Two-and-a-half years ago I received an email from a young man named Rob who was developing a hair regrowth technique based on intensive, long-term scalp massage. He had read my post Modulating Testosterone Levels (For Men) and had some thoughts about DHT and hair loss. Rob agreed that male hair loss resulted from DHT shrinking/inactivating hair follicles, but he disagreed that hair loss had anything to do with circulating levels of DHT. It was the accumulation of DHT in the follicle due to reduced blood supply and calcification of the scalp that caused the problem.
This theory matched my intuitive observations. My own hair loss, starting in my early thirties, hadn’t coincided with raging male hormones, but rather with an unhealthy period of my life that included too much alcohol, many late nights, a high carbohydrate diet, significant weight/fat gain, and most likely lower levels of testosterone and DHT. Just an n=1 observation, but the idea of a direct correspondence between hair loss and circulating DHT left something to be explained. I was intrigued by Rob’s idea.