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As a doctor and a human being, I am concerned about the growing magnitude of this problem. More than anything, I am concerned that we try to solve a drug-induced problem by throwing another drug at it. Spironolactone fits axis, spironolactone causes low blood pressure, headaches, fatigue, and depression. It increases the risk for blood clots. I know you want a fast, effective solution for your hair loss, but spironolactone is not it.  To be honest, it does not work all that well anyway. More importantly, it perpetuates the problem of PCOS and hair loss by preventing you from ever reclaiming your own hormones. Your own estradiol and progesterone are—by far!—the best repair for your hair. Stay tuned for treatment ideas, and please leave a comment or a question below. I love hearing from you. Join my newsletter list and receive a free download of the first 2 chapters of my book. What are your thoughts on propecia or finasteride for females with hair loss? My question is: how do I safely come off of the Spiro? I want to do it ASAP, but also concerned that an abrupt cold turkey could have some adverse effects. Any advice? Did you see my post 9 Things to Know about Female Hair Loss? do you think you would still get these negative effects on a low dose like 25mg? A low dose is less likely to cause side effects. I realize I have a complex and unusual pattern of hair loss, with the eyebrows being affected and the T levels so low. But curious if you have any thoughts? I have been off the pill for about 8 years, and my thyroid has been thoroughly tested by several doctors, including the test for antibodies, and found to be normal. Is there anything else I can do? Sometimes I feel like giving up and saving for a wig. Are you ovulating regularly? . Did you see 9 things to know about female hair loss ? I took Spiro lactone 50mg for acne in 2014 for 6 months .I am 42yrs now . My acne cleared but after 2 months of leaving Spiro my hair started shedding in clumps. I had long silky straight hair which changed texture Nd became flyway dry and wispy .I was put on.spiro again and 100mg and my hair are still falling after being a year on this medicine .by hair has also become super thin lifeless and dry and I.shed more before and during my period cycle.o have lost 60 percent of my volume and wanna know what to do .should I keep taking Spiro or leave it .I cant afford to loose more hair now .Pl help and advice .I live in.india . Also I have been extremely stressed before Nd during this hair loss . Hi, just discovered ur blog and saved my life! What do you think about flutamida to stop hair loss caused by an excess of androgens . I have an unrelated question. What supplements can help alleviate the menstrually related migraine on one side of the brain? Please advise. thanks! Did you have colic as a baby? Do you have allergies to pollen, food allergies, or food intolerances? Do you get motion sickness or nosebleeds easily? IBS or GERD? If you answered yes to a few of those you may want to look into DAO . A study from Spain showed that 87% of migraine patients are deficient, which can be genetic or acquired. All those problems I listed are associated with elevated histamine. L-histidine is an amino acid in foods, more in protein sources, but still in plant based foods like strawberries and avocado and eggplant. Your body converts this to histamine. DAO is supposed to break down excess dietary sources of L-histadine, gating how much gets into the blood. Controlling the raw material your body can convert. If you have too little DAO, too much L-histadine circulates, and the enzyme HDT which converts to histamine does not saturate or stop converting. Take a few capsules before EVERY meal. And look at a low histamine diet. Avoid vinegars, fermented foods, wine, chocolate and other high histamine foods. Hi Lara, thank you so much for sharing your knowledge and incredible work so freely. I hope younger generations will be informed about the horrors of bcp as a cure all for menstruation problems because of work such as yours. If you were my patient, I would focus on providing the right support to prevent binging. For example, magnesium can be very help to help your body cope with stress and reduce cravings. Please see my post: How Magnesium Rescues Hormones. In answer to your question, yes, it should be ok to combine DIM and spironolactone. What are other ways to get rid of severe hormonal acne and whiteheads if you havent seen a change with diet and berberine? Which brand of dim do you recommend? i have read some peoples skin gets worse. Hi Laura, thank you for sharing your story. Please send me a private message. Thank you so much for taking time to read my comment! I sent an e-mail to you regarding these issues. Also, do you talk about Spironolactone in your book? Jen, has your acne come back since stopping spiro in june If so is it worse than it was before you started the spiro And how are you treating it now Thanks!!! Is there a way to taper off of this drug and avoid excessive acne and hair loss? I tried going off and my hair was falling out in clumps, and my skin became super oily and covered in cystic acne. Is there any supplements to take to help support my hormones while tapering? Please please let me know, I feel trapped on this drug. I need help. With my own patients, I often do taper it down over a few months. Thank you so much Lara, that helps so much to read. How slowly do you taper if I am on a dose of 50mg? and what natural treatments would you suggest? I am already on zinc and magnesium. Would either saw palmetto, inositol, or vitex help? My girlfriend is on Aldactone 100mg. She is in menopause and noticed her hair falling out. Her doctor prescribed it for her. Has noticed her hair grow back. I was talking to her about my son loosing his hair. He is 24 and is taking Protein enhances to build his muscles as he workouts in the gym for about now 4yrs. My girlfriend recommended this Medication Aldactone. But after reading this I am not convinced. Same boat! Hope you get an answer. I was taking 200 mg though, and my derm has since apologized as it is a super high dose for mild acne. It works for all PCOS AND PMS issues. It works because the reason you . I had bad PMS and PCOS with crazy stuff for almost twenty years and finally I found out about this more natural therapy with no side effects. There are lost of things to learn about it, how much to use for your specific needs and when to use it, . I promise this is worth your thoughts, your time and energy to look into. I was desperate and this cream therapy has helped me so much. Thank you so much for sharing your story. Anxiety is a well known side effect of both Yaz and spiro. Spironolactone can impair ovulation . You can read more about spironolactone in Chapter 7 of my book. Your blog is absolutely wonderful by the way. I read a research paper that Liquorice increases DHEAS and so now I’m confused whether to use it or not? I don’t have high testosterone, I have very regular periods and a good normal oestrogen level but I have very very high DHEAS and therefore suffering from excess androgens. I simply need to find a way to lower my DHEAS would Liquorice work or make it worse? Is there anything else you would suggest specifically for DHEAS. The right dose of progesterone has an anti-testosterone effect . Wow! Thank you for the reply. No one has told me that before but it just seemed like when my progesterone went up so did my testroterone. My blood tests keep showing that my progesterone level is low so my doctor just raised it again. Estrogen is ok. Maybe I should just stop taking it for a while and see what happens. Let it just naturally do whatever it is going to do instead of messing with it all so much. I think I am making things worse instead of better. Thank you for the time!! Hair loss requires serious detective work, counting back 3-4 months before it started . Normally, I would look to your periods for some clues, but that might not be possible because Mirena suppresses menstrual flow. Thank you for this post, I appreciate you expertise and guidance. You have no idea how much women need this blog, and your book . My acne has also returned worse than ever before, and in places I never had it, like all over my forehead, whereas before it was strictly chin and nose. Ashely did your hair loss finally stop? I really want to go off spironolactone. I have been on spiro for about 2 to 3 years to treat hair loss from using Yaz birth control but I feel as though my hair has gotten worse and would like to get off. I went from 200 mg to 100 mg for the past week but my bottle is almost gone and I want to stop cold turkey. would it be okay to stop taking them or should it do it over a span of a few weeks or months? Hi Lydia, Generally speaking, those treatment should be helpful if your hirsutism is due to PCOS. But remember, it can take a long time to see results . 30 year old female here with acne, oily skin, oily hair, major hair loss on the head , facial hair and the only thing that came back was HIGH testosterone, both free and total. If you have high testosterone, then it is likely that you have a condition called PCOS. Did your doctor say anything about that? The best treatment is to treat the underlying cause of PCOS . I discuss PCOS causes and treatments in my 4 Types of PCOS post. I feel like I am stuck between a brick and a hard wall here. I am a natural gal, but I just got my prescription for Spiro as Im desperately wanting to stop my hair loss. Dr. Briden, I have lost 50% of my hair in 3 months. Is this normal? Or is this hair loss something other than PCOS? I am a PCOS gal. Ive got high androgens . Have you ruled out insulin resistance? As I discussed in the PCOS post, an insulin problem is that most common reason for high androgens. But in your case, you also have inflammation . Hi Lara, thanks for your interesting posts. I understand your reasons to promote ovulation. However what are the solutions for menopausal women suffering from hair loss who no longer ovulate. Also, of course, maintain healthy thyroid function, and keep inflammation and insulin as low as possible . Jen, you can see from my post that I am not a fan of Spiro. In most cases, I encourage patients to get off the Pill, and off Spiro, and to reestablish a normal ovulation. That way, you can have the benefit of your own estrogen and progesterone for hair. That said, any hormonal change can temporarily worsen hair loss. stop, and work to promote ovulation and natural periods. Forgot to also say that my testosterone and dhea tested low also.. Im am thin, so i know i dont make much estrogen, its hard for me to put weight on and keep weight on which bothers me. As my testosterone isnt high, i feel its more of a sensitivity and because my progesterone and estrogen fall low they androgens affect me more, would you agree with this? i have been taking zinc citrate now once a day, i think its 30mg, i saw you recommended this for androgen sensitivity, what dosage do you reccomend? im also stil on rhodiola, saw palmetto, liver support nac, iron, vit c, vitamin d3, b complex, omega 3 and evening primrose oil, and a probiotic. Came off vitex about a month ago so im considering starting the progestrone cream again but just a small amount during luteal phase. To keep my estrogen balanced i take flax seed daily, and have just started dong quai, just one cap in the morning. Any advice would be really appreciated. Like all the other women on here i feel i have lost my life to all of this, its already cost me a relationship with the best guy ever because i dnt want to hold him back with all this anymore. I NEED to sort this out. Estrogen and progesterone are the best hormones for hair. Please figure out if you are ovulating regularly, and if not, then please work to promote ovulation as your #1 treatment. Please see my ovulation post. sorry for the spelling errors, i just read it back, i meant to say im now on pescription iron and my cortisol is still out of whack. It should all be temporary, and you will start to regrow your hair starting about three months after you stopped the testosterone. I came off spiro fine. I have been off of it since August, but my doctor insisted I go back on it because the acne and the hirsutism have returned. In fact they returned almost immediately , but I was unwilling to go back on the medication based on my previous experience. I was terrified because of what the 50 mg dose did to me. My doctor suggested a 25 mg dose. I went one step further, and I am cutting each 25 mg in half for a 12.5 mg dose each day. My problem does not require such a huge dose of this very powerful medicine. Also, as my doctor pointed out, I know what to look for in the way of side effects, and I am much more prepared to take this very powerful medication. Keep us posted on what happens when you come off the medication. Hey Dr Lara I was realy glad to know about your blog and i realy appreciate your concern for PCOS sufferers. Every doctor that i have been to just tells me to continue the pill i live in pakistan and overhere they give Diane35 for PCOS i have been taking it since i was 14 for last five years.i had a very sever acne and it realy cleared it up but i am still experiancing a very sever haifall i stopped the pill for 3 months but i had to start again because my periods stopped coming and i had a very bad acne breakout. I would love for someone like you to help with androgen alopecia. It is heart breaking and the only answers ever provided has been spiro. My naturopath thinks it is all liver related and i am taking god knows what to help. Feels like a losing battle. Hi Joanne, the most important thing is to find the cause. I talk about some treatment ideas in the Hair Loss post. I stumbled across you site today. Ive been on aldactone by entering a bodybuilding completion and dropping to minimal body fat. Since then my weight has gone up and down around my on and off season. 3 years in a row I have attempted to get off it, and wasn’t losing any weight so I went straight back on it. This year I have attempted to get off it again, ive been off it for almost 3 months now. I train 2 hours a day and am on a high protein diet that would definitely work if I were on Aldactone. Can you tell me what the hell could be going on with my body? What can I do to start losing weight without getting on aldactone? Please could you give some advice? I am in a dilemma and very worried, though trying to keep these concerns to myself. Thanks so much for all of your helpful notes here. The combination worked very well and my skin looked the best it had in years. However, shortly after starting the Spiro, I developed an autoimmune disease and immediately stopped both drugs because I was frightened of putting artificial hormones in my body in the face of a serious health issue. Thank you so much for your help! I use spirolactone. Originally it was prescribed for my hair to no avail. It does nothing for my hair. In fact I am wondering if the spirolactone is the reason my hair is worse. It has been great for my high blood pressure. I am 65 years old. Please give me some advice. And in English for my readers: It does not work to use the Pill just a short time to recover hair, because it just prolongs the problem. It suppresses ovulation and prevents progesterone. And then there will still be a hormonal shift to endure when the Pill is eventually stopped. As for the Roacutane , it is horrible beyond words. I could never even write a post about the drug because it would make me too sad. It damages the gut, and there is now emerging evidence that it interferes with DNA expression and damages our hormonal system. Hi Lara, I have read where pantothenic acid has been linked to hair loss. What are your thoughts? Dim detox, I am constantly touting this stuff cause it worked wonders for my skin. Cutting dairy helped too though, as did primrose oil. I would check my level of progesterone PCOS, and it took so many years to have a proper diagnosis. I can see why you are frustrated. You are not insulin resistant and sounds like you are ovulating regularly. I assume that you have looked at thyroid and gluten? Antibiotic-damage to intestinal bacteria? Zinc status? Hi Lara, Love your blog, thanks for sharing your info with all of us. 🙂 My DHEA is very elevated and DHEA-S is at high end of normal. I have male pattern hairloss and hirsuitism. I am 36.The docs want me to take spiro and the BC pill. I do not want to do this. I am more interested in why my DHEA is so high to begin with. Obviously the DHEA is what is causing my symptoms. Do you know what can cause DHEA to elevate like this for years? Also how can a person lower it naturally? I cannot get any answers on these questions from doctors. Thanks for any help. Some of the DHEA is coming from your adrenal glands, but your ovaries release 20% of DHEA . Your blog is absolutely wonderful by the way. I will say: Yes, Spiro suppresses adrenal function. There has to be another way to treat your acne. Did you see my acne post? I'm a naturopathic doctor with 20 years experience in women's health and the author of Period Repair Manual. Read more about me, and why I think it's so important we remember that women are not small men. Post was not sent - check your email addresses! Sorry, your blog cannot share posts by email.. interpretedby the Dental Educational Council of America."

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