
The Science Behind Hair Loss: Causes & Solutions
Worried about thinning hair or sudden shedding? You’re not alone. Understanding the science behind hair loss can help you recognise causes, assess risk, and choose the right next step. This post explains the biological mechanisms, common triggers, treatments, and when to see a doctor — with practical, Dubai-focused guidance. It's always best to consult a healthcare professional for a diagnosis.
What is the scientific reason for hair loss?
Hair grows from follicles in cycles: anagen (growth), catagen (transition), and telogen (rest/shedding). Hair loss happens when these cycles are disrupted or when follicles shrink and produce thinner hairs (miniaturisation). Key scientific causes include:
- Androgenetic alopecia: The most common cause in both men and women. Dihydrotestosterone (DHT), a potent androgen derived from testosterone, shortens the anagen phase and causes follicular miniaturisation. Genetics and hormonal sensitivity drive this process.
- Telogen effluvium: A temporary increase in hairs entering the telogen (shedding) phase due to stressors such as illness, surgery, hormonal changes, rapid weight loss, or severe stress.
- Alopecia areata: An autoimmune condition where immune cells attack hair follicles, causing patchy hair loss.
- Scarring (cicatricial) alopecia: Inflammatory disorders destroy hair follicles leading to permanent hair loss.
- Nutritional deficiencies and systemic disease: Low iron, thyroid disorders, and other metabolic issues can impair hair growth. Common blood tests that help identify these causes include ferritin and iron studies, a complete blood count (CBC), thyroid function tests (TSH and free T4), vitamin D and B12 levels, and zinc; results guide targeted treatment.
Understanding the underlying mechanism is essential because treatment differs: hormonal therapies target DHT, nutritional correction addresses deficiencies, and immune-modulating treatments are used for autoimmune forms.
Is it possible to regrow hair?
Yes — but it depends on the cause and how early treatment begins. Examples:
- Androgenetic alopecia: Treatments can slow progression and stimulate regrowth in many people. Options include topical minoxidil and oral finasteride (men) which act by prolonging the anagen phase and lowering DHT respectively. Hair transplant surgery is an option for stable patterns of loss.
- Telogen effluvium: Often reversible when the trigger is removed; hair commonly regrows over months.
- Alopecia areata: Some people experience spontaneous regrowth; treatments (topical or intralesional corticosteroids, immunotherapy, JAK inhibitors in certain cases) can help but responses vary.
- Scarring alopecia: Regrowth is unlikely if follicles are destroyed; early anti-inflammatory treatment aims to stop progression.
Effectiveness varies by age, duration of hair loss, and individual health. Our doctors at Zaincura can provide a personalized assessment and discuss realistic expectations and options. It's always best to consult a healthcare professional for a diagnosis.
Why is Gen Z balding so fast?
Reports and anecdotal observations suggest younger adults, including Gen Z, are noticing hair thinning earlier. Contributing factors may include:
- Lifestyle and stress: Chronic psychological stress and disrupted sleep patterns affect hormonal balance and can trigger telogen effluvium.
- Diet and nutritional gaps: Restrictive diets, low protein intake, or vitamin/mineral deficiencies (iron, vitamin D, B12, zinc) can accelerate shedding.
- Hair practices: Frequent chemical treatments, heat styling, tight hairstyles (traction alopecia) damage follicles over time.
- Hormonal factors and genetics: Early-onset androgenetic alopecia can run in families and may present in the 20s.
- Increased awareness and diagnosis: Younger people are more likely to seek care and notice subtle thinning thanks to social media and better access to information.
If you’re a young adult in Dubai concerned about rapid hair loss, early evaluation improves the chance of stopping progression and regrowing hair where possible.
What vitamin is good for hair loss?
No single vitamin is a cure-all, but several nutrients are important for healthy hair growth:
- Iron: Iron deficiency is a common, reversible cause of hair shedding, especially in women. Ferritin (stored iron) is often checked.
- Vitamin D: Low vitamin D levels have been associated with several forms of hair loss.
- B vitamins (including biotin): Biotin deficiency is rare, but B12 and other B vitamins support hair health. Routine high-dose biotin isn’t recommended without deficiency.
- Zinc: Important for cell division and protein synthesis in hair follicles; both deficiency and excess zinc can cause hair problems.
- Protein: Adequate dietary protein supplies amino acids needed for hair keratin.
Common blood tests to check for treatable causes include ferritin and iron studies, CBC, thyroid function tests (TSH and free T4), vitamin D and B12 levels, and zinc. For women with menstrual irregularities or signs of androgen excess, hormonal tests (for example, serum testosterone, DHEA-S) may be indicated. Identifying a deficiency or disorder helps target treatment appropriately — for example, iron supplementation for low ferritin, correction of thyroid dysfunction, or vitamin D replacement when deficient. Before starting supplements, it’s important to test for deficiencies. Unnecessary supplementation can cause harm (for example, excess vitamin A may contribute to hair loss). Our doctors at Zaincura can run relevant blood tests and recommend targeted supplementation if needed. It's always best to consult a healthcare professional for a diagnosis.
When to Visit a Doctor at Zaincura
Consider booking an appointment at Zaincura in Dubai if you notice any of the following:
- Rapid or sudden hair shedding (large clumps or increased hair on pillow/brush over weeks).
- Patchy or localized bald spots.
- Scalp symptoms such as severe inflammation, pain, scarring, pustules, or persistent itching.
- Hair loss that affects your confidence or daily life.
- If you have a family history of early balding and want preventive strategies.
- Suspected nutrient deficiencies, thyroid issues, or systemic illness associated with hair loss.
Our clinic offers diagnostic blood tests, scalp examinations (including trichoscopy), medical treatments, and referrals for surgical options when appropriate. We commonly perform tests such as ferritin/iron studies, CBC, thyroid function tests (TSH and free T4), vitamin D and B12 levels, and zinc; hormonal testing is available when indicated. These results are useful to identify reversible causes, guide supplementation, or prompt further specialist referral. Our doctors at Zaincura can provide a personalized assessment and treatment plan tailored to residents of Dubai. Booking an early consultation can improve outcomes.
Note: Information here does not replace a medical consultation. It's always best to consult a healthcare professional for a diagnosis.
Summary
The science behind hair loss combines genetics, hormones, immune responses, nutrition, and lifestyle. Many causes are treatable or manageable when identified early. Appropriate blood tests (for iron stores, thyroid function, vitamin D/B12, and other targets) are an important part of the assessment because they identify reversible contributors and guide therapy. If you live in Dubai and are concerned about thinning hair or sudden shedding, seek an evaluation so you can explore evidence-based options. Our team at Zaincura is available to help with testing, diagnosis, and individualized care.
References
- Mayo Clinic: Hair loss (Alopecia): https://www.mayoclinic.org/diseases-conditions/hair-loss
- Cleveland Clinic: Hair Loss: https://my.clevelandclinic.org/health/diseases/14508-hair-loss
- NHS: Causes of hair loss and hair loss treatments: https://www.nhs.uk/conditions/hair-loss/
- American Academy of Dermatology: Hair loss: https://www.aad.org/public/diseases/hair-loss
- PubMed: Review: Androgenetic alopecia pathogenesis and treatment: https://pubmed.ncbi.nlm.nih.gov/ (search: androgenetic alopecia review)
- World Health Organization: General health and nutrition guidance: https://www.who.int/
For personalised care in Dubai, contact Zaincura to book an appointment. Our doctors at Zaincura can provide a personalized assessment.