DAVID FOLK THOMAS: Let me start, Peter, with you. When you're evaluating somebody for hair loss, in addition to the diet, which we're going to be going into, what are the important factors to consider?
PETER HALPERIN, MD: A full patient comprehensive history would include asking them about which medications they take, what their genetic family history in terms of hair loss is, what allergies they have, and then a full physical exam. It could include hair pull tests, where one would examine hair under a microscope.
SHARI LIEBERMAN, PhD: It's interesting that you mention the hair pull test, because there are some very specific nutritional deficiencies, and the classic symptoms of these deficiencies include hair loss. Also, I didn't know that there was actually a hair pull test, but you can actually pull the hair out easier than it would normally pull. You can do it with very, very little difficulty. There are some nutrients like essential fatty acids that play a role in skin, hair and nails and other things as well. These essential fatty acids, like omega-3 fatty acids, are not the type of fatty acids that people are eating a lot of, because the sources of them basically include fish, like salmon and mackerel (not everybody eats that) or flax seed. When was the last time you had flax seed, David?