Topical naringenin is a citrus flavonoid explored for hair regrowth through antioxidant, anti-inflammatory, and blood-vessel-supporting actions. Evidence is very thin, resting on one small animal study with no human trials. It appears to work at least as well alongside minoxidil, making it an early-stage, experimental add-on rather than a proven standalone treatment. (Full Review)
| Marker | Target | Why |
|---|---|---|
| Ferritin (iron stores) | 50–100 ng/mL | Low iron stores worsen hair shedding and can mask or mimic treatment failure |
| TSH (thyroid-stimulating hormone) | 1.0–2.5 mIU/L | Thyroid dysfunction is a common, reversible cause of diffuse hair loss |
| Vitamin D (25-hydroxyvitamin D) | 40–60 ng/mL | Low vitamin D is associated with hair-cycle disruption and is a correctable confounder |
| Serum zinc | 90–135 µg/dL | Zinc deficiency contributes to hair loss and may blunt response to any treatment |
Cadence: Re-photograph the scalp at baseline, then at 3 months, 6 months, and every 6 months thereafter