I plan on using this thread to document my progress as well. It’s been helpful finding threads like that. I noticed my hair has gotten way thinner about a year ago. Not really sure when it started. I’ve always shed a lot of hair and never really thought anything of it. Over the last year my ponytail had gotten 50% thinner. A lot thinner on top, but it has thinned all over. Does it usually happen this fast? The derm diagnosed me about a week ago. No bloodwork. Just a quick look at the top of my scalp. And subscribed me Spironolactone and Rogaine 5%. I do think her assessment is correct as I do have miniaturization. However, I feel like there is more going on. I do know miniaturization can happen with CTE as well but the mini hairs are all different sizes for that. Anything else that can cause miniaturization? I’m just a little concerned there may be more going on and want to get to the root of the issue rather can cover it with meds. I will be using to rogain for life most likely...and the Spironolactone, but if there is another issue like iron that can help more I would like to know that and fix it as well. Of course I left there crying my eyes out. It doesn’t help I don’t have anyone I can talk to. Some interesting tidbits: Used to be anemic - would like my ferritin checked I smoke weed - A LOT - I’ve read studies that say it can make hairloss worse. Trying to stop but I use it for anxiety and my anxiety is at an all time high! No pun intended lol.... I had breast implants for 10 years which can cause auto immune issue and hairloss. They also made me very sick. They were taken out almost 3 months ago now. ( wondering if I am going to get TE at the same time as losing hair from my meds!) I was on anti anxiety meds but stopped almost a year ago thinking that caused it. Around the time it looks like my hairloss started was when I stopped birth control. I was on a copper IUD. (I also started smoking weed at this time) I have bad allergies and have just been tested and will go on immunotherapy injections. I’ve heard this can help hairloss because of the inflammation caused by the allergies can make hairloss worse. And you can lose hair because of bad allergies. So I have a lot of reasons to be losing my hair. Between turning 35, removing my breast implants, and now losing my hair I am just having a really hard time. My self esteem is at an all time low. I am SO worried about how bad it’s going to get with Spironolactone and Rogaine before it hopefully gets better. Also, she only put me on 50 mg of Spironolactone and doesn’t want to see me for 6 months. This doesn’t seem high enough so I am sure she will raise it. Has anyone noticed more shedding when you raise the dosage? How about with Rogaine? I am thinking of starting one time a day and going to two times but I do not want to go through shedding twice? I am uploading some photos. The first three are my pony tail over 12 years. First one was when I was pregnant so I had more hair than I usually do because of that. Thickest it ever was in my life. Second one is shortly after I stopped birth control and the 4th one is my hair down around the same time. The third one is my ponytail now. I feel it went from the second to the third ponytail quickly.