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Hair loss

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Hair always falls out — it only matters when noticeably less grows back.

Also known as: hair loss · alopecia · diffuse hair loss · androgenetic alopecia · alopecia areata

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This compilation is for information and replaces neither medical diagnosis nor treatment. If you have symptoms, see a doctor.

Losing up to a hundred hairs a day is normal. It becomes notable when clearly more fall out, the hair visibly thins, or bald patches appear. The pattern says a lot about the cause: hereditary hair loss follows receding temples in men, a widening parting in women. Diffuse loss across the whole scalp points more to a trigger — iron deficiency, thyroid disorder, nutrient deficiency, severe stress, a recent illness or childbirth; it often starts two to three months later and reverses once the cause is addressed. Round, sharply bordered bald patches suggest alopecia areata, an autoimmune reaction. A blood count with ferritin and thyroid values clarifies much.

Levers & pathways

associatedThinning hair together with the cycle

Thinning hair at the crown and hairline together with irregular cycles and increased body hair belongs to PMOS, formerly PCOS. The signs count even when the blood values come back normal.

studiedCause over symptom

Clarify ferritin, thyroid and trigger — that’s where the lever is.

studiedBe gentle with hair

Less heat, tension and harsh chemistry protects the shaft.

studiedPatience & cycle

After a trigger, regrowth takes months — that’s normal, not failure.

studiedWhen the iron store is the cause

An empty store is one of the most common treatable causes of hair loss. If the source stays unclear and the history fits, a blood-sucking worm belongs on the list.

studiedWhat the medicine does — and what it does not

Minoxidil lengthens the hair’s growth phase, finasteride lowers the DHT that shrinks the follicles. Both work for as long as they are used; after stopping, the state returns within months. The effect becomes visible after three to six months at the earliest.

infoNumbers and timeframes

A hair grows for two to six years, rests three months and then falls out — up to a hundred hairs a day is normal. After a trigger such as fever, surgery, childbirth or heavy weight loss, the hair falls only two to three months later and recovers by itself over six to nine months. So the cause almost always lies in the previous quarter, not in the week it is noticed.

studiedWhat is actually possible at home

Treat it gently, no tight ties, less heat — and have ferritin, B12 and thyroid measured. No shampoo and no oil makes hair grow back.

studiedWhat an oil does to hair — and what it does not

Oil on hair and scalp has a real effect, just a different one from the one promised: it makes the hair shaft more supple and reduces breakage. Hair that breaks less looks fuller and longer — measurable, but it is not new hair. On a bald patch the follicle is either miniaturised or scarred; an oil applied from outside does not reach the papilla and changes neither. With home-made infusions there is the added point that ground, water-containing plant material in oil at room temperature is a growth medium — make it fresh, keep it cool, do not let it steep for days. What should be measured first when hair thins is in this dossier’s marker list.

associatedMicroneedling: studied only as an amplifier

The scalp studies ran twelve weeks and always alongside minoxidil; microneedling on its own is barely studied. At home up to 0.5 millimetres, once or twice a week. The point where it turns risky is not the needle but what is applied afterwards — the barrier stays open for hours, and preservative, fragrance and everything on the skin then get in too.

associatedDutasteride: stronger, and longer in the body

Finasteride blocks one of the two enzyme types, dutasteride both: blood DHT falls by over ninety instead of about seventy per cent. The price is how long it stays — a half-life of roughly five weeks instead of hours, and the substance is still detectable months after stopping. Whatever occurs lasts correspondingly longer. It is approved in most places for the prostate; for hair loss it counts, outside a few countries, as use beyond the approval.

Possible complaints

studiedDiffuse all over

Suggests a trigger: iron, thyroid, after illness/diet/stress. Usually reversible.

studiedReceding / widening part

The genetic pattern — commonest, slow, manageable.

studiedRound bald patch

Alopecia areata (autoimmune) — often temporary, frequently grows back. Have it seen.

studiedDandruff & itch

Usually seborrhoeic eczema — treatable, not “hair loss”.

Blood values

studiedFerritin

Iron deficiency is one of the commonest reversible causes.

studiedTSH

Both under- and overactive thyroid can trigger hair loss.

associatedVitamin D (25-OH)

Low levels are linked with hair loss.

Nutrients

associatedZinc

Involved in hair growth; a deficiency can contribute.

studiedIron

Central for growing hair follicles.

associatedBiotin

Only helps with true deficiency — which is rare. “Hair vitamins” mostly work only then.

studiedProtein

Hair is made of protein (keratin) — enough protein is the basis.

Supplements

studiedIron — only if deficient

Useful if ferritin is low, otherwise not. Dose medically guided.

studiedMinoxidil (topical)

Well supported in pattern hair loss — needs patience and continued use.

Hormones

studiedDHT (dihydrotestosterone)

The more active form of testosterone in the scalp. With the matching predisposition it shortens the growth phase of the hair — that is the mechanism behind inherited loss in men and women.

studiedThyroid axis (TSH)

Both an overactive and an underactive thyroid make hair fall diffusely. This cause is treatable, and the hair usually comes back.

associatedOestradiol

The drop after a birth and in the menopause pushes many hairs into the resting phase at once. The falling starts two to three months later — this delay explains the confusion about the cause.

associatedProlactin

Belongs alongside when irregular cycles or fluid from the breast join the hair loss.

Food

studiedIron-rich + vitamin C

Meat/legumes with some vitamin C — fills the iron store.

studiedEnough protein

Eggs, fish, legumes, dairy.

Alternative approaches — what people use

studiedIron

An empty iron store is one of the most common treatable causes — measure ferritin.

studiedZinc

A deficiency causes hair loss; supplement after measuring, not on suspicion.

traditionalLavender oil

Essential oils are traditionally used for the scalp; always diluted.

Wild herbs — what is traditionally used

traditionalStinging nettle

The best-known hair herb of folk medicine, as a rinse and as a tea. With hair loss from iron deficiency or the thyroid the herb does not help — the value behind it does.

traditionalGreater burdock

Burdock root oil has been massaged into the scalp for centuries. The massage measurably improves circulation; that says nothing yet about hair growth.

Essential oils — use and limits

traditionalRosemary cineole

Compared with a standard remedy in one study; the use takes months. Everyday word: rosemary oil.

traditionalAtlas cedar

Traditionally in scalp blends, always in a carrier oil.

Frequencies — what is on file

traditionalHair loss (alopecia)

Listed values: 20 · 146 · 465 · 727 · 787 · 880 · 10000 Hz