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Monilethrix or beaded results from a genetic abnormality of defective hair shaft formation. The altered genetics  leads to improper, inefficient, incorporation of structural proteins, minerals during hair shaft formation resulting in  weak, brittle hair. Other hair shaft disorders like pili torti, pili trianguli, trichorrhexis nodosa, trichorrhexis invaginata  and pili annulati, rolled hair and circular hair are reported to be associated with vitamin, mineral, amino acid  deficiencies. The nutritional etiology can be recognized as a common thread. Combined nutritional deficiencies can  lead to occurrence of more than one hair shaft disorder in the same patient. Hair shaft disorders are also diagnostic  of certain mineral deficiencies. Temporary benefit in hair shaft disorders has been reported with the use of minoxidil  2%, acitretin, retinoids, N-acetyl cysteine and iron supplementation. The genetic disorder may not be amiable to  correction, however nutritional deficiencies or imbalance can be corrected to produce hair of better strength and  better quality. We report improvement of hair shaft structure and reduced hair breakage in case of Monilethrix with  use of vitamins, minerals, amino acids and suggest that nutritional correction can offer relief to patients with hair  shaft disorders with the understanding that it will be a better hair care though not a cure. The program delivers  wellness, good health as well as hair growth without use of any oral medication and without the fear of side effects.

Improvement in Hair Loss and Better Hair Quality with Vitamin Therapy in Monilethrix