The Trichologist Podcast | Episode

Welcome to today's episode of the trichologist podcast. my name is William Gaunitz, certified trichologist and your host of the trichologist podcast.
Today’s episode is sponsored by advanced trichology so go ahead and check that out.
Today i'm going to get into the primary and the most focused reason for people's hair loss concerns.
There are three reasons for hair loss: DHT, nutrition, or inflammation.
What is DHT? Dihydrotestosterone. It's literally a single molecule difference from testosterone, and it is very simple to fix. Follow along my tips to see what the best solution is.
Here are a couple of things for you to know if DHT hair loss is impacting you:
1) If it only affects the top of the head.
2) It is a genetic type of hair loss, so you may be able to trace it back in your family history.
3) Timeline. For men, anytime after the age of 18, male pattern hair loss will kick in after puberty. Women will not have hair loss until their estrogen and testosterone drop off typically after menopause. In women it s known as androgenetic alopecia.
DHT can be reversed as long as the hair follicles have not atrophied. You typically have a period of 3-5 years from when you notice the hair loss beginning.
What are your options?
Men
You can be very effective at blocking DHT by not allowing DHT from being created in your blood. The drug finasteride blocks the conversion of testosterone to Dihydrotestosterone.
In my opinion it should only be used under Doctor’s supervision.
Another path for men, which is the path I choose for my clients, is a more natural way. You can use an internal DHT blocker from Advanced Trichology that decreases the volume of the DHY impact on the hair follicle. It does not change the amount of DHT in your body. It is substantially less effective than Finasteride, but it does not come with any gnarly side effects.
Melatonin can also be used as a DHT blocker when used topically.
Women
NutraM topical melatonin can be a great way to stop DHT, as well as an internal DHT blocker from Advanced Trichology.
If you do have PCOS or are on Hormone replacement that is spiking your testosterone, then you need to decrease it to the 40 range. You need a drug (Spirolactone) that suppresses the androgens.
#DHThairloss #trichologist #androgenicalopecia

[@fefejohns4587]

Started noticing hair loss in my 50… now in my 70’s trying to help keep my hair 🥰

[@WilliamGaunitzTrichologist]

Hi there! If your hair loss is prominent at the top, and you have family history of hair loss, you may have female pattern loss. We recommend the DHT blocker www.advancedtrichology.com/products/dht-blocker-vitamin-with-immune-support-saw-palmetto-and-green-tea and Foligrowth topical serum www.advancedtrichology.com/products/foligrowth-serum. You may also reach out to us at [e-mail] for any other questions - MJ (William’s Assistant Trichologist)

[@mr.diamond2742]

You are doing really great. Please don't stop doing videos. One of the most underrated channel

[@rattylol]

Makes perfect sense, first I've heard on this topic thank you

[@AshishSharma-tk7hh]

This channel deserve 10M subscribers...So informative video...thanks

[@boxyzebra3341]

This was really helpful, thank you

[@lilianvourvouli7023]

Great presentation!

[@julieelliott4047]

I’m 56 and you just described my hair journey for the last 10 years. Last year, I went on HRT and the doctor put me on testosterone and my levels were over 300! I’ve been experiencing rapid hair loss for the past year. Thank you for shedding light into how I can combat this issue. I’m also a hairstylist of 30 years and you think I would’ve known all this! I always thought it was nutrition related and didn’t see the side of DHT because I was not aware of of it.

[@michelecormier8160]

Very informative - thank you for all the great information

[@ramkesh2521]

U look so cute

[@POLYLIVING]

I’m so grateful for this channel! I had no idea it was called trichology

[@WilliamGaunitzTrichologist]

I’m so happy that you found this useful. Check out my latest video which talks about Trichologist does. kzbin.info/www/bejne/g32neneKmpVqY5Isi=eaVrJVxL0qqe84C_

[@sherryclark5666]

Hi William! As one of your colleagues I thought this video was awesome and packed with great information. I love how you broke down DHT. It was easy to understand 🙂 👏🏾👏🏾👏🏾

[@philipreed6893]

Dr. such important information! Thank you , at 69 a male my hair loss is really accelerating so this will help me.

[@WilliamGaunitzTrichologist]

So glad to hear that you find our content helpful! Don't forget to subscribe to stay informed! :) - MJ

[@cierrabennett206]

I was on the depo shot for two year which lead to my hair loss. Unfortunately, doing so tricked my body in perimenopause and I have been battling hair loss on the crown and temples ever since. I hope I am able to recover based on thr information provided, along with eating for my blood type and reducing inflammation. Thank you!

[@chal3t]

Yes I took the depo shot just once and had hairfall like you will not believe. I feel like my hair never recovered.

[@TheLifeForceHealthCenter]

I have had female pattern baldness for almost 20 years. I still have ok hair but the frontal area is awful and only getting slowly worse. You have explained and identified what is going on more clearly and (what seems) accurately than any of the countless people I have listened to over the years. Thank you! I prefer not to do an estrogen patch and a natural progesterone supplement. However, without them, I tank out and it is difficult to function. I am trying to figure out the absolute minimal dose of both to keep my energy, sleep and brain on point. But I can't use much of them, otherwise they give me headaches and my hair massively falls out. I know your speciality is hair. Any thought or recommendations for me for the hair and the hormones? Thank you for all your hard work. Blessings, Gretchen

[@agnes3096]

Could you please talk about trichoscopy? How is it used for diagnosis? Difference between CTE and Aga.

[@patrix1987]

As a female, I started experiencing DHT related hair loss in my 20s. Both my mom and my dad had it. Also I have a form of non classical CAH that "helped" with this.

[@THE.MIMIC.SHREK_ALT]

This is exactly what I have!!! DHT related hair loss!! Wow, at least Finally know what to call it but now, what to do about it. Thanks so much Dr for giving us some insight as to what this is and what we can do about it. I’m losing mine, right in front, a patch of hair exactly where you described. My Mother , sister and grandpa also has/had this. I kinda figured I’d inherented it. Ugh and it’s gotten really worse these past 3 years or so. I’ve been taking the Foligrowth and DHT Blocker going on 3 months. Seems like I feel baby hair coming in. My hair is a lot shinier, more manageable and overall, healthier looking but I’d say that I’ll probably have to take these vitamins for the rest of my life and I don’t know if I could afford them or not. I bought this serum called Keranique but just started using it. I don’t wanna Lose ALL of my hair. My Mom ended up wearing a hair piece then a wig. I hope I can at least stop my hair loss. I don’t see as much hair falling out when brushing either. Seems like amazing vitamins. Just hope I can keep taking them. Thanks again so much for all of this info!!!

[@WilliamGaunitzTrichologist]

From William’s Assistant Trichologist MJ: Hi Amy! Thank you for your comment! We're glad that you're already on some of our products to help with your hair loss situation. We highly recommend the NutraM topical scal serum for DHT related hair loss. You can find this product here: www.advancedtrichology.com/collections/hormonal-hair-loss-products/products/nutram-melatonin-hair-serum. In terms of cost, we offer tiered pricing on the website to help with the cost. You will get a discounted price if you order 3 or 6 bottles OR subscribe to the products for 15% discount per product. If you have any questions, please don't hesitate to let us know!

[@debbievinsant4610]

Mine started 24 years ago when I gave birth to my daughter that seems that is when all my problems happened many doctors no help at all!!!! I was 25 and my hair was falling out in clumps no one would do a hormone test on me no one really cared at all! I have now started taking Dr bergs hair vitamins and really watching you and Dr berg using hair care from Dr berg and I do see a difference but as you said I’ve been in it for along time it is depressing that I couldn’t get help younger now I just try to keep what I have

[@pcq96]

Thank you for this, very informative per usual. I do have a quick question, can an elevated DHEAS cause female pattern hair loss even if testosterone levels are normal? Or does testosterone need to be elevated as well jn order to cause hair loss? This is where I get confused. I’d appreciate your insight!

[@judes1948]

Thank you for your very informative sessions. I’m having to learn everything on my own. I’ve shed half my head of very thick, fine hair in the last 6 years. When my hair is parted, where before a part was barely seen, now is 1/2” on the full crown of my head! There’s so much loss that I plug the shower drain so the water leaves the shower very slowly. My hair is everywhere! My GP doesn’t seem to take my situation as seriously as I do (the dreaded ‘age-related’) as it is for me. I’ve taken my husband to an appt as backup who agrees it’s not normal, trying to be referred to a dermatologist or a hair-loss professional. My GP doesn’t think I need one, but did speak to a dermatologist about what she considered was my situation, and they decided I should see a counsellor for stress. Yes, I’m stressed, a lot due to losing my hair and the lack of support! In the past, seeking help, an MD told me my shedding is normal ‘for my ageI’ and I should be glad my scalp wasn’t pinker than it is like lots of women! Infuriatingly patronizing! I know what normal is. This is NOT! …. I am shedding my hair all over, but more heavily on the complete crown area. From all the info I’ve read, your podcasts, my family tree (maternal uncle and grandfather) and without professional support or guidance, I’m leaning more towards Androgenetic Alopecia and DHT. I take a number of hair support supplements already (D3, biotin, ferritin/iron - I’ve been low in Ferritin in the past, omegas, Folexin, etc trying to help my situation. I can’t get any prescribed meds without a doctor’s support, but perhaps there’s OTC supplements with DHT blockers that I can order? Would you have a recommendation? Please help me before it’s too late and nothing can be done. Thank you!

[@WilliamGaunitzTrichologist]

From William’s Assistant Trichologist MJ: Hey Judy! We'd like to get a better understanding of your hair loss situation so we can recommend the best treatment plan for you! Please call us at 480-222-4247 or email us at [e-mail] so we can set up a phone consultation for you! We'd love to help in any way we can!

[@Genius-ze5dc]

I'm surprised they won't give you Propecia. I've yet to meet a Dr. that wasn't jumping at the chance to get me on as many prescription medications as possible.

[@anniematthew2608]

How frustrating that your doctor won’t send you to a dermatologist, what is up with that type of control!! Continue insisting. Tell the doc you are researching this & your hair loss is not considered “normal”. 🙏🏼🙏🏼 that he lets up. If you were to need a wig - I recommend, Michele’s Hair Closet. ❤ Best wishes.

[@anniematthew2608]

How frustrating that your doctor won’t send you to a dermatologist, what is up with that type of control!! Continue insisting. Tell the doc you are researching this & your hair loss is not considered “normal”. 🙏🏼🙏🏼 that he lets up. If you were to need a wig - I recommend, Michele’s Hair Closet. ❤ Best wishes.

[@lisamcconnell1478]

I have been under treatment of a dermatologist for the past 7 months for hair loss. At the moment I am losing copious amounts of hair. I’m scared to wash it because it comes out in large clumps and I feel a few more washes I won’t have any left. I never got a “ name” for my hair loss. I was put on vitamins, oral medication for awhile. Oral minoxidil. I had stopped this medication a couple months back as insurance didn’t cover it. My dr. said I should be okay. She told me to continue vitamins. Needless to say she now wants me to go to a different Dermatologist Group that could do more for me? So no I have probably another 6 month wait. I’m at my wits end but is there a shampoo that really doesn’t aggravate fine thinning hair?

[@melissatonini9734]

Thanks so much for your KZbin video that popped up in my feed today. I’m definitely the inflammatory type of hair loss andI have chronic Lyme. Will be treated by a special holistic program in June of 2024 when can afford. In the mean time which of your products are best for chronic Lyme hair loss?

[@kathystclair9485]

I'm a 67 year old female who has been coloring my hair for almost 3 decades. I am on hormone replacement minus the extra testontrone and I don't seem to be experiencing thinning of the hair. I've just discovered your channel long enough to listen to a few of your videos. My question is does coloring hair cause hair loss? I've not heard you mention that so far. Thanks for your well informed videos.

[@kbiz261]

Hi. This was very informative I was just diagnosed with CCCA on top of the seborrheic dermatitis. I am currently on clobetasol and minoxidil but still experiencing soreness on my scalp.

[@wanda9580]

I also have inflammation and seb derm. Sometimes reducing dairy and sugar helps. Anti inflammatory diet

[@RockPrincessLT]

Hello, one dermatologist I went to recommended me a shampoo/serum products duo containing thymic peptipes (Brand Thymuskin) for chronic telogen effluvium treatment. I wonder if thymic peptides are safe to use, can they affect hormones in any way? Would love to hear from you about this topic.

[@mariateresapatzi4571]

Thank you soooo much 😅

[@annap9441]

Loved this video . I have this kind of alopecia , as my mother, father, sister, aunt… I think hormone replacement can really help but the pellet form is too risky, there are other forms , gels , patches , that can be better controlled the dose and you CAN STOP them if it symptoms occur. You can’t remove your pellet if you get acne or hair loss 😅 I am 43, using now only 2mg/day transdermal testosterone and feeling great in the little things I wanted to improve. Taking saw palmetto and I am not noticing a worsening in my hair. But I do need some solution other than dutasteride or finasteride, I tried it 2 months and I felt miserable, depressed (and I am a really joyful person), short cycles , low libido …. Never taking that again. I am interested in the melatonin topical option, do you ship to Spain? I read somewhere that some doctors also recommend topical formulations with estrogen and progesterone, would be great a video about that😃😃😃

[@jayk284]

I have a question about Finasteride. What happens when you stop taking it, does your hair rapidly fall out as if it was never taken or does the hair loss process begin from when stopping the Finasteride such as pausing DHT contributed hair loss while on Finasteride. I ask because I heard with minoxidil if you stop, the hair maintained falls out. Thanks in advance for answering my question.

[@dreamzzz610]

What is the best way to determine the cause of hair loss? Any particular blood test etc?

[@jesscouch8397]

I had low dht until I started testosterone low dose T is converting to DHT I am taking oral minoxidil 3 mg finasteride plus estradiol But I was losing hair before dht .. It was low 3 months ago So hormones can also play a significant role for hair loss I took 10 mg dhea and hair became so greasy !!! I used to take it but I can’t anymore…. It all started after iron ivs last year 2022 Had COVID hair loss 2021. Prp my hair grew back beautifully It was after iron ivs that everything changed w my hair Iron overload

[@domingasmiguel8970]

I’m so subscribe to this Chanel

[@botanmarius6870]

Doc, I've got a question. Is it ok to use topical minoxidil 5 %, finasteride 0.1 in conjunction with the DHT Blocker from Advanced Trichology? Thanks

[@Myraisins1]

Hello. What are your thoughts about Minoxidil for women? Also is there topical spironolactone? Can Minoxidil and Spironolactone both be used together?

[@CcCc-en8jw]

I have a question. I used saw palmetto but it give me big cystic acne and make my acne worse. Should i go on with it or stop. Do you have an alternative?

[@afrodite-love]

Thank you Will! How can people outside the US reach you or get a consultation? Not sure I like the quiz then pill recommendations. Best wishes

[@WilliamGaunitzTrichologist]

From William’s Assistant Trichologist MJ: Hi there! Please email us at [e-mail] or call us at 480-222-4247 so we can help out!

[@pentecostkid20]

Hello Dr.! I bought your products but I’m wondering if I do all of the “big three” as you say, (melatonin, natural supplements, AND finasteride), is that not dangerous in anyway? Will there be any reactions with all those things at the same time? I’ve always been healthy generally and never have taken any kinds of medications. Great info! This is all fascinating! I can’t wait to try the products when they come in the mail! Oh also, what if I do all of those 3 and add topical minoxidil? Would there be reactions with the melatonin? Seems like two strange things on the scalp at the same time! Thanks!

[@ibienekiri-kalio831]

Thank you doctor for your brilliant information. I am a 53 year old female suffering thinning at my crown and itchiness and burning which has led to hair loss and now thinning above my nape. I am scheduled to take the iron, ferritin, d3 and zinc tests after which i plan to purchase some of your products. I do require some further information on 2 of your supplements. Does your dht blocker which includes zinc also include copper in its formulation? I understand higher levels of zinc decrease copper levels and it is recommended to include copper at these levels. Precisely what is the strength of zinc in the formulation. Also, does your d3 supplement include k2 which i understand is very important to keep calcium out of the arteries at higher levels of d3.. If not do you advise that i take a k2 supplement with this and what strength k2. Separately, my recommended treatment plan includes 3 months dose of injectible steroids to deal with the itchiness, burning and general thinning. Is this the way to go? Thank you

[@elles2580]

Hi, very interesting. I am 73 and I have had a lot of stress since June, but noticed my parting was getting looking different and hair was coming out. I think dht by the sound of it. When I was 40 an endocrinologist gave me spirlonalacton for ideopathic edema and within 2 and a half months I put on 3 stone went back to my gp and she said she couldn’t understand why he put me on it as I had already enough estrogen in me. So do you think just the nutri melatonin if I can get it in U.K.? Just looked on Amazon and cannot see the nutri melatonin .

[@indiasamara]

What would hairloss that is mostly on top but also more on one side (right side) be? Also does dermal rolling work on areas that have miniaturized follicles?

[@asharamanathan]

Hi doc! Your videos are really awesome. How long should I take the dht blocker supplements. Will it cause hair loss if I stop taking them over a period of time?

[@WilliamGaunitzTrichologist]

From William’s Assistant Trichologist MJ: Hi Asha! Thanks for your comment! To answer your questions. please watch this video: kzbin.info/www/bejne/hWHHcpx9d6aajJI. Please feel free to let us know if you have any additional questions!

[@asharamanathan]

@@WilliamGaunitzTrichologist thank you so much Doctor!!

[@leighannchapman-nile5208]

My hair thinning is all around my hairline but not the crown or top so much. My hairline has ridden up in the back and I am thinner at the temples. My crown area is still quite thick. Really trying to fine-tune my approach. Sort of sounds like DHT but doesn't at the same time. I went through a big shed a few years back that I think was due to Covid. I have very little shedding in the drain now. I am 56 and post menopausal and on HRT. Thank you :)

[@nicolaraynard5109]

another great pod cast and so many questions answered. My jaw dropped when you talked about the hrt as this was what happened to me. My father was bald and his father too, i started mildly thinning at around 30 but it wasnt an issue as it was so mild. last year i started a keto diet in the january and started HRT in June. July my hair started falling out badly and the doctors were blaming the diet. I changed the HRT to on e lower in testosterone after reading about hair loss but it was still falling out badly untill i was a emotional wreck!! i came off the hrt in october and started taking the DHT blocker in febuary this year (so 6 months ago) and my hair is so much better. I have a question, will i need to continue with the DHT blocker or is this a blip that will recover itself? Many thanks for all the great info i have passed on to others.

[@WilliamGaunitzTrichologist]

From William’s Assistant Trichologist MJ: Hi Nicola! Thanks so much for your wonderful feedback! Yes, you will need to stay on DHT Blocker ongoing. If you are genetically sensitive to DHT, you will have hair thinning at the top of the scalp regardless if you're on HRT or not. The testosterone just exacerbates the hair loss. We recommend using the NutraM with DHT Blocker for more protection against DHT www.advancedtrichology.com/collections/hormonal-hair-loss-products/products/nutram-melatonin-hair-serum

[@Sarosh9696]

Is prp beneficial for androgenic alopecia ( dht related hair loss)?

[@gif24gt60]

Can topical progesterone cream applied to scalp help hair loss?

[@Miakia41]

I have female pattern baldness but I was diagnosed with Pcos too should I ask for a blood test to see if I'm having DHT loss

[@mariefrancepierre2007]

Hair loss it’s a big problem now I like to know for a woman over 50 years old what you recommend for her specifically after those considerations you made. Can we expert big things?

[@asharozario558]

Thank you for the info! As a woman in my 50s going through menopause I have lost about 50% of my hair volume, primarily top of head, near temples and back of my head. Should I try melatonin topical or go for minoxidil? Any recommended oral supplements? Thank you in advance!

[@tjayt5007]

I’ve seen lots of people online say they got side effects like ED, low libido, and gyno from saw palmetto

[@matteopepe28]

I'm looking to go the natural route before finasteride. How long should I try Advanced Trichology DHT blocker before i assess if it's working or not?

[@Judiopolis]

What are the most appropriate levels

[@Raja-eu6og]

Hello doctor..... can progesterone benefits of blocked dht?

[@quitaw.7722]

Hello I'm 65 years old I think I have been losing maybe for I mean really losing hair for about 6 to 7 year I went to a Dermatology and she took sample of hair follicles to see if I suffering from Androgenic alopecia. and another type of hair lost have not gotten my results back yet. My question is do you think I waited to long to treat my hair loss, it started from a part at the top of head and now it spreading out. another question is if I were to get back on a estrogen pills, would that stop the test Terone from producing and also spirolactic pill is use for diarectics and high blood pressure I do suffer from that , I might have my physician to change Losartan. but first i will see what my results show. I love the way you explain hair lost, I really could have jump on this in life, but you live and learn. I have locs in my head, I'm a black female, is their a different of hair lost with different races? I make sure not to twist my hair to tight, I went for a long while not washing my hair, but I don't to that anymore. Look forward to hearing from you. Thank you.

[@WilliamGaunitzTrichologist]

Oh, there’s a lot to unpack here… Simple answer is longer. The hairs been gone the harder it is to get back. there may also be inflammatory complications with the medication’s that could be making the androgenetic alopecia worse. Everyone is an individual so for me to completely answer those questions correctly I would need to have all of the information at hand during a consultation. All good questions though.

[@msme2400]

The pill caused my hair to begin and not stop thinning and I'd like to try red light and laser therapy. Do you have any recommendations? I think I have a mild form of pcos also because I've got cysts on my ovaries all the time. I'm regular and have had children but Dr Vivek Joshi says that many women are as well with pcos..if that makes a difference on a light therapy you'd recommend.

[@hermesorozco1873]

Hi Doc, I live in NYC do you recommend a tricologyst in the city?

[@user-dx9yf6ir2m]

Sir progesterone capsule good for hair loss?

[@namename4479]

What do you suggest for those with hypothyroidism?

[@manie3232]

I'm 59 now..I think I noticed my hair recedding in my late 20's. I'm now virtually all bald on top. Neither my dad or my brother have any hair loss. Although, I don't think my dad's dad had any hair loss either and never knew my mom's dad . At my dad's family reunions I don't really see any guys on his family that I recall that are bald.

[@aprilmoore5552]

Is it possible to have Androgenetic Alopecia with normal to low DHEA, low DHT and really low testosterone? All are below normal on bloodwork. 46 year old woman major shed all happened within past 7 months....no issues prior but mom and dad both have some pattern hairloss.

[@WilliamGaunitzTrichologist]

From William’s Assistant Trichologist MJ: Hi April! While it's possible to still have androgenetic alopecia regardless of the hormone levels, there might be something else that is causing or contributing to your hair loss because excessive shedding is not typical for androgenetic alopecia. Please feel free to call us at 480-222-4247 or email us at [e-mail] so we can help out!

[@rajabottom9468]

Sir can estradiol velerate pill safe for reduced dht??

[@abdcricket76]

Hello sir .GOD bless you.i am blessed that I am talking to you .I feel very happy .It may be I am your single subscriber from Pakistan.i m 27 years old .I am facing hair fall problem for 4 years .please recommend some supplement that I can buy from Pakistan.

[@WilliamGaunitzTrichologist]

From William’s Assistant Trichologist MJ: Hi Ali! Thanks for your comment! We're happy to help! Please take the hair loss quiz on our website here: www.advancedtrichology.com/pages/quiz. At the end of the quiz, it will tell you what type of hair loss you're dealing with and the products that will work for you! You may also contact us for further questions here: www.advancedtrichology.com/pages/contact-us

[@bene88597]

Which melatonin should we use? Do you mean the drops that are meant to be taken oral instead of eating them we should drop them on dry scalp?

[@rajabottom9468]

Sir estradiol varelate pill can use for block dht??

[@robertahernandez5607]

Hello Doctor, Im not sure where I stand with my hair, Im 65 years old and started losing hair for about 7 years or more. I don't have any bald sports. My has gotten really thin, and my hair shedding just doesn't stop. My hairs sheds when washing or brushing my hair. I thought I had DHT, because I have peach fuzz on my face. Im not sure what is going on, can you give me any advice on what might be going on. Thank you for all your videos, your amazing.

[@WilliamGaunitzTrichologist]

Sounds like postmenopausal DHT related hair loss probably exacerbated by some other issue like nutritional components. Do you need to check all of your bloodwork to ensure they're in the optimal levels and block the DHT internally and externally and use a growth stimulant like laser

[@abuh.dahdah]

Can you recommend a drug that has Finasteride and biotion together that we can buy in our local drug store?

[@EveIllTrees]

I feel like I have DHT, Low ferritin, and inflamation related hair loss..... all of them

[@jonanthony6078]

Been diffuses foe 20 years probably caused by fungus ,got scalp fungus free for a long time but no regrowth sides are really thick

[@WilliamGaunitzTrichologist]

From William’s Assistant Trichologist MJ: Hi Jon! That is most likely DHT related. You can typically reverse 3 years of hair loss if you block the reason for hair loss.

[@Lucky-uz6jk]

Hello Doc - I thoroughly enjoyed this I give you five 🌟 stars !!! I am on a hair loss medication that is compounded from a specialty pharmacy from my dermatologist which is Finasteride / Spirolactone. / Minoxidil mix - apply to affected areas bid - any thoughts on this ?

[@charlenesuber1043]

I on Iclusig chem drug, I attributed that for my hair loss. I am also on Est/Test cream. Should I d/c the testosterone?

[@WilliamGaunitzTrichologist]

Hello there! It's most likely the chemo drug that is causing your hair loss. Did you experience increased hair loss when you began using testosterone cream? - MJ (William's assistant trichologist)

[@michellerouse7039]

Hi I noticed my bald spot and hair loss in the center of my scalp at age 40.I am 41. I have struggled with unwanted facial hair since my late teens early 20’s. I also was diagnosed with MS in 2020. In the last 6-8 months my hair loss has been aggressive. While, waiting to see a Dr, What are my options? What can I do to help and slow down progression? I believe it could be DHT related.

[@Nick-pd8xl]

Hi William is there a way I can contact you to get your opinion on something or just post it here v

[@fatimadafonte7699]

Hello DR....I've had female pattern baldness for over 50 yrs.....is there any hope for me? I've been massaging and using rosemary oil alternating with green tea rinse for 3 months now and would highly appreciate your opinion. Am I wasting my time?

[@papazjose1274]

Have you listened to this video? Asking because he answers your question in this video

[@jimmynapier136]

Where is a great place to purchase the all natural products that you were talking about.

[@WilliamGaunitzTrichologist]

Advancedtrichology.com

[@rachelsmename6]

Where do I find Nutri M the topical melatonin please?

[@ralphramirez1979]

My scalp stinks with hair loss and dandruff. Any recommendations?

[@susanhenshall197]

Hi, what is your opinion on using dermarollers?

[@WilliamGaunitzTrichologist]

From William’s Assistant Trichologist MJ: Hi Susan! A lot of people swear by it. Technically it's ok to use as an adjunct to the treatment but should not be used if you have scalp condition/inflammation.

[@carollima20]

I have dht and areata hairloss diagnosed by a dermatologist/trichologist about 4 years ago. My testosterone levels and other hormones then was normal for women, in the normal levels. So, is it possible to have dht loss and normal hormones levels? 🤔 I took the genes from my father. I did the treatment with minoxidil and other things the dermatologist passed, it got better a bit. Now, when i took photos of the top (crown) of head (i took with the wet hair after shower to see better) see I still have few hair in many areas. So i´m trying to take care alone now. I´ve never liked minoxidil or other tonics (the smell and it dries the hair, my hair is already very dry, curly). I´ve started doing oiling with pure castor oil, almond oil, rosehip oil... daily when i can. So i massage the scalp, stay some hours or minutes and wash very well (shampoo 2 times). I´ve seen a video you say to wash daily for hairloss, so I´m trying to almost daily. For me it´s much better this way than to apply minoxidil or other tonics, as oils nourishes my hair dry too. Have not seen results yet as it´s very recently, but ayruveda recommends oils like castor oil (one of the better) and others to fortify, growht and better sclap. So, I´m giving a try. Later, I´ll take photos to see if some changed... I´m liking the channel, thanks a lot! 😊🙏

[@chal3t]

I’ve also been told my levels were within the “normal range.” But clearly it’s not normal for me or else my hair wouldn’t be thinning and coming out.

[@carollima20]

@@chal3t i've likeing doing scalp massages with a pure oil mixed with lavanda, pipermint and tea tree...

[@chal3t]

@@carollima20maybe I’ll try doing that bc losing my hair is no joke.

[@carollima20]

@@chal3t is very easy, let the oils some time before washing. 10 minutes is already good to stimulate growth, longer the time better...

[@davidguillory1240]

I’m 23 and have been experiencing AGA since I was 18. I’m currently at a NW3 or NW4 would you recommend finasteride or would the natural supplementation be able to make up for ground lost?

[@WilliamGaunitzTrichologist]

From William’s Assistant Trichologist MJ: Hi David! We'd love to know more about your hair loss sitation so we can recommend the best treatment plan for you! Please feel free to reach out to us at 480-222-4247 or email as at [e-mail]

[@josepe2448]

​@WilliamGaunitzTrichologist why does finasteride cause me bad chest discomfort and pains and fatigue? (Not gyno)

[@jcastro6650]

I did not hear you speak about minoxidil and weather this can be used in the early stage of male pattern hair loss?

[@WillGaunitz]

That’s right you did not. Minoxidil is a Growth stimulant and does not do anything for DHT. So because of that, I did not speak of it in this episode. If you have all of the underlying reasons for your hair loss under control, then minoxidil has a fantastic way to simulate growth from resting hair follicles

[@jcastro6650]

@@WillGaunitz thank you for your response. I will continue watching and visit your website.

[@user-rg4ef3kw7r]

Hi I started IUD MIRENA and my hair broke off! And thinned a lot my hairline is see trough. I found out the MIRENA is androgen hormone and might cause hair loss, can I take DHT blockers?

[@WilliamGaunitzTrichologist]

Yes, that is recommended especially if you have family history of hair loss and if your hair loss is prominent at the top or frontal hairline! Use Foligrowth topical serum along with it for best results www.advancedtrichology.com/products/foligrowth-serum - MJ (William’s Assistant Trichologist)

[@Pam-om2xm]

I noticed my son's hair thinning 2 years ago at 16 1/2. MPB runs in my family, as my Father and Brothers started losing in their late teens/early 20's. Had my son's DHT checked last year- it was around 55, which Dr. said was normal. Hairline has continued to recede. Where do I go next with this? I am desperate to try to help him. Nervous about oral finasteride, so don't want to go that route....

[@WilliamGaunitzTrichologist]

From William’s Assistant Trichologist MJ: Hello Pam! When someone is losing hair since their teens there's usually nuritritional deficiency or sensitivity that is diriving the early onset of the hair loss. Most young people below 25 yom their vitamin D3 is low. Did you get his his ferritin and vitamin D3 checked?

[@Pam-om2xm]

@@WilliamGaunitzTrichologist He had bloodwork a year and a half ago and everything came back normal. We assumed since my father and both brothers started losing their hair in late teens/early 20's, he was following suit. His DHT was 55 at the time. Is that high? He went through puberty early and stopped growing also at a very young age....wondering if there is anything else we should have done/should be doing?

[@sl4983]

@@Pam-om2xm Did you actually look at the levels in the blood test?

[@chal3t]

I can’t tell which one I’m dealing with. But my hair is definitely thinning and I have bald spots above the temple areas on both sides. Help!

[@shannanjwilliams]

I use a compounded hormone cream daily. It has progesterone, estradiol, and testosterone. If I take the DHT blocker, will that negate the hormone cream? My ovaries have been removed.

[@WilliamGaunitzTrichologist]

From William’s Assistant Trichologist MJ: Hi Shannan! Thanks for your comment! No it won't because our DHT Blocker won't have any influence on your hormone levels. It will simply block the uptake of DHT at the hair follicle receptor. It's even recommended so you have some protection against DHT. Use it along with NutraM for best results. You may check these products here: www.advancedtrichology.com/collections/hormonal-hair-loss-products

[@talhakhan842]

Sir, I was kinda confused cuz I thought I had inflammatory hair loss because of dandruff, and itching, and my Vitamin d3 levels are also low. But I'm losing more hair in the frontal hair line which indicates the DHT-related hair loss. Other than that as you said, we have to take block DHT and as well as address other factors. So, I'm on Finasteride, Minoxidil, Rosemary Oil, taking Zinc, and Vitamin D3 capsules. May it help me to gain my hair again, particularly in the frontal hairline.

[@WilliamGaunitzTrichologist]

You have all three types of hair loss based on what you just said. You have to treat all three.

[@talhakhan842]

@@WilliamGaunitzTrichologist Thanks you

[@muhammedatif8975]

Hi Dr I'm from India i think I have DHT cause hair loss then how can I get that your product

[@gmail729]

What about finasteride in gel ?

[@Ulkerson34]

I use bioidentical testesteron gel dhea and pregnenolon....i am 44 year old women..i use zink biotin iron selenium..i think after this video i loose so much hair because because of the testesteron? I am unsure because my levels are low..taking iron every day since 2 weeks again..i am really sick of this hair loss😢

[@Deoxyboz]

Can people tell me if consuming Soya or other oestrogen for men, can help the hair fall for aga ? Thabks you

[@Raja-eu6og]

Doctor please help can progesterone can help hair regrowth??

[@ryanmurphy550]

If a person is on Testosterone Replacement Therapy which elevated DHT to the point of hair loss, that otherwise would not have occurred, would discontinuing TRT bring your hair back due to your DHT levels going back to the level that would not have affected your hair?

[@WilliamGaunitzTrichologist]

That is a great question. Basically no. Not without stimulation from Laser, minoxidil, or PRP, or all of the above. the reason for it is that DHT causes miniaturization of the hair follicle which means once it’s in the resting phase. It will shrink because of the DHT. The body has no reason to attempt to rehabilitate that hair follicle that you must create some type of stimulus to encourage recovery. if the hairs have been in the resting phase for an extended period of time, it is very possible that the miniaturization may be more permanent.

[@nancybrown9925]

A dermatologist told me to use minoxidil for my hair loss. Most of my hair loss is on the crown of my head, but there is thinning all over. I'm confused as to what to purchase to help me? Thanks!

[@sabrinathompson4678]

Tried that too.. doesn't work

[@charlenesuber1043]

What OTC drug is compatible to melatonin for hair application?

[@WilliamGaunitzTrichologist]

Hi there! Thanks for your comment! You can find a ready to use topical melatonin here www.advancedtrichology.com/products/nutram-melatonin-hair-serum. Hope this answered your question! - MJ

[@ananawad6525]

Hey doctor , is vitamin c (citrus , strawberry) could help supress dht formation in the body? Drinking green tea , eating pumpkin seeds daily , all these things could help reducing dht in blood?

[@WilliamGaunitzTrichologist]

I appreciate your interest in exploring natural ways to potentially manage DHT levels in the body, which can have implications for hair health. While there's some evidence to suggest that certain vitamins and minerals may play a role in regulating DHT levels, it's important to approach these claims with caution. Vitamin C, found abundantly in citrus fruits and strawberries, is indeed an antioxidant that contributes to overall health, including the health of your hair. However, there isn't substantial scientific evidence to directly link vitamin C intake to suppression of DHT formation in the body. Similarly, green tea and pumpkin seeds are often touted for their potential health benefits, including their ability to influence hormone levels. Green tea contains compounds called catechins, which some studies suggest may have anti-androgenic properties, potentially affecting DHT levels. Pumpkin seeds are rich in zinc, which is involved in hormone metabolism, including that of DHT. However, it's essential to understand that the effects of these dietary components on DHT levels may be modest at best. While incorporating a balanced diet rich in vitamins, minerals, and antioxidants can certainly support overall health, they may not be sufficient on their own to significantly alter DHT levels in the body. If you're concerned about DHT levels and their impact on your hair health, I recommend consulting with a healthcare professional, such as a trichologist. Take our hair quiz✅ www.advancedtrichology.com/ Melissa / Customer service www.advancedtrichology.com/pages/quiz

[@Peterjamesjohn23]

I'm a man and I inherited mine at 19 years old from my grandfather on my dad's side.

[@niks8924]

I'm at 23 and i m suffering from severe hair fall . I think this is DHT related hair loss. What should i do...?

[@Sam-ig9py]

Hi William, I would like to know if your DHT supplement helps with hypothyroidism hair loss. A woman, 46 years old, is taking medication for hypothyroidism but does not see her hair grow back as thick as normal as it should be. What do you think the problem is? Thank you very much in advance for your suggestion.

[@WilliamGaunitzTrichologist]

Hello! I appreciate your question. While a DHT supplement may help address hair loss related to androgenetic alopecia, which is influenced by DHT, it may not be the primary solution for hair loss associated with hypothyroidism. Hypothyroidism can lead to hair thinning and loss due to disruptions in the normal hair growth cycle. In such cases, it's crucial to focus on managing and treating the underlying thyroid condition. The medication for hypothyroidism is a key component, and ensuring optimal thyroid hormone levels is essential. Additionally, a comprehensive approach to hair care can include a well-balanced diet, proper hair care practices, and potentially consulting with a healthcare provider or a trichologist for personalized advice. Take our hair quiz✅ www.advancedtrichology.com/ Melissa / Customer service

[@Sam-ig9py]

@@WilliamGaunitzTrichologist I am sorry to find your answer so late, yet I appreciate your answer. Thank you so much.

[@timbaktuthankgod2737]

Can a 39 year old receding hairline or losing hair scalp grow back hair it had at the age of 18?

[@WilliamGaunitzTrichologist]

I don’t completely understand the question. If you’re saying can a 39-year-old grow back a frontal hairline that they had when they were 18, no, that is far too long for that hair to have been gone.

[@usr829]

Hi Doctor, Does Masturbution cause to increase the DHT?

[@anniesshenanigans3815]

not buying drugs... so I guess I will just follow in my family footsteps of having a huge comb over in about 10 years.

[@piyasharoy1459]

I'm 22 and, I was on birth control pill as I had irregular periods. After taking it for 2 years, I have stopped taking it and my period is normal now, but my hair is falling since 3 months of stopping birth control. The hair on my crown area is really thin now and my hair is falling from temple too. I'm worried. It affects my mental health 😔. Dr. Can you please help?! Please

[@WilliamGaunitzTrichologist]

The thinning could be nutritional due to low ferritin after years of blood loss and could also be hormonal related like I covered in this podcast. We are happy to help

[@piyasharoy1459]

@@WilliamGaunitzTrichologist thank you for replying

[@brownPanda001]

Suggest Anything like dht blocker diet?

[@WilliamGaunitzTrichologist]

You can eat right for your blood type and keep inflammation low. But related directly to DHT. You may want to consume green tea daily and raw pumpkin seeds

[@brownPanda001]

Okay

[@thehylander266]

I’ve been on Finasteride for many years and have done well. No side effects. Quite honestly, I am not at all worried about the side effects. I dug very deep into the studies on the drug before even touching it and the totality of the research (of which there is very much of) shows that the drug is without a doubt not only effective but safe in the vast majority of those who take it and that side effects only occur in a few percent who take it. Some popular over the counter drugs have higher side effect profiles. Also, it is a common misconception that DHT is used for sex drive or libido. There are many good studies done on this where they block all DHT in men who have normal T levels and libido or rejection or sex drive doesn’t decrease in any statistically significant way. Testosterone is actually the main hormone used in sex drive. DHT is not systemically active like DHT is. DHT is mainly and only active in the tissues wherein it is produced (prostate, scalp, body hair, etc.). We have very long term research showing that most who take the drug over 10 year periods of time have low side effect profiles and still see benefits in terms of hair.

[@roelayao2061]

my ball hurt on finasteride what your advice for me😊

[@zohrasiddiqi4729]

Is there something natural to lower high testosterone in women?