Why Men Lose Hair: Dr Sujit Telagamsetty Explains Male Pattern Baldness

Why Men Lose Hair: Dr Sujit Telagamsetty Explains Male Pattern Baldness

Dr Sujit Telagamsetty is a first-generation doctor and founder of Helios Homoeopathy, with over eight years of clinical experience and more than 10,000 cases handled. A health educator with a community of roughly 475,000 followers on Instagram, he’s built a reputation for busting hair-loss myths with accessible, no-nonsense science. Here, he breaks down what’s really behind male pattern baldness, and why there’s no shortcut around it.

What are the most common causes of hair loss and thinning in men, and how do genetics, stress, hormones and lifestyle habits contribute?
Hair loss in men is influenced by several factors, including genetics, hormones, stress, nutrition and everyday lifestyle habits. One of the most common causes is male pattern baldness, which is strongly influenced by genetics and the sensitivity of hair follicles to a hormone called dihydrotestosterone (DHT). This hormone gradually miniaturises susceptible follicles, causing hair to become thinner, shorter and weaker over time.

Stress also plays a significant role. Prolonged psychological stress, inadequate sleep, severe illness and sudden weight loss can disrupt the normal hair-growth cycle and trigger excessive shedding. Nutrition is equally important; hair follicles need adequate protein, iron, zinc and other essential nutrients to support normal growth. Crash dieting, skipping meals, and highly restrictive diets can compromise this and contribute to shedding. Lifestyle habits like smoking, poor sleep and chronically inadequate nutrition affect overall hair health too.

My approach focuses on the fundamentals: strong nutrition, consistent sleep, stress management, regular physical activity and a healthy scalp. These habits can’t eliminate genetic baldness, but they support overall health and address the preventable contributors to hair shedding.

What are the biggest myths around male pattern baldness, hair regrowth and hair-care products that men should stop believing?
One common myth is that wearing caps or helmets causes baldness. Normal use doesn’t; hair loss is primarily driven by genetics and hormonal sensitivity. Another misconception is that frequent shampooing causes permanent hair loss; appropriate shampooing just removes dirt and oil; the key is choosing a suitable shampoo and avoiding excessive friction.

Many men also believe oil can reverse baldness. Hair oil conditions the shaft and reduces friction, but it can’t reliably reverse genetic follicular miniaturisation. Similarly, expensive shampoos, biotin supplements and viral home remedies aren’t guaranteed solutions; supplements only help when an actual deficiency exists, and excessive doses of certain nutrients can even be harmful.

A particularly important myth is that all hair loss is permanent. Temporary shedding caused by nutritional deficiencies, illness or significant stress may improve once the trigger is addressed. Genetic hair loss behaves differently and shouldn’t be expected to reverse through lifestyle changes alone. My message is simple: don’t chase miracle products. Build healthy habits, understand what your hair actually needs, and distinguish between improving hair quality and treating the root cause of hair loss.

What should an effective hair-care routine look like for men, and what role do lifestyle and nutrition play?
A good routine should be simple, consistent and backed by a healthy lifestyle.

First, prioritise nutrition; hair is primarily made of keratin, so include adequate protein through eggs, milk, curd, paneer, fish, chicken, soy and dal.
Second, eat a balanced diet rather than relying on supplements; leafy greens, seasonal fruits, whole grains, nuts and seeds, alongside your protein sources, build a strong nutritional foundation.
Third, protect your sleep; aim for seven to nine hours a night, since consistent sleep supports physiological recovery and stress regulation.
Fourth, manage stress through walking, strength training, breathing exercises, meditation or time outdoors; severe or prolonged stress can trigger increased shedding in some people. Fifth, take care of your scalp and hair shaft: wash according to your scalp’s needs, avoid excessive heat and aggressive rubbing, and keep hairstyles comfortable rather than pulling on the hairline.
Finally, avoid crash diets and rapid weight loss; sustainable weight management and adequate protein intake matter more than extreme restriction.

My recommendation is to make hair health part of a broader lifestyle strategy. Healthy hair begins with consistent nutrition and daily habits, not an expensive collection of products.

With hair transplants and other treatments becoming more popular, what should men know before choosing one?
Men should understand that hair transplantation redistributes existing hair follicles; it doesn’t create new ones. In procedures like follicular unit extraction (FUE), individual follicles are taken from a donor area and placed where hair loss has occurred. The result depends on donor-hair quality, the extent of hair loss, surgical technique and the individual’s long-term hair-loss pattern.

A transplant can improve coverage, but it doesn’t stop surrounding natural hair from continuing to thin, which is why expectations and long-term planning matter. Non-surgical treatments vary too; some slow hair loss, others stimulate growth or improve density, and their effectiveness varies, often requiring ongoing treatment to maintain results.

Men should avoid choosing a procedure based solely on social media photos, celebrity endorsements, discounts or promises of guaranteed density. Understand the likely results, limitations, maintenance requirements, potential side effects and total long-term cost.
My philosophy is that hair restoration should be approached with realistic expectations rather than insecurity. Build a strong foundation through lifestyle, understand the science behind available treatments, and choose solutions based on evidence rather than marketing.

Final Message
Healthy hair is not built through one miracle oil, one supplement or one expensive product. It’s supported by the cumulative effect of daily choices: eating well, sleeping adequately, managing stress, exercising regularly and maintaining a healthy scalp. Men should also understand that genetics plays a major role in hair loss, and no lifestyle routine can guarantee protection against baldness. The goal is to support the body’s normal hair-growth processes while making informed, realistic decisions about hair care and restoration.

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