going to let alopecia ruin my life or run my life. It is hard to get through. I used essential oils for emotional healing, which is huge. I've always had a strong faith in God, and my spirituality is even stronger now. It was a definite wake up call.
I think of that Kelly Clarkson song, What doesn't kill you makes you stronger. Alopecia definitely does that. I wish you Peace and God's blessings! Watch the you tube video from NAAF keynote speaker Ali Lambert I think is her name. (NAAF National alopecia foundation)
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