Hair Loss While on TRT

Guys I tried to use the search function but the links were dead when I tried to click on them. So just looking for your experiences on trt and hairloss. Realistically if your not driving test levels to crazy numbers I am hoping to not have any issues. I have been reading a lot about dr. Crisler and he says how bad finasteride is for you. So right now using nioxin and going to get on nizoral. Also going to start rogaine. My hair at this point is getting thin and brittle but not falling out.

Anyone have any opinions about this? I have the same questions,apprehension aout starting TRT and losing my hair.

1 Like

If you have the male pattern baldness gene, you may experience increased hair loss while on TRT. This is due to your DHT level being raised as testosterone will convert to to DHT. I have heard that gels and creams produce more DHT and thus may accellerate the process. Finasteride will help by decreasing the conversion to DHT, but may have unpleasant sides such as ED and loss of libido.

I have seen some increased receding myself since starting TRT 2 years ago. Not enough to care too much about, however. I know that my DHT levels are higher than normal.

Well Ive used fin with no sides. A little muscle loss. I’ve read some real bad shit on crislers forum to stay away from fin.

If your TRT restores your T to youthful levels, you can expect to have hair loss rates similar to a guy in his 20’s.

Brittle hair could be hypothyroidism. Do you have thyroid labs?
Brittle nails?

Is your skin thin and inelastic, dry, fragile? Check back of your hand. Pinch up the skin and observe how fast the skin recovers. If you skin is suffering from catabolic effects [collagen loss], your hair might be suffering in a similar fashion.

Combined thyroid problems compounded with catabolic effects can make skin, hair and nails worse again.

Transdermal TRT create more DHT than injected T. Gels more so than stronger creams. If you want lowest DHT effects, you need to do T injections for your TRT.

1 Like

If you push your Testosterone, DHEA, etc. above your genetically set optimal point (which is different for everyone) then your system will probably react by shunting T and DHEA TO DHT or Estradiol or Androstenedione-to-Estrone (again depending on your genetic disposition and any medications/supplements you are taking). I have a working theory that excess Estrone (from excess DHEA supplements and excess T) may have been the cause of my prostate swelling.

Excess DHT can cause hairloss, but so can problems with Thyroid (especially thinning hair - check out www.stopthethyroidmadness.com/long-and-pathetic/) and Cortisol. People in need of HRT typically seem to have problems with more than one system. If you are treating your low Testosterone, you should also have your thyroid and cortisol checked (and other systems per the blood test sticky).

The doc has all my labs and said they were normal. I have to pick them up and see. I suspected adrenal gland fatigue too

I just received my cortisol test. It was 10.4 which they stated was normal. Still waiting on some others to be sent to me

At what time of day?

15-20 is normal for AM Cortisol readings.

10 is borderline low, but you also need your Free T3, Reverst T3, Cortisol Binding Hormone, Testosterone, DHT, and E2 levels.

ALWAYS get all of your results in hand.

NEVER JUST ACCEPT YOUR TESTS ARE NORMAL.

normal just means you are within the lab ranges. The lab ranges include extremely unhealthy people. So you can easily be in range and “normal” and still suffering from correctable problems.

I awoke around 7am that day and went to the doc for 8am. Got my labs done around 1130 or noon or so. Ive made an appt to see a real end with a good reputation this Tuesday. I went to get copies of all my labs but they said it wasn’t in my chart and they would get it faxed back over asap. So prolly tomorrow. I have suspected adrenal fatigue or a thyroid problem with being super tired lately. My abuse of caffeine and stims. And my shitty work conditions. I’ll know just by talking to the endo where he is going to be with all this.

Good thing is my doc now just kind of lets me run with it bc he is learning too. I suspect not using arimidex for quite some time had me feel as if the test wasn’t working. So I inject when I want et