Health & Medical Hair Health,Hair Loss

Does TE Telogen Effluvium Get Better All At Once Or Over Time?

Many of the questions that I get about shedding or telogen effluvium (TE) concern when (and how) it is going to stop.  There's no question that it's tough to cope with this condition.  Seeing shed hair everywhere and watching your hair thinning out without knowing when (or if) the end is ever going to come gets very old very quickly.  Some common questions that are asked are things like: "is there any chance that I will just wake up one morning with normal hair shedding or can I expect more gradual relief?;" or "if I'm starting to gradually shed less hairs, does this mean that I'm beginning recovery?"  I'll try to answer these questions in the following article.

Overnight Relief From Telogen Effluvium (TE): Understanding The Eliminated Trigger:  I've never experienced this myself, but having spent tons of time on hair loss forums, I've seen a couple of people who have claimed that they woke up one day and were completely back to normal with that morning's hair wash.  In other words, their TE seemingly stopped over night.  I must tell you that this seems to be the exception to the rule and that of the many years that I've been studying hair loss, I've heard about this happening only a handful of times.

Still, I think that when you do get sudden relief, it's likely because you had a very specific trigger that you were able to eliminate very quickly.  Examples of this would be if your shedding was being caused by a medication that you suddenly stopped taking, or by a product that you were having an allergic reaction to which you threw away and ceased use of.  In these cases, the thing that was causing the shedding was completely eliminated, and, assuming that you had no residual inflammation from the shedding process, there is now no reason for any more shedding to occur since you have eliminated the trigger.

Gradual Recovery From Telogen Effluvium (TE) As Your Body Stabilizes:  In my experience, it's much more common to see gradual relief from the excessive hair loss.  You may have a great day with completely normal shed and get your hopes you that this is over, but then within the next couple of days, you'll start to see the accelerated and excessive loss again.  This is frustrating roller coaster ride, but this is also often the beginning of recovery.  Unfortunately, most people have a series of starts and stops before they eventually can say that they have been enjoying normal hair fall with total regularity.  Often, you'll get some relief only to have it pulled away again, but then you will start to notice that the relief is beginning to become more frequent and that there is less time between the good days and the bad days.

I believe that this sort of recovery is typical of most people because your body is adjusting as you recover.  TE is caused by some change in or stress on your body, so you often won't see a complete reduction in shedding until your body has completely recovered or you've completely addressed whatever was triggering this.  As I've said, excluding certain exceptions, this is a gradual process for many people.

Another thing that I sometimes see is folks who have a series of TEs.  What usually happens is that they will try to treat the original trigger, but the treatment causes a new bout of shedding.  Changing up hormones, experimenting with DHT blockers, or using products or stimulants that cause more inflammation of the scalp are the usual culprits.  That's why it's important to attempt treatments gradually and carefully so that you aren't dealing with more than one trigger.

How do I know all of this? Because I lived it. I used to fantasize about an over night cure to my TE, but it soon became clear that this wasn't going to happen. I came to realize that I wasn't going to get relief until I found and carefully eliminated by triggers. So I looked at my iron, my thyroid, my adrenals, my androgen levels, my hormones, and my scalp's health. It was a long, hard, frustrating journey which all but wrecked my self esteem but I finally found something that helped quite a bit. You can read my very personal story at

Leave a reply