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Is onion juice better than minoxidil?

Dr Madhuri Agarwal, Founder and Medical Director of YAVANA Aesthetics Clinic said, “While there are a lot of people that use onion and claim for it to be safer due to it being a natural product, minoxidil is in reality a better option.

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The excess moisture and sweat can cause dandruff on your scalp which leads to itchy and oily scalp in summer hence, hair care experts recommend using hydrating products that prevent stripping one’s scalp of natural oils nor leave them dry and rough, which is why we find ourselves picking natural formulations with anti-oxidant ingredients such as amla, honey, onion juice or hibiscus as these ingredients help infuse the hair with moisture, locking it in to keep it nourished and healthy. While there are a lot of people that use onion and claim for it to be safer due to it being a natural product, minoxidil is known to help with hair loss and promote hair growth, which brings us to the main question - whether onion or minoxidil works best for hair fall?

In an interview with HT Lifestyle, Dr Kalyani Deshmukh, Dermatology Expert at Traya Health revealed, “Onion contains Quercetin, a 5α-reductase inhibitor (5α-R) which is an enzyme that converts testosterone into dihydrotestosterone (DHT) but simply applying onion or its extract to the scalp will not help to block DHT and there is no significant data that mentions the absorption of onion on applying to the scalp. Although there have been studies of concentrated onion juice in treating alopecia areata (an autoimmune condition where hair fall is seen in patches all over the body) but if you look at the shampoo and the concentration of which these active ingredients are present is practically negligible. If you compare this 1-2% concentration along with the contact time of shampoo on the scalp, it doesn’t really help to give any real results.” Dr Madhuri Agarwal, Founder and Medical Director of YAVANA Aesthetics Clinic said, “While there are a lot of people that use onion and claim for it to be safer due to it being a natural product, minoxidil is in reality a better option. The reason for this is that as a science practitioner, I would always turn to data and there aren't enough studies that show tangible results for onion usage on hair. At most it will show results for smaller hair issues but larger and more common problems like male pattern hair loss or female pattern hair loss cannot be completely remedied using onion extract. Minoxidil on the other hand is FDA approved and has large scale studies backing its efficacy.” However, according to Sameep Mendiratta, Head-Brand and Consumer products at Mylo, while Minoxidil is known to help with hair loss and promote hair growth, it should be used under the guidance of a dermatologist as there are some known side effects such as excessive facial hair growth in women and it should be avoided during pregnancy. He said, “Onion Oil on the other hand is a natural ingredient with no major side effects. Onion oil has antioxidants that help in improving hair health and also has antimicrobial properties thus preventing any bacterial infections or dandruff. Onion oil is also a natural conditioner and safe to use during pregnancy.”

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Is DHT hair loss permanent?

“DHT baldness can become evident on your scalp (usually on the front or top) in as little as three months,” Anna Chacon, MD, and dermatologist in Miami, FL tells WebMD Connect to Care. “Without treatment, its impact typically is total in one to three years,” Umar says.

As you start to research possible causes of your hair loss, you will find a lot about dihydrotestosterone (DHT) baldness. DHT is a common factor in both male pattern baldness and hair loss in women, according to the American Hair Loss Association. But what exactly is DHT?

What Is DHT?

DHT is a male sex hormone created when certain enzymes convert testosterone in men’s testes and prostate and women’s ovaries. DHT is a more powerful hormone than testosterone that actually is essential for most hair growth — except on the head. There, it may attach to hair follicles for a considerable time. According to the American Hair Loss Association, DHT triggers receptors to begin miniaturizing the follicles. “The sensitivity of those receptors is a genetic trait. Your levels of DHT may be quite normal for your age and gender but everything depends on the receptors,” Sanusi Umar, MD, a dermatologist at Dr. U Hair and Skin Clinic in Manhattan Beach, CA tells WebMD Connect to Care.

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