I am asking a lot these last days, but there is just so much information. I am excited at how much time you have invested, the advancements you have made and translating that into help and hope for many people that feel insecure with baldness condition.

I am 6 weeks with the massages now. My scalp turned really dry and I noticed that (since the scalp is dry), the massages (pinching) are leaving residual marks where the wrinkles form more frequently. What do you recommend to avoid these marks? Maybe have wet hair or maybe an oil?

Thank you, once again,

Hey Matt — it’s certainly possible other health conditions could contribute to or exacerbate your hair loss — but it’s impossible for me to give definitive answers without knowing more about your situation. Based on what you’ve described, it just sounds like you’re expressing common symptoms that coincide with MPB.

Aside from that, I still stand by my advice to Holta — if there’s significant pain, something else could be going on.

Best,
Rob

Hi Rob,

I was reading this answer to Holta and I have the same symptoms, which are also the same of many users from several forums who suffers from MPB.

I agree that is not so common to feel pain and soreness while suffering of MPB but a lot of people is experiencing that.

In my case my galea is very tight + eroded fat (thin skin, very close to the bone) + MPB (hair loss mostly in the galea region and hairline).

Do you believe that besides MPB could I have something else wrong ?

Thanks a lot

Hey Chris,

If your scalp sides are still thinning, I’d suggest a blood test to rule out hyperparathyroidism. That means serum readings of PTH, TSH, calcium, and vitamin D. Oftentimes, overall hair thinning is a sign of secondary hyperparathyroidism. It’s very treatable with a procedure, and oftentimes, the hair comes back post-procedure. So get those tests! And let me know your results. This would also explain why you’re not responding to minoxidil — your hair thinning may not be MPB.

Best,
Rob

I’ve been reading your articles for the past months now and have learnt about many of your theories and gathered as much knowledge as I could. I’m currently a college student and in a very troubling situation.

I started minoxidil (once a day) at 18 as I thought my hair was extremely thin. In reality, it was really just normal, thin asian hair and there were no signs of balding. Fast forward 3 years, I felt the itch in minoxidil was no longer worth it and my hair was progressively getting thinner (sides were receeding too).

I then made the choice of stopping it cold turkey, close to a year ago. The shed was okay until 4 months in and things started getting worse. I went on and off minoxidil after that and am currently just 4 months from complete minoxidil abstainance. I am also 5 months in Deteumescence, following your protocol as read from on JD Moyer’s site.

Currently, my hair is in its worst state till date, with significant scalp showing and a general thinning across the entire scalp (areas where minoxidil was applied). Would you advice going back on minoxidil or sticking to deteumescene for at least 1 year? I’m just afraid of an event where it becomes a case of minoxidil induced baldness .

Thanks for taking the time,
Chis J

Hey Harpreet — I sent you an email / replied to your comments in the other articles with answers! I hope this helps.