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31 year old female with androgenetic alopecia?

Commented on August 18, 2014
Created August 15, 2014 at 12:45 AM

Bit of a backstory:

I have a connective tissue disorder with dysautonomia, and while I do not have any inflammatory markers, I am in meh health. I found out my blood sugar was spiking (despite having an a1c of 5.2) and I had a SEVERE magnesium deficiency for a long time I'm assuming, so I went very low carb. I am still low carb but not very low carb and eating a ton of fat, such as sardines etc. Currently 5'8 110 lbs. In the past i've tested my thyroid and I appear to have "t3 syndrome" if that's a thing.. My basal body temperatures are surprisingly normal? As a teenager I had hormonal acne and I was on yasmin (yes i know horrible drug) but it cleared my skin right up.

I just recently noticed, thanks to a digital camera, I am experiencing major hair loss at my temples and around my ears. I have always had "scalp problems"..oily and scalely but I would only wash my hair 2x a week because otherwise it looked poofy. Recently I tried doing "NO POO" for two weeks and my entire scalp freaked out, severe itching. Switched to using Nizoral and silicone free conditioner, feel much better, but it's only been a few days. I am washing my hair 2-3 days now.

Does temple hair loss normally mean I have "androgenetic alopecia"? is it possible for a sluggish thyroid to produce such a distinct hair loss pattern?

My mother has the same hair loss pattern but it started in her 50s I'd say??? Her father was bald in his 30's. BUT my mom definitely has insulin resistance and she drinks soda all the time and my grandfather was a type 2 diabetic.

So far I'm thinking this.. (I am getting labs which will dictate which route I go..)

1) I had acne as a teen and yasmin clearned it up which would indicate I am either high in testosterone or I am highly sensitive to testosterone/produce too much 5-alpha reductase??? My skin doesn't feel "oily" but my pores are always clogged with sebum. I do not get zits anymore. I do not look at all like i have pcos, fwiw. i'm extremely frail. If my testosterone results are high, then I will definitely go on Propecia but even if they aren't high, maybe it's just the 5-alpha reductase..in which case I should go on Propecia anyways. It's impossible to find studies on nonmenopausal women about propecia.

2) Assuming TSH is still high, I need to figure out a way to incorpate more carbs into my diet without inducing insulin resistance ????

3) Maybe use Minox on my temples..once I get the other stuff sorted out.

4) Continue with Nizoral to keep my scalp clean and no 'cone conditioner. Maybe put magnesium on my scalp, I'm sure the deficiency didn't help my hair

I'm very open to advice, I'm a redhead and its a huge part of my identity. the idea of losing my hair makes me want to crawl up in bed and never leave.

Be157308a0438e382b88d9db4c12ab30

on August 18, 2014
at 04:14 PM

Forget gaining the weight as muscle, you need to gain weight, period. Fat muscle, whatever. You're malnourished, putting yourself at risk for reduced immunity, anemia, reduced fertility, osteoporosis, etc. You need to eat more. If you have high blood glucose you should consider going to an endocrinologist. In the meanwhile however, you should really reconsider your diet and increase how much you are eating until you reach a healthy weight, i.e. BMI above 18. Getting some labs done is a good idea.

47298837e4e1bd97177b501ef9abe0c1

(0)

on August 16, 2014
at 03:22 PM

ooops, gotcha sorry. do you think a dr would prescribe metformin given my weight and low a1c? my fasting blood sugar is 100 but when i vlc it goes into the 80s..but if that exacerbates hair loss i don't want to vlc.

3491e51730101b18724dc57c86601173

(8395)

on August 16, 2014
at 02:52 PM

I'm not telling you that you need to take insulin. I'm telling you that you may have an issue with insulin sensitivity. Too much insulin.

47298837e4e1bd97177b501ef9abe0c1

(0)

on August 15, 2014
at 02:27 AM

i def do not need insulin. before i went VLC, my a1c was 5.2.

i also have no muscles ANYYWHERE. im gaunt. i guess that's a PCOS stereotype?

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4 Answers

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47298837e4e1bd97177b501ef9abe0c1

on August 18, 2014
at 03:58 PM

grr i cant add a comment for some reason anyways

TheGastronomer,

i agree..i was trying to gain weight in muscle but with a connective tissue disorder that's a joke! im basically giving up trying to keep my fasting blood sugar below 100 (which i can do with low carbing)...as long as im not spiking after meals. metformin would be jumping the gun. i would say the hair loss is from undereating however it's in a VERY specific location: temples and side of my head (just like fmy overweight mother's)..not diffuse and my basal body temperature is normal??? if you're undereating wouldn't it be diffuse? maybe all the stress i've been through set off some balding gene in my family?

i got some labs done. i'll post them when i get the results.

Be157308a0438e382b88d9db4c12ab30

on August 18, 2014
at 04:14 PM

Forget gaining the weight as muscle, you need to gain weight, period. Fat muscle, whatever. You're malnourished, putting yourself at risk for reduced immunity, anemia, reduced fertility, osteoporosis, etc. You need to eat more. If you have high blood glucose you should consider going to an endocrinologist. In the meanwhile however, you should really reconsider your diet and increase how much you are eating until you reach a healthy weight, i.e. BMI above 18. Getting some labs done is a good idea.

0
Be157308a0438e382b88d9db4c12ab30

on August 18, 2014
at 02:27 PM

You're 5'8" and only weigh 110 lbs??? You are very underweight, it is likely that you are severely malnourished. Your BMI is 16. If you didn't know, anorexia is known to cause hair loss; you should consider increasing your body weight to a healthier range, such that your BMI is at least 18.

0
3491e51730101b18724dc57c86601173

(8395)

on August 18, 2014
at 06:36 AM

Your hair loss seems to be related to too much testosterone. Controlling carbs will improve testosterone and insulin levels, so should improve your hair. If you eat sufficient calories your thyroid will not slow down to cause hypothyroid hairliss.

Whether your doctor will put you on Metformin should depend on running the right tests and treating accordingly, but too few doctors know WHAT to test for and what to do when tests indicate insulin resistant PCOS.

0
3491e51730101b18724dc57c86601173

(8395)

on August 15, 2014
at 01:58 AM

You don't have to be overweight to have PCOS. Insulin resistant, acne when you were younger, male pattern baldness, sound like PCOS to me. I was very thin until I started futzing around with my hormones to try to become pregnant, then whammo! My 13 year old daughter is clearly PCOS but absolutely normal body weight. Her acne is severe, she has acanthosis nigracans which the doctors are shocked about because they are used to seeing it only in very obese girls.

She was conceived on a VLC diet and Metformin after never before ovulating on my own. We went through years of treatment and two IVF procedures to conceive her older sister. I had given up the hope of a second child and wasn't even trying. But I started regular periods, hair and acne improved, within one month of VLC and Metformin.

Start with insulin. Get your levels under control with low carb Paleo and Metformin may be necessary. Then tweak from there as needed. Don't miss the forest while looking at individual trees.

Btw: you don't need more carbs for thyroid, you need more CALORIES. Too few calories are what causes the thyroid to downregulate. This often happens with low carb because without hyperinsulemia people eat much less, often way too little. Count calories only to make sure you have enough. Don't fall below 1200.

3491e51730101b18724dc57c86601173

(8395)

on August 16, 2014
at 02:52 PM

I'm not telling you that you need to take insulin. I'm telling you that you may have an issue with insulin sensitivity. Too much insulin.

47298837e4e1bd97177b501ef9abe0c1

(0)

on August 16, 2014
at 03:22 PM

ooops, gotcha sorry. do you think a dr would prescribe metformin given my weight and low a1c? my fasting blood sugar is 100 but when i vlc it goes into the 80s..but if that exacerbates hair loss i don't want to vlc.

47298837e4e1bd97177b501ef9abe0c1

(0)

on August 15, 2014
at 02:27 AM

i def do not need insulin. before i went VLC, my a1c was 5.2.

i also have no muscles ANYYWHERE. im gaunt. i guess that's a PCOS stereotype?

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