Professional Documents
Culture Documents
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Fagron TrichoTestTM
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Results report
www.fagrongenomics.com 1 / 31
TrichoTestTM Genetic report
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Fagron Genomics, S.L.U carries out genetic tests upon request by healthcare professionals, in relation to biological samples
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from patients obtained by the healthcare professional. Our tests do not replace a medical consultation, nor do they make up a
diagnostic or treatment, nor should they be interpreted this way. Only healthcare professionals can interpret the results of
said tests, based on their knowledge of the clinical records of the patients and other relevant factors and, under their
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responsibility, give a diagnostic or prescribe treatment to the patient. We decline all responsibility derived from the use and
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interpretation of the results of our tests by the solicitant healthcare professional. Fagron Genomics, S.L.U expressly reserves
any legal actions in case of an innapropiate, negligent or incorrect use or interpretation of the results of our tests. It is the
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responsibility of the healthcare professional who requests a test to guarantee to the patient the appropriate genetic advice as
foreseen by Law 14/2007, of 3rd July, of biomedical research. As Fagron Genomics, S.L.U does not have access to the
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personal identifiable information about the patient from whom the sample comes, it is the responsibility of the requesting
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healthcare professional to comply with the applicable data protection Laws and regulations.
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TrichoTestTM Report 2 / 31
Index
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I. Patient identification data
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II. Recommendation of the most suitable drugs and supplements
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Topical
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Oral
Hair care and hygiene
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V. Methodology
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VI. References
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TrichoTestTM Report 3 / 31
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TrichoTestTM Report
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Patient
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identification data
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1.
Patient identification data
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Contact manelfrances@gmail.com
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Gender Male
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TrichoTestTM Report 5 / 31
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II.
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Recommendation
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of the most suitable
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TrichoTestTM Report 6 / 31
• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
2.
Recommendation of the most suitable
drugs and supplements
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T h e genetic test uses an automated qualitative pharmacogenetic algorithm that analyzes the patient's genetic data and
combines this information with relevant patient history to recommend the most suitable active ingredients. Next, we show on
a color scale which compounds the algorithm recommends the most. The transition from white to dark green indicates drugs
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from least recommended to most recommended. Medications blocked due to intolerances or contraindications are shown in
red.
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Anti-alopecic drugs Hair care supplements
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Prostaglandinse O Circulation
• Minoxidil 73% • Arginine 67%
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• Latanoprost Fagron 67% • Ginkgo biloba 67%
• Prostaquinon TM 67% • Caffeine 50%
• L-Carnitine L-tartrate 50%
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• CafeiSome TM 40%
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Antiandrogenic
• Finasteride 86%
• Topical Saw Palmetto 53% Collagen synthesis
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Anti-inflammatory
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• Clobetasol propionate
• Triamcinolone acetonide
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• Hydrocortisone
• Betamethasone dipropionate
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• Desonide
• Fluocinolone acetonide
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• Prednicarbate
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Immunomodulator
• Tacrolimus
Blocked Recommended
TrichoTestTM Report 7 / 31
• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
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• Vitamin E (Tocoferol) 67%
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• Vitamin B7 (Biotin)
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• Retinol palmitate
• Vitamin C (Ascorbic Acid)
• Vitamin B12 (Cianocobalamin)
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• Vitamin C (Ascorbic Acid)
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Minerals
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• Iron sulfate 67%
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• Magnesium Gluconate 67%
• Zinc gluconate
• Zinc acetate
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The genetic test algorithm has selected the following active ingredients for use in mesotherapy. The doctor must prepare the
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The amount and combination of active ingredients to be administered depends on medical criteria.
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Blocked Recommended
TrichoTestTM Report 8 / 31
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III.
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treatment
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Formulas for
personalized
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• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
3.
Formulas for personalized
treatments
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The pharmacogenetic algorithm has selected a series of formulations for topical, oral use or capillary mesotherapy for the
care and hygiene of your patient's scalp. These personalized formulations have been selected taking into account the
genetics, the type of alopecia, and the relevant history of the patient.
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Topical treatment
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Formula
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Minoxidil e O 6%
Finasteride 0.93 %
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Arginine 1%
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IGrantine-F1 TM 0.42 %
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TrichoSol 100ml
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Posology
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Apply at night before bedtime. Leave the solution on your scalp for as long as possible. Wash your scalp the next
day.
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Dr
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Date
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Address Signature
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My Demo Clinic
Fantastic street, 123
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TrichoTestTM Report 10 / 31
• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
Oral treatment
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Formula
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Iron sulfate 33 mg
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Saw Palmetto 202 mg
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Caffeine 23 mg
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Posology
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1 capsule per day, 90 capsules for 3 months
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Signature of the prescribing physician
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Physician registration No.
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Date
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Address Signature
My Demo Clinic
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TrichoTestTM Report 11 / 31
• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
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Scalp care and hygiene
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Topical treatment
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Formula
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Prostaquinon TM 2%
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Topical Saw Palmetto 2%
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Ginkgo biloba 2%
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TrichoOil 30ml
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1-2 times / week, massage for 3-5 minutes and leave it on for 10 min before washing your hair.
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Dr
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Address Signature
My Demo Clinic
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TrichoTestTM Report 12 / 31
• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
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Scalp care and hygiene
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Topical treatment
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Formula
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Ginseng 2%
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Arginine 1%
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Vitamin E (Tocoferol) 3%
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TrichoWash 250ml
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Massage for 2 minutes and rinse
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Dr
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Address Signature
My Demo Clinic
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TrichoTestTM Report 13 / 31
• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
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Scalp care and hygiene
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Topical treatment
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Formula
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Ginseng 2%
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Arginine 1%
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Vitamin E (Tocoferol) 3%
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TrichoCond 250ml
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After washing your hair, apply the conditioner and leave it on for 2-3 minutes before rinse.
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Dr
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Address Signature
My Demo Clinic
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TrichoTestTM Report 14 / 31
• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
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Scalp care and hygiene
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Topical treatment
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Formula
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Arginine 1%
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Vitamin E (Tocoferol) 3%
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Ginkgo biloba 2%
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TrichoSerum 50ml
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After washing your hair, apply on wet hair.
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Dr
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Date
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Address Signature
My Demo Clinic
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TrichoTestTM Report 15 / 31
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IV.
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data
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Complete
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• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
4.
Complete data
Data from the medical questionnaire
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Patient demographics
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Gender Male
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Age (years) 47
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Height (cm) 168
Weight (kg) 68
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BMI 24.09
Family history of alopecia Parents
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Hair loss data
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Norwood-Hamilton Scale
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Type I Type II Type III Vertex Type IV Type V Type VI Type VII
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Clinical examination
Amount of hair loss Nothing
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Patchy alopecia No
Current anti-alopecia treatment No
Previous anti-alopecia treatment No
TrichoTestTM Report 17 / 31
• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
4.
Complete data
Pharmacogenetic results
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1. Anti-alopecic drugs
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Treatment efficacy with prostaglandin inhibitors
Prostaglandin D2
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SNP Activating Patient
Gene Pharmacogenetic result
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(transition) allele genotype
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Latanoprost
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TrichoTestTM Report 18 / 31
• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
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Treatment efficacy with glucocorticoid anti-inflammatories
Glucocorticoides
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SNP Activating e O Patient
Gene Pharmacogenetic result
(transition) allele genotype
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17-α estradiol
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Dutasteride
TrichoTestTM Report 19 / 31
• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
Finasteride
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2. Hair care supplements
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Vasodilatation and blood circulation
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Circulation stimulators
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(transition) allele genotype
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Collagen synthesis
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TrichoTestTM Report 20 / 31
• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
Vitamins
Vitamin A
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(transition) allele genotype
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Vitamin B7
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SNP Activating Patient
Gene Pharmacogenetic result
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(transition) allele genotype
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Vitamin C
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Vitamin B9
TrichoTestTM Report 21 / 31
• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
Vitamin D
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Vitamin B12
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SNP Activating Patient
Gene Pharmacogenetic result
(transition) allele genotype
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Vitamin E
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SNP Activating e O Patient
Gene Pharmacogenetic result
(transition) allele genotype
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Antioxidants
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Antioxidants
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TrichoTestTM Report 22 / 31
• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
Minerals
Magnesium
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Zinc sulfate
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SNP Activating Patient
Gene Pharmacogenetic result
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(transition) allele genotype
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SNP Activating Patient
Gene Pharmacogenetic result
(transition) allele genotype
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TC
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Selenium
TrichoTestTM Report 23 / 31
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V.
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Methodology
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• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
5.
Methodology
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How were the genetic variants studied selected and evaluated?
The genetic test was developed by a multidisciplinary team of medical doctors, pharmacists, geneticists, and programmers,
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following the highest quality standards. In particular, an expert team specialized in the curation of genetic variants reviewed
each variant to ensure that selection, interpretation and impact of variants in the algorithms are based on the highest
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scientific evidence. Relevant patient’s anamnesis (intolerances, diseases, medication, blood pressure, among others) that can
affect recommendations was taken into account through medical questionnaires elaborated by health professionals.
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Level 1A: Annotation for a variant in medical society- Level 4: Annotation based on a case report, non-
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endorsed or implemented in a major health system. significant study or in vitro, molecular or func- tional
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assay evidence only.
Level 1B: Annotation for a variant where the pre-
ponderance of evidence shows an association. The Only variants from level 1a to 2b were selected.
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association must be replicated in more than one
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cohort with significant p-values, and prefera- bly will
have a strong effect size.
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evidence of an association.
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Level 4 Preliminary
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DNA was extracted from the buccal swab sample provided and was analyzed by our clinical analysis laboratory. DNA was
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extracted using the KingFisher Flex® robotic extraction system (Thermo Fisher Scientific). The study of the genetic variants
was carried out using a custom-designed microfluidic card to measure for the chemilumines- cent detection of each of them
using TaqMan® technology. TaqMan® technology for genotyping testing is proven and widely used in clinical and research
settings. The sensitivity (detection limit) of this study is 99%.
TrichoTestTM Report 25 / 31
• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
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The genetic test is an in vitro diagnostic medical device developed by Fagron Genomics and marketed underthe CE-IVD mark
in conformity with European Directive 98/79/EC and the transitional provisions (article 130) of European Regulation 2017/746.
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Fagron Genomics S.L.U.,
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SRN: ES-MF-000001092
C/ de les Cosidores, 150
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08226 Terrassa, Barcelona (Spain)
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What are the limits of this report?
Each genetic marker tested is just one factor that predicts As with all medical laboratory tests, there is a small chance
the likelihood of a particular outcome. However, the lifestyle, that the laboratory may provide inaccurate information.
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diet, and environment to which the patient is exposed may
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impact the expected outcomes. These external factors
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from us to guarantee the interested party appropriate
cannot be taken into account in this report.
genetic counseling in accordance with Law 14/2007, of July
The information in this report is not used to diagnose 3, on Biomedical Research.
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specific care decisions regarding the treatment or Fagron Genomics S.L.U. does not access data identifying
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prevention of androgenetic alopecia, areata alopecia, and the patient from whom the sample comes, so it is also the
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TrichoTestTM Report 26 / 31
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VI.
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References
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• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
References
1. Cranwell and Sinclair. Male Androgenetic Alopecia. 13. Wessagowit et al. (2016) Treatment of male androgenetic
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[Updated 2016 Feb 29]. In: Feingold KR, Anawalt B, Boyce alopecia with topical products containing Serenoa repens
A, et al., editors. Endotext [Internet]. South Dartmouth extract. Australas. J. Dermatol. 57: e76–e82.
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(MA): MDText.com, Inc.; 2000
14. Rossi et al. (2016) Aromatase inhibitors induce ‘male
2. Price (2003) Androgenetic Alopecia in Women, Journal of pattern hair loss’ in women? Ann. Oncol. 24: 1710–1711.
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Investigative Dermatology Symposium Proceedings,
15. Fischer et al. (2004) Melatonin increases anagen hair rate
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in women with androgenetic alopecia or diffuse alopecia:
3. York et al. (2020). Treatment review for male pattern hair- Results of a pilot randomized controlled trial. Br. J.
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loss. Expert Opinion on Pharmacotherapy 21: 603-612. Dermatol. 150: 341–345
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4. Shanshanwal et al. (2017) Superiority of dutasteride over 16. Park et al. (2015) Red ginseng extract promotes the hair
finasteride in hair regrowth and reversal of miniaturization growth in cultured human hair follicles. J. Med. Food 18:
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in men with androgenetic alopecia: A randomized 354–362.
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17. Almohanna et al. (2019) The Role of Vitamins and Minerals
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in Hair Loss: A Review. Dermatol. Ther. (Heidelb). 9, 51–70.
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5. Tsunemi et al. (2014) Long-term safety and efficacy of
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dutasteride in the treatment of male patients with
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androgenetic alopecia. J. Dermatol. 43: 1051–1058.
19. Qi and Garza (2014) An overview of alopecias. Cold Spring
6. Abdel-Raouf et al. (2021) A novel topical combination of
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Clinical, histopathological, and physicochemical study. 20. Pourang and Mesinkovska (2020) New and Emerging
Dermatol Ther. 34: e14678. Therapies for Alopecia Areata. Drugs. 80: 635-646.
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7. Rossi et al. (2020) Efficacy of Topical Finasteride 0.5% vs 21. Kumaresan (2020) Intralesional steroids for alopecia
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TrichoTestTM Report 28 / 31
• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
25. Ucak et al. (2012) The comparison of treatment with 37. Bayne et al. (1999) Immunohistochemical localization of
clobetasol propionate 0.05% and topical pimecrolimus 1% types 1 and 2 5alpha-reductase in human scalp. Br. J.
treatment in the treatment of alopecia areata. J. Dermatol. 141: 481-491.
Dermatolog. Treat. 23: 410–420.
38. Hsing et al. (2001) Polymorphic markers in the SRD5A2
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topical corticosteroid therapy for severe alopecia areata in control study. Cancer Epidemiol. Biomarkers Prev. 10:
children: Comparison of two regimens. Dermatol. Ther. 32: 1077-1082.
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1–9.
39. Allen et al. (2001) The association between polymorphisms
27. Lalosevic et al. (2015) Combined oral pulse and topical in the CYP17 and 5alpha-reductase (SRD5A2) genes and
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corticosteroid therapy for severe alopecia areata in serum androgen concentrations in men. Cancer Epidemiol.
children: A long-term follow-up study. Dermatol. Ther. 28, Biomarkers Prev. 10: 185-189.
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309–317 (2015).
40. Van Gils et al. (2003) The V89L Polymorphism in the 5-a-
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28. Jung et al. (2017) Comparison of the topical FK506 and Reductase Type 2 Gene and Risk of Breast Cancer. Cancer
clobetasol propionate as first-line therapy in the treatment Epidemiol. Biomarkers Prev. 12: 1194–1199.
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of early alopecia areata. Int. J. Dermatol. 56, 1487–1488.
41. Leake et al. (2017) The effect of zinc on the 5a-reduction of
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29. Callender et al. (2020) Safety and Efficacy of Clobetasol testosterone by the hyperplastic human prostate gland. J.
Propionate 0.05% Emollient Foam for the Treatment of Steroid Biochem. 20: 651–655.
Central Centrifugal Cicatricial Alopecia. J Drugs Dermatol.
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42. Wickett et al. (2007) Effect of oral intake of choline-
19: 719-724. e O stabilized orthosilicic acid on hair tensile strength and
30. Gasic et al. (2018) Pharmacogenomic markers of morphology in women with fine hair. Arch. Dermatol. Res.
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glucocorticoid response in the initial phase of remission 299: 499–505.
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leukemia. Radiol. Oncol. 52: 296–306.
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31. Rodrigues et al. (2017) Decreased comfort food intake and loss: A pilot, double-blind, randomized, placebo-controlled
allostatic load in adolescents carrying the A3669G variant trial. J. Dermatol. 35: 763–767.
of the glucocorticoid receptor gene. Appetite 116: 21–28.
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32. Schaaf et al. (2002) AUUUA motifs in the 3’UTR of human minoxidil 5% and adenosine 0.75% solutions on male
glucocorticoid receptor α and β mRNA destabilize mRNA androgenetic alopecia and measuring patient satisfaction
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and decrease receptor protein expression. Steroids 67: rate. Acta Dermatovenerologica Croat. 21: 155–159.
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45. Iwabuchi et al. (2016) Topical adenosine increases the
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33. Van Rossum et al. (2004) Polymorphisms in the proportion of thick hair in Caucasian men with
glucocorticoid receptor gene and their associations with androgenetic alopecia. J. Dermatol. 43: 567–570.
metabolic parameters and body composition. Recent Prog.
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35. Gupta and Charrette (2014) The efficacy and safety of 5 2017 version. J. Dermatol. 45: 1031–1043.
alpha-reductase inhibitors in androgenetic alopecia: a
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TrichoTestTM Report 29 / 31
• Patient name: Man Demo Patient • Patient ID: 12345678Z • Date of Birth: 09-03-1975
• Sample code: TRI39339AA • Sample date: 21-11-2022 • Date of the results: 09-02-2023
49. Shanmugam et al. (2020) The effect of 51. Itami and Inui (2005) Role of androgen in mesenchymal
methylsulfonylmethane on hair growth promotion of epithelial interactions in human hair follicle. J Investig
magnesium ascorbyl phosphate for the treatment of Dermatol. Symp. Proc. 10: 209-211.
alopecia. Biomol. Ther. 17: 241–248.
50. Weger and Schlake (2005) Igf-I signalling controls the hair
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growth cycle and the differentiation of hair shafts. J. Invest.
Dermatol. 125: 873-882.
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te T
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PL
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Together
SA
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