Please help me to understand terminal vs total hair count

Arthurandsam

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From here : https://pubmed.ncbi.nlm.nih.gov/35107565/


Finasteride give +30 terminal hairs at 24 week :

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Besides, at 36 weeks it’s +40! What a feat!

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but total hair count is +11 :

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Look at this reasoning:

- On average a standard guy has 100 hairs/cm2
- Terminal/vellus ratio averages 5:1
- A standard guy therefore has 80 terminals and 20 vellus per cm² on the scalp on average
- If this guy takes fina, according to the +30 from the study he gains +30 terminals
- Either a new total of hairs of 100 + 30 (the new terminals) + N, or N is the number of vellus gained because it also necessarily gains vellus...
- The gain is therefore 100+30+N/100 but we do not know N
- Unless we make the assumption of 5:1, in which case N = 130*20/100=26
- Which ultimately gives 26 vellus and 130 terminals

=> This guy therefore gained a total of 30 (terminals) + 26 (vellus) = 56 hairs, which is completely contradictory with the study which says that the guy should have gained +11 hairs in total...


Now, reasoning about the total hair:

- A standard guy therefore has 80 terminals and 20 vellus per cm² on the scalp on average
- If this guy takes the fina, his total number of hairs increases after 24 weeks to 111 hairs according to the previous study
- So, this guy has 111/5 = 22.2 vellus and 88.8 terminals
- That is 2.2 more vellus and 8.8 more terminals - which is much less illogical compared to the previous reasoning


But as I write these lines I realize that the guys should have also given the terminal/vellus ratio because without this data it is difficult to draw conclusions because this ratio must change with the end taking... no???


I just did a simulation with a guy who starts from 100 hairs/cm2 of the problem and I found that the two data are consistent only if the ratio is 1.6:



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This would mean that alopecia would tend to reduce the ratio which normally is between 3-7 from what I have seen...

On the other hand, afterwards I told myself that a guy who loses his hair does not have 100/cm2 but rather 50 and the ratio obtained is 1.01:



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So I don't really know what conclusion to draw but there is at least one point of consistency (ratio = 1) between the results given by counting the total number of hairs (+11) and the number of terminals (+30) ...

Apart from drawing the conclusion that the ratio in people with alopecia is 1 well I don't really see lol

If someone has an idea ...
 
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