Evidence Based Hair loss Treatment Plans:: Hormones, Labs, Microneedling, PRF & Growth Factors

Evidence-Based Hair Loss Treatment Plans: Hormones, Labs, Microneedling, PRF & Growth FactorsDr. Duncan Turner and Sophie Mengele discuss how their practice developed an evidence-based, individualized approach to hair loss after frequent patient requests, focusing on identifying root causes through extensive lab testing and health assessments. They emphasize hormone optimization (especially estrogen in women and awareness that testosterone can accelerate loss), family history, and checking vitamin D, B12, iron/ferritin, insulin resistance, and scalp inflammation, sometimes using antifungals to improve the scalp environment. Non-prescription options include lifestyle and nutrition support, ketoconazole or caffeine shampoos, pumpkin seed oil, saw palmetto, and topicals, with treatment often targeting androgen/DHT effects; minoxidil (topical or oral) is also discussed. In-office options include microneedling with a customized Toscani serum (about $550 per session, typically 6–10 sessions), microneedling plus PDGF growth factors, and PRF (platelet-rich fibrin) from a blood draw for scalp injections, potentially combined with topical finasteride/dutasteride and sermorelin to support growth and overall wellness.00:00 Root Causes of Hair Loss01:56 Hormones & Lab Testing03:23 Supplements & Topical Treatments05:29 In-Office Scalp Treatments10:48 Exosomes & Advanced Add-Onshttps://www.turnermedicalarts.comhttps://www.youtube.com/@thevaginadoctor