Exploring The Hormonal Route. Hair=life.

Almas

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But who cares what they said? I give you permission to take early action. Many folks who might be more advanced in hair loss often use themselves as the standard as opposed to an average youth of your own age. Plus you might have diminution of hair quality that is also associated with coming baldness. The first sign is often frizziness and an inability to wear hair long and have it look nice.
In the first two years of 16-18 years old baldness, I only had a deterioration in the quality of my hair. Everyone told me that I wasn't even balding and I didn't have to do anything. However, I wish I had started earlier. You had to jump on Bica right away, and not waste time on finasteride
 

JaneyElizabeth

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In the first two years of 16-18 years old baldness, I only had a deterioration in the quality of my hair. Everyone told me that I wasn't even balding and I didn't have to do anything. However, I wish I had started earlier. You had to jump on Bica right away, and not waste time on finasteride
Increasing lack of moisture content and lack of sheen indicate an aesthetic breakdown of the hair. That's why I keep pasting pics of Belushi, Robin Williams and Son of Sam. All had complete or nearly complete coverage and their hair still looked like crap. I just posted pics of Phil Collins's hair journey and it is clear that dull, lifeless, increasingly brittle hair indicates that without treatment, the battle is lost hair-wise. I wanted to wear my hair long and the last two years before I saw an incipient bald spot I noticed that it looked much nicer not wet but damp like ten minutes before being dry. This loss of moisture content is a key indicator not f*****g hairlines so just ignore the coverage at all cost people who think Son of Sam hair is somehow less bad than going bald.

Note in the pic below of flyaway hair without moisture content. This guy will perhaps never go bald but looking like this is worse than going bald. That's why I emphasize overall attractiveness not f*****g coverage and hair counts which are meaningless largely. If you look at transtimelines before and after pics, only HRT can save a mess like this. You actually see the difference in quality and sheen more so than any increase in "thickness" in the folks who start HRT before hair loss so I am with you.

1613966716415.png
 

JaneyElizabeth

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Inflammation, Scalp Environment and Hair Loss

Why do I focus so much on hair quality as opposed to hair counts and mere coverage? It's because of the strong correlation between loss of hair quality and incipient hair loss:

As can be seen from the summary of scalp abnormalities, the most common manifestation to hair emerged from an unhealthy scalp is an altered cuticle with evidence of surface pitting, roughness, cuticle rigidity, or breakage. In some cases, the impact is manifested as shine reduction. In addition to the physical changes, there are biochemical alterations observed in hair emerged from an unhealthy scalp, with both protein and lipid components affected, most commonly by oxidative damage.[17,61,66,67]

Finally, a number of observations have found that premature hair loss may be caused by the poor scalp health associated with either dandruff and seborrheic dermatitis,[62,63,64] or psoriasis,[68,69] indicating that the effect on the preemergent hair fiber may alter the anchoring force of the fiber with the follicle, as evidenced by an increased proportion both of catagen and telogen,[74,75] and of dysplastic anagen hairs (anagen hairs devoid of hair root sheaths)[75,76] in the trichogram (hair pluck).
 
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JaneyElizabeth

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Maybe i'll just get an orchiectomy and live as MTF. That sounds better than ending it.
Nah. We already have enough members.

Just be you and stay the course. You know HRT isn't associated with hair loss so unless it's an adrenal DHT issue then you should continue to improve but EK and I were both talking about how we now think that Dutasteride needs to always be a part of a hair loss regimen regardless. But lately, I have been thinking that maybe estrogel on the scalp might prevent the follicles from synthesizing DHT. Bridge and I have always used it on our scalps.

To me, ceteris paribus we want to use established successful protocols but you might also want to titrate upward your estrogen. If you absolutely can't get estrogen anymore then yes, I would consider the big 4 AA's, Provera, CPA, Bica but not probably not spironolactone. I just can't recommend that one. I think you are using bica so maybe temporarily increase dosage and then add more estrogen when you can.
 
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Almas

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Flutamide is much worse for the liver, Almas, than bica. You've already picked the best and most tested of the 'mides that don't cost like a million dollars to use but Tato's an expert so....
I know I'm just wondering what dose helped him. I can convert a dose of Flutamide to a dose of Bicalutamide
 

Pls_NW-1

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Ikarus was clearly balding, Ein never had AA just telogen effluvium, and DHTcel literally called himself genetic defect multiple times and had no visible balding to anyone but himself.
Tho Ein had Androgenetic Alopecia, but not in the common pattern. He had slight diffuse thinning. Androgenetic Alopecia runs in his family history, same for DHTcel, they took action faster than the (severe) hair loss itself lol.

Side note: Ein induced telogen effluvium for a year because of the treatment.
 

JaneyElizabeth

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I love how in this thread someone accused Bridge of perpetuating a huge hoax by inverting his pic selection. Bridge then took a pic of himself with a calendar turned to the date of the pic and the guy finally gave in.
 

JaneyElizabeth

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And what about putting more money into SRS research so that MtF's can be more authentically female? That should come before finding a cure for hair loss cause it benefits me more....
 

Almas

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Ikarus was clearly balding, Ein never had AA just telogen effluvium, and DHTcel literally called himself genetic defect multiple times and had no visible balding to anyone but himself.
It is necessary to treat diseases in the early stages, and not wait for the moment when it becomes even more difficult to cure. I hope people with your logic will not do anything with the oncological tumor and will start treatment at stage 3.
 

JaneyElizabeth

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It is necessary to treat diseases in the early stages, and not wait for the moment when it becomes even more difficult to cure. I hope people with your logic will not do anything with the oncological tumor and will start treatment at stage 3.
Dude, when you keep comparing it to cancer, I mean, that's bad karma. You should find a better metaphor.
 

Almas

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Treatment should be started as early as possible, at the first sign of AA. Only then will you be able to maintain your hairline and hair density without resorting to extreme estrogen regimens.
I wish I had jumped on Bicalutamide a year ago when I was Norwood 0
 

Pls_NW-1

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Treatment should be started as early as possible, at the first sign of AA. Only then will you be able to maintain your hairline and hair density without resorting to extreme estrogen regimens.
I wish I had jumped on Bicalutamide a year ago when I was Norwood 0
How long were you on Finasteride only?
 
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