Endocrine, paracrine, intracrine
Three ways a hormone can reach its target. Only the third one is invisible to systemic drugs.

Three signaling modes, shown left to right: distant gland-to-blood, neighbor-to-neighbor, and entirely within a single cell.
Endocrine
A gland releases a hormone into the bloodstream. Distant tissues receive the same signal.
This is the model behind finasteride and dutasteride: lower systemic DHT and hope the follicle receives less.
Paracrine
A cell releases a hormone that acts only on its immediate neighbors.
Local, but still outside-in: the signal moves between cells in the same tissue.
Intracrine
A cell imports a precursor and produces the active hormone inside itself, for its own use.
This is the follicle’s own hormone factory — and the mechanism this filing targets.
The hair follicle is a textbook intracrine tissue. It imports weak precursor androgens and, using its own local enzymes, converts them into the potent forms that trigger miniaturization. That conversion happens inside the follicle, for the follicle, and the bloodstream never sees it. This is why systemic androgen blockade only partly works: the follicle keeps producing its own active hormones from precursors the systemic drug never touches.


