mustang

The more DHT you blocks the higher the Free T will be. 5AR inhibitors are far more effective on the crown and vertex than on the hairline. I’ve seen it happen dozens of times now on people switching from Finasteride to Dutasteride making their frontal hair loss progress rapidly. I believe (and this is just a theory and anecdotal) that the hairline and temples are more prone to free testosterone than to DHT or maybe just as prone. This is obvious on people taking testosterone having almost 0 DHT with Dutasteride and losing ground rapidly.

I don't question that and I am not here to defend Mwamba just because I had a good result. I agree with what you say but you also have to think that he does almost four hundred cases a year and the good ones will rarely post a review. People just move on. Hopefully we will see more positive cases soon for the sake of the clinic on this forum. It's a shame that three people are not satisfied, hopefully a solution will be offered to them.

It sounds like nothing. I am no one to blame x or y. It's obvious that the owners are always the responsible ones for financial matters. What I am saying is communication is horrible and emails should be replied too which has not been the case and this is also the responsibility of the patient coordinator or whoever is in charge of responding to patients.

Cause I haven't had surgery in a while.

This confirms to me that hairlines are much more prone to Test than DHT, seen it happen over and over again with people who take Dutasteride

I honestly think it doesn’t know until things blow out of proportion and it’s too late to offer a solution to patients. They need to set a new protocol in place for follow ups. I will be reaching out to Dr Mwamba about this. He is a an open minded guy and I am sure measures will be taken to stop this from happening again.

I completely disagree with this. Mwamba’s practice has been around for almost 20 years now and nobody, and I really mean nobody would take my case to repair my donor but Mwamba. Thanks to his skills as a surgeon I know have a normal looking donor after being botched twice with over harvesting. My advice to Mwamba at this point would be to stop taking repair cases and just stick to healthy heads were his work can shine like on capitancalico. Repair patients are way too difficult to predict growth and it then comes back to bite him if it doesn’t grow well when it most likely has nothing to do with his protocols. My second advice would be to hire a competent patient coordinator for his customer service they proactively reaches out to patients. The rebates things are always honored but just like their customer service it’s a pain to get someone to respond, they eventually do. They really need to address this urgently.

As a Mwamba patient it really saddens me to read all of this. While Dr Mwamba is a highly ethical doctor (and a great person) the clinic obviously needs to hire someone and restructure their customer service. I had great results with him but also struggle to receive a response. Anyone can have a bad result but a poor result + no communication is a recipe for disaster. Having been there multiple times I know how late Dr Mwamba finishes surgery and how early he starts next day , non stop. He does not have time to eat sometimes much less to check his emails. They need to get a competent customer service rep and assistant to look after patients to say the least as most clinics do.

It basically stimulates aromatase in your scalp so it converts your free test to a weak form of estrogen and also acts as a local 5AR inhibitor. People who lose ground on dutasteride and have miniaturization despite having almost zero DHT have this issue. It's almost always resolved by addressing free testosterone There is a reason it's called androgenic alopecia and not DHT alopecia.

SMP Update: I might have hit the jackpot with Carmen in Brussels It has not faded and it has not turned blue. It's been almost two months and I have spent quite some time in the sun without sunscreen, I stupidly forget most days. The SMP is still there and blends perfectly with the rest of the hair. I'll be doing another session sometime next year.

Saw Palmetto with Trichoxidil. Two ml daily Once a week with microneedling at one mm

Two months. Zero shedding. Hair looking better.

use seventeen alfa estradiol with topical fin or dut. That will prevent further hair loss from Test, not DHT.

140 mg a week (40 EOD) , 100iu HCG daily and 10mg topical progesterone

If I hope back on TRT again I'll be using alfa estradiol with fin topically and either CB or mesotherapy.

This is not how it works. There is DHT present in your entire body, including your door area. They are not genetically predisposed to androgenic miniaturization, just like there is DHT in your face and your beard is not affected.

FIN use 0.01% , not 1%, you get a 10% DHT reduction for ever ml roughly DUT mesotherapy 0.05% not made in the US

1 hour will pretty much ot do anything. Much less with Trichosol, try overnight

Another "interesting" finding. They day after microneedling Saw Palmetto I have no morning wood and feel a little tired. Libido is slightly lower. This goes away the following day and it only happens if I microneedle it. This tells me a few things about the short half life and the systemic effect these natural compounds have. I am at 25% now with Saw Palmetto so 500mg per application (2ml) Morning wood is a wonderful non bias way to measure potential side effects on 5AR inhibitors or blockers. Hair still the same, feels a little thicker, no more shedding.

Liposomal has greater absorption than Trichosol (water based solutions) Whether that's good or bad for your case I don't know. You can get away with lower concentrations with Liposomal carriers and therefore it will be safer, for example, 0.01% of Finasteride which will only reduce 10% systemic DHT on average while 50% on your scalp. Then again with Dutasteride you might want as little as it possible to be absorbed. Trichosol is also alcohol free while Liposomes are not. I guess you need to try both alternatives. A good option would be daily Liposomal Finasteride with one a week Microneedling Dutasteride Mesotherapy (non liposomal).

Damn, this is brutal!! After that beautiful thick hair to have to go through this sucks man but at least you know it will look even better than before in a few months Patience!!

My pleasure It's all explained on the first post.

I thought so too but the fact that some BHT hairs fell out (never shed one in my life) and the same happened when applied on the beard tells me DHT is being reduced. I think Saw Palmetto does reduce DHT, specially if applied directly transdermal and in a very high dose but it's no Finasteride for sure.

I don't know I do remember not having sides with Topical Dutasteride so maybe

Things are looking better I'll upload pics in a few weeks Sadly I do feel my libido has gone down a bit. At least we know it works to some extent.