What is telogen effluvium? The ultimate guide

By June 15, 2020 June 16th, 2020 No Comments

Anyone experiencing hair loss, no matter what the cause, knows how upsetting it can be. The good news is, there are ways to slow and even reverse your hair loss, if the cause is due to telogen effluvium. Here’s everything you need to know to get your hair back to its healthy state.

What is telogen effluvium?

Telogen effluvium is the second most common cause of hair fall in women after female pattern baldness.

Female pattern baldness is generally caused by internal factors such as genetics or a hormonal imbalance, while telogen effluvium occurs mostly due to a consequence of external factors such as stress, medication, or diet.

All of the hair on your scalp is in one of two stages: a growing or anagen stage, and a resting or telogen stage. Each strand of hair usually goes through a two or more year cycle of growth and rest before being shed, after which the process is repeated.

In a healthy human, around 90% of the hair is in the growing stage, and 10% in the telogen stage.

Telogen effluvium is a condition in which the hair prematurely enters the telogen stage and starts to shed, leading to excessive hair loss.

Can telogen effluvium be reversed?

Yes! Unlike female pattern baldness, which cannot be reversed, telogen effluvium can be naturally reversed.

What are the symptoms of telogen effluvium?

A healthy individual sheds between 50 to 100 strands of hair a day.

However, fresh growth immediately begins in the empty hair follicle — a sac under the skin inside which the hair strand grows.

Telogen effluvium is when hair roots are pushed prematurely into the resting state, which can result in excessive shedding of the hair.

What causes telogen effluvium?

Telogen effluvium is usually caused due to the following factors:

●  Emotional or physical stress

●  Certain medications, i.e., thyroid, gout, and/or blood pressure medications

●  Hormonal changes due to pregnancy or birth control pills

●  Nutritional factors such as anemia or rapid weight loss due to crash dieting

What is the difference between acute telogen effluvium and chronic telogen effluvium?

Acute telogen effluvium is when hair shedding lasts for less than 6 months. Acute telogen effluvium is much more common than chronic telogen effluvium.

Chronic telogen effluvium is typically diagnosed when a person has been experiencing periods of excessive hair shedding for more than 6 months. Chronic telogen effluvium may last for several years. It is most commonly seen in women in their 30s and 40s.

Just because chronic telogen effluvium may be present for years, however, this doesn’t mean it cannot be cured. It just means the proper treatment has not yet been implemented! The most common reasons for chronic telogen effluvium is iron deficiency and fad diets that aren’t giving the person proper nutrition.

How does diet impact telogen effluvium?

Malnutrition is a direct cause of hair loss, as the body discards unnecessary functions (such as hair growth) in order to conserve energy for critical processes. This factor is becoming more common in modern times with a rise in the variety and number of fad diets that people undertake without proper medical supervision. Related reading: 8 nutrition myths you probably believe, busted by nutrition scientists

Related reading: 8 nutrition myths you probably believe, busted by nutrition scientists

Anemia, especially when combined with an iron deficiency, has been shown to play a direct role in many types of hair loss, including telogen effluvium. In a study of 60 females, it was found that out of nine women who suffered from telogen effluvium, eight showed signs of iron-deficiency anemia.

To prevent hair loss, make iron-rich foods a regular part of your diet. Good sources of iron include: beans, beef, spinach, tofu, lentils, and oysters. Iron in plant foods is generally less bioavailable than iron from animal products, and Iron supplements can be helpful for some groups such as vegans and vegetarians.

Telogen effluvium guide

What are the best vitamins for treating telogen effluvium?

In some cases, nutritional supplements can be helpful for easing the symptoms of telogen effluvium. The following nutrients have been scientifically determined to play an important role in hair growth.


Keranat is a natural hair loss solution that harnesses the power of mighty millet seeds for fighting hair loss, increasing hair density and improving hair health.

Millet seeds contain miliacin, a rare triterpenoid compound. Studies show that miliacin stimulates hair growth by increasing cell proliferation at the hair bulb, and thickening of the connective tissue sheath around hair follicles. Keranat is one of the most effective telogen effluvium treatments on the market today.

Our Keranat capsules are 100% vegan and provide the same dosage used in clinical trials proven to reduce hair loss.

Keranat for telogen effluvium hair loss



Low levels of Zinc have been linked with hair loss and supplemental Zinc can be helpful for easing telogen effluvium when low zinc is a cause.

One study that looked into patients with hair loss found that they had statistically lower zinc levels as compared to a group of healthy patients. Another study showed that 66% of alopecia areata patients who were given a daily Zinc supplement showed positive effects after three months.

Zinc is one treatment for telogen effluvium


Vitamin D3

Vitamin D plays an important role in cell growth and deficiency can be an underlying factor influencing telogen effluvium. Many people fall short of the recommendations for Vitamin D, especially during the winter months when endogenous Vitamin D synthesis from sunlight exposure drops dramatically.

Vitamin D is only found in a few foods, and supplemental Vitamin D is often recommended for those with low Vitamin D levels.

hundred Vitamin D3 for telogen effluvium

Vitamin D3

Related reading: Vitamin D2 vs D3: Which should you be taking?


Ashwagandha is called the “king of herbs” in Ayurveda, the traditional medicinal system of India. Ashwagandha is also an adaptogen, meaning a class of herbs that support stress balance.

Several studies have shown that Ashwagandha supplementation can lead to significantly lower levels of cortisol, which is a hormone generated during stressful situations. Ashwagandha may therefore be helpful in combating hair loss associated with chronic stress.

Ashwagandha supplement for telogen effluvium


Related reading: The 7 best vitamins for women’s hair growth

The bottom line

Excessive hair loss is a common condition in women that causes great psychological distress. However, many cases of telogen effluvium are easily treatable and even reversible.

The key to preventing hair fall is to provide proper nourishment to the body, regularly monitor important markers such as thyroid and iron levels, and minimize environmental and emotional stresses.

Curious to discover which vitamins and herbs are right for your hair? Take our 5-minute consultation quiz to find out.

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