Does Creatine Cause Hair Loss?

December 20, 2023

Creatine is a naturally occurring compound found in small amounts in certain foods that is synthesized by the body. Its primary role is fueling the production of adenosine triphosphate (ATP) – the cellular energy powerhouse. 

Widely popular in the fitness community, creatine supplementation is embraced for its capacity to enhance strength and power during high-intensity activities.

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What are Creatine Supplements?

Creatine supplements come in various forms, and they are widely used to enhance athletic performance, support muscle growth, and overall fitness.

Here's an overview of common creatine supplements:

  • Creatine monohydrate

  • Creatine ethyl ester

  • Creatine hydrochloride (HCl)

  • Micronized creatine

  • Buffered creatine

  • Liquid creatine

  • Creatine blends

When considering creatine supplements, it's essential to choose a form that aligns with your preferences and goals. Creatine monohydrate – due to its extensive research backing and affordability – is often recommended for most individuals.

Dosage recommendations typically involve an initial loading phase (around 20 grams per day divided into four doses) for five to seven days, followed by a maintenance phase (three to five grams per day) to maintain elevated creatine levels in the muscles. As with any supplement, consulting with a healthcare professional or a nutritionist is advisable, especially if you have underlying health conditions or concerns.

What are the Benefits of Creatine in Sports Performance and Muscle Growth?

Creatine supplementation has been extensively studied, and its benefits in sports performance and muscle growth are well-established. Here are some key advantages:

It's important to note that individual responses to creatine can vary, and not everyone may experience the same level of benefits.

Improved anaerobic performance

Creatine offers a double boost for athletes. First, it boosts ATP production, giving muscles the fuel for increased strength and power. This is crucial for high-intensity training (HIIT), weightlifting, or sprinting.

Creatine also enhances anaerobic performance, benefiting sports that involve short bursts of intense effort, such as football or basketball. It's a game-changer for athletes engaging in activities demanding repeated bouts of maximal effort.

Enhanced muscle recovery

Creatine has been associated with reduced muscle cell damage and inflammation following intense exercise. This can contribute to faster recovery times between workouts, allowing athletes to train more frequently and with higher intensity.

Muscle building and growth (hypertrophy)

Creatine can have positive effects on muscle growth. First, it pulls water into your muscle cells, making them swell up and creating a better environment for muscle building. This hydration boost also helps with protein synthesis.

Second, when you use creatine over time, your muscles grow. Some of it is due to water getting trapped in the muscles, but studies show that creatine also kickstarts the process of building muscle proteins. So, in a nutshell, creatine helps your muscles get bigger and stronger.

Neuroprotective effects

Emerging research has shown that creatine may possess neuroprotective effects, potentially providing benefits to cognitive function. 

Creatine has potential in decreasing the loss of dopamine, which directly triggers catagen in the follicles of human scalp hair.

Additionally, it seems that creatine can prevent the loss of dopaminergic neurons. This suggests a possible link between creatine and the skin and hair changes seen in Parkinson's disease. However, more research is needed in this evolving field of study. 

Safe and well-tolerated

Creatine is one of the most researched and safe sports supplements. It has been used for decades without significant reported adverse effects when used within recommended dosage guidelines.

Creatine Supplementation Side Effects

Creatine supplementation is generally considered safe for most people when used within recommended dosages. However, like any supplement, there can be potential side effects, and individual responses may vary. It's important to be aware of these considerations before incorporating creatine into your routine. 

Here are some potential side effects and considerations associated with creatine supplementation:

  • Gastrointestinal distress

  • Dehydration

  • Muscle cramping

  • Kidney strain (for individuals with pre-existing kidney conditions)

  • Weight gain

  • Interactions with medications

  • Allergic reactions

  • Mood changes

It's important to note that the majority of users tolerate creatine well, and the reported side effects are typically mild and temporary. Additionally, following recommended dosage guidelines and staying informed about potential side effects can help ensure a safe and effective experience with creatine supplementation.

The connection between creatine and hair loss is a topic that has been discussed within fitness communities, but the scientific evidence supporting a direct link is currently limited and inconclusive. 

Some concerns have been raised regarding the impact of creatine on dihydrotestosterone (DHT) levels. DHT is a hormone associated with hair loss, especially for those with a genetic predisposition to androgenetic alopecia (pattern baldness).

Research findings on this topic have been mixed. While some studies suggest a potential increase in DHT levels with creatine supplementation, others have found no significant impact. It's important to note that individual responses can vary, and factors such as genetics, overall health, and existing hormonal profiles may play a role.

If you're considering creatine supplementation and have concerns about potential effects on hair loss, it's advisable to consult with a healthcare professional or a dermatologist. They can provide personalized advice based on your specific health situation. 

Additionally, staying informed about the latest research developments is crucial, as scientific understanding may evolve over time. Always prioritize your overall health and well-being when making decisions about dietary supplements.

Factors that Affect Hair Loss

Hair loss can result from a variety of factors, and it's often influenced by a combination of genetic, hormonal, nutritional, and lifestyle elements. Understanding these factors can provide insights into the potential causes of hair loss. Here are some common contributors:

Genetics (androgenetic alopecia)

The most common cause of hair loss is hereditary, known as androgenetic alopecia. It's a genetic condition that affects both men and women, and it can lead to progressive thinning of hair and eventual baldness.

Hormonal changes

Testosterone – the primary male hormone – helps regulate hair growth. Shifts in testosterone levels can impact hair loss. 

One contributing factor is the conversion to DHT, which has been associated with the shrinkage of hair follicles in those genetically inclined to androgenetic alopecia (common pattern baldness in both men and women).

Nutritional deficiencies

Poor and inadequate nutrition, especially deficiencies in essential vitamins and minerals such as iron, zinc, and vitamin D, can significantly impact hair health. 

A well-balanced diet rich in nutrients is recommended for supporting and maintaining healthy hair growth, providing the necessary building blocks for strong and vibrant hair. 

This includes a variety of fruits, vegetables, lean proteins, whole grains, and sources of healthy fats that support overall health and, consequently, optimal hair condition.

Medical conditions and illnesses

There are certain medical conditions and illnesses that may contribute to hair loss. These include:

  • Thyroid disorders

  • Autoimmune diseases such as, discoid lupus, dermatomyositis, and alopecia areata

  • Chronic condition illnesses including, psoriasis and seborrheic dermatitis can contribute to hair loss. 

Managing and treating the underlying medical condition is essential to address hair loss in these cases.

Medications and treatments

Some medications, including chemotherapy drugs, anticoagulants, and certain antidepressants, may cause hair loss as a side effect. Radiation therapy can also lead to hair loss in the treated area.

If you're experiencing medication-induced hair loss, consult your healthcare provider. They can assess your specific situation, potentially adjusting your medication or exploring alternative options with fewer side effects.

Physical and emotional stress

Physical stress due to surgery, illness, or significant weight loss, as well as emotional stress, can lead to a condition known as telogen effluvium. This causes hair follicles to shift into a resting phase, resulting in temporary hair shedding.

Hairstyles and hair treatments

Excessive pulling or tension on the hair, as seen in tight hairstyles (e.g., ponytails, braids) or the use of hot styling tools, can contribute to a type of hair loss called traction alopecia. Chemical treatments and dyes may also damage the hair shaft.


As individuals age, the rate of hair growth naturally slows down, and hair follicles may become thinner and less productive. This can result in gradual hair thinning and loss.

Environmental factors

Exposure to harsh environmental elements, such as pollutants and ultraviolet (UV) radiation, can damage the hair and contribute to hair loss over time.

Underlying scalp conditions

Conditions such as psoriasis, seborrheic dermatitis, and fungal infections of the scalp can impact hair health and contribute to hair loss.

Understanding the specific factors contributing to hair loss is crucial for developing an effective treatment plan.

Balancing Creatine and Hair Health

Begin with a modest creatine dosage and gradually increase to assess your body's response, minimizing potential side effects on hair health.

Start with lower doses: Begin with a lower creatine dosage and gradually increase to assess your individual response. minimizing the risk of potential side effects on hair health.

Stay hydrated: Adequate hydration is crucial when using creatine. Ensure you drink plenty of water to counteract any potential dehydration effects and support overall health, including hair health.

Consider micronized creatine: Micronized creatine has smaller particle sizes, potentially improving solubility and absorption. This may be a good option if you are concerned about the gastrointestinal side effects often associated with creatine monohydrate.

Monitor your hair health: Pay attention to changes in your hair health. If you notice any significant changes, such as increased shedding or thinning, it's essential to assess whether creatine might be a contributing factor.

Maintain a balanced diet: Ensure you have a well-balanced diet that includes essential vitamins and minerals, as nutritional deficiencies can contribute to hair loss. A diet rich in fruits, vegetables, lean proteins, and whole grains supports overall health, including hair health.

Consider alternatives: If you remain concerned about the potential impact of creatine on hair health, you might explore alternative supplements or strategies for enhancing athletic performance. Always consult with a healthcare professional before making significant changes to your supplement regimen.

Focus on overall hair health: Implement practices that support overall hair health, such as gentle hair care routines, avoiding tight hairstyles that may cause tension on the hair, and minimizing exposure to harsh chemicals and heat styling tools.

How Rex MD Can Help

Remember that the connection between creatine and hair loss is not fully understood, and scientific evidence on this topic is limited. Before starting creatine or any supplement, particularly if you have concerns about hair loss, consult with a healthcare professional. They can provide personalized advice based on your health history, assess potential risks, and address specific questions or concerns.

If you’re looking for additional ways to reverse hair loss and promote hair growth, Rex MD offers hair growth plans for men with thinning crowns, receding hairlines, or even those just going for a fuller look. The plan includes a daily combination of finasteride – a prescription treatment for male pattern baldness – and DHT fighting shampoo, a topical solution for healthy hair.

Don’t let hair loss hold you back. Regain your confidence with the help of Rex MD. Answer a few questions about your experience with hair loss to get started today.

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