20 year old with no answers(bloodwork)

[dogmatix]

A brief introduction into my case,
I started loosing hair when i was 14-15 years old,diffuse thinning and my crown was almost visible when i was 16-17 years old...after being on minoxidil and nizoral for 2 years hairloss had stabilized but i continued to loose ground and i had a brief stint with propecia for about two months after which i quit fearing gyno symptoms,i had bloodwork done testing my
t3 t4 tsh free test dht and zinc here are the results

FREE T3(SERUM/CHEMILUMINESCENCE) 3.99 REF RANGE(2.3-4.2PG/ML)
FREE T4(SERUM/CHEMILUMINESCENCE) 1.34 REF RANGE(0.89-1.76 PG/ML)

TSH(SERUM/CHEMILUMINESCENCE) 2.58 REF RANGE(0.35-5.50 ulU/ml)



FREE TESTOSTERONE 36 REF RANGE(20-39YEARS(8.8-27PG/ML)


DHT(EIA) 1769 REFRANGE(ADULT MALE:250-990PG/ML)

ZINC(PHOTOMETRY) 148.00 REF RANGE(60-120UG/DL)

My free testosterone and dht levels are way out of normal....please shed some light on my results and my options(if any)for improvement(if possible)..im sorry for this long post,but you guys seem to be my only hope..!!!!
A fellow poster in another forum told me that me starting propecia again would be a bad idea as more free testosterone would be converted to estrogen and my testosterone levels would increase,he also said i might have a problem with my adrenal glands.
Please help me out...should i or should i not take propecia?

 

[CCS]

Propecia does up your testosterone, but not enough to hurt your hair. Some of the extra in your scalp is from testosterone that would have been turned into DHT. Some of the testosterone in your blood is from the brain sensing less DHT and thinking it must make more testosterone. Most people's bodies won't over react and make more DHT than before. DHT is the main thing hurting your follicles.

Gyno is a possibility, especially if your estrogen levels are high, which is common in overweight people.

Unless a doctor says you are getting gyno, I say you should stay on finasteride. And if you do get gyno, ask a doctor if you can get a prescription for topical DHT (andractim) for your nipples. It breaks down fast in the blood and should mostly have a local effect if you don't use too much. Aromatase inhibitors work systemically and are not good for your hair or your joints.

You can also rotate in a Piroctone Olamine shampoo with your nizoral, like T-Gel Greasy or BodyShop Ginger. Piroctone Olamine is not as well tested as ketokanzole, but it has been tested in placebo controlled human trials and should be better than a non-medicated shampoo.

 

[CCS]

And it is the DHT made in your follicles that is primarily responsible for balding. The DHT in your blood is at a lower concentration. I would not be too concerned with it. Just check it to see if your body is responding well, or over reacting.

 

[dogmatix]

ccs,
One more question...could my diffuse pattern hairloss at this age(aggressive kind) be triggered by my high free testosterone levels,because part of the testosterone is converted to dht and part to estrogen.And propecia will raise my free test levels higher than it actually is right?

 

[dogmatix]

Free testosterone observed value: 17.00 reference range Adult male: 8.8-27 pg/ml 20-50y:8.69-54.69 pg/ml

These were my free testosterone values in a bloodtest taken some 6 months ago.Any idea what would have caused my free testosterone levels to rise?

FREE TESTOSTERONE 36 REF RANGE(20-39YEARS(8.8-27PG/ML)(taken on 5th January 2009)

i havent been doing anything different apart from working out...I TOOK PROPECIA FOR TWO WEEKS IN THOSE SIX MONTHS,and quit fearing gyno...

 

[zb00st]

You have answered yourself. If you regulary workout thats the reason for increased free T.

 

[CCS]

You have answered yourself. If you regulary workout thats the reason for increased free T.

Agreed. As long as your DHT levels drop, the propecia is doing its job.