Is my hair loss permanent or reversible?

Hair loss can be permanent or reversible depending on the cause. Hormonal hair loss and genetic hair loss are often progressive but manageable with early and consistent treatment. Stress-related hair shedding, telogen effluvium, and postpartum hair loss are usually reversible when the triggers are addressed. Autoimmune alopecia and scarring alopecias may require more advanced medical intervention to preserve existing hair. Early diagnosis and starting a targeted hair restoration plan can be the difference between temporary shedding and long-term loss. If hair loss is ignored or self-treated with random products, the chances of permanent thinning increase significantly.
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How do I know if my shedding is normal vs a problem?

Normal hair shedding is around 50 to 100 strands per day. This is part of the natural hair growth cycle. Problematic hair shedding usually appears as clumps of hair on the pillow, in the shower, or visible hair thinning around the crown, hairline, or parting. If the hair shedding is patchy or aggressive, it can indicate conditions like telogen effluvium, hormonal hair loss, or autoimmune alopecia. If the shedding continues beyond a few months or your density changes, this is no longer normal shedding but active hair loss. A proper scalp analysis and hair loss assessment can identify whether it’s simple shedding or something more significant.
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How long until it grows back once treated?

Hair growth after hair loss depends on the type of hair loss and the treatment approach. With telogen effluvium or stress-related shedding, regrowth can start within 3 to 6 months once the trigger is removed. With hormonal hair loss and androgenetic alopecia, visible improvement usually takes 6 to 12 months of consistent treatment. If there is autoimmune or scarring alopecia, the response may be slower and may need medical intervention to protect the follicles. Hair grows slowly, around one centimetre a month, so patience, consistency, and the correct treatment plan are essential. The earlier the hair loss is treated, the more likely you are to recover lost volume and prevent further hair thinning.
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What tests do I need bloods scalp exam biopsy?

When diagnosing hair loss, hair thinning, and alopecia, accurate testing makes all the difference. Blood tests help check iron levels, thyroid function, vitamin D, ferritin, hormones like testosterone and DHT, and other deficiencies that may trigger hair shedding. A detailed scalp exam can reveal inflammation, scaling, and early signs of miniaturisation. In more complex cases, a scalp biopsy may confirm autoimmune alopecia or scarring alopecia like frontal fibrosing alopecia. Without proper tests, most people waste money on shampoos, oils, and supplements that don’t fix the root problem. Testing turns guesswork into a real plan.
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Thinning Shedding (Telogen Effluvium)

Why is my hair suddenly thinning all over?

Sudden hair thinning all over the scalp is often a sign of telogen effluvium. This type of hair loss occurs when a shock to the body pushes large numbers of hair follicles into a resting phase, leading to heavy hair shedding weeks or months later. Common triggers include severe stress, illness, surgery, hormonal shifts, rapid weight loss, nutrient deficiencies, or certain medications. Telogen effluvium is different from genetic hair loss because it causes diffuse thinning rather than patterned hairline recession. The good news is it can often be reversed if the trigger is found early and treated correctly.
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Can stress or illness trigger shedding?

Yes. Stress and illness are powerful triggers for hair shedding and hair loss. Elevated cortisol levels, inflammation, and immune responses can disrupt the normal hair growth cycle, forcing follicles prematurely into the shedding phase. This often happens several months after the stressful event or illness, which is why many people are caught off guard when hair loss starts. By addressing both the trigger and the hair health directly, stress-related shedding can be reversed and hair regrowth supported.
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How long does telogen effluvium last?

Telogen effluvium usually lasts 3 to 6 months, but if the trigger is ongoing or not identified, it can become chronic telogen effluvium. Regrowth starts slowly, often with short new hairs visible around the hairline or parting before density returns. If the shedding continues for more than 6 months, it can also overlap with other forms of hair loss like androgenetic alopecia or hormonal hair loss, so proper evaluation is essential.
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Will changing diet or supplements help?

Diet and supplements can support hair health when there’s a deficiency, but they’re not magic solutions. If your hair loss is due to iron deficiency, low vitamin D, protein deficiency, or malnutrition, correcting those levels can support hair regrowth. However, if your hair loss is hormonal, autoimmune, or genetic, supplements alone won’t fix it. Many people waste money on biotin and hair gummies with no results because they’re treating symptoms, not the cause.
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Androgenetic Pattern Hair Loss

Is hair loss genetic?

Yes. Genetic hair loss, also known as androgenetic alopecia, is the most common cause of hair thinning in both men and women. It happens when hair follicles are sensitive to DHT, a byproduct of testosterone, which causes the follicles to shrink over time. This leads to gradual thinning, receding hairlines, and reduced hair density. While you can’t change your genes, you can slow or stop this process with early, targeted treatment that blocks DHT and strengthens follicles. The earlier androgenetic alopecia is addressed, the better the long-term results.
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What actually works minoxidil finasteride dutasteride?

Minoxidil, finasteride, and dutasteride are some of the most effective evidence-based treatments for genetic hair loss when used correctly and consistently. Minoxidil increases blood flow to the scalp and stimulates follicles, while finasteride and dutasteride block DHT to prevent further miniaturisation. But they must be matched to the right person and used under the right guidance to avoid wasted time and poor results. Combining medical treatment with scalp care, hormonal balance, and nutritional support gives the best chance of visible improvement.
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Can women get male pattern hair loss?

Yes. Female pattern hair loss is common, especially after childbirth, during menopause, or with PCOS and thyroid conditions. Women usually experience diffuse thinning over the crown or part line instead of a receding hairline. Because female pattern hair loss is often linked to hormonal changes, early detection and proper hormonal evaluation are crucial. Many women waste years trying hair oils and supplements when the actual issue is hormonal and needs a targeted plan.
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When should I consider a transplant?

Hair transplantation should only be considered once hair loss has been stabilised and diagnosed properly. Transplanting hair when the underlying cause is active leads to poor, patchy results. The best candidates have good donor hair, stable androgenetic alopecia, and realistic expectations. Many people combine medical therapy with PRP or laser therapy before or after transplant to boost results.
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Autoimmune Alopecia (Alopecia Areata)

What is alopecia areata vs totalis universalis?

Alopecia areata is an autoimmune condition where the immune system attacks hair follicles, causing round or oval bald patches on the scalp or body. Alopecia totalis is when it affects the entire scalp, and alopecia universalis is when it affects the entire body. Unlike genetic hair loss, it can happen suddenly and progress fast. Early diagnosis and treatment with immunomodulators, corticosteroids, or advanced therapies can control inflammation and stimulate regrowth.
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Do patches grow back on their own?

Some people with alopecia areata see spontaneous regrowth, but for many, patches either remain or spread without treatment. Regrowth depends on the immune response, inflammation level, and how quickly treatment starts. Leaving it too long increases the chance of permanent follicle damage.
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What treatments help steroids JAK inhibitors etc?

Treatments for autoimmune alopecia include topical and injected corticosteroids, JAK inhibitors, immunomodulators, and targeted stimulation therapies. These aim to calm the immune system and restart hair growth. Combining medical treatment with scalp support increases the chance of successful regrowth.
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Is it related to stress or other autoimmune issues?

Yes. Alopecia areata often occurs alongside other autoimmune conditions like thyroid disorders or vitiligo. Stress is a known trigger and can worsen flare-ups. Managing the immune system and addressing stress responses is often part of treatment.
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Scarring Alopecias (FFA LPP)

What is frontal fibrosing alopecia?

Frontal fibrosing alopecia is a scarring alopecia that causes recession of the hairline, thinning of the frontal scalp, and often loss of eyebrows. It is inflammatory and can cause permanent hair loss if not treated early. Unlike telogen effluvium or hormonal hair loss, scarring alopecia permanently destroys follicles over time.
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Are eyebrows hairline loss permanent?

Once scarring occurs, the hair loss is usually permanent. But early intervention can slow or stop progression and preserve remaining hair. Quick action is essential with scarring alopecias because once the follicles are destroyed, they cannot grow hair again.
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Can early treatment stop progression?

Yes. Early anti-inflammatory treatment can protect existing follicles and slow or halt hairline recession. Delaying treatment gives the disease more time to damage follicles permanently.
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Which meds are used anti inflammatory hydroxychloroquine etc?

Medications commonly used for scarring alopecia include topical and oral corticosteroids, hydroxychloroquine, and other anti-inflammatory drugs. These reduce inflammation, calm the immune response, and protect follicles.
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Hormonal Hair Loss

Postpartum shedding when does it stop?

Postpartum hair loss is extremely common and is one of the most frequently searched types of hair loss. It happens because hormone levels change drastically after pregnancy, causing large numbers of hairs to shift into the shedding phase. This postpartum shedding usually peaks around three to six months after giving birth and slowly improves over time as hormone levels stabilise. However, if hair loss continues past a year, it may no longer be postpartum hair loss but hormonal hair loss or telogen effluvium triggered by other factors like stress or nutrient deficiency. Supporting hormonal balance, scalp health, and follicle stimulation can help speed regrowth and prevent long-term hair thinning.
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Can birth control menopause PCOS cause hair loss?

Yes. Birth control, menopause, and PCOS can all trigger hormonal hair loss by altering the balance between estrogen, progesterone, and androgens. High androgen levels can increase DHT activity, which can shrink hair follicles and cause thinning, especially around the crown and hairline. Many women notice hormonal hair loss during perimenopause and menopause as natural estrogen declines. PCOS is another major cause because it can raise androgen levels and increase shedding. Identifying the hormonal driver early allows you to treat the root cause rather than relying on ineffective topical products.
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Do thyroid problems cause thinning?

Yes. Thyroid problems are a common cause of diffuse hair thinning and hair shedding. Both hyperthyroidism and hypothyroidism can disrupt the hair growth cycle, pushing follicles prematurely into the resting phase. Thyroid-related hair loss often appears as overall hair thinning and reduced density rather than patches. Once the thyroid levels are balanced, hair can regrow, but sometimes it needs additional support through targeted treatment to boost follicle recovery. Many people with undiagnosed thyroid issues spend years trying hair oils and supplements without ever treating the real hormonal cause.
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Which labs should I ask for?

When hormonal hair loss is suspected, proper lab testing is essential. Common tests include thyroid panel (TSH, T3, T4), iron studies, vitamin D, ferritin, full blood count, DHEA, testosterone, SHBG, estrogen, and sometimes autoimmune markers. These results help identify thyroid imbalances, iron deficiency, low vitamin D, PCOS, menopause-related hormone changes, or stress-induced imbalances. Testing takes the guesswork out of treatment and ensures every solution directly targets your type of hair loss.
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Medication and Treatment Induced Hair Loss

Does chemo or radiation cause hair loss will it regrow?

Yes. Chemotherapy and radiation are well known for causing sudden and aggressive hair shedding. These treatments target rapidly dividing cells, and hair follicles are among the fastest dividing cells in the body, so they are affected almost immediately. In most cases, hair regrowth begins within a few months after treatment ends, although the hair texture or thickness may change temporarily. Supporting scalp circulation and follicle recovery during and after treatment can help optimise regrowth and density.
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Can common meds antidepressants acne meds cause shedding?

Yes. Medications such as antidepressants, acne medications, blood pressure drugs, and other common prescriptions can trigger telogen effluvium by disrupting the hair growth cycle. Medication-induced hair loss often shows up as diffuse shedding rather than patterned baldness. If you notice hair loss after starting or changing medication, professional evaluation is needed to separate a temporary shedding response from other underlying causes like hormonal hair loss or nutritional deficiency.
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What can I do to reduce loss during treatment?

To reduce hair loss during medication or cancer treatment, a combination of gentle scalp care, targeted therapies, and early hair preservation techniques can help. Scalp cooling methods can protect follicles during chemotherapy. For other medications, timing adjustments or alternatives may help, but always under medical supervision. Most importantly, strengthening the scalp environment and supporting hair health during treatment can improve the chances of full recovery once the treatment ends.
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Nutrition and Deficiency

Can low iron vitamin D or protein cause hair loss?

Yes. Nutrient deficiencies are one of the most common and overlooked causes of hair loss and hair thinning. Hair follicles require iron, vitamin D, zinc, protein, B vitamins, and other nutrients to maintain a healthy growth cycle. When the body is low on these nutrients, it prioritises vital organs over hair, causing increased shedding and reduced regrowth. Many people experience hair thinning without realising it is linked to low ferritin or vitamin D levels. Identifying and correcting the deficiency early can dramatically improve hair growth and scalp health.
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Which supplements actually help?

The only supplements that truly help with hair loss are the ones that correct a proven deficiency. Iron, vitamin D, and protein are common deficiencies that affect hair health. Biotin is often marketed for hair growth, but unless you have a biotin deficiency, it won’t make a difference. Real hair growth happens when the scalp is healthy, hormones are balanced, and follicles are supported with what they actually need, not just random supplements.
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Can biotin or rosemary oil fix thinning myth check?

Biotin and rosemary oil are two of the most overhyped hair loss “solutions” on the internet. Biotin only works for the rare cases of biotin deficiency, which most people don’t have. Rosemary oil can improve circulation but it does not treat hormonal hair loss, genetic alopecia, or autoimmune hair loss. Real results come from targeted treatments, not fads. Using these alone often wastes time while the hair loss progresses underneath.
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Scalp and Skin Conditions

Can dandruff seb derm or psoriasis cause hair loss?

Yes. Scalp conditions like dandruff, seborrheic dermatitis, and psoriasis can create inflammation around the hair follicles, weakening them and leading to increased hair shedding. Chronic scalp inflammation can also worsen existing hormonal or genetic hair loss. Proper scalp care, medical treatment, and maintaining a clean environment can reduce irritation and help follicles recover.
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Do fungal infections tinea capitis cause patches?

Yes. Fungal infections like tinea capitis are a major cause of patchy hair loss, especially in children but also in adults. The fungus damages the follicles and can spread quickly. It must be treated with prescription antifungals to prevent permanent damage and scarring alopecia.
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How often should I wash my hair for a healthy scalp?

The optimal washing frequency depends on your scalp type, hair texture, and any existing scalp condition. Washing two to four times per week with a gentle shampoo is ideal for most people. Overwashing can strip natural oils and worsen irritation, while underwashing can lead to buildup and inflammation. A healthy scalp environment is essential for supporting hair growth and minimising hair loss.
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Styling Habits and Traction

Do tight styles extensions or hats cause hair loss?

Yes. Tight hairstyles, braids, ponytails, wigs, extensions, and even constant hat use can lead to traction alopecia, a type of hair loss caused by continuous tension on the hair follicles. If left untreated, this can progress from temporary thinning to permanent scarring. Adjusting styling habits and giving the follicles time to recover is essential for reversing traction alopecia before it becomes permanent.
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Is traction alopecia reversible?

Traction alopecia is reversible if caught early before scarring sets in. Reducing tension, improving scalp health, and stimulating regrowth can help hair return over several months. If the follicles have been damaged beyond repair, medical or surgical restoration may be needed. This is why early intervention matters so much with traction-related hair loss.
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Does heat bleach make thinning worse?

Yes. Heat styling, bleaching, and harsh chemical treatments weaken the hair shaft and can make hair thinning appear worse by increasing breakage and dullness. Damaged hair is more fragile and makes thinning areas more visible, even when follicles are healthy underneath. Protecting the hair structure is just as important as treating the follicles themselves.
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Hair Transplant and Restoration

Am I a candidate for FUE FUT?

Not everyone is a candidate for a hair transplant. Being a good candidate depends on the type of hair loss, the stability of the condition, the amount and quality of donor hair, and scalp health. Transplanting without treating active hormonal hair loss or autoimmune hair loss often leads to poor results. A proper assessment determines whether surgical or non-surgical solutions are best.
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How effective are transplants vs PRP LLLT?

Hair transplants can be highly effective for genetic hair loss when performed on the right candidate. PRP and LLLT (low-level laser therapy) can stimulate dormant follicles and strengthen transplanted hair. Many patients combine PRP or laser therapy with medical treatment to maintain results and protect existing hair. Choosing the correct combination depends on diagnosis, not guesswork.
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What results timeline should I expect?

Most hair transplant patients begin to see regrowth at three to six months, with full results taking 12 to 18 months. PRP and laser therapy are more gradual, with improvement often seen over several sessions. Realistic expectations and consistent follow-up care are key to achieving natural, long-lasting results.
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Cost downtime and risks?

Hair transplant costs depend on the number of grafts, technique, and clinic. Downtime can range from a few days to two weeks, and full healing takes several months. Risks include poor graft survival, uneven density, shock loss, and scarring if done incorrectly. Proper pre-transplant evaluation and aftercare are essential for a successful outcome.
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Lifestyle Myths and Prevention

Can smoking or stress make me lose hair?

Yes. Smoking reduces oxygen and blood flow to the scalp, which weakens hair follicles. Chronic stress increases cortisol levels, which disrupt the hair growth cycle and lead to telogen effluvium or worsening hormonal hair loss. These lifestyle factors accelerate thinning and make recovery slower, even if you use medical treatments. Managing stress and avoiding smoking improves overall scalp health and hair growth potential.
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Do home remedies work?

Most home remedies do not treat real hair loss. Oils, massages, and DIY treatments may support scalp circulation but cannot stop genetic hair loss, hormonal hair loss, autoimmune alopecia, or scarring alopecia. These conditions need professional diagnosis and proven medical interventions. Relying on home remedies wastes time while the condition progresses.
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What daily routine actually helps washing scalp care?

A good daily routine includes gentle cleansing of the scalp, avoiding harsh chemical products, limiting heat styling, eating a balanced diet rich in iron, vitamin D, and protein, managing stress, and using targeted treatments suited to your diagnosis. A healthy routine supports medical treatments and makes them more effective over time.
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Kids and Teens

What causes hair loss in children?

Hair loss in children can be caused by autoimmune alopecia areata, fungal infections like tinea capitis, nutritional deficiencies, stress, or hair pulling (trichotillomania). Because children’s hair follicles are still developing, early intervention is important to avoid long-term damage. A professional scalp and hair assessment is the fastest way to find the real cause and begin targeted treatment.
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Is pulling hair trichotillomania the reason?

Yes. Trichotillomania is a psychological condition where a person repeatedly pulls out their own hair, leading to patchy bald spots. This type of hair loss is different from alopecia areata and needs both hair restoration support and behavioural management to prevent permanent damage to follicles.
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When do we need a specialist?

If hair loss in children lasts longer than a few weeks, involves patchy shedding, scalp scaling, or behavioural hair pulling, a specialist evaluation is essential. Children’s hair loss can progress quickly, so early diagnosis makes a big difference in regrowth and long-term follicle health.
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Brows Beard and Body Hair

Why are my eyebrows thinning?

Eyebrow thinning can happen due to hormonal hair loss, autoimmune alopecia areata, thyroid issues, nutritional deficiencies, or traction from overplucking. Because brows grow differently from scalp hair, they can take longer to regrow. Targeted treatment can help restore thickness when the correct cause is addressed.
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Patchy beard alopecia areata?

Yes. Patchy beard hair loss is often a sign of alopecia areata, an autoimmune condition that attacks beard follicles. It can appear suddenly and progress quickly if untreated. Professional diagnosis and early treatment can help reactivate beard growth and reduce patchiness.
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Will body hair loss come back?

Body hair loss depends on the cause. Hormonal changes, autoimmune conditions, or medication side effects can all affect body hair growth. In many cases, hair regrows once the trigger is removed or treated. But if scarring or autoimmune damage is severe, regrowth may be limited. A personalised treatment plan gives the best chance of recovery.
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Costs Access and When to See Someone

Should I see a dermatologist or trichologist?

If your hair shedding, hair thinning, or alopecia lasts more than three months, if you have visible patches, receding hairline, or scalp symptoms, you should see a qualified professional. Dermatologists and trichology-trained specialists can accurately diagnose the cause of hair loss and create a structured, personalised treatment plan. Early evaluation is always cheaper and more effective than years of trying random products.
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What will it cost and will insurance cover it?

Costs vary depending on location, tests required, and whether the treatment is medical or cosmetic. Some blood tests and medical consultations are covered by insurance, but cosmetic procedures like hair transplants may not be. Identifying the exact cause early often saves thousands by avoiding unnecessary treatments.
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What should I bring to a consult?

Bringing a list of symptoms, timeline of hair loss, photos, any medications or supplements, and family history can help speed up diagnosis and treatment planning. The more information your specialist has, the faster you’ll get a personalised solution that actually works.
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