question from a user
Had an insane shed when I started trt…like insane. Also on finasreride for years and my hair has been stable. Do you see this often? I don’t think it’s really balding, maybe TE from the hormones. Thinking about hopping in dutasteride 2x a week as well. Going to pin lower doses 3-4x a week as well until it comes down.
AlphaMD's Answer
It is very common to experience telogen effluvium when starting TRT. It is essentially where a shock to the system (either food or bad) can cause shedding of all hair follicles in the telogen phase of hair growth.
The main way to differentiate telogen effluvium from male pattern baldness is that with TE, hair loss is global and uniform across the whole scalp, whereas with MPB, the loss is localized to the hairline, crown, or temples.
The fact that you were already on finasteride prior to starting TRT also suggests the shedding of from TE.
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