
They will assess and determine the type of hair loss have which guides treatment.
Your first step to your renewed healthy hair.
Hair loss isn't something you should face alone. See a specialist in hair health! If you need one, book with our recommended clinic! Identify underlying causes: hormonal, nutritional, genetic. Review current treatments & goals.
Need an assessment? We work in collaboration with the East St. Paul Medical Center to find out how to help you the best.
We tailor your treatment with collaboration from your health care team. Whether it be at home treatments or in office procedures. Our hair loss treatment plan is specialized to you.
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You are not alone when you work for us! We are here to follow up, boost and tweek your hair loss treatment based on what's working and what's not. We care about your outcomes as much as you do.
Have any questions? Contact us, we are happy to discuss your options before you commit.
Hair loss can be frustrating and emotional but there are many treatment options. We combine advanced medications, evidence-based therapies, and individualized compounding to help both men and women reduce hair thinning, promote regrowth, and maintain healthier hair over time. Every plan is customized for you.

They will assess and determine the type of hair loss have which guides treatment.
Your first step to your renewed healthy hair.

After starting first line therapies we can add in office procedures like microneedling, PRP, growth factor injections, LLLT. We will also access how your medications are going and change as needed.
Reassess: every 3–6 months, adjust therapy as needed.

We know that like life, our hair changes over time. We will keep checking in to help you stay on track with treatment and answer any questions that come up. If something changes we will change with it.
Maintenance: long-term therapy is usually required to sustain results.

This can includes in office treatments, prescription and over the counter medications. Our pharmacy team will work with you and your prescriber to best suit your needs.
Initial improvement: often 3–4 months

If you are still not happy with the results, can we add booster medication to help your current medications work better. With customized compounds we can combine, add and subtract what is and isn't working.
Reassess in every 4-6 months
Our professional pharmacists create customised solutions based on high quality compounded drugs. Whether it can be topical preparations, oral preparations or a combination of both, we make sure each prescription is tailored to your individual needs of hair restoration.
Platinum Compound Rx Pharmacy is a trusted partner for hair health offering professional guidance and private consultations in convenient locations. Learn more about our hair loss treatment to discover individualized solutions that will help you get fuller and healthier hair.
DHT causes gender pattern baldness by “miniaturization”; each cycle makes the hair thinner, shorter, and lighter, and it may turn “peach-fuzz” or fall out completely over time. Androgen or androgenic is another word for DHT affect.
Thyroid changes, postpartum/menopause, or starting/stopping birth control can trigger temporary shedding and may warrant lab checks.
More hairs shift from the growth phase (anagen) into the resting/shedding phase (telogen). If this is following stress, illness, childbirth, or rapid dieting and is often temporary.
Itch, redness, scaling, or follicle bumps (e.g., dermatitis, psoriasis, folliculitis) can irritate/obstruct follicles and lead to breakage or shedding. Auto immune diseases can attack hair follicles. Pain, scarring, or sudden patches need medical assessment.
Hair follicles are alive and need nutrients to make health hair. Reduced blood flow reduces how much “food” goes to the hair. Diets, nutrient deficiencies, gender and environmental factors can all influence hair health.
Androgenic Alopecia (AGA) is a common, hereditary hair loss condition caused by sensitivity to dihydrotestosterone (DHT), leading to gradual thinning and miniaturization of hair follicles. This is what we usually think of when we think of hair loss.
Treatment focuses on reducing DHT in the scalp, thereby reducing miniaturization. We also make sure we give the hair all the necessary ingredients it needs to growth back health and stronger
Minoxidil – Oral and/or topical
Finasteride – Oral and/or topical
Ketoconazole – Topical
Nutrient Supplementation – Hair supplement (like Priorin), Vitamin D3
Microneedling
Alone, with PCP or with stem cells
Low Level Light Therapy (LLLT)
Topical Tretinoin
Dutasteride
Herbal Treatments
Topical Melatonin
Female Pattern Baldness is a type of androgenic alopecia in women, marked by gradual thinning over the crown and part line, while the frontal hairline usually remains intact. The cause is similar to men, but there are different treatment options.
Treatment focuses on reducing DHT in the scalp, thereby reducing miniaturization. We also make sure we give the hair all the necessary ingredients it needs to growth back health and stronger
Minoxidil – Oral and/or topical
Finasteride – Only topical and post menopausal
Ketoconazole Shampoo- Topical
Spironolactone – Oral
Hormone Replacement Therapy
Progesterone Shampoo
Nutrient Supplementation – Hair supplement (like Priorin), Vitamin D3, Iron
Microneedling
Alone, with PCP or with stem cells
Low Level Light Therapy (LLLT)
Topical Tretinoin
Topical Progesterone
Herbal Treatments
Topical Melatonin
Alopecia areata is an autoimmune condition where the immune system mistakenly attacks the hair follicles, leading to patchy hair loss. Some forms cause complete body hair loss called alopecia areata universalis.
Topical corticosteroids help by:
Suppressing Local Immune Attack
Corticosteroids reduce the activity of T-lymphocytes around the hair follicle.
This prevents immune cells from targeting and damaging the follicle.
Reducing Inflammation
They decrease the release of pro-inflammatory cytokines (messenger molecules like IL-2, TNF-α).
Less inflammation means follicles can return to a healthier environment.
Promoting Follicle Recovery
By calming inflammation and immune activity, the follicle can re-enter the anagen (growth) phase and begin producing hair again.
Minoxidil – Oral and/or topical
Finasteride – Oral (Male only) or topical (Female and post menopausal)
Ketoconazole Shampoo- Topical
Spironolactone – Oral (Female Only)
Hormone Replacement Therapy (Female Only)
Nutrient Supplementation – Hair supplement (like Priorin), Vitamin D3, Iron
Steroid Injections
Microneedling
Alone, with PCP or with stem cells
Low Level Light Therapy (LLLT)
Topical Tretinoin
Topical Progesterone (Female)
Herbal Treatments
Topical Melatonin
Other anti-inflammatories
Topical Irritants
This is a reactive shedding condition where many hairs prematurely shift into the telogen (resting) phase after a trigger (stress, illness, postpartum, nutritional deficiency, medication, etc.). If usually presents within 6 months of the stressful event.
Since this is caused by a event in the past, treatment is focused on resetting your hair growth and providing nutrients to the scalp.
Minoxidil – Oral and/or topical
Ketoconazole Shampoo- Topical
Nutrient Supplementation – Hair supplement (like Priorin), Vitamin D3, Iron
Microneedling
Alone, with PCP or with stem cells
Low Level Light Therapy (LLLT)
Herbal treatments
Topical Caffeine
Topical Melatonin
Minoxidil was first marketed and used for high blood pressure. It was then noted that people taking it were experiencing hair growth. Since then it is the staple and foundation of hair loss treatment.
Treatment protocol are built around it and it is used in every type of hair loss.
It is what we call a vasodilator. It works by increasing blood flow by dialating (opening) the blood vessels so more blood, and therefore nutrients are delivered. It also stimulates hair follicles & prolongs growth phase. In telogen effluvium, it specifically works to “reset and coordinate” the hair growth cycles so all the hair grows together.
Topical minoxidil
Pros:
Cons:
Oral Minoxidil
Pros:
Cons:
Topical : Burning, itching, redness
Oral: Low blood pressure, dizziness, tachycardia (fast heart beat), hypertrichosis (excessive hair growth, may be in unwanted areas), edema (swelling caused by water retention)
Note: This is not an exhaustive list of any and all potential adverse effects.
Both of these medications are usually used for BPH (benign prostatic hyperplasia). Propecia is the name brand of finasteride 1mg pill. Dutasteride is in the same drug class as finasteride but is a stronger version that is sometimes used if finasteride isn’t working. Dutasteride is not usually used topically as it is a much larger molecule and has more difficulty absorbing.
They work by attaching, and stopping the enzyme 5-alpha reductase from converting testosterone to dihydrotesterone (DHT). DHT is 2.5-10 times more potent than testosterone. DHT binds to the hair follicles and causes miniaturization of the scalp hair.
Topical Finasteride
Pros:
Cons:
Oral Finasteride
Pros:
Cons:
Topical : Burning, itching, redness, sexual disfunction (lower risk)
Oral: Sexual disfunction (reduced libido, erective disfunction, ejaculation disfunction), low blood pressure
Steroids’, specifically corticosteroids are immunosuppressant medications that work to reduce inflammation.
This is the main treatment for alopecia areata. This can be scaring or non-scaring. This condition is caused by the body mistakenly “attacking” the hair follicles and causing hair loss by inflammatory processes.
Inflammation works by using signals to flag the immune system to attack.
1) It increases blood flow to allow white blood cells and inflammation “signals” to enter the location and attack.
2) Causes the cells to release even more “signals” that to the immune system to come and attack.
Steroids enter cells and change how genes (DNA) are expressed (the cells orders). This stops the orders to make the pro-inflammation signals (cytokines, prostaglandins, and leukotrienes) and prevents more white blood cells from coming to attack. All of this reduces pain, swelling and the damage to the hair and scalp.
Topical and injectable steroids are used in tandem to reduce inflammation.
Injections:
Topical:
Injection: Injection site pain, swelling, bruising, temporary increased blood sugar. Less common are injections at the site, high blood pressure, fluid retention.
Topical: Redness, irritation, burning, water retention. Do not get in eyes.
Is a anti-dandruff shampoo that has recently gained popularity in hair growth treatment. Not only does it treat active seborrheic dermatitis (the inflammatory type of dandruff, it has also been shown to help reduce hair loss and promote hair growth in recent studies.
Ketoconazole plays two roles in hair regrowth
It is usually applied to the scalp, then let sit for at least 5 minutes. You may use conditioner after. Instructions may vary based on your provider.
It is used for AGA and inflammatory alopecia.
Ketoconazole shampoo is very well tolerated. You may experience burning, itching, irritation and oily hair.
Spironolactone is usually used for heart failure and lowering blood pressure. It is used off label in women for acne and hair loss. Note: This medication is typically contraindicated in men (unless used for heart failure).
For hair loss (and acne) we start at low doses of spironolactone for its anti-androgen effect. Dosing may be increased for effect if it is being tolerated.
There are a few different mechanisms of how it reduces androgens
It may cause dizziness, drowsiness and increased urination. It can also cause hyperkalemia (high potassium), gynecomastia (benign breast growth in males), and very rarely harm the kidneys.
Hormone replacement therapy (HRT) is a treatment that supplementing hormones that are at lower than wanted levels. For women, female hormones decrease during menopause. This can lead to many symptoms such as hot flashes, vaginal dryness and hair loss. Treatment is extremely individualized to the specific needs and goals of the patient.
Hormones are typically replaced by taking pills or with topical treatments.
Estrogen and progesterone (the 2 main female hormones) help balance out androgens (male hormones). As female hormones decline the male hormones have a stronger effect on the body. Male hormones lead to miniaturization of the hair follicles and hair thinning and loss.
Adverse effects are treatment specific and should be discussed with your provider for your specific treatment.
In general estrogen causes the uterine lining to grow, which increases the risk of endometrial cancer. This risk is reduce/eliminated by taking progesterone.
There has been a lot of media coverage about the harms associated with HRT, especially about breath cancer and heart health. These claims are now being proven incorrect and HRT is shown to reduce the risk of breast cancer and improve heart health.
Discussing with your provider the benefits and risks of HRT is the best way to know if it’s right for you.
A healthy diet and having the right vitamins and minerals is essential for health hair. We know that lacking certain things like iron, vitamin D, and vitamin C are major factors in hair loss. There is substantial evidence that taking vitamin D, vitamin C and iron help with hair growth.
Nutrients are the “fertilizer” of your hair. If we increase the blood flow (minoxidil) but don’t give the nutrients, hair won’t grow back as health and strong.
Priorin (Hair, skin and nail vitamin)
Vitamin D3
Vitamin C
Iron
Priorin: Gastrointestinal upset (nausea, diarrhea)
Vitamin D: Toxicity is rare, especially in Canada. It usually presents as hypercalcemia (high calcium). This can cause upset stomach and vomiting, weakness, and frequent urination. In more severe forms kidney stones and bone pain.
Vitamin C: Do not take more than 1-2g daily. Toxicity looks like gastrointestinal symptoms (nausea, vomiting, diarrhea), headache, trouble sleeping, and fever.
Iron: Iron commonly causes stomach upset, constipation, and dark stool (poop). It is located behind the counter at pharmacies. This means you have to speak to the pharmacist before buying it. Only take if directed to.
Enhances minoxidil absorption and converts some minoxidil non-responders into responders. Can also be used in alopecia areata.
Nutrients are the “fertilizer” of your hair. If we increase the blood flow (minoxidil) but don’t give the nutrients, hair won’t grow back as health and strong.
Priorin (Hair, skin and nail vitamin)
Vitamin D3
Vitamin C
Iron
Priorin: Gastrointestinal upset (nausea, diarrhea)
Vitamin D: Toxicity is rare, especially in Canada. It usually presents as hypercalcemia (high calcium). This can cause upset stomach and vomiting, weakness, and frequent urination. In more severe forms kidney stones and bone pain.
Vitamin C: Do not take more than 1-2g daily. Toxicity looks like gastrointestinal symptoms (nausea, vomiting, diarrhea), headache, trouble sleeping, and fever.
Iron: Iron commonly causes stomach upset, constipation, and dark stool (poop). It is located behind the counter at pharmacies. This means you have to speak to the pharmacist before buying it. Only take if directed to.
Saw palmetto (modest DHT inhibition)
Pumpkin seed oil (shown to increase hair growth in some studies)
Curcumin (anti-inflammatory)
Microneedling is the process of making small, shallow wounds in the skin to promote the bodies natural healing mechanisms. Tiny needles are used to poke holes into the scalp.
Microneedling is indicated for all types of hair loss.
Benefits
The same benefits of micro needling + the advanced benefit of stem cell therapy
Platelet Rich Plasma (PRP) is an in office procedure where blood is drawn, spun down and then reintroduced into the same person. This gives a nutrient boost for hair growth.
Micro needling on its own is a more cost effective way to augment hair growth. After micro needling it is recommended to wait 24 hours before restarting topical treatment. The specific instructions will be provided to you by your clinic.
Micro needling done in office has a very low risk of adverse effects.
Low Level Light Therapy is an FDA approved treatment for hair loss. Light is emitted by either lasers or LEDs that penetrates the skin, and activates growth cells. It is typically a form of wearable cap that is used daily or every other days for around 20 minutes. Devices vary in price and usage.
How it works
Cellular Energy Boost (ATP production)
Red light penetrates the scalp and is absorbed by mitochondria.
This increases ATP (cell energy), giving hair follicle cells more energy to function and grow.
Improved Blood Flow & Oxygen Delivery
LLLT stimulates vasodilation, which improves blood supply to the hair follicles.
More nutrients and oxygen reach the follicle, supporting growth.
Anti-inflammatory Effects
Reduces scalp inflammation and oxidative stress, which can contribute to hair follicle miniaturization.
Follicle Stimulation
Reactivates dormant or miniaturized follicles by prolonging the anagen (growth) phase of the hair cycle.
Low Level Light Therapy works by:
In the cells themselves if works to:
LLLT is extremely safe if done properly. Warmth and redness of the area is temporary and can be expected during the treatment. It rarely may cause irritation and itching to the scalp. If done improperly it can lead to burns, eye damage, or infections.
Treatment | Male AGA | Female AGA | Alopecia Areata | Telogen Effluvium |
|---|---|---|---|---|
⭐Micro Needling | ✔️ | ✔️ | ✔️ | ✔️ |
⭐Low Level Light Therapy (LLLT) | ✔️ | ✔️ | ✔️ | ✔️ |
Steroid Injections | ⭕ | ⭕ | ✔️ | ⭕ |
⭐Oral Minoxidil 💊 | ✔️ | ✔️ | ✔️ | ✔️ |
⭐Topical Minoxidil | ✔️ | ✔️ | ✔️ | ✔️ |
Oral Finasteride 💊 | ✔️ | ❌ | ⭕ | ⭕ |
Oral Dutasteride 💊 | ✔️ | ❌ | ❌ | ❌ |
⭐Topical Finasteride | ✔️ | ✔️ | ✔️ | ✔️ |
⭐Topical Ketoconazole | ✔️ | ✔️ | ✔️ | ✔️ |
Hormone Replacement Therapy | ❌ | ✔️ | ❌ | ⭕ |
Oral Spironolactone 💊 | ❌ | ✔️ | ❌ | ❌ |
Topical Corticosteroids | ✔️ | ✔️ | ✔️ | ✔️ |
⭐Hair, skin and nail suppliments 💊 | ✔️ | ✔️ | ✔️ | ✔️ |
⭐Vitamin D3 💊 | ✔️ | ✔️ | ✔️ | ✔️ |
Topical Caffeine | ✔️ | ✔️ | ✔️ | ✔️ |
Treatment | Lower Male Hormones | Deduce Inflammation | Change Growth Phase | Give nutrients | Increase blood flow | Stimulate Hair Follicles |
|---|---|---|---|---|---|---|
Micro needling | ✔️ | ✔️ | ✔️ | ✔️ | ✔️ | |
LLLT | ✔️ | ✔️ | ✔️ | ✔️ | ✔️ | |
⭐Oral Minoxidil 💊 | ✔️ | ✔️ | ✔️ | |||
⭐Topical Minoxidil | ✔️ | ✔️ | ✔️ | |||
Oral Finasteride 💊 | ✔️ | |||||
Oral Dutasteride 💊 | ✔️ | |||||
⭐Topical Finasteride | ✔️ | |||||
⭐Topical Ketoconazole | ✔️ | ✔️ | ||||
Hormone Replacement Therapy | ✔️ | |||||
Oral Spironolactone 💊 | ✔️ | |||||
Topical Corticosteroids | ✔️ | |||||
⭐Hair, skin and nail suppliments 💊 | ✔️ | ✔️ | ✔️ | |||
⭐Vitamin D3 💊 | ✔️ | ✔️ | ✔️ | |||
Topical Caffeine | ✔️ |
Are you ready to begin your hair restoration process? Contact Platinum Compound Rx Pharmacy to arrange your appointment and discover effective hair loss treatment solutions available in Manitoba.
Can we make it link to ESPMC + SAMD somehow
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