Hair Loss Blood Test

What is Hair Loss (Alopecia)?

Hair loss, also known as alopecia, is the thinning or complete loss of hair from the scalp or body. It is caused by nutritional deficiencies (biotin, iron, zinc), hormonal imbalances (thyroid dysfunction, androgens), autoimmune conditions, and genetic factors. The Biotin (Vitamin B7) test is the most important test for identifying nutritional deficiencies that contribute to hair loss.

RECOMMENDED TEST Biotin (Vitamin B7)
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What causes hair loss?

Hair loss is caused by multiple factors including nutritional deficiencies, hormonal imbalances, autoimmune conditions, and genetics. Biotin (Vitamin B7), iron, zinc, and protein deficiencies directly impact hair follicle health and growth cycles. Thyroid hormones (TSH, T3, T4) regulate metabolism and hair growth, while elevated androgens like DHT can shrink hair follicles in androgenetic alopecia. Autoimmune conditions like alopecia areata occur when the immune system attacks hair follicles, and certain medications or stress can trigger temporary hair shedding called telogen effluvium.

What is the best test for hair loss?

The Biotin (Vitamin B7) test is the most important test for hair loss because it detects deficiencies in this essential B vitamin that directly supports keratin production and hair follicle health. Low biotin levels can cause brittle hair, thinning, and increased shedding. While biotin testing is fundamental, a comprehensive evaluation may include Complete Blood Count (CBC) to check for iron-deficiency anemia, Thyroid Panel (TSH, Free T3, Free T4) to identify thyroid dysfunction, ferritin levels to assess iron stores, and zinc levels. These tests together help identify the nutritional and hormonal root causes of hair loss so you can develop an effective treatment plan.

When should I get tested for hair loss?

You should get tested if you notice increased hair shedding in the shower or on your pillow, visible thinning at the crown or temples, widening of your part line, or patches of complete hair loss. Get tested if you have unexplained fatigue along with hair loss (suggesting thyroid or iron issues), if you follow a restrictive diet that may lack biotin or other nutrients, or if hair loss runs in your family. Early testing is important because identifying nutritional deficiencies or hormonal imbalances quickly allows for faster intervention and better outcomes for hair regrowth.

What are the symptoms of hair loss?
The symptoms of hair loss include gradual thinning on top of the head, circular or patchy bald spots, sudden loosening of hair with clumps coming out when washing or brushing, and full-body hair loss in some cases. You might notice more hair on your pillow in the morning, excessive shedding in the shower drain, or a wider part line when styling your hair. Some people experience itching or burning sensations on the scalp before hair falls out, while others notice their ponytail feels thinner or they need fewer bobby pins to secure their hair.
Who is at risk for hair loss?
People at higher risk for hair loss include those with family history of baldness, individuals over age 40, women experiencing hormonal changes during pregnancy or menopause, and people with autoimmune conditions or thyroid disorders. Those following restrictive diets (vegan, low-protein) may develop nutritional deficiencies affecting hair growth. People taking certain medications (chemotherapy, blood thinners, antidepressants), experiencing chronic stress, or with conditions like PCOS or iron-deficiency anemia are also at increased risk. Frequent use of harsh chemical treatments, tight hairstyles, or heat styling can cause traction alopecia and breakage.
What happens if hair loss is left untreated?
If hair loss is left untreated, progressive thinning can lead to permanent baldness in affected areas as hair follicles become dormant or die. Nutritional deficiencies like biotin, iron, or zinc deficiency that contribute to hair loss can also cause other health problems including fatigue, weakened immune function, and poor wound healing. Untreated thyroid disorders causing hair loss may lead to serious complications affecting metabolism, heart function, and mental health. The psychological impact of progressive hair loss can result in decreased self-esteem, social anxiety, and depression, making early intervention important for both physical and emotional wellbeing.
Can hair loss be diagnosed with a blood test?
Hair loss itself cannot be diagnosed with a blood test, but blood tests are essential for identifying underlying causes contributing to the condition. Blood work can detect biotin deficiency, iron-deficiency anemia, thyroid dysfunction, hormonal imbalances, and nutritional deficiencies that lead to hair thinning and shedding. The Biotin (Vitamin B7) test, Complete Blood Count, Thyroid Panel, ferritin levels, and zinc testing help your healthcare provider understand why you are losing hair. A visual examination of your scalp and hair pattern combined with blood test results and medical history provides the most complete picture for developing an effective treatment plan.
How is hair loss treated?
Hair loss is treated based on the underlying cause identified through testing and examination. If blood tests reveal biotin, iron, or zinc deficiencies, supplementation can improve hair growth within 3-6 months. Thyroid disorders are treated with hormone replacement medication to normalize levels. Minoxidil (Rogaine) applied topically stimulates hair follicles, while finasteride (Propecia) blocks DHT hormone in androgenetic alopecia. Corticosteroid injections or topical immunotherapy treat autoimmune alopecia areata. Platelet-rich plasma (PRP) injections and low-level laser therapy are newer options that stimulate follicles. Hair transplant surgery permanently relocates follicles to balding areas for those with permanent follicle loss.
How can I prevent hair loss?
You can prevent hair loss by maintaining a balanced diet rich in biotin, iron, zinc, protein, and vitamins A, C, D, and E to support healthy hair growth. Avoid harsh chemical treatments, excessive heat styling, and tight hairstyles that pull on hair follicles. Manage stress through regular exercise, adequate sleep, and relaxation techniques since chronic stress can trigger telogen effluvium. Get regular blood work to monitor for thyroid dysfunction, anemia, and nutritional deficiencies before they cause significant hair loss. Use gentle hair care products, avoid smoking which restricts blood flow to follicles, and protect your scalp from sun damage with hats or SPF products.
What natural remedies help with hair loss?
Natural remedies that help with hair loss include scalp massage to increase blood circulation to hair follicles, applying rosemary oil or peppermint oil which studies show may stimulate growth, and using biotin-rich foods like eggs, nuts, and salmon. Saw palmetto supplements may help block DHT hormone naturally in androgenetic alopecia. Eating iron-rich foods (spinach, lean meats), zinc-rich foods (pumpkin seeds, oysters), and foods high in omega-3 fatty acids supports hair health from within. Reducing stress through yoga or meditation prevents stress-related shedding. However, if blood tests reveal specific deficiencies or hormonal imbalances, medical treatment guided by your healthcare provider will be more effective than natural remedies alone.
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If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.
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Biotin (Vitamin B7) 185 ng/L
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185 ng/L

What this means

Your biotin levels are slightly below the optimal range. While this is not severely deficient, it may contribute to hair thinning, brittle nails, fatigue, or skin issues you've been experiencing. Increasing biotin through diet or supplementation can help restore healthy levels.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.

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* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.

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