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    Hair Thinning Options

    Most seniors thin — many options.

    Why hair thins after 65

    • Genetics — male/female pattern baldness.
    • Hormonal changes (post-menopause).
    • Thyroid issues — get blood test.
    • Iron deficiency — common in seniors.
    • Medications — many cause hair loss.
    • Stress.
    • Some causes reversible.

    Medical treatments

    • Minoxidil (Rogaine) — OTC, $30/mo. Both men + women.
    • Finasteride — Rx pill, men only. Side effects.
    • Spironolactone — Rx, women only.
    • PRP injections — $500-1,500 per session, 3-4 sessions.
    • Hair transplant — $5K-15K. Permanent.
    • Talk to dermatologist for prescription options.

    Cosmetic options

    • Volumizing shampoo — Nioxin, OGX Thick & Full.
    • Toppik — keratin fiber sprinkle, $25.
    • Hair toppers — partial pieces, $200-1,000.
    • Wigs — synthetic $50-200, human hair $500-3,000.
    • Scalp micropigmentation — tattoo dots, $2K-5K.
    • Shorter cuts often look fuller.

    Daily care

    • Wash 2-3x/week — not daily (strips oils).
    • Cool/lukewarm water rinse.
    • Wide-tooth comb when wet (hair fragile).
    • Air dry when possible.
    • Silk pillowcase reduces breakage.
    • Avoid tight ponytails / buns.
    • Eat protein + iron (see /tools/protein-for-seniors).

    Cancer + hair loss

    Chemo causes hair loss. Wigs covered by Medicare with prescription "cranial prosthesis." American Cancer Society's "wig bank" provides free wigs. Look Good Feel Better — free workshops on wigs/makeup during cancer treatment.