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Iron deficiency and hair loss: the London ferritin target

Ferritin is the marker most likely to change your hair — and the one most likely to be ignored at a standard blood draw.

DA

Dr. Amara Okafor

Consultant Trichologist · Harley Street

7 min4 February 2026

In short

  • Ferritin below 30 ng/mL is deficient; below 70 ng/mL is suboptimal for hair growth.
  • London female hair loss patients present with a median ferritin of 22 ng/mL.
  • Oral iron takes 3–6 months to raise ferritin meaningfully; hair follows another 3 months.
  • Iron infusions (£350–£750 in London) raise ferritin in a single session — reserved for severe cases.

Ferritin — the storage form of iron — is the single most-checked and most-under-corrected marker in London female hair loss consultations. The NHS 'normal' range starts at 15 ng/mL. Hair follicles need dramatically more than that to cycle properly.

The hair-specific ferritin target

Peer-reviewed trichology consensus is a ferritin above 70 ng/mL for meaningful hair recovery. Below 30 is clinically deficient; between 30 and 70 is 'normal on paper, poor for hair'. A woman with ferritin 25 and diffuse thinning will not respond to any topical treatment until her ferritin is corrected.

How to raise ferritin

Options, cheapest to most invasive:

  • Oral ferrous fumarate 210mg (NHS) or gentler ferrous bisglycinate 25mg — daily or alternate-day dosing.
  • Take with vitamin C, avoid coffee, tea and calcium within 2 hours of dose.
  • Retest ferritin every 8–12 weeks.
  • For severe deficiency (or intolerance), a private iron infusion in London costs £350–£750 and raises ferritin in a single visit.

When to test for the cause

Persistent low iron in a menstruating woman is usually explainable. In post-menopausal women or men, unexplained iron deficiency needs GI investigation — never chase ferritin without asking why it dropped.

You cannot topical your way past a ferritin of 20.

Frequently asked

Common questions

Can I just take a multivitamin?+

Most contain 10–14mg iron, which barely covers daily losses. A therapeutic dose is 25–100mg elemental iron depending on severity.

How quickly will my hair recover?+

Ferritin recovery: 3–6 months. Hair recovery: another 3 months. Total 6–9 months from starting iron to visible density gain.

Do vegans need higher doses?+

Not necessarily — plant iron absorbs less efficiently, but vitamin C at meals largely closes the gap.

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