The Hair Loss Lab

Spex

A premium podcast platform for sharper conversations around hair loss. Exploring identity, treatment, confidence and culture. Built to feel calm, intimate and thoughtful, like a conversation worth sitting with. Educate - Empower - Elevate

  1. 1d ago

    Ep. 44 | "You're a Giver, Not a Taker" — Pete Murtha on Hair Systems | The Hair Loss Lab

    Host Spencer Stevenson sits down with Pete Murtha, founder of Optima Hair in Edgbaston, Birmingham, 25+ years into hair-system work. The cold open isn't exaggerated: armed men forced their way into Murtha's home weeks after he went into business for himself, held him at gunpoint, and threatened him and his family over the competition. It starts a decade earlier. Murtha began losing his hair at 23 in 1994, tried a Harley Street transplant, then the Belgravia Centre, spending close to £18,000 over three years on treatments that didn't work. A hair unit in 1996 — "it felt like a hat on my head" — came with night shifts as a forklift driver to avoid being seen, and, he tells Spencer, a genuine suicidal crisis at a time with no outlet to talk about it. Four years at a London hair-system clinic ended when a six-year-old client, scarred by a kettle accident, became the turning point: told to charge the boy's father for the free fix he'd asked for, Murtha walked and started Optima Hair from his spare bedroom with partner Karen, on five clients. Weeks later came the home invasion, then eighteen months of smashed windows and threats to his family, and a second confrontation years later — none of it stopping him from building Optima into one of the country's largest practices, before deliberately scaling back to keep it personal. He also opens up about a 2005 detour into scalp micropigmentation: Ian Watson, who'd co-found what became HIS Hair Clinic, offered him a 33% stake to help bring SMP to market on Optima's reputation. Differing visions led Murtha to walk away, and he watched the venture unravel from the outside. It closes on his "giver, not taker" ethics: free consultations, pro bono work for an overcharged 80-year-old client, and an unpaid hour and a half talking a mother through her suicidal 16-year-old son's hair loss — tied back to his own darkest period. IN THIS EPISODE, YOU'LL LEARN — How armed threats shaped the early years of his business  — Why he turned down rapid global SMP expansion back in 2005  — How hair systems work: cost, custom builds, maintenance  — Why he still does free and pro bono work decades in CHAPTERS 00:00 Cold open — armed men, a gun, and a threat to his family  00:23 Intro: meeting Optima Hair's Pete Murtha  02:41 Losing his hair at 23, and the 1994 Harley Street transplant  02:57 The Belgravia Centre, and years of treatments that didn't work  03:20 His first hair unit in '96, and night shifts to avoid being seen  03:41 A suicidal crisis, and no outlet to talk about it  04:13 Hired at a London hair-system clinic (1997–2002)  07:50 A 6-year-old client's scar tissue, and starting Optima with Karen  09:06 The home invasion, and eighteen months of threats that followed  11:24 A second confrontation years later, and standing his ground  17:49 2015: a bigger premises, and losing what made it personal  21:24 2005: Ian Watson's SMP pitch, and a 33% stake walked away from  24:45 Watching the SMP venture unravel from the outside  26:44 Back to Optima Hair — small, boutique, built on trust  30:19 How hair systems work: cost, builds, and maintenance  33:07 The "pizza slice" technique, and avoiding frontal systems  34:06 Lace fronts, 20 years ago, and a humbling pub moment  37:28 "A hairline should be a smile, never a frown"  38:13 Free work for an 80-year-old overcharged elsewhere  39:29 A mother's call about her suicidal 16-year-old son  41:22 "A giver, not a taker" — welcoming the trolls and threats  43:38 A same-day echo of another guest's darkest moment  ABOUT PETE MURTHA Pete Murtha is the founder of Optima Hair in Edgbaston, Birmingham, with over 25 years in hair replacement, since starting the business from his spare bedroom in the late 1990s. ABOUT OPTIMA HAIR  Optima Hair Specialists is a Birmingham clinic offering custom-made, non-surgical hair replacement, built on a patient-first, free-consultation approach. 🔗 https://www.optimahair.co.uk/ ABOUT THE HOST  Host Spencer Stevenson ("Spex") is an international hair loss patient advocate and founder of SpexHair. He hosts The Hair Loss Lab, a patient-first educational platform built with surgeons, trichologists, and SMP experts to help people make informed, unbiased decisions. 🔗 Optima Hair: https://www.optimahair.co.uk  🔗 More episodes: https://youtube.com/@TheHairLossLab  🔗 Follow SpexHair: https://www.spexhair.com/  🔗 The Hair Loss Lab: https://thehairlosslab.com/  🔗 Hair Loss Lab Podcast: https://bit.ly/4yJ9Bzz  🔗 Spotify: https://bit.ly/4hSUxrP  🔗 Apple Podcast: https://bit.ly/47fIuzS  🔗 Hair transplant doctor guide: https://www.apetogentleman.com/worlds-best-hair-transplant-doctors/ Educational purposes only, not a substitute for professional medical advice. Individual results vary — consult a qualified physician. If you're struggling with your mental health, please reach out to a professional or a local crisis support line. #HairLossLab #HairSystems #OptimaHair #MentalHealthAwareness

    Ep. 44 | "You're a Giver, Not a Taker" — Pete Murtha on Hair Systems | The Hair Loss Lab
  2. Nov 3

    Ep. 43 | Finasteride Gave Me Dark Thoughts | The Hair Loss Lab

    Host Spencer Stevenson sits down with Jamie Shepherd, founder of Hair Guru London, a UK hair-fiber brand Spencer wore for years to conceal his own transplants. Jamie's story starts a decade earlier: as a TV producer for ITV and the BBC, he noticed keratin fibers under studio lights and realized if he could see them, everyone could, sending him into what hair fibers are made of, and into an industry he says isn't honest about it. He found a market leaning on animal-derived proteins (wool, hooves, feathers) sold as "just like your hair." He spent years testing alternatives before landing on a cotton-based formula. He then sat on it, finished, for four more years, because almost nobody in his life, including his family, knew he had hair loss. It took a friend's comment, "you've got a multimillion-pound business sat under your stairs", to push him into launching, a story strikingly parallel to Spencer's own decision to go public via a Daily Mail feature. The conversation digs into the psychology of hair loss: why Jamie insists "sufferer" is the right word, the manifestation and neuroplasticity research (including neuroscientist Dr. Tara Swart's work, heard on The Diary of a CEO) behind why negative self-talk makes things worse, and the silence around men and masculinity. Jamie is also candid that finasteride's psychological side effects may be under-reported — he experienced intrusive, dark thoughts that stopped once he came off it, discussed carefully and without promoting or demonizing the drug. Both flag a real concern: teens targeted by predatory ads and commission-driven influencers. IN THIS EPISODE, YOU'LL LEARN  — Why Jamie sat on a finished product for 4 years before launching it  — Why most hair fibers rely on animal keratin, and why Hair Guru uses cotton  — How manifestation and the "sufferer" label shape hair loss psychology  — Why finasteride's psychological side effects may be under-reported CHAPTERS 00:14 Intro: meeting Hair Guru founder Jamie Shepherd  01:57 From ITV/BBC producer to spotting fibers under studio lights  03:07 The ingredient problem: animal proteins in "hair protein"  05:56 Gray cover sticks in LA, then "Toppik" — and insecurity that crept back  09:25 Why "hair loss sufferer" is the right word  11:54 Hair Guru as a confidence bridge, not a long-term fix  17:01 Masculinity, and the industry's lies about ingredients  23:28 "A multimillion-pound business sat under your stairs"  25:27 Spencer's parallel: the Daily Mail story that outed his transplants  31:27 The next generation's "tsunami," and the influencers behind it  35:29 Finasteride, dark thoughts, and the moment they stopped  39:01 The Hair Guru range: UK's highest-rated fiber, cotton vs. keratin  45:22 Female hair loss, closing an 80/20 gender gap  47:30 Built as a bridge, not a dependency — what women really think ABOUT JAMIE SHEPHERD  Jamie Shepherd is the founder of Hair Guru London. From Criccieth, North Wales, he spent over a decade as a TV producer for ITV and the BBC before developing Hair Guru's cotton-based formula and launching the brand full-time. ABOUT HAIR GURU LONDON  Hair Guru London makes cotton-based, animal-free hair fiber concealers across 14 shades, stocked at UK retailers including Superdrug and expanding into barbershops and salons. The brand reports a 4.8-star rating and bills itself as the UK's highest-rated hair fiber. ABOUT THE HOST  Host Spencer Stevenson ("Spex") is an international hair loss patient advocate and founder of SpexHair. He hosts The Hair Loss Lab, a patient-first educational platform built with surgeons, trichologists, and SMP experts to help people make informed, unbiased decisions about hair loss. 🔗 Hair Guru London: https://hairgurulondon.com 🔗 More episodes: https://youtube.com/@TheHairLossLab 🔗 Follow SpexHair: https://www.spexhair.com/ 🔗 The Hair Loss Lab: https://thehairlosslab.com/ 🔗 Hair Loss Lab Podcast: https://bit.ly/4yJ9Bzz 🔗 Spotify: https://bit.ly/4hSUxrP 🔗 Apple Podcast: https://bit.ly/47fIuzS 🔗 Hair transplant doctor guide: https://www.apetogentleman.com/worlds-best-hair-transplant-doctors/ Educational purposes only, not a substitute for professional medical advice. Individual results vary — consult a qualified physician about your condition. If you're struggling with your mental health, please reach out to a professional or a local crisis support line. #HairLossLab #HairFibers #HairLossJourney #Finasteride #MentalHealthAwareness

    Ep. 43 | Finasteride Gave Me Dark Thoughts | The Hair Loss Lab
  3. Oct 26

    Ep. 42 | What People Don’t Know About Hair Loss | The Hair Loss Lab

    Is there a real solution for hair loss? In this episode of The Hair Loss Lab, Spencer Stevenson speaks with Maxim (Max) Chumak, MD, FISHRS, an experienced hair-restoration surgeon, about hair loss, modern restoration options, and what patients should understand before pursuing treatment. Dr. Maxim Chumak shares his physician-led perspective on evaluating hair loss, setting realistic expectations, and making informed decisions in an industry often filled with confusing or exaggerated claims. The conversation explores the importance of choosing the right treatment approach, understanding the limitations of hair restoration, and finding a qualified physician who prioritizes the patient’s long-term outcome. Dr. Maxim Chumak is a Diplomate of the American Board of Hair Restoration Surgery, a Fellow of the International Society of Hair Restoration Surgery, and the founder of Hair By Dr. Max Restoration Center. He has practiced exclusively in hair restoration since 2016 and is involved in the research and development of robotic hair-restoration technology. In this episode: • Is there a genuine solution for hair loss? • How patients should evaluate their restoration options • The difference between realistic results and marketing promises • Why physician involvement matters in hair-restoration surgery • What patients should know before considering a hair transplant • The role of modern technology in hair restoration • How to establish realistic expectations for treatment • The future of hair-loss treatment and restoration Learn more about Dr. Maxim Chumak: https://bringbackhair.com/ Explore more from The Hair Loss Lab: https://thehairlosslab.com/ Subscribe for honest, evidence-based conversations with leading physicians, researchers, surgeons, and advocates in the world of hair loss and restoration. This video is intended for educational purposes only and should not be considered personalized medical advice. Speak with a qualified medical professional about your individual condition and treatment options. #HairLoss #HairRestoration #HairTransplant

  4. Oct 22

    Ep. 41 | Wellness Influencer Gets Real About Hair Loss | Hair Loss Lab

    Filmed in London, host Spencer Stevenson sits down with wellness creator Christian Osuya, who had a hair transplant at the Harley Street Hair Clinic two weeks before filming, after clinic CEO Nadeem Khan introduced them. Before the surgery, Spencer wants the full story: how an unhealthy 300-pound 2022 turned into 8 marathons and a fast-growing following built on sauna, cold plunge, cupping, and hyperbaric oxygen content, including a wet-cupping video that hit 10 million views almost by accident. Christian is disarmingly honest that he often can't say whether half of what he's tried actually works — the episode's real throughline, since so much wellness and hair-loss marketing runs on unproven products sold to people who just want a fix. He's been losing hair since 15, with strong baldness on both sides of his family, and spent years on rosemary oil, castor oil, and biotin before anything that actually blocks DHT. He's candid too about online subscription pharmacies shipping finasteride and dutasteride from unverified sources, and why he now sources medication properly. The conversation turns to the transplant decision: clinics abroad offering free surgery to capitalize on his following, a cautionary tattoo story from 17, and why he chose Harley Street because they told him what he needed, not what he wanted. Spencer, examining the result two weeks post-op, is blunt: "I would not clock that as a hair transplant." It closes on a handoff — Spencer, 26 years into his own hair loss journey, sees in Christian the next wave of influencers reaching an audience that won't sit through a lecture from "some 50-year-old guy." IN THIS EPISODE, YOU'LL LEARN — How an unhealthy, 300-pound 2022 turned into 8 marathons, a wellness platform, and a hair transplant at 22 — Why online subscription pharmacies for finasteride and dutasteride can be a real gamble  — Why a hair transplant is "a marriage," not a one-time fix, especially done this young  — How Harley Street Hair Clinic won his trust by telling him what he needed, not what he wanted CHAPTERS 00:16 Intro: in London with wellness influencer Christian Osuya  02:14 A childhood battle with obesity — and losing 80 lbs in 10 months  06:17 Becoming an influencer, and a cupping video with 10M views  12:07 The hair loss story: bald by 10, he just knew  15:26 Fighting hair loss and weight at once, then facing denial  17:56 From denial to the epiphany that got him on finasteride  19:02 The danger of online subscription pharmacies  23:43 How he found Harley Street Hair Clinic  26:00 Turkey's reputation, the price stigma, a friend's near-miss  28:41 The stakes of influencing — and why it needs responsibility  31:10 What won him over: told what he needed, not what he wanted  33:14 Spencer's verdict: "I would not clock that as a hair transplant"  ABOUT CHRISTIAN OSUYA  Christian Osuya is a London-based wellness and fitness creator known for documenting his own biohacking routines (cold plunge, cryotherapy, cupping) on TikTok and Instagram. After losing about 140kg/300 pounds starting in 2022, he ran 8 marathons and, at 22, had a hair transplant at the Harley Street Hair Clinic. ABOUT HARLEY STREET HAIR CLINIC  Led by CEO Nadeem Khan, the Harley Street Hair Clinic in London is one of the UK's best-known FUE providers, widely reported as the clinic behind footballer Wayne Rooney's hair transplant. ABOUT THE HOST  Host Spencer Stevenson ("Spex") is an international hair loss patient advocate and founder of SpexHair. He hosts The Hair Loss Lab, a patient-first educational platform built with input from hair transplant surgeons, trichologists, and SMP experts to help people make informed, unbiased decisions about hair loss. More on Harley Street Hair Clinic: https://www.hshairclinic.co.uk More episodes: https://youtube.com/@TheHairLossLab Follow SpexHair: https://www.spexhair.com/ More episodes: https://youtube.com/@TheHairLossLab The Hair Loss Lab: https://thehairlosslab.com/ Hair Loss Lab Podcast https://bit.ly/4yJ9Bzz Spotify https://bit.ly/4hSUxrP Apple Podcast https://bit.ly/47fIuzS Hair transplant doctor guide: https://www.apetogentleman.com/worlds-best-hair-transplant-doctors/ This content is for educational purposes only and isn't a substitute for professional medical advice. Individual results vary — always consult a qualified physician about your specific condition. #HairLossLab #HairTransplant #Wellness #FUE #HairRestoration

    Ep. 41 | Wellness Influencer Gets Real About Hair Loss | Hair Loss Lab
  5. Oct 19

    Ep. 40 | 50% of My Cases Are Repair Cases | Hair Loss Lab

    Filmed at the FUE Europe conference in Warsaw, host Spencer Stevenson sits down with longtime friend Dr. Bijan Feriduni, founder of Dr. Feriduni Hair Clinic in Hasselt, Belgium — who performed a small procedure on Spencer roughly a decade ago. Feriduni never set out to become a hair surgeon: a place at dentistry school near Heidelberg fell through when his wife got pregnant, and a friend's introduction to an aesthetic surgery clinic in Düsseldorf, doing old-style strip "split" surgeries, turned into a career he never left. The real subject is repair surgery, now roughly half of Feriduni's caseload, up from one case every few months when he treated his first in 1999. He traces that rise to the industry's misinformation problem — companies "plowing millions into false advertising," patients choosing by proximity or price over research — and a price war pushing people toward commodity clinics over surgeons who'd get it right the first time. He explains why repair work is harder than a virgin scalp — often 2 or more operations, sometimes 4 or 5, repairing the donor area itself, not just the hairline, to fix a "moth-eaten" appearance. He's candid about the toll on patients who've "lost the self-confidence in life" and "can't look in the mirror," and walks through what's possible: beard hair, scar excision in female cases, or rebuilding a hairline so a patient "can forget hair transplantation for the rest of his life." Spencer, 13 transplants deep himself, closes by presenting Feriduni with an Ape to Gentleman award for being named one of the best hair transplant doctors in the world. IN THIS EPISODE, YOU'LL LEARN — Why roughly 50% of Dr. Feriduni's caseload is now repair surgery, up from one case every few months in 1999 — How a pregnancy, not a career plan, led him into hair transplantation instead of dentistry — Why repair surgery often needs 4-5 operations and a full donor-area repair, not just a redone hairline — What repair techniques are available, from beard hair to rebuilding a hairline from scratch CHAPTERS 00:00 Cold open — "50% of the cases are repair cases" 00:47 Intro: reuniting with Dr. Bijan Feriduni in Warsaw 01:57 How he got into hair restoration surgery 06:15 Why due diligence matters before choosing a surgeon  06:56 The social-media misinformation problem  09:45 Why repair surgery is harder than a virgin scalp  11:20 Is there still hope for repair patients?  12:02 Beard hair, relocated grafts, and other repair tools  15:04 Female cases, scar excision, and matching technique to patient 15:33 Why every repair patient is even more bespoke  20:24 How commoditization and price wars hurt patients ABOUT DR. BIJAN FERIDUNI Dr. Bijan Feriduni is the founder of Dr. Feriduni Hair Clinic in Hasselt, Belgium, and one of Europe's leading repair and corrective hair transplant specialists. He trained in aesthetic surgery in Düsseldorf in the mid-1990s before founding his own clinic in 2000, and has performed 8,000+ procedures. He is recognized by Ape to Gentleman as one of the best hair transplant doctors in the world. ABOUT DR. FERIDUNI HAIR CLINIC Based in Hasselt, Belgium, Dr. Feriduni Hair Clinic treats patients from across Europe, with a focus on complex repair and corrective cases. ABOUT THE HOST Host Spencer Stevenson ("Spex") is an international hair loss patient advocate and founder of SpexHair. He hosts The Hair Loss Lab, a patient-first educational platform built with input from hair transplant surgeons, trichologists, and SMP experts to help people make informed, unbiased decisions about hair loss. More on Dr. Bijan Feriduni: https://www.feriduni.com Follow SpexHair: https://www.spexhair.com/ More episodes: https://youtube.com/@TheHairLossLab The Hair Loss Lab: https://thehairlosslab.com/ Hair Loss Lab Podcast https://bit.ly/4yJ9Bzz Spotify https://bit.ly/4hSUxrP Apple Podcast https://bit.ly/47fIuzS Hair transplant doctor guide: https://www.apetogentleman.com/worlds-best-hair-transplant-doctors/ This content is for educational purposes only and isn't a substitute for professional medical advice. Individual results vary — always consult a qualified physician about your specific condition. #HairLossLab #HairTransplantRepair #FUE #HairRestoration #FUEEurope

    Ep. 40 | 50% of My Cases Are Repair Cases | Hair Loss Lab
  6. Oct 15

    Ep. 39 | Meet the Surgeon Who's Different From Every Other Turkey Clinic | Hair Loss Lab

    Considering a hair transplant in Turkey? In this episode of The Hair Loss Lab, host Spencer Stevenson sits down with Dr. Özlem Biçer, a hair transplant surgeon based in Istanbul with more than 25 years of medical experience, to discuss how patients can look beyond clinic advertising and make better-informed decisions about their surgery. They explore Dr. Biçer’s journey into hair restoration, her experience building a career in a male-dominated field, and why patient education and professional responsibility matter in an industry where marketing can make very different clinics look equally credible. Spencer also shares the story of a close friend who nearly booked a hair transplant at a Turkish clinic he discovered on Instagram—and what changed his mind. That experience brings the conversation back to a question every prospective patient should ask: who will actually perform the procedure, and what qualifications do they have? From there, the discussion turns to misleading clinic practices, the use of unlicensed technicians in place of qualified surgeons, and the hair transplant black market. Dr. Biçer and Spencer discuss why patients need objective criteria for choosing a doctor rather than relying solely on advertising, social media, or a clinic’s promises. Throughout the episode, patient advocacy remains central. For anyone researching a hair transplant in Turkey, this conversation offers a closer look at the people behind the procedures—and why understanding a clinic’s medical standards and surgical team should be part of the decision before booking. IN THIS EPISODE, YOU’LL LEARN — How Dr. Özlem Biçer began her career in hair transplant surgery — Her perspective on being a female surgeon in a male-dominated industry — What happened when Spencer’s friend nearly booked surgery at a clinic he found on Instagram — Why patients should verify who will actually perform their procedure — Why objective criteria matter when evaluating a hair transplant surgeon — How patient advocacy and education can help people make more informed choices — The concerns surrounding unlicensed operators and the hair transplant black market TIMESTAMPS 00:00 Cold Open 00:32 Meet Dr. Özlem Biçer 02:00 Her Journey Into Hair Transplant Surgery 08:45 The Friend Who Almost Got Scammed in Turkey 11:43 Being a Female Surgeon in a Male-Dominated Industry 19:32 Patient Advocacy & Education 27:09 Inside the Hair Transplant Black Market ABOUT DR. ÖZLEM BİÇER Dr. Özlem Biçer is a hair transplant surgeon based in Istanbul, Turkey. She graduated from Trakya University’s Faculty of Medicine in 1998 and subsequently completed certified training in hair surgery through Turkey’s Ministry of Health. She has operated her own clinic since 2002, with experience in both FUE and FUT hair transplantation. Her professional approach emphasizes patient care, ethical practice, continuing education, and individualized treatment planning. ABOUT DR. ÖZLEM BİÇER’S CLINIC Located in Istanbul, Dr. Biçer’s clinic provides hair transplantation and hair loss treatments. The practice follows a one-hair-transplant-patient-per-day approach, allowing Dr. Biçer and her medical team to focus on each patient’s care. ABOUT THE HOST Host Spencer Stevenson (“Spex”) is an international hair loss patient advocate and founder of SpexHair. He hosts The Hair Loss Lab, a patient-first educational platform featuring conversations with hair transplant surgeons, trichologists, and SMP experts to help people make informed decisions about hair loss and restoration. - More on Dr. Özlem Biçer: https://ozlembicer.com/en/about-us/dr-ozlem-bicer - More on her clinic: https://ozlembicer.com/ - Follow SpexHair: https://www.spexhair.com/ - More episodes: https://youtube.com/@TheHairLossLab - The Hair Loss Lab: https://thehairlosslab.com/ - Hair Loss Lab Podcast https://bit.ly/4yJ9Bzz - Spotify https://bit.ly/4hSUxrP - Apple Podcast https://bit.ly/47fIuzS - Hair transplant doctor guide: https://www.apetogentleman.com/worlds-best-hair-transplant-doctors/ Considering a hair transplant in Turkey? What questions would you want answered before choosing a clinic? Share them in the comments, and subscribe for more conversations about hair loss and hair restoration. This content is for educational purposes only and isn’t a substitute for professional medical advice. Individual results vary—always consult a qualified physician about your specific condition. #HairTransplant #HairTransplantTurkey #HairLossLab #HairRestoration #OzlemBicer

    Ep. 39 | Meet the Surgeon Who's Different From Every Other Turkey Clinic | Hair Loss Lab
  7. Oct 12

    Ep. 38 | 40% Give Up on Hair Transplants | Hair Loss Lab

    Filmed at the FUE Europe conference in Warsaw, host Spencer Stevenson reunites with Dr. Pablo Cirino, the Manaus, Brazil-based physician behind CRT (the Cirino Regenerative Technique) — a non-surgical scalp treatment delivering liquid minoxidil and low-concentration dutasteride via roughly two million micro-perforations per session. The two met in Paris three months earlier, and that first conversation went viral among hair restoration specialists. Since then, Dr. Ron Shapiro, Dr. Maxim Chumak, Dr. Alan Bauman, and Dr. Daniel A. Danyo (who introduced Spencer to Pablo) have all trained under Dr. Cirino and now perform CRT themselves. Oral finasteride and dutasteride reliably block the DHT that miniaturizes hair, but many patients fear systemic side effects — so Dr. Cirino delivers the same medications topically, at a fraction of the concentration, under a nerve block, in a 10-to-20-minute session. Patients get monthly "attack" sessions for six months, then taper to maintenance. Roughly 40% abandon plans for hair transplant surgery after seeing their CRT results, and across 10,000+ patients over 10-11 years, he reports no systemic side effects, since the medication never enters the bloodstream. Tracking it all is the HairMetrix, which classifies every hair by caliber — red (miniaturized or new), yellow (early miniaturization), green (healthy terminal hair) — turning "it looks better" into a documented number. Dr. Cirino walks through a 600% improvement case he had independently verified, and the talk ranges beyond male pattern hair loss into postpartum shedding, graying hair, and psoriasis. Spencer, candid at 50 about his own graying hair, closes by asking where CRT goes from here. IN THIS EPISODE, YOU'LL LEARN  — How CRT delivers minoxidil and dutasteride topically via micro-perforation, avoiding systemic side effects  — Why about 40% of Dr. Cirino's patients give up on hair transplant surgery after seeing CRT results  — How the HairMetrix's red/yellow/green scale replaces "it looks better" with trackable data — Which surgeons now perform CRT themselves, including Shapiro, Chumak, Bauman, and Danyo ABOUT DR. PABLO CIRINO Dr. Pablo Cirino, based in Manaus, Brazil, developed CRT (the Cirino Regenerative Technique) over the past 10-11 years — a non-surgical treatment delivering minoxidil and dutasteride via scalp micro-perforation, tracked with the HairMetrix device. He has treated 10,000+ patients and trained surgeons internationally. ABOUT CLÍNICA CAVALCANTE & CIRINO Dr. Cirino practices at Clínica Cavalcante & Cirino in Manaus, Amazonas, Brazil, and treats patients traveling in from Rio de Janeiro and beyond. ABOUT THE HOST Host Spencer Stevenson ("Spex") is an international hair loss patient advocate and founder of SpexHair. He hosts The Hair Loss Lab, a patient-first educational platform built with input from hair transplant surgeons, trichologists, and SMP experts to help people make informed, unbiased decisions about hair loss. 🔗 More on Dr. Pablo Cirino: https://cavalcantecirino.com.br 🔗 More episodes: https://youtube.com/@TheHairLossLab 🔗 Hair Loss Lab Podcast https://bit.ly/4yJ9Bzz 🔗 Spotify https://bit.ly/4hSUxrP 🔗 Apple Podcast https://bit.ly/47fIuzS This content is for educational purposes only and isn't a substitute for professional medical advice. Individual results vary — always consult a qualified physician about your specific condition. #HairLossLab #CRT #NonSurgicalHairRestoration #HairRestoration #FUEEurope

    Ep. 38 | 40% Give Up on Hair Transplants | Hair Loss Lab
  8. Oct 8

    Ep. 37 | "Sometimes They Don't Come Back" — The Truth About Donor Hair | Hair Loss Lab

    Filmed at the FUE Europe conference in Warsaw, host Spencer Stevenson reunites with longtime friend and colleague Dr. Harald Eberson, founder of Eberson Hair Clinic in Heemstede, Netherlands, and one of Ape to Gentleman's Best Hair Transplant Doctors in the World. The two have known each other for close to a decade — their first contact came when Dr. Eberson reached out over Instagram to warn Spencer that an overseas clinic was using his photos without permission — and this unscripted conversation covers nearly two decades of hair restoration history through the eyes of a surgeon who has lived it from both sides of the chair. Dr. Eberson never set out to become a hair transplant surgeon. He trained in general surgery, drifted through research medicine, and only found his way into the field when a colleague suggested cosmetic medicine as "a nice combination." The timing turned out to be personal: he'd already had his own hair transplant as a 29-year-old student, and the position he was offered was at one of the oldest hair clinics in the Netherlands, left behind by a retiring doctor. He also opens up about a Dutch GP who refused to prescribe him medication for his progressing hair loss — "you don't need it to become a man" — forcing him to cross the border into Germany to find a doctor willing to write the prescription. The heart of the conversation is donor hair — specifically, the return of oversized "mega sessions" that extract grafts beyond the scalp's safe donor zone. Dr. Eberson draws a direct line back to the FUT era 15-plus years ago, when surgeons like Hasson & Wong in Canada pushed session sizes to 3,000–4,000 grafts and left wide, undocumented scars in their wake, and warns the same pattern is repeating in FUE today with newer, faster drilling devices. They trace the industry's shift from a quiet, guarded specialty into a mainstream commodity back to a single moment — footballer Wayne Rooney's 2011 tweet about his own hair transplant — which Dr. Eberson credits with changing the field more than almost anything else, for better and worse. They close on the patient side of that same equation: the rise of medical tourism to Turkey, patients who show up for consultations unable to say what a "graft" even is, a newer wave of self-declared "influencers" charging up to $1,500 for a single consultation, and a brief but genuinely excited exchange about Pablo Carreño's CRT treatment, which Dr. Eberson says got his attention in a way medications never had. IN THIS EPISODE, YOU'LL LEARN — Why donor-site mega sessions are creeping back into FUE, and what happened the last time the industry pushed this hard, with FUT, 15-plus years ago — What "outside the safe donor zone" actually means, and why the consequences don't show up for 4 to 6 years  — How a single 2011 tweet from footballer Wayne Rooney changed hair restoration from a guarded niche into a mainstream commodity  — Why Dr. Eberson had to cross into Germany to get a doctor willing to prescribe him medication for his own hair loss  — How to spot the newer wave of "influencer" patient advocates, and what a legitimate one actually looks like  — His early, candid take on Pablo Carreño's CRT treatment ABOUT DR. HARALD EBERSON Dr. Harald Eberson is the founder of Eberson Hair Clinic in Heemstede, Netherlands, and has practiced hair restoration surgery for over 18 years. He trained in general and cosmetic surgery before moving into hair restoration, first performing FUT (strip) surgery before transitioning to FUE in the early 2010s. He trained under FUE pioneer Dr. Ray Woods in Sydney and performed hundreds of procedures alongside Dr. Robert Jones in Canada. He is named among Ape to Gentleman's Best Hair Transplant Doctors in the World, and is a hair transplant patient himself, having first undergone surgery at age 29. ABOUT EBERSON HAIR CLINIC Based in Heemstede, near Amsterdam and Schiphol Airport, Eberson Hair Clinic treats patients from across Europe and worldwide. Many of Dr. Eberson's staff and technicians have worked alongside him for 15 to 24 years. ABOUT THE HOST Host Spencer Stevenson ("Spex") is an international hair loss patient advocate and founder of SpexHair. He hosts The Hair Loss Lab, a patient-first educational platform built with input from hair transplant surgeons, trichologists, and SMP experts to help people make informed, unbiased decisions about hair loss, in collaboration with platforms including Ape to Gentleman. 🔗 More on Dr. Harald Eberson: https://www.ebersonhairclinic.nl/ 🔗 More episodes: https://youtube.com/@TheHairLossLab This content is for educational purposes only and isn't a substitute for professional medical advice. Individual results vary — always consult a qualified physician about your specific condition. #HairTransplant #FUE #HairLossLab #DonorHair #HairRestoration

    Ep. 37 | "Sometimes They Don't Come Back" — The Truth About Donor Hair | Hair Loss Lab

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A premium podcast platform for sharper conversations around hair loss. Exploring identity, treatment, confidence and culture. Built to feel calm, intimate and thoughtful, like a conversation worth sitting with. Educate - Empower - Elevate