High local concentration of beta-estradiol might actually hurt, as in vitro estradiol optimal working range is in the nanomolar range (often tested in vitro at 10 nanoM and not more than 100 nanoM).The gel is meant to go systemic, but that does not mean it does not work locally. Because of the extremely high (E2 is extremely potent since it circulates in picomolar concentrations) concentrations of the gel, it is not suitable to be used by "guys who wish to stay guys". In a previous post of mine I demonstrated that using E2 topically in concentrations of around 1mcg/mL (micrograms per mL) saturates the receptors. Any more than that cannot bind to receptors in the scalp, and so it will either be bound by albumin, SHBG or diffuse into the bloodstream. For people on HRT that is of course desirable to achieve the necessary serum concentrations. However, for males experimenting with topical E2 trying to eliminate sides this is not a good thing. That is also why certain vehicles are "better": they promote localization by limiting diffusion into the bloodstream, which reduces the needed concentration of E2. And that is a good thing, because with increasing concentrations the probability of systemic effects will increase as well (as more will enter the bloodstream). In fact, any medication is able to work locally, provided it is not a prodrug, (preferably) has not an extremely high molecular weight and the skin/scalp contains the particular receptors associated with the medication. Reducing systemic effects is then all about minimizing the concentration (and application area, but that does not really apply for male pattern baldness) and selecting a vehicle that limits diffusion while still providing passage through the stratum corneum. I hope this clarifies things a bit.
A 0.05%, 2 ml, full head topical is going to deliver estradiol at dermis in the order of 10 microM. Unfortunately there are no references for some "hair-specific" test of estradiol at microM. Found a dose-respinse test on eye lens epithelial cells, showing cell proliferation stimulation at nanoM, vs loss o viability and induction of apoptosis at 10 microM.
Effects of 17β-estradiol on proliferation, cell viability and intracellular redox status in native human lens epithelial cells
The purpose of this study was to examine the effects of 17β-estradiol on proliferation, cell death and redox status in cultured human lens epithelial cells (HLECs).HLECs were exposed to 17β-estradiol after which cell viability was measured ...
www.ncbi.nlm.nih.gov
Attached a graph showing the concentration response of hair growth model of estradiol.
Optimal concentration was 10 nanoM...and not 100 nanoM