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Suggest Treatment For Severe Hair Loss

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Posted on Sun, 11 Dec 2016
Twitter Sun, 11 Dec 2016 Answered on
Twitter Mon, 2 Jan 2017 Last reviewed on
Question : Hi Doctor,
I am having hair fall problem, seems like an Alopecia, could you please suggest shall I get my hormonal balanced checked? If yes then how, because I suspect may be it is due to excessive DHT, which as I came to know from people that may even result into prostate cancer.
doctor
Answered by Dr. Shehzad Topiwala (47 minutes later)
Brief Answer:
Hormone tests

Detailed Answer:
Sorry to learn about your hair loss.
I would not recommend testing for DHT, although what you have read is partially correct.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

None of these tests require any fasting and can be done at any time of the day Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Suggest Treatment For Severe Hair Loss

Brief Answer: Hormone tests Detailed Answer: Sorry to learn about your hair loss. I would not recommend testing for DHT, although what you have read is partially correct. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH (checks your thyroid) 25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) None of these tests require any fasting and can be done at any time of the day Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.