Exploring The Hormonal Route. Hair=life.

Ests13

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If you can handle the sides (diuretic sides), yes for cis male its just enough. But for me it was not enough. We have many users here that had great recoveries just on dutasteride and spironolactone, actually some of the greatest recoveries here are just on that combo. Like @AmericanHairlines90
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I’ve been on both dutasteride and spironolactone 100 for more than a year now, recently added E2 4mg which made me reach a Norwood 0.5(?), but I had covid in January and I’m experiencing such an extreme hair shedding; wondering whether it’s due to my pills losing efficacy (which I don’t think ‘cause my skin is still dry af plus my gyno has gotten worse (planning to get surgery).
 

Ests13

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You can always up your spironolactone dose up to 200mg but its not recommended to go over that, if that doesnt work than its time to change to cypro or bica then lower the e2 dose since e2 only helped in further androgen supression IMO, since spironolactone on that dose for normal male hormone range is small dose.
I think I’m gonna wait until April, just to understand where this shedding is coming from, I’m more prone to think it is due to covid, but who knows; if nothing gets better around april, I might start considering bica. Where can I get it from? Prescription is required in Italy + it’s hella expensive:(
 

Nebula74

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he added min 6 months before posting this, which is when peak min results will come thru i added ru to my regimen and also was looking for hopeful posts on reddit but i dont think this guy's regrowth is a 100% ru
 

Staticwavves

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Currently taking .5mg dutasteride and 10mg oral minoxidil daily. Trying to decide what to add to my regimen with going the hormonal route. It seems like Bica would be my next addition to minimize the chances of sides. However I have very high T levels in the 1200+ as well as a pituitary tumor prolactinoma and taking cabergoline for that. It seems like playing with E has too many unintended consequences however my super high T levels are beating up my face. Any advice is greatly appreciated as I’ve maintained and held ground at a Norwood 1 to 2 but looking to achieve max results and get back to Norwood 0.
 

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Mr. Slap Head

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Currently taking .5mg dutasteride and 10mg oral minoxidil daily. Trying to decide what to add to my regimen with going the hormonal route. It seems like Bica would be my next addition to minimize the chances of sides. However I have very high T levels in the 1200+ as well as a pituitary tumor prolactinoma and taking cabergoline for that. It seems like playing with E has too many unintended consequences however my super high T levels are beating up my face. Any advice is greatly appreciated as I’ve maintained and held ground at a Norwood 1 to 2 but looking to achieve max results and get back to Norwood 0.
Well, if you want a NW0 you have to accept that you will have to be on a full trans regimen.

How long have you been on your current regimen?
 

Mr. Slap Head

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A little over a year, added the oral minoxidil about 6 months ago.
Before jumping into HRT, you can try to get more improvement by:
- going up to 2.5mg of dutasteride since it reduces SCALP DHT significantly more (by about 30%)
- adding a topical antiandrogen like RU58841 and/or topical bica
- keto shampoo
- microneedling
 

Staticwavves

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Before jumping into HRT, you can try to get more improvement by:
- going up to 2.5mg of dutasteride since it reduces SCALP DHT significantly more (by about 30%)
- adding a topical antiandrogen like RU58841 and/or topical bica
- keto shampoo
- microneedling
I asked my Derm about going up to 2.5 dutasteride and he basically gave me the finger. Sounds like I’ll just need to source the additional mg elsewhere. I should have clarified I’ve been using keto shampoo for about 2 years.

I purchased a dr pen microneedler but just haven’t started on that journey yet. Would it produce similar results since I’m taking oral minoxidil as opposed to topical?
 

Mr. Slap Head

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I asked my Derm about going up to 2.5 dutasteride and he basically gave me the finger. Sounds like I’ll just need to source the additional mg elsewhere. I should have clarified I’ve been using keto shampoo for about 2 years.

I purchased a dr pen microneedler but just haven’t started on that journey yet. Would it produce similar results since I’m taking oral minoxidil as opposed to topical?
Would you say you have maintained since being on dutasteride? Or have you been losing more ground? Have you ever been on finasteride?

I would do some needling just to help with the potential growth factors it can induce, as well as breaking up calcified areas.
 

Staticwavves

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Would you say you have maintained since being on dutasteride? Or have you been losing more ground? Have you ever been on finasteride?

I would do some needling just to help with the potential growth factors it can induce, as well as breaking up calcified areas.
I think I’ve maintained/gained back some ground. Not the results I’d like to see, but you can definitely see baby hairs sprouting out all over my scalp on top but very baby thin hairs on temples and that’s my main area of focus along with forelock area. I was on finasteride prior to dutasteride for about 9 months with no noticeable difference.
 

Mr. Slap Head

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I think I’ve maintained/gained back some ground. Not the results I’d like to see, but you can definitely see baby hairs sprouting out all over my scalp on top but very baby thin hairs on temples and that’s my main area of focus along with forelock area. I was on finasteride prior to dutasteride for about 9 months with no noticeable difference.
Sounds like you are a decent responder to dutasteride so I would follow that list of recommendations
 

Revono

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I put dutasteride intramuscularly once a week .. Bioavailability increases and all that, without the first pass through the liver. True, I sometimes put it together with nandrolone in one syringe, but that's another story))
 

dar3k

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After 2 weeks of E2 withdrawal my nipples are no more painful. They are noticable less puffy too.

Im now on 1mg Dutasteride + 5mg CPA + 50mg Bicalutamide + 10mg oral Minoxidil + 5% Topical Minoxidil.

Unfortunately I still don't see any results :(. My hairs are still falling out in the same rate.
 

cetm-419

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and shedding isn't a principal symptom of Androgenetic Alopecia... it can sometimes appear only at the beginning.
 
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