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How a follicle miniaturises

The same follicle over successive cycles under DHT: a shorter growing phase each time, and a shaft that comes back finer, shorter and less pigmented until it is vellus. Relative sizes are illustrative — the only quantity drawn to scale is the dashed line 20% below the terminal shaft, the diameter diversity trichoscopy looks for. Below it: where DHT comes from, where it binds, and the step the 5-alpha-reductase inhibitors block.

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How a follicle miniaturises. The same follicle over successive cycles under DHT: a shorter growing phase each time, and a shaft that comes back finer, shorter and less pigmented until it is vellus.
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Every number printed on this figure, and where it came from

Each quantity the diagram prints, the sentence it was taken from, and the guide that sentence is in. The build refuses to publish if one of these sentences is no longer in the guide it names.

ValueWhat it is, and the sentence behind itSource guide
20%Hair-diameter variation trichoscopy treats as the diversity criterion
“Hair diameter diversity (>20% variation diagnostic)”
Androgenetic Alopecia: Complete Guide
5% a yearAverage untreated progression
“5% annual loss if untreated”
Androgenetic Alopecia: Complete Guide
10 × testosteroneRelative potency of DHT
“DHT is approximately 10 times more potent than testosterone and has 2-5 times higher affinity for androgen receptors.”
DHT and Hair Loss: Complete Explanation
2-5 × receptor affinityDHT’s affinity for the androgen receptor, relative to testosterone
“DHT is approximately 10 times more potent than testosterone and has 2-5 times higher affinity for androgen receptors.”
DHT and Hair Loss: Complete Explanation
46%Share of genetic risk attributed to the androgen receptor gene
“Accounts for roughly 46% of the genetic risk for pattern hair loss”
DHT and Hair Loss: Complete Explanation
1 mg dailyThe finasteride dose these DHT reductions were measured at
“finasteride 1 mg daily reduces scalp DHT levels by approximately 64% and serum DHT levels by 68%”
Complete Guide to Finasteride for Hair Loss
64%Scalp DHT reduction on finasteride 1 mg daily
“finasteride 1 mg daily reduces scalp DHT levels by approximately 64% and serum DHT levels by 68%”
Complete Guide to Finasteride for Hair Loss
68%Serum DHT reduction on finasteride 1 mg daily
“finasteride 1 mg daily reduces scalp DHT levels by approximately 64% and serum DHT levels by 68%”
Complete Guide to Finasteride for Hair Loss
92-94.7%Serum DHT reduction on dutasteride
“92-94.7% reduction”
DHT and Hair Loss: Complete Explanation
51%Scalp DHT reduction on dutasteride
“dutasteride only reduces scalp DHT by 51%”
DHT and Hair Loss: Complete Explanation
What is behind the drawing (11 entries)

Shapes carry claims as much as printed numbers do, and some quantities shape the drawing without appearing in it. Each entry below names the sentence that justifies it.

Drawn asThe decision, and the sentence behind itSource guide
many cycles, years to decadesHow long miniaturisation takes — why the figure shows a sequence, not a count
“typically occurring over many hair cycles spanning years or decades”
Androgenetic Alopecia: Complete Guide
anagen shorter, telogen longerWhat DHT does to each successive cycle
“The anagen (growth) phase shortens while the telogen (resting) phase lengthens. Each successive hair cycle produces a thinner, shorter hair.”
DHT and Hair Loss: Complete Explanation
terminal to vellusThe end state of the sequence
“gradually become vellus-like hairs: thin, short, and barely visible”
Complete Guide to Finasteride for Hair Loss
begun, not yet dormantThe window the guides emphasise
“The window for optimal treatment is when miniaturization has begun but follicles haven't yet become dormant.”
Androgenetic Alopecia: Complete Guide
not-yet-dormant follicles can recoverWhy the window matters
“Follicles that haven't been completely dormant can begin producing thicker, longer hairs again”
Complete Guide to Finasteride for Hair Loss
dermal papillaWhere the androgen receptors are
“contain androgen receptors in their dermal papilla cells”
DHT and Hair Loss: Complete Explanation
hair follicles of the scalpWhere type 2 5-alpha-reductase sits
“Found in hair follicles of the scalp”
DHT and Hair Loss: Complete Explanation
sebaceous glandsWhere type 1 5-alpha-reductase sits
“Found primarily in sebaceous glands (oil glands) in scalp skin”
DHT and Hair Loss: Complete Explanation
no male pattern hair lossThe natural experiment the mechanism rests on
“men born with Type 2 5-alpha reductase deficiency do not develop male pattern hair loss”
DHT and Hair Loss: Complete Explanation
type II and type IIIWhich isoenzymes finasteride inhibits
“Finasteride works by inhibiting Type II and Type III 5-alpha reductase enzymes, which are highly concentrated in hair follicles.”
Complete Guide to Finasteride for Hair Loss
types 1, 2 and 3Which isoenzymes dutasteride inhibits
“Inhibits all three 5-alpha reductase isoenzymes (Types 1, 2, and 3)”
DHT and Hair Loss: Complete Explanation

Where this figure appears

Androgenetic Alopecia: Complete Guide · DHT and Hair Loss: Complete Explanation · Complete Guide to Finasteride for Hair Loss

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