Triggers include physical/emotional stress, nutritional deficiencies (iron, biotin), hormonal shifts
(postpartum, thyroid), medications, chronic illness.
Assessment of history, hair pull test, trichoscopy, lab tests for anemia, thyroid function,
micronutrients; identify pattern vs. diffuse shedding.
Minoxidil, PRP, LLLT, microneedling, nutritional supplementation, management of underlying
conditions.
Initial improvement in 12–16 weeks; significant density increase by 6 months with adherence to
protocol.
Initial improvement in 12–16 weeks; significant density increase by 6 months with adherence to
protocol.
Bloodwork for iron, vitamin D, thyroid, androgens; scalp biopsy if scarring alopecia suspected.