A woman is naturally styling her hair with her hands.

Top Strategies for Effective Beautiful Hair Replacement for Women

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Imagine a world where hair loss no longer dictates self-confidence and style choices. With the proper knowledge and hair replacement solutions, overcoming hair loss can be a reality. In this blog post, you’ll learn about various hair replacement options, including enhancing natural growing hair for women, the factors to consider when choosing a solution, and how to maintain the results for a confident, beautiful you.

KEY TAKEAWAYS

  • Understanding female hair loss is essential to identify the root cause and how to treat it.
  • Various non-surgical and surgical treatments, such as topical treatments, hair enhancements, toppers, and FUE & FTI hair surgeries, are available.
  • How to locate/identify a specialist for an informed treatment decision that suits individual needs & maintain results with proper care & follow-up appointments.

UNDERSTANDING FEMALE HAIR LOSS

A woman with her hands on her hair is smiling in a park.

Female hair loss is a common concern that affects millions of women worldwide. Understanding the root causes allows you to take steps to address the problem and restore your hair. Genetic predisposition, hormonal changes, and medical conditions, such as thyroid disorders and iron deficiency, can trigger hair loss in women. Identifying the type and cause of your hair loss aids in selecting the most effective treatment.

Some typical signs of female hair loss include a widened part, diminished ponytail, or sudden and gradual noticeable hair loss affecting the scalp or the entire body. Thinning hair and a receding hairline can also be a concern for some women. Fortunately, various treatments are available to address hair loss in women, including options to treat female pattern thinning, which helps prevent further hair loss. Your choices can range from over-the-counter topical therapies to prescription medications, and in-office procedures with a trained hair loss specialist can be the best place to begin.

Types of Hair Loss in Women

There are three primary types of hair loss in women:

  1. Androgenetic alopecia, also known as female pattern hair loss or female pattern baldness, occurs when hair follicles miniaturize, leading to thinner, shorter, and less dense hair. This type of hair loss is caused by the action of hormones called androgens, which play an essential role in both male and female sexual development and hair growth regulation. Male pattern baldness and male pattern hair loss can also be seen in women, isolated to the temples and top of the head. Treatments for androgenetic alopecia aim to stimulate hair growth by counteracting the effects of androgens.
  2. Telogen effluvium is a temporary hair loss condition that occurs when numerous hair follicles simultaneously move into the shedding stage of their growth cycle. This can be triggered by stress, illness, hormonal changes, or certain medications. The hair usually regrows once the underlying cause is addressed.
  3. Alopecia areata is an autoimmune disorder where the body’s immune system incorrectly targets and attacks the hair follicles, causing hair loss. This type of hair loss can occur in patchy balding areas on the scalp, eyebrows, or body. Treatment options for alopecia areata include topical medications, injections, and immunotherapy.

In contrast, telogen effluvium is characterized by aggressive acute hair loss due to stress or physical trauma, while alopecia areata is an autoimmune disorder that results in patchy hair loss. Understanding the type of hair loss you’re experiencing is the first step toward finding the most effective treatment for your unique situation.

Common Triggers for Hair Loss

Apart from genetics and hormonal changes, several common triggers can cause or exacerbate hair loss in women. These triggers include:

  • Stress
  • Certain medications
  • Preexisting health conditions such as thyroid disease, anemia, and autoimmune disorders, vitamin and mineral deficiencies.
  • Continuous physical stress on the hair, such as traction from tight hairstyles or intentional pulling, can lead to hair loss. This type of hair loss is often seen in conditions like traction alopecia, where sustained tension on the scalp damages hair follicles.

Identifying and addressing these triggers allows you to proactively manage and possibly change the outcome of your hair loss.

Consulting with a Trichologist and healthcare professional can offer a better understanding of the underlying causes of your hair loss and guide you to suitable options for treatment.

SURGICAL HAIR RESTORATION TECHNIQUES

An effective doctor is examining a woman's beautiful hair.

If you are seeking a more lasting solution to hair loss, you may consider surgical hair restoration techniques such as follicular unit transplantation (FUT) and follicular unit extraction (FUE) as a hair loss treatment. These procedures involve the transplantation of hair follicles from a donor area not affected by genetic hair loss, offering long-lasting results.

While surgical hair restoration techniques come with higher initial costs, they can provide a more permanent solution for those seeking to regain a fuller head of hair. Consulting with a qualified hair restoration specialist to discuss the most suitable surgical option for your individual needs and circumstances is necessary.

Follicular Unit Transplantation (FUT)

Follicular unit transplantation (FUT) is a widely used technique in hair transplant surgery, accounting for 90% of all procedures. The FUT process involves:

  1. Removing a strip of skin from the scalp, typically from the back of the head
  2. Dividing the strip into individual follicular units containing one to four hairs

FUT has a high success rate, with an estimated 90% to 95% of transplanted hair grafts growing successfully. However, note that the procedure does leave a linear scar that might be visible though faded. Consultation with a hair transplant surgeon can help determine if FUT is the right option for you.

Follicular Unit Extraction (FUE)

Follicular Unit Extraction (FUE) is a less invasive hair restoration procedure where individual hair follicles are carefully extracted from the donor region, typically the back or sides of the head. These follicles are then transplanted to the area where hair growth is desired. Unlike FUT, FUE does not involve removing a strip of scalp, which results in virtually no scarring and a faster recovery time.

The estimated recovery time for an FUE procedure is typically around 7-10 days, with minimal scarring at the back of the head. Although FUE may be a more expensive option than FUT, it offers a more natural appearance with less visible scarring, making it an attractive option for those seeking a permanent hair restoration solution.

NON-SURGICAL HAIR ENHANCEMENT OPTIONS

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Several non-surgical hair enhancement options can provide a viable solution for those who prefer a non-invasive approach to hair restoration. These options encompass topical treatments, hair growth supplements, hair enhancing additions, or hair pieces. Each of these options comes with its unique set of advantages, and the choice ultimately depends on your individual needs, preferences, and budget.

Non-surgical hair replacement or hair enhancement options are great for those seeking less invasive and more cost-effective alternatives to surgical procedures. Although these options might not offer the same permanence as surgical treatments, they can provide a remarkable physical enhancement to your appearance, self-esteem, and overall sense of self!

Topical Treatments

  • Minoxidil (Rogaine): This medication is primarily used for treating androgenetic alopecia, also known as genetic hair loss. Minoxidil works by dilating blood vessels around the hair follicles, which may improve hair follicle function and stimulate hair growth. It’s available over the counter and is applied directly to the scalp.
  • Ketoconazole (Nizoral): Unlike minoxidil, ketoconazole is often used for conditions like alopecia areata, an autoimmune form of hair loss. It has antifungal properties and can reduce inflammation, which may be beneficial in promoting hair growth in certain types of alopecia. Ketoconazole is typically found in medicated shampoos and is available over the counter and by prescription.

Always seek guidance from a healthcare professional before starting a new treatment regimen.

Hair Growth Supplements

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Hair growth supplements can provide essential nutrients to support healthy hair growth. Some popular supplements include:

  • Viviscal
  • Sugarbear Hair
  • Olly Ultra-Strength Hair Softgels
  • Nutrafol
  • Biotin
  • Replenology Natural
  • Hair, skin and nails vitamins

However, it’s important to remember that individual results may vary, and excessive intake of certain supplements could have adverse effects. Take caution; “hair vitamins” can be good or BAD. You must determine if you have a deficiency and what vitamins or minerals are needed.

By taking a personalized approach to hair growth supplements, you can help ensure positive results while minimizing potential risks.

Toppers and Hair Enhancements

Hair enhancements/toppers and prosthetics offer a solution for hair loss and can be designed and customized to match your natural hair. Hair enhancements are available in the highest quality European hair, various styles, and materials, allowing you to customize and design hair enhancements.

Adding a hair enhancement to your growing hair can boost your confidence and self-esteem!

CHOOSING THE RIGHT HAIR ENHANCEMENT SOLUTION

Selecting the right hair enhancement solution is a personal decision, depending on several factors, including the cause of hair loss, budget, and desired results. Consulting with a hair loss specialist can provide valuable guidance in determining the most appropriate solution for your needs. With a wide range of treatment options, finding the right hair enhancement solution is possible for everyone.

However, remember that no single solution is perfect for everyone. Your circumstances, preferences, and goals will play a significant role in determining the most suitable hair enhancement option for you. By carefully considering these factors and consulting with a specialist, you can make a well-informed decision that best addresses your hair loss concerns.

Consultation with a Specialist

Consulting with a hair loss specialist or a trichologist can assist you in navigating the complex options of hair replacement and making the most suitable choice based on your individual needs. A hair loss specialist will evaluate your hair loss condition, discuss your goals and expectations, and recommend the most suitable hair replacement system for you.

During a hair loss consultation, the specialist may:

  • Perform a thorough examination of your scalp and hair
  • Take photographs for documentation
  • Discuss potential treatment options
  • Develop a personalized treatment plan

By seeking the guidance of a specialist, you can ensure that you’re making the best decision for your hair restoration journey.

Factors to Consider

When choosing a hair replacement solution, considering factors such as the severity of hair loss, personal preferences, and potential side effects is essential. The severity of hair loss can significantly impact the treatment choice, as different solutions may be more suitable for varying levels of hair loss severity.

Personal preferences also play a crucial role in selecting a hair replacement solution. The ideal solution should accommodate your desired look, comfort, and convenience. Budget and affordability can also be deciding factors, as different options have varying costs.

Considering all these factors can help you decide to address your concerns best when you start to lose hair and face hair loss issues.

MAINTAINING HAIR EHANCMENT RESULTS

The results of your hair enhancement treatment require ongoing care and attention for maintenance. Proper hair care can help prolong the results of hair enhancement treatments. Additionally, follow-up treatments may be necessary to maintain the desired results, especially for non-surgical hair replacement options.

Adhering to post-treatment care instructions and maintaining a healthy hair care routine can maximize the effectiveness of your chosen hair replacement solution, leading to long-lasting results. Restoring your hair and confidence is possible with the proper treatment, care, and commitment.

Proper Hair Care

Proper hair care is necessary to maintain the results of hair replacement treatments. After a hair replacement procedure, it is recommended to wait a minimum of 48 hours before washing your hair. Use lukewarm water and a mild, sulfate-free shampoo, followed by a conditioner designed for post-hair replacement care.

Gently pat the hair dry with a soft towel and style as desired, avoiding any harsh handling of the hair. Be sure to follow any specific instructions given by our specialist to ensure the best results and minimize potential complications.

SUMMARY

In conclusion, hair replacement options for women are diverse and cater to a variety of preferences, budgets, and hair loss severity levels. From non-surgical options like topical treatments, hair growth supplements, and hairpieces to more permanent surgical solutions such as FUT and FUE, there is a solution for everyone. By understanding the underlying causes of hair loss, consulting with a specialist, and carefully considering personal preferences and circumstances, you can successfully restore your hair and regain your confidence.

FREQUENTLY ASKED QUESTIONS

Does hair replacement work for women?

Yes, hair replacement and hair enhancements can work for women, especially those suffering from androgenic alopecia, traction alopecia, trauma, accidents, medically related hair loss (chemotherapy or radiation therapy treatments), or plastic surgery patients.

How much are hair transplants for women?

The average hair transplant cost in the United States is approximately $7,425, but this can range from $4,000 to $15,000. The total cost varies depending on the number of hair grafts needed to achieve the desired result. Factors influencing the price include the extent of hair loss, the type of hair transplant technique used, and the patient’s specific requirements. For a more detailed breakdown and understanding of these costs, you can refer to the provided CareCredit link here.

What are some common causes of hair loss in women?

Common causes of hair loss in women include genetic predisposition (female pattern hair loss), hormonal changes (such as those during pregnancy, menopause, or due to thyroid disorders), stress (which can lead to temporary hair loss), certain medications (including those for cancer, arthritis, and heart problems), and underlying health conditions like autoimmune diseases, iron deficiency anemia, and polycystic ovary syndrome (PCOS). Each factor contributes uniquely to hair loss and varies in impact among individuals.

Seeking Hair Restoration Services in Nashville?

For those in Nashville seeking assistance with hair restoration, HPIHair comes highly recommended. Known for their proficiency in addressing a variety of hair loss conditions, they provide a selection of effective treatments personalized to meet individual requirements.

What is the difference between androgenetic alopecia and telogen effluvium?

Androgenetic alopecia, commonly known as male or female pattern baldness, is a hereditary form of hair loss that results in gradual thinning, often seen as a receding hairline or thinning across the scalp. Its causes are believed to be a combination of genetic and hormonal factors. In contrast, telogen effluvium is a temporary condition characterized by rapid hair shedding, typically occurring a few months after a significant stressor or bodily change such as severe stress, illness, or hormonal changes. Unlike androgenetic alopecia, telogen effluvium usually results in hair regrowth once the underlying cause is addressed.

A female pouring out hair vitamins from a white bottle

Hair Vitamins: Do They Really Work? What YOU Should Know!

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“Hair vitamins and supplements” are terms searched over thousands of times every single day, reports Google.  

Billions of dollars are spent every year on supplements, lotions, and potions for hair growth or hair loss treatment depending on how you choose to look at it.

You know, “the glass half full or half empty” analogy? How do we know what to take? What is an excessive amount? What constitutes an adequate dosage?

In this article, we’ll break down the ingredients commonly found in hair vitamins and supplements, explaining how they work and the benefits they offer for your hair.

Hair vitamins

Biotin and B Vitamins

Also known as Vitamin H, Biotin (and other B vitamins) is known to promote hair growth and nail thickness. 

Biotin plays an important role in healthy cell formation and is often deficient in people suffering from hair loss. It’s also essential for the healthy metabolization of fats, amino acids, and carbohydrates. 

Biotin is the most well-known, but additional B vitamins, including B1, B2, B3, B6, B12, and folate (B9) also support healthy hair growth, as B vitamins create red blood cells which carry oxygen and nutrients to the scalp and hair follicles.

Saw Palmetto

Saw Palmetto, derived from the berries of the palm tree native to the southeastern United States, offers multiple benefits for hair health. 

Firstly, it prevents the body from converting testosterone into DHT, thereby helping to prevent hair loss. 

It also lowers inflammation in the body and scalp which is key to preventing hair loss and stimulating hair growth. It is also known for its ability to strengthen the hair follicle, further contributing to overall hair health. 

Have Questions?

Moving on to others with credible studied evidence to promote cell production, follicle and scalp stimulation…

Copper

Copper, known for its role in maintaining the integrity of tissues within blood vessels, could have a significant impact on hair health. 

Thus, copper peptides, in particular, may possibly stimulate hair follicles, so they receive adequate oxygen and nutrients to produce new hair growth.

Iron

Another mineral that your hair needs is iron. It helps boost circulation and carries oxygen to your hair’s roots, which helps the hair grow faster and longer. Iron deficiency can lead to hair loss. 

When low iron levels are detected, it is recommended ferritin levels be tested as well.

While these nutrients promote hair growth, it’s important to consider potential drawbacks, especially in the case of Biotin, which has received attention from the US Food and Drug Administration (FDA).

FDA Warning

FDA warns (read the full report here) that certain supplements, including hair vitamins such as biotin, may interfere with lab tests and cause an incorrect result on Thyroid lab testing. 

Here’s why

Taking extremely high doses of biotin supplements, beyond the recommended daily intake, can lead to excess biotin in the bloodstream. 

This surplus of biotin can saturate the binding sites utilized in certain laboratory tests, including those used to assess thyroid function. 

These tests rely on biotin binding to specific molecules to produce accurate results within typical biotin intake levels. 

However, the saturation of binding sites due to excess biotin can lead to inaccurate test results. 

This poses a significant concern, particularly for individuals with thyroid conditions who rely on these tests for health monitoring and treatment decisions. 

Such inaccuracies can result in misdiagnosis or improper management of thyroid disorders.

What’s next

Next week, we will complete the list with a few more to consider: amino acids, trace minerals, vitamin D, and others!

If you have additional questions or concerns about your current supplement intake or what you should consider for your specific hair and scalp challenges, contact the team of Certified Nutritional Coaches at HPIHair for more answers to the root of your concern.

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Understanding Hair Loss and the Science Behind It

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By Kimberly Vaughn, Advanced Trichologist, Hair Loss Coach and Certified Nutritional Coach

How do you go about understanding hair loss? What causes hair loss? Unfortunately, the answer to that question is complicated. There are a number of possible causes, and it can take some detective work to determine the source of your particular case.

While there are about 18 documented causes, there are five that are most common. Chances are, your hair loss falls into one of these categories. At the very least, these are where you should start in determining why your hair is thinning:

1• Genetics. Just like male pattern baldness, genetics can be the cause of hair loss in women as well. It usually involves thinning of the front hairline, temples, or all the way to the crown of the head. This cause needs to be ruled out through a DNA test or TrichoTest™.

2 • Autoimmune Disorders. In an autoimmune disorder, the body mistakenly identifies your own hair follicle cells as foreign agents and attacks them in a misguided effort to protect you. In this case, the hair loss may appear across the scalp, as well as the eyebrows, eyelashes, and beard. If you start to see balding areas, a significant amount of hair loss in the shower, or thinning of the edges of your eyebrows, an autoimmune disease may be the culprit.

There are a number of autoimmune disorders, but Hashimoto’s thyroiditis is one of the most common, as thyroid issues are frequently the reason for hair loss. The best way to determine if this is the case is to be tested for autoimmune antibodies and thyroid markers. Unfortunately, most doctors don’t test for all thyroid markers, so you need to specifically request a full set of these blood tests. If doctors determine that an autoimmune disorder is causing your hair loss, they may recommend dietary and gut health changes, nutritional supplements, and/or prescribe medications.

3 • Scalp Conditions. Diseases like eczema and psoriasis can lead to hair loss. If you have noticed your hair thinning, examine your scalp carefully, and visit a dermatologist for a proper diagnosis. Bear in mind, too, that psoriasis is an autoimmune disorder, and people with one of these disorders often develop more of them over time, especially if doctors don’t treat them. Therefore, it’s important to treat scalp conditions early.

4 • Underlying Health Conditions. To determine if an underlying condition is causing your hair loss, you need to undergo a full set of laboratory tests. Most of us neglect these to our detriment. We need to stay on top of these numbers to determine if we have any vitamin or mineral deficiencies. As I mentioned in number 2, this includes a full workup of thyroid markers.

Other deficiencies to specifically note include iron, ferritin, and vitamin D. All of these particularly play a critical role in hair growth and the health of your hair follicles. Note that your levels of these nutrients should be in the optimal range or at least in the high normal range. If they’re in the low or mid-normal range, you may not have enough of these nutrients to prevent your hair loss. If your vitamin D level is especially low, you may need an IV infusion or a prescription-strength supplement for a few weeks before starting a maintenance dose.

Please don’t supplement these on your own, however. A medical practitioner should test your levels and direct you to make sure you take the proper dosage. It’s also important to check your nutrient levels regularly, preferably on an annual basis.

5 • Traction Alopecia. This condition results from (1) frequent twirling, picking, and pulling of the hair, eyebrows, and/or eyelashes cause this condition. Frequent repetitive behaviors can also cause this form of alopecia; or (2) tight ponytails, braids, or weaves put tension and strain on the hair strands and follicles. Over time, the hair follicle can lose enough strength that it actually dies. Therefore, it’s important to recognize the problem early before it’s too late.

Doctors can often treat and improve hair loss, but they must pinpoint the cause first. If you are losing hair, pay close attention to your symptoms, and get the medical help you need to determine the source and receive proper treatment.

If you are experiencing any of the causes listed above or are concerned about your hair, contact HPIHair today to meet with a Trichologist. HPIHair.com, 615-662-8722 or info@hpihairpartners.com

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PCOS and Hair Loss: Is There a Connection?

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By Kimberly Vaughn, Clinical Trichologist, Certified Nutritional Coach,
Chief Hair Loss Coach and President of HPIHair Partners

Polycystic Ovary Syndrome (PCOS) affects a significant percentage of women, but many have never heard of it. Even those who have been formally diagnosed with it are often unaware that hair loss is one of its most common symptoms. 

The hair loss that women with PCOS experience can be either male-patterned hair loss (MPHL) or female-patterned hair loss (FPHL). MPHL involves loss of hair at the temples and front hair line, as well as sometimes on the crown. FMPL, which can also be present in men, is diffused across the entire scalp. 

How can you find out if your hair loss is due to PCOS?

You would need to be diagnosed by a gynecologist or general practitioner. “A pelvic exam is important to rule out ovarian tumors, but the cysts often seen in patients with PCOS will not usually be felt on exam,” says Dr. Jack Monaco, founder of The Nashville Hormone & Integrative Medicine Center in Nashville, Tennessee. “Laparoscopic visualization of the pelvic organs demonstrates a characteristic appearance of the ovaries but is not routinely done for diagnosis. But it may be done if other gynecologic issues are present.” 

But here are some of the other symptoms that frequently come with PCOS: 

  • Besides thinning hair, women often experience the opposite in other parts of the body—excessive hair growth on the chin, other parts of the face, arms, and abdomen. It grows at such a rapid rate that tweezing or shaving won’t work. It also tends to be dark and coarse. If the hair is brown or black, laser hair reduction can be a good option to get rid of it. 
  • Irregular, heavy, or infrequent menstrual periods. 
  • Acne on the face, back, and chest. 
  • Obesity and difficulty losing weight. 
  • Infertility. 
  • Dark patches on the skin. 

It’s also common for women with PCOS to be diagnosed with diabetes, pre-diabetes, and/or a thyroid disorder. No one is exactly sure what causes PCOS, although researchers believe it’s usually a combination of genetic and environmental factors. 

In fact, animal studies suggest that in some cases, it may begin as a result of genetic or chemical changes in the womb. “The exact cause is not known, but it is clearly a hormonal condition,” Dr. Monaco says. “The classic PCOS patient is obese and has blood sugar and insulin abnormalities and high blood pressure. There is a variant of PCOS, however, where the patients are thinner and may have only acne or facial hair as their presenting symptoms.”

Testing for PCOS 

PCOS is generally diagnosed through extensive testing.

First, an ultrasound is performed to look for ovarian cysts. However, the absence of cysts doesn’t necessarily mean the absence of the syndrome. In some women, there are no cysts at all, while others will have cysts that come and go, as their hormone levels and menstrual periods regulate for months at a time. For these reasons, PCOS is an exceedingly complicated disease. 

Besides an ultrasound, a battery of tests should be done to make a diagnosis and determine the root cause. This is because PCOS may be attributed to elevated testosterone levels, thyroid malfunction, adrenal gland malfunction, diabetes/pre-diabetes, and/or poor ratio of beneficial to harmful bacteria in the gut.

“Testing to make the diagnosis of PCOS includes blood testing for testosterone levels, blood sugar and insulin resistance, and adrenal hormones, both salivary and blood,” according to Dr. Monaco. “Pelvic ultrasound and thyroid hormones will also be helpful,” he says. 

Therefore, the evaluations include: 

  • Total testosterone test. Bear in mind that some women with PCOS have seemingly normal testosterone levels. In this case, the problem is often abnormal sex hormone binding globulin, which carries testosterone around in the body. If that’s the culprit, testosterone levels may need to be reduced below what is considered normal. 
  • Full battery of thyroid function tests. 
  • Adrenal function test called the 17-hydroxyprogesterone test (17-OHP), which is performed early in the morning after fasting. 
  • Hemoglobin-A1C test and glucose challenge test to check for diabetes and pre-diabetes. • Gut and stool tests to determine the health of the microbiome/gut. 
  • Epigenetic hair follicle test to uncover underlying health concerns and get to the cause of both hair loss and excessive hair growth. 

Treating PCOS 

Unfortunately, there is no cure for PCOS, so treatment is focused on managing the symptoms.

“While there is no specific “cure” there are many options for the PCOS patient, such as Berberine and Metformin to regulate blood sugar and insulin resistance/metabolic syndrome, Inositol which influences the actions of insulin, adrenal support, and diet and carbohydrate restriction,” Dr. Monaco says. 

The most common medication given is birth control. It takes over the function of the ovaries and helps to regulate female hormones, as well as testosterone levels. However, this alone may not be enough to curb symptoms. 

If diabetes, thyroid malfunction, or adrenal malfunction are found to be root causes, those diseases must be treated individually. For example, as Dr. Monaco mentioned, Metformin (also called Glucophage) may be prescribed for a diabetic or pre-diabetic condition to regulate blood sugar. In some cases, this medication also regulates hormone levels. 

Weight loss or weight management is often part of the treatment plan, although researchers are uncertain if obesity is caused by PCOS or if PCOS causes obesity. If acne is a symptom, it may be treated by a dermatologist. 

But what about hair loss?

Do any of these treatments help to curb thinning hair or the excessive hair growth on other parts of the body?

Yes, they can help. Scalp treatments that stimulate blood circulation on the scalp can encourage growth. Meanwhile, efforts to reduce testosterone levels, which are usually responsible for excessive hair growth, can reduce unwanted hair.

Of course, any hair that is already on the face and body must be removed through procedures like laser hair reduction, which can usually kill the hair follicle with about eight treatments. Without lowering testosterone, however, the hair will continue to grow despite laser treatments, which can be expensive if they have to be repeated regularly. 

Additionally, diet and exercise can potentially help with all symptoms of PCOS from hair loss and hair growth to irregular periods, blood sugar, insulin levels associated with diabetes and pre-diabetes, obesity, and poor gut health.

Nutrition management must be individualized, though. There is no one-size-fits-all diet. Therefore, it’s important to work with a registered dietician who has experience with PCOS. 

If you have hair loss accompanied by irregular, heavy, or infrequent periods, or if you have hair loss along with excessive hair growth on the face and body (as well as any of the other symptoms mentioned in this article), please look for a gynecologist or general medical doctor with experience diagnosing and treating PCOS.

Social media groups are available to help you find referrals in your area. A doctor knowledgeable about this disease can guide you with an individualized treatment plan based on your test results. It’s also recommended to see a Certified Trichologist to specifically treat your hair loss and excessive hair growth.

A woman looking at the camera with very short pixie-cut hair

Thyroid Problems and Hair Loss: Key Insights

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By Kimberly Vaughn, Advanced Trichologist, Certified Nutritional and Hair Loss Coach, President of HPIHair of Nashville, Tennessee

An estimated 80 million Americans deal with hair loss, while 20 million Americans are estimated to have some thyroid problems. A significant number of these people may find that their thyroid problems and hair loss are directly connected. Yet, this link is not well-known, even among the medical community. If a physician is aware of it, the complexities of diagnosis are often misunderstood. Nevertheless, hair loss is one of the first symptoms an endocrinologist might see if there is a problem with the thyroid.

Despite its small size, the thyroid has a significant effect on many of the body’s organs and systems. It is a butterfly-shaped gland located at the base of the neck right below the Adam’s apple. Why is it so important? “The thyroid controls the metabolic rate of the body, which is how you convert food into energy. The function of every cell depends on the proper function of the thyroid gland and its hormones,” says Lynn N. Ellington, an M.D. in obstetrics and gynecology and founding partner of the Womens Group of Franklin, Tennessee. (Dr. Ellington is also a frequent guest of the ThyroidHairLossConnection podcast).

Our thyroid can be hyperactive as in hyperthyroidism or hypoactive as in hypothyroidism. Hashimoto’s disease is an autoimmune disorder that causes hypothyroidism, and Graves disease is an autoimmune disorder that causes hyperthyroidism. Many people mistakenly think that only hypothyroidism is associated with hair loss, but any of these thyroid conditions may include hair loss and related symptoms.

“Regardless of the cause of the thyroid imbalance,” says Dr. Ellington, “if the thyroid hormones are too high or too low, the body can lose more hair follicles than it can replace, thus resulting in hair loss overall. With hypothyroidism, there is a normal amount of hair loss, but the new hair growth is slowed so there is a net loss of hair. With hyperthyroidism, the replacement is normal, but the amount of hair loss on a daily basis is accelerated. Thus, there is also a net loss of hair with this condition.”

Besides hair loss, the most common symptoms of hypothyroidism include: fatigue, weight gain, cold intolerance, dry skin, joint and muscle pain, and depression. Common hyperthyroidism symptoms include (besides hair loss): anxiety, heat intolerance, concentration problems, and goiter.

Of course, the thyroid is a gland that produces hormones: T1, T2, T3, and T4. Medicine actually knows very little about T1 and T2, but we know that T3 and T4 help oxygen enter our cells, which helps the body produce and use energy. In this way, it plays a vital role in metabolism.

To diagnose thyroid problems and hair loss, a comprehensive blood panel must be conducted, including:

  • TSH
  • Free T4
  • Free T3
  • Reverse T3
  • Thyroid antibodies
  • SHBG (Sex Hormone Binding Globulin)
  • Total T4
  • Total T3
  • It would take an entire article to discuss the significance of each of these markers. Unfortunately, however, due to insurance issues or perhaps lack of knowledge, doctors may only run tests for TSH and Free T3. These are not enough to get a full picture of the thyroid’s function and whether hair loss can be attributed to it. The numbers for each of these markers must be evaluated together, and sometimes, other hormonal issues might be involved. You can see why a diagnosis can be complex.

Vitamins, Minerals, and Diet

If someone is ultimately diagnosed with a thyroid condition, they might be treated with antithyroid medications if they have hyperthyroidism or a synthetic hormone replacement if they have hypothyroidism. Hair loss and other symptoms may not improve with these medications, however. That is because the underlying cause of the hair loss could be a nutritional deficiency that has also caused or contributed to the loss of thyroid function.

In some cases, though, an excess of a particular nutrient can cause hair loss. This is the case with selenium, for example, so it is important to avoid over-supplementation.

Diet also plays a part in both the function of the thyroid and the potential for hair loss. There is no one-diet-fits-all approach, however, to take care of these symptoms. Everyone is different, and everyone has different nutritional deficiencies and food sensitivities. For that reason, it is recommended that people suffering from hair loss are evaluated from a holistic perspective and not just for the physical hair loss experienced. Again, hair loss is complex with many different contributing factors.

Below is a list of the most important nutrients related to the health of the hair and scalp, as well as the optimal levels for healthy, growing hair.

  • Vitamin B12 – 500-900 mcg
  • Vitamin D 25-hydroxy – 50-90 mcg
  • Folic Acid – 10.0-20.0 mg
  • Copper – 90-126 mcg
  • Zinc – .75-1.01 mg
  • Iron – 70-125 mg

If someone suffers from hair loss, the above labs should be checked along with the Thyroid tests mentioned. Bear in mind that copper and zinc can accumulate in the body, so it is recommended to test their levels every six months.

In the case of iron, a test should also be done to evaluate “transferrin saturation.” Iron can be high, while ferritin levels (a blood protein containing iron) may be low. These additional numbers reflect how your body is storing and using iron. This is because we have free radical iron that may not be processed properly due to another vitamin deficiency.

Again, the interactions between hormones, nutrient deficiencies, and organ functions must be evaluated together to determine the true reason for the symptom of hair loss.

Perelman School of Medicine University of Pennsylvania logo

How to Stimulate Hair Regrowth

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Naturally treat your hair loss and promote hair regrowth! This little treatment offers stimulation and increases blood circulation to the scalp along with increasing cell production and collagen.

Researchers at the Perelman School of Medicine, at the University of Pennsylvania, have discovered that mildly wounding the scalp or micro-bleeding may be the big hair loss cure of the future we’ve been searching for. Derma-rolling has been used in the aesthetics industry for years with successful results. The treatment works the same for the scalp.

By rolling the device below and causing small wounds in the scalp we trigger a reaction of harm to the skin which then in turn promotes a healing response and stimulation.

The result of Derma-rolling stimulates regeneration in the areas it is applied to, it can also work to stimulate hair regrowth (in places where hair loss has occurred). The scalp and face (think beards) are most commonly effected in a positive way!


Increased blood circulation in the scalp may also help because the increased blood flow may help remove more DHT from the hair shaft –providing a reduction in DHT.

Professional Laser treatment or LLLT is the most effective proven way to stimulate the blood flow across the entire scalp promoting less shedding and new hair regrowth.


This cold red laser light is absorbed by specialized cells deep within the follicle, providing energy to enhance cellular respiration and hair growth.

Blood flow and circulation is a hair follicles best friend!  Consider your natural options to a healthy growing experience.

Photo of Will Siskey diagnosed with alopecia areata treatment before and after

Overcoming Alopecia Universalis

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Guest Will Siskey, co-founder of the Sparrow Clinic, joins hosts Nataliia Sanzo and Kimberly Vaughn on this episode of the Thyroid Hair Loss Connection podcast. Listen to full episode here!

Will was diagnosed with Alopecia Areata at the young age of 16. His health challenge quickly progressed to Alopecia Universalis causing total hair loss all over his body.

Will writes about his journey to health on his clinic’s website: “It was out of desperation that we sought more natural treatments as traditional options had gotten us nothing more than a long list of side effects. We changed my diet among other lifestyle changes and sure enough a few years later I had about 85% recovery. Then a new challenge occurred, a gut parasite. We sought and learned more. Leading us to stem cell therapy using your own cells, tricking your cells to act younger with things like NAD+, immunomodulators, and so much more. So here I am 10 years later with a full head of hair experts said was impossible. All because the Lord, His design of our bodies, and the power of a determined mother.”

THLC asked Will to share what worked for him. This is his personal holistic, clean diet that supports his auto-immune condition plus suggestions for a simple, slightly less restrictive diet to improve health.

Will’s diet first started by eliminating the following:

  • Gluten
  • Dairy
  • Soy
  • Processed Foods
  • Artificial Ingredients
  • Food Substitutes
  • Peanuts
  • Artificial Colorings
  • Processed Salt

As his auto-immune condition improved, his diet continued to evolve, and Will shares the following with his diet today:

As for produce: organic–biodynamic even when available.

  • Fermented Foods
  • Organ meats
  • All of the ones listed above except I do eat raw 100% grass fed organic A2A2 Dairy on occasion now.
  • No vegetarian fed organic or non-organic chicken. Must be eating worms and insects.
  • No seed & nut oils: canola, sunflower, safflower, rapeseed, etc.
  • Wide array of colorful vegetables. Certain vegetables like spinach, kale, brussels sprouts, collard greens, etc. can contain some anti-nutrient components, making it essential to cook them properly.
  • Bone broth &/or bone marrow
  • Wild foods when available
  • Cooking oils: I use tallow, lard, coconut oil, avocado oil, or olive oil (the most unrefined and most natural the better.) Certain olive oils and processes can distort the omega profiles rendering them borderline toxic to your cells, while many others are “cut” or mixed with cheap seed oils like canola. This is also true even for organic corn and soy fed chickens.

Foods to promote healthy hair

Simple Ways to improve your diet & lifestyle

Without going too restrictive

  • Increase veggie & fruit intake if it is not a staple part of your diet. Everything should be organic but if not then I would take ION before eating for sure. There are only a select few foods that are GMO, so if you do not eat organic than make sure they are non-gmo. Corn is a great example. A list can be found online.
  • Beef, Lamb, Bison, Elk – Eat as wild and closest to nature intended as possible. For beef that is grass fed, preferably organic, no hormones, no antibiotics (unless necessary), etc.
  • Fish & shellfish – wild caught never farm raised. Larger fish tend to have higher levels of metals in them like swordfish and tuna. Don’t have to be avoided but something I wouldn’t eat a ton of.
  • Chicken & Eggs – Find a farm that grows them organically and not vegetarian feed which is often corn and grain etc. This still distorts the chicken’s fat profile to where it is almost toxic to us. The chickens may eat some grain but mostly worms and insects. Typically, one of the hardest items to find.
  • Oils – Use an organic olive oil or properly raised animal fat. A good olive oil source is Apollo Olive Oil in California. Avocado oil and coconut oil are also options.
  • Sugars – no artificial sugars or sweetners, no high fructose corn syrup. Best options are organic cane sugar, coconut sugar, or something minimally processed. Raw honey, maple syrup, and molasses are also other options. Organic stevia is okay too, but I wouldn’t overdo stevia.
  • Salt – use a sea salt. Some are even tested for micro plastics. A good brand I use is Redmond’s Real Salt.
  • Grains – organic sprouted ancient grains. Sourdough is best for any baked goods because it limits the gluten content through the fermentation process and increases nutrients.
  • Legumes – organic, soaked, and sprouted.
  • Nuts – organic – sprouted if you’re sensitive.
  • Dairy – Same standards for the beef above but also unpasteurized and raw dairy. If you’re getting cheese you want to make sure the cheese isn’t stored at too high a temperature. Finding a good farm is the best way to do this.
  • Limit processed and boxed foods.

Nataliia and Kimberly want to thank Will for his candid discussion about his Alopecia diagnosis and for providing the diet he follows. You can find out more about Will and the Sparrow Clinic by emailing him: Will@thesparrowclinic.com

A woman with thyroid

Thyroid, Hair Loss Connection

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Lots of Hair Shed?

Are you having symptoms of Thyroid Disease?

Hair loss is a complicated issue, and it is very important to look at all aspects of a person’s well-being when trying to identify the root cause.

When someone is suffering from symptoms of hormonal imbalance and thyroid issues, most likely they are also shedding hair. Getting the proper diagnosis early on will help restart your hair growth journey!

Signs and Symptoms of Thyroid Disease

  • Anxiety and irritability
  • Mood swings
  • Sleep disorders (too much or too little sleep)
  • Irregular menstruation
  • Your body temperature is too warm or too cold
  • Lack of focus or concentration
  • Unusual weight changes
  • Fatigued muscles
  • Dry hair and skin

Why does the Thyroid Cause Hair Loss?

The thyroid is known as the “master gland”. This gland controls hormone production. When the thyroid is not regulating correctly, it affects other bodily functions. 

The development of the hair follicle falls into one of these major roles. Hair starts to shed resulting in thinning all over the scalp and possibly other areas such as your eyebrows.

New growth may not happen until the thyroid is operating properly again. The amount of hair loss could be severe if the thyroid condition is not treated.

An autoimmune condition known as alopecia is quite often seen with thyroid disorders. Two other autoimmune conditions, PCOS, polycystic ovary syndrome and lupus, may cause hair loss and can be connected to thyroid issues.

Your thyroid also controls your digestive process. A slow-acting thyroid could cause your stomach to not produce as much acid as you need. This could hinder the absorption of vitamins and minerals. 

Minerals like iron are crucial for oxygenating red blood cells, which carry oxygen to the hair follicle. Lack of oxygen can lead to hair loss.

How to Find Out More?

Subscribe and listen to our podcast series: Thyroid, Hair Loss Connection. It is also available on Apple Podcast, Spotify, or Overcast. 

The hosts of this podcast are Kimberly Vaughn, a national trichologist, and certified nutrition, and hair loss coach, along with Nataliia Sanzo, a registered dietitian, a.k.a Nashville Thyroid Expert®️.

Each week, you will learn practical solutions to hair growth, thyroid healing, and balancing hormones with holistic nutrition, quality supplements, and the latest treatments. 

They will discuss evidence-based models leading to the root cause of your hair loss and thyroid disease. The hosts will incorporate the importance of gut health, diet, nutrition, and lifestyle protocols. 

The episodes will feature industry leaders in functional and integrative medicine, experts in health and nutrition, and actual clients who will share their stories and practices that work.

Does Finasteride, Minoxidil, Tretinoin Cure Hair Loss?

Does Finasteride, Minoxidil, Tretinoin Cure Hair Loss?

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Have you been researching for hair loss cure recently? You have surely found many hair loss solutions and probably see Minoxidil, Finasteride, and Tretinoin pop up frequently. But, what exactly do these prescription medications and other hair loss topical solutions do for your hair? Read on to find out.

Minoxidil

The Basics: Minoxidil stimulates hair growth, slows additional balding, and improves blood flow to the hair follicles by widening blood vessels. A 6% Minoxidil solution promotes hair growth by reactivating dormant follicles.

The Data: Minoxidil has been used for hair loss treatment for several decades. The medication affects follicular cells by enhancing hair growth and reducing hair loss. Mori and Uno discovered that a minoxidil solution shortened the telogen phase to 1 to 2 days in treated rats compared to approximately 20 days in untreated rats. There was an increase in the rate of DNA synthesis in anagen bulbs, suggesting that minoxidil stimulated secondary hair germ cells of telogen follicles and caused a rapid shift to the anagen phase. Read More

Finasteride Topical and Oral Pill

The Basics: Finasteride blocks the production of a hair loss hormone called DHT and stops more hair from falling out.

The Data: Oral Finasteride is FDA approved and has proven results for hair growth. Finasteride inhibits an enzyme called 5-alpha-reductase. The 5-alpha-reductase enzyme changes testosterone to another hormone and is one of the causes of hair loss in males. Since Finasteride blocks this enzyme, it will increase testosterone levels in the body and increase hair growth on the scalp. Oral Finasteride does have side effects, so a topical serum has been tested with similar results.

Tretinoin

The Basics: Tretinoin promotes healthy turnover in hair follicles to stimulate effective growth and speeds up the skin cell turnover process. Clinical studies have shown better hair growth and improved efficacy when prescription Tretinoin is combined with Minoxidil.

The Data: Tretinoin, also known as all-trans retinoic acid, is often combined with Minoxidil since they are reported to complement each other. Together, they create denser hair regrowth than either compound alone. Vitamin A and retinoic acid are reported to play a critical part in the growth, differentiation, and maintenance of hair follicles. Topical Tretinoin is known to control the hair growth cycle and has been promoted to stimulate the growth of sub-optimal hairs.

The Trichologists and hair loss specialists at HPIHair often use a combination of these topical solutions. We apply a science-based approach to get to the root of your scalp and hair issues. Each client receives a customized plan to start on their hair growth journey. Have questions or clarifications? We are more than happy to answer them. Request a consultation with us!

Healthy Hair Letter Blocks With Healthy Food

Blog Series: Help Your Hair Loss & Scalp Irritation The Natural Way

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Part Two: Vitamins and Minerals

Help your hair loss & Scalp irritation the natural way Part two

Do you think the generic multi-vitamin that you take daily is sufficient for your overall health including your hair and scalp? Possibly, but how do we know for sure? If you searched recently for thinning hair solutions, you would find yourself overwhelmed with ads for topicals, shampoos, and supplements all aimed to grow your hair. There is typically a reason for hair thinning. Recognizing the root of the problem can be more difficult. We must look at many different factors, i.e., hormones, thyroid, lifestyle, nutrition, stress, environmental toxins. Fortunately, we now have the technology at our fingertips to identify some of the triggers that may lead to hair loss. Our Hair Follicle Test is an epigenetic test providing access to nutritional and environmental factors to help the patient optimize their overall health.

We want to focus on the Vitamin and Mineral section of the Optimize Hair, Skin, and Nails Report. Vitamins and minerals are also known as Micronutrients. The majority of vitamins and mineral must come from diet and nutrition. The human body is unable to make most of the micronutrients that are essential. While our bodies only require a small amount of these organic nutrients, they are essential for life. In addition, micronutrients play a major role in the hair follicle cycle with cellular turnover and how rapidly the cells divide. Deficiency or even over supplementation of vitamins and minerals may be causing your hair thinning.

When thinking about hair and scalp health, it is important to recognize the need for the optimal balance of vitamin and mineral levels. Let’s look at the top micronutrients and the foods to include for hair and scalp health: Vitamin A, Vitamin B, Vitamin C, Vitamin D, Vitamin E, Iron, Selenium, and Zinc.

essential Vitamins for healthy hair

Vitamin A

Vitamin A, also known as Retinol, is a fat-soluble vitamin that is stored in the liver. Achieving an equilibrium of Vitamin A is extremely important. In excessive quantities, this micronutrient can cause toxicity. Vitamin A is one of the micronutrients that can hinder hair growth and cause hair loss if you consume too much or over-supplement. The maximum tolerable amount is 10,000IU per day. The top five food sources of Vitamin A: beef liver, sweet potato, spinach, raw carrots, and ricotta cheese.

Vitamin B

Known as Vitamin B Complex due to the eight water-soluble components: B1 (thiamine), B2 (riboflavin), B3 (niacin), B5 (pantothenic acid), B6, B7 (biotin), folate, and B12. Hair loss is shown in those that are deficient in B2, biotin, folate, and B12. Riboflavin-rich foods include eggs, organ meats, lean meats, low-fat milk, green vegetables, and fortified cereals and grain products. Dietary sources of Vitamin B7 or Biotin include meat, fish, eggs, organ meats, seeds, nuts, sweet potatoes, spinach, and broccoli. The best foods containing Folate are beef liver, asparagus, brussels sprouts, dark green leafy vegetables, oranges and orange juice, nuts, beans, and peas. B12 sources are clams, beef liver, fish, meat, poultry, eggs, and milk. Other products are fortified with B12 including some dairy products, cereals, and nutritional yeasts.

Vitamin C

In a person with an iron deficiency, it is important to understand how essential Vitamin C is to assist with the absorption of iron in the intestine. Vitamin C also needs to be consumed through food sources such as citrus fruits, potatoes, tomatoes, green peppers, and cabbage.

Vitamin D

Vitamin D is fat soluble and helps to maintain adequate levels of calcium and phosphorus in your body and is believed to exert an anti-inflammatory effect. Vitamin D occurs in very few food groups. The best sources are trout, salmon, tuna, mackerel, and other fatty fish. Beef liver, egg yolks, and cheese have very small amounts of Vitamin D. In the US, milk is fortified with Vitamin D at a rate of 120IU per cup.

Vitamin E

Vitamin E contains tocotrienols and are known to be potent antioxidants. There is a correlation between oxidative stress and hair loss. Hair loss patients commonly exhibit lower levels of antioxidants in their scalp area. Dietary sources of Vitamin E are wheat germ, sunflower, safflower oils, almonds, seeds, spinach, and broccoli. In addition, some companies add Vitamin E to their products.

The Minerals for Healthy hair

Iron

Iron deficiency is one of the top nutritional deficiencies, especially among women. It is debated if low levels of iron could contribute to hair loss, but there does seem to be a correlation when serum ferritin levels are low. As we learned in the Vitamin C paragraph, iron in plant foods is better absorbed by the body when eaten with Vitamin C rich foods. Iron food sources are lean meat, seafood, poultry, beans, lentils, spinach, kidney beans, and peas. Iron-fortified food products like cereals or grains are also optional.

Selenium

Selenium is an essential trace element that the body needs to stay healthy. Selenium does carry a risk of toxicity in amounts ingested above 400mcg per day. One important function of selenium is with the thyroid gland. Thyroid imbalances can be a cause of hair loss so it makes sense that making sure you get adequate amounts of selenium is important. Foods rich in Selenium include seafood, meat, poultry, eggs, dairy products, breads, cereals, and other grain products.

Zinc

Zinc is also an essential trace element and must be supplied through the diet since the body cannot make it on its own. Zinc deficiency is well known in patients diagnosed with Alopecia Areata. Supplementing with Zinc has shown increased hair regrowth in those patients. The ideal dietary sources of Zinc are oysters, red meat, poultry, and dairy products. Vegetarian sources that provide some zinc are beans, nuts, whole grains, and fortified cereals.

As you can see, eating a balance of vitamin-rich food is important to healthy scalp and hair. Finding the right balance is often frustrating, and because of the hair growth cycle, could take months to know that you are on the right track. Our Hair Follicle Test is the gateway to new information arming you with the knowledge to make optimal choices to maintain a healthy homeostasis in your body.

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Hair Follicle Test

How do you know if you are eating the right vitamins and minerals for healthy hair and scalp? Our Epigenetic Hair Follicle test includes vitamin and mineral indicators in a 30 plus page report that is personalized for you. The new innovative test can be done In-Office or from the comfort of your own home with our At-Home test. In addition to the vitamin and mineral profile, our epigenetic test also reveals amino acids, antioxidants, fatty acids, and environmental stressors, arming you with the knowledge of changes that you can make to improve your overall scalp and hair health.

Click Below for sample report