Hypothyroidism and Hashimoto’s (autoimmune hypothyroidism) are often thought of as a women’s health issue, but we cannot neglect the fact that many males also suffer from this life-altering condition. In fact, Hashimoto’s is on the rise for men and has been for a number of years.
For those with hypothyroidism, carbohydrates are critical. I’ve seen too many people crash and burn on a low-carb diet—and lose a ton of hair.
It starts out “innocently” enough. You’re feeling fatigued, but you chalk it up to the demands of life. You’re feeling down, but you tell yourself that we can all get down when we’re tired. Then, there’s a spare tire around your middle. You can’t poop. You get chilled more easily. And you’re shedding hair.
The hormones that are most commonly associated with hair loss are the androgens (DHEA, testosterone, and DHT) and thyroid (hypothyroidism). There are others that are equally important, like cortisol, and another is prolactin, which rarely gets the attention it deserves.
While we understand the desire for a label or “official” diagnosis, it makes me scratch my head (no pun intended) that providers offer scalp biopsies because while they claim that they’ll help to determine an “accurate diagnosis,” they rarely change their treatment plan based on the results.
The FDA just approved the sixth iteration of JAK (Janus kinase) inhibitors for alopecia. But just because it’s newly approved doesn’t mean it’s great because none of the JAK inhibitors are great. In fact, the FDA has also issued a black box warning.