Generally speaking, there are several causes or things that put the male pattern balding into motion. I highly suspect that in western society, the gut is a major contributor.
There are so many connections and references in literature from dietary connections or bacteria connections to male pattern balding that it has to be taken seriously...or accepted as more than anecdotal. From my observations, the only thing that can kick an immune system in to overdrive enough to try to attack its own body ie follicles is those follicles are hosting a threat.
I like to look at it like those old western moves where the robbers are holding out in the saloon and the hero of the movie has them trapped. He lights up the entire store and everything in it to get to the robbers. The same with DHT and the body's immune system. The follicles are just the innocent bystanders in this matter. Once the follicles are hosted by those gut microbes who've escaped through the lining and now are in the bloodstream, hair fall is the result.
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