Articles

For typical androgenetic alopecia, remote hair consultations get the diagnosis right in the vast majority of cases. Types of hair loss that need trichoscopy still call for an in-person appointment. We look at what the studies say about diagnosis, why follow-up timelines are the same in both settings and what can honestly be said about price.

Saxenda is not funded by Spain's National Health System: the 5-pen pack costs €283.05 and the 3-pen pack €185.81. We explain how many days each pen covers depending on the dose, why comparing pack prices with Wegovy or Mounjaro is misleading, and what STEP 8 says about cost per result.

One low result is not enough to justify a testosterone prescription. Guidelines require morning, fasting total testosterone, repeated on different days, plus symptoms that fit and a safety check that includes PSA and haematocrit. We explain each test, what it is for and what is known about how it is used in Spain.

In Spain, the only treatment approved specifically for female androgenetic alopecia is topical minoxidil 2%, and a Cochrane review backs it up. We explain what the trials show, what is known about the alternatives used off-label, and what a doctor looks at before suggesting treatment.

In Spain, tirzepatide is sold as Mounjaro and costs between €207.91 and €446.07 per pen, depending on the dose. Each pen lasts four weeks, and the patient pays the full price. Here is the price of each dose, why it is not publicly funded and what pushes your costs up or down.

Female pattern hair loss rarely leaves bald patches; instead it widens the parting and thins the hair gradually. What the evidence says, how it is classified and what is authorised in Spain for women, with the figures from Cochrane and from the AEMPS product information.

Insulin resistance is the central mechanism behind disorders of glucose metabolism, yet it has no standard diagnostic test and no validated list of symptoms. What has been measured is what happens when weight comes off: in DiRECT, 46% of participants with type 2 diabetes achieved remission at one year, rising to 86% among those who lost 15 kg or more.

In Spain, finasteride 1 mg for hair loss is prescription-only, and you should not assume it is funded by the National Health System. There is no verified official retail price (PVP) in the facts available, so the real cost is easier to understand by pack size and how long each pack lasts. At 1 mg a day, a 28-tablet pack lasts just under a month and a 98-tablet pack lasts just over three months.

Mounjaro can start to show weight loss within the first few weeks, but the first month usually coincides with the 2.5 mg starting dose and is a long way from the final result. Trials and clinical practice point to a gradual trajectory: early changes, further loss at 3 and 6 months and a greater average as you approach the one-year mark, with considerable variation from person to person.

What insulin resistance is, why it rarely causes symptoms, what a high fasting insulin level means and what has been shown to reverse it: weight, movement, diet, sleep and, where appropriate, medical treatment.

Female pattern hair loss is not a milder version of male baldness: it looks different, it is rarely explained by hormones alone and other causes have to be ruled out first. We go through what the evidence says about each treatment and where each one really stands in Spain.

When an anabolic steroid cycle ends, your own testosterone usually takes months to come back, and fertility takes even longer. What to expect, what not to do, which tests are ordered and when you should see a doctor without waiting.
Online medical assessment, prescription when appropriate and 1:1 follow-up with this team.