Hair + scalp examination
Assessment of shedding, density, breakage, scalp inflammation and visible changes across the scalp.
Trichoscopy
Examination of follicle activity, hair-shaft variation, regrowth and signs of overlapping conditions.
Blood testing
Investigation of nutritional, thyroid, inflammatory and metabolic factors that may trigger premature shedding.
Personalised strategy
Translation of the assessment findings into a targeted plan for treatment, nutrition, scalp care and ongoing monitoring.
"I had alopecia and was told my hair wouldn’t grow back – Now it’s better than ever"
Renee Washington - Beauty Journalist
"Hair loss follows a pattern. The investigation identifies the driving biological processes behind it, supporting targeted treatment pathways."
Shannel Watson - Trichologist
Frequently asked questions
Your appointment includes a detailed consultation, clinical scalp examination, trichoscopy and, where included, blood testing. Your symptoms, medical history, nutrition, medications and lifestyle are reviewed before a personalised treatment plan is out together.
I assess a wide range of hair and scalp conditions, including chronic telogen effluvium, androgenetic alopecia, traction alopecia, alopecia areata, central centrifugal cicatricial alopecia, frontal fibrosing alopecia, seborrhoeic dermatitis and unexplained hair thinning.
No treatment can guarantee results because every case of hair loss is different. My approach focuses on identifying the biological factors contributing to your hair loss and combining them with the treatment pathway most likely to produce a meaningful response. For many people, this means slowing or stabilising hair loss and achieving significant improvements in shedding, density or hair quality over the following months.
I provide personalised hair growth support medication. I can alos advise on over-the-counter treatments and discuss prescription medications that may be appropriate. Where necessary, I can write to your GP or refer you to a dermatologist to support your ongoing care.
This depends on your diagnosis and treatment plan. Improvements in shedding are often seen within a three to four months, while changes in density typically take four to twelve months. Your progress can be monitored throughout treatment if you attend follow-up appointments.
Yes. Hair that never seems to grow beyond a certain length may be breaking before it reaches its full growth potential, shedding prematurely or growing more slowly due to underlying biological factors. The assessment helps determine which process is limiting your hair growth and what can be done to improve it.
Reduced hair density can result from increased shedding, follicle miniaturisation, nutritional deficiencies, hormonal changes, inflammation or a combination of factors. The consultation investigates which processes are contributing to the change and recommends the most appropriate treatment pathway.
Yes. Excessive breakage is often caused by more than just styling practices. Hair fibre strength can also be influenced by nutritional status, scalp health, repeated chemical processing, heat damage and underlying medical conditions. The consultation assesses both the hair and the factors affecting its structure and resilience.
Only very specific types of hair loss cause permanent hair loss. Even then, there will be different stages of hair loss progress over an entire scalp. Even when scarring proccesses that lead to scarring processes are occuring, some follicles can be presered and supported to regrow hair.
Blood tests are designed to catch disease, they are not designed to detect causes of hair loss. Mettera are alos complicated by multiple pathways that can be direct and indirect drivers of hair loss.
During the consultation, your current routine is reviewed alongside your hair. Advice may include selecting pH-balanced cleansers, identifying harsh detergents that can disrupt the scalp barrier, choosing appropriate conditioning ingredients and understanding when silicones, oils or styling products may be beneficial or counterproductive.
Yes.Blood testing is a core part of the systems assessment. Hair follicles rely on a complex interaction between nutrition, hormones, energy metabolism, oxygen delivery and cellular function. By investigating these biological systems alongside the clinical examination and trichoscopy, the assessment identifies processes that may be contributing to hair loss, shedding or breakage and supports a targeted treatment strategy.
If you can't find the answer you're looking for, complete the contact form below or get in touch and I'll be happy to help.
Services
Each consultation begins with a detailed assessment of your overall health, nutritional status, medical history, and lifestyle. This systems-based approach allows us to identify the underlying drivers of your hair or scalp concerns and design a personalised treatment plan that works from the inside out.
Book now | £350
For up to 18 months, you can book follow up appoinments. Shannel will personally review your progress and provide expert feedback, updated recommendations, any necessary adjustments to your protocol and guidance on your next steps.
FED UP?
Nutrition is the foundation for stronger, thicker hair
Underpowered metabolism, chronic inflammation and blood sugar spikes are major contributors to most hair and scalp conditions. Whilst genetics plays a role in scalp health and how long and thick hair grows. Lifestyle and dietary factors play a role in scalp health and in the thinning and cessation of hair growth. From amino acids and essential fats to the gut–scalp connection. Evidence-based, functional, and grounded in the biochemistry of hair and scalp health.
Custom-blended
Hair-growth compounds
Following your assessment, a bespoke prescription formulation is prepared by a specialist compounding pharmacist using clinically studied active ingredients selected according to your diagnosis, blood-test findings, treatment goals and individual biology.
By combining multiple evidence-based actives into a single personalised formulation, treatment can target several biological pathways simultaneously. As your hair responds over time, the prescription is refined to reflect changes in follicle activity, treatment response and your evolving clinical picture.
Matched to your biochemistry
Clinical-grade supplement support
Supplement support is provided with an emphasis on clean formulations and therapeutically meaningful doses. Nutrients are chosen based on your blood test results for their role as cofactors in hormonal signalling, mitochondrial function and follicular regeneration, ensuring that supplementation is focused, measurable and aligned with the underlying biochemistry of hair and scalp.
IN THE RED
What if the answers are already in your blood?
Hair and scalp health is driven by nutrients, hormones and signalling molecules that sustain follicle activity over time. The Triage Theory describes how, under even mild nutrient pressure, the body prioritises essential function over functions such as hair growth and reproduction. Standard reference ranges are designed to flag pathology, not the earlier biochemical shifts that influence shedding, density and scalp barrier breakdown.
THE JOURNAL
Explore the biology behind hair loss
Evidence-led articles covering hair loss conditions, nutrition, scalp health and treatment approaches.
“It’s Genetic”: The Convenient Inheritance of Hair Loss
Female Hair Loss: The Hidden Links Between Gut Health, Hormones and Scalp Inflammation
Are hair loss supplements actually worth it?
Not sure where to start?
READY TO GET STARTED?
Find out what’ driving your hair loss
Every consultation is designed to uncover the biological and clinical factors influencing your hair loss before recommending the most appropriate treatment pathway.