March 3, 2025 • 37 mins
Hair loss is a universal struggle for women and men. We’re breaking down the causes behind it - from stress to aging to hormones - and why nutrition is key in the fight against thinning hair. Dr. Alan Bauman shares everything from at-home tips and supplementation to medical options for hair restoration. Whether you're experiencing early signs of thinning or simply want to maintain a healthy head of hair for years to come, this episode is packed with actionable advice.
🌟 Guest: @baumanmedical
📝 Show notes & transcript: www.onairella.com/post/hair-loss
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:03):
Welcome, you're on air withElla, where we share simple strategies
and tips for living a littlebetter every day. If you're interested
in mindset and wellness orhealthy habits and relationships,
or hormone health, aging welland eating well, honestly, if you're
into just living better andwith more energy, then you're in
the right place. We're nothere for perfect. We're here for
(00:24):
a little better every day.Let's go. Hey, you're on air with
Ella. And today I AM joined byDr. Alan Bauman. And I am really
pleased to have you here.Alan, we are talking about something
we have never talked about onthe show before. Please tell us before
we jump in, who are you andwhat do you do?
Well, Ella, thanks for havingme. Yes, I'm Dr. Alan Bauman. I'm
(00:46):
a full time board certifiedhair restoration physician and I
have the great pleasure ofhelping people maintain, enhance
and restore their own livingand growing hair. That's my passion,
to eliminate hair loss and toprovide beautiful hair for all of
our patients. We're there tofulfill the mission of protect your
own and enhance your ownliving and growing hair. Because
hair is a very emotionalorgan, as you probably know. And
(01:07):
I can't believe you waitedthis long, you know, to talk to your
audience about hair.
I mean, for many years youjust think hair loss is something
that happens to men, A, butthen B, you start to realize that
hair and hormones, like it'sall tied together and every, this
is an everyone issue. Everyoneneeds to know this. So I'm really
pleased to be chatting withyou about it today. I want to talk
(01:28):
about the causes. I want totalk about the role hormones play.
I want to talk about the rolenutrition plays. Any tips you have
for us. My, my goal is to keepas few of us from needing to be patients,
Alan, as possible. I, I haveno doubt that you are not suffering
from a lack of demand.
Well, you're, you're rightabout that. And, but the good news
is that there's a lot ofthings you can do if you're noticing
(01:50):
some hair thinning. Andobviously it is pretty pervasive.
Pervasive. You know, men andwomen could have hair loss. It's
obviously more visible in men.So, you know, you know, if you, you
can see it in men a lot moreeasily because it's a receding hairline
or they're developing a baldspot in the crown. Maybe you had
an uncle, a dad or grandfatherwho's dealing with hair loss or a
sibling. You know, maybe it'sa significant Other, perhaps, but
in women, it happens a littlebit more subtly. And so there's about,
(02:13):
let's say, 80 millionAmericans out there that are suffering
with hair loss. It's almost50, 50 men to women, but it looks
different. And again, this ismy point, that female hair loss is
very subtle to the naked eye.You get a diffuse hair loss in the
frontal zone. Typically,sometimes it recedes a little bit
in the hairline, but moreoften you're seeing more scalp shining
through, maybe in a part line,maybe you're feeling your ponytail
(02:36):
a little bit thinner than itused to be. Maybe you can't grow
as long a hair as you used to,or you're seeing excessive shedding.
Those are the common signs andsymptoms that bring women to our
practice. And about 50%,almost 50% of our patients today
at Baumann Medical are womenwho are struggling with hair thinning
and hair loss, as well as someother scalp health issues.
So, yeah, I believe it. AndI'm going to go out on a limb and
(03:00):
deduce that this is hormonerelated. Can you please tell me to
what extent is this hormonerelated for men and women? And what
do we need to know?
Yeah, so hair follicles, notonly a very emotional organ, but
also very sensitive tohormones, as we know for sure in
men. We know specificallyexactly what the primary trigger,
not the only trigger, but aprimary trigger in men is dht, dihydrotestosterone.
(03:25):
And the reason why we knowthat so easily is because if you
inhibit the production of DHTin men, you could do that pharmaceutically.
You get a very powerfulregrowth and certainly prevention
of hair loss over time. Now,in women, it's always a little bit
more complicated, isn't it? Wecan see hair loss that happens around
the time of childbirth, forexample. That's a very, very common
time where hormones are ragingwhen you're pregnant. And of course,
(03:49):
the day after, hormones arecrashing. And within the next month
or so, you can see a lot ofshedding and hair loss, as what happens
is those hair follicles, someare in the growing phase, some are
in the resting phase. Whenthat ratio changes during pregnancy,
everything is growing at fulltilt. But when those hormones drop
back down to normal, morefollicles are then in the resting
phase. You can see a dramaticshed. Now, for many women, it's just
(04:13):
a temporary situation, but forothers, it actually exacerbates or
reveals this underlyingtendency towards hair loss, which
happens genetically, meaningthat on your mom's side or your dad's
side, you may notice folks whoare out there who have thin hair
or thinning hair or who haveexperienced a lot of hair loss. And
so that time after childbirth.And then of course, as you mentioned,
(04:34):
perimenopause, menopause andpostmenopausal women, that's a very,
very common time where we seehair loss occurring. The quality
of the hair decreases, muchtimes the color is degraded, and
especially the volume and thequantity of hair that you have on
your scalp, even the shine andthe aesthetic value of hair changes,
of course, as we age.
Yeah, the texture, right, for sure.
(04:55):
And as it goes gray, sometimesit gets a little bit more wiry. It
just seems to change withtime. But there are many, many other
influences, not just age andhormones. Oh, and we, we neglected
to mention the most commonfemale hormone abnormality of childbearing
age, which is PCOS or PCOSrelated conditions, is also related
to androgen sensitivity.That's why you have acne and extra
(05:17):
hair growth in other placesand hair loss associated with that
condition. So that's theyounger set. Women who are of childbearing
age sometimes right afterpubert, have a lot of hair loss situations
there due to that pcos,polycystic ovarian syndrome. And
then the childbirth era andthen you've got again the menopause
age as well.
When you really step back andthink about it. And I hope I'm wrong
about this, you tell me if I'mwrong. But it is actually fairly
(05:40):
unusual to see women out inthe wild over a certain age with
like a luxurious head of hair.It's either thin or it looks brittle
or it even looks kind offried, if you will. I'm being very
indelicate, but I'm just beinghonest, Alan. And when you notice
an older woman with just agorgeous, lush head of hair, it really
(06:03):
stands out to me. Is it justme? Hey, very quick reminder. We
have started 21 days ofmovement. If you're listening to
this in real time, we juststarted. Come join us. There's a
private group in Instagram.There is a reel. It's pinned on my
Instagram profile. It tellsyou everything you need to know.
But 21 days of movement ishappening now. It's happening in
(06:26):
Instagram at on air with Ella.Find me in there. Come along and
join 21 days of movement.
You know, a full luscious setof hair for an older gentleman also
stands out, by the way,because, you know, 50, 50% of men
50 and over have some hairthinning that's visible to the naked
eye. But the point is, isthat, no, you're absolutely right.
(06:47):
Hair does lose its aestheticvalue over time. The hair color,
quality, texture. And the moreyou torture your hair, honestly,
the hair, remember, is a hairth fiber, right? And the fiber is
dead tissue, keratinizedprotein, much like your fingernails.
The magic that happens interms of hair follicle function is
under the skin, right? It'snot what we see. What we see is the
product of that, like 3Dprinter that's under the skin. And
(07:07):
you know, you're born withabout 150,000 of those little bad
boys up there. And their jobis to produce this beautiful fiber
as we continue to age and growover time. But as the, as the follicle
diminishes in terms of itsfunction, that's when you get a weaker,
wispy or thinner hair that'salso more prone to breakage and dullness
and so forth. And then you addon top of that, certainly the things
(07:28):
that we do, which is haircolor, chemicals and heat and all
of the other, all of theabove, that can degrade the fiber,
which cannot repair on itsown. It's like if you nicked your
fingernail, you cracked yourfingernail, you have to wait for
that fingernail to grow backbefore you can, you know, treat it
aesthetically. Again, samething with your hair. And so when
you see women who've coloredtheir hair for many, many, many years,
(07:50):
sometimes it does look alittle bit damaged. And if you've
over processed it, sometimesit can cause some really bad breakage.
And you said fried. You know,it can happen, but there may be hormonal
effects also. You know,thyroid dysfunction can also affect
the quantity and the qualityof your hair as well. So again, that's
another hormone that canaffect the hair follicle function.
But yeah, there's a, there's alaundry list of things that can affect
(08:11):
your hair over time.Nutritionally, you know, caloric
intake, because hair folliclesare highly metabolic. And of course,
with so many weight lossprograms today, pharmaceutical and
non pharmaceutical, you canhave some degradation of hair from
that whole body. Inflammationor inflammation even directly right
at the level of the scalp. Ifyou're itchy, flaky, you know, psoriatic
or otherwise irritated orinflamed at the scalp, you can certainly
(08:34):
degrade the hair fiberfollicle function, which degrades
the hair fiber production.And, you know, so many other things,
medications likeantidepressant or blood pressure
medication or statin drug, Imean, these are all really, really
bad for hair. And even simplestuff like, you know, stress cortisol
exposure is not good for hairfollicle function and sleep wake
cycles. You know, if you'resleep deprived, that chrono, biologic,
(08:57):
chronobiologic clock in thebrain can also affect the clock in
your hair. To turn thosefollicles on and off at the right
time is really important. Soyou know a lot of things that can
go wrong. Unfortunately, yeah.
Our follicles are moresensitive than I ever realized from
what I'm learning, which is tosay that they really respond to stress.
And everything you're sayingis buttressing that initial like
(09:17):
that learning from me. ButAlan, let me ask you a couple of
questions. So I'm going toassume that in most cases what we're
talking about today isapplicable to both men and women.
And as you said, there is needhere to serve both men and women
in this conversation. Will youplease point out to me as we're going
(09:38):
through some of the. So whatare we going to do about it? And
tell me if they are at allgender specific because otherwise
I want to attack this just ata human level, not at a gendered
level until it's practicallynecessary. And before we do that,
let me ask you this. When wetalk about our hormones impacting
hair loss or hair aesthetics,what are the differences in the hormones
(10:00):
between men and women? Is ithormonally driven for us both? I
would assume it would be, butI've got no idea.
There's a lot to unpack there,first of all. So like, let's just
take the easy stuff first.Right? So early male pattern hair
loss is pretty simple and easyto understand because it's primarily
hormone driven. Not to saythat these other things can't affect
it. But as I mentioned earlierin our conversation, DHT dihydrotestosterone
(10:23):
is the primary trigger formale pattern hair loss. And we know
that exposure to DHT obviouslyhappens, of course, our entire life.
Why do some men have malepattern hair loss by the time they
graduate college or evenbefore? And some men can live until
they're 50 years old beforethey start to see a thinning or a
balding spot. And it has to dowith their sensitivity to that DHT
and other factors too,obviously toxin exposure, smoking,
(10:45):
sleep, wake cycles, nutritionand inflammation, all those things.
But we know in the earlystages when you're supposed to be
healthy and vital and youknow, you're, you're a college athlete,
how come you can't grow yourhair very well. We do know that in
that age category, if we doattack it with something that inhibits
the DHT production, we have avery strong rate of success. I'm
not saying that finasteride,which is that medication that inhibits
(11:07):
the DHT production, I'm notsaying that's appropriate for everybody,
but we do know it is powerful.
Clarification question there.When you talk about dht, what is
actually the elevatorstatement around dht?
Actually not the absolutelevel of DHT that's the problem,
but it's the sensitivity thatyou inherit. I see the dht. So the
younger guy with early malepattern baldness, he is more sensitive
(11:29):
to the DHT than, let's say hisbrother, you know, who is, you know,
10 years older and has notmuch more hair, not much hair loss
at all. And women have someDHT now, of course they have less.
But we know that this androgenand female hormone balance as we
get into menopause can be aproblem. And the reason why we do
know this is because a lot ofwomen who are in menopause will choose
(11:49):
bioidentical hormoneoptimization or hormone replacement.
And that might include alsosome bit of test testosterone, which
can be absolutely healthy andrequired, you know, as we know, for
all the great benefits forlean muscle mass and bone and brain
function, sexual drive, allthese different things. But we do
know that too muchtestosterone at that age can also
(12:09):
start to recede the hairline.You can have other testosterone effects
in women. And so women whouse, for example, too much, and that's
relative, but let's just say alot of testosterone maybe or have
over been over treated, let'ssay with pellets or things like that.
Sometimes it's very easy toget over treated if you're doing
pellet hormone replacement, ifyou're not careful, can have some
very serious androgeneticalopecia. Right. So that's what we're
(12:32):
talking about. That's the, themale and female pattern of hair loss,
androgenetic alopecia. We can,we see that very often in our female
patients and, and very oftenthese areas, the temples may be pretty
steady, meaning holding on forreally their whole life. And then
all of a sudden they're inmenopause and they're doing hormone
replacement and then all of asudden, boom, it's receding all the
way back. And then what do wehave to do? The only thing we can
(12:53):
do is transplant that area.
Oh, so when that is the cause,then the only solution is transplant
at that point?
Well, when it's severe. Right.So there's Think about the hair follicle.
Not like a light bulb on oroff, but more like a dimmer switch.
And so the follicle initiallyis, as we all see in the youthful
age of folks, it's growing athick, strong, luscious, smooth,
(13:16):
healthy strand of hair. Andhopefully all your follicles are
just doing that beautifully.But over time, the follicle will
produce a thinner, weaker,wispier hair until eventually, with
each successive cycle, thelength of that hair diminishes. And
so, just as an example, womenin the temples typically have a little
bit less hair density theretheir whole life, maybe. And then
(13:38):
as the hairline looks likeit's receding, what's happening is
that those follicles areweakening, producing less coverage
of hair in those zones. And soif the follicles are too far gone,
then we got to put some back.
Okay? And I assume that whenwe talk about early male pattern
baldness, that at a certainpoint you can't, you can't supplement
your way back to hair growth.So for men as well, at a certain
(14:00):
point, transplant is going tobe the only viable solution there.
Is that correct?
You're right. So nutritionalsupplementation are important for
hair. Why is that? Well, hairfollicles are highly metabolic. And
so if you want to protect thefunction of the hair follicle, you
actually have to feedyourself. You can't be on a strict
caloric deficit for too longor else your body will start shunting
(14:20):
nutrients and fuel to the coresurvival organs. And let me tell
you, that ain't going to beyour hair follicle, unfortunately.
So we know that if you'reprotein deficient, you're not going
to grow hair. They lose theirhair because they don't have protein.
Enough protein. And, but, butit can be subtle. You could be doing
a fasting regimen and all of asudden, you know, shock the hair,
(14:40):
essentially. You could be onozempic or another GLP1 agonist and
be in a caloric deficit for along period of time. Yeah, you're
losing a pound or two a week.It's great. But guess what, you're
losing a boatload of hair attime. So there's ways to protect
your hair during caloricdeficits that will encourage the
hair follicles to stay in agrowing phase and still produce hair.
(15:01):
But it can be tricky. Vegan orvegetarian diets, for example. These
strict and harsh diets oftendo not contain enough bioavailable
protein and even vegetableprotein, plant protein sounds great,
but many people just, theyjust genetically can't absorb it
or they have to take in somuch of it that that it's just impossible
to get the amount of proteinthat you need. So those are very,
(15:23):
very often some earliestthings that we see in folks that
are trying to uncover in anearly stage of the game what's going
on. We're taking a veryholistic approach at Bauman Medical.
We're looking at thoselifestyle factors, your nutritional
regimen. If we need to addsupplementation, we need to do collagen
powder, multivitamin, even aprobiotic to improve absorption.
Let's get some extra biotin onboard, things like that that are
(15:45):
kind of simple and easy. Let'sget into that.
Okay, I would like to go allthe way out to worst case scenario,
if you will, and then dial itall the way back in so that we can
start talking about what wecan do differently tomorrow. Hey,
it's Ella. I need to jump inhere to tell you about something
very short term, very timesensitive that you need to know.
(16:07):
Hopefully you are aware by nowthat I am holding an event for women
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(16:29):
and go to events on airela.comevents. But here's what you need
to know that's really timesensitive just for my listeners because
this is open to the generalpublic. I'm co hosting this with
somebody else and she has areally large network. This is just
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(16:51):
are paying out of pocket, Iwant to give you a special buddy
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for you guys, if you want tocome and you want to bring a buddy
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So you register, then youemail me and say I need the buddy
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at my site on Air Ella eventspage or master your A game. I cannot
wait to see you. I really wantto understand like for whom transplant
(19:06):
is the answer so that then wecan put everyone else in an everyone
else bucket. Does that make sense?
Yes, absolutely. And so, youknow, first of all, that's one of
the things that we try toelucidate in a consultation, by the
way, an evaluation which canbe done online or in the office.
But I will tell you, ifyou're, if you've got male pattern
baldness and you've got a deepreceding hairline or a bald spot
that's highly visible, if it'sshiny like a cue ball, you're going
(19:29):
to need a hair transplantthere. If you have a scalp scar,
if you have an injury fromtrauma, a car accident, God forbid,
or you've had some kind ofcosmetic procedure like a brow lift
or something, or faceliftthat's left you with a scar tissue,
the only way to put hair backinto a scar is through a hair transplant
procedure. For our women Imentioned end stage, you know, deep
(19:49):
receding hairline, overdosedwith testosterone or whatever, or
just extensive female patternhair loss. We do very well with those
patients with hairtransplantation, and even women who
are born with a little bit ofa higher hairline, who don't like
that look, a lower hairline,typically just in general. Again,
trends can change. Just likeeyebrows go from fat to thin in fashion,
(20:11):
a lot of women will come inand request a hairline lowering procedure
into an area where they neverhad hair. You know, it's a surgeon
and a patient's judgment callwhether that's appropriate or not.
But it's certainly possible todo that. So that is a common request.
Female hairline restoration,eyebrow transplants, eyelash transplants,
and. Yes. And anywhere elsethat you need hair we can transplant.
(20:35):
By the way, what is it, whatis it about aging where you get hair
everywhere you absolutely donot need it or want it in any way,
and it falls out of everywhereelse. Like, what's, what's up with
that? That's retard.
That's mother nature's crueltrick on both men and women. I think
men have it worse because, youknow, we got to start trimming the
hair inside the ears and ournoses and their eyebrows start to
get bushy like Groucho Marksand all that. And. And of course
(20:58):
we' balding at the same time.We're fighting like hell to keep
our hair, you know, so itsounds like.
You do it all. It sounds likethe technology, I bet, is just apples
and oranges to where it was 15years ago. I bet it's a completely
different industry.
Completely. We've come lightyears in the world of hair transplant
surgery, and so those of uswho are old enough to remember the
(21:18):
old plugs back from the 1980sor 90s, transplantation has changed
a lot since then.
The reason I wanted to gothere first is I don't want to create
false hope for anyone who'shoping like that. We can offer one
of these sort of biohackingtips and it's going to regrow their
husband's head of hair. Youknow what I mean? So I wanted to
go to the extreme so that wecan work our way backward. Now I'd
(21:40):
like to talk to you about therest of us. Bucket. I want to know
what every 35 year old, every45 year old, every 55 year old ought
to be considering when theyhave their health. Health span. Their
hairspan, did you say?
Yeah, hairspan, Absolutely.
Hairspan in mind. And you'vetouched on a few. I want to dig a
(22:00):
little deeper. If you couldspeak in the most general terms,
what are five things everybodyshould be doing or paying Attention
to right now, right?
So. Well, the first thing youshould know is that if you think
you're prone to hair loss,right, you have, let's say, close
biologic relatives who arelosing their hair, or you've started
to think you're noticing achange in your hair over time. You
(22:20):
need to know that time equalsfollicles, that this is not going
get better on its own. So ifyou just take one message home, you
know, take action, right?Don't, don't sit around and deny
it and oh, yeah, it's going toget better, or I'm in this little
shedding phase. No, you reallyshould have something evaluated because
you can lose 50% of your hairwithout it being noticeable to the
naked eye. That's what, whatit means is that the science shows
(22:44):
you can literally take an areaof your scalp, take out a huge amount
of that hair, 20, 30, 45% ofthat hair, and it still looks about
the same. But once you startto lose more than 50, the bulk, that's
when it starts to look intothe naked eye. So early action is
critical. So what do we do inan evaluation? How do we figure out
what's the right therapy ortreatment? So we go through the lifestyle
(23:06):
factors that we previouslymentioned, and that includes, you
know, your sleep, wake cycles,inflammation, what's your diet, what's
your stress level, those basictypes of things. What kind of medications
are you on? Do you have otherrisk factors, hormonal factors that
could be influencing your hairor hair production? Is the scalp
health both on point? Right.Is your scalp irritated, itchy, inflamed?
Do you have scalp acne whichis called folliculitis? Is there
(23:29):
dandruff? Is there somethingthat we can see under the microscope
that doesn't look healthy? Wewant to clear all that up first.
Why? Because we knowinflammation is going to be bad for
the hair follicle. Andcertainly if you're going to need
a hair transplant,inflammation is going to be poor
healing. So that's not sogood. And then we talk about therapies
and treatments and this iswhere the buckets come in. So, so
we spoke a bit aboutnutritional supplementation. We have
(23:51):
a whole supplement line.There's also herbs. Right. So these
are non pharmaceutical things.
Can you tell me some of thenutrients we should definitely be
making an effort to payattention to now with this in mind,
for sure.
So for women, if they're proneto anemia or protein loss, you definitely
want to supplement thosethings. If you think that those things
are on point. You've had bloodwork and so forth. Hormones are okay.
(24:15):
Take a look at your B vitamincomplexes. Look at extra biotin.
Get your protein collagenpowder on point. We focus on the
multivitamin with B complexbecause B complex is excellent for
hair regrowth. Biotin helpswith skin and hair and nails for
sure. So those are some of thebasic items many people have heard
about, some of the morepopular advertised nutrients, and.
(24:37):
They'Re expensive as hell. SoI'm really glad you're bringing this
up.
Yeah, some of them are verygood. And I will tell you, I'll mention
a few by name because we know,for example, Nutrafol, everybody's
heard of it. It's been out fora decade. They launched Neutropol
10 years ago through physicianoffices like mine. And we have very
good confidence in neutropolbecause there's some clinical published
(24:57):
studies behind them that showsthat the ingredients in neutropol,
which are kind of like an herbsalad, to be honest. I mean, ancient
herbs, right? Things likeashwagandha for stress, curcumin,
turmeric for inflammation, sawpalmetto, as we mentioned, could
be a good anti androgentherapy. Collagen, that's in there
as well. And a bunch of otherthings, too. Those are all ingredients
in your, if you will, the herbsalad that attacks the hair follicle
(25:21):
and protects it in differentways. So that's the benefit of Nutrafol.
Now, is Nutrafol going to beas good as a medication? Probably
not. But if you can lower thatinflammation level, if you can make
yourself more resilient tostress, I mean, look, you might need
extra ashwagandha than what'sin Neutropol.
Let me ask you this. And I'm avegetarian. I know it's inconvenient,
it's a pain. I don't recommendit. But I am so. I am taking a vitamin
(25:44):
B complex. I am taking biotin.I am supplementing with kion amino
acid because I don't eat meat.Then I am taking collagen, which
is not vegetarian at all.
Right, I got you.
So I am, like, going out of myway to hack this thing called life
as someone who doesn't like toeat meat, but is not like waving
a vegetarian flag.
(26:05):
Okay, well, Ella, you're doingall. You're doing all the right things.
I don't think I eat enoughprotein. And you're telling me. Just
one more reason. We talkabout. We talk about protein ad nauseam,
okay? But maybe I should takemy own Advice. Every once in a while,
while I know I don't getenough protein, what I'm hearing
you say is stop messing about.Like I care about muscle. So I'm
(26:26):
already invested. But we'rerisking more than just slow muscle
build. We're risking our hairif we're not getting enough protein.
Why?
Well, the reason why you needprotein is because hair is protein.
Keratin is a protein. It'sdried protein. That's what your fingernails,
your hair is. The hair fiberthat you see is dead, keratinized
(26:48):
protein. When I say dead, itmeans it doesn't self repair hair.
The follicle under the skin isalive. The follicle is about 2 to
4 millimeters deep, dependingon where it's located in the body.
It contains about a hundredthousand cells. Each one about two
dozen different types ofcells. So there's a lot of activity
going on there. Hair folliclesare some of the most highly metabolic
cell populations in your body,which makes sense. The reason why
(27:12):
I think hair is so valuable topeople, right? Because it's again,
an emotional organ. I keepcoming back to that, that the reason
why hair is so valuable isbecause it's an outward sign of not
only beauty and youth, buthealth and vitality. Hair is important
because it's an outward signof that internal feature and function
of health and wellness andvitality. So yeah, you need protein
(27:33):
because you got to feed those follicles.
Reason 735,002, why I need toup the ante when it comes to my protein
intake. And by the way, sameas everybody else listening, like
we struggle, we struggle withthis. Okay, Alan, I want to hit you
with like lightning roundquestions. I have so many questions.
The only way I can think toget them out to you is to just spitfire
(27:53):
them at you. Are you ready?Are you buckled up?
Go for it.
I want to get to more of whatto do about it, but I still have
questions on tools we canbasically employ at home.
Got it.
Myth or fact? If you pluck agray hair, it's never growing back.
That's a myth. Well, if youpluck a hair many, many, many times,
like you maybe have done withyour eyebrows, potentially, you realize
(28:14):
that it doesn't grow backback, that traction alopecia can
occur. But if you pluck a grayhair, the chances are pretty good.
It's a, it's a very. Actually,even though it doesn't have a pigment,
it's usually a very stronghair follicle. There's not too many
like weak gray Hairs. Younotice, they just, they, they're
like, they're pretty robust,you know, I did notice. I mean, they
just, you know, you. And ifyou pluck, if you want to keep plucking
(28:34):
the grays, thinking that'sgoing to solve your problem, your
base can be plucking out allyour hair eventually. So we don't
have a cure for gray hair. I'mjust leading into the real, probably
your next question. But thereare some peptide treatments out there
that hint at protecting hairfollicle function and pigmentation.
Copper Peptide is one of them.Copper Peptide is a non pharmaceutical
product. We have solutions,liquids that you can use on your
(28:57):
scalp that contain peptides.You can use those at home, by the
way. And there's alsotreatments that can be done in the
office where we literally pushpeptides through the moisture barrier
of your skin using ultrasound.So those are treatments that we do
in the office called TEDtransepidermal delivery. So those
are two ways you asked forabout home therapy. So copper peptide
and some other like zinc,thymulin and such are in the AMPM
(29:19):
PEP grow that we have. That'ssomething you use at home twice a
day. Or as I said in officetreatments with ted, they're not
painful. There's no needles.You just. We just deploy the peptides
right into the scalp. That'sone treatment per month for usually
a series of four.
Okay. Collagen. I'm pleased tohear you recommend it because the
jury is still out on collageninsofar as its effectiveness with
(29:42):
specific conditions. I havealso read the molecules too big to
be bioavailable for what youthink you're consuming it for. Give
me your quick take on whycollagen's beneficial. And I did
pick up that you said thatthere are several different types.
Yeah. So I do think a collagensupplementation is important. I do
(30:03):
like collagen as a nutritionalsupplement for skin and hair. I do
believe that you are getting abiologic benefit of it. You know,
I think when it comes down tolike molecule size and all of this,
I don't think that we knowexactly what the size is in terms
of absorption. And the samegoes is true for the skin. You know,
sometimes it's not necessarilythe size of the molecule, but you
(30:25):
know, it's how your skinresponds to it. So like, like I said
before, we deliver thosepeptides through the skin using ultrasound.
But you know, some of thosepeptides actually can get through
the skin without theultrasound too. By the way, there,
there are very specific Typesof collagen. I'm trying to think
of the name Verisol, Fortagel.These are, these are commercial,
proprietary mixtures ofcollagen where they've actually done
(30:46):
the studies to show that ithas an effect on skin or has an effect
on hair. And the only way toreally know if you're going to get
a benefit from a therapy ortreatment is to get a baseline measurement.
Look, some people are notresponsive to over the counter minoxidil,
and that's okay. They may nothave the metabolic pathway to convert
it to the active metabolite inthe skin.
And that's the prescriptionthat you can take for hair growth.
Yeah, well, minoxidil isavailable over the counter. That's
(31:08):
yellow Rogan pain. You don'teven need a prescription for that.
Okay. I've seen people microneedle their hairline, micro needle
their eyebrows.
Effective or not, microneedling can be effective, but I'm
going to put a footnote on itbecause remember, micro needling,
if you do it correctly,there's two reasons to do micro needling.
Number one, for penetration ofa solution, right? Because you're
(31:29):
making small punctures, right?So a derma roller with a 0.5 or dermal
stamp, 0.5 millimeter isprobably not going to hurt you. And
but on your skin or on yourscalp, it's going to increase the
penetration of your topical.So that would be a reason, number
one, and that you could almostdo at will maybe twice a day to improve
that penetration of thetopical. The other reason you would
want to consider derma rollingmicroneedling is to create micro
(31:53):
trauma. And why would we wantto traumatize the skin? Well, micro
trauma, a little bit ofwounding, as we know with skin healing
and skin rejuvenation, cantrigger collagen production and the
release of growth factors andsuch. Now, we're not talking about
resurfacing your grandmother'santique table here, okay? So if you're
going too hard too fast, toooften with your, you know, Amazon
(32:14):
Dr. Pen or whatever, you'reprobably going too hard. So my point
is, is that there's a sweetspot that if you hit that little
bit of micro wounding, yourbody will attempt to heal and rejuvenate
without causing trauma to theexisting hair. You'll get a boost
of hair growth, which isamazing. And there's a lot of data
on this in the clinicalliterature, which is exciting. But
(32:35):
too much trauma will negateall of those beneficial effects,
cause a dramatic boost ofinflammation, and it's going to knock
out more hair than it's goingto grow. So if you do it too often,
too much. So there's a sweetspot there.
Yeah, that just. That makesgood, good sense. Red light therapy.
I'm a huge red light fan. Imean, in Medical School, 30 something
years ago, well, they did notteach us that red light had any effect
(32:59):
on an animal cell. I mean,that was just not in any bio. That
was not in any biology classthat I ever took.
Yeah, surprise.
I didn't know how red lightaffects animal cells. But today we
are very clear about that, youknow, and there are a few people
to basically applaud for, justfor discerning all of that through
clinical research andscientific study, like Dr. Michael
(33:20):
Hamlin. So I'm a huge advocatefor red light. The Bauman Turbo laser
cap is the home unit. That'sthe premier device. It's portable
rech. It has more coveragearea than 25%. 25% more coverage
area than any other device onthe market. And it's only five minutes
per night with zero sideeffects. So if you're looking for
a home treatment, that's theone to get.
Yeah, I'll say that. If thatis of interest to you, you've got
(33:42):
to go to a reputable company.Please don't just get a device off
of Amazon. You're going to bewasting your money.
I'm so glad you said that. Iwas going to say the same thing.
Yeah. I'm here to help, Alan.I had no idea that you carried all
of these items. So I will putin a link and I will also write every
single nutrient that we talkedabout. So everything you guys will
(34:03):
be summarized in the shownotes. So don't worry about that.
You don't need to write all ofthis stuff down. I got you covered.
All right. We don't have thatmuch time left, and I definitely
want to get in to some of theother therapies that you talk about.
So we talked about at home,what you can eat, what you should
probably be supplementingwith. We talked about how there are
some tools that you can justget and use on your own. What now
(34:27):
occurs between that approachand the extreme of hair transplant.
It sounds like we have someoptions on the spectrum.
Yeah, there's. I would saythere's two other kind of buckets
that things fall into. Onewould be pharmaceutical intervention.
We had mentioned early onfinasteride to inhibit DHT production
in younger men andpostmenopausal women. Perhaps minoxidil
(34:49):
is the og. The original FDAapproved medication for hair loss.
Most people think aboutminoxidil as a topical. Today we
prescribe it using compoundscompounded medication in a micro
dose format so that we cantitrate down the dose and still get
that really strong boost ofhair growth in a consistent dosing
strategy.
So we're, we're consuming itthrough our mouth or it's, it's not
(35:10):
topical anymore. Oh, okay, okay.
It can be, you can do it.Yeah, if you don't like. But you
have both. And sometimespeople do both. But in general, the
topicals are a little bit morehaphazard. People's lifestyle gets
in the way. You got a fancyevent to go to, I'm too tired tonight,
blah, blah, blah. So getting adose of minoxidil like in the morning
that covers you for the fullday is not a bad way to go. And it's
(35:33):
a very powerful hair growthtreatment. It does require a prescription.
Who should you be asking forthis type of prescription? Like who
should you be starting thisprocess with? Not Everybody has a
Dr. Allen.
Yes. But everybody has theInternet today. Okay, you can all
go to baumanmedical.com andfrom your home or phone you can connect
with me. And you know, we havea prescription, prescriptions available
(35:55):
in all 50 states. And, and sowe're, we're certainly available
to treat patients from allacross the country and many patients
do fly in to see us from allacross the world. So. But prescription
medication can be powerful. Itdoes require a doctor's prescription.
Yes, you, you should visit aboard certified hair restoration
physician for this. And onethat measures you, not just says,
(36:17):
oh yeah, I think it looksokay. Or one, oh yeah, I think it's
getting better. No, let'squantify and measure what's going
on over time. Time so we knowhow well it's working. So a board
certified hair restorationphysician, American Board of Hair
Restoration Surgery Fellow ofInternational Society of Hair Restoration
International alliance of HairRestoration Surgeons is a great place.
These are all credentials. Andlook for someone who's experienced,
(36:38):
who has the knowledge and alsohas the tools in the toolbox.
Dr. Bauman, we will make itextremely easy to find you. You are
located in Boca Raton,Florida, United States. States. But
we will put all of your linksplus a summary in the show notes
for this episode. Alan, thankyou so much.
It's totally my pleasure.Thank you so much for having me.
(37:00):
And all I'd like to say is ifthere's somebody out there with questions,
you can always go tobaumanmedical.com and ask a question
and I will get right back toyou. But it's really a pleasure and
hopefully we get a chance toanswer some questions that come back
from this podcast and we canrevisit it in a 2.0 segment.
You bet. Thanks, Alan.
My pleasure. Pleasure.
Okay, if you enjoyed today'sshow, please share it with someone
(37:20):
you care about. And be sure tocheck out our new YouTube channel
and head to onairella.com fortoday's show notes. You can also
learn about how to work withme there on airella.com PS all the
links you need for us toconnect are right here in your podcast
app in the description fortoday's episode. Check them out.
Thanks for listening andthanks for inspiring me. You are,
(37:42):
quite simply awesome.
Welcome, you're on air withElla, where we share simple strategies
and tips for living a littlebetter every day. If you're interested
in mindset and wellness orhealthy habits and relationships,
or hormone health, aging welland eating well, honestly, if you're
into just living better andwith more energy, then you're in
the right place. We're nothere for perfect. We're here for
(00:24):
a little better every day.Let's go. Hey, you're on air with
Ella. And today I AM joined byDr. Alan Bauman. And I am really
pleased to have you here.Alan, we are talking about something
we have never talked about onthe show before. Please tell us before
we jump in, who are you andwhat do you do?
Well, Ella, thanks for havingme. Yes, I'm Dr. Alan Bauman. I'm
(00:46):
a full time board certifiedhair restoration physician and I
have the great pleasure ofhelping people maintain, enhance
and restore their own livingand growing hair. That's my passion,
to eliminate hair loss and toprovide beautiful hair for all of
our patients. We're there tofulfill the mission of protect your
own and enhance your ownliving and growing hair. Because
hair is a very emotionalorgan, as you probably know. And
(01:07):
I can't believe you waitedthis long, you know, to talk to your
audience about hair.
I mean, for many years youjust think hair loss is something
that happens to men, A, butthen B, you start to realize that
hair and hormones, like it'sall tied together and every, this
is an everyone issue. Everyoneneeds to know this. So I'm really
pleased to be chatting withyou about it today. I want to talk
(01:28):
about the causes. I want totalk about the role hormones play.
I want to talk about the rolenutrition plays. Any tips you have
for us. My, my goal is to keepas few of us from needing to be patients,
Alan, as possible. I, I haveno doubt that you are not suffering
from a lack of demand.
Well, you're, you're rightabout that. And, but the good news
is that there's a lot ofthings you can do if you're noticing
(01:50):
some hair thinning. Andobviously it is pretty pervasive.
Pervasive. You know, men andwomen could have hair loss. It's
obviously more visible in men.So, you know, you know, if you, you
can see it in men a lot moreeasily because it's a receding hairline
or they're developing a baldspot in the crown. Maybe you had
an uncle, a dad or grandfatherwho's dealing with hair loss or a
sibling. You know, maybe it'sa significant Other, perhaps, but
in women, it happens a littlebit more subtly. And so there's about,
(02:13):
let's say, 80 millionAmericans out there that are suffering
with hair loss. It's almost50, 50 men to women, but it looks
different. And again, this ismy point, that female hair loss is
very subtle to the naked eye.You get a diffuse hair loss in the
frontal zone. Typically,sometimes it recedes a little bit
in the hairline, but moreoften you're seeing more scalp shining
through, maybe in a part line,maybe you're feeling your ponytail
(02:36):
a little bit thinner than itused to be. Maybe you can't grow
as long a hair as you used to,or you're seeing excessive shedding.
Those are the common signs andsymptoms that bring women to our
practice. And about 50%,almost 50% of our patients today
at Baumann Medical are womenwho are struggling with hair thinning
and hair loss, as well as someother scalp health issues.
So, yeah, I believe it. AndI'm going to go out on a limb and
(03:00):
deduce that this is hormonerelated. Can you please tell me to
what extent is this hormonerelated for men and women? And what
do we need to know?
Yeah, so hair follicles, notonly a very emotional organ, but
also very sensitive tohormones, as we know for sure in
men. We know specificallyexactly what the primary trigger,
not the only trigger, but aprimary trigger in men is dht, dihydrotestosterone.
(03:25):
And the reason why we knowthat so easily is because if you
inhibit the production of DHTin men, you could do that pharmaceutically.
You get a very powerfulregrowth and certainly prevention
of hair loss over time. Now,in women, it's always a little bit
more complicated, isn't it? Wecan see hair loss that happens around
the time of childbirth, forexample. That's a very, very common
time where hormones are ragingwhen you're pregnant. And of course,
(03:49):
the day after, hormones arecrashing. And within the next month
or so, you can see a lot ofshedding and hair loss, as what happens
is those hair follicles, someare in the growing phase, some are
in the resting phase. Whenthat ratio changes during pregnancy,
everything is growing at fulltilt. But when those hormones drop
back down to normal, morefollicles are then in the resting
phase. You can see a dramaticshed. Now, for many women, it's just
(04:13):
a temporary situation, but forothers, it actually exacerbates or
reveals this underlyingtendency towards hair loss, which
happens genetically, meaningthat on your mom's side or your dad's
side, you may notice folks whoare out there who have thin hair
or thinning hair or who haveexperienced a lot of hair loss. And
so that time after childbirth.And then of course, as you mentioned,
(04:34):
perimenopause, menopause andpostmenopausal women, that's a very,
very common time where we seehair loss occurring. The quality
of the hair decreases, muchtimes the color is degraded, and
especially the volume and thequantity of hair that you have on
your scalp, even the shine andthe aesthetic value of hair changes,
of course, as we age.
Yeah, the texture, right, for sure.
(04:55):
And as it goes gray, sometimesit gets a little bit more wiry. It
just seems to change withtime. But there are many, many other
influences, not just age andhormones. Oh, and we, we neglected
to mention the most commonfemale hormone abnormality of childbearing
age, which is PCOS or PCOSrelated conditions, is also related
to androgen sensitivity.That's why you have acne and extra
(05:17):
hair growth in other placesand hair loss associated with that
condition. So that's theyounger set. Women who are of childbearing
age sometimes right afterpubert, have a lot of hair loss situations
there due to that pcos,polycystic ovarian syndrome. And
then the childbirth era andthen you've got again the menopause
age as well.
When you really step back andthink about it. And I hope I'm wrong
about this, you tell me if I'mwrong. But it is actually fairly
(05:40):
unusual to see women out inthe wild over a certain age with
like a luxurious head of hair.It's either thin or it looks brittle
or it even looks kind offried, if you will. I'm being very
indelicate, but I'm just beinghonest, Alan. And when you notice
an older woman with just agorgeous, lush head of hair, it really
(06:03):
stands out to me. Is it justme? Hey, very quick reminder. We
have started 21 days ofmovement. If you're listening to
this in real time, we juststarted. Come join us. There's a
private group in Instagram.There is a reel. It's pinned on my
Instagram profile. It tellsyou everything you need to know.
But 21 days of movement ishappening now. It's happening in
(06:26):
Instagram at on air with Ella.Find me in there. Come along and
join 21 days of movement.
You know, a full luscious setof hair for an older gentleman also
stands out, by the way,because, you know, 50, 50% of men
50 and over have some hairthinning that's visible to the naked
eye. But the point is, isthat, no, you're absolutely right.
(06:47):
Hair does lose its aestheticvalue over time. The hair color,
quality, texture. And the moreyou torture your hair, honestly,
the hair, remember, is a hairth fiber, right? And the fiber is
dead tissue, keratinizedprotein, much like your fingernails.
The magic that happens interms of hair follicle function is
under the skin, right? It'snot what we see. What we see is the
product of that, like 3Dprinter that's under the skin. And
(07:07):
you know, you're born withabout 150,000 of those little bad
boys up there. And their jobis to produce this beautiful fiber
as we continue to age and growover time. But as the, as the follicle
diminishes in terms of itsfunction, that's when you get a weaker,
wispy or thinner hair that'salso more prone to breakage and dullness
and so forth. And then you addon top of that, certainly the things
(07:28):
that we do, which is haircolor, chemicals and heat and all
of the other, all of theabove, that can degrade the fiber,
which cannot repair on itsown. It's like if you nicked your
fingernail, you cracked yourfingernail, you have to wait for
that fingernail to grow backbefore you can, you know, treat it
aesthetically. Again, samething with your hair. And so when
you see women who've coloredtheir hair for many, many, many years,
(07:50):
sometimes it does look alittle bit damaged. And if you've
over processed it, sometimesit can cause some really bad breakage.
And you said fried. You know,it can happen, but there may be hormonal
effects also. You know,thyroid dysfunction can also affect
the quantity and the qualityof your hair as well. So again, that's
another hormone that canaffect the hair follicle function.
But yeah, there's a, there's alaundry list of things that can affect
(08:11):
your hair over time.Nutritionally, you know, caloric
intake, because hair folliclesare highly metabolic. And of course,
with so many weight lossprograms today, pharmaceutical and
non pharmaceutical, you canhave some degradation of hair from
that whole body. Inflammationor inflammation even directly right
at the level of the scalp. Ifyou're itchy, flaky, you know, psoriatic
or otherwise irritated orinflamed at the scalp, you can certainly
(08:34):
degrade the hair fiberfollicle function, which degrades
the hair fiber production.And, you know, so many other things,
medications likeantidepressant or blood pressure
medication or statin drug, Imean, these are all really, really
bad for hair. And even simplestuff like, you know, stress cortisol
exposure is not good for hairfollicle function and sleep wake
cycles. You know, if you'resleep deprived, that chrono, biologic,
(08:57):
chronobiologic clock in thebrain can also affect the clock in
your hair. To turn thosefollicles on and off at the right
time is really important. Soyou know a lot of things that can
go wrong. Unfortunately, yeah.
Our follicles are moresensitive than I ever realized from
what I'm learning, which is tosay that they really respond to stress.
And everything you're sayingis buttressing that initial like
(09:17):
that learning from me. ButAlan, let me ask you a couple of
questions. So I'm going toassume that in most cases what we're
talking about today isapplicable to both men and women.
And as you said, there is needhere to serve both men and women
in this conversation. Will youplease point out to me as we're going
(09:38):
through some of the. So whatare we going to do about it? And
tell me if they are at allgender specific because otherwise
I want to attack this just ata human level, not at a gendered
level until it's practicallynecessary. And before we do that,
let me ask you this. When wetalk about our hormones impacting
hair loss or hair aesthetics,what are the differences in the hormones
(10:00):
between men and women? Is ithormonally driven for us both? I
would assume it would be, butI've got no idea.
There's a lot to unpack there,first of all. So like, let's just
take the easy stuff first.Right? So early male pattern hair
loss is pretty simple and easyto understand because it's primarily
hormone driven. Not to saythat these other things can't affect
it. But as I mentioned earlierin our conversation, DHT dihydrotestosterone
(10:23):
is the primary trigger formale pattern hair loss. And we know
that exposure to DHT obviouslyhappens, of course, our entire life.
Why do some men have malepattern hair loss by the time they
graduate college or evenbefore? And some men can live until
they're 50 years old beforethey start to see a thinning or a
balding spot. And it has to dowith their sensitivity to that DHT
and other factors too,obviously toxin exposure, smoking,
(10:45):
sleep, wake cycles, nutritionand inflammation, all those things.
But we know in the earlystages when you're supposed to be
healthy and vital and youknow, you're, you're a college athlete,
how come you can't grow yourhair very well. We do know that in
that age category, if we doattack it with something that inhibits
the DHT production, we have avery strong rate of success. I'm
not saying that finasteride,which is that medication that inhibits
(11:07):
the DHT production, I'm notsaying that's appropriate for everybody,
but we do know it is powerful.
Clarification question there.When you talk about dht, what is
actually the elevatorstatement around dht?
Actually not the absolutelevel of DHT that's the problem,
but it's the sensitivity thatyou inherit. I see the dht. So the
younger guy with early malepattern baldness, he is more sensitive
(11:29):
to the DHT than, let's say hisbrother, you know, who is, you know,
10 years older and has notmuch more hair, not much hair loss
at all. And women have someDHT now, of course they have less.
But we know that this androgenand female hormone balance as we
get into menopause can be aproblem. And the reason why we do
know this is because a lot ofwomen who are in menopause will choose
(11:49):
bioidentical hormoneoptimization or hormone replacement.
And that might include alsosome bit of test testosterone, which
can be absolutely healthy andrequired, you know, as we know, for
all the great benefits forlean muscle mass and bone and brain
function, sexual drive, allthese different things. But we do
know that too muchtestosterone at that age can also
(12:09):
start to recede the hairline.You can have other testosterone effects
in women. And so women whouse, for example, too much, and that's
relative, but let's just say alot of testosterone maybe or have
over been over treated, let'ssay with pellets or things like that.
Sometimes it's very easy toget over treated if you're doing
pellet hormone replacement, ifyou're not careful, can have some
very serious androgeneticalopecia. Right. So that's what we're
(12:32):
talking about. That's the, themale and female pattern of hair loss,
androgenetic alopecia. We can,we see that very often in our female
patients and, and very oftenthese areas, the temples may be pretty
steady, meaning holding on forreally their whole life. And then
all of a sudden they're inmenopause and they're doing hormone
replacement and then all of asudden, boom, it's receding all the
way back. And then what do wehave to do? The only thing we can
(12:53):
do is transplant that area.
Oh, so when that is the cause,then the only solution is transplant
at that point?
Well, when it's severe. Right.So there's Think about the hair follicle.
Not like a light bulb on oroff, but more like a dimmer switch.
And so the follicle initiallyis, as we all see in the youthful
age of folks, it's growing athick, strong, luscious, smooth,
(13:16):
healthy strand of hair. Andhopefully all your follicles are
just doing that beautifully.But over time, the follicle will
produce a thinner, weaker,wispier hair until eventually, with
each successive cycle, thelength of that hair diminishes. And
so, just as an example, womenin the temples typically have a little
bit less hair density theretheir whole life, maybe. And then
(13:38):
as the hairline looks likeit's receding, what's happening is
that those follicles areweakening, producing less coverage
of hair in those zones. And soif the follicles are too far gone,
then we got to put some back.
Okay? And I assume that whenwe talk about early male pattern
baldness, that at a certainpoint you can't, you can't supplement
your way back to hair growth.So for men as well, at a certain
(14:00):
point, transplant is going tobe the only viable solution there.
Is that correct?
You're right. So nutritionalsupplementation are important for
hair. Why is that? Well, hairfollicles are highly metabolic. And
so if you want to protect thefunction of the hair follicle, you
actually have to feedyourself. You can't be on a strict
caloric deficit for too longor else your body will start shunting
(14:20):
nutrients and fuel to the coresurvival organs. And let me tell
you, that ain't going to beyour hair follicle, unfortunately.
So we know that if you'reprotein deficient, you're not going
to grow hair. They lose theirhair because they don't have protein.
Enough protein. And, but, butit can be subtle. You could be doing
a fasting regimen and all of asudden, you know, shock the hair,
(14:40):
essentially. You could be onozempic or another GLP1 agonist and
be in a caloric deficit for along period of time. Yeah, you're
losing a pound or two a week.It's great. But guess what, you're
losing a boatload of hair attime. So there's ways to protect
your hair during caloricdeficits that will encourage the
hair follicles to stay in agrowing phase and still produce hair.
(15:01):
But it can be tricky. Vegan orvegetarian diets, for example. These
strict and harsh diets oftendo not contain enough bioavailable
protein and even vegetableprotein, plant protein sounds great,
but many people just, theyjust genetically can't absorb it
or they have to take in somuch of it that that it's just impossible
to get the amount of proteinthat you need. So those are very,
(15:23):
very often some earliestthings that we see in folks that
are trying to uncover in anearly stage of the game what's going
on. We're taking a veryholistic approach at Bauman Medical.
We're looking at thoselifestyle factors, your nutritional
regimen. If we need to addsupplementation, we need to do collagen
powder, multivitamin, even aprobiotic to improve absorption.
Let's get some extra biotin onboard, things like that that are
(15:45):
kind of simple and easy. Let'sget into that.
Okay, I would like to go allthe way out to worst case scenario,
if you will, and then dial itall the way back in so that we can
start talking about what wecan do differently tomorrow. Hey,
it's Ella. I need to jump inhere to tell you about something
very short term, very timesensitive that you need to know.
(16:07):
Hopefully you are aware by nowthat I am holding an event for women
only, women with professionalinterests primarily. And this event
is being held in central NewJersey. Really easy to get to on
May 9th. For details aboutthis incredible day, you need to
go to masteryouragame.commasteryouragame.com or go to my site
(16:29):
and go to events on airela.comevents. But here's what you need
to know that's really timesensitive just for my listeners because
this is open to the generalpublic. I'm co hosting this with
somebody else and she has areally large network. This is just
for you for a very limitedtime because I can only do this for
20 people. But if you areworried about coming alone and you
(16:51):
are paying out of pocket, Iwant to give you a special buddy
pass. If your company'spaying, which we have materials,
if you're an employee, we havematerials for you to submit to your
employer so that they can payfor your admission. But if you're
paying out of pocket, first ofall, we've priced it really, really,
really reasonably. So thatshould not be a problem. But just
(17:12):
for you guys, if you want tocome and you want to bring a buddy
and you were like a little bitwary about coming alone, I need to
tell you that's never a thing.It feels like that and then you get
there and it doesn't feel likethat anymore. I have so many people
can tell you that that istrue. But also I will be there. So
you already have a Buddy,okay? But as a special promotion
(17:35):
just for you, I'm offering youa buddy pass. The details are this.
When you buy a ticket, whetheryou buy a VIP ticket which comes
with a complimentary headshotthat day, or whether you buy a standard
ticket, you can have a friendor a teammate or a loved one attend
with you for $50. For $50,that is a $249 savings. They get
(17:59):
a standard ticket for $50.Again, this is really short term,
really time sensitive.Basically to redeem it, you register
for the event and then youemail me directly to request the
promo code. All of theinstructions are there. Like you
get a confirmation email. Whenyou sign up, you just reply to that,
that is me. Then you requestthe promo code for your buddy. Okay?
(18:22):
So you register, then youemail me and say I need the buddy
pass. And I send you thecoupon code so you can register them
with the buddy pass. As youmight imagine, this is really limited.
So don't miss out on thischannel to come with a buddy if you
like, if that's what you werethinking. And honestly, just overall,
don't miss this chance toconnect with like minded women and
(18:42):
gain real insight and expertstrategies that you can employ the
very next day. I hope you'llcome. Whether you bring a friend
or not, it's going to beabsolutely amazing. The details are
at my site on Air Ella eventspage or master your A game. I cannot
wait to see you. I really wantto understand like for whom transplant
(19:06):
is the answer so that then wecan put everyone else in an everyone
else bucket. Does that make sense?
Yes, absolutely. And so, youknow, first of all, that's one of
the things that we try toelucidate in a consultation, by the
way, an evaluation which canbe done online or in the office.
But I will tell you, ifyou're, if you've got male pattern
baldness and you've got a deepreceding hairline or a bald spot
that's highly visible, if it'sshiny like a cue ball, you're going
(19:29):
to need a hair transplantthere. If you have a scalp scar,
if you have an injury fromtrauma, a car accident, God forbid,
or you've had some kind ofcosmetic procedure like a brow lift
or something, or faceliftthat's left you with a scar tissue,
the only way to put hair backinto a scar is through a hair transplant
procedure. For our women Imentioned end stage, you know, deep
(19:49):
receding hairline, overdosedwith testosterone or whatever, or
just extensive female patternhair loss. We do very well with those
patients with hairtransplantation, and even women who
are born with a little bit ofa higher hairline, who don't like
that look, a lower hairline,typically just in general. Again,
trends can change. Just likeeyebrows go from fat to thin in fashion,
(20:11):
a lot of women will come inand request a hairline lowering procedure
into an area where they neverhad hair. You know, it's a surgeon
and a patient's judgment callwhether that's appropriate or not.
But it's certainly possible todo that. So that is a common request.
Female hairline restoration,eyebrow transplants, eyelash transplants,
and. Yes. And anywhere elsethat you need hair we can transplant.
(20:35):
By the way, what is it, whatis it about aging where you get hair
everywhere you absolutely donot need it or want it in any way,
and it falls out of everywhereelse. Like, what's, what's up with
that? That's retard.
That's mother nature's crueltrick on both men and women. I think
men have it worse because, youknow, we got to start trimming the
hair inside the ears and ournoses and their eyebrows start to
get bushy like Groucho Marksand all that. And. And of course
(20:58):
we' balding at the same time.We're fighting like hell to keep
our hair, you know, so itsounds like.
You do it all. It sounds likethe technology, I bet, is just apples
and oranges to where it was 15years ago. I bet it's a completely
different industry.
Completely. We've come lightyears in the world of hair transplant
surgery, and so those of uswho are old enough to remember the
(21:18):
old plugs back from the 1980sor 90s, transplantation has changed
a lot since then.
The reason I wanted to gothere first is I don't want to create
false hope for anyone who'shoping like that. We can offer one
of these sort of biohackingtips and it's going to regrow their
husband's head of hair. Youknow what I mean? So I wanted to
go to the extreme so that wecan work our way backward. Now I'd
(21:40):
like to talk to you about therest of us. Bucket. I want to know
what every 35 year old, every45 year old, every 55 year old ought
to be considering when theyhave their health. Health span. Their
hairspan, did you say?
Yeah, hairspan, Absolutely.
Hairspan in mind. And you'vetouched on a few. I want to dig a
(22:00):
little deeper. If you couldspeak in the most general terms,
what are five things everybodyshould be doing or paying Attention
to right now, right?
So. Well, the first thing youshould know is that if you think
you're prone to hair loss,right, you have, let's say, close
biologic relatives who arelosing their hair, or you've started
to think you're noticing achange in your hair over time. You
(22:20):
need to know that time equalsfollicles, that this is not going
get better on its own. So ifyou just take one message home, you
know, take action, right?Don't, don't sit around and deny
it and oh, yeah, it's going toget better, or I'm in this little
shedding phase. No, you reallyshould have something evaluated because
you can lose 50% of your hairwithout it being noticeable to the
naked eye. That's what, whatit means is that the science shows
(22:44):
you can literally take an areaof your scalp, take out a huge amount
of that hair, 20, 30, 45% ofthat hair, and it still looks about
the same. But once you startto lose more than 50, the bulk, that's
when it starts to look intothe naked eye. So early action is
critical. So what do we do inan evaluation? How do we figure out
what's the right therapy ortreatment? So we go through the lifestyle
(23:06):
factors that we previouslymentioned, and that includes, you
know, your sleep, wake cycles,inflammation, what's your diet, what's
your stress level, those basictypes of things. What kind of medications
are you on? Do you have otherrisk factors, hormonal factors that
could be influencing your hairor hair production? Is the scalp
health both on point? Right.Is your scalp irritated, itchy, inflamed?
Do you have scalp acne whichis called folliculitis? Is there
(23:29):
dandruff? Is there somethingthat we can see under the microscope
that doesn't look healthy? Wewant to clear all that up first.
Why? Because we knowinflammation is going to be bad for
the hair follicle. Andcertainly if you're going to need
a hair transplant,inflammation is going to be poor
healing. So that's not sogood. And then we talk about therapies
and treatments and this iswhere the buckets come in. So, so
we spoke a bit aboutnutritional supplementation. We have
(23:51):
a whole supplement line.There's also herbs. Right. So these
are non pharmaceutical things.
Can you tell me some of thenutrients we should definitely be
making an effort to payattention to now with this in mind,
for sure.
So for women, if they're proneto anemia or protein loss, you definitely
want to supplement thosethings. If you think that those things
are on point. You've had bloodwork and so forth. Hormones are okay.
(24:15):
Take a look at your B vitamincomplexes. Look at extra biotin.
Get your protein collagenpowder on point. We focus on the
multivitamin with B complexbecause B complex is excellent for
hair regrowth. Biotin helpswith skin and hair and nails for
sure. So those are some of thebasic items many people have heard
about, some of the morepopular advertised nutrients, and.
(24:37):
They'Re expensive as hell. SoI'm really glad you're bringing this
up.
Yeah, some of them are verygood. And I will tell you, I'll mention
a few by name because we know,for example, Nutrafol, everybody's
heard of it. It's been out fora decade. They launched Neutropol
10 years ago through physicianoffices like mine. And we have very
good confidence in neutropolbecause there's some clinical published
(24:57):
studies behind them that showsthat the ingredients in neutropol,
which are kind of like an herbsalad, to be honest. I mean, ancient
herbs, right? Things likeashwagandha for stress, curcumin,
turmeric for inflammation, sawpalmetto, as we mentioned, could
be a good anti androgentherapy. Collagen, that's in there
as well. And a bunch of otherthings, too. Those are all ingredients
in your, if you will, the herbsalad that attacks the hair follicle
(25:21):
and protects it in differentways. So that's the benefit of Nutrafol.
Now, is Nutrafol going to beas good as a medication? Probably
not. But if you can lower thatinflammation level, if you can make
yourself more resilient tostress, I mean, look, you might need
extra ashwagandha than what'sin Neutropol.
Let me ask you this. And I'm avegetarian. I know it's inconvenient,
it's a pain. I don't recommendit. But I am so. I am taking a vitamin
(25:44):
B complex. I am taking biotin.I am supplementing with kion amino
acid because I don't eat meat.Then I am taking collagen, which
is not vegetarian at all.
Right, I got you.
So I am, like, going out of myway to hack this thing called life
as someone who doesn't like toeat meat, but is not like waving
a vegetarian flag.
(26:05):
Okay, well, Ella, you're doingall. You're doing all the right things.
I don't think I eat enoughprotein. And you're telling me. Just
one more reason. We talkabout. We talk about protein ad nauseam,
okay? But maybe I should takemy own Advice. Every once in a while,
while I know I don't getenough protein, what I'm hearing
you say is stop messing about.Like I care about muscle. So I'm
(26:26):
already invested. But we'rerisking more than just slow muscle
build. We're risking our hairif we're not getting enough protein.
Why?
Well, the reason why you needprotein is because hair is protein.
Keratin is a protein. It'sdried protein. That's what your fingernails,
your hair is. The hair fiberthat you see is dead, keratinized
(26:48):
protein. When I say dead, itmeans it doesn't self repair hair.
The follicle under the skin isalive. The follicle is about 2 to
4 millimeters deep, dependingon where it's located in the body.
It contains about a hundredthousand cells. Each one about two
dozen different types ofcells. So there's a lot of activity
going on there. Hair folliclesare some of the most highly metabolic
cell populations in your body,which makes sense. The reason why
(27:12):
I think hair is so valuable topeople, right? Because it's again,
an emotional organ. I keepcoming back to that, that the reason
why hair is so valuable isbecause it's an outward sign of not
only beauty and youth, buthealth and vitality. Hair is important
because it's an outward signof that internal feature and function
of health and wellness andvitality. So yeah, you need protein
(27:33):
because you got to feed those follicles.
Reason 735,002, why I need toup the ante when it comes to my protein
intake. And by the way, sameas everybody else listening, like
we struggle, we struggle withthis. Okay, Alan, I want to hit you
with like lightning roundquestions. I have so many questions.
The only way I can think toget them out to you is to just spitfire
(27:53):
them at you. Are you ready?Are you buckled up?
Go for it.
I want to get to more of whatto do about it, but I still have
questions on tools we canbasically employ at home.
Got it.
Myth or fact? If you pluck agray hair, it's never growing back.
That's a myth. Well, if youpluck a hair many, many, many times,
like you maybe have done withyour eyebrows, potentially, you realize
(28:14):
that it doesn't grow backback, that traction alopecia can
occur. But if you pluck a grayhair, the chances are pretty good.
It's a, it's a very. Actually,even though it doesn't have a pigment,
it's usually a very stronghair follicle. There's not too many
like weak gray Hairs. Younotice, they just, they, they're
like, they're pretty robust,you know, I did notice. I mean, they
just, you know, you. And ifyou pluck, if you want to keep plucking
(28:34):
the grays, thinking that'sgoing to solve your problem, your
base can be plucking out allyour hair eventually. So we don't
have a cure for gray hair. I'mjust leading into the real, probably
your next question. But thereare some peptide treatments out there
that hint at protecting hairfollicle function and pigmentation.
Copper Peptide is one of them.Copper Peptide is a non pharmaceutical
product. We have solutions,liquids that you can use on your
(28:57):
scalp that contain peptides.You can use those at home, by the
way. And there's alsotreatments that can be done in the
office where we literally pushpeptides through the moisture barrier
of your skin using ultrasound.So those are treatments that we do
in the office called TEDtransepidermal delivery. So those
are two ways you asked forabout home therapy. So copper peptide
and some other like zinc,thymulin and such are in the AMPM
(29:19):
PEP grow that we have. That'ssomething you use at home twice a
day. Or as I said in officetreatments with ted, they're not
painful. There's no needles.You just. We just deploy the peptides
right into the scalp. That'sone treatment per month for usually
a series of four.
Okay. Collagen. I'm pleased tohear you recommend it because the
jury is still out on collageninsofar as its effectiveness with
(29:42):
specific conditions. I havealso read the molecules too big to
be bioavailable for what youthink you're consuming it for. Give
me your quick take on whycollagen's beneficial. And I did
pick up that you said thatthere are several different types.
Yeah. So I do think a collagensupplementation is important. I do
(30:03):
like collagen as a nutritionalsupplement for skin and hair. I do
believe that you are getting abiologic benefit of it. You know,
I think when it comes down tolike molecule size and all of this,
I don't think that we knowexactly what the size is in terms
of absorption. And the samegoes is true for the skin. You know,
sometimes it's not necessarilythe size of the molecule, but you
(30:25):
know, it's how your skinresponds to it. So like, like I said
before, we deliver thosepeptides through the skin using ultrasound.
But you know, some of thosepeptides actually can get through
the skin without theultrasound too. By the way, there,
there are very specific Typesof collagen. I'm trying to think
of the name Verisol, Fortagel.These are, these are commercial,
proprietary mixtures ofcollagen where they've actually done
(30:46):
the studies to show that ithas an effect on skin or has an effect
on hair. And the only way toreally know if you're going to get
a benefit from a therapy ortreatment is to get a baseline measurement.
Look, some people are notresponsive to over the counter minoxidil,
and that's okay. They may nothave the metabolic pathway to convert
it to the active metabolite inthe skin.
And that's the prescriptionthat you can take for hair growth.
Yeah, well, minoxidil isavailable over the counter. That's
(31:08):
yellow Rogan pain. You don'teven need a prescription for that.
Okay. I've seen people microneedle their hairline, micro needle
their eyebrows.
Effective or not, microneedling can be effective, but I'm
going to put a footnote on itbecause remember, micro needling,
if you do it correctly,there's two reasons to do micro needling.
Number one, for penetration ofa solution, right? Because you're
(31:29):
making small punctures, right?So a derma roller with a 0.5 or dermal
stamp, 0.5 millimeter isprobably not going to hurt you. And
but on your skin or on yourscalp, it's going to increase the
penetration of your topical.So that would be a reason, number
one, and that you could almostdo at will maybe twice a day to improve
that penetration of thetopical. The other reason you would
want to consider derma rollingmicroneedling is to create micro
(31:53):
trauma. And why would we wantto traumatize the skin? Well, micro
trauma, a little bit ofwounding, as we know with skin healing
and skin rejuvenation, cantrigger collagen production and the
release of growth factors andsuch. Now, we're not talking about
resurfacing your grandmother'santique table here, okay? So if you're
going too hard too fast, toooften with your, you know, Amazon
(32:14):
Dr. Pen or whatever, you'reprobably going too hard. So my point
is, is that there's a sweetspot that if you hit that little
bit of micro wounding, yourbody will attempt to heal and rejuvenate
without causing trauma to theexisting hair. You'll get a boost
of hair growth, which isamazing. And there's a lot of data
on this in the clinicalliterature, which is exciting. But
(32:35):
too much trauma will negateall of those beneficial effects,
cause a dramatic boost ofinflammation, and it's going to knock
out more hair than it's goingto grow. So if you do it too often,
too much. So there's a sweetspot there.
Yeah, that just. That makesgood, good sense. Red light therapy.
I'm a huge red light fan. Imean, in Medical School, 30 something
years ago, well, they did notteach us that red light had any effect
(32:59):
on an animal cell. I mean,that was just not in any bio. That
was not in any biology classthat I ever took.
Yeah, surprise.
I didn't know how red lightaffects animal cells. But today we
are very clear about that, youknow, and there are a few people
to basically applaud for, justfor discerning all of that through
clinical research andscientific study, like Dr. Michael
(33:20):
Hamlin. So I'm a huge advocatefor red light. The Bauman Turbo laser
cap is the home unit. That'sthe premier device. It's portable
rech. It has more coveragearea than 25%. 25% more coverage
area than any other device onthe market. And it's only five minutes
per night with zero sideeffects. So if you're looking for
a home treatment, that's theone to get.
Yeah, I'll say that. If thatis of interest to you, you've got
(33:42):
to go to a reputable company.Please don't just get a device off
of Amazon. You're going to bewasting your money.
I'm so glad you said that. Iwas going to say the same thing.
Yeah. I'm here to help, Alan.I had no idea that you carried all
of these items. So I will putin a link and I will also write every
single nutrient that we talkedabout. So everything you guys will
(34:03):
be summarized in the shownotes. So don't worry about that.
You don't need to write all ofthis stuff down. I got you covered.
All right. We don't have thatmuch time left, and I definitely
want to get in to some of theother therapies that you talk about.
So we talked about at home,what you can eat, what you should
probably be supplementingwith. We talked about how there are
some tools that you can justget and use on your own. What now
(34:27):
occurs between that approachand the extreme of hair transplant.
It sounds like we have someoptions on the spectrum.
Yeah, there's. I would saythere's two other kind of buckets
that things fall into. Onewould be pharmaceutical intervention.
We had mentioned early onfinasteride to inhibit DHT production
in younger men andpostmenopausal women. Perhaps minoxidil
(34:49):
is the og. The original FDAapproved medication for hair loss.
Most people think aboutminoxidil as a topical. Today we
prescribe it using compoundscompounded medication in a micro
dose format so that we cantitrate down the dose and still get
that really strong boost ofhair growth in a consistent dosing
strategy.
So we're, we're consuming itthrough our mouth or it's, it's not
(35:10):
topical anymore. Oh, okay, okay.
It can be, you can do it.Yeah, if you don't like. But you
have both. And sometimespeople do both. But in general, the
topicals are a little bit morehaphazard. People's lifestyle gets
in the way. You got a fancyevent to go to, I'm too tired tonight,
blah, blah, blah. So getting adose of minoxidil like in the morning
that covers you for the fullday is not a bad way to go. And it's
(35:33):
a very powerful hair growthtreatment. It does require a prescription.
Who should you be asking forthis type of prescription? Like who
should you be starting thisprocess with? Not Everybody has a
Dr. Allen.
Yes. But everybody has theInternet today. Okay, you can all
go to baumanmedical.com andfrom your home or phone you can connect
with me. And you know, we havea prescription, prescriptions available
(35:55):
in all 50 states. And, and sowe're, we're certainly available
to treat patients from allacross the country and many patients
do fly in to see us from allacross the world. So. But prescription
medication can be powerful. Itdoes require a doctor's prescription.
Yes, you, you should visit aboard certified hair restoration
physician for this. And onethat measures you, not just says,
(36:17):
oh yeah, I think it looksokay. Or one, oh yeah, I think it's
getting better. No, let'squantify and measure what's going
on over time. Time so we knowhow well it's working. So a board
certified hair restorationphysician, American Board of Hair
Restoration Surgery Fellow ofInternational Society of Hair Restoration
International alliance of HairRestoration Surgeons is a great place.
These are all credentials. Andlook for someone who's experienced,
(36:38):
who has the knowledge and alsohas the tools in the toolbox.
Dr. Bauman, we will make itextremely easy to find you. You are
located in Boca Raton,Florida, United States. States. But
we will put all of your linksplus a summary in the show notes
for this episode. Alan, thankyou so much.
It's totally my pleasure.Thank you so much for having me.
(37:00):
And all I'd like to say is ifthere's somebody out there with questions,
you can always go tobaumanmedical.com and ask a question
and I will get right back toyou. But it's really a pleasure and
hopefully we get a chance toanswer some questions that come back
from this podcast and we canrevisit it in a 2.0 segment.
You bet. Thanks, Alan.
My pleasure. Pleasure.
Okay, if you enjoyed today'sshow, please share it with someone
(37:20):
you care about. And be sure tocheck out our new YouTube channel
and head to onairella.com fortoday's show notes. You can also
learn about how to work withme there on airella.com PS all the
links you need for us toconnect are right here in your podcast
app in the description fortoday's episode. Check them out.
Thanks for listening andthanks for inspiring me. You are,
(37:42):
quite simply awesome.
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On Purpose with Jay Shetty
I’m Jay Shetty host of On Purpose the worlds #1 Mental Health podcast and I’m so grateful you found us. I started this podcast 5 years ago to invite you into conversations and workshops that are designed to help make you happier, healthier and more healed. I believe that when you (yes you) feel seen, heard and understood you’re able to deal with relationship struggles, work challenges and life’s ups and downs with more ease and grace. I interview experts, celebrities, thought leaders and athletes so that we can grow our mindset, build better habits and uncover a side of them we’ve never seen before. New episodes every Monday and Friday. Your support means the world to me and I don’t take it for granted — click the follow button and leave a review to help us spread the love with On Purpose. I can’t wait for you to listen to your first or 500th episode!