Hair Loss Blood Test: Which Tests You Need and What Results Mean (2026)
Last updated: March 2026
Which blood tests do you need for hair loss?
The essential hair loss blood panel includes ferritin (iron stores), full blood count (FBC), thyroid function (TSH, free T3, free T4), vitamin D (25-hydroxyvitamin D), zinc, vitamin B12, and a hormonal panel (testosterone, DHEA-S, SHBG). For women, prolactin and fasting insulin may also be relevant if polycystic ovary syndrome (PCOS) is suspected. These tests identify correctable underlying causes that contribute to a significant proportion of hair loss cases.
Without blood work, any hair loss treatment is essentially being administered blind. You may be treating androgenetic alopecia when the real driver is iron deficiency. You may be spending money on PRP while an undiagnosed thyroid condition undermines every treatment you try. Getting the right tests done first is not optional. It is the foundation of effective hair restoration.
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What does each test measure and why does it matter?
Ferritin (Iron Stores)
Ferritin is the single most important blood test for hair loss, particularly in women. It measures stored iron, which is distinct from haemoglobin (the iron in your red blood cells). You can have low ferritin and hair shedding while your haemoglobin remains completely normal, meaning you are not technically anaemic but your hair follicles are starving for iron.
Optimal level for hair growth: At least 70 ng/mL. Many specialists recommend 70 to 100 ng/mL.
Level associated with hair loss: Below 30 ng/mL.
Who is most at risk: Women of reproductive age (menstruation depletes iron monthly), pregnant and postpartum women, vegetarians and vegans, people with gastrointestinal conditions affecting absorption, and heavy exercisers.
What to do if low: Iron supplementation guided by your doctor. Ferrous sulphate (210mg, 1 to 2 tablets daily) is the standard NHS recommendation. Pair with vitamin C for improved absorption. Avoid taking with tea, coffee, or calcium supplements. Retest after 3 months.
Thyroid Function (TSH, Free T3, Free T4)
Thyroid hormones regulate the metabolism of virtually every cell in the body, including hair follicle cells. Both underactive (hypothyroidism) and overactive (hyperthyroidism) thyroid function disrupt the hair growth cycle.
Normal TSH range: 0.4 to 4.0 mIU/L (though some hair specialists consider TSH above 2.5 suboptimal for hair growth).
Hypothyroid pattern (TSH elevated): Diffuse thinning, dry brittle hair, eyebrow thinning (especially the outer third), fatigue, weight gain, cold intolerance.
Hyperthyroid pattern (TSH suppressed): Diffuse thinning, fine soft hair, weight loss, anxiety, heat intolerance.
What to do if abnormal: GP referral for thyroid medication (levothyroxine for hypothyroidism, carbimazole for hyperthyroidism). Hair improvement typically follows within 3 to 6 months of thyroid stabilisation.
Vitamin D (25-Hydroxyvitamin D)
Vitamin D receptors are present on hair follicles and play a direct role in the hair growth cycle. Deficiency is linked to telogen effluvium, alopecia areata, and potentially accelerated androgenetic alopecia progression.
Optimal level: Above 75 nmol/L.
Deficient: Below 30 nmol/L.
UK prevalence: Approximately 1 in 5 adults are deficient due to limited sunlight exposure, particularly during winter months.
What to do if low: Vitamin D3 supplementation. Loading dose of 40,000 IU weekly for 7 weeks for severe deficiency, followed by maintenance of 1,000 to 4,000 IU daily. Public Health England recommends at least 400 IU daily for all UK adults during autumn and winter.
Zinc
Zinc is essential for cell division, protein synthesis, and immune function. It plays a direct role in hair follicle cycling and structural integrity of the hair shaft.
Optimal level: 11 to 24 micromol/L.
Deficiency signs beyond hair loss: White spots on nails, impaired wound healing, altered taste sensation, frequent infections.
Vitamin B12
B12 is required for red blood cell production and DNA synthesis. Deficiency causes reduced oxygen delivery to follicles and impaired cellular replication.
Optimal level: Above 300 ng/L.
At-risk groups: Vegans and vegetarians (B12 is primarily found in animal products), people over 50 (reduced absorption), those taking metformin or proton pump inhibitors.
Hormonal Panel
Testosterone, DHEA-S, and SHBG help identify whether androgen excess is contributing to hair loss, particularly relevant for women with suspected PCOS. Elevated free testosterone (calculated from total testosterone and SHBG) drives follicular miniaturisation.
For women with suspected PCOS: Add prolactin, fasting insulin, and LH/FSH ratio to the panel.
Why blood tests matter before PRP treatment
PRP delivers concentrated growth factors to hair follicles, stimulating regeneration and improving density. However, PRP cannot compensate for systemic deficiencies. If your follicles lack the basic building blocks of hair production (iron for oxygen transport, zinc for cell division, vitamin D for growth cycle regulation, B12 for DNA synthesis), even the best PRP treatment will produce suboptimal results.
At The London PRP Clinic, our GMC-registered doctors recommend specific blood tests during your initial consultation based on your hair loss pattern, gender, diet, medical history, and symptoms. We design treatment plans that address identified deficiencies alongside regenerative PRP therapy, ensuring every component of hair health is optimised simultaneously.
This diagnostic-first approach is a core reason our 87% success rate exceeds the 70 to 80% clinical trial average.
How to get your blood tests done
Through your GP (NHS): Request the tests above. Your GP may not order all of them for hair loss specifically, but explaining your concerns and symptoms increases the likelihood. Ferritin, FBC, thyroid, and vitamin D are commonly available.
Private blood testing: Services such as Medichecks, Thriva, and London blood testing clinics offer comprehensive hair loss panels. Results typically arrive within 2 to 5 working days.
Through The London PRP Clinic: Our doctors will tell you exactly which tests to request based on your specific presentation, saving you from ordering unnecessary tests while ensuring nothing important is missed.
Bring your results to us
If you already have recent blood work, bring your results to your consultation at The London PRP Clinic. Our doctors will interpret the findings in the context of your hair loss, identify which values are suboptimal for hair health (not just within "normal" range), and build a comprehensive treatment plan that addresses every contributing factor.
PRP from £545/session. ExoRevive from £445. 87% success rate. 187+ five-star reviews. Marylebone and Canary Wharf.
Book your free diagnostic consultation > WhatsApp | Email: team@thewellnesslondon.com | Call: +44 20 3951 3429
Medical Disclaimer: Blood test interpretation requires medical assessment. Normal reference ranges may vary between laboratories. All consultations at The London PRP Clinic conducted by GMC-registered doctors. Last reviewed March 2026.