What actually causes men to go bald?

In this discussion, Derek from More Plates More Dates explains the real biological mechanism behind male hair loss and androgenetic alopecia. Contrary to common belief, hair loss is not simply caused by shedding, shampoo, or stress. The primary driver is androgen signaling—specifically DHT—and its long-term effect on hair follicle miniaturization.

Male pattern baldness occurs when genetically sensitive hair follicles are repeatedly exposed to DHT. Over time, these follicles progressively shrink. Each growth cycle produces thinner, weaker hair until the follicle eventually becomes severely miniaturized and may stop producing visible hair altogether.

In this video, Derek explains:

• The real reason men go bald
• Why shedding is not the same as hair loss
• How DHT drives follicle miniaturization
• Why most men are genetically predisposed
• When hair follicles become permanently damaged
• Why early intervention can matter for long-term hair preservation

Chapters:
00:00 - Intro
00:47 - The Real Root Causes Of Hair Loss In Men And Women (And Why Guessing Fails)
02:15 - What Castrati And Eunuchs Accidentally Taught Us About Hair Loss
03:49 - Symptoms Of Hair Loss: Why Testing Changes Everything
05:57 - Hormone Balance, Symptom Expression, And Why Blood Work Matters
07:03 - When You Should Start Testing (Before Hair Loss Is Obvious)
08:53 - Genetics, Hormone Pathways, And Walking Proof Around Us
09:23 - Scalp Physiology, Follicle Health, And Why Timing Determines Results
10:35 - Why Shedding Does NOT Equal Hair Loss (And When It Actually Matters)
12:06 - The Full Spectrum Of Hair Loss Treatment Options
12:26 - Shampoo As A Treatment Tool: What It Can And Cannot Do
12:59 - Minoxidil: Why It Works And When To Use It
15:22 - Finasteride: Why Physician-Guided Use Matters More Than The Drug Itself
16:31 - Dutasteride: Derek’s Preferred Hair Loss Intervention (And Why Derek Chooses It)
17:15 - Finasteride vs. Dutasteride: Potency, Risk, And Real-World Use Cases
18:10 - Delivery Methods Explained: Oral vs. Topical
20:38 - Who Actually Needs A Comprehensive Hair Loss Panel (And Who Might Not)

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#HairLoss #MalePatternBaldness #DHT #AndrogeneticAlopecia #DerekMPMD #MorePlatesMoreDates #hairhealth