sh-Polypeptide-71 is a cosmetic copy of a nerve-signaling protein that widens vessels and can quiet follicle immune activity. No controlled human trial has counted hairs or measured scalp density. Benefits remain theoretical. The original protein, when infused, brings flushing, faster pulse, headache, watery stools, and lower blood pressure. Darker hair may fade if lab hair-color loss holds on living scalp. (Full Review)
| Marker | Target | Why |
|---|---|---|
| Trichoscopic hair density | Change from the person's own baseline; no established functional target for this analog | Only direct hair endpoint available |
| Ferritin | 70–150 ng/mL | Low iron drives shedding that can mimic peptide failure |
| TSH (thyroid-stimulating hormone) | 0.5–2.5 mIU/L | Hypo- or hyperthyroid shedding confounds density |
| 25-hydroxyvitamin D | 40–60 ng/mL | Low vitamin D is common in shedding work-ups |
| Sitting systolic/diastolic blood pressure | Keep at the person's usual treated target | Catch additive vasodilatation |
Cadence: Baseline photos and trichoscopy of the same scalp sites; repeat at 8–12 weeks, 6 months, then every 6–12 months if use continues. Sitting blood pressure in the first week if minoxidil or antihypertensives are in use. Ferritin, TSH, and 25-hydroxyvitamin D at 6 months if low, and at any new shedding episode.