Beyond AlopeciaUnderstanding comes first.

My approach

There is a person behind the hair.

Two people can present with almost identical hair loss and have arrived there by entirely different routes. The hair looks similar. The explanations aren’t.

01 Premise

One person arrives there through iron stores that dropped after a year of heavy periods. Another through an immune system that started responding to the follicle. Another through a medication started eleven months earlier that nobody connected to it.

That’s why a protocol applied to everyone helps almost no one in particular, and it’s why I start with your history rather than a product.

02 The method

Listen. Investigate. Understand. Support. Refer.

  1. Listen

    The longest part, and the part most often skipped. When it started, how it changed, what else was happening. An illness, a birth, a bereavement, a new prescription, a period of not eating properly, a house move, a year you’d rather not talk about. Hair records things on a delay. What shows now often began three to four months ago, sometimes longer. Most of what’s useful comes out of this conversation, not out of a device.

  2. Investigate

    A structured assessment: pattern and distribution, density, the hair shaft itself, the condition of the scalp skin, signs of inflammation, breakage, miniaturisation. Plus whatever you already have: photographs over time, previous blood results, notes from other appointments, the list of things you’ve tried.

  3. Understand

    Where it comes together. What the findings suggest, what they make less likely, and what remains genuinely unclear. Because sometimes the honest answer is that we don’t have enough information yet, and knowing that is more useful than a confident guess.

  4. Plan

    What’s reasonable to do, in what order, and, importantly, how you’ll know whether it’s working and how long to give it. Not a protocol. Not a product line. Things you can do anywhere, including without me.

  5. Stay

    Hair moves slowly, so I don’t vanish after an hour. If part of this belongs with a dermatologist, a GP, a blood test or a biopsy, I’ll tell you plainly, write out what to ask for, and put it in a form you can hand over. That isn’t me passing you on. It’s me making sure the next appointment is worth something, and then we pick it back up together.

03 Inputs

What I look at

  • Hair history
  • Scalp condition
  • Pattern of loss
  • Timeline
  • Life events
  • Nutrition
  • Sleep and stress
  • Medication
  • Hormonal context where relevant
  • Family history
  • Previous treatments
  • Environment and water
  • Hair handling and styling
  • How you’re experiencing it

04 Who does what

Where I fit, and who else you may need

Hair loss often needs more than one person looking at it. That’s not a problem to apologise for. It’s how you get an answer faster.

  • Your GP is the right person for blood work and for getting you referred onward. I’ll tell you which tests are worth asking for, and why.
  • A dermatologist is the right person to name a condition, prescribe, or take a biopsy. If you need one, I’ll say so early and write out what to bring.
  • I’m the person for the hour in between: the history nobody has time to take, the scalp, the pattern, the reading of all of it together, and the plan you leave with.

I’m not medically qualified, and I’d never want you to mistake me for someone who is. What I am is the person with the time to look at the whole of it and explain it back to you, and the person who makes sure you walk into every other appointment knowing exactly what to ask.

A few things I hold to

  • No product range and no affiliate deals, so nothing I suggest is something I profit from.
  • No signature protocol. The plan comes out of your history, not out of a template.
  • No promises about regrowth, from me or from anyone honest.
  • Nothing gets presented as settled science when it isn’t.

05 Language

On the word “holistic”

I use it carefully, and rarely. It has been used to sell a great deal of nonsense, and I understand why some people flinch at it.

What I mean by it is narrow and literal: hair grows out of a person, and the person has a history, a body, a set of circumstances and a life, and all of that is relevant to what the hair is doing. That’s all. It doesn’t mean rejecting medicine. Most of my referrals are into medicine. It doesn’t mean everything is connected to everything. It means the scalp is not the whole story, and neither is a blood test.

06 Evidence

On what’s known and what isn’t

Some of what’s known about hair loss is well established. Some is plausible and under-researched. Some is repeated confidently online with almost nothing behind it.

I’ll tell you which is which, including when the answer is we don’t know yet.

I’d rather be useful than certain.

07 Perspective

On my own experience

I’ve had alopecia. It’s not a qualification and I don’t present it as one. What it gives me is a better sense of which questions matter, more patience with slow timelines, and an ear for the things people don’t say out loud in a consultation. That’s all it is, and it’s not nothing.

More about me

If that sounds like what you’ve been looking for.

A consultation is 60 minutes online, and you leave with a written summary.

Not ready? Start here or read the Journal.