Q. Can thyroid problem cause excessive hair fall?

Answered by Dr. Geeta Priyadarsini Kamminana and medically reviewed by iCliniq medical review team.

 

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Hi doctor,

I have thyroid issues for the past three years. I got this when I was pregnant. I am taking Thyronorm 75 mcg tablet for the last three months. Recently, I have done the thyroid test and my T3 and T4 are normal and TSH is very low. It shows less than 0.01. What does it indicate? First, I was on 50 mcg and before three months I started 75 mcg as the TSH was approximately 6 at that time. Please explain.


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Dr. Geeta Priyadarsini Kamminana
MBBS., MD GENERAL MEDICINE., PGD EMERGENCY MEDICINE
General Medicine, Internal Medicine

Hi,

Welcome to icliniq.com.

  • Here is a list of symptoms experienced due to over treatment. They are tachycardia, palpitations, nervousness, tiredness, headache, excitability, sleeplessness, tremors, anxiety and heat intolerance.
  • If yes to any of the above, then the dose needs to be titrated. Can you upload your previous thyroid profile report?
  • Keeping the point that the T3 and T4 are within the limits, I would advise dose reduction slowly and steadily along with TSH (thyroid-stimulating hormone) monitoring. Consult your specialist doctor, discuss with him or her and get the dosage altered.
  • Take 50 mcg of the same medication and go for TSH testing six to eight weeks later. You need not panic.

For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist

 

Thank you doctor,

I am having a very excessive hair fall. Can thyroid problem cause hair fall? I have misplaced my old report, sorry for that.

 

Dr. Geeta Priyadarsini Kamminana
MBBS., MD GENERAL MEDICINE., PGD EMERGENCY MEDICINE
General Medicine, Internal Medicine

Hello,

Welcome back to icliniq.com.

  • There are many causes for hair loss. Is there any specific pattern of hair loss, such as receding hair line in the front or patchy hair loss?
  • Yes, hypothyroidism, hyperthyroidism and even its medication are directly related to hair loss, but other causes need to be ruled out.
  • Iron deficiency, use of antacids, low stomach acid, hormonal imbalance, PCOD (polycystic ovary disease) and thyroiditis are other causes.
  • Did you check your hemoglobin recently? What is your age? Do you have any menstrual problems?
  • I would advise you take a wholesome meal rich in biotin, zinc, antioxidants and essential fatty acids like egg, fish, carrot and beetroot.
  • Drink warm water and lemon juice in the morning.
  • I suggest Evening Primrose Oil 500 mg twice a day and tablet Trichoton forte once daily. You can see a definite change after six to eight weeks. Consult your specialist doctor, discuss with him or her and take the medicine with consent.
  • It is a fact that people lose over 50-100 strands of hair each day. Take care.

For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist

 
Hi Maám, I have done blood test recently. The report is attached.
Still the TSH is not in normal range. In my last report it was <.01 and now it is 0.08.
I started taking 50 MCG after consulting with you last month.
The report shows insufficiency of calcium, vitamins and Iron also.
I am facing these issues currently: excessive hair fall,High BP, headache, wait loss , Backache specially spinal pain, weekness in body.

Currently I am taking the below drugs:

Thyroid - 50 mcg Thyronorm - 1 Tab every morning before breakfast
High BP - Asomax AT 1/2 of 2.5 MG Tab every night after dinner

Please suggest the required medication so that I can feel relax.
 

Dr. Geeta Priyadarsini Kamminana
MBBS., MD GENERAL MEDICINE., PGD EMERGENCY MEDICINE
General Medicine, Internal Medicine

Hello Devshri,

Welcome to iciniq,

I have gone through the reports posted'
There are minor issues which can be treated successfully

Your TSH rose from <0.01 to 0.08 which is a good development
I would advise you to further decrease the dose to 25 mcg daily early in the morning and get TSH tested after 12 weeks

You Need to take T.Centratex twice daily for correction of iron deficiency anemia . Iron deficiency may also lead to Hair fall
Did u try evening prim rose oil capsules???
What kind of hair loss u have???generalised or any particular area???

For Calcium and Vit D deficiency
Dietary supplementation with dairy products, cheese,fish,yoghurt
Sunlight exposure between 10 am to 3 pm just to attain reddish skin shade will help
An adequate blood level of vitamin D is 20 nanograms per milliliter, which can be achieved through daily skin exposure to sunlight
Take T.shelcal one tab daily with proper balanced diet( not to be taken along with food)Take it 3 hrs after meals

Are u a vegan???(for vit B12 def)
do eat lots of green leafy vegetables
T .Folgard once daily

U are not diabetic,hence u can be generous with ur food servings
Enjoy all kinds of food but with less salt to fight weakness as well as vit and mineral deficiency
Do follow the diet i have posted u earlier


All the best
repeat all the tests that are above or below normal after 12 weeks to know the progress

Do revert if u have any more queries

Take care

Warm regards
Dr Geeta
 
Yes Ma'am, I have tried Rose Oil capsules but not regularly. So should I continue those as well with the medicines u suggested now?
I have generic hair fall not a area specific.
I am not a vegan.

The below medicine I will be taking from now onward(as per my understanding, please correct if wrong):

1. Thyronorm 25 MCG - Morning before breakfast
2. T.Centratex - 1 after 1-2 hrs of break fast and 1 in evening after snacks or 2 hrs before Dinner. (There should be gap of 6 hrs in both medicines?)
3. T.shelcal - 3 hrs after lunch.(can I take Shelcal and Centratex tab together?)
4. T .Folgard - 1 hr after breakfast.(can I take Folgard and Centratex tab together?)
5. Asomex AT - 1 Tab daily before sleep
6. Rose Oil capsules - ?

Is there any once in a week kind of powder or solution available which I can take for Calcium, Vitamin D , Vit B12 or Iron. Just to reduce number of Tablets to take everyday(currently it looks 8 tabs daily). As I need to take the medicines of Thyroid and High BP daily.
I have attached the images of hair-fall and consultation report from Hair doctor as well herewith. Please have a look.
And ma'am should I take astaxanthin antioxidants tablets like Astashine?
 

Dr. Geeta Priyadarsini Kamminana
MBBS., MD GENERAL MEDICINE., PGD EMERGENCY MEDICINE
General Medicine, Internal Medicine

Hello,

Yes u do have medium hair density
Hair loss in your case appears to be multifactorial ie nutritional(iron deficiency and other deficiency) , thyroid , hypertension
Is there any hereditary component too???
Do u have moustache???
Any menstrual irregularities???
How old are u ???
Any history of PCOD???

I would suggest you to take a wholesome meal with less carb and more micronutrients ,proteins and essential fatty acids like spinach, carrot , jaggery , fruits, veggies, lean meat, dark chocolate,dairy products

Also that ur HDL ie good cholesterol is low u need to take food like whole grain food,olive oil, high fibre food like apples ,pears, Nuts,Fish and so on

Yes u may try Cap . Evening primrose oil 500mg twice daily that contains essential fatty acids and corrects any hormonal imbalance


With regard to the medication
T,Thyronorm 25 mcg before breakfast
NOPE , never iron and calcium should be taken together
T.Centratex 1-2hrs after breakfast(never with tea) and T.Folgard can be taken together
T.Shelcal with dairy products like milk or buttermilk any time but not with major meals( can be skipped if sufficient dietary supplementation and exposure to sun is followed)
Cap. primrose oil twice daily (Results assured only after 7-8 weeks of continuous use)
Continue ur BP medication as before

For definitive increase in hair density u may try 2%Rogaine lotion , a topical solution , escalate it to 5%.But let me tel u, hair fall recurs as and when u discontinue

Yeah u may take Astashine or get those antioxidants from the diet as laid below
Vit C Citrus fruits like oranges and lime , capsicum, broccoli, green leafy vegetables and tomatoes
Vitamin E Nuts & seeds, whole grains, green leafy vegetables.
Selenium Fish & shellfish, grains, eggs .
Carrot , beetroot


Once ur Vitamins and hormones are normalised, ur Hair loss will come to an end
Take care
Warm regards
Dr.Geeta
 
Hi Geeta maám, I have started taking 25 mcg Thyronorm as per your suggestion from August 2016. Please find the latest blood test report and old blood test reports attached. TSH got increased a bit. Previously the level was low and therefore you suggested 25 MCG from 50MCG. I am also having heavy hair fall. You can refer the thread if anymore information needed.Please advice.
 

Dr. Geeta Priyadarsini Kamminana
MBBS., MD GENERAL MEDICINE., PGD EMERGENCY MEDICINE
General Medicine, Internal Medicine

Hello Devashri,

Good to see your Vit D and Vit B12 levels towards normal
As long as T3 and T4 remain in normal limits , you need not worry with regard to the rise in the TSH level.
There are two ways
1) To wait till 12 wks , repeat the test and react accordingly

2)To add 12.5mcg to the present dose and repeat the test in 12 wks

Do you have any symptoms
Weight gain?
Constipation?
Lethargy?
Fatigue?

Do eat jaggery , dates , carrot , beetroot

Do let me know ur answers to the above queries

All is well
Iron level is still to be corrected

What is the medication you are on now???
 
Hi maàm, I am taking the below medicines as of now:
1. Thyronorm 25mcg
2. For B.P. - asomex at, half tablet of 2.5 mg
3. For iron - Vitcofol
4. Vit D - D rise sachet once in a week from last 5 weeks

And I don't have any such symptoms u have mentioned.

Currently I am facing 3 health issues extreme hair fall ,High B.P and Thyroid. Not sure when my thyroid level will be normal and hair fall will stop. For how long I need to continue thyronorm medicine? Sometimes I feel tired after doing continue work, but that seems normal.
 

Dr. Geeta Priyadarsini Kamminana
MBBS., MD GENERAL MEDICINE., PGD EMERGENCY MEDICINE
General Medicine, Internal Medicine

Hello Devishri,

Welcome again ,
Firstly , good morning.
Don't get disheartened by your health condition
All is well
Your thyroid profile will be normal soon
Take good diet , and hair care , it will also come down in coming days

With regard to BP , take low salt diet and regular medication

Go for yoga , healthy work out
Stay happy

Continue thyronorm 25 mcg for few more weeks , after 12 wks from now go for TSH , if it further rises , then the Thyronorm dose can be raised

Continue the rest
Latest BP recording ???

Take care
Have a great day
 
 
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