Exploring The Hormonal Route. Hair=life.

[Mr. Slap Head]

Currently taking .5mg dutasteride and 10mg oral minoxidil daily. Trying to decide what to add to my regimen with going the hormonal route. It seems like Bica would be my next addition to minimize the chances of sides. However I have very high T levels in the 1200+ as well as a pituitary tumor prolactinoma and taking cabergoline for that. It seems like playing with E has too many unintended consequences however my super high T levels are beating up my face. Any advice is greatly appreciated as I’ve maintained and held ground at a Norwood 1 to 2 but looking to achieve max results and get back to Norwood 0.

Well, if you want a NW0 you have to accept that you will have to be on a full trans regimen.

How long have you been on your current regimen?

 

[Staticwavves]

Well, if you want a NW0 you have to accept that you will have to be on a full trans regimen.

How long have you been on your current regimen?

A little over a year, added the oral minoxidil about 6 months ago.

 

[Mr. Slap Head]

A little over a year, added the oral minoxidil about 6 months ago.

Before jumping into HRT, you can try to get more improvement by:
- going up to 2.5mg of dutasteride since it reduces SCALP DHT significantly more (by about 30%)
- adding a topical antiandrogen like RU58841 and/or topical bica
- keto shampoo
- microneedling

 

[Staticwavves]

Before jumping into HRT, you can try to get more improvement by:
- going up to 2.5mg of dutasteride since it reduces SCALP DHT significantly more (by about 30%)
- adding a topical antiandrogen like RU58841 and/or topical bica
- keto shampoo
- microneedling

I asked my Derm about going up to 2.5 dutasteride and he basically gave me the finger. Sounds like I’ll just need to source the additional mg elsewhere. I should have clarified I’ve been using keto shampoo for about 2 years.

I purchased a dr pen microneedler but just haven’t started on that journey yet. Would it produce similar results since I’m taking oral minoxidil as opposed to topical?

 

[Mr. Slap Head]

I asked my Derm about going up to 2.5 dutasteride and he basically gave me the finger. Sounds like I’ll just need to source the additional mg elsewhere. I should have clarified I’ve been using keto shampoo for about 2 years.

I purchased a dr pen microneedler but just haven’t started on that journey yet. Would it produce similar results since I’m taking oral minoxidil as opposed to topical?

Would you say you have maintained since being on dutasteride? Or have you been losing more ground? Have you ever been on finasteride?

I would do some needling just to help with the potential growth factors it can induce, as well as breaking up calcified areas.

 

[Staticwavves]

Would you say you have maintained since being on dutasteride? Or have you been losing more ground? Have you ever been on finasteride?

I would do some needling just to help with the potential growth factors it can induce, as well as breaking up calcified areas.

I think I’ve maintained/gained back some ground. Not the results I’d like to see, but you can definitely see baby hairs sprouting out all over my scalp on top but very baby thin hairs on temples and that’s my main area of focus along with forelock area. I was on finasteride prior to dutasteride for about 9 months with no noticeable difference.

 

[Mr. Slap Head]

I think I’ve maintained/gained back some ground. Not the results I’d like to see, but you can definitely see baby hairs sprouting out all over my scalp on top but very baby thin hairs on temples and that’s my main area of focus along with forelock area. I was on finasteride prior to dutasteride for about 9 months with no noticeable difference.

Sounds like you are a decent responder to dutasteride so I would follow that list of recommendations

 

[Revono]

I put dutasteride intramuscularly once a week .. Bioavailability increases and all that, without the first pass through the liver. True, I sometimes put it together with nandrolone in one syringe, but that's another story))

 

[dar3k]

After 2 weeks of E2 withdrawal my nipples are no more painful. They are noticable less puffy too.

Im now on 1mg Dutasteride + 5mg CPA + 50mg Bicalutamide + 10mg oral Minoxidil + 5% Topical Minoxidil.

Unfortunately I still don't see any results . My hairs are still falling out in the same rate.

 

[Mr. Slap Head]

No one will see results in 2 weeks of anything

 

[cetm-419]

and shedding isn't a principal symptom of Androgenetic Alopecia... it can sometimes appear only at the beginning.

 

[dar3k]

and shedding isn't a principal symptom of Androgenetic Alopecia... it can sometimes appear only at the beginning.

I have a constant shedding since 1.5 year (200-300 hairs per day)

 

[cetm-419]

that doesn't mean you have Androgenetic Alopecia, although you can have both Androgenetic Alopecia and telogen effluvium. You should consider seeing a dermatologist to check if that shedding is normal, and if not, what's the cause. Telogen effluvium has many MANY causes, and it can worsen Hair thinning. (the decrease in diameter of the individual hair shaft occurs after each hair cycle; so if you are shedding hairs at a faster rate, and also have hormones attacking the dermal papilla (hair follicle), It will thin out faster.

 

[Fvgwnx]

Which is more effective spironolactone or CPA? I have been taking CPA and E for 4.5 months already and the result of regrowth is not visible. can switch to spironolactone.

 

[ReturnOfExtreme]

My hair is getting thin. It’s the same as last time, but there’s no improvement. But, then I checked my weight! I have lost 7kg in two months due to not eating properly. Do I have telogen effluvium? I dont have the DHT itch, my skin isn’t getting oily, my scalp tension is very low. I am hoping that it’s nothing too bad.

 

[losingbattle88]

I have a constant shedding since 1.5 year (200-300 hairs per day)

Jesus Christ. No wonder nothing works for you as you definately have an underlying problem. Before dutasteride and oral minoxidill I lost tops 50 hairs in shower. Now after I lose under 10. You got a serious problem and its not androgenetic at all or your regimen would have worked by now.

 

[Almas_NW0]

My guess is that I should be low on both hormones by now. I think I will pass the analysis for the levels in mid-April. I hope my T has time to return to normal in a month
The last injection with a minimum E level of about 300pg/ml (two weeks later, on March 12) was made on February 26th. By this point, my E should have dropped to a low level. It is difficult to say how long it takes for the body to switch to T.

 

[ReturnOfExtreme]

My guess is that I should be low on both hormones by now. I think I will pass the analysis for the levels in mid-April. I hope my T has time to return to normal in a month
The last injection with a minimum E level of about 300pg/ml (two weeks later, on March 12) was made on February 26th. By this point, my E should have dropped to a low level. It is difficult to say how long it takes for the body to switch to T.

You’re stopping HRT?

 

[Almas_NW0]

You’re stopping HRT?

Yes, but not forever. My physique has deteriorated due to overeating (I don't know what role estrogen played in fat gain) and I'm not sure I can lose weight on estrogen
If the next time I start HRT I start gaining fat again, I will try cycles of HRT. 8 months of HRT and 4 months without HRT. A lot of things can go wrong. Let's check how it works in practice. On T, I managed to lose weight for only 2-3 months when I played sports and ate with a calorie deficit. During this time, the hair should not lose the progress received for more than half a year of HRT.

 

[MylovelyHair]

My guess is that I should be low on both hormones by now. I think I will pass the analysis for the levels in mid-April. I hope my T has time to return to normal in a month
The last injection with a minimum E level of about 300pg/ml (two weeks later, on March 12) was made on February 26th. By this point, my E should have dropped to a low level. It is difficult to say how long it takes for the body to switch to T.

Bodybuilders do a thing called PCT (post cycle therapy) to make their bodies produce testosterone again after abusing roids!