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Why Is My Hair Falling Out?

Perimenopause hair loss has a few different patterns — and a few different fixes. This 8-question quiz points you to the most likely cause and the tests to ask for.

Most likely cause

Mixed picture — start with a blood panel

Your pattern doesn't fit one cause cleanly. A baseline blood panel will rule out the cheapest, most reversible causes first.

Tests to ask your GP

Ferritin, vitamin D, TSH, B12, full blood count.

Educational, not a diagnosis. Persistent shedding always deserves a GP review.

The 90-day hair recovery timeline

Hair grows in cycles. Whatever you do today shows up in your mirror in roughly three months. That means consistency beats intensity — and gives you a clear "is this working?" check-in at week 12.

  • Weeks 0–4: Shedding may continue or briefly worsen as old hairs are pushed out by new growth.
  • Weeks 4–12: Shedding slows. Baby hairs at the parting (1–3 cm) are the first visible win.
  • Months 3–6: Density increases noticeably. Most women see meaningful regrowth by month 6.

The fundamentals that move the needle

  1. Get ferritin above 70 ng/ml. Bigger lever than any shampoo.
  2. Eat 1.6–2.0 g protein / kg / day. Hair is keratin — built from the protein you ate yesterday.
  3. Stop fasted long workouts and aggressive deficits. Both spike cortisol and shed hair.
  4. Consider 5% minoxidil daily. The only over-the-counter regrower with strong evidence.
  5. Discuss HRT or spironolactone with your GP. Both address the root cause for the right candidate.

Hair grows back when nutrition is right.

Lila plans the protein, iron-rich meals and recovery habits hair needs.

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