Part II Finasteride-Caveats and Myths第二部分非那甾胺-附加说明和传言05/19/2015 As I discussed in my last blog, Finasteride is now available in a one mg. generic doses-FDA approved. We recommend only using FDA approved Finasteride whether it be Propecia (Merck brand name) or the generic Finasteride. These drugs are manufactured under the standards of the American FDA.* Overwhelmingly my patients that have had success with Merck brand Propecia have continued that same success over the last 1.5 years after switching to the generic Finasteride. We also always recommend close monitoring of our patients so as to confirm success and limit problems.
如我在上一个博客讨论的,一毫克分量FDA核准的非那甾胺类现已有售。我们建议使用FDA核准的非那甾胺类和Propecia药剂(Merck公司药品,同为非那甾胺类)。这些是根据美国FDA标准生产的药物。我的病者通常开始时使用Propecia后转用普通非那甾胺类药物。转用普通非那甾胺类药物后,也能有与使用Propecia的同等效果延续大约一年半。我们也建议病者与我们密切联系,使我们可以密切监测药效以确保成功和减少问题的发生。
Another concern often mentions by our patients is that is you stop this drug you will lose your hair. Let’s dispel any myths right now. Almost all drugs act to control or supplement our body functions. Very few medicines are curative. If you take blood pressure medicine, insulin, drugs to control cholesterol, thyroid medication, etc., these are only going to produce results if you take them. When a patient stops any of these medications his problem will return or persist. They do not cure the underlying problem, unlike an antibiotic that is curative and is only taken for a short time and stopped when the disease process has been stopped.
另一个病者常常关心的地方就是会不会停药后头发就会脱落。让我们现在撇清这个传言。基本上所有的药物都是用以控制或补充身体机能的,很少是用以根治的。如果你用血压药或胰岛素,药物会控制胆固醇或甲状腺等。这些药只会当你服用时才会见到效果。当结束用药,问题会重现。他们不会根治问题。但抗生素不同于那些药品,抗生素是可以服用一段短时间直到病情康复就可以停止用药而又可以根治问题。
To not take a medication because it only works as long as you take it has been one of the most absurd reasons to not use Finasteride. If you brush your teeth twice a day and then stop brushing for 6 months, needless to say you will be in pretty sorry shape. Should we stop brushing just because when we stop we will lose our teeth? I hope not!
只因害怕停药后复发而不接受治疗是不使用非那甾胺是荒唐的想法。如果你每天刷牙两次但停止刷牙6个月,你的牙齿也会处于不好的状态。我们需因为害怕停止刷牙会掉牙而停止刷牙吗?我希望不会!
If someone takes Finasteride for 5 years and stops they will only lose the hair that they have gained by taking the medicine. In other words, they will be no worse off than if they had not taken the medication to begin with. They will not experience more hair loss than they would have, had they never taken Finasteride to begin with.
如果病者服用非那甾胺五年然后停止服用。他们只会失掉非那甾胺帮助下长出的头发。换句话说,停止服用非那甾胺的状况不会比没有服用过非那甾胺状况更差。他们的头发不会比没有服用过非那甾胺更少。
My next post will cover other treatment options such as combination therapy with minoxidil (Rogaine) and low level laser therapy (Capillus) for even better results.
我的下一帖会讲述其他的治疗选择,例如用minoxidil(生发液)和低程度激光治疗(Capillus)来取得更好效果。
*Please do not purchase so called “knock off” drugs that are not manufactured under the standards of the America FDA. Some patients who have purchased these outside drugs have experienced side effects that did not occur with the FDA approved drug. Also, some patients have also noticed that the “knock-off” drugs do not produce the same results as FDA approved products and have experienced shedding and hairloss.
*请不要购买没有美国FDA认证的俗称能根治的药物。有些患者因为服用此类药物而产生副作用。再者,有些患者服用此类“根治性” 药物后没有获得FDA认证药物的疗效反而导致更多的脱发。
Dr. Rosanelli’s office is available 24 hours a day 365 days a year and yes, 366 days in 2016. Please call Dr. Rosanelli at 1-800-843-4247 or email [email protected] anytime and we will be happy to have you as a patient.
Rosanelli 博士办公室一年365日,366日(2016年)一天24小时对外开放,请致电Rosanelli博士 1800-843-4247 或任何时间电邮[email protected]. 我们很高兴有你这位病人。
Finasteride Part 1, Answering your basic questions and outlining our Slow Protocol.4/30/2015
Finasteride can be a wonderful medication for treating hair loss. In my practice I have seen no substantial difference in the amount of hair retained by patients that have switched to FDA approved generic Finasteride as compared to those that decided to stay on the Merck brand Propecia over the last year. As a consumer, you should be aware of the benefits, the risks, and what we do at Rosanelli Medical Associates to enhance your use of the medication. As always, with all drugs, one should always weigh the benefits vs. the risk of taking any medication or supplement in their personal life.*
非那甾胺是治疗脱发的极好的药物。在过去一年的临床试验中,我发现转用FDA准许的非那甾胺和留用Merck公司的Propecia 的病者头发的生长情况无大不同。 作为一个消费者,了解到用药的利处和风险还有我们诊所如何改善你的治疗是你的权利。在任何选择药物的时候,病者都应衡量利处和用药的风险。
At Rosanelli Medical Associates we recommend several ways to reduce these risks and to continue to keep the benefits of Finasteride. We have for over four years used what we call our “Rosanelli Slow Protocol”. This allows patients to start Finasteride on a limited “low dose” basis. If at any point in the first month the patient experiences side effects we discontinue Finasteride. If side effects occur with any other dose we can adjust the patient to a lower dose.
在Rosanelli诊所,我们会推荐不同的方法服用非那甾胺以减低风险。我们进行了四年的我们称之为“Rosanelli慢方案”。这方案使病者可以从使用有限的“低剂量的”非那甾胺开始。如果在开始一个月非那甾胺对病者有副作用,我们会立刻停用非那甾胺。如果其他任何的药品对病者有副作用,我们会調低对应药物的剂量。
Because Finasteride binds to the Type II 5-alpha–reductase for half-life of approximately thirty days, even on low doses results can be achieved. After 6 months we have the patient come in for a recheck and depending on results, side effects, and patient desire, we can stay at the current dosage or adjust it as necessary. At RMA our goal is to provide excellent, caring, personalized service to maximize results and reduce the chance of negative side effects.
因为即使用低剂量,非那甾胺会连接二类5-阿尔法还原酶大概30天的时间。6个月后当病者复诊时可根据治疗效果和副作用情况决定维持原定剂量或作调整。Rosanelli博士诊所的宗旨是提供优质仔细人性化的服务从而降低副作用使疗效最大化。
With our current regime, patients can expect to pay approximately $195 ($16/month) for the first year of treatment on Finasteride and about $212 ($18/month) for subsequent years. This includes all medical visits, exams and medication costs. Call us at 1-800-743-4247 or email if you are interested in setting up an appointment with Dr. Rosanelli to see if you are a candidate for his “Slow Protocol.”
根据我们现在的制度,在第一年,病者大约支付$195(每月$16)在非那甾胺治疗上。在往后的年份,治疗费大约$212(每月$18)。这费用包括所有诊所访问,检查和治疗费。如果你对“慢方案”治疗有兴趣,请致电1-800-743-4247或电邮Rosanelli博士。
*Finasteride (5 mg-Proscar) was approved by the FDA for benign prostatic hypertrophy in 1992. Generic 5 mg Finasteride has been available for almost 10 years. In 1997, Finasteride (Propecia) was approved for male pattern hairloss. The recommended dosage is one milligram (1 mg.) on a daily basis. Generic Finasteride 1 mg was approved in November of 2013. It is notable that Finasteride has also been implicated in “post Finasteride syndrome” (PFS). This syndrome can be characterized by psychological, sexual, hormonal and neurological side effects that some claim may persist even after Finasteride use has been discontinued.
*在1992年,非那甾胺(5mg-Proscar)被FDA准许用于治疗良性前列腺肥大。非注册的5mg非那甾胺也在大概10年前开始用于治疗。 在1997年,非那甾胺(Propecia)被准许用于治疗男性脱发。建议用量为每天一毫克。非注册非那甾胺一毫克剂量在2013年11月被准许。值得注意的是非那甾胺有可能引起“后非那甾胺综合征”(PFS)。这症状包括心理,性,激素和神经系统的副作用。这些副作用可能在停用非那甾胺后仍然持续。
New before and after pictures
4/22/2015
We have added some new before and after pictures to our site. If you don't see hairloss that resembles yours, please come in for a free consultation where we have literally thousands of pictures that may be just what you are looking to have done.
最新术前术后照片 (4/22/2015)
我们网站新增加了术前术后对照照片。如果你看不见像你情况一样的脱发,请到访我们诊所咨询。 我们有非常多的同类照片给你参考。你肯定可以在其中见到你合适你的。
Love your hair-Valentine special
2/6/2015
Of course you love your hair, and you will love it even more if you take advantage of these special prices for the month of February. New patients only! Limited spots are available.
爱你的头发-情人节特价(2/6/2015)
你当然爱的你头发。如果你利用二月特惠价,你会更爱你的头发。只限新客人!名额有限。
End of year special
12/1/2014
We hope everyone had a wonderful Thanksgiving. At Rosanelli Medical Associates we have plenty to be grateful for, and we would like to share our blessings with our new patients. If you have surgery between December 5 and December 19, you can take advantage of some very special prices. Please see our coupon for details.
年末特价(12/1/2014)
我希望每人都有一个愉快的感恩节。在Rosanelli诊所,我们有很多需要感恩。 我们也想将祝福与病者分享。如果你的手术在十二月5日到十二月19日期间,你可以享有一些优惠。详情请看我们的优惠卷。
Go Giants!
10/28/2014
Excitement is mounting at RMA in anticipation of tonight's baseball game. We are keeping our fingers crossed that the Giant's will soon be planning their celebratory parade right here in beautiful San Francisco. And in order to keep that city even more beautiful, we are offering a special discount in the month of November for Giant's fans who come in for their first surgery. There are very limited spots, so check out our printable coupon to bring in with you to your consultation. And make sure and root, root, root for the home team!
巨人队加油!(10/28/2014)
今晚,Rosenilli诊所热情高涨。我们很庆幸巨人队将会这美丽的三藩市进行胜利巡游。为了分享这份喜悦,我们在十一月给予巨人队粉丝第一次手术优惠。名额有限。在咨询时请带同打印优惠卷。为我们的球队作兴!
Women benefit too! 女士也受惠
We recognize the special concerns of women at Rosanelli Medical Associate. Dr. Rosanelli has treated numerous women who have experienced hair loss. Treatment options include medication, laser therapy and / or hair restoration surgery have all proven to be beneficial to our female patients.
在Rosanelli医务诊所,我们注意到女士的特别关注。Rosanelli 博士已经治疗过无数的脱发女患者。治疗选项包括激光或植发手术。这些治疗都对女患者脱发问题有很好的改善。
How do I get started? 从何开始?
How do I get started?
The first step is to set up a consultation where you will meet with Dr. Rosanelli and learn more about hair restoration.
首先,你要约见Rosanelli博士安排一次咨询从而了解更多头发修复的细节。
Every patient has their own distinct physical requirements and desires. Dr. Rosanelli will personally review your current hair loss and assess where future loss may occur.
每个患者都有他们对治疗的要求。Rosanelli博士会亲自检查你的脱发状况和评估往后脱发倾向。
Then, he will outline what he can accomplish for you and go over pricing for your particular situation.
然后,他会大致描述他会如何帮你治疗和按照你的情况进行报价。
You will be able to see before and after pictures of patients. Dr. Rosanelli will make sure that all your questions are answered to your personal satisfaction. Once you have been fully informed in your consultation you will be able to make an informed decision regarding your treatment options.
你将会查看之前病者手术前后对照图。Rosanelli博士会给你所有的问题满意的答案。当完成咨询后,你就可以选择你想要的治疗方式。
If you want to turn back the clock and restore your hair to a fuller and denser appearance, take the first step and call us today at 1-800 743-4247 (1-800-743-HAIR) for your consultation or contact us online. It could change your life.
如果你想重拾年轻,拥有一头密集的头发。请尽快联系我们,致电1-800 743-4247 或(1-800-743-HAIR) 约见或网上联系我们。这个决定会改变你的人生。
如我在上一个博客讨论的,一毫克分量FDA核准的非那甾胺类现已有售。我们建议使用FDA核准的非那甾胺类和Propecia药剂(Merck公司药品,同为非那甾胺类)。这些是根据美国FDA标准生产的药物。我的病者通常开始时使用Propecia后转用普通非那甾胺类药物。转用普通非那甾胺类药物后,也能有与使用Propecia的同等效果延续大约一年半。我们也建议病者与我们密切联系,使我们可以密切监测药效以确保成功和减少问题的发生。
Another concern often mentions by our patients is that is you stop this drug you will lose your hair. Let’s dispel any myths right now. Almost all drugs act to control or supplement our body functions. Very few medicines are curative. If you take blood pressure medicine, insulin, drugs to control cholesterol, thyroid medication, etc., these are only going to produce results if you take them. When a patient stops any of these medications his problem will return or persist. They do not cure the underlying problem, unlike an antibiotic that is curative and is only taken for a short time and stopped when the disease process has been stopped.
另一个病者常常关心的地方就是会不会停药后头发就会脱落。让我们现在撇清这个传言。基本上所有的药物都是用以控制或补充身体机能的,很少是用以根治的。如果你用血压药或胰岛素,药物会控制胆固醇或甲状腺等。这些药只会当你服用时才会见到效果。当结束用药,问题会重现。他们不会根治问题。但抗生素不同于那些药品,抗生素是可以服用一段短时间直到病情康复就可以停止用药而又可以根治问题。
To not take a medication because it only works as long as you take it has been one of the most absurd reasons to not use Finasteride. If you brush your teeth twice a day and then stop brushing for 6 months, needless to say you will be in pretty sorry shape. Should we stop brushing just because when we stop we will lose our teeth? I hope not!
只因害怕停药后复发而不接受治疗是不使用非那甾胺是荒唐的想法。如果你每天刷牙两次但停止刷牙6个月,你的牙齿也会处于不好的状态。我们需因为害怕停止刷牙会掉牙而停止刷牙吗?我希望不会!
If someone takes Finasteride for 5 years and stops they will only lose the hair that they have gained by taking the medicine. In other words, they will be no worse off than if they had not taken the medication to begin with. They will not experience more hair loss than they would have, had they never taken Finasteride to begin with.
如果病者服用非那甾胺五年然后停止服用。他们只会失掉非那甾胺帮助下长出的头发。换句话说,停止服用非那甾胺的状况不会比没有服用过非那甾胺状况更差。他们的头发不会比没有服用过非那甾胺更少。
My next post will cover other treatment options such as combination therapy with minoxidil (Rogaine) and low level laser therapy (Capillus) for even better results.
我的下一帖会讲述其他的治疗选择,例如用minoxidil(生发液)和低程度激光治疗(Capillus)来取得更好效果。
*Please do not purchase so called “knock off” drugs that are not manufactured under the standards of the America FDA. Some patients who have purchased these outside drugs have experienced side effects that did not occur with the FDA approved drug. Also, some patients have also noticed that the “knock-off” drugs do not produce the same results as FDA approved products and have experienced shedding and hairloss.
*请不要购买没有美国FDA认证的俗称能根治的药物。有些患者因为服用此类药物而产生副作用。再者,有些患者服用此类“根治性” 药物后没有获得FDA认证药物的疗效反而导致更多的脱发。
Dr. Rosanelli’s office is available 24 hours a day 365 days a year and yes, 366 days in 2016. Please call Dr. Rosanelli at 1-800-843-4247 or email [email protected] anytime and we will be happy to have you as a patient.
Rosanelli 博士办公室一年365日,366日(2016年)一天24小时对外开放,请致电Rosanelli博士 1800-843-4247 或任何时间电邮[email protected]. 我们很高兴有你这位病人。
Finasteride Part 1, Answering your basic questions and outlining our Slow Protocol.4/30/2015
Finasteride can be a wonderful medication for treating hair loss. In my practice I have seen no substantial difference in the amount of hair retained by patients that have switched to FDA approved generic Finasteride as compared to those that decided to stay on the Merck brand Propecia over the last year. As a consumer, you should be aware of the benefits, the risks, and what we do at Rosanelli Medical Associates to enhance your use of the medication. As always, with all drugs, one should always weigh the benefits vs. the risk of taking any medication or supplement in their personal life.*
非那甾胺是治疗脱发的极好的药物。在过去一年的临床试验中,我发现转用FDA准许的非那甾胺和留用Merck公司的Propecia 的病者头发的生长情况无大不同。 作为一个消费者,了解到用药的利处和风险还有我们诊所如何改善你的治疗是你的权利。在任何选择药物的时候,病者都应衡量利处和用药的风险。
At Rosanelli Medical Associates we recommend several ways to reduce these risks and to continue to keep the benefits of Finasteride. We have for over four years used what we call our “Rosanelli Slow Protocol”. This allows patients to start Finasteride on a limited “low dose” basis. If at any point in the first month the patient experiences side effects we discontinue Finasteride. If side effects occur with any other dose we can adjust the patient to a lower dose.
在Rosanelli诊所,我们会推荐不同的方法服用非那甾胺以减低风险。我们进行了四年的我们称之为“Rosanelli慢方案”。这方案使病者可以从使用有限的“低剂量的”非那甾胺开始。如果在开始一个月非那甾胺对病者有副作用,我们会立刻停用非那甾胺。如果其他任何的药品对病者有副作用,我们会調低对应药物的剂量。
Because Finasteride binds to the Type II 5-alpha–reductase for half-life of approximately thirty days, even on low doses results can be achieved. After 6 months we have the patient come in for a recheck and depending on results, side effects, and patient desire, we can stay at the current dosage or adjust it as necessary. At RMA our goal is to provide excellent, caring, personalized service to maximize results and reduce the chance of negative side effects.
因为即使用低剂量,非那甾胺会连接二类5-阿尔法还原酶大概30天的时间。6个月后当病者复诊时可根据治疗效果和副作用情况决定维持原定剂量或作调整。Rosanelli博士诊所的宗旨是提供优质仔细人性化的服务从而降低副作用使疗效最大化。
With our current regime, patients can expect to pay approximately $195 ($16/month) for the first year of treatment on Finasteride and about $212 ($18/month) for subsequent years. This includes all medical visits, exams and medication costs. Call us at 1-800-743-4247 or email if you are interested in setting up an appointment with Dr. Rosanelli to see if you are a candidate for his “Slow Protocol.”
根据我们现在的制度,在第一年,病者大约支付$195(每月$16)在非那甾胺治疗上。在往后的年份,治疗费大约$212(每月$18)。这费用包括所有诊所访问,检查和治疗费。如果你对“慢方案”治疗有兴趣,请致电1-800-743-4247或电邮Rosanelli博士。
*Finasteride (5 mg-Proscar) was approved by the FDA for benign prostatic hypertrophy in 1992. Generic 5 mg Finasteride has been available for almost 10 years. In 1997, Finasteride (Propecia) was approved for male pattern hairloss. The recommended dosage is one milligram (1 mg.) on a daily basis. Generic Finasteride 1 mg was approved in November of 2013. It is notable that Finasteride has also been implicated in “post Finasteride syndrome” (PFS). This syndrome can be characterized by psychological, sexual, hormonal and neurological side effects that some claim may persist even after Finasteride use has been discontinued.
*在1992年,非那甾胺(5mg-Proscar)被FDA准许用于治疗良性前列腺肥大。非注册的5mg非那甾胺也在大概10年前开始用于治疗。 在1997年,非那甾胺(Propecia)被准许用于治疗男性脱发。建议用量为每天一毫克。非注册非那甾胺一毫克剂量在2013年11月被准许。值得注意的是非那甾胺有可能引起“后非那甾胺综合征”(PFS)。这症状包括心理,性,激素和神经系统的副作用。这些副作用可能在停用非那甾胺后仍然持续。
New before and after pictures
4/22/2015
We have added some new before and after pictures to our site. If you don't see hairloss that resembles yours, please come in for a free consultation where we have literally thousands of pictures that may be just what you are looking to have done.
最新术前术后照片 (4/22/2015)
我们网站新增加了术前术后对照照片。如果你看不见像你情况一样的脱发,请到访我们诊所咨询。 我们有非常多的同类照片给你参考。你肯定可以在其中见到你合适你的。
Love your hair-Valentine special
2/6/2015
Of course you love your hair, and you will love it even more if you take advantage of these special prices for the month of February. New patients only! Limited spots are available.
爱你的头发-情人节特价(2/6/2015)
你当然爱的你头发。如果你利用二月特惠价,你会更爱你的头发。只限新客人!名额有限。
End of year special
12/1/2014
We hope everyone had a wonderful Thanksgiving. At Rosanelli Medical Associates we have plenty to be grateful for, and we would like to share our blessings with our new patients. If you have surgery between December 5 and December 19, you can take advantage of some very special prices. Please see our coupon for details.
年末特价(12/1/2014)
我希望每人都有一个愉快的感恩节。在Rosanelli诊所,我们有很多需要感恩。 我们也想将祝福与病者分享。如果你的手术在十二月5日到十二月19日期间,你可以享有一些优惠。详情请看我们的优惠卷。
Go Giants!
10/28/2014
Excitement is mounting at RMA in anticipation of tonight's baseball game. We are keeping our fingers crossed that the Giant's will soon be planning their celebratory parade right here in beautiful San Francisco. And in order to keep that city even more beautiful, we are offering a special discount in the month of November for Giant's fans who come in for their first surgery. There are very limited spots, so check out our printable coupon to bring in with you to your consultation. And make sure and root, root, root for the home team!
巨人队加油!(10/28/2014)
今晚,Rosenilli诊所热情高涨。我们很庆幸巨人队将会这美丽的三藩市进行胜利巡游。为了分享这份喜悦,我们在十一月给予巨人队粉丝第一次手术优惠。名额有限。在咨询时请带同打印优惠卷。为我们的球队作兴!
Women benefit too! 女士也受惠
We recognize the special concerns of women at Rosanelli Medical Associate. Dr. Rosanelli has treated numerous women who have experienced hair loss. Treatment options include medication, laser therapy and / or hair restoration surgery have all proven to be beneficial to our female patients.
在Rosanelli医务诊所,我们注意到女士的特别关注。Rosanelli 博士已经治疗过无数的脱发女患者。治疗选项包括激光或植发手术。这些治疗都对女患者脱发问题有很好的改善。
How do I get started? 从何开始?
How do I get started?
The first step is to set up a consultation where you will meet with Dr. Rosanelli and learn more about hair restoration.
首先,你要约见Rosanelli博士安排一次咨询从而了解更多头发修复的细节。
Every patient has their own distinct physical requirements and desires. Dr. Rosanelli will personally review your current hair loss and assess where future loss may occur.
每个患者都有他们对治疗的要求。Rosanelli博士会亲自检查你的脱发状况和评估往后脱发倾向。
Then, he will outline what he can accomplish for you and go over pricing for your particular situation.
然后,他会大致描述他会如何帮你治疗和按照你的情况进行报价。
You will be able to see before and after pictures of patients. Dr. Rosanelli will make sure that all your questions are answered to your personal satisfaction. Once you have been fully informed in your consultation you will be able to make an informed decision regarding your treatment options.
你将会查看之前病者手术前后对照图。Rosanelli博士会给你所有的问题满意的答案。当完成咨询后,你就可以选择你想要的治疗方式。
If you want to turn back the clock and restore your hair to a fuller and denser appearance, take the first step and call us today at 1-800 743-4247 (1-800-743-HAIR) for your consultation or contact us online. It could change your life.
如果你想重拾年轻,拥有一头密集的头发。请尽快联系我们,致电1-800 743-4247 或(1-800-743-HAIR) 约见或网上联系我们。这个决定会改变你的人生。