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Answer · hormone optimization

Which pathway addresses hair loss?

Short answer

Hair loss is routed by pattern and cause. Androgenic patterns (men and women) route to finasteride/minoxidil hair restoration. Hormonal shedding in women routes to BHRT review. Iron, thyroid, and ferritin are corrected first.

Reviewed by Dr. Laura PurdyMay 29, 2026

Full answer

Hair loss has multiple drivers. Provider review screens ferritin, TSH, vitamin D, and recent stressors (telogen effluvium) first — these are reversible. Androgenic alopecia in men is routed to the Hair Restoration pathway (finasteride ± topical minoxidil). Women with androgenic patterns are evaluated for topical minoxidil and select cases for spironolactone. Women with diffuse shedding around the perimenopausal window are evaluated for BHRT when biomarkers and symptoms match. Every initiation requires the standardized biomarker panel and provider video review.

Educational. Not a substitute for individualized provider review.

References & sources
  • Hair Restoration pathway — Primary source · oMeds
  • Reviewed by Dr. Laura Purdy, MD, MBA · Clinical Director, oMeds · Last reviewed 2026-05-29

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Pathway
Hair Restoration
A provider-reviewed hair restoration pathway designed around your hormonal and metabolic context — not a single topical, but a longitudinal system.
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Pathway
BHRT
A bioidentical, provider-reviewed pathway designed to support hormonal balance, recovery, sleep, and longitudinal wellbeing — informed by biomarkers, not guesswork.
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Related answers

What causes hair loss?
Hair loss has hormonal, nutritional, autoimmune, medication-related, and stress-related causes. Workup typically includes DHT, thyroid status, iron studies, vitamin D, and B12.
Why am I losing my hair?
Male hair loss is most often androgenetic (genetic + DHT). Other causes include iron deficiency, thyroid dysfunction, severe stress, and certain medications. Workup screens reversible causes.
Why am I losing my hair (women)?
Female hair loss most often reflects iron/ferritin deficiency, thyroid dysfunction, perimenopause/menopause, postpartum hormonal shifts, or androgen excess. Ferritin and thyroid are the highest-yield first screens.
Primary source
Hair Restoration pathway