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The Peter Attia Drive

#43 - Alan Bauman, M.D.: The science of male and female hair restoration - how to protect, enhance, and restore the appearance and health of the hair and scalp

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.77.3K Ratings

🗓️ 4 March 2019

⏱️ 116 minutes

🧾️ Download transcript

Summary

In this episode, Alan Bauman, certified hair transplantation surgeon and hair restoration expert, discusses both male and female pattern hair loss, the science behind what drives it, and what that tells us about prevention and restoration. Having treated over 20,000 patients, Alan shares his invaluable insights into what works and what doesn’t in terms of the non-surgical treatment options. We also go into great detail about the more invasive approaches like PRP, and of course, hair transplantation, a procedure which Alan has refined over the years into a proprietary method that seems to produce unbelievable results. Additionally, Alan provides tips for maintaining scalp health, which is vital for hair growth, as well as the importance of choosing a hair specialist who has the tools, expertise, and patience to develop a compassionate and encompassing approach to hair restoration.

We discuss:

  • Alan’s unique path, and how he became interested in hair transplantation [7:15];
  • The prevalence of hair loss, types of hair loss, and the different patterns in men vs. women [15:45];
  • The role of genetics in hair loss, and when does it start [19:00];
  • Female hair loss: the role of hormones, pregnancy related hair loss, and what it means to have thinning and shedding [22:30];
  • Primary drivers of male hair loss, finasteride as a treatment, and the potential side effects [26:15];
  • Common treatments - Proscar, Propecia, Rogaine, and more - how they all came about and what you need to know [29:45];
  • Primary drivers of female hair loss, potential treatments, and the different types of hair follicles [33:15];
  • What are some of the unproven/snake oil methods of hair treatments being pushed to the public? [37:15];
  • Preventative steps to take if you’re worried about future hair loss [42:00];
  • Medications that may negatively affect hair quality [45:30];
  • The importance of seeing a hair specialist [47:15];
  • Impact of scalp health and inflammation on hair growth, how to pick and apply shampoo and conditioner, and how to avoid and treat hair breakage [50:15];
  • Treatment options - finasteride, minoxidil, laser caps - how they work and what you need to know [57:15];
  • PRP treatment: How it works, details of the procedure, and Alan’s proprietary protocol [1:11:45];
  • The hair transplant procedure [1:29:30];
  • Risks involved with a hair transplant procedure [1:44:00];
  • Is a donor hair susceptible to the forces of the implant site that caused the hair loss? Can a hair follicle grow anywhere on the body? [1:47:45];
  • Age appropriate procedures, how far the field has come, and why Alan loves his work [1:51:45]; and
  • More.

Learn more at www.PeterAttiaMD.com

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Transcript

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0:00.0

Hey everyone, welcome to the Peter Atia Drive. I'm your host, Peter Atia.

0:10.0

The drive is a result of my hunger for optimizing performance, health, longevity, critical thinking,

0:15.7

along with a few other obsessions along the way. I've spent the last several years working

0:19.6

with some of the most successful top performing individuals in the world, and this podcast

0:23.8

is my attempt to synthesize what I've learned along the way to help you live a higher quality

0:28.3

more fulfilling life. If you enjoy this podcast, you can find more information on today's

0:32.5

episode and other topics at peteratiamd.com.

0:41.6

Hey everybody, welcome to this week's episode of The Drive. I'd like to take a couple of

0:45.6

minutes to talk about why we don't run ads on this podcast and why instead we've chosen to

0:50.3

rely entirely on listener support. If you're listening to this, you probably already know,

0:55.0

but the two things I care most about professionally are how to live longer and how to live better.

1:01.1

I have a complete fascination and obsession with this topic. I practice it professionally,

1:06.0

and I've seen firsthand how access to information is basically all people need to make better

1:11.0

decisions and improve the quality of their lives. Curating and sharing this knowledge is not easy,

1:16.3

and even before starting the podcast, that became clear to me. The sheer volume of material

1:20.9

published in this space is overwhelming. I'm fortunate to have a great team that helps me

1:25.7

continue learning and sharing this information with you. To take one example, our show notes are

1:31.2

in a league of their own. In fact, we now have a full-time person that is dedicated to producing

1:35.9

those, and the feedback has mirrored this. So all of this raises a natural question, how will we

1:41.9

continue to fund the work necessary to support this? As you probably know, the tried and true way

1:47.4

to do this is to sell ads, but after a lot of contemplation, that model just doesn't feel right

1:53.3

to me for a few reasons. Now, the first and most important of these is trust. I'm not sure how you

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