Debunking the 2009 Study: The Origin of the Creatine and Hair Loss Myth
The rumor that creatine supplementation causes hair loss can be traced back to a single study published in the Clinical Journal of Sports Medicine in 2009. The study examined 20 male rugby players who took a high loading dose of creatine for seven days, followed by a lower maintenance dose for 14 days. The researchers observed a significant increase in dihydrotestosterone (DHT) levels, a hormone linked to male pattern baldness, in the creatine group. This finding sparked widespread panic in the fitness community, leading many to believe that creatine was a direct cause of hair loss.
However, this initial study had several significant limitations that are often overlooked:
- No Hair Loss Measurement: The study never measured actual hair density or shedding. It only tracked hormonal changes.
- Small Sample Size: With only 20 participants, the results are not generalizable to the wider population.
- Temporary Hormonal Spike: The DHT increase was temporary and did not push hormone levels outside the normal physiological range for healthy adult males.
- High Loading Dose: The initial dose was very high (25g per day), which is not a standard long-term protocol for creatine supplementation.
Modern Research: Refuting the Creatine-DHT Link
In the years since the 2009 study, subsequent research has largely failed to replicate its findings and, in fact, has directly contradicted them. A landmark 2025 double-blind, randomized controlled trial published in the Journal of the International Society of Sports Nutrition aimed to put the issue to rest. This study followed 38 resistance-trained men over 12 weeks, with one group taking 5 grams of creatine monohydrate daily and the other a placebo. Crucially, the researchers measured not only hormone levels but also direct hair health parameters, such as hair density.
The results were conclusive: no significant differences in DHT levels, testosterone ratios, or hair growth parameters were found between the creatine and placebo groups. This 2025 study provides the strongest evidence to date that creatine does not contribute to hair loss in healthy individuals. Multiple other comprehensive reviews and meta-analyses have also found no consistent evidence of creatine altering hormone profiles in a way that would trigger hair thinning.
The Real Causes of Hair Loss
For those who experience hair thinning while taking creatine, the supplement is almost certainly not the culprit. Hair loss is a complex issue driven by a combination of genetics, hormones, and lifestyle factors. In genetically predisposed individuals, androgenetic alopecia (pattern baldness) is caused by hair follicles being overly sensitive to DHT. When these individuals are in their early 20s or 30s—a time when many start using supplements like creatine—they may coincidentally notice hair shedding.
Other common factors that can cause or accelerate hair loss include:
- Genetics: A strong family history of baldness is the primary determinant of androgenetic alopecia.
- Stress: Intense physical or emotional stress can trigger a temporary condition called telogen effluvium, where hair sheds more rapidly.
- Nutrition: Deficiencies in vital nutrients like iron, zinc, and protein can negatively impact hair structure and growth.
- Lifestyle Changes: Drastic changes in diet or exercise, unrelated to creatine, can also affect hair health.
- Medications: Certain prescription drugs can have hair loss as a side effect.
Creatine vs. Steroids: A Crucial Distinction
Another source of confusion arises from mistaking creatine for anabolic steroids. Unlike creatine, which is a naturally occurring compound, steroids are synthetic hormones that can significantly raise testosterone levels. This substantial increase in testosterone can lead to a greater conversion to DHT, which is a known cause of hair loss. Creatine is not a steroid and does not have this effect on hormone levels, making it a much safer performance enhancer for those concerned about hair health.
Comparison Table: Creatine Studies vs. Hair Loss Evidence
| Feature | 2009 Rugby Study | Recent Clinical Trials (e.g., 2025) | Anecdotal Reports |
|---|---|---|---|
| Focus | Creatine supplementation & hormone levels | Direct hair health & hormonal effects | Users noticing shedding after creatine use |
| Findings | Reported ~40% rise in DHT after 3 weeks | No association found between creatine and hair follicles or shedding | Coincides with age-related or genetic hair thinning |
| DHT Levels | Temporary, within normal range | No significant changes in DHT or testosterone | Variable, not scientifically verified |
| Sample Size | Very small (20 participants) | Larger (e.g., 38+ participants) | Unknown and unscientific |
| Limitations | No direct hair loss measurement | Short duration, more research needed | Subjective, lacks scientific control |
Final Verdict: Can Creatine Cause Hairloss?
Based on the overwhelming body of current scientific evidence, creatine does not cause hair loss. The myth stems from misinterpretations and limitations of a single, small 2009 study that was later contradicted by more robust and direct research. While some individuals may notice hair thinning after starting creatine, this is likely a coincidence with the onset of genetically predisposed hair loss or other lifestyle factors, not a direct result of the supplement itself. Creatine remains one of the safest and most effective performance-enhancing supplements available.
If you have concerns about hair thinning, the most effective course of action is to consult a dermatologist or hair restoration specialist. They can help you identify the true underlying causes, which are almost always genetic, hormonal, or stress-related, rather than your creatine use.