I have been lucky enough to get on Olumiant. I’n five weeks I have a mustache and patches of hair growing. Im 68 and been dealing with my hair growing in a falling out. This drug has some serious side effects that you need to monitor. 

My sense is that alopecia is IS a “systemic disease” process. I have had a bowel resection, mitro valve repair,  of course episodic stomach issues and eye issues, recently retina repair… I.E. everything related to human anatomy and hairlike structures…