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Trusted Scalp Care, developed by Dr. Lee Moon Won.

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Five Root Causes

 

Five Root Causes

Body Recording System — Leemoonwon Korean Medicine Clinic

Hair loss rarely has a single cause. BRS groups what suppresses follicle stem cells into five warning signals, analyzes the medical mechanisms behind each, and builds treatment from there.

1. Hormonal ImbalanceLow estrogen · Excess DHT · Thyroid dysfunction

What it is

When estrogen drops or DHT rises too high, the switch that wakes follicle stem cells (Wnt/β-catenin) turns off. In women, childbirth and menopause are common triggers; in men, genetic DHT sensitivity often plays the lead role. Thyroid hormone imbalance can also directly disrupt the hair growth cycle.

How it works

Excess DHT → overactive GSK-3β → β-catenin breakdown → Wnt pathway blocked → shorter growth phase
Low estrogen → ERα·ERβ inactive → loss of follicle protection

You may relate if...

Irregular periodsPostpartum shedding 6+ monthsPerimenopause or menopausePCOSThyroid issues

BRS treatment

Menopause & anti-aging formula groups + Super Hair Shot (direct Wnt activation) + Astragalus (telomerase support)

2. Poor Circulation & NutritionReduced scalp blood flow · Iron, protein, or zinc deficiency

What it is

Hair is one of the fastest-growing tissues in the body — about 0.3–0.4 mm per day. It needs a steady supply of oxygen and nutrients. When scalp blood flow drops or iron and protein run low, follicles shift into energy-saving mode and stop growing.

How it works

Reduced scalp microcirculation → lower oxygen at the follicle → less mitochondrial ATP
→ dermal papilla cells starved for energy → growth phase shortens
Ferritin below 40 ng/mL → less oxygen delivery → follicle hypoxia

You may relate if...

Cold hands and feetChronic fatigueHair loss after dietingAnemia or low ferritinBreastfeeding

BRS treatment

Weight-management & anti-aging formula groups (Si-Wu-Tang circulation support) + stimulating topical (gingerol vasodilation)

3. Chronic InflammationExcess IL-1β & TNF-α · Gut-skin axis disruption

What it is

Scalp inflammation does not always start on the scalp. When gut bacteria fall out of balance, the intestinal barrier weakens. Bacterial toxins (LPS) enter the bloodstream, fueling body-wide chronic inflammation that settles around follicles and suppresses growth.

How it works

Gut dysbiosis → increased intestinal permeability → LPS in blood
→ excess IL-1β & TNF-α → NF-κB activation
→ DKK1 (Wnt inhibitor) rises → Wnt pathway blocked

You may relate if...

Itchy scalpHeavy dandruffSeborrheic dermatitisFrequent bloating or gut discomfort

BRS treatment

Scalp inflammation formula group (Scutellaria, Coptis, Pinellia to curb IL-1β & TNF-α) + anti-inflammatory topical (baicalin NF-κB inhibition)

4. Autonomic Nervous System DisruptionOveractive HPA axis · Chronically elevated cortisol

What it is

"Stress makes your hair fall out" is scientifically true. Chronic stress overactivates the HPA axis and keeps cortisol elevated. That pushes growing follicles into early regression and constricts scalp blood vessels.

How it works

Overactive HPA axis → chronically high cortisol → growth-phase follicles end early
Sympathetic overdrive → scalp vasoconstriction
Substance P → mast cell degranulation → neurogenic inflammation

You may relate if...

Severe ongoing stressLess than 5 hours of sleepHair loss after a major life eventInsomnia or sleep disorders

BRS treatment

Sleep-support formula group (Ziziphus, Polygala, Dragon Bone for HPA balance) + Phytomedical Head Spa (vagus nerve stimulation · cortisol reduction)

5. Weak DigestionGut microbiome imbalance · Poor nutrient absorption

What it is

Traditional Korean medicine taught that strong digestion supports healthy hair. Modern science calls this the gut-skin axis. When digestion weakens, nutrients needed for hair growth are not absorbed well enough to reach the follicle.

How it works

Lower absorption → shortage of keratin-building blocks (amino acids, zinc, biotin)
→ follicles run out of raw materials (links to Cause 3: chronic inflammation)

You may relate if...

Bloating after mealsAlternating constipation and diarrheaEating well but still feeling drainedLow appetite

BRS treatment

Weight-management & scalp inflammation formula groups (Si-Jun-Zi-Tang for absorption + Coptis for gut balance)