Back in June of 2014, about ten months ago, I received an email from a young man named Rob with some ideas about DHT and hair loss (in response to this post). Rob had an interesting theory that DHT was not the main culprit in terms of male hair loss; that scalp fibrosis/calcification and excess sebum production were more responsible for male pattern baldness than any excess of dihydrotestosterone (DHT).
I was initially skeptical of this claim. There’s plenty of evidence to link miniaturization of male hair follicles (and subsequent hair loss) to DHT. One of the two major drugs prescribed to slow or reverse male pattern baldness is Propecia (finasteride), which is a strong 5AR inhibitor, preventing the conversion of testosterone to DHT. The problem with inhibiting 5AR (and the reason I never tried finasteride for my own hair loss) is the long list of potential side effects including reduced libido, impaired sexual performance, depression, and anxiety. I would rather be completely bald!
Rob claimed to have complete halted his own hair loss and regrown almost all of his hair using a massage technique. He wrote:
The cool thing about all of this is that it’s actually possible to reverse scalp fibrosis and release excess sebum trapped in the scalp skin, thereby increasing blood flow and allowing your scalp to flush out any trapped DHT. Using specific massage techniques I was actually able to arrest my hair loss and regrow nearly all my hair in just under a year (no drugs, shampoos, products, or surgeries). This is where our opinions differ slightly – I believe you can have healthy DHT levels and your hair too – and that the trade-off between sexual functionality and hair loss doesn’t need to exist 🙂
Rob offered to send me his eBook and instructional video for free. This made me even more suspicious — there are hundreds of scam artists out there peddling snake oil hair regrowth products to vulnerable, hopeful men hoping to get their hair back. But Rob wasn’t asking for anything in return, and he seemed sincere. What did I have to lose (besides more hair)? I downloaded the eBook and read it with growing interest …