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you still may need to break up the fibrosis since bald scalp is thicker than non bald. and male skin is thicker but High amounts of systematic estrogen or antiandrogens does make the skin thinner.Small amounts of topical estrogen with a goal of leaving systemic hormone levels unaffected and just stimulating hair growth locally at the follicles.
Back in the day her hair was unnaturally thick because of the initial oral minoxidil response. I think forcing too much anagen can be a bad thing, part of her problem could be minoxidil dependence and synchronized sheds.she still has great hair but there's no doubt if you see her hair a few years ago she's lost a fair amount.
it would be better for her to go on natural estrogen but an issue is that if someones been on the pill for awhile it can be difficult to stop. Because it elevates SHBG in a somewhat semi-permanent way. While SHBG is mostly good because of its preference to bind to Androgens, it still can bind to estradiol too. but EE does not bind to SHBG. Even after stopping the pill the SHBG takes a long time to go down so it can make natural E less bioavailable and cause a sorta Diane dependence. I wish I bookmarked the study If I remember correctly it basically said that Women who take the pill had the highest SHBG and women who had been off the pill for 6 months had lower but still quite higher than women who didn't take the pill at all.Looks like she's starting the process of switching over to more natural estrogen therapy soon, so we will see.