(I edited this to be more sure) I have Androgenic alopecia and anemia. Androgenetic Alopecia confirmed by biopsy and ferritin anemia in blood work. My Androgenetic Alopecia is deemed 'early' on pathology report. I have been taking iron for 6 months and got my ferritin up from 12 to 60. I have been using topical spironolactone with estrodial and melatonin now for about 7 weeks. I noticed the past 2 weeks my hair shedding has decreased..I 'think' i see some new growth- it's not cosmetically different but when i look in magnifying mirror i see new hairs were i did not see before. Only time will tell what they do. I think active hair follicles is good sign. I had a lot of short cycling hair this Summer (grows an inch and falls out with white club) this hair loss has slowed down. My hair feels more rooted than before. I cannot tell for sure if it is the topical spironolactone I am using or that my ferritin is up higher causing the positive changes. Maybe both. Im going to continue the topical spironolactone spray and i have added 5% minoxidil foam 1x a day. I am also doing Keto shampoo few times a week and hairmax laser comb (i doubt this is working much) My thoughts are to stick with this until January/February and possibly switch to oral spironolactone. I wanted to try topical first to see how i respond. Hair loss is weird so i have no idea if my positive results are temporary or not..Also i am sure the minoxidil may start to effect shedding going forward from what i have read.