Dr. Patricia Sullivan Facebook ad: “I'm a trichologist, and I've spent years watching patients…”

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1025684817114617

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Hair Care

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My name is Dr. Patricia Sullivan. I'm a board-certified trichologist, and for the past twelve years I've spent my days doing exactly this — helping patients make sense of the vitamin aisle, the DHT blockers, the topical treatments, and everything in between. I've watched patients try the same five products, in the same order, hoping one of them finally works. So I finally wrote down exactly how I'd rank them, and why, starting from the bottom. Biotin is where almost everyone starts, and it's also where I'd rank it: last. It only meaningfully helps if you're actually deficient, and true biotin deficiency is rare in people eating a normal diet. It doesn't touch the hormone actually responsible for most hair thinning, which means for the vast majority of my patients, it's doing essentially nothing except giving them something to feel like they're "doing" while the real cause continues unaddressed. Rosemary oil ranks a little higher, mostly because it does have some real research behind it — a small trial comparing it to low-strength minoxidil found comparable results over several months. The issue is consistency. I've had patients see genuine improvement and others see nothing at all after the same routine. It's a reasonable low-risk addition to a routine, but I wouldn't build a strategy around it alone. Minoxidil ranks above both of those, and for good reason — it does grow hair, reliably, for a lot of people. But it works by widening blood vessels to the scalp, not by addressing the hormone that's actually shrinking follicles in the first place. That's why the moment someone stops using it, the hair they grew tends to shed back out within weeks. It also comes with real, well-documented downsides for some patients: scalp irritation, unwanted facial or body hair, and a maintenance commitment that a lot of people quietly abandon after a year or two. Pumpkin seed oil on its own ranks above minoxidil in my book, because it's actually addressing the hormone, not just the symptom. It's understood to reduce the activity of the enzyme that converts testosterone into DHT, meaning your body simply produces less of it going forward. There's real clinical data behind this specific ingredient — a 24-week trial using 400 milligrams daily found a significantly higher hair count compared to placebo. The problem is, that's only half of the actual mechanism. DHT that's already circulating in your system doesn't disappear just because your body is producing less of it. It's still out there, still capable of attaching to sensitive follicles, still doing damage. Pumpkin seed oil alone is a genuinely good start. It's not a complete answer. Which brings me to the one I actually recommend most, and the reason I ranked it above everything else on this list: pumpkin seed oil paired with saw palmetto. Here's why the combination matters so much. DHT causes two separate problems, and each ingredient solves exactly one of them. Pumpkin seed oil reduces how much new DHT your body produces. Saw palmetto works differently — it blocks the DHT that's already circulating from attaching to a sensitive follicle at all. One turns down production. The other locks the door on what's already there. Neither one replaces the other, and that's exactly why using only one, the way most people do, leaves half the problem completely untouched. The product that uses these two components perfectly, at doses that actually reflect what the research on each ingredient used, is Bloom & Bond. It's 2,000 milligrams of cold-pressed pumpkin seed oil and 200 milligrams of a 4:1 saw palmetto extract in one capsule, both doses printed clearly on the label, both third-party tested — not a proprietary blend where you're left guessing whether you're getting a meaningful amount of either ingredient. It's the only product on this entire list that's actually addressing DHT from both directions at once, at doses I'd consider clinically meaningful rather than symbolic. That's not a marketing opinion. That's simply where the actual mechanism points, once you understand what each of these products is and isn't doing. If you've been working your way down this exact list yourself, it might be worth starting where the actual research points instead of where the vitamin aisle happens to put things. I'll leave the link below so you can see the doses for yourself. There's a 90-day money-back guarantee attached, so there's genuinely nothing to lose in finding out. P.S. — The longer DHT goes unaddressed, the more it shrinks the follicles it's attached to. Starting earlier generally means there's more to work with. P.P.S. — This ranking reflects general clinical patterns observed across patients and publicly available research, not a specific individual's medical record.

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I'm a trichologist, and I've spent years watching patients try the same five products in the same order, hoping one of them finally works.

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