Hair loss: This question may have been... - Pernicious Anaemi...

Pernicious Anaemia Society

31,951 members23,089 posts

Hair loss

Twaddletop profile image
29 Replies

This question may have been asked before, if so I’ve missed the response. About two years ago my hair started falling out. I’d been in hospital with blood clots in my lungs so I put it down to ill health at that time. Sadly, it has continued and worsened. I’ve spent a small fortune on lotions and potions to no avail. My GP tested my bloods for pretty much everything and the results were normal. That in itself was reassuring in one way as I thought I might cop some flak for SI.

I’ve never been so glad I was born with a mop of curls as it hides the problem well. Could upping my B12 help with this problem? I know hair loss comes with age but this is more than that I’m sure. Any advice will be gratefully welcomed. Thank you x

Written by
Twaddletop profile image
Twaddletop
To view profiles and participate in discussions please or .
Read more about...
29 Replies
Sleepybunny profile image
Sleepybunny

Hi,

When my symptoms were at their worst, I was losing hair. This stopped after several months of getting enough B12.

Might be worth posting any thyroid results on Thyroid UK forum on HU as hair loss can be associated with thyroid issues and it's possible to have thyroid issues with normal range results.

Many on here have thyroid issues as well as PA/B12D.

"My GP tested my bloods for pretty much everything and the results were normal. "

Have you checked all your blood test results yourself?

Twaddletop profile image
Twaddletop in reply to Sleepybunny

Hi Sleepybunny

I’ve never been given a copy of my blood results but intend to go to the health centre and ask. If anything looks low, I’ll know where to come and ask for info. Thank you so much x

Sleepybunny profile image
Sleepybunny in reply to Twaddletop

How to access NHS medical records

patients-association.org.uk...

Twaddletop profile image
Twaddletop in reply to Sleepybunny

Thanks Sleepybunny

I went to the health centre today and was given a copy of my results. Some of them were no surprise, my red blood cells are too big, my white blood cells aren’t quite high enough due to AI conditions. I know I have a compromised immune system. However, my B12 was 1328 and my Ferritin was 64, thyroid TSB 1.70, Free T4 13.4.

Is my B12 level unacceptability high? Should I take a Ferritin type supplement? Are there any other results to be concerned about. I’m incredibly tired at present, unable to think things through properly and still worried about my hair☹️ Any advice will be gratefully received x

Sleepybunny profile image
Sleepybunny in reply to Twaddletop

My understanding is that your levels would be expected to be high as you're on regular B12 injections.

Watch out for health professionals who don't understand this...there are forum members who have had their injections stopped because their levels were high.

Why were they testing your B12 level?

My understanding is that there is no need to test B12 levels once treatment has started.

Testing B12 During Treatment

pernicious-anaemia-society....

stichtingb12tekort.nl/engli...

Wrong ideas about B12 deficiency

Misconceptions about a B12 deficiency

(From Dutch B12 website - units, ref ranges, treatment patterns may vary from UK)

stichtingb12tekort.nl/engli...

Diagnosis and Treatment Pitfalls

(From B12 Institute in Netherlands - units, ref ranges, treatment patterns may vary from UK)

b12-institute.nl/en/diagnos...

B12 article from Mayo Clinic in US

Aimed at researchers and health professionals.

The Many Faces of Cobalamin (Vitamin B12) Deficiency

ncbi.nlm.nih.gov/pmc/articl...

Table 1 in above article is about frequent misconceptions about B12 deficiency that health professionals may have.

Kimbo4379 profile image
Kimbo4379 in reply to Sleepybunny

I was told by a triciologist that your ferratin level needs to be above 70 to promote hair growth

charks profile image
charks

Sadly I too have hair loss. Although most of my other B12 symptoms have resolved my hair isn't getting better. I now have to wear my hair in a ponytail with a large hair band which helps conceal my hair loss. On the up side I am saving a fortune on hairdressing.

Twaddletop profile image
Twaddletop in reply to charks

Hi Charla

I’m not saving money on hairdressing as I’m buying really expensive items that are supposed to help hair loss. I’m not a great lover of hair salons at the best of times. Thank you for your reply, it helps to know I’m not the only one. I’m going to step up my SI’s too, it might just help x

Nackapan profile image
Nackapan

I tok had significant hairless mainly crown and back.I'm left with a very irritableitchy dry scalp but the hairdresser said today the hair growing back is doing well .

(I did well going ,noise bright lights!!

Didn't cycle though . That's how i used to get there )

I've alot of hair which is helpful.

My hairloss seemed triggered not only by b12 def. But ferritin level dropping.

This also happened to one of my daughters that doesn't have b12 / folate deficiency .

So although your blood in range which is great .

Look at your ferritin level.

Again thd bottom of range is very low ? 10.0-307.0 ug/L

I wax told to keep it above 50 ,better still 70 ug/L

My daughter was told the same .

We both felt better when reached nto the 40's

Inflammation in the body can raise ferritin levels do doesn't exclude iron def.

Low ferritin also mimics thyroid symptoms.

I had my hair cut short and use all sorts.

Still rotate things .

Hope your hair growth improves .

Twaddletop profile image
Twaddletop in reply to Nackapan

Hi Nackapan

Thank you for your response and the info. it contains. I will pop into the health centre and ask for a copy of my blood results. I don’t know what they’ll say but if you don’t ask you don’t get. Like you, I’ve lots of hair but it’s very fine. I’ve only got half the volume I had two years ago though and it’s continues to worsen. I’m fed up having to unclog the hoover, shower drain etc.

Well done on attending the salon, I find that stressful too.

Mixteca profile image
Mixteca in reply to Twaddletop

You're entitled to your test results and if they refuse you can submit an FIO (freedom of information) request.

Sunshine1932 profile image
Sunshine1932 in reply to Nackapan

Nackapan

You night have just solved my mystery. My ferritin was 10 and after tablets from my gp it went to 60.

Now back down to 30 but im told its normal but I don't feel great.

Can I ask if you take an iron supplement?

Nackapan profile image
Nackapan in reply to Sunshine1932

I initially was prescribed ferrous fumarate 210.I assumed on prescription it woukd trigger monitoring by a blood test.

I still had to ask or write for a blood form.

I need a low maintenence dose to keep it bobbing above 40/ 50.

I do ask for bloods as don't want to overdo the iron.

Gps surprisingly not concerned when I ask what to take ??

I know you have to be careful.

I now alternate ferrous fumarate 210 with a 'gentle oron 20mg .

Also spartane

There is 14mg in the multivit I use.

As you can get ferrous fumarate 210 otc.

I wasn't aware of that until told to buy it by G.p.

Due a blood test next month as left if 6 months this time .

Will see.

Hope your hair growth improves and your scalp is okay .

It does take time .

Good your level up.

Can take a while.

I didn't have problems at all with iron until b12 deficiency .

Eat a mixed good diet .

So must be unable to absorb enough

Sunshine1932 profile image
Sunshine1932 in reply to Nackapan

Thank you.

Lowblow profile image
Lowblow in reply to Sunshine1932

Hi sorry to hack your thread but can relate completely too this as I too had/ have hair loss .. my ferritin was 7 and like you with tablets always got back up to just above range however would always drop again shortly after !! I have however noticed that since I’ve been si eod my ferritin has stabilised .. I don’t know the logistics of it but it seems to me that without the correct amount of b12 my body doesn’t seem to be able to hold onto the ferritin

Sunshine1932 profile image
Sunshine1932 in reply to Lowblow

Thanks for your message. I have just had more bloods taken and straight after I bought myself some iron tablets which I will stay on for a while and increase my b12. Cheers 😊

Mixteca profile image
Mixteca in reply to Lowblow

It sounds like you need a full iron panel, if you've not had one already, to get a complete clinical picture. Significant iron deficiency in my opinion. I recently had an infusion and my ferritin was 30!

Sleepybunny profile image
Sleepybunny in reply to Sunshine1932

Have you had other iron tests as well as ferritin?

labtestsonline.org.uk/tests...

Sunshine1932 profile image
Sunshine1932 in reply to Sleepybunny

I had more bloods taken two days ago which I believe was a full iron panel. Waiting on results.After lots of research it is clear based on my symptoms that I am iron deficient.

My ferritin was abnormal last year but no investigation was done and I was told to take ferrous sulfate for a month and once levels increased told I was OK. Obviously I wasn't OK as those levels have dropped again and this time round I'm more symptomatic. The chest pain and breathlessness was the final straw for me.

It really makes me sad how a Dr can ignore symptoms and go off a range when we are all different.

I honestly thought I was going to die this past few days.

I have started taking iron tablets before my results come back in as it's obvious I am deficient and I now need the help of the Dr to find out why.

I have also asked for my folate to be checked and ordered new b12 ampoules in case what I have is not working properly

Cheers for the link

TFH1 profile image
TFH1

I also have hair loss and also have wasted money on lotions and potions which do nothing. I received the same advice as you, which was, get your ferritin above a certain level (some say 50, some say 100) and thus far I haven't managed to get mine above 27. If you do find that low ferritin is behind your hair loss, there is a useful blog from another Healthunlocked member on iron supplementation here: helvella.blogspot.com/p/hel...

Along with PA I also have Coeliacs, Type 1 Diabetes and Pancreatic Exocrine Insufficiency, so a lot going on that affects my digestion of nutrients. Once I am started on digestive enzyme supplements for the PEI I am hopeful that I'll be more successful in getting my Ferritin level up and that my hair will grow back. Best of luck to you.

Nackapan profile image
Nackapan in reply to TFH1

It took about a year for me to maintain ferritin levels and hair growth better. Scalp remains dry and itchy though.Like you tried alot of treatment shampoos ,oils and moisturising shampoos.

No dandruff . Nothing to see . Just random lumps under the skin that itch .

May be scalp nerves ??

My most irritating but minor complaint.

Seems alot worse though if head pains or vestibular problems worse.

So all part of it .

Doctors over the past few years don't seem to think this.

One prescribed ? Bettercap then a dermatologist seen for something else said be cautions and try everything else first ?

Sleepybunny profile image
Sleepybunny in reply to Nackapan

I used to have snowstorm dandruff...embarrassing. Think that was due to B12 deficiency making me prone to fungal infections.

Nackapan profile image
Nackapan in reply to Sleepybunny

Horrid I've ruled out fungal infection as used

Nizarol and others in rotation as per Gps instructions .

I still use it occasionally to make sure

Mine seems more like inflamed scalp nerves tied in with head pains .

The itching is awful.

There's nothing to see although I feel raised lumps .

It dorsnt bleed anymore

I have however had oral thrush twice for the first time since b12 deficiency

Mixteca profile image
Mixteca in reply to TFH1

If you have B12 deficiency, low iron levels are common as you cannot absorb B12, iron, folic acid and vitamin D from your stomach.

Divine1990 profile image
Divine1990

Hi

For me this is one of the worst symptoms. A couple of years ago I was experiencing alot of shedding and Endocrinologist arranged to have my Zinc level checked and I was below range. After a short course of Zinc prescribed by my GP. Hairloss greatly reduced.

More recently though my hair loss has become much more extensive especially on my scalp. I had to resort to wearing a hair topper. Surprisingly none of my friends or family even noticed. At the same time my Ferritin was just in range.

I then arranged to see a private Trichologist who suggested I might have Lichen Planopilaris! However following a review by private Dermatologist and scalp biopsies he diagnosed female patterned hairloss??? He requested that I take 3 months of Ferrous Sulphate and my treatment options were Minoxidil or possible hair transplant.

The Naturopath is not convinced, feeling that once my ferritin level improves and I am successively treated with NDT (currently titrating dose), my hair growth will also improve.

Currently I am waiting for my appointment with my Gp to have my Ferritin, Zinc, Copper and selenium blood levels checked. My Zinc level is now over range? I have Hashimotos and Pernicious Anaemia ( self inject eod). Definitely worth checking your thyroid status.

Like you I had alot of curly hair and after a couple of months using daily Minoxidil (initial hair shedding was a bit scary) I no longer need the hair topper and my hair loss is back to 'normal'. I style my hair differently and fill in any areas where you can see my scalp with a little hair fibre. I have spent alot of money getting to this point!

Good luck

Twaddletop profile image
Twaddletop in reply to Divine1990

Thank you Divine. There’s something about losing your hair that is very worrying. I’m sorry you had to go through so much. It’s never easy with AI conditions, never a straight forward answer. I’m definitely going to investigate all the different blood levels and not just accept that they are within normal range.

Bellabab profile image
Bellabab

B12 needs folate to do its work so will use up folate levels in your body. Folate is essential for hair, nails and skin so you probably need some folic acid. Its not going to give you cancer either - that was a scare caused by a bad bit of unscientific reporting.

Nackapan profile image
Nackapan in reply to Bellabab

Interesting. I've never been low on folate .

So not the case for me .

Didn't realise low folate causes hairless too .

Maisiethedog profile image
Maisiethedog

My hair is thin and fine anyway, but when I was first diagnosed with B12 two years ago I noticed it was coming out in handfuls. This improved with injections from the GP and then SIs. At the beginning of the summer I went through a very stressful experience, and even though I hadn't reduced my injections, all sorts of symptoms started to return. I immediately increased the frequency with fairly quick improvements, apart from the hair loss which started a few weeks later and hasn't yet stopped. I'm thinking that we need extra B12 when we're under immense physical or mental stress, and stress can also directly cause hair loss. Because of the growth cycle of the hair, this symptom is delayed.

In the meantime, I've changed my hairstyle and am finding Toppik hair fibres very effective at disguising thin areas on the scalp. There are a lot of cheap fakes that don't work (I know, because I've tried them) so I've got a bottle from the Toppik website which should last me a good few months.

I take a multi vitamin with iron, but reading these posts, I wonder if I need extra iron, as my iron serum levels tend to get low anyway. I am NOT going back to my GP unless I absolutely have to. Fed up of being patronised by people who know less about it than I do, and try to persuade me my self-injecting is just a placebo. I honestly don't know where I'd be now if it weren't for this forum and the PAS.

You may also like...

pernicious anaemia & hair loss

recently been diagnosed with pernicious anaemia b12 & folic deficiency I started losing my hair...

Hair loss is getting worse 😔

Could anyone reasure me that my hair will stop falling out... I've now lost half the volume of the...

Hair loss?

weeks ago, I've noticed that my hair has started to fall out. My hair is naturally really thick and...

Hair loss

probably the cause of my hair loss. Does anybody have any idea when and if my hair should start to...

Hair loss

advice and reassurance really. For the last few months I've noticed a lot and I mean a lot of hair...