Special shoutout to my old head, uh
If it wasn’t for your advice
A nigga would have been so dead

from Kanye West (Ft. Flux Pavilion & Jay Z) – Who Gon Stop Me Lyrics on Rap Genius

Meaning

An old head is another name for a mentor. Many rappers (i.e. ASAP Rocky) have used this term. He’s giving special thanks to his mom, Gloria Carter, for keeping him level-headed, and out of trouble. The advice giver could also be anybody from his past that helped him out.

Jay could also be referring to the old heads from “Never Change” or his mentor Jaz-O.
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Or does he mean his former self as his “mentor”? i.e. His mind that made all the right moves and decisions to survive as a young drug dealer living a dangerous life. Jay changed when he became a rapper. He grew up and tasted success so it’s like looking at a different person when he references his past self.

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