The treatment varies depending upon the type of hair loss. Often, patient's have multiple etiologies. when there is doubt about the diagnosis, a scalp biopsy can be extremely helpful. Standard treatments in both men women is topical minoxidil. If inflammation is present, we will add a short course of steroid shampoos or solutions. Men and women benefit from oral anti-androgen therapies, although women must be screened to determine whether they are appropriate candidates. Compounded topical solutions which include a mix of ingredients and varying concentrations are convenient and allow for personalization and effectiveness. Topical rosemary oil, omega-3 and pumpkin seed oil oral supplementation have shown proven benefits in optimizing hair loss regimens. It is important to remember that any improvements will take at least three months to see results.