TELOGEN EFFLUVIUM! STRESS SHEDDING AND HOW TO GO ABOUT FIXING IT!

[@mimozagila9764]

Thanks for this video Dr. I have started losing hair since Covid vaccine, 3 years and I am almost bold😢.

[@WilliamGaunitzTrichologist]

Well, we have a protocol for that. We seem to have an issue with Covid and the vaccine relating to gut issues. You would need to use the FoliGrowth serum and the methylated version of the vitamin. And repair and gut issues that you have along with some trace minerals additionally, bloodwork for a full inflammatory zone. Three panel would be ideal.

[@expansaoconectada]

Please, what would this bloodwork for full inflamatory zone be? And what's the name of this 3 panel test? ​@@WilliamGaunitzTrichologist

[@hamidreza3688]

@@WilliamGaunitzTrichologist This seems to be my case too, Astrazeneca vaccine gave me intense regular stomachache and diarrhea and migraines, a year later, I lost half my hair, recovered some but nowhere near what I had. To this day none of my doctors have a clue and deny any relation to the vaccine!

[@wasanelzain2040]

Hello Dr. William could you make a video about hypothyroidism tellogen effluvim, optimum TSH and T3 levels to reduce hypothyroidism hair loss and other treatments available. I have been suffering hair loss for 15 years despite taking my thyroid medication and hair sprays prescribed by dermatologists. Thank you for your informative videos.

[@stephs4550]

I have purchased your Foligrowth, DHT blockers, Derma Iron and vitamin D3 --and I do really well for a bit then all of a sudden a bunch of shedding starts so now I will be purchasing Nutra M since I have not treated my hair loss topically......My question would be would you suggest to start with Nutra M instead of Rogaine. WHAT IS THE DIFFERNCE BETWEEN ROGAINE AND NUTRA M? Hope to hear back

[@matteopepe28]

How long have you been using?

[@WilliamGaunitzTrichologist]

Did you get a blood test? It sounds like you have a more aggressive nutritional issue that was temporarily mitigated by the Foligrowth but lingered because it was not specifically addressed, something like ferritin, vitamin D3, or zinc.

[@WilliamGaunitzTrichologist]

Rogaine is minoxidil, and the Nutra M is a topical tincture formulation including melatonin, but it also has a variety of other natural ingredients to help manage DHT-related hair loss and support proper hair regrowth.

[@stephs4550]

@@WilliamGaunitzTrichologist I have, about two years ago and was told I was a bit anemic but that's it. I have an appointment coming up and I will be requesting more specific test. I have been watching your videos and I feel this time around I am better equipped to ask the more specific questions instead of general ones. Thank you for what you do and for giving hope and power through knowldege to a community that at times can feel lost and hopeless. God bless.

[@xiaoyu88]

@@stephs4550 I just saw a video with a guy saying the same, shedding after a few weeks. Shedding is not a bad thing because the hair is starting to respond to treatment. in 3 weeks he saw new hair comes in places he did not had yet, which is why it is important to persist the treatment even if you noticed a shed. Keep going, persistence is key

[@estertaniaj]

Hi, I have DHT hair loss and I am currently going through IVF treatments in Australia (more affordable than US). I started minoxidil last year but had to stop due to the IVF. I also do not eat animal protein at all and rely on tofu, seitan, tempeh, TVP for protein. I just ordered your DHT blocker, shampoo, and NutraM DHT Blocking Hair Serum. Along with your products, washing my hair daily, 15 min scalp massage (moving scalp over the head not just hair massage), oiling my hair with rosemary (I know you have said this will not help regrow hair but can help with inflammation). Is there anything else you think I can do? The IVF has been incredibly stressful which makes me wonder if that has made the hair loss worsen over the past 6 months since starting IVF. I would love to visit you when I am back in the US.

[@WilliamGaunitzTrichologist]

I'm sure there is more that you can do but the fact that your hormones are in flux because of the IVF is going to create challenges. We would need to get full inflammatory bloodwork, which is the zone three panel and dive your personal situation so that we would know why you are losing hair.

[@tiffanyodell9148]

Consider nizoral shampoo

[@DiegoCamacho-wh1ns]

Doc i see a lot of people on tik tok and reddit who said that even in years theirs telogen don't disappeared

[@fuatanshori]

Hello Doctor William. I had dengue fever and recovered on January 15 2024 and I started experiencing hair loss around mid-April. In general, how long does hair loss last due to telogen effluvium? and how long does it take for hair to grow back after the first loss appears? According to the doctor, when will my hair start to grow? I hope the doctor answers😢

[@Furqanndar]

Hey there not a doc here , but an unlucky person like you suffering from TE for a year now , I am not here to demotivate you but mines going on now. My scalp is reduced to 50% now ig. I am in dire need of prayers.

[@charlesjoyce7543]

Hi William, I’m 64 years of age and had a thick head of hair my entire life until I was diagnosed with primary hypogonadism 4 months ago and started on testosterone 100 mg weekly. I started having significant thinning and hair loss. Saw a dermatologist and was diagnosed with telogen effluvium. I have read that rapid, large fluctuations in hormone levels can induce TE. My Testosterone level went from 104 to 667 when checked 7 weeks after initiation. In your experience have you seen TE develop after initiation of testosterone for primary hypogonadism? Thanks

[@MeganA777]

Hey doc please help - I was diagnosed with TE, my trichologist put it down to low ferritin (it was 17%) - devastating. I was advised to get a transfusion (ferrinject 1000mg) to get my levels right back up. It’s been over 2 months now - when will the shedding stop? And what more can I do? supplements/shampoo/nutrition wise? I’ll be in LA later this year and wish to see you too. Your help is invaluable. X

[@AbhishekMazumder]

Good video. Question: does Arcolys help in repigmentation of hair wrt to reversing grey hair?

[@san01-l7r]

stress is number one cause that makes your hair fall out!

[@asharozario]

Very useful, thank you! Can you use both minoxidil q24 and melatonin together and is that useful?

[@jadijune9058]

Thank you, Doctor 👍 I have one question: can I take other vitamins with Vitamin D simultaneously?

[@d-man2286]

I’ve been shedding on oral minoxidil for 4 months and some days while I’ve been using it for 6 months after switching from topical minoxidil. I’ve lost a decent amount of ground on my hairline and density and am looking a bit below baseline. Is this bad? Should I stop oral or use both?

[@asimbliskovac9720]

Usage of oral minoxidil in the long run is unsustainable because of severe side effects that come in time. Stop using it orally and use it only locally, preferably 5% solution.

[@communingwithGod]

I have this issue im sure due to high stress levels on my job and just the way my life has been going these past 3.5 years- always having a full head of hair to thinning ontop. Any suggestions please

[@guanimos1638]

After having covid, 3 months later in late january hair texture changed but nothing alarming. In june hairloss just did exactly what was said in the video, hair just began to fall off my head. It didnt stop until october then in november it got alittle better but ever since then my hair has grown in length but its still noticable and at a halt.

[@perrissmith8809]

Had TE after a narcissist… (stress) started after the break up and went on for 24 months until I moved and felt safe… 8 months after shedding, (today) lots of new hairs but still see my scalp. Nutrition is under control, (the problem was high cortisol, which is now been subsided) been microneedling. Considering minoxidil, but am super hesitant to pharmaceuticals. I guess my question is: do the new hairs start in patches of months? Just becuase I see new hairs, they arnt happening everywhere at the same time. Really considering the minoxidil for a kick start, or maybe this melatonin you mention would be better to experiment with? Thank you kindly!

[@Furqanndar]

Have you tried rosemary oil , btw suffering form TE from last year now kinda on and off , any tips on how fix it

[@perrissmith8809]

@@Furqanndar really, when your in it, it has to run its coarse. The best thing to do is Know it will end, and stay calm about it. I’m done shedding now, but my second year was on and off as well. I’m now microneedling. And have no stressful situations or people in my life. High chronic Stress was my issue.

[@Furqanndar]

@@perrissmith8809 Brother I hope, you have beautiful and stress free life ahead and may your hair perish. I have some questions , if you are willing and free enough please answer some of my questions. 1)How to clearly identify if it’s talogen effluvium or not ? 2)How much of your did you regrow ? 3)What products did you use and what product helped you the most ? This will be a great help , Thankyou so much.

[@perrissmith8809]

@@Furqanndar yes! Of coarse! I am female… I lost about 70% FAST. It was emotionally stress induced. You can tell by running your hands through your hair and tons will fall out, you can tell in the shower, your bed or by sweeping your floor. It all comes out through the whole head. It can happen for 3 months consistently, stop and re-start. There’s no way to stop it once the tellegen phase has began, so don’t worry about babying it, just stay calm. And let it do it’s thing, sleep well, eat well, and eliminate the stress that caused it, or makes it persist. All my hair is coming back! I use microneedling to promote it, supplements, and scalp massages. I also use homeopathic dr reconwig for hair formula as well as an eastern Indian herb on the scalp. I hope this helps you! Bottom line … your hair will come back! Stay calm, I know it’s hard 💕

[@perrissmith8809]

@@Furqanndar hair flourish! No perish 😄🥰

[@MikeGadson-mw8mp]

So say my ferritin is 30 will my hair on top of my head and sides grow back a lil if i get the ferritin to 70 and above

[@sarapintodacosta301]

How many times per week do you recomend washing our hair?

[@Thegamerserpent]

Last year july I suddenly started shedding more and more up to a point where I could see all my scalp when wet, it happened 2 months after I got corneal kerititis which was the most difficult time in my whole life and I was put on prednisone eye drops , it’s been almost 10 months I still didn’t get my full thickness back, please help I’m feeling suicidal, my hair was everything for me, i had the most beautifully hair in my whole campus now I’m going bald, 😢😢😢

[@sl4983]

Are you okay? They are ways to handle hair regrowth. Are you in the US?

[@divyashiny5223]

Hello sir low estrogen will cause hairloss overall thinning bcoz almost everything optimal but ferritin is little bit low 52 even though my hair is thinning I'm 34 years old female

[@NATIKSHARMA-yc4us]

Hi sir ,i was going through stress and diet changes 3 years back and having hairfall started minoxidil for 2 months then stopped ,i was nt having hair fall now but just to increase density i used minoxidil for 6 months and again stopped abruptly , and now after 2 months again used for 10 days and stopped , will hair loss done by minoxidil shedding will grow back ,i will be very thankful

[@SathishKumar-dc4dp]

Can you please put a video about premature greying? 1. What is the cause of premature greying? 2. Is it possible to return the color? Please explain to us A to Z.

[@chosenone1811]

Doctor william i have a question.What is your opinion about l cysteine for hair growth . I actually took l cysteine supplement 2 capsules day and night and my hair was thicker and fuller within a month.

[@dbbreaking3075]

What are your thoughts on topical finasteride they have to base it with Minoxidil. Do you think that would be good?

[@geogleful]

Could you please explain why laser treatments over 80 diodes may be harmful? Seems that laser caps sold in the market now all have way more than that. Thank you!

[@WilliamGaunitzTrichologist]

Great question! Laser treatments, like **Low-Level Laser Therapy (LLLT)**, can be effective for hair growth by stimulating follicles and increasing blood flow to the scalp. However, concerns arise when caps have **over 80 diodes** because too much exposure to concentrated light energy can potentially cause scalp irritation, overheating, and even damage to hair follicles in some cases. ⚡ The key with LLLT is moderation-enough light to stimulate the follicles without overwhelming the scalp. That’s why many experts recommend devices with a moderate number of diodes, allowing for consistent and safe treatments. Many caps on the market with more diodes can still be effective, but it's crucial to follow the recommended usage times and avoid overexposure to avoid adverse effects. ➡️ Reach out to us at www.advancedtrichology.com/ for personalized advice on safe and effective laser treatments!

[@MK-dj5vz]

Are there side effects to melatonin topical scalp treatments ?

[@christianrivera5761]

In January I was in car accident and then in February I had surgery , I notice I was shedding and thinning, I'm on week 10 what can I do miss my thickness and full hair😢

[@jayhulrs1435]

This is happening to me. In May, my fiancé cheated on me and I had to move out. Move to a new city. Find a new job and was pretty much traumatized. Now my hair is falling out in handfuls. This is 3 to 4 months later.

[@bishnukc1786]

My vitamin D level is at 8.3 ng/ml and I thik I’m dealing with a chronic TE since 2019 and also my doc prescribed me vitamin D supplements for 3 months what can I do to stop my hair fall and regrow beside minoxidil?

[@fardinfardin5025]

Does Vitamin D3 deficiency can lead Telogen effluvium Sir?

[@KatrinaKaif-n7u]

Yesss absolutely

[@Mikolas649]

When you say a stressful event started months ago, I beg to differ, for me, TF, Started within days of the stressful events(2), and hairful lasted 2/3 weeks. I had stopped topical minoxidil for 13 days, but resumed and added oral minoxidil 1.5 mg, hair fall stopped, so my Tf period lasted only about 3 weeks. MY question can I continue topical 5% foam, once a day and oral 1.5 mg? BTW, my hair was and is fairly full and thick, however the temporal area recided about.3 cm.

[@Modlb7]

Hey could you please answer this question Does telogen effluvium cause male pattern baldness to accelerate?

[@Venomskye00]

I have had mutliple blood panels done. And my ferrtin was 56 and i just found out my cortisol is 27 mcg. Which they told me is higher than the normal 22 mcg. Should i be taking anything to reduce the cortisol. I have been taking iron but im not sure if that is working.

[@CristianRodriguez-wc1ww]

Can I use the follow growth serum and dht serum at the same time . Or should I use them separately

[@donnarymer5690]

Can this foligrowth follicular performance serum be used if you have seborrheic dermatitis.?

[@tradewithrohit247]

Hey I am suffered from swelling throat after using Minoxidil and dryness in mouth what to do now

[@mamadoujr9085]

Thank you i never know that we can use minoxidil to treat TE.

[@unknownunknown-lg4vc]

It did for me three months after recouping. Massive shed. Still working on it for almost a year to get back to normal. As if the whole covid thing wasn’t bad enough.

[@PM-yc1rf]

Can hair temporary regrowth white after severe telogene effluvium, and later turn back to their original color ?

[@subs4794]

COVID-19 created an epidemic of stress hair loss.

[@YourPainting1]

Inflammation hair loss

[@perrissmith8809]

@@YourPainting1so maybe take turmeric to start decreasing inflammation herbally?

[@iambryn2012]

@@perrissmith8809ima try this pray for me 🙏🏼

[@Magneticlaw]

Doubtful

[@subs4794]

@@Magneticlaw even ask any GP MD...

[@Vakator-29]

I started noticing hairloss since September 2023. My hair stopped falling out in January of 2024, its now april 2024 but my hair has yet to start regrowing. Is this an indicator that i have other issues?

[@harrylessinger5769]

Dude, Are you related to David Spade? You look just like him in my humble opinion.

[@Fireguy65]

He does lol

[@joannc4362]

Regarding hair I took a blood test at Dr office...everything okay is that a different test you h a ve to take for hair?

[@communingwithGod]

I have a question where can I get blood work done as some of these doctors won't even tell you your blood levels or types. I had blood work done and the doctor didn't even tell me nothing lok

[@TOSKA-c6b]

I went a dermatologist last week (finally) and all he did was run his hand through my hair a few times tell me I definitely had TE and then try to get me to start minoxidil. I asked if this could kick in genetic hair loss or if my hairline was looking bad because of another problem and he said that TE won’t kickstart balding (not true) and he avoided my other questions. I don’t know what to do anymore. Edit: my ferritin was at 17 and I know it’s TE but my grandpa went bald at 22 so….

[@WilliamGaunitzTrichologist]

It sounds frustrating to feel like your concerns weren't fully addressed at your dermatologist visit. It’s crucial to differentiate between Telogen Effluvium and other types of hair loss, especially when genetic factors might be involved. In the video "TELOGEN EFFLUVIUM! STRESS SHEDDING AND HOW TO GO ABOUT FIXING IT," William discusses the importance of addressing underlying causes, such as nutritional deficiencies or hormonal imbalances, which can exacerbate or trigger Telogen Effluvium. Getting a comprehensive blood test to check levels like ferritin, vitamin D, and others can provide a clearer picture and guide appropriate treatment. Remember, addressing the root cause rather than just the symptoms is key to effectively managing hair loss. Melissa Fox (Customer Service) ➡️Reach out to us at www.advancedtrichology.com/

[@christyabraham6014]

Hey William how do i get checked if I’m secretor or a non secretor for my blood type as I know I’m blood type b but I dont know if I’m secrator or non secrator?

[@Bossboss754]

Sir will antidiprasent causes telogen effluvem

[@warrior2936]

An important cause is not mentioned. Hair fall can also be a side effect of medicines which was my case. Telogen effluvium can be triggered due to high potent medications, chemotherapy for eg.

[@trustno_one]

Dr. you mention Minoxidil, but for how long in the telogen effluvium scenario? thanks.

[@RMTH2009]

I was put on it for 18 months to reset my follicles to “remember” how to grow. The first year I used it daily and now I’m down to three times a week. As I get closer to the 18 month mark I’ll be weaning down to 2% three times a week. I went from losing hundred of hairs a day to just 10-20, it’s made a huge difference.

[@meryembadir2441]

Can I use topical melatonin while pregnant ?

[@arattrikadas2704]

After 14 kg weight loss, i started to loose hair suddenly... I corrected my Vit D.. and now ferritin level is 9.2! Will I get my hair back by corrected them !!!??? It's being 3 months

[@TapaswiniSwain]

Yes you can, I regained after correcting my vit d and b12 levels

[@TheOceansCore]

Im not balding or thinning but i am shedding alot of hair which may be from a stressful that i did go through earlier this year my Quick question And this is just a question not asking like your my doctor cuz yes ive already seen a professional and my health and levels are intact so what my question is what if i dont want my dht levels blocked even if its temporary as a man and you know this too we kinda need it bro i dont wanna be having what makes me a man “not working” yk what i mean.. could i still just use the tropical melatonin and the laser therapy which are in my reach and im already been working on my nutrition

[@WilliamGaunitzTrichologist]

I totally get where you're coming from, and it's great that you're thinking about preserving your **DHT levels** while still tackling your **hair shedding**. You're absolutely right-DHT is important for men’s health, so it's understandable to be cautious about blocking it, especially when you're not experiencing balding or thinning. Since you’ve mentioned that your hair shedding could be related to **stress** (which often leads to **telogen effluvium**), it sounds like your hair loss could be temporary. The good news is that you can address this without touching your DHT levels! Here’s what you can do: ### 1. **Topical Melatonin**: - **How it works**: **Topical melatonin** is an excellent option because it helps regulate the hair growth cycle and acts as a powerful **antioxidant**. It may help reduce **shedding** by protecting hair follicles from oxidative stress and promoting healthier hair growth. - **No DHT Impact**: Unlike DHT blockers, melatonin doesn’t affect hormone levels, so it won’t interfere with your body’s natural processes. You can safely use it without worrying about impacting your testosterone or DHT levels. ### 2. **Low-Level Laser Therapy (LLLT)**: - **How it works**: LLLT promotes **blood circulation** to the scalp and stimulates hair follicles, which can help reduce shedding and improve the overall health of your hair. It’s an excellent non-invasive option for people who want to **strengthen their hair** and **boost regrowth** without altering hormones. - **Safe for DHT**: LLLT doesn’t interfere with DHT levels, so it’s a solid option for men who don’t want to risk any hormonal changes. ### 3. **Focus on Nutrition**: - Since you've been working on your nutrition, you're already on the right track! Keep up with a **balanced diet** rich in **vitamins and minerals** like **biotin**, **zinc**, **iron**, and **vitamin D** to support overall hair health. Foods rich in **omega-3 fatty acids** (like fish) can also help reduce inflammation and improve hair health. ### Conclusion: You absolutely can stick to using **topical melatonin** and **LLLT** without affecting your DHT levels. Both are safe, effective options for addressing **shedding** and promoting **stronger, healthier hair** without compromising your hormones. It sounds like you're already taking the right steps by addressing stress and focusing on nutrition, so adding these two treatments could be just what you need to stop the shedding and keep your hair healthy. ➡️ If you need more advice on how to use these treatments effectively, or have any other questions, feel free to reach out at **www.advancedtrichology.com/**! Keep up the great work! 😊

[@valantisnikolaou3711]

Hey doctor I would like to give me some advices. I was diagnosed with seborrheic dermatitis and starting to lose my hair,I had a diffusion throughout my entire head and my corners and the top of my head was visible. I want to ask if I have inflammatory hair loss or dht hair loss.i also supplement with d3 ferritin zinc so I believe it's not nutritional hair loss

[@WilliamGaunitzTrichologist]

Sounds like it's inflammatory but you need to get full blood work. I would recommend to get a Zone 3 blood panel from the advanced trichology site. You could simply take the list and bring it to your GP and see if they'll run those tests as well if you are out of the USA

[@sethumadhavanm7658]

​@@WilliamGaunitzTrichologisthey doctor what is that test? Is that complete blood count test.. How to ask them for this particular test in India..

[@storytimes.1]

I'm 21 years old, Does using minoxdil will be a wrong decision?

[@blackstars4483]

Whats the condition of your hair now? I am also 21 year old and the hair fall is a blow to my self esteem

[@amberstevens7921]

If I use a red light machine which delivers >100 mw/cm2 and emits 660nm red light and 850nm near-infrared light. Is this safe as I’m not sure how to convert it to Diodes? Thank you

[@mayanklamba2715]

Hey Doc Which minoxdil is better. With Alcohol or without Alcohol

[@WilliamGaunitzTrichologist]

Great question... honestly I don't believe they have a non alcohol based Minoxidil formula because a water base probably would not keep an Minoxidil in suspension but regardless the answer is the alcohol base.

[@SAMRUM12]

But I am using non alcohol based

[@chilukuriswethareddy8570]

Hi Doctor- I am using minoxidil 3 percent from past 20 days now i am shedding more hair than before does it takes more time to control.

[@dolier2802]

As far as im aware whenever you use minoxidil, your hair loss will ramp up for a little bit before the nee hair starts to grow, so just stick with it I'd say

[@chilukuriswethareddy8570]

@@dolier2802 Thank you for the response.

[@brandonray4379]

I suffered from bulimia nervous and now my whole head is thinned even the nape.

[@aaronkhan6421]

Hi Mr. Gaunitz I was wondering if you could tell me if I should be losing hair when applying foligrowth serum and dht blocker for 1 in a half month currently my iron is low 25ng/ml I need to get to 100ng/ml so how low is that ? This week ill also be tested for zinc b12 vitamin D and testosterone and lastly why do you think im losing hair is it cuz of my low vital functions of my body thanks

[@WilliamGaunitzTrichologist]

It would definitely be normal for you still to be losing hair with that iron level. At that serum iron level are in fact anemic and need to get that up quickly. You on the Derma iron? If not you should be.

[@aaronkhan6421]

@@WilliamGaunitzTrichologist im taking an iron supplement just started with 45mg a day taking once a day for a week now is that fine instead of derma iron ?

[@johncastiglione3478]

Hey Doc. I have high ferritin 399/ng and iron 120 is this bad or a good thing for growth?

[@WilliamGaunitzTrichologist]

That's not good in general. To try to get that down to 250 or less. That's for your hair and general well being

[@johncastiglione3478]

@@WilliamGaunitzTrichologist Thanks. What do you suppose makes it so elevated and how is best to lower it?

[@HarshKS2]

​@johncastiglione3478 I don't know if u got answer but its probably due to either supplement overdose or excess red meat intake etc, u can donate blood to reduce the level down, but always consult a Doctor..

[@sadiknagori758]

Hey William my blood type is A+ so can i eat chicken is ok or not because in dr adamo book chicken is neutral what's your thoughts please give

[@dbbreaking3075]

Call his company or email them, and they will send u the whole list of foods for your blood type.

[@WilliamGaunitzTrichologist]

Yes that is fine. I just typically recommend that you do not overdo it.

[@mikaiahbrown9849]

I have fibromyalgia and have noticed lots of shedding for at least 4 years now. I just recently found that my ferratin levels are extremely low. Can both fibromyalgia and low ferritin be a factor in my hair loss?

[@zuhalal-zarka6087]

Does minoxidil cause grey hair

[@SS-dp7lt]

Melatonin how. It comes in capsules !!

[@esperanzataylor8066]

I do use Foligroth advanced and I have all my hair back.

[@WilliamGaunitzTrichologist]

That's great! The serum or the vitamin?

[@esperanzataylor8066]

Vitamin

[@esperanzataylor8066]

I would like to know if I need sameting else

[@bishnukc1786]

Do we have to use it life long like minoxidil?

[@luckytech3318]

Does TE only happens to females?

[@ananawad6525]

Hey doctor , we want an episode for proven scientifically foods & drinks that lower dht or foods/ drinks that support and strengthen the hair follicles against dht

[@Kikiconsilience]

33% more like 70%