Before you buy another supplement, find out what kind of hair loss you have.
Most people who notice hair loss go straight to the same question: what do I take for this? Oils, supplements, a new routine, something a friend swore by.
That’s the second question. The first one is what kind of hair loss is this — because the answer changes everything, and for one kind of hair loss the delay caused by guessing is permanent.
Two broad kinds, and only one of them comes back
Non-scarring. The follicle is still there. Hair is shedding, thinning, or cycling out early. Once the cause is found, it usually returns.
Scarring. The follicle is being destroyed and replaced with scar tissue. The process can often be slowed or stopped. The follicles already lost do not come back.
Central centrifugal cicatricial alopecia — CCCA — is a scarring hair loss that is far more common in women of African descent. It often starts at the crown and spreads outward, and in its early stages it can look like ordinary thinning. Traction alopecia, from tension at the hairline, can also become scarring if it goes on long enough.
Two years of supplements while a scarring process continues is two years you don’t get back. That is why this workbook starts with sorting, not with iron.
What’s inside
The triage page. Eight signs pointing toward scarring, six toward shedding, and a clear instruction on what to do if you tick anything in the first list — including the word to use when you ask for a referral.
How to photograph it properly. Four angles, natural light, same distance, once a month. Hair loss is slow enough to be invisible from memory. Photographs make it visible.
The pull test, done honestly. Including the detail almost everyone gets wrong: do it on unwashed hair. Washing first removes the hairs that were already loose and gives you a falsely reassuring result.
What triggered it, and when. Diffuse shedding typically starts two to four months after a trigger — which is exactly why people connect it to the wrong thing. A checklist for the six months before it began, plus the mechanical causes that get missed.
Where iron actually fits — honestly. Iron is worth checking because it’s cheap and easy. But one published analysis found ferritin in women with telogen effluvium was not significantly lower than in women without hair loss, and the same review concluded there’s insufficient evidence to recommend iron supplementation for hair loss in the absence of anaemia.
And on the “get your ferritin above 70 and your hair will grow back” figure that’s repeated everywhere: it comes from clinician preference rather than strong trial evidence. This workbook says so and declines to print it as fact.
What to ask for at the appointment. Ferritin, full blood count, thyroid, vitamin D, B12, CRP — with why each one is on the list, and space to record the numbers.
The biotin warning. High-dose biotin in hair supplements interferes with several common laboratory tests, including thyroid. A hair supplement can distort the very result that would have found your actual cause.
Feeding hair properly, a four-week tracker, and a three-month review that compares photographs rather than memory.
What it does not do
It does not diagnose anything, and it does not promise regrowth. It will not tell you that iron is the answer, because for a great many people it isn’t.
What it does is help you find out what you’re actually dealing with, and get to the right person while there’s still hair to protect.
14 pages · A4 · printable · six cited sources · instant PDF download
Educational only. Not medical advice.






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