Aautoimmune disease based on the scalp  Valotin    exam or if the patient has a lot of joint pain i'll check the ana sedrate and crp i also remind my patients to stop any biotin supplements for three days prior to their blood work because it can interfere with the thyroid labs the other thing i like to do in my practice is delve into the gut microbiome a lot of the inflammation in your body begins in the gut and the gut controls your absorption of nutrients so hence it can have a significant impact on your hair through a comprehensive stool test we can find out is there an infection in your gut for example is there h pylori .



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