So Ray Peat was right saying prolactin causes male pattern baldness
Prolactin: The Most Likely Cause of Male Pattern Baldness
To summarize, Peat believes that prolactin, serotonin, estrogen, and
cortisol are the main culprits in hair loss. Peat spends most of the
interview talking about prolactin's relation to male pattern baldness.
Cortisol <> Prolactin <> Estrogen <> Serotonin
While I believe DHT has a hand in hair loss (if it didn't Propecia
would have zero effect), I believe it to be downstream from much more
important issues.
Overview:
It appears that prolactin along with other stress hormones are
elevated in those who are prematurely balding.
* There is conflicting information on the web, but prolactin may
increase the activity of the 5-alpha reductase enzyme.
* Prolactin has been found to modulate hair growth in mice, as
well as be a target for human hair follicles.
* Serotonin increases prolactin, which may increase hair loss
* Prolactin increaes Interleukin-6, an inflammatory marker that is
correlated with hair loss.
* Prolactin inhibits thyroid function (Kharrazian), and low
thyroid promotes prolactin, which can both cause hair loss.
What to do about it?
* Zinc seems to decrease prolactin
* Dietary tryptophan can increase prolactin levels. However, tryptophan is unavoidable if one is consuming animal products, so
assuring that tryptophan converts into niacin, and not serotonin, is
desirable. Obtaining an adequate intake of B6, B2, iron, and Vitamin A
can increase the conversion of tryptophan to niacin. Peat suggests
that the calcium to phosphate ratio is also important.
* An increase in parathyroid hormone (possible deficiencies of
vitamin D, vitamin K, vitamin A, zinc, magnesium or calcium) can cause
an increase in prolactin. Obtaining adequate calcium, as well as the
cofactors needed to absorb calcium is probably a smart idea. Sodium
and adequate protein may also increase calcium absorption.
* Estrogen increases prolactin secreation. This is a topic for another post, but you can maintain a healthy estrogen level by
providing the liver with enough sugar and avoiding dietary polyunsaturated fats.
* Alcohol consumption can increase prolactin.
* Salt restriction increases serotonin, which can increase prolactin.