1 00:00:02,960 --> 00:00:07,960 Speaker 1: Welcome to Christian Natural Health with naturopathic doctor Lauren Deville. 2 00:00:08,200 --> 00:00:11,399 Speaker 1: Christian Natural Health is the podcast on how to get 3 00:00:11,440 --> 00:00:16,840 Speaker 1: and stay healthy God's Way. You'll hear topics on nutrition, exercise, sleep, 4 00:00:17,079 --> 00:00:22,680 Speaker 1: avoiding toxicity, meditating on scripture, what supplements to take, stress management, 5 00:00:23,000 --> 00:00:27,520 Speaker 1: defeating anxiety and worry, how to reconcile Eastern medicine, approaches 6 00:00:27,520 --> 00:00:32,200 Speaker 1: with Christianity, and a whole lot more. Now here's your host, 7 00:00:32,440 --> 00:00:33,240 Speaker 1: doctor Lauren. 8 00:00:34,800 --> 00:00:37,360 Speaker 2: Welcome back to another episode of Christian Natural Health Today. 9 00:00:37,400 --> 00:00:39,720 Speaker 2: I'm very pleased to have doctor Alan Bauman back with 10 00:00:39,800 --> 00:00:42,600 Speaker 2: us again. Doctor Bauman is the founder and CEO of 11 00:00:42,640 --> 00:00:45,960 Speaker 2: Bowman Medical and international leading treatment center in the field 12 00:00:46,040 --> 00:00:49,520 Speaker 2: of hair restoration. Doctor Bauman received his Medical doctor degree 13 00:00:49,560 --> 00:00:52,159 Speaker 2: from New York Medical College in Valhalla, New York, and 14 00:00:52,280 --> 00:00:55,840 Speaker 2: underwent internship and residency training and surgery at Beth Israel 15 00:00:56,000 --> 00:00:59,960 Speaker 2: Medical Center in Mounts and Mount Syinai Medical Center in Manhattan, 16 00:01:00,080 --> 00:01:02,840 Speaker 2: before dedicating his expertise to the specialized fields of hair 17 00:01:02,880 --> 00:01:05,840 Speaker 2: transplant surgery and the treatment of hair loss, with a 18 00:01:05,840 --> 00:01:09,840 Speaker 2: particular focus on androgenic alopecia or hereditary male and female 19 00:01:09,920 --> 00:01:12,800 Speaker 2: pattern hair loss. Doctor Bauman has established himself as an 20 00:01:12,800 --> 00:01:15,640 Speaker 2: authority in the industry. Welcome, doctor Bauman, Thanks so much 21 00:01:15,680 --> 00:01:16,280 Speaker 2: for joining us. 22 00:01:17,160 --> 00:01:19,360 Speaker 3: Great to be with you, Lauren, Yeah, for sure. 23 00:01:19,640 --> 00:01:24,039 Speaker 2: So I wanted to kind of begin by talking a 24 00:01:24,040 --> 00:01:26,840 Speaker 2: little bit about before we get to some of the 25 00:01:26,959 --> 00:01:29,640 Speaker 2: last steps of surgery and things like that. You told 26 00:01:29,640 --> 00:01:31,920 Speaker 2: me before we were on air, before we started here 27 00:01:32,000 --> 00:01:35,319 Speaker 2: that you see a lot of patients virtually from all over, right, 28 00:01:35,680 --> 00:01:39,000 Speaker 2: So to begin trying to evaluate what are some of 29 00:01:39,040 --> 00:01:41,759 Speaker 2: the underlying causes, What can we address that you can 30 00:01:41,760 --> 00:01:46,399 Speaker 2: do on your own. So from the standpoint of male 31 00:01:46,480 --> 00:01:48,960 Speaker 2: and female pattern hair loss, what are some of the 32 00:01:49,040 --> 00:01:52,280 Speaker 2: underlying causes that you find besides genetics. 33 00:01:52,400 --> 00:01:55,520 Speaker 4: Right, So we know that there's typically a genetic tendency 34 00:01:55,600 --> 00:01:58,240 Speaker 4: towards hereditary hair loss, which is the pattern of hair 35 00:01:58,280 --> 00:02:01,600 Speaker 4: loss that you would commonly reckon ignizing men receiving hairline 36 00:02:01,680 --> 00:02:04,360 Speaker 4: or thinning in the frontal zone for women, and then 37 00:02:04,360 --> 00:02:06,680 Speaker 4: maybe a recession of the hairline later on, and then 38 00:02:06,760 --> 00:02:09,440 Speaker 4: it goes to total baldness in women. It typically does not, 39 00:02:09,800 --> 00:02:11,920 Speaker 4: and it typically preserves the hair on the sides in 40 00:02:11,919 --> 00:02:13,799 Speaker 4: the back of the scalp. But one of the things 41 00:02:13,800 --> 00:02:16,440 Speaker 4: that I've learned over nearly thirty years in the field 42 00:02:16,480 --> 00:02:19,440 Speaker 4: of hair restoration, is that the hair follicle is a 43 00:02:19,560 --> 00:02:23,920 Speaker 4: very strong barometer for overall health and wellness. And so 44 00:02:24,639 --> 00:02:27,000 Speaker 4: what we know is that the hair follicle is one 45 00:02:27,000 --> 00:02:30,480 Speaker 4: of the most highly metabolic cell populations in your body, 46 00:02:30,560 --> 00:02:34,320 Speaker 4: and it's constantly doing something that we can visually see. So, 47 00:02:34,520 --> 00:02:38,560 Speaker 4: just like we see aging and other influences of lifestyle 48 00:02:38,800 --> 00:02:41,359 Speaker 4: on our face, right on our skin, maybe it wrinkles, 49 00:02:41,360 --> 00:02:44,280 Speaker 4: it looks dry, it's you know, it could be inflammation 50 00:02:44,360 --> 00:02:47,040 Speaker 4: or acne or other things that could happen on our 51 00:02:47,080 --> 00:02:48,200 Speaker 4: skin that's very visible. 52 00:02:48,480 --> 00:02:48,679 Speaker 3: Well. 53 00:02:48,840 --> 00:02:53,040 Speaker 4: Hair follicles also are responsive to everything from nutrition to 54 00:02:53,200 --> 00:02:58,120 Speaker 4: lifestyle habits like poor sleep cycles or poor nutrition, or 55 00:02:58,200 --> 00:03:03,920 Speaker 4: malabsorption or overall body inflammation. Certainly, scalp health local inflammation 56 00:03:04,000 --> 00:03:06,960 Speaker 4: can disrupt the hair follical function as well. But then 57 00:03:07,520 --> 00:03:12,040 Speaker 4: there's medications that people may be on, everything from blood 58 00:03:12,040 --> 00:03:16,000 Speaker 4: pressure medications to cholesterol medications to mood modulators which are 59 00:03:16,040 --> 00:03:18,799 Speaker 4: so common these days, these are all things that can 60 00:03:19,240 --> 00:03:24,800 Speaker 4: really dysregulate the hair follical function. Whole body inflammation, stress, 61 00:03:24,919 --> 00:03:29,920 Speaker 4: and nutrition are really killers for many people's health and wellness, 62 00:03:29,919 --> 00:03:34,200 Speaker 4: and certainly the hair is responsive to that as well. 63 00:03:34,520 --> 00:03:37,520 Speaker 2: Right, And so when you're talking to somebody who's experiencing this, 64 00:03:37,960 --> 00:03:40,040 Speaker 2: how do you start to figure out what's the issue 65 00:03:40,040 --> 00:03:42,520 Speaker 2: for this person? Is there like a missing building block 66 00:03:42,560 --> 00:03:46,560 Speaker 2: in terms of micronutrient or is it like macronutrient issues, 67 00:03:46,840 --> 00:03:49,120 Speaker 2: or is there maybe toxicity that we need to investigate. 68 00:03:49,120 --> 00:03:49,960 Speaker 2: How do you parse that? 69 00:03:50,880 --> 00:03:51,120 Speaker 3: Well? 70 00:03:51,360 --> 00:03:53,680 Speaker 4: Yeah, all, but it really starts with a very broad 71 00:03:53,720 --> 00:03:56,040 Speaker 4: conversation of what's going on in the family. Right, So 72 00:03:56,200 --> 00:03:59,240 Speaker 4: that's where we identify the genetic risk factors, what exactly 73 00:03:59,280 --> 00:04:03,040 Speaker 4: their experience. Because there's a lot of different types of alopecia, right. 74 00:04:03,040 --> 00:04:06,240 Speaker 4: Alopecia is just the main term for hair loss. Sometimes 75 00:04:06,280 --> 00:04:08,280 Speaker 4: patients will come in with a shedding phase. And so 76 00:04:08,880 --> 00:04:12,000 Speaker 4: if they have a sudden shedding phase, then that's totally 77 00:04:12,040 --> 00:04:15,760 Speaker 4: different than let's say, a receding hairline or a fitning 78 00:04:15,800 --> 00:04:18,240 Speaker 4: spot happening in the crown in or. 79 00:04:18,080 --> 00:04:20,320 Speaker 3: You know, a male in their twenties, let's say. 80 00:04:20,600 --> 00:04:24,680 Speaker 4: And so someone in perimenopause or menopause, a woman's going 81 00:04:24,760 --> 00:04:27,400 Speaker 4: to have a lot of different other factors that could 82 00:04:27,440 --> 00:04:29,800 Speaker 4: be influencing not just the amount of hair that she 83 00:04:29,839 --> 00:04:32,240 Speaker 4: has on her scalp, but the quality of that hair 84 00:04:32,520 --> 00:04:35,760 Speaker 4: as well, and so we can see extra changes air 85 00:04:35,839 --> 00:04:38,840 Speaker 4: color changes obviously, And so how do we get down 86 00:04:38,880 --> 00:04:41,160 Speaker 4: into it. Well, you know, we have a broad discussion 87 00:04:41,200 --> 00:04:43,680 Speaker 4: of lifestyle factors. I want to know their medical history. 88 00:04:44,080 --> 00:04:47,000 Speaker 4: Have they had any scalp health issues? You know, what 89 00:04:47,080 --> 00:04:49,200 Speaker 4: is their nutritional status looking like. Are they on a 90 00:04:49,480 --> 00:04:51,800 Speaker 4: restrictive diet. Are they on a weight loss drug or 91 00:04:51,920 --> 00:04:55,200 Speaker 4: weight loss program? Have they lost weight? Have they had 92 00:04:55,480 --> 00:04:57,479 Speaker 4: you know in the days gone by, have they had 93 00:04:57,520 --> 00:05:03,480 Speaker 4: covid or other severe infections, fever, hospitalization, surgeries like general 94 00:05:03,520 --> 00:05:06,880 Speaker 4: anesthesia if you're a woman of child bearing age. One 95 00:05:06,880 --> 00:05:08,960 Speaker 4: of the things that we look out for is PCOS 96 00:05:09,040 --> 00:05:12,880 Speaker 4: polycystical barrier syndrome. Younger men were looking at are they 97 00:05:13,000 --> 00:05:18,520 Speaker 4: abusing creatine or performance enhancing drugs? Are they smoking? Are 98 00:05:18,560 --> 00:05:22,159 Speaker 4: they using toxic toxins? Are they exposed to toxins in 99 00:05:22,200 --> 00:05:25,599 Speaker 4: their work or lifestyle. So there's a lot of things 100 00:05:25,600 --> 00:05:27,880 Speaker 4: that we want to cover. And you know, I'm not 101 00:05:28,120 --> 00:05:30,880 Speaker 4: an I mean, I wouldn't say I'm a functional health physician, 102 00:05:30,960 --> 00:05:33,320 Speaker 4: but I am aware of this having been involved with 103 00:05:33,360 --> 00:05:36,640 Speaker 4: alternative and complementary therapies and a functional approach to health 104 00:05:36,640 --> 00:05:41,320 Speaker 4: and wellness for my entire career. Aside from being trained 105 00:05:41,320 --> 00:05:43,920 Speaker 4: in surgery, I've been a member of the American Academy 106 00:05:43,920 --> 00:05:47,279 Speaker 4: AICI Agent for nearly thirty years. So you know, we 107 00:05:47,400 --> 00:05:50,760 Speaker 4: kind of get an idea from that story what is 108 00:05:50,800 --> 00:05:53,480 Speaker 4: going on, you know, and you know we've left out 109 00:05:53,680 --> 00:05:57,080 Speaker 4: mold toxicity or chronic diseases and things such as bad 110 00:05:57,120 --> 00:05:59,440 Speaker 4: that can really all of these things are really nasty 111 00:05:59,480 --> 00:06:01,400 Speaker 4: for hairfall func shit unfortunately. 112 00:06:01,520 --> 00:06:03,560 Speaker 2: Yeah. Yeah, And so as you're talking and thinking about 113 00:06:03,600 --> 00:06:06,320 Speaker 2: in naturopathic medicine, we have this idea of inside out, 114 00:06:06,360 --> 00:06:08,480 Speaker 2: top down. So when your body is trying to get 115 00:06:08,560 --> 00:06:12,360 Speaker 2: rid of some sort of internal problem, like when it's 116 00:06:12,360 --> 00:06:14,800 Speaker 2: trying to detox, typically it's going to push it as 117 00:06:14,839 --> 00:06:17,800 Speaker 2: far away from your internal organs as it possibly can get, 118 00:06:17,839 --> 00:06:21,200 Speaker 2: and that would include skin and presumably hair too. So 119 00:06:21,240 --> 00:06:23,760 Speaker 2: you mentioned that this is a barometer of internal health. 120 00:06:24,240 --> 00:06:26,880 Speaker 2: What does that usually indicate to you? Like, are there 121 00:06:26,920 --> 00:06:30,320 Speaker 2: first places that you go in terms of functional investigation 122 00:06:30,520 --> 00:06:33,880 Speaker 2: and like specific nutrients, specific talksins, anything like that that 123 00:06:33,920 --> 00:06:34,800 Speaker 2: you look at first. 124 00:06:35,400 --> 00:06:39,160 Speaker 4: Yeah, I mean, if we're talking about internal health first, 125 00:06:39,440 --> 00:06:42,239 Speaker 4: I mean, you know, of course scalp health is critical, 126 00:06:42,279 --> 00:06:44,000 Speaker 4: so that's easy to look at. Right, So you're in 127 00:06:44,040 --> 00:06:48,000 Speaker 4: the consultation. You've progressed from let's say a virtual start 128 00:06:48,120 --> 00:06:51,160 Speaker 4: or a phone call or just some photos or messaging 129 00:06:51,200 --> 00:06:52,840 Speaker 4: and so forth. Now you're in the office. We're doing 130 00:06:52,839 --> 00:06:55,560 Speaker 4: detailed measurements of your scalp. We're looking under the microscope 131 00:06:55,800 --> 00:06:58,880 Speaker 4: and we're making sure that there's nothing specific in terms 132 00:06:58,920 --> 00:07:02,440 Speaker 4: of inflammation to Andrew bitching, irritation, folliculitis, or acne of 133 00:07:02,440 --> 00:07:05,560 Speaker 4: the scalp, all of these things, a cyberic dermatitis, you name. 134 00:07:05,600 --> 00:07:08,440 Speaker 4: It could be disrupting the hair follical function. Must have 135 00:07:08,480 --> 00:07:10,760 Speaker 4: kind of cleared that. Then we're talking more about nutrients 136 00:07:10,760 --> 00:07:14,720 Speaker 4: and fuel. Right, It's clear that if you're protein deficient 137 00:07:14,840 --> 00:07:17,560 Speaker 4: and either on purpose, like let's say you know you're 138 00:07:17,560 --> 00:07:20,680 Speaker 4: trying to lose weight, or maybe you have a harsh 139 00:07:20,680 --> 00:07:23,600 Speaker 4: restrictive diet began or vegetarian, not that there's anything wrong 140 00:07:23,640 --> 00:07:25,600 Speaker 4: with that, but it may be harder for you to 141 00:07:25,640 --> 00:07:29,080 Speaker 4: absorb enough protein or metabolize that protein into keratin, which 142 00:07:29,120 --> 00:07:31,560 Speaker 4: is what we need to grow hair and fingernails. 143 00:07:31,040 --> 00:07:33,080 Speaker 3: By the way, and everything else in the body. 144 00:07:34,400 --> 00:07:37,760 Speaker 4: So we're talking to patients about nutrients and fuel, and 145 00:07:37,800 --> 00:07:39,720 Speaker 4: it's one of the reasons why I developed actually a 146 00:07:39,720 --> 00:07:42,320 Speaker 4: supplement line. You know, maybe I was one of the 147 00:07:42,320 --> 00:07:45,040 Speaker 4: first hair doctors, you know, thirty years ago to develop 148 00:07:45,160 --> 00:07:49,080 Speaker 4: a supplement line that specifically targeted deficiencies that we'd uncovered 149 00:07:49,440 --> 00:07:53,080 Speaker 4: in our patients. So it might include, you know, the 150 00:07:53,120 --> 00:07:56,080 Speaker 4: bogone collagen peptides. It might include a multivitamin and be 151 00:07:56,160 --> 00:07:59,400 Speaker 4: complex for younger men that don't never taken a vitamin 152 00:07:59,440 --> 00:08:01,920 Speaker 4: before wake up. We got to get things going along here. 153 00:08:03,160 --> 00:08:07,160 Speaker 4: And there's specific nutrients like biotin. We also use probiotics 154 00:08:07,160 --> 00:08:10,880 Speaker 4: often if there's some indication for it with the gut 155 00:08:10,880 --> 00:08:14,920 Speaker 4: microbiome and maybe we've uncovered some dysregulation there or there's 156 00:08:14,960 --> 00:08:18,920 Speaker 4: some history of some issues there. Specific herbal treatments such 157 00:08:18,920 --> 00:08:22,400 Speaker 4: as astroaganda or committameric things like that, and the mixtures 158 00:08:22,400 --> 00:08:25,120 Speaker 4: that you might commonly see with saw palmetto and so forth. 159 00:08:25,680 --> 00:08:26,560 Speaker 3: It gets a little bit. 160 00:08:26,440 --> 00:08:29,880 Speaker 4: More into like what are we exactly trying to protect 161 00:08:29,880 --> 00:08:35,000 Speaker 4: the follicle from rather than feed the feed to the follicle. Yeah, yeah, right, 162 00:08:35,040 --> 00:08:37,040 Speaker 4: So that's where I kind of place the nutrients and 163 00:08:37,120 --> 00:08:39,400 Speaker 4: fuel and the herbs if you will, in that in 164 00:08:39,440 --> 00:08:43,000 Speaker 4: that strata of guidance for our patients. 165 00:08:42,880 --> 00:08:46,760 Speaker 2: Right, And so with respect to the DHT, the dihydro testosterone, 166 00:08:46,760 --> 00:08:48,880 Speaker 2: that tends to be kind of that's the most common 167 00:08:48,960 --> 00:08:51,120 Speaker 2: underlying cause, right for the male pattern and the female 168 00:08:51,160 --> 00:08:54,160 Speaker 2: pattern here. So I know that there's a genetic component. 169 00:08:54,440 --> 00:08:56,760 Speaker 2: But for somebody that you know doesn't have a problem 170 00:08:56,800 --> 00:08:58,920 Speaker 2: and then suddenly they do, is there a reason for 171 00:08:59,000 --> 00:09:01,120 Speaker 2: that shift later on? I mean for women, a lot 172 00:09:01,160 --> 00:09:05,040 Speaker 2: of times that happens around perimenopause menopause, But is there 173 00:09:05,120 --> 00:09:07,319 Speaker 2: a particular like, are there other things that you can 174 00:09:07,360 --> 00:09:11,679 Speaker 2: identify that maybe shift that enzyme to shuttle the testosterone 175 00:09:11,679 --> 00:09:13,360 Speaker 2: down that pathway? 176 00:09:13,760 --> 00:09:16,120 Speaker 4: So yeah, let's just back up for a minute. DHD 177 00:09:16,240 --> 00:09:19,080 Speaker 4: dihydro testosterone. We know that that is the primary trigger 178 00:09:19,080 --> 00:09:21,439 Speaker 4: for male pattern hair loss. And how do we know that, Well, 179 00:09:21,600 --> 00:09:24,800 Speaker 4: we if we deliberately reduce the production of DHT and 180 00:09:24,920 --> 00:09:28,439 Speaker 4: men over sixty percent less production, we know that they 181 00:09:28,440 --> 00:09:31,240 Speaker 4: have a ninety percent chance of keeping their hair right. 182 00:09:31,320 --> 00:09:36,240 Speaker 4: So that's like very very well defined hardcore double blind 183 00:09:36,280 --> 00:09:38,720 Speaker 4: rantoised crossover studies that were done back in the nineteen 184 00:09:38,720 --> 00:09:41,600 Speaker 4: eighties nineties and so forth. So DHT we know is 185 00:09:41,600 --> 00:09:45,800 Speaker 4: the primary trigger for men. Now, are androgens an important 186 00:09:45,880 --> 00:09:49,800 Speaker 4: concept for women to understand? Absolutely? As I mentioned a 187 00:09:49,840 --> 00:09:53,520 Speaker 4: few moments ago, PCOS is androgen sensitivity in women. There's 188 00:09:53,520 --> 00:09:56,160 Speaker 4: a component there, right. They tend to have excess hair 189 00:09:56,240 --> 00:10:00,920 Speaker 4: here statism. They tend to have excess acne and breakouts 190 00:10:00,920 --> 00:10:02,800 Speaker 4: on their face, and they also have hair losses and 191 00:10:03,600 --> 00:10:07,320 Speaker 4: also may include weight gain. So the whole constellation of 192 00:10:07,360 --> 00:10:10,880 Speaker 4: symptoms that are androgen related. And so we know that 193 00:10:10,880 --> 00:10:13,400 Speaker 4: that androgen sensitivity is maybe what's. 194 00:10:13,200 --> 00:10:14,600 Speaker 3: Triggering hair loss in those women. 195 00:10:14,840 --> 00:10:18,240 Speaker 4: And we also know today from observation very clearly that 196 00:10:18,280 --> 00:10:24,800 Speaker 4: if you take a woman in postmenopause and you replace hormones, right, estrogen, progesterone, 197 00:10:24,840 --> 00:10:28,000 Speaker 4: and also testosterone, and if you do too much testosterone 198 00:10:28,000 --> 00:10:30,320 Speaker 4: in those women, they tend to get what looks like 199 00:10:30,400 --> 00:10:34,120 Speaker 4: male pattern hair loss. It's really just aggressive female pattern 200 00:10:34,160 --> 00:10:37,240 Speaker 4: hair loss. But it can happen fast, and if they're 201 00:10:37,240 --> 00:10:40,199 Speaker 4: on pellets or things like that, we're really they're testosterone 202 00:10:40,240 --> 00:10:44,839 Speaker 4: is skyrocketing. Testosterone is converted into DHT, and even if 203 00:10:44,840 --> 00:10:47,079 Speaker 4: you have just a little bit of sensitivity to the 204 00:10:47,160 --> 00:10:49,920 Speaker 4: DHT at the follicle, you can create a lot of 205 00:10:49,960 --> 00:10:53,400 Speaker 4: hair loss. So is there something that happens in perimenopause 206 00:10:53,480 --> 00:10:55,080 Speaker 4: or menopause that shifts that balance. 207 00:10:55,080 --> 00:10:56,840 Speaker 3: Well, yeah, that's probably what's going on. 208 00:10:56,800 --> 00:11:01,400 Speaker 4: That we're seeing more androgen dominant situations happening in those 209 00:11:01,440 --> 00:11:02,439 Speaker 4: in those years of life. 210 00:11:02,640 --> 00:11:05,200 Speaker 2: Yeah, So what you just mentioned about the receptor becoming 211 00:11:05,240 --> 00:11:07,560 Speaker 2: more sensitive to DHT is really interesting. 212 00:11:07,679 --> 00:11:10,080 Speaker 4: No that I'm say it's not, Well, well, what you 213 00:11:10,160 --> 00:11:14,360 Speaker 4: inherit is that sensitivity, so you you're born with that sensitivity. 214 00:11:14,520 --> 00:11:18,199 Speaker 4: How many receptors and how how powerful are those receptors 215 00:11:18,280 --> 00:11:21,680 Speaker 4: going to be? And then do you are you overloading 216 00:11:21,679 --> 00:11:24,760 Speaker 4: those receptors if you're adding the testosterone or is there 217 00:11:24,800 --> 00:11:27,640 Speaker 4: something that used to compete with the testostere or DHT? 218 00:11:27,800 --> 00:11:31,080 Speaker 4: I really should say at that receptor. So it's not 219 00:11:31,200 --> 00:11:33,920 Speaker 4: something that's changing at the level of the receptor in 220 00:11:34,040 --> 00:11:37,040 Speaker 4: terms of what we know today. It's just what you're doing, 221 00:11:37,720 --> 00:11:41,679 Speaker 4: you know, exogenously adding the hormone optimization or other things happening. 222 00:11:41,960 --> 00:11:45,320 Speaker 2: Right, So for somebody that like male or female pattern 223 00:11:45,480 --> 00:11:48,319 Speaker 2: hair loss, if we're doing blood testing and we do 224 00:11:48,360 --> 00:11:52,559 Speaker 2: not see elevated levels of DHT or free dihydro testosterone, 225 00:11:52,760 --> 00:11:55,319 Speaker 2: but they still are exhibiting the patterns. What do we 226 00:11:55,360 --> 00:11:57,600 Speaker 2: think might be going on in those cases. 227 00:11:57,720 --> 00:11:59,320 Speaker 3: That's actually one hundred percent normal. 228 00:11:59,360 --> 00:12:04,600 Speaker 4: It's usually elevated DHT unless you're unless you're supplement into sasterone. Okay, 229 00:12:04,800 --> 00:12:08,480 Speaker 4: So actually the level of the DHT is not really 230 00:12:08,760 --> 00:12:12,960 Speaker 4: the concern in terms of your susceptibility to male or 231 00:12:12,960 --> 00:12:17,640 Speaker 4: female pattern hair loss. You could have two brothers that 232 00:12:17,720 --> 00:12:22,600 Speaker 4: have the exact same, similar DHT level. One is going 233 00:12:22,640 --> 00:12:25,360 Speaker 4: bald by the time he finishes high school or college 234 00:12:25,640 --> 00:12:27,800 Speaker 4: and the other one is having his hair until he's 235 00:12:27,840 --> 00:12:28,679 Speaker 4: in his midlife. 236 00:12:29,280 --> 00:12:32,040 Speaker 3: Why is that there had the exact same DHT. 237 00:12:32,800 --> 00:12:35,640 Speaker 4: Well, it's it's the sensitivity to the DHD. 238 00:12:35,800 --> 00:12:38,280 Speaker 3: It's the receptor genes that we know. 239 00:12:38,480 --> 00:12:40,480 Speaker 4: And so how do we know that, Well, we can 240 00:12:40,480 --> 00:12:43,520 Speaker 4: do genetic testing and we look at metabolic pathways. We 241 00:12:43,520 --> 00:12:48,080 Speaker 4: can also look at androgen receptor risk factors, and that 242 00:12:48,160 --> 00:12:52,080 Speaker 4: can actually determine between the two brothers before they have 243 00:12:52,120 --> 00:12:54,920 Speaker 4: any hair loss, which one is most likely to get 244 00:12:54,960 --> 00:12:56,800 Speaker 4: the hair loss situation happening faster. 245 00:12:57,320 --> 00:13:00,480 Speaker 2: Interesting, same thing in women, right, and so most of 246 00:13:00,520 --> 00:13:04,320 Speaker 2: the oral medication approaches to male and female pattern hair loss, 247 00:13:04,320 --> 00:13:07,000 Speaker 2: are addressing that DHT, right, the conversion of testosterone to 248 00:13:07,559 --> 00:13:08,200 Speaker 2: DHT or. 249 00:13:08,240 --> 00:13:12,320 Speaker 4: No, well some okay, So what you're talking about is 250 00:13:12,600 --> 00:13:16,800 Speaker 4: the FDA approved medication an asteroide, which was originally improved 251 00:13:16,880 --> 00:13:20,560 Speaker 4: as Propecia about a milligram for men back in nineteen 252 00:13:20,640 --> 00:13:24,200 Speaker 4: ninety eight. It was originally a prostate drug. But mrknw 253 00:13:24,280 --> 00:13:27,560 Speaker 4: for full well that by lowering DHT they're going to 254 00:13:27,960 --> 00:13:32,320 Speaker 4: they're going to treat hair loss, and so that is 255 00:13:32,640 --> 00:13:36,720 Speaker 4: part of a discussion with any man that's experiencing male 256 00:13:36,760 --> 00:13:42,520 Speaker 4: pattern baldness. Now, oral finasteride is normally safe. Ninety eight 257 00:13:42,559 --> 00:13:46,240 Speaker 4: percent of patients has zero side effects. Reported ninety percent 258 00:13:46,280 --> 00:13:49,200 Speaker 4: of guys maintain the hair that they have, meaning they 259 00:13:49,240 --> 00:13:51,840 Speaker 4: look the same or better In the long run. Two 260 00:13:51,920 --> 00:13:55,400 Speaker 4: out of three on the daily dose will get some regrowth, 261 00:13:55,440 --> 00:13:58,840 Speaker 4: maybe not full regrowth, but some. But the concern is 262 00:13:58,840 --> 00:14:02,160 Speaker 4: that two percent experienced sexual side effects like the crystal 263 00:14:02,200 --> 00:14:05,000 Speaker 4: fido or mild erectile dysfunction, which are mild and temporary. 264 00:14:05,040 --> 00:14:05,439 Speaker 3: They occur. 265 00:14:05,760 --> 00:14:10,640 Speaker 2: Yeah, okay, And with respect to adding in monoxidyll with finasteride, 266 00:14:10,679 --> 00:14:13,040 Speaker 2: how do these work together? They're usually prescribed together more 267 00:14:13,040 --> 00:14:14,040 Speaker 2: often than not right. 268 00:14:14,280 --> 00:14:15,000 Speaker 3: Absolutely so. 269 00:14:15,160 --> 00:14:19,200 Speaker 4: Monoxida was the original the OG treatment for mail pattern baldness, 270 00:14:19,880 --> 00:14:21,760 Speaker 4: and of course it's been also FT approved as a 271 00:14:21,800 --> 00:14:23,720 Speaker 4: topical for women as well. 272 00:14:23,760 --> 00:14:24,840 Speaker 3: That was the old rogain. 273 00:14:25,480 --> 00:14:31,720 Speaker 4: Today we see less patients choosing topical monoxidyll under medical supervision. 274 00:14:31,960 --> 00:14:35,280 Speaker 4: And the reason is is because now we can compound 275 00:14:35,520 --> 00:14:39,240 Speaker 4: monoxidil at a microdose level for both men and women 276 00:14:39,360 --> 00:14:41,840 Speaker 4: in a very safe way that's not going to tank 277 00:14:41,880 --> 00:14:45,760 Speaker 4: their blood pressure down and cause headaches or dizziness, although 278 00:14:45,800 --> 00:14:47,520 Speaker 4: it could happen if you do too much of it 279 00:14:47,880 --> 00:14:51,000 Speaker 4: or you're sensitive to it. But monoxidal can be a 280 00:14:51,040 --> 00:14:55,920 Speaker 4: game changer. Non hormonal directly causes the follicles to stay 281 00:14:56,080 --> 00:14:59,760 Speaker 4: in the growing phase, which is really important because miniature 282 00:14:59,760 --> 00:15:02,200 Speaker 4: is a of the follicle shortens the growth cycle, makes 283 00:15:02,200 --> 00:15:04,880 Speaker 4: the hair thinner. And so if you can turn follicles 284 00:15:04,920 --> 00:15:07,640 Speaker 4: on and keep them in a growing phase, that's monoxidil, 285 00:15:08,040 --> 00:15:10,440 Speaker 4: and that's a little that's totally a different mechanism of 286 00:15:10,480 --> 00:15:14,400 Speaker 4: action than fanasteride. So when you add those two together, 287 00:15:14,680 --> 00:15:16,440 Speaker 4: you get a synergistic response. 288 00:15:16,920 --> 00:15:19,520 Speaker 2: Okay, And so for someone who either doesn't want to 289 00:15:19,560 --> 00:15:21,640 Speaker 2: go to the medications or can't because of side effects 290 00:15:21,720 --> 00:15:23,400 Speaker 2: or something along those lines. I know the one the 291 00:15:24,000 --> 00:15:27,120 Speaker 2: supplements that are probably best known or like saw palmetto, 292 00:15:27,200 --> 00:15:29,880 Speaker 2: and I think pigm is another of the common ones. 293 00:15:30,240 --> 00:15:32,880 Speaker 2: So those mechanistically, how do those compare? 294 00:15:33,760 --> 00:15:35,640 Speaker 3: Yeah, so just there isn't in between. 295 00:15:35,760 --> 00:15:38,160 Speaker 4: So some patients may not want oral finasteride and we 296 00:15:38,200 --> 00:15:39,800 Speaker 4: can use a topical version of that. 297 00:15:40,920 --> 00:15:41,560 Speaker 3: Just be aware. 298 00:15:42,040 --> 00:15:44,680 Speaker 4: Sometimes we might do genetic testing to see if they're 299 00:15:44,760 --> 00:15:47,880 Speaker 4: likely to respond to monoxidil well or not, so that 300 00:15:47,960 --> 00:15:49,520 Speaker 4: sometimes guides us a little bit. 301 00:15:50,280 --> 00:15:51,560 Speaker 3: But yes, you're absolutely right. 302 00:15:51,640 --> 00:15:55,400 Speaker 4: Saw palmetto is a well known antiandrogen and it can 303 00:15:55,440 --> 00:15:58,480 Speaker 4: be used in both men and women. We have topical versions, 304 00:15:58,520 --> 00:15:59,800 Speaker 4: for example, in our haircare. 305 00:16:00,640 --> 00:16:01,240 Speaker 3: We also have. 306 00:16:01,400 --> 00:16:05,320 Speaker 4: Oral versions in curated nutritionals like nutripole, which everybody has 307 00:16:05,360 --> 00:16:08,920 Speaker 4: heard of, the new extress A gummies which also contains 308 00:16:08,920 --> 00:16:11,160 Speaker 4: some salt palmetto. You could also dose it on the 309 00:16:11,240 --> 00:16:16,520 Speaker 4: side and fluctuate it so sourcings. Good quality salt palmetto 310 00:16:16,640 --> 00:16:20,520 Speaker 4: is not simple like so Amazon salt plummeto is like 311 00:16:20,600 --> 00:16:23,120 Speaker 4: you know, the wild West out there sometimes and what 312 00:16:23,160 --> 00:16:25,160 Speaker 4: I've heard in the research is that you know it 313 00:16:25,200 --> 00:16:27,400 Speaker 4: says salt palmetal on the bottle, but guess what, there's 314 00:16:27,400 --> 00:16:30,280 Speaker 4: no salt palmetto in the capsule. So you know, buyer 315 00:16:30,440 --> 00:16:35,040 Speaker 4: vware out there, you know, choose choose your herbal organic 316 00:16:35,080 --> 00:16:36,040 Speaker 4: supplements carefully. 317 00:16:36,080 --> 00:16:39,400 Speaker 2: In other words, yeah, absolutely, And with respect to the topicals. 318 00:16:39,520 --> 00:16:42,480 Speaker 2: So if you're are you typically compounding or is it 319 00:16:42,560 --> 00:16:44,920 Speaker 2: like a pre made formula that you typically go for 320 00:16:45,040 --> 00:16:46,560 Speaker 2: in that situation or how does that work? 321 00:16:47,000 --> 00:16:47,240 Speaker 3: Yeah. 322 00:16:47,240 --> 00:16:51,240 Speaker 4: The reason why compounded topicals work so much better, and 323 00:16:51,280 --> 00:16:53,000 Speaker 4: this is not something new, this is twenty years of 324 00:16:53,600 --> 00:16:56,080 Speaker 4: knowledge here that we're talking about, is that the over 325 00:16:56,120 --> 00:17:00,160 Speaker 4: the counter monoxidil has to be exactly the same is 326 00:17:00,160 --> 00:17:03,840 Speaker 4: the original FD approved version with minimalm manipulation. So that's 327 00:17:03,880 --> 00:17:07,320 Speaker 4: why rogaine and all the other one hundred knockoffs or 328 00:17:07,400 --> 00:17:09,760 Speaker 4: thousand knockoffs that you see in the supermarket are just 329 00:17:09,880 --> 00:17:13,800 Speaker 4: nasty interesting. And there's also a genetic component to that 330 00:17:13,840 --> 00:17:15,440 Speaker 4: as well, that you may not have the enzyme to 331 00:17:15,480 --> 00:17:18,840 Speaker 4: convert the monoxidol into monoxidal sulfates. So that might be 332 00:17:18,880 --> 00:17:20,760 Speaker 4: one of the reasons why about thirty percent of people 333 00:17:20,760 --> 00:17:23,520 Speaker 4: don't get a good response, okay, and then the rest 334 00:17:23,720 --> 00:17:26,000 Speaker 4: maybe not even using it correctly. Most people think, oh, 335 00:17:26,119 --> 00:17:28,040 Speaker 4: just once a day is enough. No, you got to 336 00:17:28,080 --> 00:17:30,520 Speaker 4: use it twice a day. So compound of medications like 337 00:17:30,560 --> 00:17:34,760 Speaker 4: formula eighty two M, which is monoxidil plus other ingredients 338 00:17:34,800 --> 00:17:39,800 Speaker 4: like noen fl thecinalone for inflammation, has a base and 339 00:17:39,840 --> 00:17:44,400 Speaker 4: the base is the critical critical component that is non greasy, 340 00:17:44,960 --> 00:17:49,520 Speaker 4: quick drying, and fast absorbing. And so people say, you 341 00:17:49,560 --> 00:17:53,120 Speaker 4: know many many pharmacists get very you know, strategic, like, oh, 342 00:17:53,240 --> 00:17:56,520 Speaker 4: my compound has all these different great ingredients in the 343 00:17:56,600 --> 00:17:59,440 Speaker 4: recipe and then they still mix it in a greasy, 344 00:17:59,480 --> 00:18:04,640 Speaker 4: gooy nasty excipient base and will that never works? So 345 00:18:04,840 --> 00:18:07,880 Speaker 4: eighty two M is a hair science product that's licensed 346 00:18:07,880 --> 00:18:11,280 Speaker 4: to pharmacists, and that recipe is actually secret, Like I 347 00:18:11,280 --> 00:18:14,159 Speaker 4: don't know how they make it actually, but I just 348 00:18:14,280 --> 00:18:17,000 Speaker 4: know that patients have a much better result with it 349 00:18:17,040 --> 00:18:20,240 Speaker 4: because there's fewer side effects and less impact on their hairstyling. 350 00:18:20,359 --> 00:18:22,919 Speaker 2: Sure, and does that go through regular pharmacies or do 351 00:18:22,920 --> 00:18:24,560 Speaker 2: you have to get that one compounded as well? 352 00:18:24,600 --> 00:18:25,960 Speaker 3: You have to get that compounded. 353 00:18:26,000 --> 00:18:29,240 Speaker 4: And there's only one pharmacy in the US and two 354 00:18:29,520 --> 00:18:35,160 Speaker 4: in North America that are actually allowed to compound that formula. 355 00:18:35,240 --> 00:18:39,399 Speaker 2: Interesting okay, and I'm curious so that the treat know 356 00:18:39,400 --> 00:18:41,960 Speaker 2: owen addition in there, is this just to try to 357 00:18:42,040 --> 00:18:44,879 Speaker 2: stimulate the skin to heal or what's the thought process there? 358 00:18:45,400 --> 00:18:47,880 Speaker 4: Yeah, so here's the magic of tretow and years ago 359 00:18:47,960 --> 00:18:50,000 Speaker 4: we weren't quite sure, but we did know that it 360 00:18:50,080 --> 00:18:53,120 Speaker 4: worked better when you when you combine monoxidal on trett knowing, 361 00:18:53,440 --> 00:18:55,200 Speaker 4: and we thought maybe I had to do with penetration, 362 00:18:55,320 --> 00:18:58,200 Speaker 4: and there's some research to support that, but today we 363 00:18:58,280 --> 00:19:02,080 Speaker 4: know going back to that enzyme converts monoxidil to the 364 00:19:02,200 --> 00:19:06,600 Speaker 4: active metabolite, which is monocidal sulfate. In the skin, you 365 00:19:06,800 --> 00:19:10,880 Speaker 4: need sulfo transferrase enzyme, and that's an enzyme that we're 366 00:19:10,920 --> 00:19:14,320 Speaker 4: all born with. But everybody has different levels of activity 367 00:19:14,320 --> 00:19:17,760 Speaker 4: in that pathway. Some people have a super highway, some 368 00:19:17,800 --> 00:19:21,320 Speaker 4: people have a little dirt road, if you catch my analogy. 369 00:19:21,440 --> 00:19:23,440 Speaker 4: And so if you're one of those folks that has 370 00:19:23,480 --> 00:19:25,879 Speaker 4: like a dirt road instead of a super highway and 371 00:19:25,920 --> 00:19:30,439 Speaker 4: sulfo transferrase activity, then the over the counter rogain is 372 00:19:30,560 --> 00:19:33,200 Speaker 4: not going to work that well for you. And what 373 00:19:33,240 --> 00:19:36,080 Speaker 4: we've learned is that tret knowing is one of the 374 00:19:36,240 --> 00:19:41,040 Speaker 4: major stimulators or boosters of the sulfo transferrase pathway. 375 00:19:41,359 --> 00:19:43,680 Speaker 2: Interesting, is it a coch of an a right? 376 00:19:44,040 --> 00:19:44,280 Speaker 3: Yeah? 377 00:19:44,760 --> 00:19:49,000 Speaker 4: So yeah, retoa gacid essentially tret knowing Yeah, and so 378 00:19:49,040 --> 00:19:51,760 Speaker 4: how does that you know, how exactly does that impact 379 00:19:51,800 --> 00:19:55,160 Speaker 4: the sulfo transferse enzyme? Probably beyond the scope of our conversation, 380 00:19:55,240 --> 00:19:57,080 Speaker 4: but it is on. It's not if it's not the 381 00:19:57,200 --> 00:19:59,720 Speaker 4: most powerful way to do it. It's certainly one of 382 00:19:59,720 --> 00:20:00,760 Speaker 4: the most powerful ways. 383 00:20:01,200 --> 00:20:01,400 Speaker 3: Yeah. 384 00:20:01,440 --> 00:20:03,720 Speaker 2: And I've heard of adding in as you're mentioning the 385 00:20:03,720 --> 00:20:07,320 Speaker 2: sulfur aspect of it MSM topically, I've heard some people 386 00:20:07,400 --> 00:20:09,320 Speaker 2: using Dmso I'm not sure if you want to weigh 387 00:20:09,320 --> 00:20:12,159 Speaker 2: in that part of the conversation. How does that play 388 00:20:12,200 --> 00:20:15,080 Speaker 2: in the specific addition of sulfur. 389 00:20:15,840 --> 00:20:18,080 Speaker 4: Sure, so, as long as you're not allergic to those 390 00:20:18,160 --> 00:20:21,240 Speaker 4: kinds of ingredients and you're not sensitive to the particular 391 00:20:21,280 --> 00:20:24,720 Speaker 4: excipients in the topical base, essentially, then many of these 392 00:20:24,760 --> 00:20:28,960 Speaker 4: things can actually potentiate the package of the medication, whether 393 00:20:29,000 --> 00:20:32,840 Speaker 4: it's monoxial or even finasteride, and today even detasteride can 394 00:20:32,880 --> 00:20:37,040 Speaker 4: be compounded as a topical into the skin. So, yeah, 395 00:20:37,080 --> 00:20:40,280 Speaker 4: those are all great additions that you should use under 396 00:20:40,320 --> 00:20:42,680 Speaker 4: the guidance of a physician who's familiar with those things. 397 00:20:42,680 --> 00:20:44,520 Speaker 4: Because before you go all the way down the road 398 00:20:44,520 --> 00:20:47,720 Speaker 4: to get the most complicated and expensive compound of medication, 399 00:20:48,119 --> 00:20:49,480 Speaker 4: you know, you may want to do that, you know, 400 00:20:49,520 --> 00:20:52,280 Speaker 4: two hundred dollars genetic test, just to see if you really. 401 00:20:52,119 --> 00:20:52,639 Speaker 3: Need it or not. 402 00:20:53,040 --> 00:20:54,920 Speaker 2: Right, Yeah, absolutely so. 403 00:20:55,280 --> 00:20:58,040 Speaker 4: And that's something we actually provide through the website, you know, 404 00:20:58,920 --> 00:21:00,879 Speaker 4: and also to our patient who come in if they 405 00:21:00,920 --> 00:21:02,840 Speaker 4: need it or want it, or we feel it's indicated, 406 00:21:02,880 --> 00:21:06,320 Speaker 4: we might recommend that genetic testing, which looks at a 407 00:21:06,359 --> 00:21:09,400 Speaker 4: variety of different pathways, not just pharmacogenomic, but also nutri 408 00:21:09,520 --> 00:21:10,320 Speaker 4: genomic as well. 409 00:21:10,560 --> 00:21:13,719 Speaker 2: Sure, and for somebody who's got more sensitive skin, I 410 00:21:13,760 --> 00:21:16,040 Speaker 2: know that there's some formulations out there that have alcohol, 411 00:21:16,160 --> 00:21:19,200 Speaker 2: some that don't. What's the reason for putting alcohol in there? 412 00:21:19,240 --> 00:21:21,000 Speaker 2: Is it just to solve it, to try to increase 413 00:21:21,040 --> 00:21:22,720 Speaker 2: delivery or what's the thought process there? 414 00:21:22,880 --> 00:21:27,840 Speaker 4: So monoxidil is an organic compound, you know, chemics chemistry wise, 415 00:21:27,960 --> 00:21:30,640 Speaker 4: organic chemistry is an organic compound. So what that means 416 00:21:30,680 --> 00:21:33,480 Speaker 4: that you can't you can't put you can't dissolve it 417 00:21:33,480 --> 00:21:36,240 Speaker 4: in water. You have to dissolve it in an alcohol, 418 00:21:36,440 --> 00:21:40,159 Speaker 4: and so whether it's propeline glycol which was the original 419 00:21:40,640 --> 00:21:44,840 Speaker 4: nasty ingredient in the row gain, or something more sophisticated, 420 00:21:45,560 --> 00:21:49,520 Speaker 4: you need an alcohol alike dissolves like so to speak. 421 00:21:49,600 --> 00:21:52,320 Speaker 4: So for monoxidal to really work, you have to be 422 00:21:52,400 --> 00:21:54,399 Speaker 4: able to dissolve it, and you can't dissolve it in 423 00:21:54,480 --> 00:21:57,920 Speaker 4: an aqueous or water based solution. You have to use 424 00:21:57,920 --> 00:22:01,800 Speaker 4: something else. Now, peptides and p tenes are different story use. 425 00:22:01,800 --> 00:22:03,520 Speaker 4: If you want to use a peptide on your scalp, 426 00:22:03,800 --> 00:22:06,160 Speaker 4: you can use an aqueous solution, no worries at all. 427 00:22:06,880 --> 00:22:12,639 Speaker 4: Some of the growth factors and other really super sophisticated 428 00:22:12,720 --> 00:22:16,520 Speaker 4: molecules that are now available in topical solutions not only 429 00:22:16,600 --> 00:22:20,479 Speaker 4: for deployment into the scalp peptides and such in the office, 430 00:22:20,480 --> 00:22:23,400 Speaker 4: but also for home use. Many of those have alcohol 431 00:22:23,520 --> 00:22:27,880 Speaker 4: to write components or are nanoc encapsulated, so they're they're 432 00:22:27,960 --> 00:22:31,480 Speaker 4: encapsulated with a bilipid layer like little almost like exosomes, 433 00:22:31,520 --> 00:22:34,240 Speaker 4: pseudo exosomes, if you will, Okay, yeah. 434 00:22:34,359 --> 00:22:37,560 Speaker 2: And so once somebody's kind of progressed beyond that, there's 435 00:22:37,640 --> 00:22:40,040 Speaker 2: a number of other things they can do before we 436 00:22:40,080 --> 00:22:43,520 Speaker 2: get to the surgery step. Red light therapy. Can you 437 00:22:43,560 --> 00:22:45,520 Speaker 2: comment on this, how well does it work, how many 438 00:22:45,520 --> 00:22:47,280 Speaker 2: people does it work for? How long does it take? 439 00:22:47,400 --> 00:22:47,800 Speaker 2: All of that? 440 00:22:48,240 --> 00:22:48,440 Speaker 3: Yeah. 441 00:22:48,480 --> 00:22:50,840 Speaker 4: Sure, So when we say red light therapy for SCALP, 442 00:22:50,840 --> 00:22:53,040 Speaker 4: we're not talking about those little led masks that you 443 00:22:53,280 --> 00:22:55,560 Speaker 4: use your face. Okay, So we have to get we 444 00:22:55,640 --> 00:22:58,440 Speaker 4: have to understand that there's a power density level, that's 445 00:22:58,480 --> 00:23:01,320 Speaker 4: a threshold that you need to pass if you want 446 00:23:01,359 --> 00:23:04,680 Speaker 4: good results. And unfortunately, many of the laser light devices 447 00:23:04,760 --> 00:23:06,920 Speaker 4: or laser caps that you see on the market, especially 448 00:23:06,960 --> 00:23:10,160 Speaker 4: Amazon and just use that as an idea, are very 449 00:23:10,359 --> 00:23:13,439 Speaker 4: very much underpowered, not enough power to really do much 450 00:23:13,480 --> 00:23:16,200 Speaker 4: of anything unfortunately, or you have to spend an inordinate 451 00:23:16,240 --> 00:23:19,439 Speaker 4: amount of time to get exposure to the scale. So 452 00:23:19,920 --> 00:23:23,600 Speaker 4: make sure your laser caps are laser based, and that 453 00:23:23,680 --> 00:23:27,040 Speaker 4: they are physician prescribed and recommended, and then that your 454 00:23:27,080 --> 00:23:30,840 Speaker 4: doctor understands that this shouldn't be some big plastic dome 455 00:23:31,280 --> 00:23:33,679 Speaker 4: on your head. Okay, that should be something more sophisticated. 456 00:23:33,720 --> 00:23:36,359 Speaker 4: So red light therapy does work. We have the double blind, 457 00:23:36,400 --> 00:23:40,200 Speaker 4: randomized clinical trials and the meta analysis published in the literature, 458 00:23:40,560 --> 00:23:44,240 Speaker 4: so we're very clear the mechanism has been elucidated. At 459 00:23:44,720 --> 00:23:48,960 Speaker 4: Harvard Center for Photomedicine, Doctor Michael Hamblin did much of 460 00:23:49,000 --> 00:23:52,480 Speaker 4: the research that shows that the photons of light are 461 00:23:52,520 --> 00:23:55,640 Speaker 4: absorbed at the cytochromes co oxidase, which is a part 462 00:23:55,680 --> 00:23:59,640 Speaker 4: of electron transport chain in the mitochondrial membrane, and that what. 463 00:23:59,600 --> 00:24:02,639 Speaker 3: Does that do, It ramps up ATP. ATP is the 464 00:24:02,760 --> 00:24:04,560 Speaker 3: energy currency of the. 465 00:24:04,520 --> 00:24:07,760 Speaker 4: Cell, and so we talked about the most highly metabolic 466 00:24:08,160 --> 00:24:11,280 Speaker 4: cell population in the body. If we provide more energy, 467 00:24:11,400 --> 00:24:14,119 Speaker 4: we're going to get better hair growth. Sure, red light 468 00:24:14,160 --> 00:24:16,560 Speaker 4: can also be slightly anti inflammatory, and it can also 469 00:24:16,560 --> 00:24:20,439 Speaker 4: increase blood flow dramatically to the scalp. So a turbo 470 00:24:20,560 --> 00:24:24,520 Speaker 4: laser cap is our premiere primary device. It has a 471 00:24:24,640 --> 00:24:30,120 Speaker 4: high density of power delivery, It has over three hundred diodes, 472 00:24:30,160 --> 00:24:31,840 Speaker 4: it treats the back of the scalp where you have 473 00:24:31,920 --> 00:24:34,479 Speaker 4: the largest vessels that feed the top of the scalp, 474 00:24:34,800 --> 00:24:37,640 Speaker 4: and it's a highly portable and powerful device. So that's 475 00:24:37,640 --> 00:24:39,880 Speaker 4: a device that packs flat for travel, which is really 476 00:24:39,920 --> 00:24:42,359 Speaker 4: really nice. So the Balmin turbo laser cap is what 477 00:24:42,400 --> 00:24:43,560 Speaker 4: we typically recommend. 478 00:24:44,040 --> 00:24:45,359 Speaker 3: There are other ones. 479 00:24:45,119 --> 00:24:47,520 Speaker 4: That are out there that are okay, but you typically 480 00:24:47,560 --> 00:24:49,600 Speaker 4: need to spend a lot more than five minutes with them, 481 00:24:50,040 --> 00:24:54,240 Speaker 4: which is the recommended dosing time daily with the turbolaser protcha. 482 00:24:54,400 --> 00:24:57,400 Speaker 2: Okay, so five wow? And how long does it typically 483 00:24:57,480 --> 00:25:00,119 Speaker 2: take people to see results if they're going to when 484 00:25:00,119 --> 00:25:00,600 Speaker 2: they're using that. 485 00:25:00,720 --> 00:25:03,520 Speaker 4: Yeah, any treatment that you start today, you're gonna have 486 00:25:03,520 --> 00:25:05,959 Speaker 4: a full head of hair tomorrow. Right, No, that's not 487 00:25:06,000 --> 00:25:09,680 Speaker 4: how that works. Sorry, Unfortunately, it doesn't work like that. 488 00:25:09,760 --> 00:25:13,480 Speaker 4: Hair grows at a very specific rate pretty close in 489 00:25:13,680 --> 00:25:17,040 Speaker 4: all humans, about a third of a millimeter a day, 490 00:25:17,080 --> 00:25:18,600 Speaker 4: which is about a quarter two and a half inch 491 00:25:18,640 --> 00:25:21,040 Speaker 4: a month. About a centimeter a month is what you get. 492 00:25:21,400 --> 00:25:23,439 Speaker 4: So if all of the hair on your head started 493 00:25:23,480 --> 00:25:27,200 Speaker 4: to improve dramatically from laser light therapy, you still wouldn't 494 00:25:27,240 --> 00:25:30,520 Speaker 4: see it for months on end. So at ninety days, 495 00:25:30,520 --> 00:25:32,919 Speaker 4: we can measure typically the results. So we do that 496 00:25:32,960 --> 00:25:36,040 Speaker 4: in the office, both physical measurements and digital measurements of 497 00:25:36,080 --> 00:25:39,080 Speaker 4: the scalp, and we have probably six different types of 498 00:25:39,080 --> 00:25:42,760 Speaker 4: tools that we might use for that. And then visually 499 00:25:42,840 --> 00:25:45,440 Speaker 4: you would see those results or feel the results looking 500 00:25:45,480 --> 00:25:49,359 Speaker 4: in the mirror, feeling your ponytail volume months later, So 501 00:25:49,600 --> 00:25:52,160 Speaker 4: six months to twelve months to really see a full 502 00:25:52,240 --> 00:25:55,560 Speaker 4: result from any change in your therapy, and that's where 503 00:25:55,560 --> 00:25:58,040 Speaker 4: people go wrong. They're like, well, I used rogain for 504 00:25:58,040 --> 00:26:00,520 Speaker 4: a month and it didn't do anything. Doing a half 505 00:26:00,560 --> 00:26:03,040 Speaker 4: a push up one day, that's it. That didn't work 506 00:26:03,240 --> 00:26:04,800 Speaker 4: that You've got to be a little bit more consistent 507 00:26:04,840 --> 00:26:05,080 Speaker 4: than that. 508 00:26:05,400 --> 00:26:10,040 Speaker 2: Sure, absolutely so. And then what about PRP with micro needling? 509 00:26:10,080 --> 00:26:12,399 Speaker 2: How often does that work for? How many people does 510 00:26:12,440 --> 00:26:15,200 Speaker 2: it work statistically for? Who does it fail? 511 00:26:15,320 --> 00:26:18,359 Speaker 3: That kind of a thing. Yeah, similar warnings like with 512 00:26:18,400 --> 00:26:18,960 Speaker 3: the lasers. 513 00:26:18,960 --> 00:26:22,160 Speaker 4: So everybody, all of a sudden, every medi spot has 514 00:26:22,240 --> 00:26:28,080 Speaker 4: PRP and they love to provide this like low quality PRP. 515 00:26:28,320 --> 00:26:30,400 Speaker 4: You have to come back every month for the treatment. 516 00:26:30,800 --> 00:26:33,080 Speaker 4: It may or may not be combined with anything else. 517 00:26:33,400 --> 00:26:37,680 Speaker 4: And so this is a very very inefficient and poor 518 00:26:37,800 --> 00:26:41,560 Speaker 4: quality PRP. If your dermatologist or medi spas says we're 519 00:26:41,560 --> 00:26:43,480 Speaker 4: going to do this treatment on a monthly basis for 520 00:26:43,520 --> 00:26:46,960 Speaker 4: a period of time, you know that PRP is old 521 00:26:47,000 --> 00:26:50,040 Speaker 4: school and twenty years ago we learned from the orthopedic 522 00:26:50,040 --> 00:26:53,040 Speaker 4: surgeons how to do a dual spin process for PRP 523 00:26:53,480 --> 00:26:58,199 Speaker 4: to create the exact concentration tuned for each patient to 524 00:26:58,280 --> 00:27:02,080 Speaker 4: get the optimal bio logic response at the level of 525 00:27:02,119 --> 00:27:06,080 Speaker 4: the scalp, which is new blood vessel formation and movement 526 00:27:06,280 --> 00:27:10,000 Speaker 4: or mobility of the stem cell populations, which is critical 527 00:27:10,040 --> 00:27:12,840 Speaker 4: for hair regrowth. So there's a very specific formula. I'm 528 00:27:12,840 --> 00:27:14,879 Speaker 4: going to give it to you right now. One point 529 00:27:14,960 --> 00:27:19,800 Speaker 4: five million platelets per microleader. That's the dosing strategy. That's 530 00:27:19,840 --> 00:27:22,959 Speaker 4: like saying, that's like telling you how many milligrams of 531 00:27:23,000 --> 00:27:25,760 Speaker 4: this particular herb you need to take per day. If 532 00:27:25,800 --> 00:27:28,960 Speaker 4: you don't know how many you're taking, then you don't 533 00:27:29,000 --> 00:27:29,719 Speaker 4: know what's going on. 534 00:27:29,760 --> 00:27:32,359 Speaker 3: You may be taking a placebo dose exactly. Yeah. 535 00:27:32,800 --> 00:27:36,119 Speaker 4: So micro needling on its own can grow hair, but 536 00:27:36,520 --> 00:27:42,240 Speaker 4: micro needling plus other growth factors extracellular matrix, biologic material 537 00:27:42,359 --> 00:27:46,120 Speaker 4: plus the platelets can be a powerful hair regrowth treatment 538 00:27:46,560 --> 00:27:49,920 Speaker 4: and that could last one treatment can last an entire year. 539 00:27:50,440 --> 00:27:52,760 Speaker 4: So in my practice, ten to fourteen months of boost 540 00:27:52,800 --> 00:27:55,800 Speaker 4: is what you're going to typically get from a standard PRP, 541 00:27:56,520 --> 00:27:59,440 Speaker 4: and we can prolong that even further if we use 542 00:27:59,560 --> 00:28:03,800 Speaker 4: syntheta scaffolding like pdo threads. If we use exosomes, we 543 00:28:03,840 --> 00:28:05,919 Speaker 4: can get a little bit of a stronger push on 544 00:28:05,960 --> 00:28:07,800 Speaker 4: the hair follicle. So there's a couple of different things 545 00:28:07,800 --> 00:28:10,800 Speaker 4: that we can add to the PRP if we want, so, 546 00:28:10,880 --> 00:28:12,720 Speaker 4: I would just say, you know, not all PRP is 547 00:28:12,720 --> 00:28:15,600 Speaker 4: created equal, just like grandma's sauce, not. 548 00:28:15,560 --> 00:28:17,680 Speaker 3: All the same. Your grandma sauce probably not the same 549 00:28:17,720 --> 00:28:18,600 Speaker 3: as my grandma sauce. 550 00:28:19,320 --> 00:28:22,320 Speaker 2: Yeah, absolutely. And what are some of the new things 551 00:28:22,359 --> 00:28:25,439 Speaker 2: on the horizon that are maybe just now developing in 552 00:28:25,440 --> 00:28:26,879 Speaker 2: the field of hair regrowth? 553 00:28:28,000 --> 00:28:29,840 Speaker 3: Yeah, so some pretty exciting things. 554 00:28:29,920 --> 00:28:32,880 Speaker 4: I mean, obviously, hair transplantation has changed a lot over 555 00:28:32,880 --> 00:28:36,960 Speaker 4: the years. We've gotten from the old style, pluggy, painful 556 00:28:37,040 --> 00:28:41,320 Speaker 4: procedures into single follicle implantation. We now can harvest those 557 00:28:41,520 --> 00:28:45,040 Speaker 4: grafts without cutting a strip of scalps, so they're minimally 558 00:28:45,040 --> 00:28:49,480 Speaker 4: invasive now. So it's quicker healing, faster recovery, no narcotic 559 00:28:49,520 --> 00:28:52,560 Speaker 4: pain medications, you're not cursing the surgeon that night after 560 00:28:52,600 --> 00:28:58,120 Speaker 4: the surgery anymore, less restrictions on the recovery phase, quicker 561 00:28:58,200 --> 00:29:00,520 Speaker 4: on the back end, and of course naturalness is the key. 562 00:29:00,560 --> 00:29:03,960 Speaker 4: So there's artistry and technology. We can now harvest the 563 00:29:04,000 --> 00:29:07,760 Speaker 4: follicles without shaving your head, so that's really important for 564 00:29:07,880 --> 00:29:10,920 Speaker 4: women who are now great candidates for hair transplants. They 565 00:29:10,960 --> 00:29:13,360 Speaker 4: may not even have been told they were a candidate before. 566 00:29:14,080 --> 00:29:17,160 Speaker 4: We never shave the recipient area in the back of 567 00:29:17,200 --> 00:29:19,560 Speaker 4: the scalp. If we're doing a large case for some 568 00:29:20,200 --> 00:29:22,920 Speaker 4: our male patients, we might shave a large area. For 569 00:29:23,040 --> 00:29:27,080 Speaker 4: women we can now harvest without shaving, or we shave 570 00:29:27,080 --> 00:29:30,880 Speaker 4: a little tiny zone hidden underneath your hair and you're fine. 571 00:29:31,160 --> 00:29:33,520 Speaker 4: But the exciting things around the corner, I would say, 572 00:29:33,680 --> 00:29:37,280 Speaker 4: are in the realm of regenitive medicine right using these 573 00:29:38,800 --> 00:29:41,040 Speaker 4: the new knowledge and new research on growth factors and 574 00:29:41,040 --> 00:29:44,360 Speaker 4: peptides and deploying them into the scalp. Some therapies we 575 00:29:44,400 --> 00:29:47,040 Speaker 4: have in the office our lunch break procedures like the 576 00:29:47,120 --> 00:29:51,760 Speaker 4: head which pushes peptides through the skin using ultrasound. We 577 00:29:51,840 --> 00:29:55,320 Speaker 4: also have a laser that's FDA cleared to stimulate hair 578 00:29:55,360 --> 00:29:57,840 Speaker 4: growth ANON a blade of fractional laser, so there's no 579 00:29:58,840 --> 00:30:02,200 Speaker 4: crusting or burning on this. There's just some heating underneath 580 00:30:02,240 --> 00:30:05,000 Speaker 4: which improves hair growth. And that's a great device. And 581 00:30:05,040 --> 00:30:08,640 Speaker 4: then down the road, what we're looking at is the 582 00:30:08,640 --> 00:30:12,560 Speaker 4: potential hopefully for some kind of hair follical cloning or 583 00:30:12,600 --> 00:30:13,960 Speaker 4: hair follical multiplication. 584 00:30:14,400 --> 00:30:17,920 Speaker 3: Wow, so you know, that's a pretty exciting new development. 585 00:30:17,960 --> 00:30:21,200 Speaker 4: I was just up a research lab in Boston at 586 00:30:22,400 --> 00:30:25,960 Speaker 4: Boston's Children's Hospital, Harvard Research or car Kohler is working 587 00:30:26,000 --> 00:30:29,680 Speaker 4: on hair follical organoids skin organoids, which are growing hair. 588 00:30:30,120 --> 00:30:33,600 Speaker 4: And so these are the first primordial steps towards growing 589 00:30:33,640 --> 00:30:35,160 Speaker 4: hair follicles in a laboratory. 590 00:30:35,360 --> 00:30:37,680 Speaker 2: Oh wow, that's amazing. So for the TAD, would that 591 00:30:37,720 --> 00:30:40,800 Speaker 2: be something that was in addition to surgery or instead 592 00:30:40,840 --> 00:30:42,040 Speaker 2: of is like. 593 00:30:42,040 --> 00:30:45,080 Speaker 4: A TAED Yeah, ted's a lunch break procedure, more like 594 00:30:45,120 --> 00:30:45,920 Speaker 4: fertilizer for. 595 00:30:45,880 --> 00:30:48,920 Speaker 3: The existing hair, right, which is the key component. Right. 596 00:30:48,960 --> 00:30:51,240 Speaker 4: You want to get your existing hair to be protected 597 00:30:51,440 --> 00:30:55,000 Speaker 4: and enhanced if you can. And that's where growth factors 598 00:30:55,000 --> 00:30:58,240 Speaker 4: and peptides such as you know, copper tripeptide, copper GHK, 599 00:30:58,840 --> 00:31:03,520 Speaker 4: finds some beta four and there's there's plenty of others PTBDBM, 600 00:31:03,600 --> 00:31:06,600 Speaker 4: methyl valin E, things like that are included in those 601 00:31:07,000 --> 00:31:09,560 Speaker 4: in those cocktails. If you will push through the skin 602 00:31:10,000 --> 00:31:12,440 Speaker 4: into the hair follicle zone so that they can stimulate 603 00:31:12,440 --> 00:31:13,120 Speaker 4: hair regrowth. 604 00:31:13,880 --> 00:31:17,120 Speaker 2: And so for somebody that has had the follicle individual 605 00:31:17,120 --> 00:31:22,160 Speaker 2: follicle removing moving from one place to another surgically the transplant, Yeah, 606 00:31:22,160 --> 00:31:25,880 Speaker 2: thank you, so when when once that's happened, do is 607 00:31:25,920 --> 00:31:28,400 Speaker 2: there a likelihood once it's in the new location that 608 00:31:28,480 --> 00:31:31,400 Speaker 2: it might also be sensitive to the DHT like the 609 00:31:31,440 --> 00:31:32,800 Speaker 2: original hair that was in that location. 610 00:31:32,880 --> 00:31:33,560 Speaker 3: Is that a concern. 611 00:31:34,520 --> 00:31:38,160 Speaker 4: Well, the beautiful thing about hair transplantation and really the 612 00:31:38,240 --> 00:31:41,320 Speaker 4: tenant the backbone of the entire field, is that the 613 00:31:41,400 --> 00:31:45,120 Speaker 4: hair around the sides and the back is roughly mostly 614 00:31:45,560 --> 00:31:49,239 Speaker 4: immune to the effects of DHT. So those follicles, just 615 00:31:49,280 --> 00:31:51,320 Speaker 4: like when they're coming from Brooklyn, you put them into 616 00:31:51,360 --> 00:31:53,000 Speaker 4: the new location, they don't lose. 617 00:31:52,800 --> 00:31:54,480 Speaker 3: The Brooklyn accent, so easy. 618 00:31:55,080 --> 00:31:59,320 Speaker 4: Yeah, so they are still they maintain their DHT resistant 619 00:31:59,560 --> 00:32:01,800 Speaker 4: profileile when they're in the new location. 620 00:32:02,360 --> 00:32:02,560 Speaker 3: Now. 621 00:32:02,600 --> 00:32:05,080 Speaker 4: But that's why you have to have the correct diagnosis 622 00:32:05,200 --> 00:32:07,760 Speaker 4: because if let's say the problem was some kind of 623 00:32:07,800 --> 00:32:12,760 Speaker 4: scalp health issue or inflammation or autoimmune condition which is 624 00:32:12,800 --> 00:32:15,640 Speaker 4: also you know, raging. Now there's a you know, an 625 00:32:15,680 --> 00:32:19,520 Speaker 4: epidemic of scalp conditions that are non hormonal that can 626 00:32:19,560 --> 00:32:23,080 Speaker 4: attack the follicles, especially in women. And if you transplant 627 00:32:23,080 --> 00:32:26,120 Speaker 4: into an area that's got active inflammation, it's not going 628 00:32:26,160 --> 00:32:29,040 Speaker 4: to grow well. And sometimes even if the inflammation is 629 00:32:29,080 --> 00:32:31,960 Speaker 4: cooled down, it could stimulate back up again and destroy 630 00:32:32,040 --> 00:32:35,080 Speaker 4: the transplants. So making sure you have the correct diagnosis 631 00:32:35,160 --> 00:32:39,480 Speaker 4: is really key, right, yeah, critical, gotcha. But so the 632 00:32:39,520 --> 00:32:42,280 Speaker 4: problem is is that not that the transplants don't aren't permanent. 633 00:32:42,360 --> 00:32:45,640 Speaker 4: It's your other hair sure that needs protection, and that's 634 00:32:45,720 --> 00:32:49,120 Speaker 4: why the other medical therapies dovetail with the transplants. 635 00:32:49,200 --> 00:32:50,760 Speaker 2: You want to make sure we're looking at the root 636 00:32:50,800 --> 00:32:53,280 Speaker 2: issue so that we're not like just treating it at 637 00:32:53,280 --> 00:32:54,240 Speaker 2: the very surface level. 638 00:32:54,320 --> 00:32:57,040 Speaker 3: Absolutely correct, Absolutely. 639 00:32:56,640 --> 00:33:01,040 Speaker 2: Yeah, So what have I not asked you? And that 640 00:33:00,240 --> 00:33:02,800 Speaker 2: you want to make sure you leave with our audience. 641 00:33:03,920 --> 00:33:06,200 Speaker 4: Wow, Well, I think our take home message is that 642 00:33:06,400 --> 00:33:12,520 Speaker 4: time equals follicles. And we say that because every day, week, 643 00:33:12,680 --> 00:33:15,160 Speaker 4: or month or year that you're not actively treating a 644 00:33:15,200 --> 00:33:18,240 Speaker 4: hair loss condition means that it's likely getting worse. 645 00:33:18,920 --> 00:33:21,160 Speaker 3: And hair loss can kind of sneak up on you. You 646 00:33:21,120 --> 00:33:22,680 Speaker 3: can lose a lot of. 647 00:33:22,680 --> 00:33:25,960 Speaker 4: Density and quality of hair without really being noticeable to 648 00:33:26,000 --> 00:33:29,760 Speaker 4: the casual observer. And this science is very, very solid, 649 00:33:29,800 --> 00:33:32,640 Speaker 4: Like you could literally pluck out fifty percent of the 650 00:33:32,680 --> 00:33:35,640 Speaker 4: hair in one's zone and it still looks about the same. 651 00:33:36,480 --> 00:33:39,400 Speaker 4: But if you start to dip below that number of 652 00:33:39,440 --> 00:33:42,400 Speaker 4: hair follicles, Like if you lose more than fifty percent, 653 00:33:42,480 --> 00:33:44,360 Speaker 4: all of a sudden, it's thinned to the naked eye. 654 00:33:44,840 --> 00:33:48,320 Speaker 4: So if you're sensing some loss, it may not even 655 00:33:48,320 --> 00:33:50,600 Speaker 4: look like there's loss. And your friends and your family 656 00:33:50,680 --> 00:33:53,360 Speaker 4: and your hairdresser and your barber saying, oh you're fine, 657 00:33:53,440 --> 00:33:56,520 Speaker 4: whatever you're doing, okay, Well, microscopically, they may be wrong. 658 00:33:57,240 --> 00:33:59,280 Speaker 3: Microscopically you might be losing a lot of hair. 659 00:33:59,360 --> 00:34:02,600 Speaker 4: So I will say to anyone who is experiencing or 660 00:34:02,600 --> 00:34:04,960 Speaker 4: think that they might be at risk for hair loss, 661 00:34:04,960 --> 00:34:08,480 Speaker 4: whether it be hereditary or other causes, just get an evaluation, 662 00:34:09,040 --> 00:34:11,680 Speaker 4: you know, please just look into it, you know, look 663 00:34:11,680 --> 00:34:13,880 Speaker 4: into all the health issues that we just talked about, 664 00:34:14,000 --> 00:34:17,120 Speaker 4: but get a density measurement. Go to a physician, and 665 00:34:17,239 --> 00:34:19,239 Speaker 4: may not be a dermatologists because the derms don't have 666 00:34:19,280 --> 00:34:19,600 Speaker 4: a lot. 667 00:34:19,520 --> 00:34:20,160 Speaker 3: Of this equipment. 668 00:34:20,200 --> 00:34:23,239 Speaker 4: Honestly, unfortunately, they may have a little microscope, but they 669 00:34:23,239 --> 00:34:25,640 Speaker 4: don't have a way to measure your hair density and 670 00:34:25,680 --> 00:34:28,640 Speaker 4: hair caliber like a hair metrics device, which is one 671 00:34:28,640 --> 00:34:30,440 Speaker 4: of the things that we have, and that's going to 672 00:34:30,440 --> 00:34:34,040 Speaker 4: elucidate exactly what's going on at the level of the scalp. 673 00:34:34,120 --> 00:34:36,399 Speaker 3: So what we would do compare the back to. 674 00:34:36,360 --> 00:34:37,880 Speaker 4: The areas that are at risk where you think you 675 00:34:37,960 --> 00:34:40,439 Speaker 4: might be pinning, and we know if there's a little 676 00:34:40,480 --> 00:34:42,719 Speaker 4: bit of loss, we know that there's a chance. 677 00:34:42,440 --> 00:34:45,600 Speaker 3: For further loss. Gotcha, Okay, and that's when we need 678 00:34:45,680 --> 00:34:48,239 Speaker 3: to start therapy. So time equals follicles. 679 00:34:48,520 --> 00:34:51,440 Speaker 4: Get evaluated and start your treatment early before you think 680 00:34:51,440 --> 00:34:51,840 Speaker 4: you need it. 681 00:34:52,120 --> 00:34:52,719 Speaker 3: Absolutely. 682 00:34:53,080 --> 00:34:55,040 Speaker 2: So where can people go to learn more about you 683 00:34:55,120 --> 00:34:56,319 Speaker 2: and about your clinics? 684 00:34:56,719 --> 00:34:58,840 Speaker 4: Yeah, well people can find me anywhere on all the 685 00:34:58,880 --> 00:35:01,440 Speaker 4: social media platforms, but really the best place to start 686 00:35:01,480 --> 00:35:07,160 Speaker 4: your journey is Baumanmedical dot com. Bau m anmedical dot 687 00:35:07,160 --> 00:35:11,000 Speaker 4: com has thousands of pages of information that I've written 688 00:35:11,000 --> 00:35:13,960 Speaker 4: personally over the past nearly thirty years of being in 689 00:35:14,000 --> 00:35:18,320 Speaker 4: the field. You'll see information such as hundreds and hundreds 690 00:35:18,360 --> 00:35:21,279 Speaker 4: of videos that are out there. Thousands of patients who 691 00:35:21,320 --> 00:35:23,640 Speaker 4: have been treated have allowed me to use their photos, 692 00:35:23,760 --> 00:35:26,759 Speaker 4: so you can peruse patients that look like you or 693 00:35:26,840 --> 00:35:28,240 Speaker 4: ones that don't and. 694 00:35:28,200 --> 00:35:29,200 Speaker 3: See what it looks like. 695 00:35:29,239 --> 00:35:31,960 Speaker 4: You can see everything from the nuanced procedures like the 696 00:35:32,000 --> 00:35:35,759 Speaker 4: long hair non shaved hair transplants, to things like eyebrows 697 00:35:35,760 --> 00:35:39,200 Speaker 4: and eyelashes, to my thoughts on scalp health and what 698 00:35:39,239 --> 00:35:43,359 Speaker 4: we should be doing to rectify that. So Balmanmedical dot com. 699 00:35:43,400 --> 00:35:46,200 Speaker 4: You can also just ask a question right there. You 700 00:35:46,239 --> 00:35:48,719 Speaker 4: can DM me on social media and I'll get an 701 00:35:48,719 --> 00:35:52,920 Speaker 4: answer out to you. But most patients do start their 702 00:35:53,000 --> 00:35:55,839 Speaker 4: journey there at Bowmanmedical dot Com even before they come 703 00:35:55,880 --> 00:35:59,960 Speaker 4: into the office in person. They can start their evaluation virtually, 704 00:36:00,040 --> 00:36:01,919 Speaker 4: and we can do it just as asom call, video 705 00:36:01,960 --> 00:36:05,760 Speaker 4: call or FaceTime if you will. Those types of things 706 00:36:05,960 --> 00:36:08,240 Speaker 4: are very very helpful to kind of get an understanding 707 00:36:08,280 --> 00:36:10,399 Speaker 4: what exactly is going on and how aggressive we need 708 00:36:10,400 --> 00:36:13,520 Speaker 4: to be right, you know, the most important thing, don't panic. 709 00:36:13,960 --> 00:36:15,759 Speaker 3: We've got this, you know we can treat it. 710 00:36:16,000 --> 00:36:18,960 Speaker 2: Yeah, excellent, very good. So thank you so much, doctor Bauman. 711 00:36:19,000 --> 00:36:20,840 Speaker 2: This has been really encouraging and insightful. 712 00:36:20,920 --> 00:36:23,840 Speaker 3: Appreciate your time, Lauren's truly been my pleasure. 713 00:36:23,880 --> 00:36:27,320 Speaker 4: If any questions come up from your followers or audience 714 00:36:27,400 --> 00:36:28,640 Speaker 4: or listeners, please. 715 00:36:28,400 --> 00:36:29,040 Speaker 3: Pass them along. 716 00:36:29,120 --> 00:36:31,200 Speaker 4: I'm happy to come back and answer those questions at 717 00:36:31,200 --> 00:36:33,719 Speaker 4: any time. But it's great to be on again with you. 718 00:36:34,000 --> 00:36:35,080 Speaker 2: Awesome, Thanks so much. 719 00:36:37,239 --> 00:36:40,799 Speaker 1: Thanks for listening to Christian Natural Health. This show is 720 00:36:40,880 --> 00:36:43,680 Speaker 1: run by you, so please write in with topic and 721 00:36:43,840 --> 00:36:48,480 Speaker 1: guest suggestions for future shows. For more great content, subscribe 722 00:36:48,520 --> 00:36:53,960 Speaker 1: to Doctor Laurence blog at www dot Dr Laurendeville dot 723 00:36:54,000 --> 00:36:58,760 Speaker 1: com or follow her on Facebook or Twitter at doctor Laurendeville. 724 00:36:59,120 --> 00:37:01,480 Speaker 1: If you enjoyed the show, don't forget to share it 725 00:37:01,520 --> 00:37:04,240 Speaker 1: with your friends and give us a five star rating 726 00:37:04,320 --> 00:37:07,440 Speaker 1: in iTunes. It really helps us to stand out so 727 00:37:07,600 --> 00:37:10,799 Speaker 1: other people can discover great content as well. Have a 728 00:37:10,840 --> 00:37:12,560 Speaker 1: great week and God bless you.