HomeAnswersDermatologyhair fallI suffer from subclinical hypothyroidism and have severe hair fall. Kindly suggest a treatment.

How to treat severe hair fall in a subclinical hypothyroidism patient?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Suvash Sahu

Medically reviewed by

iCliniq medical review team

Published At December 4, 2023
Reviewed AtDecember 11, 2023

Patient's Query

Hello doctor,

I had severe hair loss which started about seven years ago but stopped two years ago. But I have seen hardly any improvement in my hair and these days I have started noticing hair fall again. What should I do? And what can be the cause? I am a 23-year-old female. The hair loss started when I was 16. I have been physically abused through hair pulling when I was a child. I have subclinical hypothyroidism but that has been diagnosed only recently. I have not seen any difference after taking thyroid medicines either.

Answered by Dr. Suvash Sahu


Welcome to icliniq.com.

I have seen your query and concerns and examined your picture (attachment removed to protect the patient’s identity).

  1. 75 to 100 hair falls every day is very normal. So, it should be considered as hair loss only if the number of hair falls more than this.
  2. Generalized hair falls in females are mostly due to stress, poor sleep, poor nutrition, and excessive blood loss due to menstruation.
  3. Stress alopecia is also common in females who keep their hair very tight in a certain manner which creates tension in the root and causes hair fall.
  4. Straightening and other procedures also cause weakness of the root. Other conditions like fever, typhoid, malaria, thyroid, etc. can also cause hair fall like in your case of having subclinical thyroid.
  5. Regarding treatment, have good sleep. Eat proper food with green vegetables and fruits. Take multivitamins like Follihair (Iron and Biotin) or Xtraglo for at least three months.
  6. Check your blood hemoglobin. If it is less, then you should start Iron and Folic acid supplements. Also, check thyroid and diabetes to rule out other cause
  7. You can use Follihair hair serum daily morning local application and 2 % Minoxidil 1 ml local application during the night. Do not use 5 % Minoxidil otherwise, it may cause facial hair growth.
  8. Also, take a tablet of Xtraglo (Biotin, Copper, Iron, Selenium, Zinc, L-Cysteine, L-Lysine, and Methionine) once daily for three months.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Suvash Sahu
Dr. Suvash Sahu


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