At a Glance
Package: Hair Fall Test Package for Men. Tests: 68 parameters, 16 components. Price: From 1999. Fasting: Not required. Sample: Blood, single draw, morning slot preferred. Reports: 24 hours, digital. Home collection: Free across Gurgaon. Lab: NABL-accredited. The male version of our hair fall workup. It shares a systemic base with the Hair Fall Test Package for Women — iron, thyroid, vitamins, minerals, liver, kidney, inflammation and autoimmune markers — and adds the three androgen-related tests: Dihydrotestosterone DHT, Free, Testosterone Total and Sex Hormone Binding Globulin. The women's version contains no androgens. ## Your Blood Test Reflects a Trigger From Two to Three Months Ago When hair loss has a systemic cause — low iron, an underactive thyroid, crash dieting, surgery, a high-fever illness — the pattern is usually telogen effluvium: many follicles are pushed out of their growth phase at once, but do not shed until roughly two to three months later. So the day you notice hair on the pillow, the trigger is already months old. A blood test is still the right step, because the underlying deficiency usually persists — but a normal result does not always mean nothing happened; it can mean the trigger has resolved while shedding continues for another two to three months. Male pattern hair loss (androgenetic alopecia) behaves differently: it is driven by follicle sensitivity to DHT and recedes gradually at the temples and crown. The two can coexist, which is why this package tests both sides in one draw. ## Blood Picture - Peripheral Smear Examination A pathologist prepares a slide from your sample and reads it under a microscope, cell by cell. It cannot be automated, which is why it is the line item usually dropped from hair fall packages to hold a price point — pathologist time, not machine time. Five findings are reported: Red Blood Cells, White Blood Cells, Platelets, Hemoparasites, and a written Impression. For hair loss, red cell morphology is the point. The CBC tells you haemoglobin is low; the smear tells you why. Microcytic, pale cells point to iron deficiency — the commonest nutritional cause of diffuse shedding. Macrocytic cells point to B12 or folate deficiency. Sickle-shaped cells point to sickle cell disease. The smear also detects blast cells that may indicate leukaemia, and platelet clumping that automated counters misread as a dangerously low platelet count. The Hemoparasites finding matters in Delhi NCR, where dengue and malaria are endemic and a febrile illness is itself a common shedding trigger. ## The Androgen Group Dihydrotestosterone DHT, Free (1): DHT is the androgen that miniaturises scalp follicles in male pattern hair loss. Testosterone Total (1): the precursor hormone, and a marker of overall androgen status. Sex Hormone Binding Globulin (1): the protein that binds testosterone and determines how much is biologically free, so it changes how a total testosterone value should be read. A limitation worth stating plainly: pattern hair loss is largely inherited follicle sensitivity to DHT, not high circulating DHT. Men with classic androgenetic alopecia frequently have normal androgen levels. These tests rule out an endocrine abnormality and give a dermatologist a baseline — they do not confirm or exclude pattern hair loss, which is a clinical and trichoscopic diagnosis. ## The Other 12 Components Iron Studies (5): Serum Iron, TIBC, UIBC, Transferrin and % Iron Saturation — iron deficiency is a leading treatable cause of hair shedding. Note that ferritin, the most sensitive single iron marker in hair loss, is not part of this profile; a doctor may add it. CBC with ESR (21): anaemia, infection and inflammation. Thyroid Profile (3): TT3, TT4 and TSH. Both underactive and overactive thyroid cause diffuse hair loss; one in ten Indian adults is hypothyroid (Unnikrishnan et al., IJEM, 2013;17(4):647–652). Active Vitamin - B12 (1): measures holotranscobalamin, the fraction actually available to cells, rather than total B12 — a genuine advantage, since total B12 can look normal while the usable fraction is low. 47–70% of Indians are deficient, over 70% among vegetarians (Yajnik et al., JAPI, 2006;54:775–782). Vitamin D (25-Hydroxy) (1): deficiency ranges 40% to over 90% across Indian populations (Ritu & Gupta, IJCM, 2014;39(4):178–184); under 20 ng/mL is deficiency, 20–30 insufficiency (Endocrine Society, 2011). Zinc Serum (1) and Magnesium (1): minerals required for keratin synthesis and follicle turnover. 21-Deoxy Cortisol, serum (1): a steroid precursor used in assessing adrenal enzyme pathways; read only with specialist interpretation. C-Reactive Protein - CRP Quantitative (1): inflammation, reported as a number in mg/L so repeat values can be compared. This is standard CRP, not hs-CRP. Anti Nuclear Antibody (ANA) (1): screens for autoimmune disease such as lupus, which can cause scarring hair loss. ANA is also positive in a meaningful share of healthy people, so a positive result needs clinical interpretation, not alarm. Liver Function Test (12) and Kidney Function Test (12): chronic liver or kidney disease causes hair thinning, and both affect how nutrients and drugs are handled. ## Sources Unnikrishnan et al., IJEM, 2013;17(4):647–652 · Yajnik et al., JAPI, 2006;54:775–782 · Ritu & Gupta, IJCM, 2014;39(4):178–184 · Endocrine Society Clinical Practice Guideline, 2011 · NFHS-5, 2019–21 Content last reviewed: October 2026