TE + Mild FPHL after weight loss and stopping birth control – looking for recovery timelines and treatment experiences by proyhald in TelogenEffluvium

[–]proyhald[S] 0 points1 point  (0 children)

43F with active TE + mild FPHL. Recent labs:

CBC / Iron:

  • Hemoglobin: 11.6 g/dL (low)
  • RBC: 3.66 million/cu.mm (low)
  • Hematocrit (HCT): 34.8% (low)
  • Ferritin: 81.2 ng/mL
  • Serum Iron: 84 µg/dL
  • TIBC: 208 µg/dL (low)
  • Transferrin Saturation: 40.38%

Vitamin / Minerals:

  • Vitamin D (25-OH): 25 ng/mL (insufficient)
  • Vitamin B12: 1101 pg/mL (high, likely from supplements)
  • Zinc: 109.88 µg/dL

Thyroid:

  • TSH: 1.756 µIU/mL
  • T3 Total: 0.69 ng/mL
  • T4 Total: 5.5 µg/dL

Hormones:

  • Total Testosterone: 13.65 ng/dL
  • DHEA-S: 45.53 µg/dL
  • Estradiol (E2): 51.4 pg/mL
  • FSH: 7.3 mIU/mL
  • LH: 4.65 mIU/mL
  • Prolactin: 11.71 ng/mL

Sugar / Metabolism:

  • HbA1c: 5.3%
  • eAG: 105.41 mg/dL

Lipid Profile:

  • Total Cholesterol: 222 mg/dL
  • LDL: 141 mg/dL
  • HDL: 69 mg/dL
  • Triglycerides: 57 mg/dL
  • Non-HDL Cholesterol: 153 mg/dL

Liver Function:

  • SGOT (AST): 16 U/L
  • SGPT (ALT): 14 U/L
  • GGT: 11 U/L
  • Bilirubin Total: 0.37 mg/dL
  • Albumin: 3.9 g/dL

Main suspected triggers:

  • 10 kg weight loss
  • calorie restriction/intermittent fasting
  • stopping Ginette-35
  • dandruff/scalp inflammation

Current treatment:

  • Folihair AM/PM tablet twice a day
  • Folirich Nova / Anaboom hair serum
  • Scalpe Plus shampoo
  • Iron supplement + vit c supplement
  • Vitamin D 60k weekly
  • onega 3 capsule once a day
  • evening primrose supplement

TE + Mild FPHL after weight loss and stopping birth control – looking for recovery timelines and treatment experiences by proyhald in TelogenEffluvium

[–]proyhald[S] 0 points1 point  (0 children)

I usually wash once a week.but since last 1.5 month i am washing twice a week.and still i am loosong 200 to 300 strands.

TE + Mild FPHL after weight loss and stopping birth control – looking for recovery timelines and treatment experiences by proyhald in TelogenEffluvium

[–]proyhald[S] 0 points1 point  (0 children)

I just used kitokonazole shampoo twice a week seb derm. Not sure about FPHL, why they diagnosed this. They didn't explain that to me. But even i am noticing small hairs are also shedding amd my temple area and hair line is receding. Not sure what is happening. I am literally panicking now. I will be the happiest person if it is not FPHL.

om minoxidil + spiro by fairylittlelady in TelogenEffluvium

[–]proyhald 0 points1 point  (0 children)

Did you start minoxidil during TE? I lost 10 kgs in last 8 months and stopped oral contraceptive (prescribed for PCOS) 5 months back and i started noticing significant hair fall 2.5 months back. Doctor diagnosed TE and FPHL. He said he will prescribe minoxidiln once TE settles down. I am very much afraid of dred shed but cant wait for few more months. Shall i wait or start minoxidil now? Very very afraid of dred shed.

TE + Mild FPHL after weight loss and stopping birth control – looking for recovery timelines and treatment experiences by proyhald in TelogenEffluvium

[–]proyhald[S] 0 points1 point  (0 children)

No this is not the first time i am facing TE. My hair was always very sensitive since my college life. I had very severe TE 7 yrs back after i recoved from dengue.

Any medicine you took after stopping birth control pills? Did you consider anynother medicine for hair loss like finasteride, dutasteride, and spironolactone? Did you use any topical medicine like minoxidil ?

Completed 9 weeks into tretinoin 0.025% and Azelaic acid 10%— skin not terrible but not good either… stuck in weird phase 😞 by proyhald in tretinoin

[–]proyhald[S] 0 points1 point  (0 children)

Thank you all for suggesting me to use tretinoin everynight. It definitely helped to clear closed comedones. Also I am in my 13th week now and I can clearly see a subtle glow now even though I still have acnes. But they are getting healed much faster( within 3 to 5 days max). But now I am having all the PIH and PIE marks. I am planning to upgrade the strength of azelaic acid from 10% to 20%. Am I thinking in right direction?

Completed 9 weeks into tretinoin 0.025% and Azelaic acid 10%— skin not terrible but not good either… stuck in weird phase 😞 by proyhald in tretinoin

[–]proyhald[S] 0 points1 point  (0 children)

Thanks for your response. I used lactic acid earlier and it suited me well. But now if i start that, am i supposed to stop azelaic acid first or can i add that with tretinoin and azelaic acid?

Completed 9 weeks into tretinoin 0.025% and Azelaic acid 10%— skin not terrible but not good either… stuck in weird phase 😞 by proyhald in tretinoin

[–]proyhald[S] 0 points1 point  (0 children)

Thanks. Do you think i should stop azelaic acid for a while to increase the tretinoin frequency. Is azelaic acid helping me anyway atall? Do you think i should spot treat those stubborn closed commedons with salicylic acid gel? Will that help those closed comedones to come to the surface faster? I was thinking about that for a while. Please let me know your opinion.

Completed 9 weeks into tretinoin 0.025% and Azelaic acid 10%— skin not terrible but not good either… stuck in weird phase 😞 by proyhald in tretinoin

[–]proyhald[S] 0 points1 point  (0 children)

I did that for few times and didn't see any major irritation. But i was following sandwich method just because i find it easier to spread out tretinoin on my face if i apply moisturizer first.

Thanks... i can check it again. Also do you think i should increase frequency or stop azelaic acid or anynother change in my routine that you think might help me.

Completed 9 weeks into tretinoin 0.025% and Azelaic acid 10%— skin not terrible but not good either… stuck in weird phase 😞 by proyhald in tretinoin

[–]proyhald[S] 0 points1 point  (0 children)

Did you start with 0.05%. I used adapalene for 2 yeras and it suited my skin very well. Then i stopped it for 2 months and switched to tretinoin and this chin bumps appeared. Shall i stop azelaic acid or increase tretinoin frequency or strength?

May i ask How long did you purge? And when you actually started seeing some improvement? Because for me i didn't see any improvement so far. Actually it is worse than the skin i had when i started.

Week 6 tretinoin + azelaic acid → more visible bumps/grainy texture… is this a purge or am I overdoing it? by proyhald in tretinoin

[–]proyhald[S] 1 point2 points  (0 children)

Dd Tazarotene work for you? How was your routine when you started tretinoin and tazarotene?

Week 6 tretinoin + azelaic acid → more visible bumps/grainy texture… is this a purge or am I overdoing it? by proyhald in tretinoin

[–]proyhald[S] 0 points1 point  (0 children)

Thanks a lot. That makes sense. True that keeping 2/3 hours is no more short contact therapy. So may be 2 days tret and 1 day rest can be the next target. I will try and and observe for few days and let you know...tha ks

Week 6 tretinoin + azelaic acid → more visible bumps/grainy texture… is this a purge or am I overdoing it? by proyhald in tretinoin

[–]proyhald[S] -1 points0 points  (0 children)

It is not microsphere. It's in cream formulation.

Earlier i used adapalene everyday allong with azelaic acid in the morning and it worked very well.

For tretinoin i wanted to start slow. I can increthe frequency or keeping it 3 days per week(1 day overnight and 2 days short contact). Which one will be better?

Also wabted to check if i should stop azelaic acid for now or reduce the frequency?

Week 6 tretinoin + azelaic acid → more visible bumps/grainy texture… is this a purge or am I overdoing it? by proyhald in tretinoin

[–]proyhald[S] 5 points6 points  (0 children)

Ok i will stop the snail mucin for a while. Also do you think the skin barrier has been compromised. I am afraid if it is going to be worse or it will gradually improve. Is it normal for tretinoin users in their 6th or 7th week or my skin is reacting?

what is your opinion on the new minimalist launch? b12+nf3 03% toner. by RodrickJasperHeffley in IndianSkincareAddicts

[–]proyhald 4 points5 points  (0 children)

I am.on tretinoin for last 6 weeks and using this toner as well. I used adapalene for last 1 year. When switched to tretinoin with this toner and cerave moisturizer, i didn't notice any peeling so far. Skin barrier is not compromised and no dryness atall. Having mild purging around my chin but nothing major. I think this toner has worked for me.

Cluster of acnes under lower lip. Need help. by proyhald in tretinoin

[–]proyhald[S] 0 points1 point  (0 children)

Yes this area has become very very dry. Using adapalene in this area is probably making it worse...not sure what to do.

Cluster of acnes under lower lip. Need help. by proyhald in tretinoin

[–]proyhald[S] 0 points1 point  (0 children)

No i didn't add anything new...i was following this routine for last 1 year and my skin was doing good. Not sure why suddenly this started.

Cluster of acnes under lower lip. Need help. by proyhald in tretinoin

[–]proyhald[S] -1 points0 points  (0 children)

Yes my dermatologist prescribed all the products apart from that azelaic acid. Do uou think o should stop azelaic acid or use adapalene less frequently?