- 6319 Castle Pl #2c, Falls Church, VA 22044
Hair loss is one of the most distressing changes a patient can experience — and one of the most frequently mismanaged, because most scalp evaluations stop at the surface. At Millennium Medical Center, Dr. Shayma, MD approaches hair and scalp concerns as a physician: evaluating the full clinical picture, identifying root causes, and building a treatment plan that addresses both the scalp and the biology behind it.
Hair loss is a symptom, not a diagnosis. Treating it without identifying the underlying cause is why so many patients cycle through shampoos, supplements, and single treatments without lasting results. A proper scalp consultation at Millennium begins with the question most hair loss clinics skip: why is this happening? Dr. Shayma evaluates hair loss with the same clinical methodology she applies to any complex medical presentation.
A scalp consultation at Millennium is a physician-led evaluation that identifies why your hair is thinning or shedding — using physical examination, trichoscopy, and targeted bloodwork — and then builds a treatment plan (PRP, topicals, hormonal management, nutritional repletion, or combination) matched to your specific cause. Not a product recommendation based on a questionnaire.
Androgenetic alopecia (male and female pattern hair loss), telogen effluvium (stress-triggered shedding), iron deficiency without anemia, thyroid dysfunction (hypothyroid and Hashimoto’s), hormonal changes of perimenopause and menopause, PCOS-related androgen excess, vitamin D deficiency, zinc deficiency, alopecia areata, and scalp conditions including seborrheic dermatitis.
Dr. Shayma evaluates each hair loss presentation individually — identifying which specific causes are contributing before any treatment is recommended.
01
The most prevalent cause of hair loss in both men and women — driven by DHT-induced follicular miniaturization. Treatable with PRP, minoxidil, anti-androgens, and the Dr. Shayma Scalp Solution. Also: diffuse, high-volume shedding triggered 2–4 months after a significant stressor — illness, surgery, childbirth, rapid weight loss, or nutritional deficiency.
02
Thyroid dysfunction, perimenopause, PCOS-related androgen excess, and postpartum hormonal shifts — evaluated with a full hormonal picture, not just TSH. Low ferritin (even without anemia), vitamin D deficiency, zinc deficiency, and B12 deficiency — clinically associated with hair thinning and shedding. These are among the most treatable causes.
03
Patchy, well-defined areas of complete hair loss caused by an autoimmune attack on the hair follicle — Dr. Shayma evaluates and manages mild to moderate cases, coordinating with dermatology for severe or refractory disease. Chronic seborrheic dermatitis, scalp psoriasis, folliculitis decalvans — treated as a prerequisite to any hair restoration intervention.
04
Low ferritin (even without anemia), vitamin D deficiency, zinc deficiency, and B12 deficiency are all clinically associated with hair thinning and shedding. These are among the most treatable causes — but require targeted testing, not a standard CBC, to identify.
Scalp Consultation & Assessment at Millennium is performed by Dr. Shayma, MD — board-certified internal medicine physician — following a thorough clinical assessment. The evaluation involves a non-invasive physical and trichoscopic examination and a targeted blood draw.
Scalp Consultation & Assessment at Millennium is performed by Dr. Shayma, MD — board-certified internal medicine physician — following a thorough clinical assessment. The evaluation involves a non-invasive physical and trichoscopic examination and a targeted blood draw.
A detailed hair loss history (20–30 min), trichoscopic examination (15–20 min), targeted laboratory workup ordered same day, and a results review appointment where Dr. Shayma explains your findings and personalized treatment plan.
Every scalp consultation at Millennium includes trichoscopy, a complete targeted hair loss lab panel, and a personalized treatment plan built around the specific causes identified — not a standard package.
Noticeable hair thinning, a widening part, reduced ponytail volume, visible scalp at the crown, or significantly increased daily shedding are all appropriate reasons to pursue a physician-led scalp evaluation.
Noticeable hair thinning, a widening part, reduced ponytail volume, visible scalp at the crown, or significantly increased daily shedding are all appropriate reasons to pursue a physician-led scalp evaluation.
If you’ve been told “it’s stress” or “it’s normal” without a targeted hormone panel and trichoscopic examination, the actual cause of your hair loss may not have been identified. A Millennium scalp consultation goes deeper.
The Dr. Shayma Scalp Solution, PRP, hormonal management, nutritional repletion — these are selected based on what your evaluation actually finds, not packaged and sold before your results are known.
Dr. Shayma takes a thorough history: when shedding began, the pattern and rate of change, associated symptoms, medications, diet, recent stressors, family history of hair loss, and all prior treatments and their outcomes. 20–30 min.
01
Dr. Shayma takes a thorough history: when shedding began, the pattern and rate of change, associated symptoms, medications, diet, recent stressors, family history of hair loss, and all prior treatments and their outcomes. 20–30 min.
02
A systematic physical examination of the scalp assesses hair density, distribution pattern, scalp condition, follicular health, hair shaft quality, and signs of miniaturization — augmented by trichoscopic dermoscopy for objective follicular assessment. 15–20 min.
03
Dr. Shayma orders a targeted hair loss panel: ferritin, complete iron studies, vitamin D, thyroid panel with antibodies, androgens (testosterone, DHEA-S), SHBG, estradiol, zinc, and any additional markers indicated by your history. Results interpreted against functional targets.
04
At your results review appointment, Dr. Shayma presents findings, explains contributing factors, and outlines your personalized treatment plan — with realistic timelines for each component. Follow-up labs are scheduled to track progress and adjust as needed.
The four pillars of medical credibility — and why physician-led Scalp Consultation & Assessment produces better outcomes than delegated or unmonitored alternatives.
Dr. Shayma has evaluated hundreds of hair loss patients across the full spectrum — early androgenetic alopecia, complex multi-factorial hair loss in perimenopausal women, telogen effluvium following illness or surgery, post-chemotherapy scalp recovery, and GLP-1-associated hair loss.
Board-certified internal medicine physician with deep expertise in the hormonal, nutritional, metabolic, and inflammatory contributors to hair loss. Dr. Shayma does not evaluate scalp health in isolation — she evaluates the patient.
Millennium Medical Center provides physician-led scalp evaluation rather than protocol-driven hair clinic packages. The breadth of Dr. Shayma’s internal medicine training enables her to identify the connections between hair loss and systemic health that a hair-only clinic cannot.
Dr. Shayma provides honest assessments: hair loss present for decades with significant follicular loss may not be fully reversible — and she will tell you this. Her practice is built on outcomes, not on selling treatment packages.
The most common questions patients ask before their scalp consultation at Millennium Medical Center.
Sudden or accelerated hair loss in women is most commonly caused by telogen effluvium — a stress-induced shedding triggered by physical stressors like illness, surgery, childbirth, rapid weight loss, or nutritional deficiency. Hormonal changes, iron deficiency, and autoimmune alopecia are other common causes. A physician evaluation with targeted bloodwork is the only reliable way to identify the cause.
Hormonal hair loss typically presents as diffuse thinning — a widening part, thinning at the crown, and reduced ponytail thickness in women. Hormonal contributors include thyroid dysfunction, low estrogen (perimenopause), elevated androgens (PCOS), and less commonly elevated prolactin or cortisol. A physician-ordered hormone panel is required to confirm or rule out these causes.
A complete hair loss workup at Millennium includes ferritin, complete iron studies, 25-OH vitamin D, TSH, free T3, free T4, TPO antibodies, total and free testosterone, DHEA-S, SHBG, estradiol, prolactin, and zinc — far more comprehensive than standard labs most primary care practices order.
Reversibility depends on the cause. Hair loss from nutritional deficiency, telogen effluvium, and thyroid dysfunction is often largely reversible once the underlying cause is corrected. Early androgenetic alopecia responds well to PRP, minoxidil, and anti-androgens. Advanced follicular miniaturization may be best addressed by surgical transplant.
No referral is required for a scalp consultation at Millennium Medical Center. You can call (703) 820-7520 directly to schedule. If your evaluation reveals a concern that requires specialist dermatology or surgical referral, Dr. Shayma will coordinate that referral as part of your care.
Begin Your Journey
Whether you are coming in for internal medicine, aesthetic care, or to explore a physician-led treatment plan built around your health — Millennium Medical Center is ready to see you. Book your consultation today and experience care that starts from within.
