Your Assertion About Normal Hair Loss is Misleading and Quite Untrue

Dr. Rassman:

In one of your replies to a question about Scalpmed, you stated that it is “normal” to lose 100-150 hairs per day. While this may be true for people with NW 0, it certainly is not the case
for NW2+. I would imagine that daily hair loss is PROPORTIONAL to the amount of hair left on the head. Your assertion is misleading and quite untrue.

Thank you

I’ve often said that a “normal” range of 100-150 hairs (sometimes even 200 hairs) are lost some days. While it is true that this is a generalization, the importance of a miniaturization (microscopic) examination of your scalp is all the more relevant if you believe you are losing more hair and not growing it back. For a man who lost 50% of his original hair, for example, the daily loss of hair will be half of the original daily cycling loss, reflecting the population of hairs that remain.

The one thing I stress most on this site is the importance of a miniaturization study and not just making assumptions based on the fixed number of falling hairs you may be seeing.