Male Pattern Hair Loss (Androgenetic Alopecia)

Gabriel addresses the ROOT CAUSE: hair loss is NOT a DHT problem, it's a metabolic and vascular problem. DHT elevation at the scalp is a RESPONSE to inflammation, calcification, and poor blood flow, not the primary driver. The galea aponeurotica (connective tissue on top of skull) becomes fibrotic and calcified, compressing blood vessels and reducing nutrient delivery to follicles. This is why hair loss follows a specific pattern (top of head where galea is, not sides/back where muscles provide blood flow). Hair loss is a sign of hypothyroidism, elevated stress hormones, and suppressed metabolism. The body deprioritizes hair when metabolically stressed. Protocol: 1) Optimize thyroid function, 2) Pro-metabolic diet (Ray Peat style: adequate calories, sugar, protein, low PUFA), 3) Mechanical stimulation (scalp massage, microneedling to increase blood flow and break up fibrosis), 4) Address iron/ferritin/vitamin D deficiencies, 5) Lower stress hormones (cortisol, estrogen, prolactin, serotonin), 6) Topical progesterone, 7) Red light therapy, 8) Eliminate seed oils. Conventional treatments (finasteride, minoxidil) don't address WHY the problem exists and come with serious side effects. Many patients restore significant hair growth by fixing metabolism and blood flow.