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Senior Member
Originally Posted by drcole
That's a great observation, Gillenator. Not many people recognize miniaturization as a precursor of future loss. The smart ones, such as you do. One thing I look for is an increase number of telogen hairs in the donor area. When i see this, I begin to consider the potential for future hair loss. One area i see them often is in the superior, non-permanent zones. Then i also see them in the non-permanent lower zones. When i see an increase in telogen hairs in these non-permanent zones, I anticipate future loss. What i really worry about is when i see them in the traditional safe donor area. We all know that the safe donor area is not safe. An increase in the telogen to anagen ratio is the true precursor to future hair loss. Unfortunately, you have to look under the hood to see them.
And this is why every patient with MPB should seek this type of evaluation both initially and then continuing intervals due to the progressive nature of MPB. And thanks for the clarification of the telogen to anagen ratio Dr. Cole.
Only this type of evaluation can identify these variations and as you say, the traditional zone is not always as permanent as it appears, especially to the naked eye.
"Gillenator"
Independent Patient Advocate
more.hair@verizon.net
NOTE: I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice nor are they the opinions of the following endorsing physicians: Dr. Bob True & Dr. Bob Dorin
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