Severe hair loss, need help diagnosing

bonbonz

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Hello everyone, I went from having a full head of hair to the attached picture in about a two year span. It's similarly diffused on the sides and top. Currently in my mid 20's. No history of balding in my family, my dad has great hair and an intact hairline at 55. In all honesty my diet has been awful most of my life, mostly ate proceed food with little protein, water or vegetables but I am now doing better. I also had a pretty bad foot injury about a year prior to noticing thinning and had a lot of stress/anxiety because of it but not sure if that had an affect at all. This all started happening about 5 years ago and the hairloss has seemingly stopped for the last 2. I had some bloodwork done last year as well as had my thyroid checked and they all apparently came back normal. I also went to a local dermatologist who who took a quick glance at me and said it was male pattern baldness, didn't even inspect my scalp or anything. Thinking about having a scalp biopsy done but I almost don't think it's worth it at this point. Anybody experiencing or have seen anything similar? Kind of looks like telogen effluvium, DUPA, androgenetic or a combination from the research I've done. I realize this is very severe and there's probably no way back but welcome any comments/advice. Thanks!
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Selb

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Hello everyone, I went from having a full head of hair to the attached picture in about a two year span. It's similarly diffused on the sides and top. Currently in my mid 20's. No history of balding in my family, my dad has great hair and an intact hairline at 55. In all honesty my diet has been awful most of my life, mostly ate proceed food with little protein, water or vegetables but I am now doing better. I also had a pretty bad foot injury about a year prior to noticing thinning and had a lot of stress/anxiety because of it but not sure if that had an affect at all. This all started happening about 5 years ago and the hairloss has seemingly stopped for the last 2. I had some bloodwork done last year as well as had my thyroid checked and they all apparently came back normal. I also went to a local dermatologist who who took a quick glance at me and said it was male pattern baldness, didn't even inspect my scalp or anything. Thinking about having a scalp biopsy done but I almost don't think it's worth it at this point. Anybody experiencing or have seen anything similar? Kind of looks like telogen effluvium, DUPA, androgenetic or a combination from the research I've done. I realize this is very severe and there's probably no way back but welcome any comments/advice. Thanks! View attachment 150487

This is very strange but what about your mom’s side? Could have been inherited or skipped a generation.

I would go for the scalp biopsy if you want to make super sure what it is. Also, try to find a trichologist. Maybe they’d know more than just a dermatologist about what other problems there are.

Anyways man, I wish you the best of luck in resolving this awful condition. And you’re not too far gone, don’t think that when some people have slick bald scalp and in some cases regrow. Your hair follicles are there, just super thin. Have you tried minoxidil or finasteride?
 

bonbonz

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This is very strange but what about your mom’s side? Could have been inherited or skipped a generation.

I would go for the scalp biopsy if you want to make super sure what it is. Also, try to find a trichologist. Maybe they’d know more than just a dermatologist about what other problems there are.

Anyways man, I wish you the best of luck in resolving this awful condition. And you’re not too far gone, don’t think that when some people have slick bald scalp and in some cases regrow. Your hair follicles are there, just super thin. Have you tried minoxidil or finasteride?
My grandfather on my mother's side had some balding but not until later in life and it was nothing like I have, just normal hairline thinning and all my uncles except for 1 have full heads of hair in their 50.

Thank you for the suggestion. I have been trying to find a trichologist but I can't find one that seems reputable in my area, may have to travel once the current situation improves. I may get the scalp biopsy just to get some closure if it is DUPA or aggressive male pattern baldness.

I am thinking about trying minoxidil but I fear it may be too little too late. finasteride is a little more concerning due to the potential sides.
 

camille leprevost

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Hello my friend, i am french so i apologise in advance for my english.

I do have the same pattern as you, 28 years old , thinning and overall shedding back, side, and top and my hairline is quite not touched actually. I think it is DUPA and it is similar to female pattern hair loss actually.

Some studies showed that high prolactin level can cause hair on side and back to become sensitive to androgen as well. So might be something to dig in. Also annecdotally, it seems that DUPA sufferer are sensitive to DHT but also to Free testosterone in scalp. Apparently DHT seem to cause localised thinning where testosterone cause diffuse thinning.

If you have been to a dermatologist, i hope she gave you a full bloodwork to do because besides that they are useless,

You need to check for :
-nutritionnal defficiency
-metabolism glucidic ((Glucose, insuline sensitivity,)
- full hormonal check : cortisol, LH ,FSH ,Prolactine, E2,17OH progesterone, progesterone, SHBG, testosterone total, free T, androstanediol G6470, delta 4 androstenedione, DHEA-S, DHT ....
- inflamatory syndrom ...

I am going to do a full blood check this friday, so i will send you the result here in 2 weeks if you want. If you have done a full blood work too, it will be great to compare it to check for similitude.

To tell you a bit about myself i started to lose hair all over since 3 years now.
I only started 7 month ago to take 1 mg finasteride daily, but it has thin my hair considerably because of the boost of scalp tesoterone it caused i think. I tried to add different antiandrogen topically such as ru58841 to tackle the rise in T (had to stop due to chest pain , shortness of breath), i used now topical cb0301 30mg/day but it is not enough powerful so it doesn't do sh*t. I am going to try topical bicalutamide now soon as it is a stronger AA and i think we have to fight testoerone as well.
Besides finasteride + cb0301 i don't take any supplement and it didn't stop my shedding at all.

I am curious to know about how much you lose hair per day, what regimen are you on, it seems you use minoxidil, dit it worked on you ? and how you manage to apply it all over your head ?

Also can you share if anything in your regimen has improved your situation so far or make it worse. Would be great to share info

You can send me a message privately as well.

Looking forward helping each other to solve that sh*t.

Best regard
 
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