Guys,is This Dupa Or Something Else ?

[actionmax7]

Hi Guys, I've been fighting hair loss for at least 6 years. Started with temple recession now that's seemed to stop and this is happening.

 

[actionmax7]

i used good lighting and flash in taking these photos.

 

[itsjustsimon]

Go to the dermatologist. This is not the best place for this kind of questions...

 

[DoctorHouse]

Hi Guys, I've been fighting hair loss for at least 6 years. Started with temple recession now that's seemed to stop and this is happening.

You have more density in crown area so it's not DUPA but you are going to be a NW6 eventually.

 

[actionmax7]

Possible to do hair transplant in this sitution ?

 

[actionmax7]

bump

 

[THALL]

bump

Depends if the donor area is in fact thinning or if it has always been like that. In the latter, yes it's possible.. BTW I personally think yours is a combination of male pattern baldness and telogen effluvium: the top of your scalp is noticeably thinner than the rest, and that should exclude DUPA

 

[actionmax7]

Thanks for the feedback.

 

[THALL]

Telogen Effluvium affects the lateral sides?

Yes. It affects the whole head and even one episode can make your male pattern baldness a lot worse, like in my case.

 

[actionmax7]

what is a treatment for this?

 

[THALL]

what is a treatment for this?

Telogen Effluvium? I honestly don't know. But it never results in complete baldness, not even extreme cases. But you first need to get checked by a doctor to get diagnosed, you can only diagnose it with a trichogram.

 

[THALL]

Are you saying that it can result in further hairloss? Like if you genetically was only suppose to lose hair in the frontal regions, but due to Telogen Effluvium you now are permenantly diffusing?


I ask you all this because ever since I applied minoxidil inconsistently to my face to stimulate facial hair, I've noticed a sparse appearance to my scalp. It looks as if i'm diffusing; its puzzling how fast it all happen. Now I'm at a stage where I'm waiting to see if my hair recovers. The thing that concern me the most is my lateral side hump seems to be thin on side part.

However, when I comb this area, it feels like Im untangling a crown or hair pattern.
I wouldn't even know if its a natural whorl, because my hair has been long most my life.

Now its buzzed.

Hey man! I actually saw your photos some time ago, your side looked a lot like a whirl and not alopecia Can't say for the top though! Telogen effluvium is a condition where a lot of your hair goes suddenly in the telogen phase, and it affects your whole head. So if you have androgenetic alopecia your thinning will look a lot worse, but obviously it will not start male pattern baldness in areas where you're not genetically predisposed to thin. Keep in mind Telogen Effluvium takes a lot to recover, like an year or so!

 

[actionmax7]

Another view

 

[max.b]

Google Prince William. He had a similar thing going, I think.

Transplants are silly, because you'll have to get on finasteride to maintain them.

 

[actionmax7]

I am already on propecia.

 

[camille leprevost]

Hello, just to recap, I am a man and have DUPA hair loss (or female pattern hair loss), diffuse hair loss and thinning (back, sides and top) which started 3 years ago after an episode in my life where my alimentation was very bad and had nutrient deficiency for sure. After fixing my alimentation properly my hair are still shedding and thinning all over.

Since 8 month i only take 1mg finasteride / day (no reduction on my hair loss), cb0301 30mg topicaly with no reduction on my hair loss, Biotin (10mg/day), spearmint tea (4 cup/day to reduce free testosterone), Flaxseed (30 g/day to reduce testosterone)

Here is a complete blood test that I have done 3 weeks ago. It would be great if some of you may highlight some issue in it and maybe propose corrective action as he might help others with similar hair loss.

From my perspective, I think I have low zinc, low vitamin d, high prolactin level, high cortisol level and maybe iron deficiency as we can have it according to study even with normal level of blood iron.

BLOOD TEST of the 04.12.2020

Vitamin B12 : 812 ng/l (197-771)
Vitamin A : 0.5 mg/l (0.1-1)

IONIC BALANCE

Sodium : 139 mmol/l (136-145)
Potassium : 4 mmol/l (3.5-4.5)

PROTEIN

Albumin : 47 g/l (40-49)

RENAL FUNCTION

Urea : 46 mg/dl (17-48)
Creatinine : 0.94 mg/dl ( 0.7-1.2)
DFG (CKD-EPI) >90 mL/min/1.73m^2

LIVER/PANCREAS

AST(GOT) : 16 UI/L (<40)
ALT(GPT) : 10 UI/L (<41)
alkaline phosphatase : 55 UI/L (40-129)
Gamma GT : 10 UI/L (10-71)
LDH : 178 UI/L (135-225)
Biribulin total : 0.8 mg/dl (<1.2)
Biribulin conjugated : 0.3 mg/dl (<0.2)

CARDIOVASCULAR RISK FACTOR

Triglyceride : 68 mg/dl (<150)

CARBOHYDRATE METABOLISM

Fasting glucose level : 96 mg/dl (70-100)
Insulin : 39.7 mg/dl (17.8-173)
Index HOMA1-IR : 1.4 pmol/l (<2.4)

TYROID

TSH : 1.35 mu/l (0.27-4.20)
T4 libre : 17.8 pmol/l (12-22)

ADRENAL GLAND

Cortisol (morning test) : 480 nmol/l (166-507)

CALCIUMPHOSPHATE METABOLISM

Bioactive PTH (3nd gen) 25.5 ng/l < 49
25 OH vitamin D : 14.8 μg/l (30-80)

ENDOCRINOLOGY

Total prolactin : 18.2 μg/l (4-15.2)
Bioactive prolactin : 14.9 μg/l (3-11.6)
LH : 5.8 UI/L (1.7-8.6)
FSH : 1.9 UI/L (1.5-12.4)
Oestradiol : 30 ng/l (25-52)
Progesterone : 0.24 μg/l < (0.15
17OH-Progesterone : 3 ng/ml (0.9-3.4)
total Testosterone : 20.80 nmol/l (8.64-29)
Testosterone free: 509.1 pmol/l (260-740)
Androstanediol glucoronide 2.8 nmol/l (4-75)
Delta 4 androstenedione : 1.4 ng/ml (0.1-3)
DHEA-S : 4.72 μmol/l (4.34 – 12.20)
SHBG : 24 nmol/l (18.3-54.1)
DHT : I don’t have the result yet

TOXICOLOGY

Zinc : 72 μg/dl (80-120)

BLOOD

Haemoglobin : 16.6 g/dl (13-18)
Red blood cell : 5.40 10^6/μl (4.40-5.90)
Hematocrit : 45.5% (40-53)
mean corpuscular volume : 84 fL (80-100)
mean corpuscular HB : 30.6 pg (26-34)
mean corpuscular haemoglobin concentration : 36.5 g/dl (31-35)
anisocytose indice : 12% (11.5-13.4)
platelet : 208 10^3/ μl (150- 440)
mean platelet volume : 10.1 fL (8.9-12.9)
white blood cell : 7.16 10^3/ μl (3.5-11)
neutrophiles : 62.1% (40-75)
neutrophiles (absolute): 4.44 10^3/ μl (1.5-6.7)
Lymphocytes : 25.4% (20-45)
Lymphocytes (absolute) : 1.82 10^3/ μl (1.2 – 3.5)
Monocytes : 10.6 % (2-10)
Monocytes (absolute) : 0.76 10^3/ μl (0.2 - 1)
Eosinophiles : 1.5% (2-10)
Eosinophiles (absolute) : 0.11 10^3/ μl (<0.4)
Basophiles : 0.4% (0-1)
Basophiles (absolute) : 0.03 10^3/ μl (<0.1)

INFLAMMATORY SYNDROM

Crp : <0.5 mg/dl (<5)

ANEMIA

Iron : 134 μg /dl (65-175)
Transferrin : 216 mg/dl (215 – 365)
Transferrin saturation : 44% (16-44)
Ferritin : 120 μg/l (30-300)
Folic acid : 4.8 μg/l (>4.6)
Folic acid erytrocytaire : 754 μg/l GR (523-1257)