The solution 0.025% Ell-Cranell® alpha (17α-estradiol, Galderma Korea, Co., Seoul, Korea) is a stereoisomer of the female hormone 17β-estradiol and has been used for the past 30 years in Europe, as well as in South America. The drug inhibits the conversion of testosterone to the metabolite dihydrotestosterone (DHT) by suppressing 5α-reductase activity5. In addition, by inhibiting 17β-dehydrogenase, it impedes the conversion process of androstenedione to testosterone, resulting in a reduction in the syntheses of testosterone and DHT6. It also accelerates the conversion of testosterone to estradiol by stimulating aromatase, decreasing the level of testosterone and leading to a reduction in DHT7. In addition, the drug has been reported to stimulate the generation of hair follicular matrix cells8. Clearly the use of 0.025% Ell-Cranell® alphasolution on decreased hair loss in patients with androgenetic alopecia has been shown both effective and safe. Nonetheless, the drug is not imported into Korea, and studies on Korean patients have not been conducted. Therefore, we conducted this study to assess the safety and effectiveness of 0.025% Ell-Cranell® alphasolution in Korean patients with female pattern hair loss.
17-Alpha estradiol inhibits conversion of testosterone to DHT (dihydrotestosterone), reduces synthesis of testosterone and DHT. They also linked to the study above about increase in aromatase in hair follicles ex vivo.
17-B-estradiol (Estrogen) cream topically:
A more accurate blood test of estrogen, using LC MS which is more expensive:
Same test, higher end in estrogen reference range, and the complete opposite result, with the more accurate test.
ECLIA (standard):
LC MS:
- If measuring estradiol levels in patients on fulvestrant consider alternative methods, such as Liquid Chromatography-Mass Spectrometry (LC-MS).
It is also suggested for drugs like Fulvestrant to use the LC MS assay to measure estradiol levels.
This might be the same for 17-Alpha Estradiol.
In my country the difference is $34 USD vs. $60, it says also the more sensitive method is suggested to men.
I find it a bit complicated with different threads for 17-Alpha-E IMO, when the ‘use and experience’ thread started with scientific studies too.