60, various medications. Will a laser comb or helmet help with hair loss?

Hi! Dr Peterson here - I understand how frustrating hair thinning can be, especially when it’s progressed over a couple of years. With female pattern hair loss (FPHL), especially in women in their 50s–60s, it’s really important to first get a full medical work-up. This can help identify underlying contributors, such as vitamin deficiencies (like vitamin D or folate), thyroid issues, hormonal changes, or medication effects. In some cases, a scalp biopsy may be recommended to confirm the diagnosis and rule out other causes of hair loss.
Oral minoxidil or other medical therapies can be highly effective in slowing or reversing hair thinning.
Laser devices (combs, caps, or helmets) can provide some benefit, particularly in improving hair density and thickness, but they: • Are not considered primary therapy • Require long-term, frequent use to see meaningful results • Usually work best in combination with medical treatments
The most effective approach usually involves a combination of medical therapy, addressing any underlying deficiencies, and adjunctive devices. Consulting a board-certified dermatologist who specializes in hair loss is the best next step—they can tailor a plan specific to your situation, including labs, medications, and device use.

Low-level laser therapy (LLLT), such as laser combs, caps, or helmets, can be a helpful adjunct for certain types of hair loss, including female pattern hair loss. These devices use red light to stimulate hair follicles, improve circulation, and may help prolong the growth phase of hair.

What to expect:

Results are usually modest and gradual—most people notice reduced shedding and some thickening rather than dramatic regrowth.

Consistency is key; devices need to be used regularly (several times per week) for at least 4–6 months before assessing effectiveness.

They are generally safe and well tolerated, even in individuals on multiple medications.

Additional considerations in your case:

Medications and deficiencies: Blood thinners and antihypertensives may contribute to hair thinning, while vitamin D and folic acid deficiencies can also worsen shedding. Correcting nutritional deficiencies is important.

Combination approach: LLLT is often most effective when combined with other evidence-based treatments such as topical minoxidil, oral minoxidil (in select cases), or anti-androgen therapies, depending on your health profile.

Realistic outcomes: These devices help slow progression and improve density but are unlikely to fully restore the two-thirds of hair volume already lost.

In summary, laser combs or helmets are safe and may provide benefit for hair density and quality, but results are usually modest and best when combined with correction of deficiencies and medical therapies.

The low-level laser therapy helmet or comb could be an additional option to your routine as a maintenance of your existing hair. It requires good compliance depending on the protocol of each brand. Generally, it requires 90 seconds to 7 minutes/session which you use the helmet every other day. It takes at least 4-6 months to see the result. The advantage of the laser helmet is that there is no systemic side effects like oral medication. The question is what is your expectation? If you expect that the laser helmet would bring back the volume or help the hair to regenerate, you would be probably disappointed. From your situation, I would recommend you to keep your serum total vitamin D level (25-OH) above 30 ng/ml. You might want to discuss with a dermatologist about low-dose oral minoxidil or bicalutamide. Checking your thyroid function and serum ferritin is also recommended. I hope this help.
Best Regards,Dr. Wunny