Hair is not Life but it's Pretty Damn Close; HRT and Pictorial Posts Prove it.

How far are you willing to go to restore a full head of hair?

  • Full-blown Feminization

    Votes: 42 15.9%
  • Slight Gyno

    Votes: 44 16.7%
  • Slight Breast Growth

    Votes: 28 10.6%
  • Only "Male" Treatments

    Votes: 90 34.1%
  • Dude, I won't even touch finasteride

    Votes: 60 22.7%

  • Total voters
    264

JaneyElizabeth

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New email from Rob English at perfecthairhealth.com

Hey there,
I hope your week is off to a great start! We've had a busy month here at Perfect Hair Health. So, I wanted to fill you in on two big updates:
  1. We just launched a YouTube channel
  2. I was interviewed on Dr. Shawn Baker's podcast
I also wanted to share two photosets recently submitted by members inside our membership community.
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RDB (male, 35): 10-month progress (massaging)
"Can’t thank @Rob (PHH) and @Sanderson17 enough for allowing me to understand a bit [about] what was going on with me and why all these [things were] happening. Here I leave you a little snippet of where I am today."
–RDB, 35, New York, U.S.A.
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Brian (male, 30's): 12-month progress (diet, massaging)
"I wanted to reach for a couple of reasons; first, to say thanks for all your hard work and tenacity... I've been telling a lot of people about you, most of my friend's mouths dropped when I show them these photos. Funny, I was showing my buddy last night (who's losing his hair) and you could tell he was impressed. (I'm blown away myself)."
–Brian, 30's, U.S.A
Later in this email, we'll dive into Brian's story: his failure with finasteride, his unique regimen, and his results. But before get into that...

1. We launched a YouTube channel​

My friend once told me, "YouTube is the father I never had." He's not exaggerating. In the last decade, YouTube has grown from an entertainment time-suck to an educational resource: a platform people turn to when trying to solve a problem (particularly health conditions like hair loss).
Unfortunately, YouTube's algorithm optimizes for entertainment, not education. This misaligns incentives for YouTube creators. It encourages them to maximize watch time, click-through rates, share counts, and referral sales rather than the substance, accuracy, and integrity of their content.
In the short-run, this lead to an influx of clickbait headlines, misleading thumbnails, sensationalized claims, and annoyingly long-winded videos.
In the long-run, this pushes hair loss sufferers further away from effective treatments – ones built around their needs and preferences.
As such, we've decided to start a YouTube channel – one that prioritizes education and actionable advice over "infotainment" and advertising dollars. We'll use this channel to dive into topics about hair loss: its causes, treatments, and unknowns.
Here are our first two videos.
  • Five Secrets The Hair Loss Industry Doesn't Want You To Know. In this video, I dive into five tactics used by the hair loss industry to deceive consumers. Note: deceit happens on both sides of the debate (natural and conventional). For anyone feeling confused over which path to take, this video offers a balanced perspective so you can make a decision based on facts, not hyperbole.
  • My Story: Failed Treatments, Natural Regrowth, & Founding Perfect Hair Health. A lot of people ask about my personal hair loss story and the evolution of our site. So, I put together a 20-minute video explaining everything (including my personal progress videos ranging from 2011 to today). In this video, you'll get a better understanding of my current regimen, my opinions on the industry, my recommendations to hair loss sufferers, where Perfect Hair Health is heading, and more.
We're planning on releasing a new video (almost) every week! So, if you like the content, feel free to subscribe.

2. I was interviewed on Dr. Shawn Baker's Podcast​

If you already know who Dr. Shawn Baker is, then I'll cut to the chase: you can watch my interview right here.
During the podcast, we discuss:
  • My background (and entry into hair loss research)
  • How profit incentives ruin outcomes for hair loss sufferers
  • Photos of hair regrowth (from stool transplants & carnivore diets)
  • How gut bacteria may act as the gatekeepers of DHT excretion
  • Why some people will (and won't) see success with this diet
If you're curious, here's some background about how this interview happened.
Earlier in this email, I featured a photoset of Brian: a 30-year old male who saw zero benefit from using finasteride for 2+ years, but significant hair regrowth after (1) quitting finasteride and (2) starting the following regimen:
  • Our standardized scalp massages
  • The carnivore diet
Interestingly, this isn't the first time I'd worked with someone who reported hair regrowth while going "carnivore" – a diet that consists entirely of meat. For example, BRLPink (a member of our community with female pattern hair loss + telogen effluvium) also reported regrowth while on the same diet.
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BRLPink: six-month progress (massaging + carnivore diet)
There's also a 1928 study of two men who ate an all-meat diet (under medical supervision) for an entire year – one of whom saw a complete stop in the progression of his pattern hair loss.
These anecdotes run counter to what most researchers (including me) believe about the diet-hair loss connection. For the last three years, I've argued that diet is probably just a negative regulator of pattern hair loss (Androgenetic Alopecia). In other words, a bad diet can accelerate Androgenetic Alopecia, but a perfect diet won't stop its progression.
However, I'm always open to revising my opinions based on new information. So, our team started digging into the literature to see if there was anything unique about this ultra-restrictive diet that might connect it to Androgenetic Alopecia.
Fascinatingly, we found evidence of a feedback loop between male hormones and gut bacteria. Specifically, we found evidence that gut bacteria may act as gatekeepers for hormone excretion and recirculation. This has direct relevance to the carnivore diet – as the diet is virtually devoid of carbohydrates (the main food source for our gut microbiome).
Needless to say, I wanted to talk to an expert in this field. So, I reached out to Dr. Shawn Baker. He's an orthopedic surgeon, exclusive meat eater, and an advocate for the carnivore diet as a therapeutic tool against disease states. He is currently supporting several clinical trials on the carnivore diet and its potential to improve metabolic syndrome, insulin resistance, and autoimmunity (i.e., allergies, asthma, and seborrheic dermatitis). He has also collected reports of hair regrowth!
So, we interviewed Dr. Shawn Baker for our membership community. After the conversation, he invited me to be a guest on his podcast. I agreed, and a few weeks later, we ended up reconnecting to talk publicly about hair loss, its connection to the microbiome, DHT, the carnivore diet, our upcoming manuscript, and more.
I'm pleased to announce that the podcast is officially available. You can watch it right here.
Note: I don't yet hold an opinion on the carnivore diet. My appearance on Dr. Baker's podcast isn't to promote the diet; it's to discuss the ways in which the diet might improve Androgenetic Alopecia – specifically by influencing gut DHT metabolism.

Any questions?​

Feel free to reply to this email! I try to respond to as many people as possible – particularly when the questions are reasonable and specific.
Otherwise, we've got some big content releases coming up inside our membership community. We also just received more of Krzysiu's massage tools. So, if you join within the next few days, please send me an email. I'd be thrilled to send you a free pair of tools.
All my best,
Rob
P.S. – Last week, our latest manuscript was accepted for publication in the journal Clinical, Cosmetic and Investigational Dermatology. This one dives deep into pattern hair loss and its relationship to inflammation, fibrosis, and prostaglandin activity. We're excited to share this! Expect an update on this in a couple of weeks.


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Capone

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I know if I started scoffing cream cheese,fatty meat, heavy cream my testosterone would be through the roof, I’d shag a lamp post and wouldn’t have a hair on my head, fabbbulous skin though
 

Capone

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This is a bit turgid:

What’s your diet like? Any thoughts on long term estrogen use increasing heart attacks etc?
 

JaneyElizabeth

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What’s your diet like? Any thoughts on long term estrogen use increasing heart attacks etc?
I think that there is something fundamentally different about MtF HRT for XY's versus XX's. XX's have had a lifetime of unopposed estrogen, largely, since puberty. This seems to increase certain cancers if estrogen is supplemented later in life. But MtF's have lower prostate cancer than other XY's and lower breast cancer rates than cis-females. I think that everyone is likely to do better among XX's on some amount of titrated estrogen.

The other thing is that in my anecdotal experience, HRT simply appears to be like the fountain of youth. Except for bone, it appears to fundamentally re-write all tissue, even old used up tissue in the back and neck and lower back, etc. I feel so much better in every way, especially in terms of mood and psychology and finding purpose in life. The sexual feelings are better while being much less compulsive.

Except for users of spironolactone, it would be hard to find any "side effects" that are unwanted or stereotypical like loss of strength and fatigue. I definitely had those on spironolactone but not estradiol only. The other issues regarding clotting are well-known among MtF's and that is why there has been a movement to parenteral estrogen away from oral estrogen.
 

JaneyElizabeth

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Janey Elizabeth Confession time: Autogynephilia

My story: Mean Rude Boys and What's Below is Based Upon a True Story. Scene I.

Any of you guys in your 20's out there who have those mean, sort of rude dispositions, I mean that seems to be one effect of my increasing constantly my ingestion of estrogen. At first it was just to grow hair and then I wanted breasts and thought that all of sudden big bottoms look really great. My lips got fuller and my cheeks redder and rosier and I started looking girlier and girlier, This was fine and I still dug chicks. The problem is that as my estrogen levels rise, males are starting to smell interesting to me and I have been repel by their scent since birth.

Some times, I think about having some young balding guys over to my house for a hair seminar and a couple of the guys bring martinis just to be polite. Then all four of them are all really interested in my changes under HRT and they want to see all of them with before pictures too. Somehow, even though I never asked, they are all showing me their sources of pride as well and I pretty much go sloppy at this point and with my big fat knockers, I just keel over drunk face down, pretty much out of it and "presenting" to all four of them. Well, you can imagine what happens next, right?

Janey
 
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JaneyElizabeth

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Feminisation negates the positive effects of hair gain, so nothing that causes feminisation can be considered.

NW1 is useless if you have b**ch tits or feminine body shape.
What if a guy is a fat slob but bald? How is NW1 useless if now he is a slob with hair?

A lot of the feminization might be avoidable but we still don't know the parameters of all aspects. Now if taking HRT makes a person a fat slob then that would be a bit different but it doesn't seem to be very strong for most people especially on large frames. I am not very tall or broad so things show perhaps on my figure much more so than some of the other guys posting about HRT. The same was true for @bridgeburn. He feminized a huge amount and probably 99 percent viewing his pics thought that the looked like a new "man" but he might not have been able to defend himself in a fight as well which is true for me, at least some and a lot of that also has to do with the concomitant use of AA's.
 

JaneyElizabeth

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Hi,

I hope you don't mind me messaging you.

I have been taking finasteride & minoxidil for years now. I'm trying to understand if people are taking the female hormone medicines to become a woman or just want to grow more hair?

Did you (or are you) taking finasteride or minoxidil?

Do doctors actually give out these medicines to men who simply want to regrow and stop male pattern baldness?

thanks.
dave.
I was one of the earliest users of both min and finasteride, going back to the 80's for min and late 90's for finasteride and I have never been off either since. They never regrew hair for me but I caught my hair loss early and I had great maintenance until about the age of 50 when they stopped working as well and my hairline began worsening again. I will always use those to meds or dutasteride, which I now use in place of finasteride.

Doctors are quite hesitant to prescribe these mes without an allegation of being transgender which is becoming easier to assert since the transgender clinics now also treat non-binary transgender males and females.

But what is going on with most on here is that they are either ordering female hormonal medications from off-shore online, making their own or using OTC menopausal creams for feminization and hair loss, often as a topical. Female hormones require prescription but they are otherwise legal to possess and possessing estrogen without a prescription is not a crime at all while possessing testosterone with an RX is a schedule three, federal crime.

Anyway, it took an immense amount of fine tuning but my hair regrowth/restoration results have been uncanny. I had an inkling always that using female HRT would successfully restore hair and I began at about the age of 50 in 2015. I started taking copious pics of both hair and feminization and have been posting them since for the good of the community so that all aspects of changes could be looked at and addressed.

Starting about last August, things started improving so much for me that I started my own thread on here to post improvement pics every couple of weeks and to provide my protocol as it was changed or modified. The gist of this is that if a protocol works for one person, it might very well work for another if implemented without change. That's far different from just saying that "estrogen can regrow hair" because you don't know when or how much to use and a lot of this has been like feeling my way around in the dark.

My looks have improved the past several years and I look far younger and healthier. I believe that even for men into middle age, testosterone is exhausting as a hormone and I didn't like the way that it made me feel so HRT had multiple benefits in terms of rejuvenation to the point of being for me, akin to a wonder drug. Because of my amazement at the effects of estrogen, I have become an advocate of this hormone for a variety of negatives caused by a life-time of exposure to testosterone and I view it as akin to coming from the Goddess, not God but that is more so to free myself psychologically from the idea that God wanted or intended for me to be bald.

I can have a tendency to gush about HRT because I was bald from the ages of 20 to 55 in the crown and now there is barely a hint of thinning anywhere. My hair began to be able to grow long again and as I look at old pics of me from say 15 to 21, I am probably back to my 18 year old hair line. It takes a long time and a lot of dedication and research so that is why the search is for easily applied hair protocols.

Anything I can do to elucidate or enlighten, please ask.

Goddess bless,
Janey
 

JaneyElizabeth

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Feminisation negates the positive effects of hair gain, so nothing that causes feminisation can be considered.

NW1 is useless if you have b**ch tits or feminine body shape.
Dude, believe it or not, there are chicks who don't mind and who even like guys with more feminine body aspects. I have had women respond much better to me as non-binary than I did as male. Plus, it's not all about sex. People like being around other attractive people if possible. It's just a fact of human existence. Attractive people do better in life and are far less likely to have negative outcomes like unemployment or criminal records. I am not looking to breed as I have already done that so age and past experience matter. XY's who do this probably are a combination of being more affected psychologically and also being very interested in the scientific aspects and adjustments that are possible.

A lot of this intellectually is akin to puzzle-solving, perhaps not so different from learning about prostaglandins but they don't work, not even a little really while HRT works amazingly for hair for some. To me, the key is picking the right protocol and staying on it because it takes a lot of time. But, yeah, if you are someone who prefers to relate as a he-man, for lack of a better term, this isn't for you. But we have guys way younger than 20 who are suicidal and we keep finding that virtually all of this is reversible while male pattern baldness is not reversible in a male hormonal context. I appreciate the comment and yes, it is a fine line between proselytizing for everyone male-ish who is losing lots of hair and simply noting that I used to be a cueball and now I have my hair back to my late teens rock and roll (hopefully) tresses.

I always notice your avatar. Is that the fish-headed commander from Star Wars? Or is it one of those mini-pigs giving their lives for hair research? Best wishes.
 
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JaneyElizabeth

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This is a response to a really interesting article on Tressless:


Interesting how the topic for many went off-course to diet's being able to improve hair loss outcomes by eating broccoli.
I don't pretend to be a chemist and much of what is in the article is beyond my ken. I do note again and again that conjured theories that seem to have all of the ducks lined up in a row tend to fail miserably at actually regrowing hair, any hair at all and even if minoxidil squeaks out a bit of hair, it isn't necessarily comparable in quality to what we had before hair loss.
My feeling is that a "cure" will involve a choice by men to forego beard growth in favor of scalp hair growth. Right now, that isn't possible except for those under about the age of 25; otherwise mechanical beard removal is necessary. Beard and hair growth for whites are largely intertwined and this is exactly why some men like Sam Elliot are so distinctive in their look, having great hair along with a great beard. FtM's growing minoxidil beards appear to often suffer from hair loss soon after. Why would this be? Perhaps because hair amount in general, on all areas of the body are calibrated and changing the hormonal outcome of hair say under the arms, might change it on the scalp as well.
We also can look at things in terms of our bodies reserving resources and not using them when it isn't pertinent, much less necessarily. Male pattern baldness doesn't affect health so why would "repairing" dormant follicles be any sort of system priority? Why on earth (this is primarily a white/Semite issue) would we gain protective facial hair at the same moment, more or less, that hair loss begins/hair quality decreases around roughly 15 years old for most of us.
Why does hair quality among inuits and other Native Americans not vary between males and females? Even the hair line shapes are the same. Hmm, well Native Americans tend to rarely have facial hair unless their genes are mixed with those of caucasians. You can see this all over Mexico, Central American and down into Ecuador, Bolivia and Peru.
I don't know if any studies have been done but from the time that I started balding at 19, I notice again and again that white males with little to no beard growth outside the goatee area seem to have great hair? It's because all of this is related hair-wise with the exception perhaps of lashes perhaps. In many Middle Eastern countries and into former British India, we see much more of an adherence to beard hair as being given to males and in some societies, it is an infraction to trim or remove beards. Strangely enough or not, many such males also are required to maintain head coverings, where presumably there is not a lot of hair to be hidden anyway. Do Sikh boys mind going bald? I have no idea but I would assume that it is less of an issue in a sociological or psychological sense.
Great research and the English is fine. This is high level stuff indeed but just as using female HRT is a choice proven to regrow copious amounts of high quality hair, it could be that altering beard growth patterns are a separate aspect that could be part of this. Does DHT migrate from face to scalp depending upon where follicles are available? What sort of hair outcomes do MTF's have when do not engage in beard removal? Anecdotally, all I know is that removal of my beard coincided with a huge improvement in hair in all aspects but maybe the hormones would have achieved this anyway but my gut feeling is that no. My dermatitis didn't improve from HRT but removing my beard appeared to stop it cold.
There's nothing wrong with having one's cake and eating it too but I had little to no use for my beard and I don't find them attractive except in rare cases like say the younger Jeff Bridges in Against All Odds. But you guys want to be bodybuilders and have great hair and great beards and I would assume you also want excellent virility and fertility but so did Ponce de Leon presumably.
 

JaneyElizabeth

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I mean it is not worth sacrificing a good body for NW1 if your body will deteriorate afterwards as side effect of drugs. If man is already a fat slob, then I guess he doesn't have much to lose lol


Of course. You think having a masculine body doesn't play into the whole masculine dimoprhism thing? I am in peak shape and if I get gyno my looks will wane hard even if I manage to go from NW3 to NW1. Transplant seems a way better route and then maintenance with drugs.


It's some super cute breed of cow that they have in Ireland.
Yes. But but we all have certain aspects to our appearance that are within reach and that also correspond to how we see ourselves. For me, a young Paul McCartney in his White Album glossies was an inspiration. For others, it is to be as fit and and as buff as possible and looks, attractiveness and overall perception are a combination of such factors. I want long hair not just to have hair with perfect counts that peters out and refuses to either grow long or look good long. I don't see any elements of right or wrong and I eschew the value judgments of anyone but the person who has to live in the body that they were given. I hated my beard and it was always infected with dermatitis. Many balding men cling to their beards psychologically as making them "male" and as being a part of their overall attractiveness.

Abe Lincoln had crummy hair and a crummy beard but he was 6 feet four inches tall and presumably, many females at the time in an industrial society valued size and strength far, far more than do females today.
 
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