Regular Member Jayson1361 Posted February 20, 2023 Regular Member Share Posted February 20, 2023 testosterone 444NG/dL Ref Range: 264 - 916 NG/dL free testosterone(direct) 10.7pg/mL Ref Range: 6.8 - 21.5 pg/mL dihydrotestosterone 2.5 NG/dL Link to comment Share on other sites More sharing options...
Regular Member Jayson1361 Posted February 20, 2023 Author Regular Member Share Posted February 20, 2023 Just now, Jayson1361 said: testosterone 444NG/dL Ref Range: 264 - 916 NG/dL free testosterone(direct) 10.7pg/mL Ref Range: 6.8 - 21.5 pg/mL dihydrotestosterone 2.5 NG/dL Curious if these ranges are good or normal being on Avodart for anyone that knows🤷♂️ Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted February 20, 2023 Administrators Share Posted February 20, 2023 The testosterone seems low. The serum DHT level still seems mid/high range. How many mg do you use per week of dutasteride? I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice. Check out my final hair transplant and topical dutasteride journey: View my thread Topical dutasteride journey Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog. Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube. Link to comment Share on other sites More sharing options...
Regular Member Jayson1361 Posted February 20, 2023 Author Regular Member Share Posted February 20, 2023 (edited) 10 minutes ago, Melvin- Moderator said: The testosterone seems low. The serum DHT level still seems mid/high range. How many mg do you use per week of dutasteride? This is why I’m asking because when I Google normal reference range for DHT i get a number of 14 - 77 ng/dl as a normal range which would make mine low…But I’m not sure really. I take .5mg per day of Avodart. So that’s 3.5mg per week. Edited February 20, 2023 by Jayson1361 Link to comment Share on other sites More sharing options...
Senior Member JP28 Posted February 20, 2023 Senior Member Share Posted February 20, 2023 Is 2.5 high for dht? Link to comment Share on other sites More sharing options...
Regular Member Jayson1361 Posted February 20, 2023 Author Regular Member Share Posted February 20, 2023 8 minutes ago, JP28 said: Is 2.5 high for dht? Based on Google search it seems 2.5ng/dl or 25pg/ml seems pretty low but I honestly don’t know compared to others that might have access to their blood test results on this forum…which is why I posted my original question. Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted February 20, 2023 Administrators Share Posted February 20, 2023 1 hour ago, Jayson1361 said: This is why I’m asking because when I Google normal reference range for DHT i get a number of 14 - 77 ng/dl as a normal range which would make mine low…But I’m not sure really. I take .5mg per day of Avodart. So that’s 3.5mg per week. It's definitely low. A normal range is usually in the 500-600 range. I'm sorry I didn't notice it was ng/dl. I thought it was ng/ml. It looks like your DHT is super low, like pre-pubescent low. I would be concerned with your testosterone being so low. I don't think that has anything to do with the dutasteride. But if your testosterone is low and your DHT is non-existent, you could start having some issues. I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice. Check out my final hair transplant and topical dutasteride journey: View my thread Topical dutasteride journey Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog. Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube. Link to comment Share on other sites More sharing options...
Regular Member Jayson1361 Posted February 21, 2023 Author Regular Member Share Posted February 21, 2023 (edited) 1 hour ago, Melvin- Moderator said: It's definitely low. A normal range is usually in the 500-600 range. I'm sorry I didn't notice it was ng/dl. I thought it was ng/ml. It looks like your DHT is super low, like pre-pubescent low. I would be concerned with your testosterone being so low. I don't think that has anything to do with the dutasteride. But if your testosterone is low and your DHT is non-existent, you could start having some issues. So yeah libido is a bit of an issue but given my age and cialis maybe it’s normal, or being masked by meds. However, having such low SERUM DHT levels but still experiencing thinning or fallout just goes to show DHT isn’t everything. My PCP told me that 444 on total test and 10.7 on free test is still within the normal ranges seen, all be it on the low side. He said that could be due to being almost 50. Edited February 21, 2023 by Jayson1361 Link to comment Share on other sites More sharing options...
Regular Member sunsurfhair Posted February 21, 2023 Regular Member Share Posted February 21, 2023 His DHT at 2.5 is extremely low if I’m reading it properly. Ranges on Labcorp are usually 30-70ish if I recall off the top of my head. Most important question, are you having any sides? Link to comment Share on other sites More sharing options...
Regular Member sunsurfhair Posted February 21, 2023 Regular Member Share Posted February 21, 2023 1 hour ago, Jayson1361 said: So yeah libido is a bit of an issue but given my age and cialis maybe it’s normal, or being masked by meds. However, having such low SERUM DHT levels but still experiencing thinning or fallout just goes to show DHT isn’t everything. My PCP told me that 444 on total test and 10.7 on free test is still within the normal ranges seen, all be it on the low side. He said that could be due to being almost 50. You nailed it. I have to deal w so many who just don’t grasp DHT is one variable to folks highly sensitive to DHT loss. Many many other factors for hair loss. 1 Link to comment Share on other sites More sharing options...
Regular Member Jayson1361 Posted February 21, 2023 Author Regular Member Share Posted February 21, 2023 (edited) 1 hour ago, sunsurfhair said: You nailed it. I have to deal w so many who just don’t grasp DHT is one variable to folks highly sensitive to DHT loss. Many many other factors for hair loss. Previous post didn’t update so I’ll repost. Having such low DHT from using Avodart and Pumpkin Seed Oil(test prior to using PSO and after confirm this)… hairloss is progressing rather slowly. These pictures are directly under some harsh lighting in the bathroom Edited February 21, 2023 by Jayson1361 Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted February 21, 2023 Administrators Share Posted February 21, 2023 3 hours ago, Jayson1361 said: So yeah libido is a bit of an issue but given my age and cialis maybe it’s normal, or being masked by meds. However, having such low SERUM DHT levels but still experiencing thinning or fallout just goes to show DHT isn’t everything. My PCP told me that 444 on total test and 10.7 on free test is still within the normal ranges seen, all be it on the low side. He said that could be due to being almost 50. Doctors to be honest give crap advice. My father whose 65, had prostate cancer and had to take lupron (like dutasteride but for testosterone), also got in the 400s. That’s 100% low enough to treat with TRT, especially if you run a repeat labs and come out the same. Certainly DHT isn’t everything. Given your low DHT levels, it could be you’re extra sensitive to DHT. I would consider oral minoxidil if you’re still experiencing thinning. But if I were you I’d treat the testosterone first. You should also check your estrogen levels. Your test could be aromatizing, which could cause other issues. I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice. Check out my final hair transplant and topical dutasteride journey: View my thread Topical dutasteride journey Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog. Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube. Link to comment Share on other sites More sharing options...
Regular Member Jayson1361 Posted February 21, 2023 Author Regular Member Share Posted February 21, 2023 (edited) 27 minutes ago, Melvin- Moderator said: Doctors to be honest give crap advice. My father whose 65, had prostate cancer and had to take lupron (like dutasteride but for testosterone), also got in the 400s. That’s 100% low enough to treat with TRT, especially if you run a repeat labs and come out the same. Certainly DHT isn’t everything. Given your low DHT levels, it could be you’re extra sensitive to DHT. I would consider oral minoxidil if you’re still experiencing thinning. But if I were you I’d treat the testosterone first. You should also check your estrogen levels. Your test could be aromatizing, which could cause other issues. Melvin do you think Lower T could be contributing to hair thinning? I’m on oral with pretty much the same regime you have. 2.5mg with 5mg EOD. Little over 4 months in. I have seen a rather dramatic decrease in hairs shed. I’m thinking that meds just lose effectiveness over time I don’t know. I’m capable of getting excited and such and performing but semen is rather low. Regardless, I think that obviously meds are effective but eventually genetics take over, or rather just continue on course as they are meant to. My theory at the moment is the level of hairloss I’m supposed to experience has obviously been mitigated by meds, but also that perhaps the severity of MPB I’m genetically supposed to experience may not be as bad as I thought it would be at the start when I noticed minor thinning in my early 30s… but I really don’t know. When my dad was my age temples were gone, forelock was drastically depleted and crown was definitely shiny and slick. Mid crown was going but enough to support a comb over. It looked acceptable on him but that was a different time. It’s hard for me to imagine that hairloss meds are so good that I circumvented all that just by taking a pill. Maybe so, but given the various stories in this site and the efforts others have gone through I’m doubting it. That could be me just being optimistic, but my feeling from all the stories I’ve read it’s most likely more pragmatic. I have a procedure scheduled with Dr Konior in December for 1000-1500 grafts, probably more towards a 1000 to reinforce the hairline. I’m certainly apprehensive about the whole thing as others are. I’m hoping that meds and 1-3 procedures over a 3-6 year period will keep me aging as I hope to. But I think that keeping my hair to the point where hairloss isn’t really noticeable or age appropriate might be challenging mentally that is. But I really don’t know. Dr K says age is most definitely in my favor since I’m almost 50. 🤷♂️🤦♂️ Edited February 21, 2023 by Jayson1361 Link to comment Share on other sites More sharing options...
Regular Member Jayson1361 Posted February 21, 2023 Author Regular Member Share Posted February 21, 2023 2 hours ago, sunsurfhair said: His DHT at 2.5 is extremely low if I’m reading it properly. Ranges on Labcorp are usually 30-70ish if I recall off the top of my head. Most important question, are you having any sides? Decreased interest in sex I’d say but still capable. Especially if going to the gym regularly. I think maybe some occasional brain fog manifested in conversation sometimes where I want to make a point but politely let someone finish their point, then take a second to remember my point. But, that’s really only in very casual conversation not usually during important conversations. Otherwise maybe some mild water retention in the mid section, maaayyybe… hard to say given age and level of water I drink. I’ve always had a hard time sleeping consistently but I attribute that to the nature of my work. Link to comment Share on other sites More sharing options...
Senior Member JP28 Posted February 21, 2023 Senior Member Share Posted February 21, 2023 2 hours ago, Jayson1361 said: Previous post didn’t update so I’ll repost. Having such low DHT from using Avodart and Pumpkin Seed Oil(test prior to using PSO and after confirm this)… hairloss is progressing rather slowly. These pictures are directly under some harsh lighting in the bathroom I’m not sure if this is a joke but not only I don’t see any hairloss which is amazing cause the meds are definitely working but you being close to 50 you got a crazy head of hair!! you’ve got no hairloss and you most likely never will… congrats! 🎊🍾🎉 1 Link to comment Share on other sites More sharing options...
Senior Member Curious25 Posted February 21, 2023 Senior Member Share Posted February 21, 2023 Man approaching 50 is in the upper lower range for total T - hardly a shock. Man taken the most potent 5AR inhibitor for 10+ years has low serum DHT - again, hardly a shock. What’s going to be next on here, someone’s going to write a post about how they went outside on a rainy day and got wet and people are going to be alarmed ? 1 Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted February 21, 2023 Administrators Share Posted February 21, 2023 12 hours ago, Jayson1361 said: Melvin do you think Lower T could be contributing to hair thinning? I’m on oral with pretty much the same regime you have. 2.5mg with 5mg EOD. Little over 4 months in. I have seen a rather dramatic decrease in hairs shed. I’m thinking that meds just lose effectiveness over time I don’t know. I’m capable of getting excited and such and performing but semen is rather low. Regardless, I think that obviously meds are effective but eventually genetics take over, or rather just continue on course as they are meant to. My theory at the moment is the level of hairloss I’m supposed to experience has obviously been mitigated by meds, but also that perhaps the severity of MPB I’m genetically supposed to experience may not be as bad as I thought it would be at the start when I noticed minor thinning in my early 30s… but I really don’t know. When my dad was my age temples were gone, forelock was drastically depleted and crown was definitely shiny and slick. Mid crown was going but enough to support a comb over. It looked acceptable on him but that was a different time. It’s hard for me to imagine that hairloss meds are so good that I circumvented all that just by taking a pill. Maybe so, but given the various stories in this site and the efforts others have gone through I’m doubting it. That could be me just being optimistic, but my feeling from all the stories I’ve read it’s most likely more pragmatic. I have a procedure scheduled with Dr Konior in December for 1000-1500 grafts, probably more towards a 1000 to reinforce the hairline. I’m certainly apprehensive about the whole thing as others are. I’m hoping that meds and 1-3 procedures over a 3-6 year period will keep me aging as I hope to. But I think that keeping my hair to the point where hairloss isn’t really noticeable or age appropriate might be challenging mentally that is. But I really don’t know. Dr K says age is most definitely in my favor since I’m almost 50. 🤷♂️🤦♂️ I don’t think low T would contribute to thinning. Though, low T itself isn’t good, regardless of age. It’s like balding. Is balding okay just because you’re 50? Now, I think its a good idea to try and raise your T naturally via exercise and diet and get retested. If you’re consistently in the 400s. You may want to consider TRT. As for hair loss, I honestly don’t see any hair loss at all. The meds are definitely working, you might be experiencing a seasonal shed. I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice. Check out my final hair transplant and topical dutasteride journey: View my thread Topical dutasteride journey Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog. Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube. Link to comment Share on other sites More sharing options...
Regular Member thetdog666 Posted February 21, 2023 Regular Member Share Posted February 21, 2023 great head of hair for 50. Link to comment Share on other sites More sharing options...
Regular Member Jayson1361 Posted February 21, 2023 Author Regular Member Share Posted February 21, 2023 1 hour ago, thetdog666 said: great head of hair for 50. Approaching 50 I’ll be 49 in August🤦♂️ Link to comment Share on other sites More sharing options...
Regular Member Jayson1361 Posted February 22, 2023 Author Regular Member Share Posted February 22, 2023 8 hours ago, Melvin- Moderator said: I don’t think low T would contribute to thinning. Though, low T itself isn’t good, regardless of age. It’s like balding. Is balding okay just because you’re 50? Now, I think its a good idea to try and raise your T naturally via exercise and diet and get retested. If you’re consistently in the 400s. You may want to consider TRT. As for hair loss, I honestly don’t see any hair loss at all. The meds are definitely working, you might be experiencing a seasonal shed. basically👆 that’s where thinning is. I believe the leave in conditioner, a blow dryer and a little dry shampoo later on in the day contributes to my hair looking more full. Suppose you can’t hide or conceal lack of density when separating hair to show in pictures. Which is to say I think my mid and vertex and mostly the forelock are ok for now. But I think these pictures show obvious recession, in my opinion. Link to comment Share on other sites More sharing options...
Senior Member mr_peanutbutter Posted February 22, 2023 Senior Member Share Posted February 22, 2023 6 hours ago, Jayson1361 said: basically👆 that’s where thinning is. I believe the leave in conditioner, a blow dryer and a little dry shampoo later on in the day contributes to my hair looking more full. Suppose you can’t hide or conceal lack of density when separating hair to show in pictures. Which is to say I think my mid and vertex and mostly the forelock are ok for now. But I think these pictures show obvious recession, in my opinion. you could easily fix it with a ht if it bothers you Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted February 22, 2023 Administrators Share Posted February 22, 2023 15 hours ago, Jayson1361 said: basically👆 that’s where thinning is. I believe the leave in conditioner, a blow dryer and a little dry shampoo later on in the day contributes to my hair looking more full. Suppose you can’t hide or conceal lack of density when separating hair to show in pictures. Which is to say I think my mid and vertex and mostly the forelock are ok for now. But I think these pictures show obvious recession, in my opinion. To me this looks like a perfectly natural mature hairline. Are you trying to lower it, or just reinforce it? I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice. Check out my final hair transplant and topical dutasteride journey: View my thread Topical dutasteride journey Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog. Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube. Link to comment Share on other sites More sharing options...
Regular Member Jayson1361 Posted February 22, 2023 Author Regular Member Share Posted February 22, 2023 33 minutes ago, Melvin- Moderator said: To me this looks like a perfectly natural mature hairline. Are you trying to lower it, or just reinforce it? I’d say both but the lowering part wouldn’t be very much at all. Probably just fill in back to where it was when I was 40 I’d say. Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted February 22, 2023 Administrators Share Posted February 22, 2023 31 minutes ago, Jayson1361 said: I’d say both but the lowering part wouldn’t be very much at all. Probably just fill in back to where it was when I was 40 I’d say. Personally, I wouldn’t do anything. I think your hairline looks perfectly fine, similar to Leo Dicaprio whose similar in age. No one’s looking at Leo and thinking he’s bald. It’s all about pros vs. cons. The pay out would be so small, that you’d probably be the only one that notices a difference. I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice. Check out my final hair transplant and topical dutasteride journey: View my thread Topical dutasteride journey Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog. Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube. Link to comment Share on other sites More sharing options...
Regular Member Jayson1361 Posted February 22, 2023 Author Regular Member Share Posted February 22, 2023 (edited) 5 hours ago, Melvin- Moderator said: Personally, I wouldn’t do anything. I think your hairline looks perfectly fine, similar to Leo Dicaprio whose similar in age. No one’s looking at Leo and thinking he’s bald. It’s all about pros vs. cons. The pay out would be so small, that you’d probably be the only one that notices a difference. I think normally I would agree with you Melvin. However, I’ve always felt my forehead was large. I did have a hair transplant doc measure it during consultation and he said it’s in the norm. Basically can stack three fingers from top of eyebrows to front of forelock. If you factor in recession I feel it makes my forehead look wide or rather large in my opinion. Edited February 22, 2023 by Jayson1361 Link to comment Share on other sites More sharing options...
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