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Letter to the Editor Comment on ‘‘Effect of Pumpkin Seed Oil on Hair Growth in Men with Androgenetic Alopecia: A Randomized, Double-Blind, Placebo-Controlled Trial’’ Hitesh Verma Overseas R&D Centre, Overseas HealthCare Pvt. Ltd., Phillaur, Punjab 144410, India Correspondence should be addressed to Hitesh Verma; [email protected] Received 3 February 2015; Accepted 26 March 2015 Academic Editor: Karin Kraſt Copyright © 2015 Hitesh Verma. is is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Androgenetic alopecia (AA) or common baldness is one such condition which affects almost every male at some stage of his life, depending upon his genetic susceptibility. ough AA is not associated with any health related issue but it has a lot of psychological effect on men especially on his self-confidence [1]. Currently practiced therapy include finasteride (1 mg), dutasteride (2.5 mg), and minoxidil lotion (2% and 5%), but they have their own side effects (e.g., effect on sexual health, scalp itching, and scaling) [2, 3]. is makes the consumer to shiſt towards natural therapies. Currently the most practiced natural therapy include saw palmetto (both oral and lotion) [4, 5], but its efficacy is questioned from time to time. Cho et al., in 2014 [3], represent in their research that pumpkin seed oil (PSO) can open a new era in AA treatment. ough the primary results shown by them are quite promising, there are many questions leſt unanswered. Research data seems to be incomplete; since no data was reported related to the effect of PSO on frontal AA, only pictorial representation of vertex AA is reported in the study. It is important to note that the volunteers of Norwood-Hamilton types II, III, III vertex, IV, and V were enrolled in study and investigator analysis for frontal AA was also done but results were not mentioned [3]. Frontal AA is required to be discussed because of two reasons; firstly, AA can be reasonably treated if treatment will be availed during the early stage of progression [6]; therefore, effect of PSO on Norwood-Hamilton types II and III should be discussed in future studies. Secondly, in one of the studies comparing botanical treatment of AA (saw palmetto) and finasteride, it was observed that botanical treatment was not effective in treating frontal AA [7]; therefore, to ascertain the possibility of ineffectiveness or effectiveness of PSO on frontal AA, it is suggested to Cho et al. to avail data relating the effect of PSO on frontal AA as it will clear the picture to some extent, though future studies are also desirable. Another thing which is important and is a matter of future research is appropriate duration of the study. Study duration should be at least 1 year because there is marked effect of seasonal variation on hormonal levels in males (being peaked during summer and being the least during autumn) which in turn affect the ana- gen phase of hair growth [6]. I highly appreciated the results of Cho et al. and look forward for the clinical research ascer- taining the effect of PSO on frontal AA and variability in its results during long term usage. Conflict of Interests e author declares that there is no conflict of interests regarding the publication of this paper. References [1] R. D. Sinclair, “Male androgenetic alopecia,” Journal of Men’s Health and Gender, vol. 1, no. 4, pp. 319–327, 2004. [2] V. M. Meidan and E. Touitou, “Treatments for androge- netic alopecia and alopecia areata: current options and future prospects,” Drugs, vol. 61, no. 1, pp. 53–69, 2001. Hindawi Publishing Corporation Evidence-Based Complementary and Alternative Medicine Volume 2015, Article ID 271474, 2 pages http://dx.doi.org/10.1155/2015/271474

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Page 1: Letter to the Editor Comment on Effect of Pumpkin Seed Oil

Letter to the EditorComment on ‘‘Effect of Pumpkin Seed Oil on HairGrowth in Men with Androgenetic Alopecia: A Randomized,Double-Blind, Placebo-Controlled Trial’’

Hitesh Verma

Overseas R&D Centre, Overseas HealthCare Pvt. Ltd., Phillaur, Punjab 144410, India

Correspondence should be addressed to Hitesh Verma; [email protected]

Received 3 February 2015; Accepted 26 March 2015

Academic Editor: Karin Kraft

Copyright © 2015 Hitesh Verma.This is an open access article distributed under the Creative Commons Attribution License, whichpermits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Androgenetic alopecia (AA) or common baldness is one suchconditionwhich affects almost everymale at some stage of hislife, depending upon his genetic susceptibility. Though AA isnot associated with any health related issue but it has a lot ofpsychological effect on men especially on his self-confidence[1]. Currently practiced therapy include finasteride (1mg),dutasteride (2.5mg), and minoxidil lotion (2% and 5%), butthey have their own side effects (e.g., effect on sexual health,scalp itching, and scaling) [2, 3]. This makes the consumer toshift towards natural therapies. Currently the most practicednatural therapy include saw palmetto (both oral and lotion)[4, 5], but its efficacy is questioned from time to time. Cho etal., in 2014 [3], represent in their research that pumpkin seedoil (PSO) can open a new era in AA treatment. Though theprimary results shown by them are quite promising, there aremany questions left unanswered. Research data seems to beincomplete; since no data was reported related to the effectof PSO on frontal AA, only pictorial representation of vertexAA is reported in the study. It is important to note that thevolunteers of Norwood-Hamilton types II, III, III vertex, IV,and V were enrolled in study and investigator analysis forfrontal AA was also done but results were not mentioned[3]. Frontal AA is required to be discussed because of tworeasons; firstly, AA can be reasonably treated if treatment willbe availed during the early stage of progression [6]; therefore,effect of PSO on Norwood-Hamilton types II and III shouldbe discussed in future studies. Secondly, in one of the studiescomparing botanical treatment of AA (saw palmetto) and

finasteride, it was observed that botanical treatment was noteffective in treating frontal AA [7]; therefore, to ascertain thepossibility of ineffectiveness or effectiveness of PSOon frontalAA, it is suggested to Cho et al. to avail data relating the effectof PSOon frontalAAas itwill clear the picture to some extent,though future studies are also desirable. Another thing whichis important and is a matter of future research is appropriateduration of the study. Study duration should be at least 1year because there is marked effect of seasonal variation onhormonal levels in males (being peaked during summer andbeing the least during autumn) which in turn affect the ana-gen phase of hair growth [6]. I highly appreciated the resultsof Cho et al. and look forward for the clinical research ascer-taining the effect of PSO on frontal AA and variability in itsresults during long term usage.

Conflict of Interests

The author declares that there is no conflict of interestsregarding the publication of this paper.

References

[1] R. D. Sinclair, “Male androgenetic alopecia,” Journal of Men’sHealth and Gender, vol. 1, no. 4, pp. 319–327, 2004.

[2] V. M. Meidan and E. Touitou, “Treatments for androge-netic alopecia and alopecia areata: current options and futureprospects,” Drugs, vol. 61, no. 1, pp. 53–69, 2001.

Hindawi Publishing CorporationEvidence-Based Complementary and Alternative MedicineVolume 2015, Article ID 271474, 2 pageshttp://dx.doi.org/10.1155/2015/271474

Page 2: Letter to the Editor Comment on Effect of Pumpkin Seed Oil

2 Evidence-Based Complementary and Alternative Medicine

[3] Y. H. Cho, S. Y. Lee, D. W. Jeong et al., “Effect of pumpkinseed oil on hair growth in men with androgenetic alopecia: arandomized, double-blind, placebo-controlled trial,” Evidence-based Complementary and Alternative Medicine, vol. 2014,Article ID 549721, 7 pages, 2014.

[4] S. Chatterjee and S. K. Agrawala, “Saw palmetto (serenoarepens) in Androgenetic alopecia an effective phytotherpy,”Natural Product Radiance, vol. 2, no. 6, pp. 302–305, 2003.

[5] S. Murugusundram, “Serenoa repens: does it have any role inthe management of androgenetic alopecia?” Journal of Cuta-neous and Aesthetic Surgery, vol. 2, no. 1, pp. 31–32, 2009.

[6] V. A. Randall, “Molecular basis of androgenetic alopecia,” inAgingHair, R.M. Trueb andD. J. Tobin, Eds., pp. 9–24, Springer,Berlin, Germany, 1st edition, 2010.

[7] A. Rossi, E.Mari, M. Scarno et al., “Comparitive effectiveness offinasteride vs serenoa repens in male androgenetic alopecia: atwo-year study,” International Journal of Immunopathology andPharmacology, vol. 25, no. 4, pp. 1167–1173, 2012.

Page 3: Letter to the Editor Comment on Effect of Pumpkin Seed Oil

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