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Classically, it is caused by radiation therapy to the head and systemic chemotherapy, especially with alkylating agents. [ 1 ] [ 2 ] : 753–4 Anagen effluvium is due to an acute injury to the hair follicles by an endogenous or exogenous cause, resulting in sudden diffuse shedding of structurally damaged hairs.
Diagram showing which toner color should be used to counteract red, orange and yellow undertones in bleached hair. Toning is a common practice after bleaching to mask the undesirable red and orange tones of "brassy" hair using a toner dye. Through toning, the yellow hue of fully bleached hair can be removed to achieve platinum blond hair.
"Bleach is used for lightening hair (to strip the pigment from your hair shaft)," Ikeda says, "It is impossible to make your hair a lighter shade without the help of bleaching or oxidizing agents."
Hair loss, or alopecia, is a fairly common but not universal side effect of ABVD. Hair that is lost returns in the months after completion of chemotherapy. Nausea and vomiting can occur with ABVD, although treatments for chemotherapy-induced nausea and vomiting have improved substantially (see Supportive care below).
Also, according to Adams you should avoid using heat on your hair:“You will want to minimize thermal heat like excessive blow-drying and ceramic heat styling in the 3-4 weeks after bleaching ...
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Sometimes hair has a tendency to curl after regrowth, resulting in "chemo curls." Severe hair loss occurs most often with drugs such as doxorubicin, daunorubicin, paclitaxel, docetaxel, cyclophosphamide, ifosfamide and etoposide. Permanent thinning or hair loss can result from some standard chemotherapy regimens. [101]
The systems of the body most affected by chemotherapy drugs include visual and semantic memory, attention and motor coordination and executive functioning. [9] [10] These effects can impair a chemotherapy patient's ability to understand and make decisions regarding treatment, perform in school or employment and can reduce quality of life. [10]