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What are the ways to treat hair loss?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I used to have thick hair, but I have been losing 10 to 20 noticeable hair strands daily since this year, and my hair volume has also decreased.

Please help.

Hi,

Welcome to icliniq.com.

I understand your concern.

Hair loss can be caused by various factors, with the most common being genetic inheritance from the maternal side of the family, including maternal uncles, siblings, and grandparents. This often results in patterned hair loss, such as receding hairlines, thinning at the crown, or frontal areas of the scalp. Other causes include seborrheic dermatitis, dandruff, and stress following viral infections like chickenpox and COVID-19 (coronavirus disease 2019). Additionally, conditions like typhoid or surgeries can disrupt the hair growth cycle, causing follicles to remain in a dormant phase without growing or shedding.

These conditions are often temporary and can be reversed. They may be due to climatic factors, dietary deficiencies, vitamin and mineral imbalances, and hormonal fluctuations, such as those seen in androgenetic alopecia, where hair loss is linked to testosterone levels. Underlying medical conditions, including thyroid disorders and autoimmune conditions, as well as frequent use of hair products like creams, straighteners, and hair dyes, can also contribute to hair loss. Moreover, every individual's hair undergoes a natural cycle consisting of three or four stages: anagen (growth phase), catagen (shedding phase), and telogen (dormancy phase). It is normal to shed 100 to 150 hairs per day during this cycle.

I recommend getting a blood test that includes CBC (complete blood count), Hb (hemoglobin), ferritin, serum iron, zinc, vitamin D3 (25-hydroxyvitamin D), vitamin B12 (cobalamin), DHEAS (dehydroepiandrosterone sulfate), and TFT (thyroid function tests). These tests can help identify vitamin and mineral deficiencies, autoimmune conditions, or hormonal imbalances.

Following this, take the tablet multivitamins once daily after a meal for two months. This can help regulate the hair cycle and promote hair growth and density. Additionally, after consulting a dermatologist, consider undergoing PRP (platelet-rich plasma) therapy with mesotherapy. PRP involves drawing up to 10 to 12 ml of the patient’s blood, centrifuging it to extract growth factors, and injecting them into the scalp to stimulate hair growth. Mesotherapy uses a serum containing biotin and vitamins instead of blood components. Both procedures should be repeated every 15 days for at least six sessions for optimal results.

For dandruff or seborrheic dermatitis, use Ketoconazole and Zinc pyrithione lotion. Gently massage it into the scalp for one minute, leave it on for five minutes, then wash it off. Use this treatment for one week. Addressing dandruff can help restore lost hair. Avoid red meat, dairy products, sweets, and fried or oily foods. Instead, focus on eating more fruits and vegetables, drinking at least 12 glasses of water daily, and including eggs as a source of protein in your diet. For a better evaluation and assessment of your condition, please provide an image of the affected area.

I hope this helps you.

Thank you.

Medically reviewed byiCliniq medical review team

Published At November 2, 2022
Reviewed AtSeptember 6, 2024

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