question from a user
Hello! I’m about 6 months into TRT. A few days ago, I noticed that I was shedding hair. To clarify, if I gently tug on my hair with a closed fist, I’ll come away with 5-6 strands of hair. There is no baldness in my family history. Got any suggestions? I’m on: Testosterone Cypionate, 100mg once per week HCG, 1000u twice per week
AlphaMD's Answer
Based on what you describe, that does not sound like an atypical amount of hair loss. The Hair Pull test is a common test done in healthcare which helps us determine normal shedding vs pathological hair loss. It sounds like you did your own version of the Hair Pull test (grabbing approx. 60 hairs and pulling). If there are 6 or less hairs that come out (about 10%) generally that is considered normal. It is normal for an adult to lose 100-200 hairs/day.
If you are noticing thinning to the point of seeing your scalp through the thinned areas, then MPB is the most likely issue. In that case, we recommend topical minoxidil and finasteride as a first treatment option.
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