Diagnosis first
Do not transplant a correctable shedding problem
If shedding is sudden, diffuse or linked with fatigue, heavy periods, dietary restriction, pregnancy or gastrointestinal symptoms, UK patients should consider GP review before accepting a graft quote. Iron deficiency may need investigation and treatment before surgical timing is sensible.
- Ask whether the pattern is androgenetic loss, telogen shedding or mixed.
- Do not start high-dose iron without medical advice and blood-test interpretation.
- Find the cause of deficiency rather than treating ferritin as a cosmetic number only.
