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Hair Care

Tackle Thinning Hair.

Restore Estrogen

Reduce DHT

Promote Growth

Beautiful Middle Aged Woman Applying Moisturising Hair Spray On Ends
Happy woman brushing hair in bathroom

First Step: Estrogen

Replace estrogen with systemic hormone replacement therapy (pills & patches).

  • Boosts Hair Growth: Estrogen enhances the anagen phase for thicker, fuller hair.
  • Fights Thinning: Maintains hair follicle health to combat thinning.
  • Balances Hormones: Regulates androgen levels, reducing DHT's follicle-shrinking effects.
  • Improves Scalp Blood Flow: Enhances nourishment for healthy hair growth.
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  • Reduces the effects of DHT on the scalp.
  • Not systemic does not lower testosterone which causes sexual side effects.
  • Anti-fungal Action: Clears fungal infections, improving scalp health and hair growth.
  • Decreases Inflammation: Reduces scalp inflammation, promoting a healthier hair growth environment.

Ketoconazole Shampoo

Second Step: Reduce DHT

shampoo
minoxidil-2.5mg-tablet-

Third Step: Promote Growth with Oral Minoxidil

Daily oral tablet to promote growth.

  • Improves blood flow to the hair follicles, encouraging hair growth and thickness.
  • May work for those who have not had results using topical minoxidil.
  • Results typically seen in 3-6 months.
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 Booking services with Bloom Health does not guarantee the writing or dispensing of a prescription. Individual results may vary.  The information provided on this website is for informational purposes and not a substitute for professional medical advice, diagnosis, or treatment. If you have questions or concerns about your health, please talk to your medical provider. Images depicted on this site are stock or actor portrayal and do not represent actual patients. This site is an advertisement for services and not any specific medication. Medications displayed are those that may be used in a service package and not for sale individually. 

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Estradiol Patch

  • Plant-based, FDA-approved bio-identical hormone .
  • Twice weekly application.
  • For women who smoke, have diabetes, are overweight and/or have high blood pressure, liver issues.
  • Great for women who may be taking lots of other oral medications and don't want another pill.
  • Whole body systemic treatment. If also having urinary symptoms we suggest adding vaginal cream.
  • Apply one patch to abdomen/hip area and change twice per week. For example apply on Monday, remove and apply a new one to a different spot on Thursday.
  • 8 patches per box. You'll get 3 boxes to last 3 months.
  • Contains estradiol, a natural form of estrogen.
  • Side effects can include headaches, breast tenderness, bloating, or spotting.
  • Safe for breast cancer survivors.
  • This product is not for women who have or a history of; breast or endometrial cancer, a BRCA1/2 gene mutation, unexplained vaginal bleeding, coronary heart disease, blood clots, or stroke.
  • FDA approved medication that may be used off label.

Ketoconazole 2% Shampoo

  • Ketoconazole shampoo can reduce scalp inflammation, a key factor in hair loss, by soothing the hair follicles, promoting a healthier scalp, and supporting hair growth
  • Ketoconazole may act as a mild DHT blocker, potentially reducing scalp DHT levels and slowing hair loss associated with androgenetic alopecia.
  • Ketoconazole aids in controlling sebum production on the scalp, reducing dandruff and preventing hair follicle blockage, thereby facilitating unimpeded hair growth.
  • Regular use of ketoconazole shampoo may enhance hair density and follicle size, likely owing to its anti-inflammatory and anti-androgenic properties that foster a healthier hair growth environment.
  • Ketoconazole shampoo treats scalp fungal infections, preventing them from causing hair loss by protecting the scalp and hair follicles from damage.
  • Use 2x per week
  • Wet Your Hair: Soak hair with warm water to open cuticles and pores for effective shampoo penetration.
  • Wash Hair First: Wash and rinse well with your regular shampoo. This prepares the scalp skin to be clean and stimulated. Do not use conditioner.
  • Apply the Shampoo: Use enough ketoconazole shampoo to cover the scalp and roots only. Do not lather onto hair shaft (not effective), the focus is the scalp skin and base of hair root.
  • Lather and Massage: Gently massage the scalp to spread the shampoo evenly and boost blood circulation.
  • Leave It On: Keep the shampoo on the scalp for 5-10 minutes to allow its antifungal and anti-inflammatory actions.
  • Rinse Thoroughly: Wash off the shampoo with warm water, ensuring no residue is left to prevent scalp irritation. Apply conditioner to the hair length and try to avoid the scalp.
  • Scalp Conditions: While ketoconazole shampoo is used to treat specific scalp conditions, those with open sores, wounds, or acute inflammation on the scalp should consult a healthcare provider before use, as it may cause irritation or worsen the condition.
  • Allergic Reactions: Individuals who are allergic to ketoconazole or any other ingredients in the shampoo should not use it. Signs of an allergic reaction can include rash, itching, swelling, severe dizziness, and trouble breathing.
  • Pregnancy and Breastfeeding: Although topical ketoconazole is generally considered safe, there is limited research on its use during pregnancy and breastfeeding.
  • FDA approved medication used off label for hair loss.

Oral Minoxidil

  • Promotes Hair Growth: Extends the hair's growth phase, leading to longer, thicker hair.
  • Increases Density: Makes hair look fuller by increasing the number of hairs.
  • Versatile: Effective for male and female pattern hair loss and other types of alopecia.
  • Enhances Blood Flow: Improves blood supply to follicles, aiding growth.
  • Convenient: Easier daily intake as a pill, avoiding messy scalp applications.
  • Minoxidil should be taken at the same time each day to maintain stable serum levels.
  • Dosage is started at 1/4 of a tablet and titrated up slowly. You will need a pill cutter.
  • It can cause blood pressure to decrease slightly. We advise obtaining a home BP monitor.
  • Understand the need to continue therapy for at least 6 months to a year to assess full benefits and that discontinuing the medication may lead to a reversal of gains.
  • The initial shedding of hair when starting oral minoxidil is a common phenomenon and is generally a sign that the medication is beginning to work. The shedding usually occurs early in treatment, often within the first 2 to 8 weeks.
  • Potential Side Effects:

    Hypertrichosis: Unwanted hair growth on the face and body.
    Hypotension: Lowering of blood pressure.
    Tachycardia: Increased heart rate.
    Fluid Retention: Swelling in parts of the body, particularly the ankles and feet.
    Skin Rashes: Dermatologic reactions such as rashes.

    Please note, these are not all the possible side effects of oral minoxidil. Side effects can vary based on individual health conditions and the dosage used.
  • Not for use with these medications: Calcium channel blockers, ace inhibitors, nitroglycerin.