It's Heck Getting Old

Thin On Top? Make Hair Loss Stop

There is no shortage of jokes about hair loss, and while some people find them “hair”larious, hair loss is nothing to laugh at. It can be a sign of a more serious underlying medical condition, and it also impacts people’s self-image and self-esteem.

The causes of hair loss are varied: It can be genetic and run in families, or it can be caused by excess stress. Most people are familiar with the hair loss that often accompanies chemotherapy, but it can also happen as a result of thyroid disorders, which people sometimes experience as they age. According to Dr. Monalisa M. Tailor, internal medicine physician with Norton Healthcare, hair loss can also be a sign of an autoimmune disorder or even an infection, like syphilis or COVID-19.

While men generally experience hair loss more than women, Dr. Tailor notes that the causes are similar among both groups. She adds, “Hair loss for men may look different when it comes to location on the scalp and distribution.” Male hair loss may be more noticeable than it is for women, who may be able to disguise it better with longer hairstyles and more accessories.

Prevent it: Get your nutrients and rest

The first line of defense is to eat balanced meals that include vegetables and protein since hair loss can sometimes be caused by vitamin or mineral deficiencies. And since stress can also contribute to hair loss, it is essential to get adequate rest and generally engage in self-care practices.

Treat it: Work with your doctor

Because the causes of hair loss are so varied, it is important for individuals experiencing hair loss to check in with their physician, who can do bloodwork and rule out any major medical issues. While this is the case no matter your age, it is especially important for older adults. “Your primary care can draw labs and rule out thyroid issues and some vitamin deficiencies like iron, B12, and folate,” Dr. Tailor says.

Barring anything unusual from lab work, a physician may suggest a topical treatment of minoxidil as a starting point. This foam shampoo can be purchased over the counter and may result in hair growth. Should that not be effective, Dr. Tailor says a doctor may prescribe another medication. Spironolactone is typically prescribed as a diuretic but is used off-label for treating female hair loss. Finasteride is used to treat benign prostatic hyperplasia in men, as well as male pattern baldness.

Dr. Tailor cautions patients about online companies that promise results. “They charge higher prices for the same thing a primary care doctor will suggest and don’t follow up with you,” she says.

By Carrie Vittitoe

Today's Transitions | Winter 2024-2025