YOU SHOULD NOT USE PROGESTERONE THERAPY IF YOU ARE:

-Currently pregnant/breastfeeding or planning pregnancy

-Have a history of any of the following:

-Allergy/hypersensitivity to progesterone products

-Blood clots, acute thrombophlebitis or thromboembolic or other clotting disorders

-Breast/Ovarian/Cervical/Endometrial cancer

-Liver disease

-Missed abortion or ectopic pregnancy

-Abnormal vaginal bleeding outside of your normal menses which has not been evaluated/treated

-History of a stroke or reduce blood flow to the brain (cerebral apoplexy)

-History of heart attack or active coronary artery disease with chest pain/angina

-Uncontrolled major depression or other psychological disorder

-Dementia or other neurological disorder

Please let your provider know if you are at high risk for any of the above conditions or have any of the following risk factors:

Family history of breast/genital cancer, family history of blot clots or clotting disorder, depression that is not treated/stable, endometriosis, diabetes, hypertension, smoker, have bone mineral density changes or other bone disease, kidney disease or reduced kidney function, systemic lupus erythematosus (SLE), migraines, asthma or epilepsy.

If you take warfarin or other oral anticoagulants your dosage may need to be adjusted while using progesterone.

Discontinue if any of the following develop: yellowing of the skin, visual problems (may cause contact lens intolerance), any signs/symptoms of a blood clot, migraine with unusual severity, significant blood pressure increase, or severe depression. You should discontinue use 4 weeks before major surgery or during any period of prolonged immobilization. Make sure to read the links provided to understand and familiarized yourself with all potential side effects.

side effects may include sexual side effects (such as decreased libido, erectile dysfunction, reduced sperm quality and gynecomastia) and psychological side effects such as depression, anxiety, or brain fog. These side effects have been demonstrated to resolve when the medication is discontinued, but in very rare cases, may be long lasting. If you have a history of severe or untreated depression or another mental health condition, we advise consulting with a mental health professional prior to starting therapy. There have been rare reports of breast cancer in patients taking finasteride/dutasteride so it is not advised to take this medication if you have a prior history of or are at high risk for breast cancer or other hormone sensitive cancers. *Prostate/PSA: It is critical that you inform all your healthcare providers that you are taking Finasteride/Dutasteride because it can lower your PSA results. Your provider will need to adjust their interpretation of your results and may want to check your PSA more frequently (for patients over 40). If you have a history of prostate cancer or are at high risk, you will need to discuss Finasteride/Dutasteride with your urologist/oncologist before starting treatment because there is some evidence that these medications may increase the risk for developing a high-grade prostate cancer. Please inform your provider if you have any history of urological problems, BPH or current symptoms of reduced urine flow because it is advised that you have your prostate evaluated prior to starting Finasteride/Dutasteride.

(sold under the brand name Xalatan) is a medication that is FDA approved to treat increased pressure inside the eye, including ocular hypertension and glaucoma. While Latanoprost is not FDA approved to treat hair loss, it is commonly used off label for hair loss because it mimics naturally derived prostaglandins which can stimulate hair follicle activity and may increase hair density. Latanoprost side effects may include itching, irritation and skin hyperpigmentation when used topically. When Latanoprost applied, increase in brown pigmentation of the iris, blurred vision, burning and stinging, itching, lid edema, chest pain/angina pectoris, rash/allergic skin reactions, dizziness, headache, muscle/joint/back pain have been occurred. Please inform your provider if you have a history of closed angle, inflammatory or neovascular glaucoma, any other active intraocular inflammatory disorders (uveitis, iritis) or a history of a torn lens or no lens in the eye (aphakia), as Latanoprost would not be safe for you to use without consulting with your ophthalmologist prior to starting therapy. Make sure to read the links provided to understand and familiarized yourself with all potential side effects.

(Retinoic Acid): may cause mild redness, irritation and peeling/flaking of the skin. This typically improves over time as your skin gets used to the medication. Tretinoin should not be used during pregnancy and breastfeeding. Children should not take or come in contact with Retinoic acid. Use of the product should be discontinued if hypersensitivity to any of the ingredients is noted. Keep out of reach of children. Keep bottle tightly closed. Do not expose to heat or store at temperatures above 120°F (49°C). If a reaction suggesting sensitivity or chemical irritation occurs, use of the medication should be discontinued. Exposure to sunlight, including sunlamps, should be minimized during the use of tretinoin, and patients with sunburn should be advised not to use the product until fully recovered because of heightened susceptibility to sunlight as a result of the use of tretinoin. Tretinoin preparations for topical treatment should be kept away from the eyes, the mouth, angles of the nose, and mucous membranes. Topical use may induce severe local erythema and peeling at the site of application. If the degree of local irritation warrants, should use the medication less frequently, discontinue use temporarily, or discontinue use altogether. Tretinoin has been reported to cause severe irritation on eczematous skin and should be used with utmost caution in patients with this condition. For full disclosures please read following links and other links provided. https://www.pdr.net/drug-information/?druglabelid=1786

very well tolerated on the skin but rare side effects can include redness, itching, mild burning or allergic reactions. Tell your provider or get medical help right away if have Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat. Signs of high blood sugar like confusion, feeling sleepy, more thirst, passing urine more often, flushing, fast breathing, or breath that smells like fruit. Signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes. Muscle pain or weakness. Chest pain or pressure. Dizziness or passing out. Shortness of breath. Sweating a lot. High doses of niacin can cause rapid heartbeat, gout, liver damage, diabetes, abdominal pain, nausea and vomiting, Itching, severe skin flushing combined with dizziness. Some possible interactions include alcohol, Allopurinol, anticoagulant and anti-platelet drugs, herbs and supplements, blood pressure drugs, chromium, diabetes drugs, hepatotoxic drugs, statins, and zinc. Make sure to read the links provided to understand and familiarized yourself with all potential side effects.

when taken orally, may cause somnolence, headache, stomach ache, dizziness, restlessness, itching, dry mouth. Topical side effects are expected to be minimal. Melatonin is generally safe for short-term use. Unlike with many oral medications, with melatonin you are unlikely to become dependent on it, have less response to it after repeated use. The most common melatonin side effects include, headache, dizziness, nausea, daytime drowsiness, other, less common melatonin side effects might include, vivid dreams or nightmares, short-term feelings of depression, irritability, stomach cramps, diarrhea, constipation, decreased appetite, urinary incontinence at night, increased risk of falls, increased risk of seizures, confusion or disorientation, mood swings, reduced alertness. Make sure to read the links provided to understand and familiarized yourself with all potential side effects.

long-term use of a topical steroid may be associated with localized skin lightening (higher risk in darker skin types), skin thinning, more visible blood vessels, and acne. However, the scalp is one of the thickest areas of skin on the body, so use of this 1% preparation has a lower risk of causing thinning. You should never use this medication on your face or other areas of your body. Please reach out if you have concerns about the use of topical steroid at any time and it can be removed from your formulation. Your scalp should get used to your formulation after 3-4 months of therapy and at this time we suggest that you reach out to adjust your formulation to remove the hydrocortisone. Hydrocortisone should not be used during pregnancy and breastfeeding. Children should not take or come in contact with Hydrocortisone. Hydrocortisone is for the temporary relief associated with minor skin irritations, inflammation and rashes, it’s for external use only, should avoid contact with the eyes. Make sure to read the links provided to understand and familiarized yourself with all potential side effects.

Side effects may include lowered blood pressure, dizziness, lightheadedness/fainting, increased urination, increase in potassium levels in the blood, headaches, irregular periods or lack of menstrual periods, breast enlargement, breast tenderness and some may experience changes in hair texture/color. Topical preparations may have a distinct smell. Please let us know if you have a history of kidney disease/dysfunction, electrolyte imbalances, adrenal gland disorder or heart disease because this medication may not be safe for you. If you have a history of breast cancer or other hormone sensitive cancer, it is advised that you discuss with your oncologist before starting spironolactone. Treating hair loss with Spironolactone is off-label use. The FDA has approved Spironolactone for managing high blood pressure, heart failure, and conditions characterized by excessive aldosterone levels in the body. Spironolactone has the potential to interact with various other medications and substances, which may influence their efficacy or lead to unwanted side effects. Women who are pregnant, planning to become pregnant, or breastfeeding should avoid taking Spironolactone.

Make sure to let your provider know what other medications you are taking. Make sure to read the links provided to understand and familiarized yourself with all potential side effects.