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Okay - after a lot of research, I'm pretty convinced I am suffering from Telogen Effluvium.

Here's a couple articles for those interested:
http://www.dermnetnz.org/topics/telogen-effluvium/
http://www.webmd.com/skin-problems-and-treatments/hair-loss/effluviums#1

Some reasons I think this applies to me:
- I see no male pattern baldness at all. No receding hair line. No extra thinning at the crown only. It's all over the scalp.
- The onset was sudden. Almost overnight I started noticing a bunch of hairs in the sink ever day - very consistent and once again - all over.
- I've changed a lot in my protocol - basically going from Test & AI only to Test, AI, HCG, DHEA, Preg and boosting all to top of range or slightly over. So PERHAPS this "shock" to my system trigged T.E.
- Finally - I've read about others jumping into steroids or comprehensive TRT that think they triggered this as well.

From what I've read - it can either be 'self-correcting' in the case of some acute trauma - things settle down after a few months. OR it can be resolved by "fixing" the root cause (like thyroid problems, etc).

I have scheduled a consult with Dr. Saya - but unfortunately it's 3 weeks from now. UGH. I'm trying not to panic in the meantime.

I don't know if I should...
- See a dermatologist to verify that it is in fact T.E. (apparently they can tell by looking at the hairs under a microscope)
- Or assume it is based on all the evidence I have.

And if we assume it is (or find out that it is) - I don't know if I should...
- Stay the course with current treatment and hope my body gets used to my new hormone levels and the hair fixes itself
- Or if I should reduce levels a bit
- Or if I should stop taking certain things and hope that helps things to settle down (since this didn't happen in the last 2 years of TRT)

Right or wrong - I did stop my DHEA/Preg because I've read that guys seemed to have experienced hairloss and increased shedding with it. But I don't want to make any other knee-jerk adjustments before talking to Dr. Saya. I'm just panicking a little bit because I will NOT look good bald.

<blockquote data-quote="Fireproof" data-source="post: 47107" data-attributes="member: 13038">Okay - after a lot of research, I&#039;m pretty convinced I am suffering from Telogen Effluvium.Here&#039;s a couple articles for those interested:<a href="http://www.dermnetnz.org/topics/telogen-effluvium/" target="_blank">http://www.dermnetnz.org/topics/telogen-effluvium/</a><a href="http://www.webmd.com/skin-problems-and-treatments/hair-loss/effluviums#1" target="_blank">http://www.webmd.com/skin-problems-and-treatments/hair-loss/effluviums#1</a>Some reasons I think this applies to me:- I see no male pattern baldness at all.&nbsp; No receding hair line.&nbsp; No extra thinning at the crown only.&nbsp; It&#039;s all over the scalp.- The onset was sudden.&nbsp; Almost overnight I started noticing a bunch of hairs in the sink ever day - very consistent and once again - all over.- I&#039;ve changed a lot in my protocol - basically going from Test &amp; AI only to Test, AI, HCG, DHEA, Preg and boosting all to top of range or slightly over.&nbsp; So PERHAPS this &quot;shock&quot; to my system trigged T.E.- Finally - I&#039;ve read about others jumping into steroids or comprehensive TRT that think they triggered this as well.From what I&#039;ve read - it can either be &#039;self-correcting&#039; in the case of some acute trauma - things settle down after a few months.&nbsp; OR it can be resolved by &quot;fixing&quot; the root cause (like thyroid problems, etc).I have scheduled a consult with Dr. Saya - but unfortunately it&#039;s 3 weeks from now.&nbsp; UGH.&nbsp; I&#039;m trying not to panic in the meantime. I don&#039;t know if I should...- See a dermatologist to verify that it is in fact T.E. (apparently they can tell by looking at the hairs under a microscope)- Or assume it is based on all the evidence I have.And if we assume it is (or find out that it is) - I don&#039;t know if I should...- Stay the course with current treatment and hope my body gets used to my new hormone levels and the hair fixes itself- Or if I should reduce levels a bit- Or if I should stop taking certain things and hope that helps things to settle down (since this didn&#039;t happen in the last 2 years of TRT)Right or wrong - I did stop my DHEA/Preg because I&#039;ve read that guys seemed to have experienced hairloss and increased shedding with it.&nbsp; But I don&#039;t want to make any other knee-jerk adjustments before talking to Dr. Saya.&nbsp; I&#039;m just panicking a little bit because I will NOT look good bald.&nbsp; <img src="https://cdn.jsdelivr.net/joypixels/assets/8.0/png/unicode/64/1f641.png" class="smilie smilie--emoji" loading="lazy" width="64" height="64" alt=":(" title="Frown&nbsp; &nbsp; :("&nbsp; data-smilie="3"data-shortname=":(" /></blockquote>

[QUOTE="Fireproof, post: 47107, member: 13038"] Okay - after a lot of research, I'm pretty convinced I am suffering from Telogen Effluvium. Here's a couple articles for those interested: [url]http://www.dermnetnz.org/topics/telogen-effluvium/[/url] [url]http://www.webmd.com/skin-problems-and-treatments/hair-loss/effluviums#1[/url] Some reasons I think this applies to me: - I see no male pattern baldness at all. No receding hair line. No extra thinning at the crown only. It's all over the scalp. - The onset was sudden. Almost overnight I started noticing a bunch of hairs in the sink ever day - very consistent and once again - all over. - I've changed a lot in my protocol - basically going from Test & AI only to Test, AI, HCG, DHEA, Preg and boosting all to top of range or slightly over. So PERHAPS this "shock" to my system trigged T.E. - Finally - I've read about others jumping into steroids or comprehensive TRT that think they triggered this as well. From what I've read - it can either be 'self-correcting' in the case of some acute trauma - things settle down after a few months. OR it can be resolved by "fixing" the root cause (like thyroid problems, etc). I have scheduled a consult with Dr. Saya - but unfortunately it's 3 weeks from now. UGH. I'm trying not to panic in the meantime. I don't know if I should... - See a dermatologist to verify that it is in fact T.E. (apparently they can tell by looking at the hairs under a microscope) - Or assume it is based on all the evidence I have. And if we assume it is (or find out that it is) - I don't know if I should... - Stay the course with current treatment and hope my body gets used to my new hormone levels and the hair fixes itself - Or if I should reduce levels a bit - Or if I should stop taking certain things and hope that helps things to settle down (since this didn't happen in the last 2 years of TRT) Right or wrong - I did stop my DHEA/Preg because I've read that guys seemed to have experienced hairloss and increased shedding with it. But I don't want to make any other knee-jerk adjustments before talking to Dr. Saya. I'm just panicking a little bit because I will NOT look good bald. :( [/QUOTE]

Verification

TRT Hormone Predictor Widget

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038