Your part is widening, more scalp is showing, or you're shedding more than you used to.
You've tried topical treatments and over-the-counter serums without meaningful results.
You're in perimenopause or postpartum and your hair feels and behaves differently than it used to.
You suspect thyroid or hormones might be part of the picture, but no one has actually evaluated it.
You're a man noticing the temples, hairline, or crown thinning and you want to act early rather than wait.
You want a structured, physician-led approach to hair thinning, not a subscription serum from the internet.
Most hair loss is treated as a single problem with a single product. The reality is messier. Hair follicles are sensitive to hormones, nutrients, inflammation, blood flow, and stress patterns and any of those change how the follicles often respond. Our approach combines treatments that directly stimulate the follicles with evaluation of the systemic factors that may be driving the thinning in the first place.
Our approach is built around two principles.
Treat the follicles directly. Combination PRP and microneedling has the strongest evidence base for non-surgical hair regrowth in androgenetic and pattern-driven thinning, and it forms the foundation of our hair protocol.
Address the cause when there is one. Thyroid, hormonal, nutritional, and stress-related contributors are common, and treating the follicles without correcting the underlying drivers often produces underwhelming or temporary results. We evaluate and address those drivers as part of the same plan.
PRP with Microneedling. A concentration of platelets prepared from your own blood, applied to the scalp via microneedling so the growth factors reach the follicle environment directly. This combination has the strongest published evidence for non-surgical hair regrowth in male and female pattern thinning. A typical course is three to four sessions spaced four to six weeks apart, with maintenance sessions thereafter based on response.
Medical-Grade Topical Support. Topical preparations that complement the in-office work. We use products that include peptides, growth factors, and where appropriate, regenerative topical preparations derived from platelet or stem-cell-related biology. The topical category in hair is evolving quickly and the evidence varies meaningfully by product, so we use what's reasonable based on current data rather than what's marketed most aggressively. Specific products are matched to your situation during the consultation.
Nutritional Support. When labs identify deficiencies that affect hair including iron and ferritin, vitamin D, zinc, protein adequacy, and others, addressing those is part of the plan, not a separate workup.
Hormones drive a meaningful portion of adult hair change. DHT (dihydrotestosterone), an androgen derived from testosterone, is the primary driver of pattern hair loss in both men and women.
Beyond that, estrogen decline through perimenopause and menopause can produce visible thinning even in women who don't show classic androgenetic patterns.
Testosterone matters in both sexes. Hormonal evaluation is part of any meaningful hair workup in midlife.
When hormone optimization is appropriate, addressing it alongside follicle-directed treatment often improves outcomes. We evaluate hormones through structured testing and discuss replacement only when the clinical picture supports it.
Both hypothyroidism and hyperthyroidism cause hair changes like diffuse thinning, brittleness, slower growth, and shifts in texture. Suboptimal thyroid function is a common quiet contributor, and standard screening (TSH alone) often misses meaningful patterns.
We test thyroid function thoroughly when hair concerns are part of the picture, including free T3, free T4, and antibodies where indicated.
Low iron stores that are measured by ferritin rather than hemoglobin is one of the most common reversible drivers of hair loss in women, and it's frequently missed because routine labs may look fine while ferritin is well below the level the follicles actually need. Vitamin D, zinc, B12, and adequate protein all matter. We test rather than guess.
Telogen effluvium that causes diffuse shedding and often shows up two to three months after a stressful event, illness, surgery, rapid weight loss, or significant disruption, is more common than most patients realize, and it's often what brings someone to a hair appointment when the actual trigger was months earlier.
Poor sleep, elevated cortisol, and chronic stress directly affect the hair growth cycle. Postpartum shedding follows the same biology and is usually self-limited, though persistent shedding warrants evaluation.
We start with a discovery consult, then move to a structured evaluation. We review the timeline, pattern, and family history; examine the scalp; and order labs where the picture warrants, typically a comprehensive thyroid panel, iron studies and ferritin, vitamin D, hormones, and inflammatory markers depending on context.
From there, we walk through what we're seeing and what's likely driving it. We'll discuss whether PRP with microneedling alone is reasonable, whether systemic optimization should run in parallel, or whether the most useful first step is investigating what's driving the change.
You leave with a clear plan and a realistic understanding of what regrowth, stabilization, or both should look like over the next six to twelve months.
Book a discovery consult to discuss your situation and learn what a structured, root-cause-aware approach to hair regrowth would look like for you.
PRP with microneedling carries the typical risks of microneedling and minor injection: transient scalp redness, mild swelling, brief tenderness, and rare risks of infection or bleeding. Because PRP uses your own blood, allergic reactions are extremely uncommon. The procedure is performed by trained clinicians in office.
Topical preparations are generally well-tolerated; specific ingredients are reviewed individually for sensitivities and reactions. Hormone optimization, when indicated, follows structured testing with clear discussion of expected benefits, monitoring intervals, and contraindications. Thyroid and nutritional interventions follow the same approach.
Some causes of hair loss may include autoimmune alopecia, scarring alopecia, certain medication effects, and others. These conditions require specific medical management that may be outside the scope of our primary protocol. We'll be transparent about what's appropriate and refer to dermatology or other colleagues when that's the right move.
Contact the clinic if a treated area develops persistent or worsening symptoms beyond the typical recovery window, if scalp changes feel unexpected, or if hair loss is rapidly progressive. Seek urgent care immediately for signs of infection (spreading redness, warmth, fever), or any clinically concerning symptom.
The honest answer is: it depends on the type and stage of hair loss. PRP with microneedling has the strongest published evidence in early-to-moderate pattern thinning, in both men and women. Advanced loss with significant follicle miniaturization or scarring patterns responds less well. We'll be transparent about what's reasonable to expect during your consultation.
A typical course is three to four sessions spaced four to six weeks apart, with maintenance sessions every three to six months based on response. Some patients need more, some less. We adjust based on what's actually happening on the scalp.
A consultation with appropriate labs is the most useful first step. Hormone evaluation, thyroid, iron, and vitamin D are all worth checking, and the picture they paint helps determine whether starting with treatment alone is enough or whether internal optimization should run alongside it.
The framework is the same – direct treatment of the follicles plus evaluation of systemic drivers – but the specifics differ. Pattern hair loss in men typically involves the temples, hairline, and crown; in women it's more often diffuse thinning at the part. Hormonal contributors look different. Treatment plans are tailored accordingly.
Telogen effluvium often resolves on its own over several months. If shedding is persistent, severe, or doesn't normalize within six months, evaluation is worthwhile. We can also start supportive treatment earlier if you'd like to preserve density during the recovery window.
No. Many patients work with us on direct hair treatment without engaging the broader workup. We'll be transparent about what we see and what may improve outcomes, but the depth of your plan is your decision.
Often yes. We'll review what you're using during the consultation and recommend adjustments where it makes sense – sometimes simplifying, sometimes adding supportive medical-grade options.
A med spa or hair-only clinic typically focuses on the procedure or product. Our practice is a physician-led concierge care where the procedure is one part of a structured plan that includes hormone evaluation, thyroid and nutritional workup, and longitudinal follow-up.
Hair regrowth treatments are generally not covered by insurance and are paid out of pocket. The diagnostic labs may be covered depending on your plan and the medical context. We'll be transparent about costs during your consultation.
You may also want to read about PRP Therapy, Microneedling, Hormone Optimization, Perimenopause & Menopause, Advanced Diagnostics, and Peptide Therapy, since these areas often overlap with hair health and the systemic factors that determine durable results.
Halo Concierge Health is located in Raleigh, NC and serves practice members throughout North Carolina and Virginia. These areas include but are not limited to Raleigh, Wake Forest, Durham, Chapel Hill, Cary, Morrisville, Apex, Holly Springs, Fuquay-Varina, Garner, Clayton, Rolesville, Zebulon, and Mebane with options for follow-up telemedicine appointments.