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doi: 10.1016/S0015-0282(02)04948-8 124 LuJWangZCaoJChenYDongY

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Our diagnostic workup typically includes: Heavy metal testing — to identify toxic metal burden from mercury, lead, arsenic, and cadmium Comprehensive hormone panel (DUTCH test) — to evaluate thyroid function, cortisol rhythm, DHEA, testosterone, and estrogen metabolism Nutrient testing — to check for deficiencies in iron, ferritin, zinc, biotin, and vitamin D — all essential for healthy hair cycling Inflammatory markers — to assess systemic inflammation that may be damaging follicles Once we understand the full picture, we build a personalized protocol