The Trichologist Podcast | Episode #002 - DHT Related Hair Loss - Everything You Need to Know

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

[sherryclark]

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 🙂 👏🏾👏🏾👏🏾

[julieelliott]

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.

[mr.diamond]

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

[debbievinsant]

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

[fefejohns]

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

[legndeditz]

I’m 17 and I’ve been losing hair since I’m 15, i finally decided to do something about it, I believe my hair loss is DHT related since I’m getting hair loss in my crown and temple and my dad and grandfathers have hair loss in those same places.

[kathystclair]

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.

[m.angelagopalan]

I started losing my hair in high school. Based on this I think I it’s DHT. On minoxidil for about 10 yrs. Would be nice to get off it and have more hair. Am 54 now. Thanks for the information you share .

[official.graykit.and.firekit]

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!!!

[cierrabennett]

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!

[NanciFranceVaz_artist]

William, after watching your video in this, I asked my gyno for full blood work. I started hormone pellets 1/24 my testosterone levels were 34. In June, She increased my testosterone levels. I have no idea how much she was bumping it up that much, my hair started to shed so much that I lost 40% of my hair! I just went in for a blood test a week ago and got the results yesterday. My testosterone level is now 134 and my DHT went up from 1 to 6! Well, I had to talk with her. I am not doing any pellets . I’m going back to estradiol gel and taking progesterone orally. I hope my hair comes back. I’m doing all of the things you recommend plus I’m on oral school oral minoxidal and spironolactone . I just went to see my Haircutter and he said wow all of you hairs are an inch and 2 inches long with a lot of Uneven growth areas. He had to cuddle with a lot of my hair that was long too short. I started PRF and I hope this reverses everything. I can’t believe people that a doctors do this to women so thank you for your informed this videos without them. I would’ve never thought of doing this.

[judes]

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!

[AshishSharma-tkhh]

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

[philipreed]

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

[amirhosseinhamidi]

Thank you so much for useful information, wish we had more people like you in the world, what test can show us, inflammation for hair loss? Will you please answer it, 🙏🏻

[POLYLIVING]

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

[agnes]

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

[dreamzzz]

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

[rattylol]

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

[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