Is it AGA or just nutrients deficiency?

Question

I've been losing hair since 2 years now particularly in the middle part, on temples and hairline I already have very fine and thin hair. I've really low ferritin levels - 9ng/l and vit D is low as well but my derm has suggested me to use minoxidil 5%, hair serum (redensyl) and supplements . My mom has thinner hair and some hair loss overall on the scalp but no widening of middle part so she does not have AGA. I'm not sure if i continue to use minoxidil or just vitamins

Anna Chacon, MD, FAAD · Answer

Hair loss can be a complex issue with multiple contributing factors. Based on the information you've provided, it appears you might be dealing with a combination of both androgenetic alopecia (AGA) and nutrient deficiencies. Let's break down the key points to consider:

### Androgenetic Alopecia (AGA)
- **Pattern of Hair Loss**: AGA typically presents as thinning on the top and front of the scalp, including the middle part, temples, and hairline. This seems consistent with your description.
- **Family History**: While your mother has some hair thinning, she does not have significant widening of the middle part, which may suggest a different pattern or less severe manifestation of AGA.

### Nutrient Deficiencies
- **Ferritin Levels**: Ferritin is a marker of iron storage, and low levels (below 30 ng/mL) can contribute to hair loss. Your level of 9 ng/mL is significantly low and could be a major factor.
- **Vitamin D Levels**: Low vitamin D can also contribute to hair thinning and loss.

### Treatment Options
- **Minoxidil 5%**: Minoxidil is a well-established treatment for AGA. It works by prolonging the growth phase of hair follicles and can be effective in both men and women. If your dermatologist has recommended it, it's likely because they suspect AGA is a significant component of your hair loss.
- **Redensyl**: This is a relatively new ingredient found in some hair serums, aimed at stimulating hair growth. While not as extensively studied as minoxidil, some users report positive results.
- **Supplements**: Given your low ferritin and vitamin D levels, addressing these deficiencies is crucial. Iron supplements and vitamin D can help improve overall hair health and should not be neglected.

### Recommendations
1. **Continue Using Minoxidil**: Since your dermatologist recommended it, and it can be effective for AGA, continuing its use is advisable. It often takes several months to see noticeable results, so patience and consistency are key.
2. **Address Nutrient Deficiencies**:
   - **Iron Supplementation**: Work with your healthcare provider to start iron supplements. They can monitor your ferritin levels and adjust the dosage as needed.
   - **Vitamin D Supplementation**: Similarly, start taking vitamin D supplements as advised by your healthcare provider.
3. **General Hair Care**: 
   - Maintain a healthy diet rich in iron, vitamin D, and other essential nutrients.
   - Avoid excessive heat styling, tight hairstyles, and harsh chemical treatments that can further damage hair.

### Monitoring and Follow-Up
- **Regular Check-Ups**: Regularly check in with your dermatologist and primary care provider to monitor your progress and adjust treatments as necessary.
- **Blood Tests**: Periodically recheck your ferritin and vitamin D levels to ensure they are improving with supplementation.

### Conclusion
It's likely that your hair loss is due to a combination of AGA and nutrient deficiencies. Addressing both aspects simultaneously — using minoxidil to treat AGA and correcting your low ferritin and vitamin D levels — offers the best chance for improving your hair health. Always follow your healthcare provider's advice and keep them informed of any changes in your condition.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Based on your concerns, I recommend to continue taking hair supplements. Further, I highly recommend treatment with PRP and/or Exosome injections. This is a great way to prevent further hair loss and to strengthen existing hair follicles. I hope this helps and best of luck!

Jeff Donovan, MD, PhD · Answer

Well, first off, that would be a big mistake to say your mom does not have AGA with this information. Second you could have AGA and telogen effluvium from these deficiencies. Hair loss is diagnosed only with a full review of your story from birth until today and a good examination of the scalp. There are zero substitutes.

Is it AGA or just nutrients deficiency?

Answers (3)

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