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Topic Title: white bulbs
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Created On: 07/02/2002 10:49 PM
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 07/02/2002 10:49 PM
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HanginOnToMyHair
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Do all hairs that fall out have white bulbs at the end of them? In other words, if someone was losing their hair, would all the hairs have white bulbs? Or do white bulbs at the end of hair represent hairs that would fall out anyway during the normal course of a day?
 07/02/2002 10:57 PM
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nubber
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white bulbs are normal.
 07/02/2002 11:19 PM
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HanginOnToMyHair
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That's cool.........

So if a guy was losing his hair, would some of the hairs NOT have white bulbs? Fortunately all of mine seem to have the white bulbs.
 07/02/2002 11:24 PM
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LOWNUFF
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i hope white bulbs r normal cuz mine seem to always have some sorta white stuff at the end... does any1 know what that is?? is it old sebum or something.... any info is appreciated on what this stuff is ... thanks LOW
 07/03/2002 01:04 PM
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HanginOnToMyHair
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Farrel could you give us some insight on white bulbs?

As in, when someone first started losing their hair and seeing hairs everywhere (shower, pillow, etc), would those hairs have all had white bulbs on them? Forgive me for keeping this thread going, but back when I started losing my hair, I never thought to look at the bulbs on them.

 07/03/2002 01:18 PM
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Farrel
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Heres an excellent answer from Dr Lee

Jason asked: "I've been hearing some talk about there being a difference between hair falling out with a white bulb at the end and without a white bulb at the end. Does the white bulb mean anything (ie. does that indicate hairloss)? Or it that just some unfound rumor?"

Dr Richard Lee, MD answered: "It would be abnormal if the hairs that you shed didn't have the "white bulb at the end". Hair is normally shed at the end of the telogen (resting) phase. Once a hair has made the transition to the telogen phase, its existing hair shaft will not grow any longer. The hair shaft during the telogen phase is no longer anchored securely in the dermis as it was in the anagen phase and can be easily dislodged with the gentle traction of brushing or shampooing or combing. Usually the shedding is unnoticed. Since the hair can accumulate in the shower drain or on soapy hands; patients can erroneously associate washing the hair with causing hair loss.

The telogen hair has a club shaped proximal end within the hair follicle and retains the club shape when it is shed. The bulb (or club) is just a cluster of dead cells. If you are finding hairs, which have been shed without the club end, the cluster of loosely attached cells may have been abraded away. However, if the shed hairs actually do not have a club end, it indicates a cause of hair loss other than MPB. For example, damaged hair can break and the end will not have a bulb, 'exclamation point' shed hair can occur in alopecia areata, etc."

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Disclaimer - I am not a physician or an expert and my advice should not be considered medical/expert advice. - If you follow my opinions and/or advice you do so at your own risk.
 07/03/2002 04:51 PM
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LOWNUFF
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farrel-

when some of my hairs r shedded they have some kinda white stuff at the end i dont think this is the white bulb cuz u can pull it off... im wondering is this is build up or something else that gets attached at the end of the hair and is uplifted when the hair sheds if this is some kinda build up can this hender new hair growth... i wash my hair 2 times a day and alternate between t-gel 3 times a week reg. shampoo and head and sholders... it seems like this white stuff is some kinda lil crustyness (i know that sounds sick) its nothing much but it just happens to come out with the shed hair... please let me know if u have any idea of what im talkig about?? thanks farrel

LOWNUFF
 07/12/2002 07:06 PM
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chromedome
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this is an older topic which i saw and wanted to ask a question about it. I have noticed that there are two different types of "white bulbs" that shed from my scalp. One has a very small bulb on the end which looks like the head of a match, it cannot be pulled off the hair and it is very small. The other is not so much a bulb as it is more a white "sheath" on the end of the hair that can be pulled off.

I am trying to understand what the difference is between the two as I believe it relates to how we are trying to slow down our hair loss. I understand that we are trying to keep our hair out of the "telogen", or "resting" phase which causes the hair to become successively smaller when it begins growing again after a 3 month dormant period. This is what many topicals and oral medicines are now able to do. Which one of the two "white bulbs" described above is a telogen? Are both types I described telogen hairs which happen to look different?

Anangen is the "growing phase" which is what we want to keep our hair in. Telogen=bad anagen=good, correct? Telogen is what the hair goes into when it becomes weak and is ready to fall out by brushing, showering, shampooing, etc. Does hair in the anangen/growing phase ever shed at all? In other words, if I run a comb through my hair and see five hairs in my comb, would all five be telogen hairs? I see a lot more small "match head" bulbs than ones with sheaths that come off. I am hoping that these are anagens that will begin growing as soon as they fall out without going into the deadly resting phase. Can anyone clarify these phases by their physical appearance?
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