Hair fall and fatigue in women around 40 years of age are commonly multifactorial — often related to nutritional deficiencies, hormonal changes (perimenopause,
thyroid), stress, or chronic illness
Category Possible Causes
1.)Nutritional - Iron deficiency,
Vitamin B12,
Vitamin D, Zinc, Biotin, Protein deficiency
2.)Hormonal - Thyroid dysfunction (hypothyroidism), perimenopause, PCOS
3.)Lifestyle/Stress - Sleep deprivation, chronic stress, crash dieting
4.)Medical causes - Chronic illness, anemia, infections
5.)Hair/scalp issues- Androgenetic alopecia, dandruff, excessive styling
Kindly get this below investigation done
1. CBC – to rule out anemia
2. Serum
Ferritin – for iron stores
3. Thyroid profile (
TSH, T3, T4)
4. Vitamin D and B12 levels
5. Blood glucose /
HbA1c – to rule out metabolic issues
Review with following reports
Treatment: Which may help you :
1.)Lifestyle & Hair Care Advice
• Maintain adequate protein intake (eggs, lentils, tofu, fish, dairy).
• Include green leafy vegetables, nuts, and seeds for micronutrients.
• Manage stress through yoga, breathing exercises, or meditation.
• Avoid harsh chemical treatments or excessive heat styling.
• Use gentle, sulfate-free shampoo and avoid tight hairstyles.
• Ensure 7–8 hours of sleep and adequate hydration.
2.) TAB A to Z NS+ 1-0-0 FOR 30DAYS
Kindly do the needful test and follow up with reports .
Following your report we can start necessary treatment on the basis of deficiencies