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Thanks Dr Deepak.
I have started mesterolone bcoz of less active life period with no aromatization.Also in low dose does not interact with libidoAlso it does not interfere with normal endocrine axis ,I think....What do you suggest about her low testosterone levels?Without optimal levels I canot start scalp mesothreapy.

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Comment by Dr Deepak Chaturvedi on February 5, 2010 at 11:37pm
Low dose thyroid + Low dose Bio Identical progesterone +/- Low dose hydrocortise (5 mg) may help in the male patient. Regarding the female patient her age and menstrual history is of prime importance.
Comment by dr atul chaudhary on February 5, 2010 at 12:58pm
Thanks dr deepak.You are really a texabook for me.I have corrected vitamin defeiciencies.If we have to start oesrogen in female case we discussed what should be doses?Also one male patient having DHEAS-6410ng/ml and progesterone 0.84ng/ml and prolactin isalso raised-23.14ng/ml.His TSH and TESTOSTERONE are within range.what treatment should I give.Ihe hair is having diffuse thinning and dry and lustureless.I am really groping in dark with such levels.
Comment by Dr Deepak Chaturvedi on February 5, 2010 at 5:15am
Hi Doc. My concern is about using mesterolone in females. Why should we worried of aromatization in females? Estrogen surely promotes hair growth in females. All the causes of hairloss may not be solely due to hormonal issues. What do you think about using Estrogen in this patient? Secondly, what about the sleep pattern and the menstrual history? We may get some clues there. Vitamin A, D,E and B12 defeciencies , if present should also be corrected, I guess.


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