Does creatine cause hair loss?

Creatine is a natural energy source for cells, produced by the liver, pancreas, and kidneys.

Also found in red meat and fish, it is stored in skeletal muscles and broken down during physical activity, providing energy for muscle contractions, making it a popular supplement for athletes.

However, a study conducted on college-aged rugby players revealed a 56% increase in dihydrotestosterone levels after a week of creatine supplementation, remaining 40% above the baseline after 14 days.

Although the study did not assess the correlation, DHT has been linked to hair loss.

Dr Bessam Farjo, hair transplant surgeon and hair loss expert at Farjo Hair Institute, explains, "DHT, derived from testosterone, can bind to specific receptors in hair follicles, influencing hair growth cycles and hair thickness. While genetic predisposition plays a role in susceptibility to DHT, research indicates that creatine may elevate DHT levels.”

He furthers, "The link between creatine and hair loss remains limited and requires further exploration."

For individuals who suspect a connection between creatine use and hair loss, Dr Farjo advises monitoring for hair shedding approximately two months after initiating creatine supplementation. Ceasing the supplement allows individuals to observe any changes in hair loss or growth. Dr Farjo notes, "creatine may act as a catalyst for androgenic alopecia or other genetic conditions. Discontinuing the supplement is a practical approach to assess its impact on hair health."

As scientific evidence does not conclusively establish creatine as a cause of hair loss, preventative measures are not defined. However, considering the potential increase in DHT levels, especially for those concerned about hair loss, experts recommend exercising caution and, if necessary, avoiding creatine supplementation.

While the relationship between creatine and hair loss remains a topic of interest, it is essential to approach the discussion with a balanced perspective. Dr Farjo emphasises the need for further research to fully understand the potential impact of creatine on hair health.