Blood may explain loss of hair: Experts explain an overlooked health aspect

Those facing hair loss mostly overlook internal health and rely on home remedies such as oils and herbs. Experts reveal why checking internal health is key to addressing the root cause.

Published Dec 28, 2024 | 7:00 AMUpdated Dec 28, 2024 | 7:00 AM

Hair loss

Are you struggling with hair loss? It’s time to look beyond oils and shampoos.

According to Dr Shraddhey Katiyar, hair loss could be linked to your health. “Your hair is a mirror of your internal health, and the first step to addressing hair loss is to understand what’s happening inside your body,” she pointed out.

Echoing a similar view, Dr Abhiram Rayapatti, Consultant Dermatologist at iSkin Hair and Skin clinic in Bengaluru, said most people take to different oils, claiming to have certain ingredients spurring hair growth.

“However, they forget to take note of their basic diet, whether it has the necessary proteins for good hair. They do not check if they have enough hemoglobin levels, whether they are eating green leaves, vegetables, meat, egg, etc., for adequate iron content,” he said, adding some of the deficiencies could be known through blood tests which determine the cause of hair loss or hair fall.

Here’s a breakdown of a few crucial blood tests recommended by doctors and dermatologists to kickstart your journey toward better hair health:

Complete Blood Count (CBC)

A CBC test helps identify anemia or infections leading to hair loss. “Low hemoglobin levels can starve your hair follicles of oxygen, leading to shedding,” Dr Katiyar explained.

Ferritin and serum iron

Low iron levels are a common but overlooked cause of hair thinning. Ferritin, a protein that stores iron, is essential for healthy hair growth. “Iron deficiency-related hair shedding is especially prevalent in women,” she added.

Thyroid function tests

Dr Rayapatti said both hypothyroidism and hyperthyroidism can cause hair loss. These conditions disrupt the hair growth cycle, leading to thinning or excessive shedding.

Vitamin D and vitamin B12

Vitamin D deficiency can result in weakened hair follicles while low Vitamin B12 levels can affect the oxygen supply to the scalp. “These vitamins play a direct role in maintaining healthy and strong hair,” Dr Katiyar emphasised.

Also Read: Intermittent fasting may lead to hair loss

Hormonal panel

Hormonal imbalances, such as those caused by PCOS (Polycystic ovary syndrome), insulin resistance, or high levels of DHT (a derivative of testosterone), are significant culprits in hair thinning.

“Hormones profoundly affect hair growth, especially in women after their 30s,” Dr Rayapatti explained. He added that in women,  their hair loss pattern and telogen effluvium (a reversible scalp condition that causes hair to fall out or thin due to stress or other factors) should be checked to identify and correct underlying problems for a better outcome.

Even in cases of menopause, hormone tests can find out the right reason for hair fall.

He added that while these tests are essential, some are conducted more routinely than others. “All the above are routine tests done in evaluating a case of hair fall. Among them, iron profile along with hemoglobin (HB), thyroid profile, Vitamin D, and Vitamin B12 are performed more routinely.”

Also Read: Crafting the perfect diabetic diet chart for Indians

Mineral deficiency

Deficiencies in calcium and zinc can weaken the hair structure, leading to breakage and fall.

“Minerals are the building blocks of your hair. Even a slight deficiency can impact its strength and texture,” Dr Katiyar warned.

Dr Rayapatti added that hormonal profiles and mineral deficiency tests are reserved for specific cases, depending on the patient’s symptoms.

He emphasised the importance of these evaluations for certain hair loss conditions. Dr Katiyar and Dr Rayapatti highlighted that tackling hair fall should begin with identifying deficiencies or imbalances. A tailored treatment plan, often involving dietary changes and supplements, can help restore hair health.

Also Read: When laughter leads to hospital visit

How to prevent hair fall?

  • Drink plenty of water to combat dehydration from dry indoor air.
  • Incorporate foods rich in omega-3 fatty acids, such as fish, walnuts, and flaxseeds, to improve scalp health.
  • Maintain a balanced diet.
  • Include iron-rich foods (spinach, lentils) and zinc sources (nuts, seeds).
  • Eat foods rich in vitamin D, or consider supplements after consulting a doctor.
  • Limit hair washing to two or three times a week to retain natural oils.
  • Use lukewarm water instead of hot water to prevent further drying out your scalp.
  • If hair fall persists beyond normal seasonal shedding or you notice bald patches, consult a dermatologist. They may recommend treatments such as supplements, scalp therapies, or medications.

(Edited by Majnu Babu).

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