HAIR CARE

Hair Care: Essential Daily Practices for Healthy, Strong, Shiny Hair
Evidence-based guide

Hair Care: Essential Daily Practices for Healthy, Strong, Shiny Hair

No miracle claims. No expensive tricks. Just gentle, science-backed habits that work for every hair type, scalp, age, climate and budget.

Reading time: about 25 minutes, or skim the colored boxes for a 5 minute version. Last updated November 2026. Sources: AAD, NHS, Mayo Clinic, Harvard Health, WHO and NIH MedlinePlus.

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Illustration of five people with straight, wavy, curly and coily hair surrounded by leaves, created with Canva
Illustration generated with Canva. Healthy hair comes in every texture.

Chapter 1

Meet Maya, and the hair routine that was working against her

Maya, 29, washed her wavy hair every single morning with the strongest “deep clean” shampoo she could find. She blasted it with a hot dryer, tied it into a tight bun for work, and brushed it fiercely while wet. By autumn her ends were splitting, her scalp felt tight and itchy, and the shower drain looked alarming.

She almost bought a costly “hair growth” supplement. Instead, a friend sent her to a dermatologist who asked three simple questions: What do you wash with? How do you style? How are you eating and sleeping? The answers explained most of it. Nothing was “wrong” with her hair. Her habits were wearing it down.

Six months of small changes later, Maya shampooed only the scalp, conditioned only the lengths, switched to a loose style, and let her hair air dry most days. Her hair was not magically transformed overnight. It simply stopped breaking.

Why this story matters. Most “hair problems” are a mix of habits, health and genetics. You can change habits, support your health, and get help early for the rest. This guide walks you through all three.
50 to 100
hairs shed per day is normal (NHS)
~1 cm
average growth per month
2 to 4
months a hair rests before it sheds (Harvard Health)
6 to 9
months for most temporary shedding to settle (Harvard Health)

Chapter 2

Hair 101: what your hair is actually made of

Each strand is mostly keratin, a protein. The part you see is dead, which is why damaged hair cannot truly “heal” and only new growth is healthy. The living part is the follicle under the skin, so scalp health and body health matter as much as products.

Scalp skin Follicle bulb (living, grows hair) Oil gland Cuticle: outer scales, protect and give shine Cortex: keratin, strength, colour, curl Medulla: soft core (absent in fine hair)
Figure 1. Anatomy of a hair strand and follicle (simplified diagram).
Your hair cycle Anagen Active growth, years (about 85 to 90% of hairs) Catagen Short transition, a few weeks Telogen Rest, 2 to 4 months, then the hair sheds
Figure 2. The three-phase hair growth cycle (proportions are illustrative).
Key insight: Because shedding happens 2 to 4 months after a trigger such as illness, surgery or a crash diet, you often cannot connect the two. If you suddenly shed more, think back about 3 months.

Chapter 3

The 10 essential hair-care practices

Think of these as the foundation. Everything else in this guide builds on them.

1

Wash smartly

Wash according to how oily or dirty your scalp gets, not by a fixed rule. The AAD advises washing oily hair more often and chemically treated or dry hair less often.

  • Wet hair fully with lukewarm water. Very hot water can irritate the scalp.
  • Focus shampoo on the scalp. The lather rinsing down the lengths is usually enough.
  • Massage with fingertips (not nails) for about a minute, then rinse well.
  • Medicated shampoos (for dandruff) often need to stay on for several minutes. Follow the label.
2

Condition and moisturize

Conditioner smooths the cuticle, reduces tangles and cuts breakage. Apply it mainly to mid-lengths and ends. Fine or straight hair does well with ends only. Dry, curly or coily hair usually benefits from conditioner on the whole length, per the AAD.

  • Leave it on for 1 to 3 minutes, then rinse.
  • Use a leave-in or light cream on damp hair if your hair is dry.
  • Use a deeper mask once a week or fortnight if needed.
3

Care for the scalp

Your scalp is skin. Healthy hair grows from a calm, clean, balanced scalp.

  • Clean off sweat, oil and product build-up regularly.
  • Treat flaking and itching early (see the dandruff section).
  • Be gentle. Scratching and harsh scrubbing cause irritation.
  • Protect the scalp from sunburn at the parting.
4

Oil and massage (optional)

Oiling is a cultural tradition in many parts of the world. Oil can reduce friction and help with dryness on the lengths. It does not make hair grow faster. A gentle massage feels relaxing and may boost comfort.

  • Use a small amount, mostly on lengths and ends.
  • If you are prone to dandruff or an oily scalp, keep oil off the scalp or leave it on for a short time only.
  • Always wash the oil out thoroughly.
5

Comb and detangle gently

Wet hair is fragile. The AAD suggests a wide-tooth comb for wet hair, starting at the ends and working upward.

  • Detangle with conditioner in, in sections.
  • Avoid rubbing hair roughly with a towel. Squeeze or use a soft cotton T-shirt or microfibre towel.
  • Tightly curled or textured hair is often easiest to detangle when wet and conditioned.
6

Protect from heat and tight styling

Repeated heat damages the hair structure, and damaged hair cannot be repaired, only grown out. Tight styles cause traction alopecia, a type of hair loss that can become permanent.

  • Air dry when you can. If you blow dry, use low heat and keep the dryer moving, about 15 cm (6 inches) away.
  • Use a heat protectant, and keep flat irons and curling tongs to occasional use.
  • If your style hurts, it is too tight.
7

Trim regularly

Trimming does not speed up growth, but it removes split ends before they travel up the strand and cause breakage. A trim every 8 to 12 weeks suits most people, and every 12 to 16 weeks for very short, coily or low-manipulation styles.

8

Eat and hydrate for hair

Hair is made of protein and needs energy, iron, zinc, vitamins and fats to grow. Crash diets and big weight loss commonly trigger shedding.

  • Regular meals with protein, vegetables, fruit, whole grains and healthy fats.
  • Iron, vitamin D, B12 and thyroid problems are worth checking if you shed heavily.
  • Avoid taking high-dose supplements without a test, since extra is not better.
9

Shield from sun, pollution and water

Strong UV can weaken the cuticle and fade color. Chlorine and salt water dry hair.

  • Wear a hat or scarf in strong sun, and put sunscreen on the parting.
  • Rinse hair before and after swimming, and wear a cap if you swim often.
  • Cleanse after heavy dust, smoke or sweat.
10

Stay consistent

Hair is slow. Real change takes 3 to 6 months because hair grows about 1 cm a month. Build a simple routine you can keep and judge results over months, not days.

Jump to routines

Illustration of shampoo and conditioner bottles, a wide-tooth comb and a soft towel
Wash day basics: gentle products, a wide-tooth comb and a soft towel. Illustration generated with Canva.
1Wet withlukewarm water 2Shampoo thescalp only 3Massage withfingertips, rinse 4Condition midlengths and ends 5Rinse, pat dry,detangle gently
Figure 3. A simple five-step wash day that suits most hair types.

Chapter 4

Care that fits your hair and scalp

There is no single best routine. Pick your hair pattern, scalp type and life stage below to see tailored guidance.

Quick finder

By hair pattern

Straight

Shows oil quickly because sebum slides easily down the strand. Often shiny but can look flat.

  • Wash a little more often if the roots get oily.
  • Condition ends only.
  • Light, non-greasy styling products.

Wavy

Sits between straight and curly, and can frizz in humidity.

  • Lightweight conditioner and a leave-in cream.
  • Scrunch and air dry, or diffuse on low heat.
  • Avoid heavy oils that flatten waves.

Curly

Curls make it harder for scalp oil to travel down, so lengths tend to be dry and prone to frizz.

  • Moisturizing conditioner on the full length.
  • Detangle wet, with conditioner, using fingers or a wide comb.
  • Sulfate-free or gentle cleansers if your hair is dry.

Coily

Naturally the driest and most fragile pattern, since tight bends are weak points.

  • Moisture first: water, leave-in, then a sealing oil or butter.
  • Protective styles must be loose and rested between wears.
  • Wash gently every 1 to 2 weeks, using co-wash or gentle shampoo as needed. Wear a satin bonnet or pillowcase at night.

By scalp type

Normal

Neither oily nor flaky. Wash 2 to 3 times a week with a mild shampoo.

Oily

Wash every 1 to 2 days with a gentle clarifying or balancing shampoo. Skip heavy oils on the scalp. Do not over-scrub, since that can trigger more oil.

Dry

Wash less often, use lukewarm water, and choose a hydrating shampoo. Flaking with redness may be dandruff or eczema, so check the dandruff section.

Sensitive

Choose fragrance-free, simple formulas. Patch test new products on the inner forearm for 24 to 48 hours. Avoid harsh dyes. Stop anything that stings or burns.

By age and gender

GroupWhat changesWhat helps
ChildrenFine hair, sensitive scalp, tangles, head lice risk at school age.Mild tear-free shampoo, loose styles, soft brushes. Teach gentle detangling early (AAD).
TeensHormones raise oil. Heat tools and dyes are tried for the first time.Wash as often as needed, patch test dye, limit heat, avoid tight styles.
AdultsStress, diet, postpartum and medication-related shedding.Balanced diet, sleep, gentle routine. See a doctor for persistent shedding.
Pregnancy and postpartumHair often looks thicker in pregnancy, then sheds 2 to 4 months after birth (normal, temporary).Reassurance, good nutrition, gentle handling. See a doctor if shedding lasts beyond a year.
Menopause and older ageHair becomes thinner, drier, and may turn grey or white. Scalp oil falls.Richer conditioner, less washing, thyroid and iron checks if shedding is heavy, volumizing cuts.
MenPattern hair loss (hairline and crown), beard care and razor irritation.Early review for thinning, dandruff control, gentle shaving, beard cleansing (AAD has beard guidance).
WomenDiffuse thinning at the parting, hormonal change, styling stress.Checks for iron, thyroid and hormones. Loose styles. Minoxidil may be an option after medical advice.
Trans and non-binary peopleHormone therapy may change oil, texture and shedding or thinning patterns.Choose care by hair and scalp type, and discuss changes with your clinician.
Head coverings (hijab, turban, wigs)Friction, sweat and tension can irritate the scalp and hairline.Breathable fabrics, no tight pulling, a clean cloth liner, and scalp rest time. The AAD notes covers can contribute to traction alopecia if tight.

Chapter 5

Common hair problems: causes, prevention and treatment

Tap a problem to see what usually causes it and what to do. Evidence is drawn from the AAD, NHS, Mayo Clinic and Harvard Health.

What is going on

Losing 50 to 100 hairs a day is normal. Hair loss becomes a concern when shedding is much heavier, hair comes out in clumps, parts widen, or bald patches appear.

Common causes

  • Telogen effluvium: sudden shedding 2 to 4 months after illness, fever, surgery, childbirth, major stress or crash dieting. It usually settles within 6 to 9 months (Harvard Health).
  • Pattern hair loss: inherited, gradual, and usually permanent without treatment (NHS).
  • Alopecia areata: autoimmune, round smooth patches.
  • Iron deficiency, thyroid disease, some medicines.
  • Traction: tight hairstyles over years.

What to do

  • Eat enough protein, iron and calories. Do not crash diet.
  • Manage stress and sleep, since they affect the cycle.
  • Loosen styles, and avoid harsh chemical treatments.
  • Ask a GP or dermatologist about blood tests (iron, ferritin, thyroid, vitamin D, B12) if shedding lasts over 3 months.
  • Treatments for pattern loss: minoxidil (men and women) and finasteride (men only; women should not use it per the NHS). These work only while used and are not guaranteed for everyone.
  • No treatment has been proven to speed up active telogen effluvium. Fix the trigger and be patient.

What is going on

Dandruff is a mild form of seborrheic dermatitis. It is common, not contagious and not a sign of poor hygiene (Mayo Clinic).

Causes

  • Oily, irritated skin and a yeast-like fungus (Malassezia) that feeds on scalp oil.
  • Dry skin, cold dry weather and stress.
  • Reaction to hair products (contact dermatitis).
  • Other conditions such as eczema and psoriasis.

What to do

  • Start with regular washing using a gentle shampoo.
  • Then try a medicated shampoo. Common active ingredients include zinc pyrithione, selenium sulfide, ketoconazole, salicylic acid and coal tar.
  • Leave it on for about 5 minutes, as per the label (Mayo Clinic Minute).
  • If it stops working, rotate between up to three shampoos with different actives (Mayo Clinic).
  • Stop a product that stings or causes a rash. Seek urgent help for swelling or trouble breathing.
  • See a doctor if there is no improvement after a few weeks, or if the scalp is red, painful, crusted or oozing.

What is going on

Dry, brittle hair has a roughened cuticle that loses moisture and snaps easily.

Causes

  • Heat styling, bleaching, perming, relaxing and frequent colouring.
  • Over-washing with harsh cleansers, hot water.
  • Sun, chlorine, salt water, dry or windy climate.
  • Low protein or iron intake, and thyroid issues.

What to do

  • Wash less often, and condition every time.
  • Weekly deep conditioning mask.
  • Air dry or use low heat with a protectant.
  • Space chemical treatments many weeks apart, and avoid doing several in one session.
  • Trim damaged ends. Heat-damaged hair cannot be repaired and must grow out (AAD).

What is going on

Oil glands produce sebum to protect the scalp. Some people simply make more, especially during puberty, hormone change and humid weather.

Causes

  • Genetics and hormones.
  • Infrequent washing, or heavy leave-in products and oils at the roots.
  • Seborrheic dermatitis.
  • Over-washing with harsh products can sometimes make the scalp feel greasier again.

What to do

  • Wash as often as the scalp needs. The AAD says oily hair should be washed more often.
  • Use a gentle, balancing shampoo, and a clarifying one every 1 to 2 weeks.
  • Condition only the ends.
  • Touch and brush your hair less, since this spreads oil.
  • Persistent greasiness with flakes may need a dandruff shampoo.

What is going on

Frizz happens when the cuticle is raised and hair absorbs humidity. Split ends are the strand’s end fraying after wear and tear.

Causes

  • Dryness, heat, rough towel drying and friction.
  • Chemical treatments and sun.
  • Natural curl pattern and humidity.

What to do

  • Condition well, and use a leave-in or light serum on damp hair.
  • Do not brush curls dry. Detangle wet with conditioner.
  • Sleep on silk or satin, or in a bonnet.
  • Trim every 8 to 12 weeks. No product can glue a split end back for good, since products only smooth it temporarily.

What is going on

Breakage is hair snapping along the strand, which creates short, uneven pieces. Thinning is fewer or finer hairs growing from the follicle. They need different responses.

Causes

  • Breakage: heat, bleach, tight styles, rough brushing, brittle lengths.
  • Thinning: pattern hair loss, hormones, nutrition, thyroid, age, medicines, scarring conditions.

What to do

  • Reduce tension and heat. Pain from a hairstyle signals it is too tight.
  • Look for short broken hairs around the hairline and temples, an early sign of traction alopecia.
  • Stop tight styles early, because long-term traction can cause permanent loss (AAD).
  • Get thinning that is progressive, patchy, or scalp-related checked early. Early treatment keeps more hair.

What is going on

Hair turns grey when pigment cells in the follicle slow down. Timing is strongly genetic and varies across ethnic groups. Premature greying is commonly defined as starting before about 20 in people of European descent, before 25 in Asian populations and before 30 in people of African descent.

Possible contributors

  • Family history, which is the main factor.
  • Smoking.
  • Vitamin B12 deficiency, thyroid disease and some autoimmune conditions.

What to do

  • Genetic greying cannot be reversed by oils, diets or supplements. Be wary of claims that say otherwise.
  • Stop smoking, eat a balanced diet, and get a blood test if greying is sudden or comes with fatigue or other symptoms.
  • Colour is a safe cosmetic choice if patch tested. Greying is not a health problem on its own, and many people embrace it.
Safety note: Avoid hair-straightening products that may contain formaldehyde, and any treatment that causes burning, blisters or open sores. These can scar the scalp and cause permanent loss.

Chapter 6

Routines you can actually keep

Adjust the frequency to your hair type. The goal is simple, repeatable and kind to your hair.

Morning (3 to 5 min)

  • Gently detangle dry hair from the ends up (curly hair: use damp fingers).
  • Smooth a pea-sized amount of leave-in or serum on the ends if dry.
  • Style loosely. Use no heat if you can.
  • Sunscreen on the parting, and a hat or scarf in strong sun.

Evening and bedtime

  • Detangle gently, and remove tight bands.
  • Loose braid or high loose bun (a “pineapple” for curls).
  • Satin or silk pillowcase, or bonnet.
  • Never sleep with wet hair tied tightly.

Weekly

  • Wash 1 to 4 times, depending on type.
  • One deep conditioning mask.
  • One gentle scalp massage session (3 to 5 min).
  • Clean brushes and combs.
  • Change pillowcase.

Monthly

  • Clarify once if there is product build-up.
  • Check your scalp for new flakes, redness or patches.
  • Photograph your parting to track changes.
  • Book a trim every 8 to 12 weeks.
Illustration of a person braiding hair loosely at bedtime with a satin bonnet
Bedtime care: a loose braid and a smooth satin surface reduce friction. Illustration generated with Canva.
Sample week for wavy or curly hair MonTueWedThuFriSatSun Wash +condition Refresh with water Scalp massage(oil optional) Wash +deep mask Rest day Loose style,no heat Rest Oily scalp: add a gentle wash on Wednesday and Saturday. Coily hair: reduce to 1 wash per week and keep moisture steps. Straight and fine hair: wash every 1 to 2 days if it gets oily, and condition ends only.
Figure 4. Example weekly rhythm. Adapt it to your hair type, activity level and climate.

Tick-off tracker

Tick what you did this week. It saves in your browser only, on this device.

Chapter 7

Natural remedies: what helps, what is hype

“Natural” does not automatically mean safe or effective. Here is an honest scorecard. Always patch test, since plant ingredients are a common cause of contact allergy.

Illustration of coconut, aloe vera, oils, rosemary and honey
Common natural ingredients. Evidence varies, so check the scorecard below. Illustration generated with Canva.
IngredientEvidence levelPossible benefitHow to use and cautions
Coconut oilSome evidenceLab studies suggest it can reduce protein loss in hair when used before washing.Apply to lengths 30 minutes before shampooing. Can feel heavy on fine hair, and can worsen scalp flaking in some people.
Argan and jojoba oilLimitedLight sheen, softer ends, less friction.A few drops on ends. Not proven to grow hair.
Aloe vera gelLimitedSoothing and conditioning feel.Use pure gel, patch test, rinse after 20 to 30 minutes.
Rosemary oil (diluted)Early researchOne small trial reported results similar to 2% minoxidil at 6 months. More research is needed.Dilute well in a carrier oil. Never apply undiluted essential oil. Avoid in pregnancy without advice. Stop if irritated.
Tea tree oil (diluted)LimitedMild antifungal effect for dandruff in small studies, and the Mayo Clinic lists tea tree as an option with limited proof.Use shampoos with a low, labelled concentration. Never use neat on the scalp, because it can cause allergic reactions.
Onion juice, fenugreek, curry leaf, hibiscusWeakTraditional use. Evidence is weak or from small studies.Can be smelly or irritating. Not a replacement for medical treatment.
Egg, yogurt, banana, honey masksMostly anecdotalTemporary softness and shine.Rinse with cool water (hot water can cook egg). Allergy risk. Does not rebuild damaged hair.
Apple cider vinegar rinseLimitedCan smooth the cuticle for some people.Dilute (1 tablespoon in 1 cup of water), and skip it on a sensitive or irritated scalp.
Lemon juice, baking soda, neat essential oils, kerosene, bleachAvoidNone proven.Can burn, dry out or inflame the scalp, and cause chemical damage or sun sensitivity.

Simple pre-wash oil treatment

  1. Warm 1 to 2 teaspoons of oil in your palms (not hot).
  2. Smooth through mid-lengths and ends.
  3. Leave 30 to 60 minutes.
  4. Shampoo twice if needed to remove it.

Soothing aloe and water mist

  1. Mix 1 tablespoon pure aloe gel with 1 cup of clean water.
  2. Store in the fridge for up to 3 days.
  3. Lightly mist ends of damp hair.
  4. Discard if smell or colour changes.

Gentle scalp massage

  1. Use fingertips with light to medium pressure.
  2. Make small circles from the front hairline to the nape.
  3. Spend 3 to 5 minutes. It should never hurt.
  4. Skip it on broken, sunburned or inflamed skin.

Chapter 8

Choosing products without wasting money

Price does not equal quality. Match the product to your scalp and hair, read the ingredient list, and change one product at a time.

ProductPick this if you haveHelpful ingredientsBe careful with
ShampooOily: balancing or clarifying. Dry or curly: hydrating, gentle. Flaky: medicated.Mild surfactants, glycerin, panthenol, zinc pyrithione, ketoconazole, selenium sulfide, salicylic acid (for flakes).Strong fragrance, high alcohol content for dry hair, and daily clarifying use.
ConditionerAll hair types. Fine hair: lightweight. Thick or coily: rich.Glycerin, fatty alcohols (cetyl, cetearyl), shea butter, ceramides, amino acids.Heavy butters at the roots of fine hair.
Hair oilDry ends, frizz, coily hair.Coconut, argan, jojoba, almond, sunflower.Oil on a dandruff-prone scalp, and nut oil if allergic.
Serum and leave-inFrizz, split-end look, heat styling.Light silicones (dimethicone) for smoothness, plant oils, humectants.Silicone build-up on fine hair. Clarify monthly if needed.
Hair maskDamaged, coloured or very dry hair.Keratin or amino acids, ceramides, plant oils.Using protein masks too often, which can make hair stiff and brittle.
Styling productsHold or definition.Water-based gels and creams, heat protectants.Alcohol-heavy sprays on dry hair, and sleeping in product.

Often helpful

  • Glycerin, panthenol, aloe
  • Ceramides and fatty alcohols
  • Zinc pyrithione, ketoconazole for flaking
  • UV filters in leave-ins if outdoors much

Possible irritants

  • Fragrance and essential oils
  • Preservative allergens (such as methylisothiazolinone)
  • Hair dye ingredient PPD (a common allergen)
  • Strong sulfates for very dry or sensitive scalps

Skip these

  • Formaldehyde-releasing straighteners
  • Home bleaching without a patch test
  • “Miracle” hair-growth supplements with big claims
  • Unregulated products with no ingredient list
Label tip: “Sulfate-free” is a choice, not a rule. Sulfates are fine for many people, especially with oily scalps. Dry, curly, coloured or irritated scalps often do better with gentler cleansers.

Chapter 9

Myths vs facts

MythWashing every day causes hair loss.
FactWashing does not cause hair loss. The hairs you see in the drain were already shed. Wash as often as your scalp needs.
MythTrimming makes hair grow faster.
FactHair grows from the root. Trims prevent split ends and breakage so you keep length.
MythBrushing 100 strokes a day makes hair shiny.
FactExcess brushing causes breakage. Brush gently and only as needed.
MythOiling makes hair grow thicker.
FactOil can lessen dryness and friction on the strand. It does not change follicle growth, and can worsen flaking on some scalps.
MythPlucking one grey hair grows two.
FactOne follicle makes one hair. Repeated plucking can damage the follicle.
MythStress turns hair grey overnight.
FactGreying is mainly genetic. Stress can cause shedding. Research on stress and pigment loss is ongoing, but sudden overnight greying is not supported.
MythHats and helmets cause baldness.
FactPattern baldness is hormonal and genetic. Very tight headgear worn constantly can cause traction damage.
MythDandruff means a dirty scalp.
FactIt is linked to oil, yeast, skin sensitivity and weather. It is not contagious (Mayo Clinic).
MythNatural always means safer.
FactPlant extracts and essential oils are a common cause of allergic rashes. Use, dilute and patch test carefully.
MythA product can repair split ends permanently.
FactProducts can temporarily smooth them. Only cutting removes them.
MythMore biotin means more hair.
FactBiotin helps only if you are deficient, which is rare. High-dose biotin can interfere with some blood tests, so tell your doctor if you take it.

Chapter 10

When to see a doctor or dermatologist

Most hair changes are harmless, but some signal a treatable medical or scalp condition. Early treatment protects more hair, especially for scarring types.

Warning signs

  • Sudden or heavy shedding, or clumps of hair.
  • Round or patchy bald areas.
  • Receding hairline or widening parting.
  • Scalp pain, burning, redness, pus, crusts or scaly patches.
  • Itch that disturbs sleep, or flaking that does not respond to shampoo after a few weeks.
  • Smooth, shiny scalp areas where hair no longer grows (possible scarring).
  • Hair changes with fatigue, weight change, heavy periods, cold intolerance or other symptoms.
  • Hair loss in children.
  • Distress about your hair that affects daily life. Support is available.

What a clinician may do

  • Examine the scalp and hair, and ask about history, diet, stress and medicines.
  • Run blood tests (such as iron, thyroid, vitamin D, B12).
  • Perform a gentle pull test, dermoscopy or, occasionally, a scalp biopsy.
  • Treat with prescription or evidence-based options such as minoxidil, finasteride (men), steroid injections or creams, antifungal treatments, light therapy or other medicines depending on the diagnosis. Some options may not be available free on the NHS.
Illustration of a dermatologist examining a patient's scalp
A scalp check with a dermatologist is quick and painless. Illustration generated with Canva.
Avoid self-medication. Do not start prescription-type drugs, hormones, high-dose supplements or online “hair clinic” treatments without a diagnosis. The NHS advises seeing a GP to find out the cause before going to a commercial hair clinic. No treatment is 100% effective, so ask for realistic expectations.
Emotional health matters. Hair loss can be upsetting. Support groups, counselling, wigs, scalp micropigmentation and camouflage options exist. Alopecia UK and similar organisations offer peer support.

Chapter 11

Beyond the bathroom: nutrition and lifestyle

Eat for your follicles

  • Protein: eggs, fish, pulses, tofu, dairy, nuts.
  • Iron: lentils, leafy greens, meat, fortified foods (pair with vitamin C).
  • Zinc: seeds, whole grains, legumes.
  • Healthy fats: oily fish, nuts, seeds.
  • B vitamins: a varied diet (vegans need a reliable B12 source).

Habits that help

  • Sleep 7 to 9 hours.
  • Stay hydrated.
  • Stay active, and use stress tools such as walks or breathing.
  • Do not smoke.
  • Limit alcohol.

Budget and climate tips

  • A basic gentle shampoo plus conditioner is enough.
  • Use cotton T-shirt towels and old satin scarves for free upgrades.
  • Humid climates: lighter products, anti-frizz leave-in.
  • Dry or cold climates: richer conditioner, humidifier, covered hair outdoors.
  • Hard water: occasional clarifying rinse or filter shower head.
Illustration of eggs, salmon, lentils, spinach, nuts and citrus fruit
Foods rich in protein, iron, zinc and healthy fats. Illustration generated with Canva.
Illustration of a person wearing a wide-brim sun hat in the sunshine
Hats and scarves help shield hair and scalp from strong UV. Illustration generated with Canva.
Supplement reality check: Harvard Health notes that no treatment is proven for active telogen effluvium, and nutrient supplements help mainly if you are truly low. Test first, then supplement under advice.

Chapter 13

Frequently asked questions

How often should I wash my hair?
It depends on scalp oil, hair type and activity. Oily scalps may need washing every 1 to 2 days, normal scalps 2 to 3 times a week, and dry, curly or coily hair every 1 to 2 weeks. The AAD advises washing oily hair more often and chemically treated hair less often.
Is it bad to shampoo twice?
Not at all, if your scalp is oily or has product build-up. The first wash removes dirt, and the second cleans the scalp better. Use a small amount and keep it gentle.
Should I use conditioner on my scalp?
Usually no. For fine or straight hair, apply to ends only. For dry, curly or coily hair the AAD says to apply it along the whole length. Keep heavy products away from an oily or flaky scalp.
How much hair loss per day is normal?
The NHS says 50 to 100 hairs a day is normal. Seek advice if it is much more, comes in clumps, or you see patches or a widening parting.
Does stress cause hair loss?
Yes, it can trigger telogen effluvium, with shedding around 2 to 4 months later. It usually recovers within 6 to 9 months once the trigger resolves (Harvard Health).
Do hair growth vitamins work?
Only if you are deficient in a nutrient. Supplements are not proven to boost growth in people with normal levels. Test first and talk to a clinician, since too much of some nutrients can cause harm.
Can I get rid of dandruff for good?
Dandruff can almost always be controlled, but there is no permanent cure, and it can return (Mayo Clinic). Regular use of an appropriate shampoo keeps it down.
Is heat styling ever safe?
Occasional, lower-heat styling with a heat protectant is much safer than daily high heat. Heat-damaged hair cannot be repaired, so prevention matters.
Are protective styles good for my hair?
They can reduce daily manipulation, but only if they are not tight and are not left in too long. If the style hurts or you see broken hairs at the edges, loosen or remove it (AAD).
Does coconut oil work for everyone?
No. It may protect the strand from protein loss, but it can feel heavy on fine hair and irritate a flaky scalp. Try a small amount and watch how your hair and scalp respond.
Can grey hair be reversed?
Genetic greying cannot. If greying is linked to a deficiency such as B12 or thyroid disease, treating that may help in some cases. Ask a doctor.
Are hair-loss treatments safe in pregnancy?
Many are not. Finasteride must not be used in pregnancy, and minoxidil and essential oils need medical advice. Postpartum shedding is normal and temporary.
How long until I see results from a new routine?
Softness and frizz may improve in 2 to 4 weeks. Strength and length changes take 3 to 6 months, as hair grows about 1 cm per month.

Chapter 14

Free downloads

Created in your browser, so nothing is uploaded. Open them in any text editor or spreadsheet app.

Weekly routine checklist

A printable plain-text checklist for morning, evening, weekly and monthly care.

Hair and scalp diary

A CSV template to log washes, products, stress, diet and shedding. Great to show your doctor.

Doctor visit prep sheet

Questions to ask and details to bring to your dermatology or GP appointment.

Chapter 15

References and further reading

Links open the publishers’ own pages. Medical pages are updated over time, so check the date on each page.

  1. American Academy of Dermatology. Tressed to impress: tips for keeping your mane magnificent (press release, 2024). aad.org/news/tressed-to-impress-hair-tips
  2. American Academy of Dermatology. Hair care habits that damage hair. aad.org/public/everyday-care/hair-scalp-care/hair/habits-that-damage-hair
  3. American Academy of Dermatology. Hairstyles that pull can lead to hair loss (traction alopecia). aad.org/public/diseases/hair-loss/causes/hairstyles
  4. American Academy of Dermatology. How to treat dandruff. aad.org/public/skin-hair-nails/hair-care/how-to-treat-dandruff
  5. NHS. Hair loss: causes, treatments and when to see a GP. nhs.uk/conditions/hair-loss
  6. Mayo Clinic. Dandruff: symptoms, causes and treatment. mayoclinic.org/diseases-conditions/dandruff
  7. Mayo Clinic News Network. Mayo Clinic Minute: Tips for dealing with dandruff. newsnetwork.mayoclinic.org
  8. Harvard Health Publishing. Telogen effluvium. health.harvard.edu/a-to-z/telogen-effluvium-a-to-z
  9. NIH MedlinePlus. Hair problems (overview and links). medlineplus.gov/hairproblems.html
  10. World Health Organization. Ultraviolet radiation fact sheet (sun protection). who.int/news-room/fact-sheets/detail/ultraviolet-radiation
  11. Rele AS, Mohile RB. Effect of mineral oil, sunflower oil, and coconut oil on prevention of hair damage. J Cosmet Sci. 2003. Search on PubMed.
  12. Panahi Y et al. Rosemary oil vs minoxidil 2% for androgenetic alopecia: a randomized comparative trial. Skinmed. 2015. Search on PubMed.
  13. Alopecia UK, patient support and information. alopecia.org.uk
  14. Find a board-certified dermatologist (AAD). aad.org/findaderm
Medical disclaimer: This guide is for general education and does not replace advice from a doctor or dermatologist. If you have concerning symptoms, please seek personal medical care.

Hair Care Guide. Written with an inclusive, evidence-first approach. Healthy hair looks different on everyone.

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