The complete guide to treating hair fall from the roots

Express Tribune

19-04-2025

Understanding why hair fall happens and how to treat it from the root is the key to tackling this widespread concern.
Whether it is stress, hormonal shifts, poor diet, or environmental aggressors, the issue goes deeper than just strands on your brush.
Experts agree that long-lasting results lie in addressing the root causes using both medical treatments and holistic natural remedies.
Let us start with the natural solutions that show real promise:
Rosemary Oil boosts blood flow to the scalp and is known for its anti-inflammatory and antioxidant power.
Saw Palmetto helps block testosterone's conversion to DHT, a hormone linked to hair thinning. It is found in oral and topical forms.
Onion Juice, rich in sulphur and antioxidants, may reduce inflammation and oxidative stress while encouraging regrowth.
Korean Red Ginseng supports hair regrowth and protects follicles through its antioxidant properties.
Pumpkin Seed Oil was shown in studies to increase hair count by 40 percent over 24 weeks by inhibiting 5α-reductase.
Azelaic Acid, a natural 5α-reductase blocker, may enhance hair growth by managing gene expression in follicles.
Low-Level Laser Therapy (LLLT) stimulates follicles directly.
Platelet-Rich Plasma (PRP) improves hair density and quality when injected into the scalp.
Medical and scientific approaches are essential when hair fall stems from internal health concerns.
A dermatologist can help diagnose issues such as androgenetic alopecia, telogen effluvium, thyroid disorders, or nutrient deficiencies through relevant blood tests. Treatments include:
Minoxidil (2-5% topical): A vasodilator that prolongs the anagen phase of hair follicles. 1 ml on dry scalp. Stimulates follicle growth, results are typically seen in 3-6 months.
Finasteride (prescription): Reduces DHT for male pattern baldness by inhibiting 5 alpha reductase which shrinks follicles and causes hair thinning.'
PRP therapy: Autologous plasma, rich in growth factors, is injected into the scalp to stimulate dormant follicles and improve vascularization. 3-6 sessions, 4-6 weeks apart is needed. Best for early-stage hair loss.
LLLT: FDA-approved and boosts blood circulation, with noticeable results in 4 to 6 months.
Supplements like biotin, iron (ferrous sulphate 325 mg), zinc (15-30 mg daily), and vitamin D (1000-4000 mg daily) should only be taken if a deficiency is confirmed.
Natural remedies can also support hair health alongside medical care. These include:
Scalp Massage with Essential Oils
Rosemary/peppermint oil
Boosts circulation, rosemary contains ursolic acid and is as effective as 2% minoxidil. Use 5-10 drops with carrier oil (coconut/jojoba), 2-3 times weekly.'
Aloe Vera Gel
'Proteolytic enzymes repair dead skin cells. It has anti-inflammatory properties that soothes inflammation, strengthens roots. Apply fresh, rinse after 30 minutes, 2 times weekly.'
Onion Juice
'It contains quercetin which acts like an antioxidant. Apply, leave for 15 minutes, rinse, 2-3 times weekly.'
Herbal Rinses
Amla
Contains vitamin C, strengthens follicles, prevents premature greying.
Fenugreek
Contains nicotinic acid, promotes regrowth.
Hibiscus
Contains polyphenols which stimulate hair growth. Method: Boil 2 tsp of herb/seed in 2 cups of water, cool, strain. Use as a final rinse after shampooing, 2-3 times weekly.
Lifestyle and Diet Tips
Eat a protein-rich diet including eggs, nuts, spinach, and fatty fish to support keratin production.
Include omega-3s and antioxidants to reduce scalp inflammation.
Practice yoga or meditation to lower cortisol, a key hair loss trigger.
Avoid harsh shampoos and heat styling to protect follicles from damage.
Whether natural or clinical, the most effective hair fall treatments address more than just the surface. A balanced, root-focused strategy can make a real difference.