Our diagnostic workup typically includes: Heavy metal testing to identify toxic metal burden from mercury, lead, arsenic, and cadmium Comprehensive hormone panel (DUTCH test) to evaluate thyroid function, cortisol rhythm, DHEA, testosterone, and estrogen metabolism Nutrient testing to check for deficiencies in iron, ferritin, zinc, biotin, and vitamin D all essential for healthy hair cycling Inflammatory markers to assess systemic inflammation that may be damaging follicles Once we understand the full picture, we build a personalized protocol
It notes separately that dosing adjustments may be necessary for renal impairment or when insulin is part of the regimen, which is a prescriber's determination
A structured treatment plan can provide additional support while helping patients stay focused on sustainable goals
Semaglutide and tirzepatide have undergone extensive clinical trials