Hairfall is ropefuel + fin vs dut

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rajatupadhyyay

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21M. Been dealing with pretty heavy diffuse shedding(or ropefule) for 1.5 months and trying to figure out what's going on.

History-

Previously only used topical minoxidil 5% + topical finasteride 0.1%

First ever oral minoxidil: ~March 15, 2.5 mg/day
Started oral finasteride 1 mg/day around mid-April
Both were very inconsistent until early June

Stopped minoxidil for ~20-30 days

Restarted properly around July 6: oral minox 2.5 mg + oral fin 1 mg
Recently restarted topical minox 5% as well.
In pictures some baby hair could be seen.

Possible TE trigger: In May/early June I had a pretty extreme cut:

~1,000 kcal/day, some days <1,000
~70g protein
~20k steps/day
~400+ kcal treadmill sessions

Lost roughly 5-6 kg pretty quickly

I'm now eating normally again and getting 80g+ protein/day.

Bloodwork:
Ferritin: 26.3 ng/mL
Hb: 14.5
TSH: 1.958
T4: 9.23
T3: 0.81 (slightly below range)

Currently taking 100 mg elemental iron/day + 17 mg zinc/day. Vitamins D 60K IU

My theory is that I might have TE from the crash diet, potentially compounded by low-ish ferritin, plus shedding from stopping/restarting minoxidil, with underlying AGA possibly making the density loss look worse.

I'm considering switching from finasteride to dutasteride.
What do you guys think?

Does this sound like TE + AGA?
Could the minox stop/restart be contributing heavily?
Would you switch to Dutasteride or stay on finasteride for now?

Anyone had a similar shed and how long did it last?

Pics attached.
 

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