Dandruff and scalp itching typically don’t cause telogen effluvium unless there's significant inflammation or an allergic reaction. Inflammatory scalp conditions can contribute to hair loss, but they are rare and usually more painful than just itching. For persistent hair loss concerns, some people explore options like hair transplant Istanbu clinics, especially when shedding doesn’t improve. It's more common for itching to occur after shedding begins, not as the cause.