If the DHT is Low Why Do You Have Balding?

If the DHT levels are already low, why would then somebody suffer from alopecia? I.e., if you are suffering from male pattern baldness, isn’t that already an indicator your DHT levels are high?

Or, from another angle, what hope do people then with low DHT levels but MPB have to save their hair?

Many thanks for the clarification

High DHT levels are not the sole source of male pattern balding (MPB). The source of male pattern balding is in the person’s genes plus whatever DHT you have already in your body. As testosterone is metabolized into DHT and DHT is 40 times as powerful as testosterone, any DHT when combined with the genes for balding, will produce balding. Even when someone takes drugs like finasteride (Propecia), it only blocks 70% of the DHT in the hair follicle. So, this hormone plays a part but it probably is not the only factor in the genetic predisposition of male pattern balding. Think about it this way: If you have very high levels of DHT but do not have the genes for balding, then you won’t be bald.

We know that if a male does not have testicles (so he does not produce testostone and therefore no DHT), he will not bald even if he has the balding gene (see story about carrying the balding gene, one twin without testicles here: https://baldingblog.com/2006/07/27/testicles-and-balding/)

We also wrote about DHT before here: https://baldingblog.com/2014/08/22/if-dht-is-highest-as-a-young-adult-why-do-we-lose-hair-later-in-life/