Photo by Innerbody Research
Hair isn't just a cosmetic thing. A person's hair is deeply tied to their identity and self-esteem, so you can imagine how it might affect their psyche when they start to see thinning strands, increased shedding, and a receding hairline. As put by the researchers behind a 2023 review, there's an "increased need to attend to the psychosocial comorbidity" associated with hair loss.1
Attending to the problem means either learning to live comfortably with hair loss or resolving it at its root. Consumers who prefer the second path have a daunting array of treatments to consider — not just prescription and OTC medications but also targeted nutritional supplements and pricey devices. We have other guides for those who want to learn about laser caps, topical finasteride, and other hair loss treatments, but here we're focusing on hair growth supplements.
While often promising and potentially helpful, supplements don't carry close to the same amount of scientific support as the other forms of treatment we’ve mentioned, making a supplement-only approach less reliable. However, many people find other treatment paths to be less viable or less desirable for various reasons, including budget and safety. If that's you, then read on for a thorough exploration of the best hair growth supplements to consider right now, and why they may be worth your time.
For those in a hurry, here's a quick snapshot of our recommendations.
For women and men alike, Nutrafol offers the most comprehensive supplements for tackling hair loss.
Nutrafol isn’t cheap! But it’s a leading name in this industry for good reason: its formulations smartly give you the best chance of tackling hair loss and supporting hair health using a supplement. One caveat: supplemental approaches for hair loss, no matter how good, are not as predictable for success as medical treatments at this time. But you’re here to avoid medications and expensive devices. Nutrafol is your best bet right now. Though they’re available on Amazon as well, subscribing directly at Nutrafol saves you money.
Over the past two decades, Innerbody Research has helped tens of millions of readers make more informed decisions about staying healthy and living healthier lifestyles.
For this guide, we leaned on the extensive study we'd already put into the hair growth supplements space — a yearslong and ongoing endeavor that has amounted to more than 860 cumulative research hours. Taking what we've learned, we were able to identify the most promising non-prescription products for people experiencing hair loss and then subcategorize the front-runners according to the populations they could best serve. Not least, we also ordered and tried the products for ourselves so that we could speak from practical knowledge about the customer experience.
Additionally, like all health-related content on this website, this guide was thoroughly vetted by one or more members of our Medical Review Board for accuracy and will continue to be monitored for updates by our editorial team.
The supplements market is always expanding, and we expect the hair growth space to grow along with it. As new products enter the landscape, existing ones adapt, and more research fills out the body of scientific literature, you can count on us to keep a close eye on the changes and update our guide accordingly.
Identifying the market's best hair growth supplements meant asking ourselves:
Hence, we judged our top picks on the following criteria:
Winner: Nutrafol
Our assessment of a brand's effectiveness hinged on its potential actions on the key reversible drivers of common hair loss types.
One such driver is dihydrotestosterone (DHT), the principal biochemical culprit behind androgenetic alopecia (a.k.a. male- or female-pattern hair loss). DHT is an androgen, or sex hormone, that's converted from testosterone by the enzyme 5α-reductase. People with androgenetic alopecia tend to have 5α-reductase and DHT at high levels, as well as more androgen receptors in scalp regions affected by pattern hair loss.2 Many hair growth products, including prescriptions like finasteride and dutasteride, inhibit 5α-reductase/DHT to prevent excessive DHT buildup.
Another driver: stress. We mean two types. There's oxidative stress, which can damage hair’s structure at the cellular level,3 and there's mental stress, which can push more of your hair away from the growth phase and into shedding.4 With stress-related hair loss, think of it as a business with an ineffective human resources department, too many of its employees nearing retirement, and not enough new employees to replace them: too much turnover, not enough onboarding, and insufficient infrastructure for closing the gap.
Of all the brands we examined for this guide, Nutrafol has demonstrated that its ingredient bills are the best equipped to deal with hair loss from multiple angles. It features promising DHT inhibitors like saw palmetto and horsetail extract to address the biochemical side of hair loss, adaptogens like ashwagandha to cover the life-environmental aspect, and antioxidant components like curcumin and hyaluronic acid. Nutrafol's supplements are also multivitamins that can help you fill any nutritional deficiencies that might be contributing to your hair loss.
Life Extension and Horbäach are excellent in their own ways, but they don't spread their efforts the way Nutrafol does. Horbäach is pure saw palmetto, so it's exclusively a DHT inhibitor, and Life Extension’s ingredients more closely treat a health condition with an indirect relationship to hair loss. We discuss their respective merits, and those of Nutrafol, in the dedicated brand sections near the end of this guide.
We want to be clear that being the most effective hair growth supplement on the market isn’t the same as being a surefire solution to hair loss. Products like Nutrafol, Life Extension, and Horbäach may not work as intended for everyone. Prescription drugs and other physician-guided treatments will tend to be the most effective routes to hair restoration, as they have the greatest magnitude of scientific research to support them.
Winner: Horbäach Saw Palmetto 3600mg
We recommend Horbäach as the safest hair growth supplement because it contains just a single ingredient with a low side effect profile: saw palmetto. Per the National Center for Complementary and Integrative Health, saw palmetto is "well tolerated by most users," it doesn’t interact with medications, and whatever side effects it may cause are mild — digestive symptoms and headache.5
Life Extension and Nutrafol also contain saw palmetto but as part of heftier formulations, and with more ingredients comes a higher risk for adverse effects — for example:
Our recommendation here comes with a caveat. The Horbäach product in question delivers saw palmetto at an amount that slightly exceeds the 320mg standard clinical dose.7 8 Although a 2019 clinical study found that even excessive doses of saw palmetto extract (2,000mg per day) could be safe for healthy adults,9 you may find that Horbäach is too much for your tolerance. Fortunately, the label-recommended serving size is three capsules, so you have room to titrate down as needed.
Winner: Horbäach Saw Palmetto 3,600mg
Horbäach easily wins the Cost category with its low base price and free standard shipping on all U.S. orders. The company actually offers three saw palmetto products that range in price from $9.98 to $29.99. Any one of them is less expensive than Life Extension or Nutrafol, but we exclusively recommend the 3,600mg option for $9.98 ($0.25 per label-recommended serving) because it’s the only one that actually provides a clinically relevant dose of saw palmetto.
What we just told you requires some explanation, which we provide in the dedicated Horbäach section further down the guide. Right now, we’ll say that it relates to incongruities in the doses listed on the front and back labels, so a fair bit of math is necessary to estimate how much pharmacologically active botanical you get (don’t worry; we did the math for you).
The runner-up in this category is Life Extension, which is $29.25 ($0.98 per serving) as a one-time purchase and $25 ($0.83 per serving) as a subscription. With those prices, Life Extension itself is quite the bargain.
The only one of our top recommendations that isn't a bargain is Nutrafol, which is $88 as a one-time purchase and $79 as a subscription. Even at its highest discount tier — a six-month bulk purchase on subscription — the per-serving cost is 2.8 times that of a Life Extension subscription.
Winner: Life Extension Ultra Prostrate Formula
By "customer experience," we refer chiefly to the following three factors, in which Life Extension easily outshines Nutrafol and Horbäach:
Life Extension Ultra Prostate is a softgel; it's smooth-surfaced and malleable. Nutrafol and Horbäach are capsules, plasticky and rigid. In a consumer-perception survey from 2000, softgel forms were the clear winner for swallowability compared to capsules,10 and our testers largely felt the same way here. Although Life Extension softgels are larger than their guide competitors, they went down more effortlessly and less noticeably for two of our testers; only the third tester preferred the capsules.
Even if you tend to feel the same way as our third tester, you may want to consider that Nutrafol and Horbäach call for higher serving sizes (notwithstanding the option to titrate down with Horbäach). Two Life Extension softgels do sound better than, say, four Nutrafol capsules.
Life Extension's customer support is about as good as it gets. Not only are the company's reps available through multiple channels (chat widget, email, and 24/7 phone), but they're also responsive and thoroughly helpful. When our testers reached out through the chat widget, they connected with an agent within seconds and got a satisfactory answer to their question in less than two minutes.
Nutrafol and Horbäach were much less impressive. Nutrafol's support system has multiple channels, too, but we could never connect with an agent through the chat widget, and email responses sometimes took up to a week to arrive. It's better than Horbäach's support system, at least, which doesn't include an online chat function and seems not to prioritize email communication at all.
In fairness to Nutrafol and Horbäach, they do have robust telephone support. We just hope they come to improve their online channels.
You have 365 days to return your Life Extension product for a refund. Considering that hair loss treatments require 3-6 months of consistent use to yield results,11 we'd say that a whole year is more than enough time to determine whether the Ultra Prostate Formula is working out for you.
For comparison's sake, consider that Nutrafol and Horbäach have only 30-day return policies.
Below is a quick reference chart to help you compare our top hair growth supplement brands across key points. Bundling options, dose titrations, and other variables that affect pricing have been excluded.
Nutrafol | Life Extension | Horbäach | |
---|---|---|---|
One-time $ | $88 | $29.95 | $9.98 |
Subscription $ | $79 | $25 | NA |
Per-serving $ | $2.63-$2.93 | $0.83-$0.98 | $0.25 |
Serving size | 4 capsules | 2 softgels | 3 capsules |
Key active ingredients | Saw palmetto, ashwagandha, horsetail extract, curcumin, hyaluronic acid, pea sprout extract | Saw palmetto, stinging and dwarf nettle extracts, beta-sitosterol, frankincense, flower pollen extract | Saw palmetto 10:1 extract, saw palmetto whole berry |
Gluten-free? | |||
Wheat-free? | |||
Yeast-free? | |||
Soy-free? | |||
Egg-free? | |||
Dairy-free | |||
Peanut-free? | |||
Vegan or vegan available? | |||
Non-GMO? | |||
Return policy | 30 days | 365 days | 30 days |
When we talk about hair loss, we mean a state of higher-than-normal shedding.
On average, people shed 50-100 strands of hair per day. Shedding (exogen) marks the last phase of the hair cycle; ideally, after a follicle has shed a strand, it reenters the active growth phase (anagen), starting the cycle anew.
However, for something like 85% of men and 40% of women before age 50, the cycle doesn't restart as it should.12 13 Rather, the hairs they shed begin to outnumber the hairs they grow back. The increasing number of strands lost relative to strands regenerated is what we call hair loss, the technical term for which is "alopecia."
Whether a person's alopecia is reversible depends on the type they have and the causes from which it derives. In the next two sections, we discuss various forms of alopecia and the factors that drive their onset.
The American Academy of Dermatology Association (AAD) recognizes six primary types of hair loss:
The technical term for male-pattern hair loss, the most common form of hair loss among men, is "androgenetic alopecia" — that is, alopecia that stems from a genetically predetermined excessive response to androgens, a group of sex hormones. It typically begins as a receding hairline or a bald spot at the crown of the head and gradually progresses until all that's left is a horseshoe-shaped stretch of hair on the sides and back of the head. Some men begin to experience this hair loss in their late teens or early 20s.14
The primary androgen that contributes to male-pattern hair loss is dihydrotestosterone (DHT), which is converted from testosterone by an enzyme called 5α-reductase.2 While DHT is important for controlling the hair cycle, having too much of it leads to shorter anagen phases, which in turn leads to shorter and thinner hair strands as well as delayed growth of new hair to replace shed strands.15
Female-pattern hair loss is also androgenetic alopecia. It typically presents as a widening of the hair part and may progress to broad thinning. Most people with female-pattern hair loss begin to experience it in their 40s-60s, though earlier onset is possible.16
The androgen involved in female-pattern hair loss is, again, DHT. After all, women and people assigned female at birth (AFAB) have testosterone, too, along with the primary female sex hormones, estrogen and progesterone. Typically, a woman's estrogen/progesterone levels peak in their mid-to-late 20s and gradually decline thereafter.17 Consequently, the body assumes a higher proportion of testosterone, which allows DHT to have a relatively larger effect on the hair cycle. It's no coincidence that female-pattern hair loss often coincides with the years most commonly associated with menopause, which is marked by large declines in estrogen and progesterone.18
Central centrifugal cicatricial alopecia (CCCA) is hair loss that begins at the crown of the scalp (centrally) and moves outward (centrifugally). The disease process destroys hair follicles, which are replaced with scarring (cicatrices). Once scarring occurs, the hair loss is likely to be permanent. CCCA seems to be autoimmune in nature, but more research is needed to verify whether it truly is.21 It's most frequently seen in women and AFAB individuals of African descent.22
Frontal fibrosing alopecia is similar to CCCA except it destroys the hair follicles along the front and sides of the scalp, not the crown. It predominantly affects women and AFAB individuals.23
There are numerous other forms of hair loss outside of the primary types recognized by the AAD, many of which are temporary or rare:26
Hair growth supplements generally contain ingredients intended to address one or several mechanisms of hair loss. For example, each product we discuss in this guide inhibits DHT, usually by blocking 5α-reductase activity. The reasoning is that if 5α-reductase doesn't convert testosterone to DHT, the androgen can't accumulate to the excessive levels needed to initiate hair loss.2 It's the same logic that underlies prescriptions like finasteride and dutasteride.
Other than DHT, hair growth supplements often include ingredients that target other factors associated with increased shedding. For example, several Nutrafol formulations provide hyaluronic acid, curcumin, and zinc to protect the hair against oxidative stress,28 29 as well as ashwagandha to decrease anxiety and mental stress.30 Such ingredients may work in conjunction with DHT-inhibiting components to tackle hair loss holistically.
Because hair growth supplements primarily target DHT, nutrition, and lifestyle factors, they're best suited for people whose hair loss stems from the same factors: people with androgenetic alopecia or telogen effluvium.
By corollary, hair growth supplements are unlikely to impart the desired outcomes if your hair loss is due to:
Even for people whose hair loss is DHT-related, having an elevated susceptibility to the androgen may exclude you from the effective target population for Nutrafol, Horbäach, or Life Extension's Ultra Prostate Formula. A prescription or other medical-grade intervention would be the better solution.
Additionally, hair growth supplements in general are best avoided by specific populations because of safety concerns or health risks:
We discuss the relevant concerns and risks in the next section.
Hair growth supplements are generally safe to use for people who aren't pregnant or breastfeeding. Having said that, we have to examine brands on an individual basis to assess both their overall safety and their health risks to specific populations.
The three brands we discuss in this guide — Nutrafol, Life Extension, and Horbäach — do several things right on the operational end to minimize risks to their customers. For example, Nutrafol and Life Extension submit their raw materials and finished products for third-party testing to verify purity and potency; and while Horbäach doesn't use third-party testers, it does conduct testing at self-owned facilities that undergo third-party audits.
Moreover, each company tests its hair growth products for common allergens and other substances from which consumers may experience adverse effects, as the following table lays out:
Nutrafol | Life Extension | Horbäach | |
---|---|---|---|
Soy-free | |||
Egg-free | |||
Dairy-/lactose-free | |||
Wheat-free | |||
Gluten-free | |||
Yeast-free | |||
Peanut-free | |||
Tree nut–free | |||
Shellfish-free |
However, each brand also uses ingredients that can cause side effects, and some ingredients can interact poorly with certain health conditions or medications. Below, we outline the potentially risky key active ingredients used in Life Extension Ultra Prostrate Formula, Horbäach Saw Palmetto, and some of Nutrafol’s core supplements.
Saw palmetto has one of the mildest side effect profiles, but it can cause digestive symptoms and headache.5 It's the only ingredient in Horbäach Saw Palmetto, and it features in Life Extension as well as every Nutrafol core supplement save for the Postpartum formulation.
Stinging nettle's side effects include stomach upset, diarrhea, and fluid retention. In women, it can alter the menstrual cycle or induce miscarriage, and it's probably a no-go for anyone with diabetes or a kidney disorder.6
Life Extension is the only brand among our recommendations that includes stinging nettle in its ingredient bill.
Mount Sinai warns that horsetail extract can interact with heart disorders, kidney disorders, diabetes, gout, alcohol, nicotine, lithium, and diuretics.31 Nutrafol has horsetail extract in all but the Vegan and Postpartum formulations.
You may want to avoid ashwagandha if you take immunosuppressants, sedatives, or medications for diabetes, high blood pressure, or thyroid hormones. Ashwagandha can also increase your risk for liver damage, especially when taken with drugs broken down by the liver. If you're pregnant, it can induce miscarriage as well.32
Exercise caution if you have liver disease, an autoimmune condition, or a thyroid disorder or if you've recently undergone surgery.32
Ashwagandha is found in every Nutrafol core supplement except the Postpartum formulation.
Nutrafol's core supplements have high levels of vitamin A (300-1,500mcg RAE), vitamin D (50-62.5mcg), selenium (150-200mcg), and zinc (15-25mg). For each one, the higher end of the range exceeds 50% of the tolerable upper intake level. Ingesting excessive amounts can cause adverse effects that include but aren't limited to liver abnormalities, nausea and vomiting, muscle weakness, gastric distress, and (interestingly) hair loss.33 34 35 36 The amounts present in Nutrafol may be low enough for most people to avoid acute toxicity, but the risks are there nonetheless.
A final safety consideration to bear in mind is labeling transparency. Life Extension and Horbäach quantify their ingredient quantities, but Nutrafol hides dosage values for many of its key active ingredients behind proprietary blends.
Best overall hair growth supplement and best for stress-related hair loss — includes best for men, best for women, and best vegan option
Photo by Innerbody Research
Apart from a limited skin care line, Nutrafol as a company centers on hair growth products for both women and men. Its product line includes a few topicals, shampoos, conditioners, and customizable add-ons, but the core products are five nutraceuticals:
Each nutraceutical is a combination of a multivitamin and blends of botanicals and amino acids. There's significant overlap in their ingredient bills, with certain components being widespread across the product line. It's with these common ingredients that Nutrafol attacks hair loss from multiple angles and earns our designation as the best overall hair growth supplement.
Used in all five Nutrafol core supplements, the amino acid L-lysine, along with iron, appears to be one of the key nutritional factors behind telogen effluvium.37
A 2020 study determined that another amino acid, L-cysteine, "primarily contributes to the observed protection against endogenous oxidative stress" that contributes to hair loss.38 It, too, appears in all five Nutrafol core supplements.
Saw palmetto can block DHT uptake and affect its ability to bind to androgen receptors. In a 2020 study, researchers determined that supplements with saw palmetto could be viable treatment options for people with androgenetic alopecia, telogen effluvium, and "self-perceived hair thinning."8
Mental stress can cause more of a person's hair to enter the resting phase, when the strands prepare for shedding.4 Ashwagandha is a well-known stress-relieving botanical,30 so it can nip stress in the bud. All Nutrafol core supplements except the Postpartum nutraceutical contain ashwagandha. No other brand in this guide uses it, which is one reason why we've designated Nutrafol as the best supplement for stress-related hair loss.
All but the Postpartum supplement uses either curcumin or turmeric extract. Curcumin, which is the key active component in turmeric, inhibits DHT and offers protection against oxidative stress,29 while turmeric in general has anti-inflammatory and antioxidant properties that can help combat hair loss.39 40
Like curcumin, hyaluronic acid can protect hair against oxidative stress.28 You can find it in Nutrafol Women, Nutrafol Women's Vegan, and Nutrafol Men.
Horsetail extract inhibits not just 5α-reductase but interleukin-6, another DHT inducer.41 It features in Nutrafol Women, Nutrafol Balance, and Nutrafol Men.
You'll have noticed that some of Nutrafol's core supplements omit certain ingredients and include others. Those differences are important. Women's Balance, for example, includes hormone-balancing ingredients (e.g., maca)42 that are especially beneficial to post-menopausal women, and the Postpartum formula excludes ingredients that may not be suitable for breastfeeding mothers (e.g., ashwagandha, saw palmetto). That Nutrafol adjusts its formulation to satisfy different user populations is another reason why we consider it the best overall hair growth supplement brand.
Truth be told, we do have one major gripe about Nutrafol's key active ingredients: Their quantities are hidden behind proprietary blends. Whereas Life Extension and Horbäach quantify their active ingredients, Nutrafol leaves us guessing. With ashwagandha, for instance, how much of the "Synergen Plant Complex" does it occupy, and is the dose clinically relevant? We can only surmise that, given the total quantity of the blend (1.10-1.72g) and ashwagandha's placement in the list (near the beginning), it stands a good chance of hitting the 240mg lower threshold often used in clinical studies.30
We've selected these three specific Nutrafol core nutraceuticals as the best hair growth supplements in their respective classes. Let's examine how they differ from one another so that you better understand how each one can help you treat your hair loss.
Nutrafol Women contains all seven of the key active ingredients we discussed in the previous section, along with most of the essential vitamins and minerals recommended by the International Society of Hair Restoration Surgery — vitamins A, C, D, and E; biotin; zinc; and selenium.43 Think of the product as the baseline Nutrafol formulation, the one from which all others are adapted.
Other Nutrafol supplements contain marine collagen, which isn't suitable for vegans. Nutrafol Women's Vegan dispenses of said collagen and also adds 120mcg of B12, a vitamin in which non-meat-eaters are often deficient.44 (Don't worry about the high quantity of B12 in the formulation; the body doesn't store excess amounts, so the potential for toxicity is low.)45
It also lacks horsetail extract, although the reason for the exclusion is unclear. Instead, it has ingredients like bamboo extract (to counter oxidation) and pea sprout extract (found in a 2020 study to have hair growth potential).46 47
Photo by Innerbody Research
Nutrafol's five core hair growth nutraceuticals are available in one-, three-, and six-month supplies. The price points are the same across the product line, as illustrated in this table:
One-time | Subscription | Per-serving (one-time / subscription) | |
---|---|---|---|
1-month supply | $88 | $79 | $2.93/$2.63 |
3-month supply | $264 | $224 | $2.93/$2.49 |
6-month supply | $528 | $422 | $2.93/$2.34 |
The subscription discount increases with each supply tier. The base tier cuts 10% from the one-time price; the three-month tier, 15%; and the six-month tier, 20%.
Bulk-buying saves you money only when you subscribe. For one-time purchases, you can see the three- and six-month bulk options are equal in price to just three and six individual units, respectively (e.g., $88 times three equals $264; times six, $528). Probably the only reasons to buy one-timers in bulk are to minimize your shipment frequency and break the free-shipping threshold. But if that's your goal, then a bulk subscription is the better way to go about it, as long as you have the up-front capital.
At any rate, Nutrafol costs much more than either of our other top-recommended hair growth supplements. Compared to Nutrafol's lowest price point for a one-month supply, Life Extension is around 2.6 times less expensive, and Horbäach is roughly eight times less so.
A one-time order of any one Nutrafol core nutraceutical incurs a $6.95 shipping charge. Though the website doesn't outright say so, you can unlock free shipping if your order total exceeds $100. All subscriptions ship for free as well.
International shipping is available but may be limited by territory.
U.S. orders can take 2-9 business days to arrive. The estimated delivery range includes 1-2 days for processing and packaging. Our order arrived within seven days from the time we made our purchase.
If you change your mind about trying Nutrafol, you can return it for a refund or exchange within 30 days from the purchase date.
The return policy states that your product must be in the "same condition you received it and in the original packaging," so it's unclear whether used supplements are eligible for refunds. We tried to clarify the matter with customer support but never received a response to our inquiry.
Regardless, 30 days is an unsatisfactory time frame for any hair growth supplement. The Cleveland Clinic notes that users, on average, need 3-6 months of consistent treatment before they see results,11 so Nutrafol's guarantee will expire before you even know whether you're satisfied with the product. We much prefer Life Extension's 365-day policy, which gives you more than enough time to determine the product's efficacy.
Nutrafol's customer support is a sore point we've covered elsewhere (Viviscal vs. Nutrafol and Vegamour vs. Nutrafol). The short of it is this: It's unresponsive and frustrating.
Here's the longer version. Nutrafol allows customers to reach out via email, chat widget, or telephone. We've tried the first two — in today's world, likely the most commonly used communication methods — and have found both to be unhelpful.
With email, it sometimes took up to a week before we received a response, and the responses often didn't answer our questions. For example, one time, we asked, "Does the men's formula have more saw palmetto than the women's formulas? If so, why?" The response we got boiled down to "the men's formula has saw palmetto."
And the chat widget — for us, it has hardly been an efficient way to communicate. Perhaps we've been unlucky, but our multiple attempts to connect through chat have gone like this:
Keep in mind that anyone who wants to initiate a product return must go through customer support. We can only hope the team is more responsive when it comes to refunds and other genuine concerns, and that Nutrafol will eventually ramp up its support channels to better serve its users.
Best money-back guarantee
Photo by Innerbody Research
DHT affects both hair loss and prostate growth in men. Indeed, to quote the researchers behind a 2019 study, it can "make prostates larger and men balder."49 At the same time, an enlarged prostate (a.k.a. benign prostatic hyperplasia, or BPH) can cause unpleasant symptoms that include but aren't limited to:50
Because the risk for BPH and hair loss increases with age,50 51 older men would do well to address both concerns, and Life Extension's Ultra Prostate Formula may help do precisely that. In addition to 320mg of saw palmetto extract (a clinically relevant dose for both prostate health and hair growth),7 8 it contains several ingredients that can potentially help you manage your prostate's size and function, although they may have limited efficacy to that end.
Mount Sinai notes that stinging nettle may help alleviate BPH symptoms and slow the growth of prostate cells, but it doesn't actually decrease the prostate's size.6
Similarly, a 2022 study that administered 300mg of stinging nettle extract (similar to the amount in Life Extension) found that stinging nettle could decrease symptom severity but couldn't modify key markers such as prostate volume, incomplete emptying, straining, and quality of life. The researchers determined that stinging nettle was, therefore, best used as a "complementary intervention along with traditional medical treatments."52
In 2021, researchers from Iran pitted pumpkin seed oil against tamsulosin, a prescription intervention for BPH, to compare their effects. They found that 240mg of pumpkin seed oil (close to the amount in Life Extension) could relieve BPH symptoms but significantly less so than the prescription.53 The findings here are similar to those from the 2022 stinging nettle study described above.
A 2023 study determined that beta-sitosterol "significantly improves lower urinary tract symptoms" but to a lesser extent than pharmaceutical-grade alternatives.54 Again, we have an ingredient that shows promise for relieving BPH symptoms but that falls a bit short compared to other options.
A 2017 review determined that flower pollen extract has anti-inflammatory properties that are effective for managing chronic prostatic inflammation.55 That's good for one's general prostate health, certainly, but has little bearing on DHT and hair loss.
Photo by Innerbody Research
The sum of it is this: Life Extension shows clear promise for mitigating prostate problems, some of which are related to DHT and hair loss, but it should not be considered a replacement for prescription or physician-guided interventions. That’s no real knock on the product. It’s a supplement, after all, so it can’t reasonably boast the magnitude of scientific support that prescriptions do.
Life Extension Ultra Prostrate Formula comes in a 30-serving bottle that costs $29.25 as a one-time purchase and $25 as a subscription. The per-serving cost adds up to around $0.98 and $0.83, respectively. In other words, a month's supply of Life Extension costs almost 60-70% less than Nutrafol at its lowest one-month price tier.
Subscriptions and one-time orders above $50 ship for free. Otherwise, standard shipping costs an additional $5.50 for U.S. orders, including those to Alaska, Hawaii, Puerto Rico, and the Virgin Islands. The shipping charge is lower than Nutrafol's $6.95.
International shipping is available. To Canada, it's a flat rate of $19.50 via USPS Priority International. Elsewhere, air mail rates apply.
Domestic shipping is pretty fast, by the way. No more than five business days passed from the time we ordered our product and the moment we received it.
Life Extension's money-back guarantee has an extraordinary 365-day window, starting from the purchase date. If that's not the best return policy in the supplements market, it's certainly a contender for the title.
Does your product need to be in unused condition to be eligible for a return? According to the representatives we spoke with, no, it doesn’t. You only need a valid reason for your return for it to qualify for a refund. Adverse reaction? Refund. Lack of results? Ditto.
After our frustrations with Nutrafol, our experience with Life Extension's representatives renewed our faith in a support team's ability to meet customers' needs. Needing to clarify a point about the company's return policy, we turned to Life Extension's online chat widget to pose our question. Within seconds, we were connected with a rep; within two minutes, our question had a satisfactory answer (which we reported to you in the previous section).
Best single-ingredient hair growth supplement
Photo by Innerbody Research
Horbäach Saw Palmetto 3600mg contains just one DHT-inhibiting ingredient: saw palmetto. We've discussed saw palmetto's effects on 5α-reductase and DHT throughout this guide, so here we'll focus on dosage and how it compares to Horbäach’s other saw palmetto products — a surprisingly complex issue.
The product we recommend here advertises 3,600mg of saw palmetto, and Horbäach’s two other saw palmetto supplements are each 900mg, either of which is much higher than the 320mg used in clinical studies for hair loss and prostate health.7 8 Of course, higher doses don't necessarily correlate with higher efficacy, as demonstrated in at least one trial on saw palmetto's effects on lower urinary tract symptoms.56 But the doses listed by Horbäach here aren’t exactly what they appear to be.
The thing is, the dose listed on the front label refers to the amount of raw material that went into the product, not how much pharmacologically active botanical you get per serving. Unlike Life Extension or Nutrafol, which exclusively use saw palmetto extracts, Horbäach is a blend of whole berry and 10:1 extract, so we have to divide the latter variable by 10 to calculate how much you get per dose.
The other thing is, we don’t know exactly how much of each variable is present in the blend. The only clue we have is the order in which the blends’ ingredients are listed, as label standards dictate they be listed by weight from heavier to lighter amounts. Therefore, we have to do some deductive math:
All things considered, Horbäach 3600mg is the option you want. It slightly exceeds the 320mg standard clinical dose of extract and throws in an additional dose of whole berry.
Plus, its single-botanical formula provides a straightforward approach to treating hair loss. If you get sufficient nutrients and antioxidants through other means, your stress levels are in check, and all you want is to inhibit DHT, then a single-ingredient formula may be all you need.
Photo by Innerbody Research
(Note: If you browse the Horbäach site, you’ll also find products called DHT Advanced Hair Formula and Enhanced Prostate Support Complex. We excluded those products from this guide because of their dosing issues. The key ingredients in the DHT Advanced Hair Formula are hidden behind a 300mg proprietary formula that’s likely too low to be effective, while Enhanced Prostate Support really only has 54.4mg of saw palmetto extract, which is likewise too low.)
Horbäach is our budget pick because its $9.98 price tag is shockingly low. That’s a 40-serving bottle for less than $10, or less than $0.25 per serving. The up-front cost is about one-third of what you'd pay for Life Extension at the one-time-purchase rate, and almost one-ninth of the price of Nutrafol.
Insider Tip: Horbäach Saw Palmetto 3600mg is spread across three capsules per serving. If you feel that you need less saw palmetto, you can titrate down to one or two capsules instead, effectively stretching your one-month bottle to a two- or four-month supply (around $0.17 and $0.08 per serving, respectively).
The one downside of Horbäach is that it doesn't offer subscriptions, so you'll have to monitor your supply and re-up manually when it runs low. Alternatively, you can take our recommended route in the case of Horbäach and buy it from Amazon, which lets you subscribe and specify the frequency of delivery. (This is really useful because, if you find effectiveness with a lower dose of saw palmetto, then you can make Horbäach an even better value).
Standard shipping is free on all Horbäach orders delivered within the United States. The estimated delivery time is 3-5 business days. Ours arrived in five, matching the speed demonstrated by Life Extension.
As with the other two brands we recommend in this guide, Horbäach does ship internationally. The overseas shipping rate depends on your location and the weight of the package. Import duties and taxes may apply.
Horbäach's customer support channels are limited to email and telephone. We used both to ask for clarification about the differences between the company's saw palmetto products.
When we reached out by phone, we were on the line with a representative within seconds. They answered the question to the best of their ability, concluding there were no substantial differences between the products, but they seemed uncertain. (But we know there are indeed substantial differences between them.)
As for our email? It never got a response.
Perhaps you want a stronger and more scientifically supported approach to hair restoration. That’s understandable. Fortunately, you have several options to choose from, including some of the best-regarded treatments among dermatologists. So, if hair growth supplements don’t interest you, consider one of the alternatives below.
When it comes to pills and serums, prescription hair loss medications boast the greatest degree of scientific support for their efficacy. At this time, the leading options are:
You probably know it by the brand name Rogaine. Though initially developed as a blood pressure medication in the 1960s, it soon pivoted to use as a hair loss treatment because it caused hair growth in 60-80% of hypertensive patients who took it.60 Its effect on hair growth is due partly to its ability to increase blood flow to the scalp and expedite the transition from telogen (the resting phase of the hair cycle) to anagen (the active growth phase), but its entire mechanism of action isn’t completely understood.61
Today, minoxidil is available as either an oral or a topical prescription. When used topically, it may cause irritation, redness, or dryness of the skin, as well as increased heart rate, dizziness, and lightheadedness. With oral administration, the most common side effects are weight gain and an increased heart rate,68 and some sources also report unwanted hair growth on the face and body.69
Finasteride, too, was first developed to treat another condition — benign prostatic hyperplasia — but became a go-to prescription for hair loss. It works by inhibiting 5α-reductase,62 so think of it as a medical-grade version of the supplements we’ve discussed.
Topical and oral versions are available. It does have unfortunate side effects that include erectile dysfunction (ED) and decreased libido in 2-3% of patients,70 so take caution.
To learn more about prescription hair loss treatments, check out our reviews of online providers like Hims, Keeps, Strut, and Happy Head.
Laser caps are at-home devices you place on your head to regrow hair. Interestingly, they appear to work similarly to minoxidil, increasing blood flow to the scalp and facilitating active hair growth.65 66 At least one review, published in 2016, has found laser treatment to be a “promising” therapy for androgenetic alopecia.67
They aren’t cheap, though. The best-performing budget options start at around $700. But if you lean toward a mechanical intervention for hair loss, you might consider a laser cap to be a good investment.
Read more about the market’s best laser caps in our dedicated guide.
Hair transplant surgery is the most invasive and most expensive route to restoration. It’s also the only solution for certain types of hair loss, such as alopecia areata. Considering the time, money, and aftercare involved with surgery, we’d recommend it as a viable route only to those who’ve exhausted their other options.
We discuss the issue at further length in our guide to the best hair loss treatments for men.
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Innerbody uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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