Hair Loss: Thyroid Issues and Vitamin Impact - Family Medicine

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Severe hair loss?


Hello, doctor.
I visited a dermatologist today regarding my hair loss issue.
The doctor mentioned that if physical factors are ruled out, it might be androgenetic alopecia.
I would like to ask you about this.
I have hypothyroidism and have been taking medication and returning for follow-ups.
Last month, my blood tests came back normal, and I do not have anemia.
Recently, I was taking a multivitamin, which did improve my hair loss issue at first.
However, I switched to a different brand, specifically Centrum's adult multivitamin, and not only did it not help, but my hair loss also worsened around the same time.
I noticed that one of the claims of Centrum is to enhance physical strength, and I'm not sure if this could be the reason (since I've heard that many people take androgens to boost their strength).
The timing is just too coincidental for me not to think about it.
I started taking multivitamins to prevent severe hair loss, but it seems to have had the opposite effect.

p, 10~19 year old female. Ask Date: 2021/08/23

Dr. Liao Yaopan reply Family Medicine


Hello, generally, multivitamins do not contain hormones.
If hair loss occurs, it may be related to endocrine system disorders.
You may consult a metabolic specialist for further evaluation.
Online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2021/08/23

More Info


Understanding hair loss can be a complex issue, especially when it involves factors such as thyroid function and the impact of vitamins. Your concerns about hair loss, particularly in the context of thyroid issues and changes in vitamin supplementation, are valid and warrant a thorough exploration.

Firstly, thyroid dysfunction, particularly hypothyroidism, can significantly contribute to hair loss. The thyroid gland plays a crucial role in regulating metabolism and overall body function, including hair growth. When thyroid hormone levels are low, hair follicles can enter a resting phase, leading to increased shedding and thinning of hair. It’s good to hear that your recent blood tests showed normal thyroid function, as this suggests that your medication for hypothyroidism is effectively managing your condition. However, even with normal thyroid levels, some individuals may still experience hair loss due to other underlying factors.

Regarding your experience with multivitamins, it’s important to note that not all vitamin formulations are created equal. While some vitamins and minerals, such as biotin, zinc, and iron, are known to support hair health, others may not have the same effect. The switch to a different brand of multivitamins, like the one you mentioned (Centrum), could potentially impact your hair health if the new formulation lacks certain beneficial nutrients or contains ingredients that do not agree with your body. It’s also worth considering that some individuals may experience adverse reactions to specific ingredients in supplements, which could exacerbate hair loss or other health issues.

You mentioned that the new multivitamin claims to enhance energy levels. While this is generally a positive attribute, it’s crucial to understand that such claims do not necessarily correlate with hair health. The concern about whether this could be related to hormonal changes, such as increased testosterone levels, is understandable. However, standard multivitamins, including Centrum, typically do not contain hormones or substances that would directly influence testosterone levels. If you suspect that the multivitamin is affecting your hair loss, it may be beneficial to consult with a healthcare provider or a nutritionist to evaluate your specific needs and possibly explore alternative formulations.

Additionally, psychological factors such as stress can also contribute to hair loss. Increased stress levels can lead to conditions like telogen effluvium, where hair follicles prematurely enter the shedding phase. If your lifestyle changes, such as altered sleep patterns or increased consumption of cold foods during hot weather, have coincided with your hair loss, it may be worth addressing these factors as well.

In summary, while thyroid issues and vitamin supplementation are significant factors in hair loss, it is essential to consider a holistic approach. This includes evaluating your overall health, lifestyle changes, and potential stressors. If your hair loss continues to be a concern, it may be beneficial to seek further evaluation from a dermatologist or a trichologist, who specializes in hair and scalp health. They can provide tailored advice and treatment options based on a comprehensive assessment of your situation.

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