Does Creatine Cause Hair Loss? We Revisited The Evidence

Medically reviewedby Dr. Mariyam Fatima M.B.B.S.
WrittenbyDr. Edna Skopljak, M.D.
Last updated

Mariyam Fatima M.B.B.S. is working as PGR (Post Graduate Resident/Registrar) of Internal Medicine in Nishtar Hospital Multan - one of the most prestigious institutions in Pakistan. She belongs to the rare progeny of healthcare professionals registered with the Pakistan Medical Commission (PMC) as Registered Medical Practitioners (RMPs). In her free time, she’s a reader and an aspiring author. Read more...

Creatine is a well-known supplement in the fitness and athletic world, celebrated for its benefits in enhancing performance, increasing muscle mass, and improving strength.

However, amidst its popularity, concerns about its potential link to hair loss have surfaced, leaving many to wonder about the validity of these claims - does creatine cause hair loss?

What is Creatine?

Creatine is a naturally occurring compound synthesized from three amino acids: glycine, arginine, and methionine. It's produced by the liver, pancreas, and kidneys and found in dietary sources like red meat and fish.

Creatine's primary role is to facilitate the recycling of adenosine triphosphate (ATP), the energy currency of the cell, particularly in muscle and brain tissues.

This process enhances physical performance, particularly in high-intensity activities, by providing immediate energy to working muscles.

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How Does Creatine Work?

Creatine increases the phosphocreatine stores in your muscles, which in turn helps produce more ATP during high-intensity, short-duration exercises. This leads to improved strength, endurance, and muscle mass.

Additionally, creatine has been shown to have potential benefits beyond muscle energy, including neurological protection and possibly aiding in the management of certain diseases like Parkinson's.

Does Creatine Cause Hair Loss?

No, there is no conclusive scientific evidence that directly links creatine supplementation to hair loss. While a 2009 study observed an increase in dihydrotestosterone (DHT) levels, which is associated with hair loss, in individuals taking creatine, it did not directly measure hair loss itself.

The 2009 study that observed an increase in dihydrotestosterone (DHT) levels in rugby players who supplemented with creatine.

DHT is a more potent derivative of testosterone, known to bind to receptors in hair follicles, potentially leading to hair thinning and loss in genetically predisposed individuals.

Examining the Evidence

While the 2009 study did find an increase in DHT levels, it's crucial to note that the research did not directly link creatine supplementation to actual hair loss. The study's focus was on hormonal changes rather than hair loss measurement, leaving a gap in the evidence.

Subsequent research has not conclusively replicated these findings, and no study to date has directly correlated creatine use with increased baldness or hair thinning in humans.

Creatine: Side Effects and Safety

Creatine is considered safe for most adults when used in moderation. The potential side effects include water retention, muscle cramps, and gastrointestinal issues, but these are generally mild and manageable.

Concerns about kidney damage, liver dysfunction, and other serious health risks have not been supported by scientific evidence in individuals with no pre-existing conditions.

What Actually Causes Hair Loss?

For those worried about hair loss, it's essential to consider genetic predisposition to androgenetic alopecia (male or female pattern baldness) and other factors like diet, stress, and overall health.

If you're experiencing unexplained hair loss, consulting with a healthcare provider or a dermatologist is advisable to explore the underlying causes and appropriate treatments.

Best Practices for Creatine Supplementation

  1. Consult a Healthcare Provider: Before starting any supplement regimen, especially if you have pre-existing health conditions or concerns about hair loss.
  2. Follow Recommended Dosages: Typically, a loading phase of 20 grams per day for 5-7 days, followed by a maintenance dose of 2-5 grams daily.
  3. Stay Hydrated: Creatine can cause water retention, making adequate hydration essential.
  4. Monitor Your Health: Be attentive to any changes in your body or health and consult a professional if concerns arise.

Conclusion

The link between creatine supplementation and hair loss remains a topic of debate, with limited and inconclusive evidence supporting this claim.

Creatine remains a popular and extensively researched supplement, known for its benefits in enhancing athletic performance and muscle growth.

As with any supplement, individuals should use creatine judiciously, considering their health status, genetic predispositions, and consulting healthcare professionals as needed.

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Dr. Edna Skopljak, M.D.

About the Writer

Edna Skopljak, MDUniversity of Ljubljana, Faculty of Medicine

Edna Skopljak, MD is a clinical doctor at the University Medical Center Ljubljana and a PhD candidate in Biomedicine at the University of Ljubljana. She combines clinical work with research and medical editing, bringing a clear, evidence-based lens to patient education. Previously, she held roles in the pharmaceutical sector (product management and chief medical officer) and served as a medical production editor for the journal Biomolecules and Biomedicine.

Dr. Skopljak’s publications span clinical topics, including urology and orthopedics. She has co-authored work affiliated with the Department of Orthopedic Surgery at University Medical Centre Ljubljana. She trained in medicine with early clinical experience in Slovenia, reflecting a long-standing focus on practical, patient-facing care.

She strictly follows our Editorial Standards: All medical statements are grounded in authoritative guidelines, FDA labels, and peer-reviewed studies, with clear distinction between approved treatments and adjunctive options.