Answer

Does creatine cause hair loss?

Creatine creatine hair-loss safety

Verdict

Not enough evidence

Creatine does not cause hair loss.

1 source: 1 partly

1 source: 1 partly

By Arun AgrahriLast reviewed 2 timecoded sources

Based on what researchers say in public interviews on YouTube. Educational only, not medical advice. Ask a qualified clinician before changing a supplement, medication, treatment, or testing plan.

Short answer

The evidence does not show that creatine causes hair loss. The fear traces to one 2009 study in rugby players. DHT rose 57% but stayed in the normal range, the study never measured hair, and no one has replicated it. The one caveat is for people already prone to male-pattern baldness.

Strong consensus for

Creatine is worth taking.

The verdict on Creatine overall. 11 sources: 8 positive, 2 partly, 1 neutral

What the evidence says

positive partly neutral negative Each researcher and each study counts once per claim, however often they come up.

  1. Not enough evidence

    Creatine does not cause hair loss.

    1 source: 1 partly. Fewer than 3 sources so far.

    Researchers say

    1 partly

    Studies show

    No study counted yet.

    8 more not counted · see why
    We could not tell where the evidence comes from. 4
    We could not tell what position it takes on this claim. 3
    The study cited could not be identified. 1
    Show the receipts from 1 source
    1. Dr. Kyle Gillett, on Huberman Lab, at 13:02 Video · partly · Opinion

      “So it's not going to speed up hair loss more than just naturally being male does. So in some individuals it will have no effect.”

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Detailed Answer

The claim that creatine causes hair loss rests on one study, and that study never looked at hair.

What the 2009 study did

Elite rugby players took part in a crossover trial, a strong design in which every subject takes both creatine and a placebo, so diet, genes and baseline hormones cancel out. They loaded 20-25 g a day for 7 days. Dihydrotestosterone (DHT), the hormone most tied to male-pattern baldness, rose by roughly 57%.

What it did not do

It never measured hair. Nobody counted follicles, measured thinning or brought in a dermatologist. The DHT rise also stayed inside the normal range the whole time, in the same sense a doctor calls a glucose or cholesterol result normal.

Creatine researcher Darren Candow made that point as a guest on Rhonda Patrick's show. The subjects also started low, so their levels had more room to rise.

Nobody has replicated it

Layne Norton, a guest on Peter Attia's show, sums it up as one study from 2009 with no replication and no follow-up. He adds that creatine is not known to change androgen levels, which makes a lone DHT jump hard to explain. No randomized trial shows creatine changes hair follicles or causes hair loss.

Candow adds what he has seen in the lab. He says he has assessed easily over a thousand people, men and women, in blinded trials, and none reported hair falling out. A participant losing hair would be the first to say so.

The one caveat

Creatine may raise the conversion of testosterone to DHT. For someone already prone to male-pattern baldness, Kyle Gillett, a guest on Andrew Huberman's show, calls that "a little bit more fuel to the fire". He chooses his words with care: it may add to hair loss, but he would not say it causes it.

Androgen-receptor sensitivity differs from person to person, and you can't know your own threshold until you start losing hair. If the follicle is still alive, he says, hair usually comes back over months once the trigger stops.

What to do

For most people, the answer is no. If you are already thinning, start creatine and see more hair in the sink, stop and watch. That beats avoiding, on theory alone, a supplement with one of the best evidence bases on the shelf. Huberman's own advice elsewhere is to test how you respond rather than reason from the myth.

Related Questions

Does creatine cause hair loss?
Not on the evidence so far. One 2009 rugby-player study found DHT rose about 57% but stayed in the normal range, and it never measured hair. It has never been replicated, and no trial shows creatine changes hair follicles.
What did the 2009 creatine DHT study actually find?
Elite rugby players took 20-25 g a day for 7 days in a crossover design. DHT rose roughly 57%, within the normal range. The study took no hair measurement of any kind, no follicle count and no check for thinning.
Should I avoid creatine if I'm already going bald?
This is the one real caveat. Kyle Gillett, a guest on Andrew Huberman's show, says creatine can raise the conversion of testosterone to DHT. If you are already prone to hair loss, he calls that "fuel to the fire", though he won't say it causes hair loss. The practical answer is to try it and watch, rather than avoid it on theory.
If hair does thin on creatine, is it permanent?
Gillett says no, as long as the follicle is still alive. Hair usually returns over months once the trigger is removed.
Has anyone looked at hair directly?
Darren Candow said on Rhonda Patrick's show that a paper measuring follicle loss and thinning with creatine had been submitted at the time of recording. Until it is published, direct evidence is missing in both directions.

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