The number of people with hair loss and thinning hair is increasing in Japan, regardless of age or sex, due to the aging of the population, advancement of women into the workforce, and increase in social stress. Hair loss and thinning have been attributed to genetic predisposition and hormonal imbalance; however, recent research has explored their relationship with environmental and psychological stress. Since 1981, we have been providing treatments focused on growing and nurturing hair in Japan, with the number of patients exceeding 2000 per year. We have conducted research on hair growth and regrowth for 40 years, focusing on factors such as hormonal imbalance, sebum, and stress, based on findings from our specialized manual treatments. In recent years, the number of patients taking finasteride has increased, and we have developed a treatment strategy to maximize its effectiveness. However, some patients either do not respond to the treatment or may not require the use of finasteride. In this study, we report on 1) cases in which efficacy was confirmed with manual treatment alone, 2) cases in which efficacy was confirmed with finasteride and manual treatment, 3) cases that did not respond to manual treatment and finasteride, and 4) cases with confirmed efficacy with continued treatment after discontinuation of finasteride.
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