11-12 years is the lifespan of labs and this would be a good time to make a vet appointment. There are a few reasons for dogs to lose clumps of fur and without any knowledge of his lifestyle or health, I can't dole out advice. Your vet will know best about what is going on with him right now and when dogs reach a certain age, they should be seeing a vet once or twice a year.
Dogs do know when something is amiss. They can smell shifts in your hormones as your emotions change and they're very sensitive to changes in the household. Older dogs are especially sensitive to change after living a certain life for so long. The truth is though, that your dog is in his geriatric stage of life and his health should be prioritized above all else. Despite what is going on, your dog would likely have the same or similar conditions just because of his age. Take him to the vet and be prepared, as prepared as one can be, to hear anything.