RoutineMonitor at your next scheduled bloodwork.

Hair Loss on TRT

Androgenic alopecia can be accelerated by TRT and AAS, particularly in genetically susceptible men. The driving mechanism is DHT (dihydrotestosterone) acting on follicular androgen receptors, not testosterone itself.

Possible Causes

  1. 1

    Elevated DHT from testosterone conversion via 5-alpha reductase — especially on supraphysiologic doses

  2. 2

    High free testosterone providing more substrate for DHT conversion at follicle level

  3. 3

    Use of high-androgenicity compounds (trenbolone, masteron, DHT derivatives) that directly activate follicular receptors

  4. 4

    Genetic predisposition to follicular androgen sensitivity — bloodwork cannot predict this

Markers to Check

Frequently Asked Questions

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GearCheck provides blood marker analysis and harm reduction education. Information is for educational purposes only and does not constitute medical advice. Always consult a healthcare professional.