Daily Hair Care – Protect & Preserve Your Hair

How Daily Choices Affect Hair Loss

20 Years of Expertise : Every Step Performed in Hong Kong By Doctors

1. Avoid Crash Diets

Rapid weight loss shocks the hair growth cycle, pushing follicles into a resting phase.

  • The Evidence: A 1976 study found that 100% of adults on extreme calorie-restricted diets developed significant hair loss 2–5 months later.

  • The Reason: Severe calorie or protein deficit deprives follicles of essential building blocks.

  • The “No Regret” Advice: Aim for gradual weight loss (0.5–1 kg per week). Prioritize a balanced diet rich in protein, iron, and zinc to support hair during any dietary change.

Sara’s Comment:

Lifestyle & Hair Health : Your daily habits directly impact your hair’s health and density. While genetics determine pattern baldness, lifestyle factors like diet, smoking, and stress can accelerate thinning, trigger shedding, and affect treatment results. Here’s an evidence-based guide to supporting your hair from within.

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2. Quit Smoking: It Raises DHT & Damages Follicles

Smoking accelerates genetic hair loss through two mechanisms:

  1. Vasoconstriction: Nicotine reduces blood flow to hair follicles, limiting oxygen and nutrients.

  2. Increased Scalp DHT: Research from the Harvard School of Public Health indicates smokers have 13% higher DHT levels, the hormone that shrinks follicles in male and female pattern baldness.

  • Impact: Faster progression of thinning, especially at the crown and temples.

3. Follow a Balanced, Low-Saturated-Fat Diet

Nutritional deficiencies cause diffuse thinning, but the type of fat you consume matters.

  • The Research: Dr. Inaba’s work linked high intake of saturated animal fats to overactive sebaceous glands and increased local DHT production.

  • Diet for Hair Health:

    • Focus on: Lean protein (fish, legumes), complex carbs, colorful vegetables, and healthy fats (avocado, nuts, olive oil).

    • Limit: Red meat, fried foods, and full-fat dairy.

4. Use Targeted Supplements to Correct Deficiencies

Supplements cannot cure genetic hair loss, but they can correct specific nutritional deficiencies that contribute to thinning or excessive shedding. Always consult a doctor and get tested (e.g., for iron/ferritin, Vitamin D) before starting any regimen. Oral supplements are effective; topical applications do not reach the follicle roots.

B Vitamins ( including Biotin, B12, and Folate )

  • Role: Support keratin production and healthy cell turnover in hair follicles.

  • Who may need it: Individuals with poor diets, vegans/vegetarians, or those with digestive issues. A deficiency can worsen shedding.

  • Key Detail: High-dose biotin alone will not stop genetic hair loss. Mega-doses (5,000–10,000 mcg) are unnecessary for most and can interfere with important lab tests.

  • Daily Dose Guidance:

    • Biotin (B7): 30–100 mcg is sufficient.

    • B12: 2.4–5 mcg for maintenance.

    • Folate (B9): 400–600 mcg DFE. Do not exceed 1,000 mcg from supplements unless prescribed.

Iron

  • Role: Essential for delivering oxygen to hair follicles. Low levels are a common cause of diffuse shedding, especially in women.

  • Who may need it: Women with heavy periods, vegetarians/vegans, or anyone with low ferritin (stored iron). Levels below 30-50 ng/mL are often linked to hair loss.

  • Critical Caution: Only supplement if blood tests confirm a deficiency. Excess iron is toxic.

  • Daily Dose Guidance: Women (premenopausal): ~18 mg. Men & postmenopausal women: ~8 mg.

Zinc

  • Role: Regulates oil glands, supports tissue repair and follicle function. Deficiency can lead to brittle hair and shedding.

  • Who may need it: Those with dandruff, slow wound healing, or low meat intake.

  • Critical Caution: Long-term high doses (>25 mg/day without copper) can cause a copper deficiency, which itself triggers hair loss.

  • Daily Dose Guidance: 8–11 mg. Upper limit: 40 mg/day.

Vitamin D

  • Role: Works alongside zinc; supports follicle cycling and health. Deficiency is very common and linked to hair loss.

  • Key Detail: Many experts recommend supplemental maintenance for general health, especially with limited sun exposure.

  • Daily Dose Guidance: 600–2,000 IU (15–50 mcg) daily. If deficient (<30 ng/mL), a doctor may prescribe a short-term higher dose (e.g., 5,000 IU/day).

Vitamin A – USE EXTREME CAUTION

  • Role: Needed in small amounts for scalp health.

  • CRITICAL WARNING: Excess Vitamin A is a proven cause of hair loss. Most people get enough from food (e.g., carrots, sweet potatoes).

  • Daily Dose Guidance: Men: 900 mcg RAE / Women: 700 mcg RAE. Avoid standalone high-dose supplements.

Copper (in relation to Zinc)

  • Role: Necessary for hair structure and pigment. Important to balance with zinc intake.

  • Key Detail: If taking zinc supplements long-term (>10 mg/day), include 1–2 mg of copper to prevent imbalance.

  • Daily Dose Guidance: 0.9 mg.

💡 Practical Supplement Tips

  • Test First, Dose Correctly: Never guess. Identify deficiencies through blood work before supplementing.

  • Food First: Prioritize nutrients from a balanced diet (eggs, leafy greens, legumes, fish, nuts).

  • Multivitamin Foundation: A high-quality multivitamin often covers baseline needs safely.

  • Choose Hair Formulas Wisely: If using a specialized hair supplement, look for sensible formulas containing:

    • Biotin ≤100 mcg

    • Zinc 10–15 mg + Copper 1 mg

    • Iron only if formulated for premenopausal women

  • Avoid Marketing Hype: Steer clear of “mega-dose” gummies or products with excessively high, unbalanced amounts of single nutrients (like biotin or Vitamin A).

5. Adopt a Gentle Hair Care Routine

  • Shampoo: Use a gentle, sulfate-free formula. Ketoconazole 2% shampoo (e.g., Nizoral®) can be beneficial 2-3 times weekly—it reduces scalp inflammation and may mildly inhibit DHT.

  • Conditioner: Apply only to the hair ends, never the scalp, to avoid clogging follicles.

  • Washing Frequency: Wash as needed for your scalp type. Clean scalps support better follicle health and improve absorption of treatments like minoxidil.

6. Prevent Traction & Breakage

  • Brushing: Use a natural-bristle brush (boar) gently.

  • Styling: Avoid tight hairstyles (ponytails, braids) that cause traction alopecia—a permanent form of hair loss from constant pulling.

  • Heat: Minimize use of hot tools which damage the hair shaft.

7. Manage Stress to Prevent Shedding

Stress does not cause genetic baldness but can trigger Telogen Effluvium—a temporary but dramatic shedding 2-3 months after a physical or emotional shock.

  • Management: Adequate sleep, regular moderate exercise, and mindfulness can help regulate the stress response and minimize its impact on hair.

Key Takeaways

  • Crash diets and smoking are major, preventable accelerators of hair loss and shedding.

  • Correcting nutritional deficiencies (iron, zinc, Vitamin D) can reduce non-genetic shedding, but requires proper testing first.

  • Your scalp is living skin. Gentle care, avoiding tension, and using targeted shampoos (like ketoconazole) support a healthy follicle environment.

  • Lifestyle builds the foundation. These habits work alongside medical treatments (like minoxidil or finasteride) to provide the best possible results and support long-term hair health.

🔍 Is your lifestyle or diet contributing to hair loss?

During a consultation, we review health and lifestyle factors as part of a comprehensive diagnosis. Book a consultation for a personalized assessment and integrated plan.

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