Skip to content
Dr. Grey AI

Condition

Hair Loss

Hair loss, or alopecia, is thinning or shedding of scalp hair, with causes ranging from genetics to nutrient shortfalls to medical conditions. Among supplements, the evidence is moderate for biotin, iron and zinc, all linked to hair loss when the body is low in them. Evidence is thinner elsewhere: two small trials of probiotics, with 219 people, found no clear difference in hair regrowth.

Sources: PMID 38966052; PMID 39275216

Supplements studied
4
Graded outcomes
2
Trials
12
People studied
2,132

Evidence by supplement

  • Strong
  • Moderate
  • Limited
  • Very limited

4 supplements

Minoxidil: outcomes studied for Hair Loss
GradeOutcomeEffectSizeStudiesPeopleStudies list
Hair Regrowth

Moderate Improvement

Improves (the measure goes up)Moderate effect8 studies1,778 people
Probiotics: outcomes studied for Hair Loss
GradeOutcomeEffectSizeStudiesPeopleStudies list
Hair Regrowth

No effect

NoneNo effect2 studies219 people
MicrobiomeImproves (the measure goes up)115 people

Saw Palmetto

  • Hair Regrowth: improves
Saw Palmetto: outcomes studied for Hair Loss
GradeOutcomeEffectSizeStudiesPeopleStudies list
Hair RegrowthImproves (the measure goes up)1 study100 people

Studies that measured hair regrowth

Vitamin E

  • Hair Regrowth: improves
Vitamin E: outcomes studied for Hair Loss
GradeOutcomeEffectSizeStudiesPeopleStudies list
Hair RegrowthImproves (the measure goes up)1 study35 people

Studies that measured hair regrowth

Key findings

  • Hair RegrowthMinoxidilImproves (the measure goes up)

The Hair Loss (Alopecia) Support protocol

2 primary supplements · 4 supporting supplements

  • Biotin2.5–5 mg daily
  • IronIf deficient: 65–200 mg elemental iron daily until replete

See the full protocol

Shop the evidence-backed picks

Fullscript collectionSkin: evidence-graded picksOpen on Fullscript

Or shop one supplement

The supplement graded A or B for Hair Loss. Each opens third-party tested products for that supplement.

  • Grade A

We earn from purchases made in our Fullscript store, and links to Fullscript, iHerb or Thorne carry our referral, so we may earn a commission at no extra cost to you. Grades come from the research and never change based on what we earn. Full disclosure

Studies cited

100 studies from PubMed

  1. The effects of probiotic supplementation on cardiometabolic health in patients with prediabetes: a systematic review, meta-analysis, and GRADE assessment.Front Nutr, 2025 · PMID 40959695
  2. Lactococcus lactis strain Plasma activates plasmacytoid dendritic cells and mitigates common cold-like symptoms in healthy adults: a meta-analysis of individual participant data.Front Immunol, 2025 · PMID 41280892
  3. Probiotics and Immune Health: Current Knowledge and Future PerspectivesFront Immunol, 2022 · PMID 35367345
  4. Probiotics for Irritable Bowel Syndrome: A Systematic Review and Meta-AnalysisNutrients, 2022 · PMID 35185242
  5. Probiotics for Prevention and Treatment of Diarrhea: A Systematic Review and Meta-AnalysisJ Clin Gastroenterol, 2021 · PMID 34065205
  6. Probiotics for the Prevention and Treatment of Depression: A Systematic Review and Meta-AnalysisClin Nutr, 2021 · PMID 33572797
  7. Effects of Probiotics on Metabolic Syndrome: A Systematic Review of Randomized Clinical TrialsNutrients, 2021 · PMID 34205166
  8. Probiotics and Weight Loss: A Systematic Review and Meta-AnalysisObes Rev, 2021 · PMID 33578617
  9. The Gut Microbiome, Probiotics, and Their Impact on Skin Health: A ReviewInt J Mol Sci, 2021 · PMID 34296427
  10. Health Benefits of Probiotics: A ReviewISRN Nutr, 2020 · PMID 32110829
  11. Probiotics: Comprehensive Review of Growth Promotion Mechanisms and Action in Food ProductsFront Microbiol, 2020 · PMID 33189627
  12. Probiotics: Classification, Mode of Action and Role in Human NutritionPostepy Hig Med Dosw, 2020 · PMID 32754318
  13. Safety of Probiotics: A Comprehensive ReviewClin Infect Dis, 2019 · PMID 31256138
  14. Probiotics, Prebiotics and Inflammation: A Review of the ScienceBenef Microbes, 2019 · PMID 31787341
  15. Probiotics and Healthy Ageing: A Systematic Review and Meta-AnalysisMaturitas, 2019 · PMID 30796467
  16. World Gastroenterology Organisation Global Guidelines: Probiotics and PrebioticsJ Clin Gastroenterol, 2017 · PMID 30954979
  17. Probiotics for Human Use: Current Advances and Future PerspectivesNat Rev Gastroenterol Hepatol, 2017 · PMID 28639578
  18. The effects of minoxidil, 1% pyrithione zinc and a combination of both on hair density: a randomized controlled trialBr J Dermatol · PMID 12932243
  19. An open, randomized, comparative study of oral finasteride and 5% topical minoxidil in male androgenetic alopeciaDermatology · PMID 15316165
  20. Changes in hair weight and hair count in men with androgenetic alopecia, after application of 5% and 2% topical minoxidil, placebo, or no treatmentJ Am Acad Dermatol · PMID 10534633
  21. A randomized, single-blind trial of 5% minoxidil foam once daily versus 2% minoxidil solution twice daily in the treatment of androgenetic alopecia in womenJ Am Acad Dermatol · PMID 21700360
  22. A multicenter, randomized, placebo-controlled, double-blind clinical trial of a novel formulation of 5% minoxidil topical foam versus placebo in the treatment of androgenetic alopecia in menJ Am Acad Dermatol · PMID 17761356
  23. Randomized clinical trial comparing 5% and 1% topical minoxidil for the treatment of androgenetic alopecia in Japanese menJ Dermatol · PMID 19691748
  24. A randomized, placebo-controlled trial of 5% and 2% topical minoxidil solutions in the treatment of female pattern hair lossJ Am Acad Dermatol · PMID 15034503
  25. A randomized clinical trial of 5% topical minoxidil versus 2% topical minoxidil and placebo in the treatment of androgenetic alopecia in menJ Am Acad Dermatol · PMID 12196747
  26. Probiotics for people with cystic fibrosis.Cochrane Database Syst Rev · PMID 31962375
  27. Probiotics for the prevention of gestational diabetes mellitus: A meta-analysis of randomized controlled trials.Biomol Biomed · PMID 38642385
  28. The effects of probiotics supplements on metabolic indices and clinical signs in patients with diabetic retinopathy, a randomized double blind clinical trial.J Diabetes Metab Disord · PMID 38932908
  29. Effect of applying Lactiplantibacillus plantarum subsp. plantarum N793 to the scalps of men and women with thinning hair: a randomized, double-blind, placebo-controlled, parallel-group study.Biosci Microbiota Food Health · PMID 38966052
  30. Randomized Clinical Trial to Evaluate the Effect of Probiotic Intake on Androgenic Alopecia.Nutrients · PMID 39275216
  31. Impact of probiotics on sleep quality and mood states in patients with insomnia: a systematic review and meta-analysis.Front Microbiol · PMID 40740336
  32. Gaba-producing lactobacilli boost cognitive reactivity to negative mood without improving cognitive performance: A human Double-Blind Placebo-Controlled Cross-Over study.Brain Behav Immun · PMID 39163908
  33. The effect of probiotic consumption on lipid profile, glycemic index, inflammatory markers, and liver function in NAFLD patients: A systematic review and meta-analysis of randomized controlled trials.J Diabetes Complications · PMID 38968867
  34. Efficacy of probiotics in the treatment of oral mucositis in head and neck cancer patients: A systematic review and meta-analysis.Microb Pathog · PMID 38971507
  35. The effect of probiotics on severe oral mucositis in cancer patients undergoing chemotherapy and/or radiotherapy: A meta-analysis.J Stomatol Oral Maxillofac Surg · PMID 39187039
  36. Oral probiotic supplementation to alleviate diarrhea induced by fluoropyrimidines or irinotecan-based chemotherapy: A systematic review and meta-analysis.Complement Ther Med · PMID 39993479
  37. The impact of probiotics on core autism symptoms - A systematic review and meta-analysis of randomized clinical trials.Clin Nutr ESPEN · PMID 39173907
  38. Efficacy and safety of Bacteroides fragilis BF839 for pediatric autism spectrum disorder: a randomized clinical trial.Front Nutr · PMID 39290561
  39. Probiotics for autism spectrum disorder: An updated systematic review and meta-analysis of effects on symptoms.J Psychiatr Res · PMID 39265200
  40. The efficacy and safety of probiotics in the adjuvant treatment of psoriasis: a systematic review and meta-analysis of randomized controlled trials.Front Med · PMID 39328313
  41. Effects of probiotic supplementation on testosterone levels in healthy ageing men: A 12-week double-blind, placebo-controlled randomized clinical trial.Contemp Clin Trials Commun · PMID 38770015
  42. A 12-Week, Single-Centre, Randomised, Double-Blind, Placebo-Controlled, Parallel-Design Clinical Trial for the Evaluation of the Efficacy and Safety of Lactiplantibacillus plantarum SKO-001 in Reducing Body Fat.Nutrients · PMID 38674828
  43. Effects of oral supplementation of probiotics on body weight and visceral fat in obese patients: a meta-analysis and systematic review.Sci Rep · PMID 39984625
  44. The effects of probiotics administration during pregnancy on preeclampsia and associated maternal, fetal, and newborn outcomes: a systematic review and meta-analysis.Am J Obstet Gynecol MFM · PMID 38447676
  45. Effects of probiotics supplementation on glycemic profile in adults with type 2 diabetes mellitus: A grade-assessed systematic review and dose-response meta-analysis of randomized controlled trials.Clin Nutr ESPEN · PMID 39349104
  46. The Effect of Probiotics on Obesity with Comorbid Depression: A Systematic Review and Meta-Analysis.Br J Hosp Med · PMID 39347684
  47. A network meta-analysis of probiotics in the treatment of childhood asthma.Front Pediatr · PMID 41098501
  48. Efficacy of probiotics as adjuvant therapy in bronchial asthma: a systematic review and meta-analysis.Allergy Asthma Clin Immunol · PMID 39563347
  49. Efficacy and safety of Saccharomyces boulardii as an adjuvant therapy for the eradication of Helicobacter pylori: a meta-analysis.Front Cell Infect Microbiol · PMID 40012609
  50. Efficacy of probiotics regimens for Helicobacter pylori eradication: A systematic review, pairwise, and network meta-analysis of randomized controlled trials.Clin Nutr ESPEN · PMID 39642994
  51. Effect of probiotics on C-reactive protein levels in schizophrenia: Evidence from a systematic review and meta-analysis.Complement Ther Med · PMID 39798817
  52. Probiotics Supplementation for Improving Glucolipid Parameters in Individuals with Prediabetes: A Systematic Review and Meta-Analysis of Randomized Trials.Probiotics Antimicrob Proteins · PMID 39806201
  53. Systematic review and meta-analysis on probiotics as treatment for food allergies among pediatric patients: A 2024 update.Pediatr Allergy Immunol · PMID 39803979
  54. Efficacy of Oral Probiotic Supplementation in Preventing Vulvovaginal Infections During Pregnancy: A Randomized and Placebo-Controlled Clinical Trial.Nutrients · PMID 39771026
  55. Clinical effects of probiotics on the treatment of gingivitis and periodontitis: a systematic review and meta-analysis.BMC Oral Health · PMID 40186219
  56. Evaluation of the efficacy of probiotics in the chemoradiotherapy of colorectal cancer: a meta-analysis of Randomized Controlled Trials.BMC Gastroenterol · PMID 40301781
  57. Clinical efficacy of probiotic supplementation in the treatment of knee osteoarthritis: a meta-analysis.Front Microbiol · PMID 40276226
  58. The effect of probiotics on select cognitive domains in mild cognitive impairment and Alzheimer's disease: A systematic review and meta-analysis.J Alzheimers Dis Rep · PMID 40034358
  59. Efficacy of probiotic supplementation in influencing cognitive function in Alzheimer's disease: A systematic review and meta-analysis.J Food Sci · PMID 40709497
  60. Effectiveness of probiotic supplements on cognitive function in mild cognitive impairment and Alzheimer's disease: A meta-analysis of randomized controlled trials.Gen Hosp Psychiatry · PMID 41237466
  61. Probiotics are a good choice for the treatment of bacterial vaginosis: a meta-analysis of randomized controlled trialReprod Health · PMID 35698149
  62. Efficacy and safety of Saccharomyces boulardii CNCM I-745 for the treatment of pediatric acute diarrhea in China: a systematic review and meta-analysis.Front Cell Infect Microbiol · PMID 40535538
  63. Efficacy of probiotics in reducing the duration and severity of acute gastroenteritis in children: A meta-analysis of randomized controlled trials.J Pediatr Gastroenterol Nutr · PMID 40739406
  64. Investigating the effects of probiotics during the menopause transition: A systematic review & meta-analysis.Clin Nutr ESPEN · PMID 40639456
  65. Effects of probiotic supplements on bone mineral density and bone turnover markers in postmenopausal women: A systematic review.Clin Nutr ESPEN · PMID 40716641
  66. Impact of probiotic supplementation on serum levels of brain-derived neurotrophic factor: GRADE-based dose-response meta-analysis.BMC Nutr · PMID 40790243
  67. Probiotic Supplementation and Inflammatory Status in Coronary Artery Disease: A Systematic Review and Meta-Analysis.Microorganisms · PMID 41156763
  68. Serenoa repens monotherapy for benign prostatic hyperplasia (BPH): an updated Cochrane systematic reviewBJU Int · PMID 22551330
  69. Serenoa repens extract for benign prostate hyperplasia: a randomized controlled trialBJU Int · PMID 12887481
  70. Observational database serenoa repens (DOSSER): overview, analysis and results. A multicentric SIUrO (Italian Society of Oncological Urology) projectArch Ital Urol Androl · PMID 23210402
  71. Saw palmetto for benign prostatic hyperplasiaN Engl J Med · PMID 16467543
  72. Effect of increasing doses of saw palmetto extract on lower urinary tract symptoms: a randomized trialJAMA · PMID 21954478
  73. Improving BPH symptoms and sexual dysfunctions with a saw palmetto preparation? Results from a pilot trialPhytother Res · PMID 22522969
  74. Comparitive effectiveness of finasteride vs Serenoa repens in male androgenetic alopecia: a two-year studyInt J Immunopathol Pharmacol · PMID 23298508
  75. Comparison of finasteride (Proscar) and Serenoa repens (Permixon) in the inhibition of 5-alpha reductase in healthy male volunteersEur Urol · PMID 7805711
  76. The effect of increasing doses of saw palmetto fruit extract on serum prostate specific antigen: analysis of the CAMUS randomized trialJ Urol · PMID 23253958
  77. Randomized, double-blind, placebo-controlled trial of saw palmetto in men with lower urinary tract symptomsUrology · PMID 11744467
  78. The Effect of Dietary Supplements on Male Infertility in Terms of Pregnancy, Live Birth, and Sperm Parameters: A Systematic Review and Meta-Analysis.Nutrients · PMID 40431450
  79. Clinical effectiveness of vitamin E and vitamin B6 for improving pain severity in cyclic mastalgiaIran J Nurs Midwifery Res · PMID 26793260
  80. Evaluating the effects of vitamin D and vitamin E supplement on premenstrual syndrome: A randomized, double-blind, controlled trialIran J Nurs Midwifery Res · PMID 27095989
  81. Daily supplementation of tocotrienol-rich fraction or alpha-tocopherol did not induce immunomodulatory changes in healthy human volunteersBr J Nutr · PMID 18702848
  82. Effects of supplementation with tocotrienol-rich fraction on immune response to tetanus toxoid immunization in normal healthy volunteersEur J Clin Nutr · PMID 20859299
  83. Effect of 50- and 100-mg vitamin E supplements on cellular immune function in noninstitutionalized elderly personsAm J Clin Nutr · PMID 10357750
  84. Vitamin E supplementation enhances cell-mediated immunity in healthy elderly subjectsAm J Clin Nutr · PMID 2203257
  85. Vitamin E supplementation and in vivo immune response in healthy elderly subjects. A randomized controlled trialJAMA · PMID 9134944
  86. Effects of gamma-tocopherol supplementation on thrombotic risk factorsAsia Pac J Clin Nutr · PMID 17704022
  87. Aspirin prevents stroke but not MI in women; vitamin E has no effect on CV disease or cancerCleve Clin J Med · PMID 16970138
  88. Effects of vitamin E on stroke: a systematic review with meta-analysis and trial sequential analysis.Stroke Vasc Neurol · PMID 33109618
  89. Effects of vitamin E on stroke subtypes: meta-analysis of randomised controlled trials.BMJ · PMID 21051774
  90. The effect of vitamin E on endothelial function of micro- and macrocirculation and left ventricular function in type 1 and type 2 diabetic patientsDiabetes · PMID 15616030
  91. The relationship between dose of vitamin E and suppression of oxidative stress in humansFree Radic Biol Med · PMID 17936185
  92. Effects of vitamin E on lipid peroxidation in healthy personsJAMA · PMID 11231747
  93. Dose dependent elevation of plasma tocotrienol levels and its effect on arterial compliance, plasma total antioxidant status, and lipid profile in healthy humans supplemented with tocotrienol rich vitamin EJ Nutr Sci Vitaminol · PMID 17330512
  94. Assessment of the safety of supplementation with different amounts of vitamin E in healthy older adultsAm J Clin Nutr · PMID 9701188
  95. Assessment of the safety of high-dose, short-term supplementation with vitamin E in healthy older adultsAm J Clin Nutr · PMID 7942576
  96. Effect of oral vitamin E (alpha-tocopherol) supplementation on vascular endothelial function in Type 2 diabetes mellitusDiabet Med · PMID 10220204
  97. Vitamin E in the primary prevention of cardiovascular disease and cancer: the Women's Health Study: a randomized controlled trialJAMA · PMID 15998891
  98. Effect of selenium and vitamin E on risk of prostate cancer and other cancers: the Selenium and Vitamin E Cancer Prevention Trial (SELECT)JAMA · PMID 19066370
  99. Prostate cancer and supplementation with alpha-tocopherol and beta-carotene: incidence and mortality in a controlled trialJ Natl Cancer Inst · PMID 9521168
  100. Vitamin E and the risk of prostate cancer: the Selenium and Vitamin E Cancer Prevention Trial (SELECT)JAMA · PMID 21990298