Hair Loss in London 2026. What Is Causing It, Which Blood Tests Matter and What Actually Works

Hair loss affects around half of men by 50 and a large proportion of women at some point, and the single most useful step is working out which type it is, because the treatments differ completely and most people start treating before anybody has diagnosed them. Several correctable causes sit underneath the visible shedding, and blood tests find them.

Key points

  • Male and female pattern hair loss is gradual and genetically driven. Telogen effluvium is diffuse shedding beginning 2 to 3 months after a trigger and usually recovers on its own.

  • Iron deficiency is the commonest correctable cause in women, with many clinicians targeting a ferritin above around 40 to 70 for hair rather than the below 30 used to define depleted stores.

  • Alopecia areata produces sudden round bald patches and is autoimmune. Scarring alopecias destroy follicles permanently and need prompt specialist treatment.

  • Biotin supplementation helps only in genuine deficiency, and high-dose biotin interferes with thyroid and other blood tests, producing misleading results.

Want your hair loss properly diagnosed? Message a GMC-registered doctor on WhatsApp or email team@thewellnesslondon.com.

What type of hair loss is it

Pattern hair loss in men starts at the temples and crown and progresses over years along a recognisable scale. In women it typically shows as widening of the central parting and thinning over the top of the scalp while the frontal hairline is preserved. It is driven by genetic sensitivity of follicles to dihydrotestosterone, which progressively miniaturises them.

Telogen effluvium is diffuse shedding across the whole scalp, often dramatic, with handfuls in the shower or on the pillow. The key clue is timing, since it begins around 2 to 3 months after a trigger. Common triggers are a fever or significant illness, surgery, childbirth, severe emotional stress, a crash diet or rapid weight loss, stopping hormonal contraception, and starting certain medications. It usually recovers over 3 to 6 months once the trigger has passed.

Alopecia areata produces sudden, smooth, round patches of hair loss, sometimes with short broken hairs at the edges, and is autoimmune. It can affect eyebrows, beard and body hair, and it often regrows but can recur.

Scarring alopecias, including lichen planopilaris and frontal fibrosing alopecia, destroy follicles and cause permanent loss. Redness, scaling, itching, pain or a shiny scalp where hair has been lost, and a receding frontal hairline in a postmenopausal woman, are signs to have it assessed promptly by a dermatologist rather than treated as ordinary thinning.

Traction alopecia follows tight hairstyles, extensions and braids over time and is preventable.

Which blood tests actually matter

Ferritin first, because iron deficiency is the commonest correctable contributor in women. Ferritin below 30 means depleted stores, and many clinicians aim for a ferritin above around 40 to 70 where hair loss is the concern, which means a result reported as normal can still be relevant. Iron deficiency in men and postmenopausal women warrants investigation of the cause rather than just replacement.

Thyroid function including TSH and free T4, since both underactive and overactive thyroid cause diffuse hair loss, and thyroid antibodies where autoimmune disease is suspected.

Vitamin D, which is low in a large share of the UK population by late winter and has been associated with hair loss conditions. B12 and folate, particularly in plant-based diets. Zinc where diet or absorption is a concern, although supplementing zinc without a deficiency has no demonstrated benefit.

In women with irregular periods, acne or excess hair growth, testosterone, sex hormone binding globulin and a polycystic ovary syndrome assessment, since androgen excess drives female pattern hair loss.

Full blood count, inflammatory markers, and a coeliac screen where there are digestive symptoms or unexplained iron deficiency. Where a scarring alopecia is suspected, a scalp biopsy through a dermatologist rather than more bloods.

Not sure which tests you need? Ask on WhatsApp or email team@thewellnesslondon.com.

What actually works

For telogen effluvium, identifying and removing the trigger, correcting any deficiency found, and patience, since recovery over 3 to 6 months is the normal course and most people regrow without treatment. Knowing that stops a great deal of money being spent on products that take credit for natural recovery.

For pattern hair loss, the treatments with the strongest evidence are topical minoxidil, which prolongs the growth phase and increases hair density, and oral prescription treatment that reduces dihydrotestosterone, both of which work best started early and need continuing to maintain the effect. Low-dose oral minoxidil is increasingly used under medical supervision. Whether a prescription option suits you depends on your history and is decided at consultation rather than from a website.

Platelet-rich plasma is a regenerative option with a growing evidence base in androgenetic alopecia, where concentrated platelets from your own blood are injected into the scalp to support follicles, typically as a course of treatments followed by maintenance. It is provided through The London PRP Clinic by The Wellness and works best combined with the medical treatments above rather than instead of them.

For alopecia areata, corticosteroid injections into patches, topical treatments, and newer targeted oral treatments for extensive disease under dermatology supervision.

For scarring alopecias, prompt dermatology referral, because the aim is to stop further permanent loss, and time matters.

What does not work in the absence of a deficiency is the large market in hair supplements, biotin included. Biotin supplementation helps only in the rare case of genuine deficiency, and high-dose biotin interferes with thyroid and other blood tests, producing misleading results.

Where we are

Portman Square, Marylebone

The Wellness is at 10 Portman Square, London W1H 6AZ, adjacent to Harley Street and 3 minutes from Baker Street.

Belgravia

Our second clinic is at the Light Centre, 9 Eccleston Street, London SW1W 9LX, close to Victoria.

What hair loss assessment costs

Trichology and hair clinic consultations in London run £100 to £300, often followed by product or treatment packages. Consultant dermatology appointments run £250 to £450. PRP hair courses at London clinics commonly run £1,000 to £3,000. Hair transplant surgery runs £4,000 to £15,000 and above. Comprehensive imaging programmes at the top of the market exceed £32,000.

At The Wellness the assessment, the testing and the treatment plan are one pathway. All figures are from prices.

  • Executive Health Programme, the most comprehensive assessment with full biomarker profiling, from £11,995.

  • Complete Biomarker Assessment, over 100 markers including full iron studies, thyroid with antibodies and hormonal profiling, with extended review, from £1,400.

  • Comprehensive hair and scalp blood panel covering ferritin and iron studies, thyroid, vitamin D, B12, folate, hormonal markers where indicated and inflammatory markers, with consultation and interpretation, from £495.

  • Extended 45-minute consultation with scalp examination and a written treatment plan, from £395.

  • In-person consultation with scalp examination, from £220. Same-day video consultation, from £150. Mini consultation from £59.

  • Platelet-rich plasma through The London PRP Clinic by The Wellness, quoted at consultation. Dermatology referral and scalp biopsy arranged with named consultants where scarring alopecia is suspected.

Appointments within the week at 10 Portman Square, Marylebone.

Ask what your plan would cost. Message us on WhatsApp.

Why The Wellness is the best place in London for hair loss

Because the type is diagnosed before anything is treated. Telogen effluvium, pattern hair loss, alopecia areata and scarring alopecia look different under examination and need completely different management, and most people spend months on the wrong treatment because nobody made the distinction.

Because the correctable causes are tested properly. Ferritin read against the level that matters for hair rather than the lower anaemia threshold, thyroid with antibodies, vitamin D, and a hormonal assessment in women where polycystic ovary syndrome is plausible. Finding and correcting one of those is frequently the most effective treatment available.

Because regenerative and medical treatment sit together. Medical treatment and platelet-rich plasma through The London PRP Clinic by The Wellness are combined where they suit you, rather than a clinic offering only the one thing it sells.

And because we tell you what does not work, including biotin and the wider hair supplement market in people without a deficiency, which also protects your blood tests from biotin interference.

Related reading

Biomarker screening covers the full panel, thyroid problems explained covers thyroid as a cause, vitamin injections and IV drips covers deficiency and supplementation, and acne, rosacea and eczema covers the wider dermatology pathway.

Book a hair loss assessment. Message us on WhatsApp, email team@thewellnesslondon.com, or call +44 20 3951 3429.

Frequently asked questions about hair loss

What is causing my hair loss?

It depends on the type. Pattern hair loss is gradual and genetic. Telogen effluvium is diffuse shedding starting around 2 to 3 months after a trigger such as illness, childbirth, stress, a crash diet or new medication. Alopecia areata causes sudden round patches and is autoimmune. Scarring alopecias cause permanent loss and need prompt specialist care.

What blood tests should I have for hair loss?

Ferritin and iron studies, thyroid function with antibodies where indicated, vitamin D, B12, folate, full blood count and inflammatory markers, with testosterone, sex hormone binding globulin and a polycystic ovary syndrome assessment in women with irregular periods, acne or excess hair growth.

What ferritin level is needed for hair growth?

Ferritin below 30 means depleted iron stores, and many clinicians aim for a ferritin above around 40 to 70 where hair loss is the concern. A result reported as normal can therefore still be relevant.

Will hair grow back after telogen effluvium?

Usually yes. Telogen effluvium recovers over 3 to 6 months once the trigger has passed in most people, which is why identifying the trigger and correcting any deficiency matters more than products that take credit for natural recovery.

Does PRP work for hair loss?

Platelet-rich plasma has a growing evidence base in androgenetic alopecia and works best combined with medical treatment rather than instead of it, typically as a course followed by maintenance.

Do biotin supplements help hair loss?

Only in the rare case of genuine biotin deficiency. In everyone else there is no demonstrated benefit, and high-dose biotin interferes with thyroid and other blood tests, producing misleading results, so it should be stopped at least 48 hours before testing.

This article is for information and does not replace personal medical advice. Any prescription treatment is considered only following a consultation and clinical assessment. All treatments at The Wellness are performed by GMC-registered doctors. Reviewed by [GMC-REGISTERED DOCTOR NAME, GMC NUMBER TO CONFIRM], The Wellness. Last updated September 2026.

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