A lab-made copy of a natural growth signal applied to the scalp. Biologically plausible for reawakening resting follicles, but no published human studies show it regrows scalp hair; evidence rests on lab and animal work. Absorbs poorly, so delivery matters. Generally well tolerated, with mild local irritation the main issue. Best seen as an early-stage add-on. (Full Review)
| Marker | Target | Why |
|---|---|---|
| Ferritin (iron stores) | 50–70+ ng/mL | Low iron stores are a common, reversible driver of hair shedding |
| TSH (thyroid-stimulating hormone) | ~0.5–2.5 mIU/L | Thyroid imbalance is a frequent treatable cause of diffuse hair loss |
| Vitamin D (25-hydroxyvitamin D) | 40–60 ng/mL | Low vitamin D is associated with hair-cycle disruption |
| Total testosterone & DHEA-S | Sex- and age-appropriate optimal range | Androgen excess (especially in women) signals an androgen-driven component that a growth factor will not address |
| Zinc | Upper half of reference range | Zinc deficiency can contribute to hair loss and impaired follicle function |
Cadence: Baseline labs once before starting, then re-test only if clinically indicated; objective hair assessment at baseline, ~12 weeks, ~24 weeks, and every 6 months thereafter