Women with Alopecia Totalis

New Advances in Alopecia Treatment: Effective Strategies for Hair Regrowth

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Discovering patches of hair loss, known as alopecia areata, can be a distressing experience for anyone. Alopecia areata is an autoimmune condition characterized by patchy hair loss. However, recent advances in treatment specifically for alopecia bring hope and optimism to those affected by this condition. In this blog post, we’ll explore the different types of alopecia, its symptoms, diagnosis, various treatment options, and the future of personalized medicine and targeted therapies in managing this disorder.

Key Takeaways

  • Alopecia areata is an autoimmune disorder causing varying degrees of hair loss in circular patches.

  • Diagnosis involves physical examination, blood tests, and biopsy. Risk factors include genetic predisposition, other autoimmune disorders, and environmental factors.

  • Treatment options for alopecia areata range from steroid injections to JAK inhibitors to alternative treatments such as topical irritants and minoxidil, and a deep dive into your Epigenetics and gut health! Advances in research offer improved treatment options with potential relief and possible hair regrowth.

Understanding Alopecia Areata

Alopecia areata is an autoimmune disease characterized by hair loss in small, round patches, leaving smooth, sometimes with peach-colored areas of skin. The disorder can manifest in various types, such as alopecia totalis, alopecia universalis, and diffuse alopecia areata, with differing degrees of severity and hair loss patterns.

Autoimmune nature of the disease

The immune system usually defends the body against harmful substances, but in autoimmune diseases like alopecia areata, it mistakenly attacks its own cells—in this case, hair follicles. Various factors, such as genetic predisposition, other autoimmune disorders, or environmental factors can trigger this immune response. In some instances, alopecia areata has been linked to thyroid disorders.

Different types: alopecia totalis, alopecia universalis, and diffuse alopecia areata

Alopecia areata is categorized based on the extent and location of hair loss. Alopecia areata totalis, also known as alopecia totalis, results in complete hair loss on the scalp. In contrast, alopecia universalis, which includes alopecia areata universalis, involves widespread hair loss on the scalp, face, and body.

Recognizing Symptoms and Diagnosis

Recognizing the symptoms of alopecia areata and seeking a proper diagnosis are key steps toward effective treatment. The diagnostic process typically involves a physical examination, blood tests, and sometimes a biopsy.

We will now discuss the common symptoms and diagnostic methods in more detail.

Patchy hair loss on the scalp and body

The hallmark of alopecia areata is patchy hair loss, occurring on the scalp and sometimes extending to other areas of the body, such as the eyebrows, eyelashes, and beard. The pattern of hair loss varies between individuals and can range from a single, small patch to more extensive baldness.

Sometimes, hair may regrow within a few months, while others may experience persistent hair loss.

Nail changes and other symptoms

Beyond hair loss, some individuals with alopecia areata may notice nail changes, such as pitting or ridges. These changes can occur before, during, or after hair loss and may persist even after hair regrowth. The severity of nail changes may correlate with the severity of the condition.

Diagnostic methods: physical examination, blood tests, and biopsy

To diagnose alopecia areata, a healthcare professional will:

  1. Perform a physical examination to assess the pattern of hair loss.

  2. Conduct blood tests to rule out other conditions and confirm the diagnosis, which is when alopecia areata is diagnosed.

  3. Sometimes, a biopsy of the affected area may be necessary to detect inflammation and immune cells in the scalp.

Risk Factors and Triggers

Comprehending the risk factors and triggers for alopecia areata can assist individuals in managing the condition and possibly reducing hair loss. These factors include genetic predisposition, other autoimmune disorders, and environmental factors.

Genetic predisposition and family history

Genetics significantly influence the development of alopecia areata, present in approximately 10% to 25% of cases with a positive family history. Having a close relative with the condition increases the risk of developing alopecia areata, as multiple genetic factors are involved in developing this condition.

Other autoimmune disorders

Individuals with autoimmune disorders or other autoimmune disorders, such as psoriasis, thyroid disease, or vitiligo, are at an increased risk of developing alopecia areata, including severe alopecia areata.

The immune system’s attack on hair follicles may also affect other parts of the body, resulting in the emergence of other autoimmune diseases.

Environmental factors and upper respiratory tract infections

Environmental elements, including dust mite allergies, psychological stress, and exposure to pollutants, can also influence the onset of alopecia areata. Although research on the connection between upper respiratory tract infections and alopecia areata is limited, it is possible that the immune response generated by such infections may contribute to the onset or aggravation of the condition.

Treatment Options for Alopecia Areata

Several treatment options are available for alopecia areata, including:

  • Steroid injections

  • Topical steroids

  • JAK inhibitors

  • Other alternative options can be considered.

Steroid injections and topical steroids

Steroid injections and topical steroids are commonly used to treat alopecia areata by reducing inflammation and stimulating hair regrowth. These medications can be administered as an injection into the scalp or other affected areas or applied topically as an ointment, cream, or foam.

The effectiveness of steroid injections varies, with an initial regrowth rate of approximately 25%. Topicals have very little effectiveness.  Injections at the affected site early in the detection is the most effective treatment HPI has experienced with our treatments.

JAK inhibitors: baricitinib and ritlecitinib

JAK inhibitors, such as baricitinib and ritlecitinib, are a promising new class of therapies for alopecia areata. These medications target the JAK system pathway, helping to suppress the immune response responsible for attacking hair follicles.

Clinical trials have shown positive results for these drugs, offering hope for more effective treatment options in the future. For more information please visit: https://www.naaf.org/

Alternative treatments: topical irritants, minoxidil, and support groups

Alternative treatments for alopecia areata include:

  • Minoxidil is another treatment option that can be applied to the scalp to encourage hair growth.

  • Wholistic health and epigenetic testing can offer insight into gut and holistic health.

  • Support groups can provide emotional support and a sense of community for individuals dealing with the psychological repercussions of hair loss.

The Future of Alopecia Areata Treatment

The prospects for alopecia areata treatment are promising, thanks to:

  • Ongoing research into the immune system’s role in the condition

  • Ongoing clinical trials

  • The development of personalized medicine and targeted therapies.

These developments offer hope for more effective treatment options and a better quality of life for those affected by alopecia areata.

Advances in understanding the immune system’s role

Research focusing on the immune system’s role in alopecia areata has led to significant advancements in our understanding of the condition. This knowledge has the potential to lead to new treatments targeting the immune response responsible for hair loss, providing relief and hair regrowth for those affected by the disorder.

Promising clinical trials and drug development

Recent clinical trials and drug development efforts, such as the FDA approval of Pfizer’s ritlecitinib and Yale dermatologist Dr. Brett King’s approval for two new medications for alopecia areata, offer promising prospects for individuals with this condition.

These new therapies may revolutionize the treatment landscape for alopecia areata, leading to improved hair regrowth and quality of life.

Personalized medicine and targeted therapies

Individually tailored medicine and focused therapies, such as JAK inhibitors, offer the potential for more tailored treatment options for individuals with alopecia areata. By considering individual genetic and molecular characteristics, researchers can develop more effective therapies that are better suited to each patient’s unique needs.

Coping with Alopecia Areata

Living with alopecia areata can be challenging, but adopting effective coping strategies can help individuals manage the condition and maintain a positive outlook.

Creating a support network, dealing with self-esteem issues, and seeking professional assistance when necessary are all vital components to coping with alopecia areata.

Building a support network

Connecting with others who have alopecia areata can provide invaluable emotional support and understanding. Support groups and online communities offer a platform to share experiences, ask questions, and gain access to resources and information about alopecia areata and its treatment options.

Addressing self-esteem and body image concerns

Alopecia areata can impact an individual’s self-esteem and body image, making it essential to address these concerns for overall well-being. Seeking professional help, such as therapy or counseling, can assist in managing the emotional repercussions of hair loss and addressing self-esteem issues.

Seeking professional help if needed

For those grappling with the emotional impact of alopecia areata, professional help can be a beneficial resource. Mental health professionals such as psychologists or social workers can provide therapy and support to help individuals manage the emotional challenges associated with hair loss and address any related mental health issues, such as depression, anxiety, or low self-esteem.

Seek out a professional Trichologist in your area.  Learn about the diagnosis, your hair coverage options, and treatments.

Summary

In this blog post, we explored the various aspects of alopecia areata, including its autoimmune nature, symptoms, diagnosis, risk factors, and treatment options. We also discussed the future of alopecia areata treatment, with advances in understanding the immune system’s role, clinical trials, and personalized medicine, offering the prospect of more effective and tailored treatment options. By understanding the condition and seeking appropriate support, individuals with alopecia areata can better manage hair loss challenges and maintain a positive outlook on their journey to hair regrowth.

Frequently Asked Questions

What is the trigger of alopecia?

Alopecia areata is an autoimmune disease caused by the immune system attacking hair follicles as if they were foreign invaders. The disease is linked to certain genes and may be triggered by emotional stress or an illness in people who are at risk.

What makes alopecia worse?

Stress can exacerbate alopecia, making it more likely to flare up during times of high levels of stress.

Where Can I Seek Alopecia Treatment and Hair Restoration in Nashville?

For those in Nashville seeking reliable and expert help with alopecia treatment and hair restoration, HPIHair is highly recommended. Known for their proficiency in managing various hair loss conditions, including alopecia, they provide various effective solutions, each tailored to the individual needs of their patients.

Can alopecia be cured naturally?

Alopecia, specifically alopecia areata, cannot be cured naturally or otherwise, as it is an autoimmune disease causing unpredictable hair loss. Treatments like caffeine, melatonin, and vitamin D might support hair health or promote a healthier scalp, potentially aiding those with alopecia in managing symptoms. However, these should not be seen as cures. The effectiveness of natural therapies varies widely, and while some individuals may experience hair regrowth or a slowdown in hair loss, these outcomes do not address the underlying autoimmune process. The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) indicates that while there are treatments to help hair grow back more quickly, they do not cure alopecia areata. For individuals experiencing hair loss, consulting a healthcare provider or dermatologist is crucial to determine the most appropriate treatment options. For more information please visit: https://www.niams.nih.gov/health-topics/alopecia-areata

What is the autoimmune nature of alopecia areata?

Alopecia areata is an autoimmune disorder, where the body’s immune system mistakenly attacks its hair follicles, leading to patchy hair loss.

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Revitalize Your Locks: Your Hair Restoration Guidebook

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Is hair loss taking a toll on your self-esteem? Fret not, many hair restoration options are available to help you regain your confidence and flaunt those luscious locks once more. From surgical solutions to medications and laser treatments, this comprehensive guide will walk you through the various hair restoration options to help you make an informed decision. Let’s embark on this journey toward a fuller head of hair!

Key Takeaways

  • Hair loss can be caused by hereditary, hormonal, or lifestyle factors, and treatments range from medications to laser therapy.
  • Hair transplant surgery is a common hair restoration method with FUT and FUE being two available techniques.
  • The cost of treatment varies, but typically, insurance does not cover the cost. Preparation for consultations is recommended before undergoing any procedure.

Understanding Hair Loss

Hair loss can be a distressing experience, but understanding the root causes is the first step towards finding the right solution. Hair loss is largely attributed to genetic predisposition, hormonal influences, and the natural aging process, with female pattern hair loss being a common type experienced by women. Debunking misconceptions about hair loss is a necessary step, such as the belief that poor circulation, vitamin deficiencies, dandruff, or excessive hat-wearing cause it.

Hair loss can be managed through various treatments, including medications and surgical procedures like hair replacement surgery, to treat hair loss effectively.

Hereditary Hair Loss

Hereditary hair loss, or androgenic alopecia, is the most prevalent cause of hair loss, affecting up to 80% of cases. Males typically experience a receding hairline and baldness at the crown, while females suffer from thinning hair across the scalp without a change in the hairline. In many cases, this can lead to permanent hair loss.

Although hereditary hair loss cannot be fully impeded, therapies such as corticosteroid injections, PRP treatment, and medications like minoxidil (Rogaine) can assist in delaying the process and promoting new hair growth.

Hormonal Changes

Hormonal fluctuations can also lead to hair loss, particularly during pregnancy or menopause. Increased progesterone levels during pregnancy and decreased estrogen levels during menopause can influence the hair growth cycle, leading to thinning hair and hair follicle shrinkage.

Various hormonal imbalances, such as hypertrichosis, hirsutism, and alopecia areata, have also been linked to hair loss, and addressing these issues may help prevent further hair loss.

Lifestyle Factors

Lifestyle factors can contribute to hair loss as well. Stress, inadequate nutrition, and certain hair care habits may exacerbate the issue. A poor diet can lead to hair loss due to nutritional deficiencies, particularly in caloric intake, protein, and essential nutrients like zinc.

Furthermore, avoiding harsh treatments such as hot rollers and tight hairstyles, maintaining a balanced diet, and using mild shampoo can help prevent hair loss. Studies have confirmed the impact of stress and other sociodemographic factors on when people start losing hair.

Hair Restoration Techniques

Hair loss cuase by lifestule factors

Having examined the factors contributing to hair loss, we will now discuss the various hair restoration techniques available. These techniques include:

  1. Hair transplant surgery involves extracting hair follicles from a donor area and grafting them into a recipient area with hair loss. This procedure, known as hair grafting, is widely utilized and can offer natural-looking results with the expertise of a qualified surgeon.
  2. Medications for hair regrowth: Various medications can help stimulate hair regrowth and slow down hair loss. These medications are typically applied topically or taken orally.
  3. Laser therapy for hair loss: This treatment involves using low-level laser light to stimulate hair follicles and promote hair growth. It is a non-invasive and painless procedure that can be done at home or in a clinic.

Potential risks associated with hair transplant surgery include bleeding, bruising, swelling, and infection. Scalp reduction, another surgical procedure, involves removing a portion of bald skin from the scalp and pulling the adjacent hair-bearing skin over the bald area. This procedure typically only requires a local anesthetic and is suitable for areas of baldness on the top and back of the head.

Hair Transplant Surgery

Hair transplant surgery, or hair transplantation, aims to restore hair in areas of the scalp that have experienced hair loss by harvesting hair follicles from donor areas and transplanting them to the recipient areas. This is accomplished through a technique called grafting, which involves relocating hair from one area of the scalp to another, with different methods employed depending on the individual’s requirements and the surgeon’s preference.

Two hair transplant surgeries available are FUT (Follicular Unit Transplant) and FUE (Follicular Unit Extraction). Choosing a reputable clinic for hair transplant surgery is important to minimize potential risks and complications.

Medications

Minoxidil and finasteride are medications that can help stimulate hair regrowth. Minoxidil works by shortening the telogen phase, inducing the premature entry of resting hair follicles into the anagen phase, and acting as a vasodilator to improve blood flow to the hair follicles. Potential side effects of minoxidil include hair shedding, scalp irritation, and unwanted growth of facial hair.

Conversely, Finasteride works by inhibiting the action of 5-alpha-reductase, an enzyme responsible for converting testosterone to a hormone that can lead to hair loss. Possible side effects of finasteride include decreased libido, erectile dysfunction, and an increased risk of prostate cancer.

Laser Therapy

Low-level laser therapy (LLLT) is an FDA-approved treatment for hereditary hair loss that may help increase hair density. LLLT utilizes laser light to stimulate cell growth and invigorate hair follicles, potentially improving blood flow and promoting hair restoration. Clinical trials have demonstrated that LLLT can be effective in both men and women, making hair follicles thicker and stronger and promoting hair growth.

However, potential side effects of laser therapy for hair loss include headaches, burning sensations, scalp redness, itching, dryness, and scalp irritation.

Delving Deeper: Hair Transplant Surgery

We will examine hair transplant surgery methods in more detail, focusing on follicular unit transplant (FUT) and follicular unit extraction (FUE). FUT involves removing a strip of hair-bearing scalp and transplanting individual follicular units to the recipient area. This procedure requires the expertise of a skilled surgeon and offers a high graft survival rate, estimated to be approximately 60-70%.

On the other hand, FUE involves extracting individual hair follicles and transplanting them to the recipient area, resulting in less scarring and a faster recovery time.

Follicular Unit Transplant (FUT)

FUT involves the following steps:

Extracting hair follicles from the back or side of the scalp.

  1. Shaving the donor area and administering anesthetic injections.
  2. Incising the donor area to remove thin strips of hair follicles.
  3. Dissecting the follicles into individual units (follicular units) containing one to four hairs.
  4. Transplanting the follicular units into small incisions made in the recipient area.

Potential side effects of FUT include pain, edema, anaphylaxis, itching, hiccups, postoperative effluvium, folliculitis, lichen planopilaris, and numbness.

Follicular Unit Extraction (FUE)

FUE is a minimally invasive hair restoration procedure that involves the surgical extraction of individual hair follicles from the donor area, typically the back of the head or the sides, and their subsequent implantation in the desired area. This method allows for precise and targeted transplantation of hair follicles, resulting in natural-looking hair growth.

The advantages of FUE in comparison to other hair transplant techniques include:

  • The absence of a linear scar
  • Rapid healing
  • Minimal postoperative discomfort
  • Natural appearance
  • A large donor pool

Medications for Hair Regrowth

Minoxidil and finasteride are commonly prescribed treatments for hair regrowth. Here is some information about minoxidil:

  • Minoxidil is the only Food and Drug Administration-approved over-the-counter medication for hair loss.
  • It comes in liquid or foam form with two strengths: 2% and 5%.
  • Minoxidil shortens the telogen phase and induces the premature entry of resting hair follicles into the anagen phase.
  • It also acts as a vasodilator to improve blood flow to the hair follicles.
  • Users may experience scalp irritation when using this product.
  • Additionally, it may result in unwanted hair growth on the adjacent skin of the face and hands.

Minoxidil

Minoxidil was initially developed to treat ulcers but was later found to have the potential for hair regrowth. It has the following effects on hair follicles:

  • Shortens the telogen phase
  • Induces the premature entry of resting hair follicles into the anagen phase
  • Acts as a vasodilator to improve blood flow to the hair follicles

Potential side effects of using minoxidil for hair growth may include:

  • Unwanted facial/body hair
  • Dizziness
  • Fast/irregular heartbeat
  • Burning of the scalp
  • Increased hair loss
  • Inflammation or soreness at the root of the hair
  • Reddened skin
  • Swelling in the hands or feet

Generally, minoxidil will take effect within 4-8 weeks, although it may take 4-6 months to achieve the full results.

Finasteride

Finasteride is an oral medication that can help slow hair loss and promote regrowth. It works by inhibiting the action of 5-alpha-reductase, an enzyme responsible for converting testosterone to a hormone that can lead to hair loss. Possible side effects of finasteride include decreased libido, erectile dysfunction, and an increased risk of prostate cancer.

The suggested finasteride dosage for hair loss treatment is 1 milligram (mg) daily.

Laser Therapy for Hair Loss

Laser therapy is an FDA-approved treatment for hereditary hair loss that may help increase hair density. Here’s how it works:

  1. Low-level laser therapy (LLLT) or photobiomodulation therapy stimulates hair growth by emitting a low-level light penetrating the scalp.
  2. Clinical trials have demonstrated that LLLT can be effective in both men and women.

  3. LLLT helps make hair follicles thicker and stronger, thereby promoting hair growth.

However, potential side effects of laser therapy for hair loss include headaches, burning sensations, scalp redness, itching, dryness, and scalp irritation.

Alternative Hair Restoration Options

If surgical, medicinal, or laser treatments are unsuitable, alternative hair restoration options, such as hair enhancements, hairpieces, and scalp micropigmentation, are available. Hair enhancements and hairpieces can provide a temporary or permanent solution for hair loss, with some insurance companies covering the cost if medically necessary.

Scalp micropigmentation is a non-surgical cosmetic procedure that involves:

  • Precisely depositing tiny dots of pigment on the scalp using thin needles

  • Creating the illusion of hair follicles

  • Effectively concealing bald spots or creating a shaved head look.

Hair Enhancements and Hairpieces

Hair enhancements and hairpieces can provide an immediate solution to hair loss, offering a wide selection of styles and colors to choose from. Synthetic hair enhancements, liners, and silk head scarves are recommended for individuals experiencing hair loss. The advantages of utilizing hair enhancements and hairpieces for hair loss include increased confidence and self-esteem. In contrast, the disadvantages may include potential expense, the need for regular maintenance and styling, discomfort or itchiness for some people, and a shorter lifespan for synthetic hair enhancements compared to human hair enhancements.

Scalp Micropigmentation

Scalp micropigmentation is a non-invasive cosmetic procedure that involves the precise application of pigments on the scalp to create the illusion of real hair follicles. It is a specialized treatment that does not necessitate surgery or anesthesia and can be expected to last for up to 6 years or more, depending on the procedure and lifestyle, with touch-ups required after 3 to 7 years.

Preparing for a Hair Restoration Consultation

Before seeking a hair restoration consultation, researching your options and preparing a list of questions for your doctor is recommended. During the consultation, you can expect the doctor to:

  • Discuss the various treatment options available

  • Recommend the most appropriate treatment for your case

  • Address your expectations and concerns

  • Evaluate whether you are a suitable candidate for the procedure

  • Provide information about the procedure, including the recovery process and timeline

The Recovery Process

Following hair restoration treatments, the recovery process varies depending on the method used. The average recovery time following hair transplant surgery is generally 1 to 2 weeks, during which some scabbing and redness in the transplanted area may be present. Adherence to the post-procedure care instructions provided by your surgeon is key for optimal healing.

Potential side effects of hair restoration treatments may include edema, pain, itching, lost grafts, scabbing, hair thinning, cysts, sterile folliculitis, lichen planopilaris, and numbness.

Cost and Insurance Coverage

The cost of hair restoration treatments can vary significantly, with hair transplant surgery in the United States typically ranging between $3,000 and $15,000, with the average treatment cost being approximately $10,000. The cost of hair transplant surgery can vary considerably worldwide, with factors such as economic conditions, healthcare systems, and surgeon expertise influencing the price difference.

Unfortunately, insurance typically does not cover surgical procedures to treat baldness. However, a bottle of minoxidil or finasteride typically costs approximately $20 to $70 per month. Health insurance typically does not cover the cost of hair restoration medications as they are often considered cosmetic treatments.

Summary

In conclusion, hair loss can be a distressing experience, but with the various hair restoration options available, there is hope for regaining a fuller head of hair. From hair transplant surgery and medications to laser therapy and alternative options like hair enhancements and scalp micropigmentation, there is a solution for every individual experiencing hair loss. It’s essential to consult with a medical professional to discuss your options, understand the potential risks and side effects, and choose the most suitable treatment for your specific situation.

Don’t let hair loss hold you back any longer. With the knowledge and understanding of the various hair restoration options, you can take the first step towards regaining your confidence and embracing the luscious locks you deserve. The journey to a fuller head of hair starts now!

Frequently Asked Questions

How much does it cost to restore your hair?

Hair restoration surgery can range from $3,000 to more than $15,000, with an average cost of around $7,500. This successful treatment is available for both men and women.

Can you actually restore hair?

Yes, you can restore hair with some treatments available. These may include topical solutions such as shampoos, medications like Propecia, and light therapy to slow down or stop hair thinning — and even regrow some hair that you thought was gone forever. However, the ability to regrow hair depends on the integrity of the follicle.

Where Can I Get Help with Hair Restoration in Nashville?

If you’re looking for a reliable place to get help with hair restoration in Nashville, HPI Hair is an excellent choice. Renowned for their expertise in treating various hair loss conditions, they offer a range of effective solutions tailored to individual needs.

What is the most common cause of hair loss?

Hereditary hair loss, or androgenic alopecia, is the most common cause of hair loss, affecting up to 80% of cases.

Are there any medications available for hair regrowth?

Yes, medications like minoxidil and finasteride are available for hair regrowth and are commonly prescribed by doctors.

couple recovered from hair loss

The Five Major Factors Behind Hair Thinning and How to Address Them

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Losing hair isn’t just about looking different; it’s like a puzzle that can tell us about our health. There are many reasons why people might lose their hair, but five main reasons stand out. Whether it’s something in our genes or a sign of a health problem, finding out why hair is thinning is important.

Hair health can show us a lot about what’s happening inside our bodies. From our genes to health conditions that make the body attack itself, understanding why hair is falling out is the first step to getting better, not just for looks but for our overall health.

Genetic Factors:

Sometimes, losing hair is something that runs in the family. It can show up as a hairline moving back, thinning hair, or bald spots. A special test, like the TrichoTest™, can tell us if our genes are the reason for hair loss and help us find the best way to treat it.

Autoimmune Disorders:

Autoimmune disorders happen when the body mistakenly attacks its own cells. In this case, it attacks hair follicles, leading to hair loss on the scalp, eyebrows, eyelashes, and beard. If you notice bald patches or a lot of hair falling out, it might be an autoimmune problem. Tests for autoimmune diseases and thyroid health are key to finding out. Treatment might include changes in diet, improving gut health, vitamins, and medicine.

Scalp Conditions:

Diseases on the scalp like eczema or psoriasis aren’t just skin problems; they can also make hair thin. Seeing a skin doctor and getting the right diagnosis are important steps. Since these conditions can also be related to autoimmune problems, treating them early is crucial.

Underlying Health Conditions:

Getting a full health check can reveal hidden issues that cause hair loss. Tests can determine if you’re missing important nutrients like iron, ferritin, and vitamin D, which are all important for hair growth. If you’re low on these nutrients, you might need strong treatments like IV infusions or high-dose vitamins before moving to a regular dose.

Traction Alopecia:

This type of hair loss happens from pulling hair too tight, whether from certain hairstyles or habits. It’s important to catch this early because if it goes on too long, the damage to hair follicles might not be fixable.

Hair loss can be complicated, with many different causes. By understanding the five common reasons—genes, autoimmune diseases, scalp problems, health issues, and pulling hair too tight—we start to figure out the puzzle. Knowing what’s happening is the first big step to fixing it.

Once we know the reasons, it’s important to act. Getting the right tests and treatments for each person’s situation can help solve the hair loss puzzle. If hair loss is a problem for you, remember you’re not alone; there are ways to help.

At HPIHair Partners, we have experts ready to help with the newest tests and treatments. If you’re worried about your hair, contact us for a personal talk.

Don’t let worries control your hair’s future. Contact HPIHair Partners, and we’ll help you find the best way to get your hair and health back on track.

REQUEST A PERSONAL CONSULTATION

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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

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

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

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

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.

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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.

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