Is hair loss always hormonal?

Often, but not always. Nutritional deficiencies, autoimmune conditions, stress, and genetic factors can all play a role. The 23MD consultation begins with bloodwork and a hormonal review precisely because the answer is rarely one cause.

How long before I see results?

Follicles cycle slowly. Most treatments — whether scalp-based, topical, or hormonal — need 3–6 months before meaningful change is visible. Honest expectation-setting is part of the consultation.

Will it work if I've been losing hair for years?

The earlier you intervene, the more responsive the follicles tend to be. Long-standing miniaturisation is harder to reverse. The consultation will be honest with you about the realistic outcome — that's part of how 23MD practises.

Is hair loss different in men and women?

The pattern is usually different (diffuse thinning in women, frontotemporal recession in men) and the hormonal context differs. The clinical investigation differs too — which is why the consultations and protocols are not the same.

Should I see a dermatologist first?

If the loss looks patchy, sudden, or accompanies scalp inflammation, scarring, or other skin changes — yes. At 23MD Dubai, Dr Surbhi Virmani is a dermatologist; in London, GP referral to a dermatologist is the right path before any aesthetic intervention.

Investigated at the Root

Hair Loss

Rarely just genetic. Usually a combination of hormonal context, nutritional deficiencies, follicular sensitivity, and — for many women — perimenopausal shifts.

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Your Concerns

What Is It?

Hair loss is rarely just genetic. The cause is usually a combination of hormonal context (thyroid, sex hormones, stress hormones), nutritional deficiencies (iron, vitamin D, B12), follicular sensitivity to androgens, and — for many women — perimenopausal shifts that change how the scalp's hormonal environment behaves. At 23MD, hair loss is investigated as a clinical picture before any treatment is recommended. The consultation includes bloodwork, hormonal review, and an honest conversation about what the realistic outcome looks like.

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