Male Pattern Hair Loss with Robert English from Perfect Hair Health


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By Blake Bowman. Discovered by Player FM and our community — copyright is owned by the publisher, not Player FM, and audio is streamed directly from their servers. Hit the Subscribe button to track updates in Player FM, or paste the feed URL into other podcast apps.

Robert English is a highly experienced hair loss expert, medical editor, a researcher who specializes in hair loss disorders, has published two peer-reviewed papers on androgenic alopecia, runs the website that showcases evidenced-based ways to improve hair loss with or without drugs, and he is on the editorial board of the scholarly journal Dermatology and Therapy.

Episode Highlights:

  • Robert English explains who he is and his involvement in hair loss research.
  • Robert English is able to convey information from a consumer’s perspective.
  • What is the mainstream conventional wisdom behind hair loss?
  • There has historically been extensive research linking the DHT hormone to hair loss.
  • What other factors besides DHT affect hair loss?
  • What are some of the research aspects that went into Robert English’s hair loss study model?
  • DHT may not present full hair recovery because there is too much scar tissue in some hair follicle sites.
  • Scalp tension can set off a chain reaction that leads to hair follicle miniaturization.
  • What are some things that people can do at home to get positive hair loss results?
  • Robert discusses scalp massage exercises that he has developed that you can do at home to fight hair loss.
  • What are the challenges someone is going to face if they just start Googling random information?
  • Iron deficiency does contribute to women having hair loss between 24-40.
  • Robert has found that many unregulated supplements have been mislabeling their ingredients.

3 Key Points:

  1. In facial tissues, there is no expression of certain Signaling proteins called Transforming Growth Factor Beta are associated with a ton of inflammation, inflammatory processes and fibrosis scar tissue development.
  2. Where there is scar tissue, hair cannot grow.
  3. Chronic scalp tension over the muscles around the scalp upregulates inflammation in those tissues, which subsequently upregulates DHT and causes that to accumulate there, which then causes the area to scar, restricting the growth space leading to hair follicle miniaturization.

Tweetable Quotes:

  • 03:08-03:22 - “What makes me a little bit unique relative to other people that do this type of academic research is that I actually don’t have a PhD. I’m not a technically-trained academic.” - Robert English
  • 03:30-03:41 - “I was diagnosed with male pattern hair loss at a really young age, 16-years-old I started losing my hair, 17-years-old I actually went into a dermatologist and was diagnosed with androgenic alopecia.” - Robert English
  • 07:44-07:53 - (Male pattern hair loss) “It is typically characterized as hairline recession. You will see thinning at the temples. You will see somebody with a bald spot emerging on the back of their heads or crown thinning.” - Robert English
  • 26:40-26:54 - “If you expose a balding scalp tissue to DHT, the DHT induces this signing protein (Transforming Growth Factor Beta) and the end consequence seems to be that some scar tissues begin to develop around the hair follicles.” - Robert English
  • 30:55-31:05 - “The patterning and the progression of hair loss perfectly align with the patterning and progression of tension that is created from the contraction of the muscles surrounding the scalp perimeter.” - Robert English
  • 44:43--44:56 - “Massage techniques that were basically dedicated to kind of generating some acute inflammation with pinching, pressing, and stretching of certain scalp regions, and then pressing relatively hard along the scalp perimeter.” - Robert English

Resources Mentioned:

Perfect Hair Health:

23 episodes