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Do I need to see endocrinologist for Androgenetic Alopecia?

Discussion in 'AGA Related Blood Work and Doctors' started by electra, May 31, 2017.

  1. electra

    electra Member

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    Hi all,

    I'm 47 and definitely going through perimenopause, which I'm almost certain is the cause of my hair falling out (handfuls) and thinning/receeding. I've had thorough bloodwork and am on some bovine thyroid support, as it looks just a *little* low. I've been to a hair specialist, several derms, primary care doctor, nothing special (hair specialist said there's miniaturization and FPHL).

    Do I need to see an endo? My hormones are apparently at ok levels, despite the changes going on, but I wasn't sure if an endo could diagnose something that others haven't seen? Just want to make sure I'm covering bases.

    Meanwhile, I have no family history of Androgenetic Alopecia and my hair is coming out like there's no tomorrow. Crap. Thanks for advice, everyone!!!
     
  2. Lily

    Lily Senior Member

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    I started losing hair in perimenopause, some family history. I never saw an endocrinologist (now 69 and wear a topper) but if I had it to do over again, I would have given it a shot. Not sure that anything would have helped me except HRT and I wasn't crazy about that (still lost hair on Prempro).
     
  3. CurlyQ

    CurlyQ Established Member

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    I'm going through perimenopause too! And I'm shedding a lot! Have you had your iron checked? And your ferritin? If you're experiencing excessive bleeding, you could have low iron. That could be contributing to your hair shedding. Do you take a multivitamin? If not, start taking one.

    I'm now taking a mutivitamin and iron (slow fe). I'm hoping the shedding slows down eventually.
     
  4. Scorpi08

    Scorpi08 Established Member

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    Make sure thyroid levels are optimal, not just within range. I'm working with a functional medicine doctor right now who is helping me deal with Hashimoto's, which is autoimmune thyroid disease.
     
    Shula likes this.
  5. electra

    electra Member

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    Thanks everyone. I'm on thyroid support, too, for a slightly hypo thyroid. Iron and everything else, ok. But I'm definitely in perimenopause...other fun stuff happening, too! Have appt with endo next week, just to cover bases.
     
  6. Connie

    Connie New Member

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    I have recently been diagnosed with Androgenetic Alopecia. I have read so much about this and seen a few doctors who just minimized the problem. I am looking for a doctor in Maryland or Virginia that specializes in Androgenetic Alopecia/hair loss. I am exhausted from searching the internet and going to doctors who don't seem to understand or care. Can anyone offer any suggestions? Thanks so much.
     
  7. Shula

    Shula New Member

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    I am curious what medication and the amount you take for Hashimoto's.
    I have borderline Hashimoto but not taking mess yet! Thanks!
     
  8. Deirdre

    Deirdre Senior Member

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    I see Geoffrey Redmond in NYC
     
  9. mcat11

    mcat11 Established Member

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    Oh God I saw him 3 years ago.

    I found him to be awful.

    Mis diagnosed me with PCOS (don't have it at all), gave me medications that made me very ill I almost had to have a surgery because of his medications and his directions.

    And worse advice he gave me was not to bother with minoxodil--if i had started using minoxidil when I saw him I would have more hair now as I am a great responder.

    I mean if he works for you thats great but I found him to be repugnant. I am shocked he is still practicing.


    I recommend Dr Carlos Wesly to people in NYC, also DR Carolyn Messer (messler?) if in NYC.
    Both can give same medications he does and both will take phone calls and emails and actually 'discuss' stuff if concerned.
    DR Messer takes insurance.

    Dr Wesly found my ferritin anemia FROM the blood work that Dr Redmond did--and it was 3 years later--he never saw I was ferritin anemic on his own labs he ordered...just to me that is like hair loss 101 check ferritin #.

    its a shame this guy was the only game in town for a long time.
     
  10. Megan M

    Megan M Established Member

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    Just had to chime in. Redmond is the worst!
     
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  11. Deirdre

    Deirdre Senior Member

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    Wow! I have had only good experiences with Dr Redmond. He is a little quirky but he has helped me. My dermatologist was the one who messed me up by telling me that dropping my estrogen replacement would not affect my hair. WRONG! That was the trigger.
     
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  12. mcat11

    mcat11 Established Member

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    I am glad you have a good experience with him but I almost wound up in hospital because of him so I had to say something.
     
  13. eggplant

    eggplant Established Member

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    Probably couldn't hurt to try an endocrinologist. They could offer a more specialized opinion on your thyroid numbers and where they should be ideally, same for your hormone levels. My mother has a low thyroid and initially she was fobbed off by her primary doctor, but she pushed to see an endo and the endo looked at her numbers and said "How are you even walking around?"
     
  14. rosebuds

    rosebuds Established Member

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    Another MENopause hair loss sufferer here. My massive shedding started the minute I went into perimenopause; that was back around 2001. My hair was everywhere! I had to bring in a plumber every year to clear out the shower drain. I saw so many docs during those years and even flying to different states looking for an answer, a cure, 'cause no one would listen. I tried every snake oil out there; all to no avail. The only thing I didn't try was minoxidil.

    I remember the first docs I saw and including my hair stylist would constantly say, "you're hair is fine, don't think about it," but of course they were wrong as my head now looks like those smiley faces everyone adds to emails and texts [like the one below].

    Fast forward to 2017, I lost over 60% of my hair and it still falls out. And having thin, fine hair to begin with makes it even worse. During the last 15+ years I have hair on my mind constantly and thunk and thunk, and don't want to think about it no more! But yet, here I am on this site thinking about it. My bad!

    The first doctor I saw was a derm at one the best-of-the-best hospital's in the Midwest, and she was the worst! A year after that appt and trying to figure out what is causing this darn hairloss, I decided to get copies of my test results. I was SHOCKED to see my ferritin during the time I saw the first derm was only 11, and she said all tests were fine! Idiot, sometimes I feel like they don't even read the test results.

    In 2006 I tried taking estrogen and progesterone to save my hair since it started at the onset on menopause,and although HRT made me feel fabulous, allowing me to sleep again and have my brain back, my hair did not stop falling out. I remember thinking. . . this is what I use to feel like before my hormones were robbed!

    Additionally, since 2006 I noted on my test results (now I get copies of everything!) the tests for thyroid, TSH went from 1.6 to 4.23, back down and fluctuate constantly. But of course all docs, including endo's, say my thyroid is fine. In seeing a few holistic docs they recommend Rx for "NatureThroid" which is a natural form of both T3 and T4 meds which I have been taking now for a couple years, and although it improved my thyroid numbers, it did NOT not stop the hair loss or give me growth :(

    Today my hair looks like crap! Not only has it thinned so bad you can see my entire scalp and I lost all hair around the sides of my temples,bangs are a thing of the past, my hair it's just lifeless. My kingdom for some hair!

    With that said, if I could do it again I would have started Minoxidil. Starting now would be too devastating due to dred shed which would leave me with basically no hair. No to mention, I'm 60+ now and wouldn't be worth it.

    I just find it so amazing and confusing that some women go through menopause and don't lose hair. Is it because of our DNA and sensitive to DHT? I would love to figure this mystery out.

    UPDATE: just got back test results for iron and ferritin and shocked to see such great results! Ferritin is over 100 and iron just as great. I've never seen this in all those years. So what I can provide is the name of the OTC supplement I took for over a year now which obviously works great. It's by Thorne research called, Ferrasorb. I picked this supplement because of the source of iron and other ingredients to help in getting iron into your system. Not sure if it will work for everyone, but worked great for me. Cost runs about $19.

    Ditto for nature thyroid supplement - my test results are fabulous and improved greatly.

    So at this point fixing the iron and thyroid didn't help my hair and it must be hormones and possibly DHT.
     
    #14 rosebuds, Aug 10, 2017
    Last edited: Aug 10, 2017
    valentinab00 likes this.
  15. scared

    scared New Member

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  16. scared

    scared New Member

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    . Similar story except mine was after menopause. Plus I had a brow lift which now shows two bald spots at my very thinning temples that I'm constantly worrying are showing through my bangs, which I have to have cause of the high forehead from the brow lift. Anyhoo, same story with doctors, ferritin, hormones, hormone pills, borderline thyroid. Went on spironolactone which did nothing but add 5 pounds to my body. Bioidentical hormones added more weight ( maybe some hair). Shedding has been going on for 4 years. Had slowed down for a bit and did get some regrowth, but no where near what I had. Now mom passed and 3 months later, yup, shedding again. I finally bit the bullet and said since my hair is shedding I will try minoxidil. My son is getting married next year and I am desperate. I also suffer from really bad clinical depression, so my hair is an added bonus. I use 5 % at night and a touch on each temple in the morning. I also have added a .25 dermaroller this past week. It's only been 2 months with the minoxidil. Shedding has gotten not much worse than it was prior to using it, so I don't know what that means. Some days it's more than others. I have been averaging about 125 to 150 hairs a day in the last 2 months. Again, it wasn't much less before the minoxidil. I have Androgenetic Alopecia and scars in temples from brow lift and scars don't grow hair. So hoping hair will grow around it, but after 4 years who knows. It will take a year before I know if it's working. I feel your pain. My hair is the first thing I think of in the morning and the last thing I think of at night and also the whole day. Please keep me posted as to how you are doing and I will do the same.
     
  17. scared

    scared New Member

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  18. scared

    scared New Member

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    Also using ketocinozole shampoo for DHT. I hope some of this helps you.
     
  19. Timzi

    Timzi New Member

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    I find zinc and iron pills + washing hair more often very effective, as sebum has dht which causes hairloss so try to not let it accumulate

    Make sure your ferritin is a bit higher too
     

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