sh-Polypeptide-7 is a lab-made copy of human growth hormone sold in scalp serums. The underlying biology is sound, but no controlled human study shows it regrows hair, and it is unclear whether such a large protein even penetrates the skin. Realistic risks are mild, mainly local scalp irritation. Promise currently outruns evidence. (Full Review)
| Marker | Target | Why |
|---|---|---|
| Ferritin | 40–70 ng/mL | Low iron stores are a common, reversible cause of hair shedding |
| Vitamin D (25-OH) | 40–60 ng/mL | Deficiency is linked to disrupted hair cycling |
| TSH | 0.5–2.0 mIU/L | Thyroid over- or under-activity causes diffuse hair loss |
| Serum IGF-1 | Mid-range for age and sex | Reflects the growth-hormone/IGF-1 axis relevant to follicle signaling |
Cadence: Standardized photos and, if available, trichoscopy at 12 and 24 weeks, then every 6 months; recheck any abnormal baseline lab after it is addressed