Photo by Innerbody Research
If you've made it to your mid-30s without suffering some hair thinning, you're the lucky exception. According to the American Hair Loss Association, two-thirds of men will experience some degree of noticeable hair loss by the age of 35, and 85% will have significantly thinning hair by age 50.1 But men aren’t alone in this — women make up 40% of American hair loss sufferers.2
With these statistics, it's little wonder that there are so many hair loss products on the market. Minoxidil and finasteride are both effective ingredients targeting male- and female-pattern baldness. However, these drugs can cause side effects in some people, including sexual side effects like decreased libido and even erectile dysfunction.
Several nutritional supplements have emerged to target multiple deficiencies and imbalances that contribute to hair thinning. Do they work? This review evaluates Nutrafol's natural hair supplements and lays out the pros, cons, and details of this whole-body approach to hair loss. Read more to see if Nutrafol may work for you.
Nutrafol offers a range of somewhat expensive products that aim to treat and prevent hair loss. The most prominent of these products — Nutrafol Women and Nutrafol Men — have the best shot at supporting a fight against hair loss, but unless you have a specific deficiency, they likely won’t be enough by themselves to stop hair loss completely. They’re best utilized as components of a multipronged approach. That said, the ability to combine the central supplement with targeted boosters and a selection of supplemental haircare products might create a complex enough approach to be effective for those with mild hair loss.
Nutrafol's core supplements for men and women — as well as supportive scalp care products — are available on Amazon as well as directly from the Nutrafol website. We recommend buying directly from Nutrafol. In most cases, standard pricing is the same, but you unlock greater savings by subscribing directly with Nutrafol than you will if you subscribe via Amazon. (Also, some supportive products aren't sold on Amazon at this time.) A Nutrafol subscription is something you can cancel anytime, and subscribing unlocks free shipping.
At Innerbody Research, we extensively test each health service we review, including Nutrafol. All told, our team has spent over 195 hours testing and researching the products and services of Nutrafol, and we’ve dedicated thousands of hours to doing the same with products and services from competitors in the hair loss treatment industry.
Our deep research and hands-on testing allow us to convey specific aspects of the customer experience you won’t get elsewhere. These include everything from a product’s efficacy to the way you can expect to interact with company representatives. Our team has consumed more than 200 scholarly articles pertaining to hair loss and the various ingredients found in Nutrafol’s supplements and hair care products. Additionally, like all health-related content on this website, this review was thoroughly vetted by one or more members of our Medical Review Board for accuracy.
Over the past two decades, Innerbody Research has helped tens of millions of readers make more informed decisions to live healthier lifestyles.
Our testing team kept a handful of important criteria in mind throughout the process. As a result, we were able to compare Nutrafol to its competitors as fairly as possible and give you a good sense of its potential value. We primarily focused on efficacy, and whether these products might work had the biggest impact on our overall value assessments. After that, we considered things like safety, cost, and the customer experience.
Nutrafol offers a wide range of products containing ingredients that boast a respectable amount of scientific research. Many ingredients have been the subject of numerous studies related to hair loss. Anecdotally, some users (though not all) report improvements in hair thickness while using Nutrafol supplements.
Central to Nutrafol’s efficacy is its inclusion of saw palmetto, which has been shown to inhibit DHT (a primary driver of pattern baldness).3 Studies in which the ingredient has been most effective involve oral use, rather than its topical application.
Nutrafol funded a six-month study of its primary supplement that was published in the Journal of Clinical Aesthetic Dermatology in early 2022.4 The study had some limitations, including:
That said, it’s worth examining the results, which indicated some degree of noticeable efficacy for nearly 84% of participants.
It’s also important to keep in mind that Nutrafol’s effectiveness, based on all available research, pales in comparison to that of more established pharmaceutical approaches, including finasteride and minoxidil. In years past, those medications were typically only available orally and topically, respectively. But you can now get topical finasteride, which circumvents the ingredient’s infamous sexual side effects, as well as oral minoxidil, which has been shown to be safer and at least as effective as oral finasteride for many patients.5
It’s also worth noting that some of Nutrafol’s ancillary treatments, like its shampoo and conditioner, are inferior to many competitors’ offerings in terms of ingredients and pricing.
None of these products are prescription strength, and their side effect profiles are minimal. Some users may experience an upset stomach, but it rarely gets any more serious than that. Participants in studies that looked at these ingredients showed high tolerances and exhibited few to no adverse reactions. Similarly, our testers reported no side effects.
The results of these individual-ingredient studies carried through in the dedicated Nutrafol study from 2022, which reported no significant or unanticipated side effects outside of stomach upset and one case of diarrhea that resolved on its own.4 Compared to minoxidil’s potential for topical irritation or unwanted hair growth (particularly with the oral route) and finasteride’s uncommon but seriously undesirable sexual side effects (and the fact that it’s not safe at all for women), Nutrafol’s side effects seem much more tolerable.6
One knock on Nutrafol’s safety profile is an issue of transparency. Compare Nutrafol’s supplement facts with those of Happy Head’s similar supplement, and you’ll notice that Nutrafol doesn't provide specific measurements for the ingredients in its Synergen Complex or Nutrafol Blend, whereas Happy Head gives specific doses for everything but its included probiotics.
We always prefer the level of transparency practiced by Happy Head in this case. We have no doubt that there are companies out there acting in good faith and using proprietary blends to protect their intellectual property. But it more often feels as though companies use proprietary blends to bury the fact that some potentially effective ingredients — perhaps more expensive to source than others — appear at suboptimal doses. In Nutrafol's case, specifically, it's hard to know why it uses proprietary blends. But the apparent safety profile of the supplement remains good.
This is where things get a little less exciting. Yes, Nutafol's products appear to be safe and effective, but you'll have to pay for that quality. A simple combination of a core supplement and one of its boosters will set you back at just under $100/month. It's not a great deal compared to minoxidil, which you can get elsewhere without a prescription for a fifth of that cost.
But the closest thing to Nutrafol on the market — Happy Head’s Oral Supplement — costs about the same as Nutrafol’s core supplement. And, while Happy Head offers some other products like shampoo and conditioner, it doesn’t offer the various targeted boosters you can get from Nutrafol, which give you the option to customize your treatment around things like gut health or hormonal balance.
Nutrafol Men | Nutrafol Women | Happy Head Hair Supplement | |
---|---|---|---|
One-time purchase | $88 | $88 | $88 |
Subscription cost | $79 | $79 | $55 first month, $79 thereafter |
Ingredient count | 22 | 22 | 33 |
Central ingredients | Saw palmetto, biotin, marine collagen | Marine collagen, biotin, ashwagandha | Biotin, saw palmetto, probiotics |
For anyone on a budget who isn’t averse to trying minoxidil or finasteride, those drugs may be a better place to start. But those seeking non-pharmaceutical interventions who don’t mind paying a little more for them will find a catalog of pricey but useful combinations from Nutrafol.
With average response times for shipping and email responses, our testers were initially neither disappointed nor thrilled by Nutrafol's customer service. There weren't any problems, but nothing stood out as exceptional. Customer reviews online suggest significant problems with subscription cancellation and delays in processing refunds, but this is a common theme with telehealth hair loss companies, including competitors Happy Head and Vegamour.
Something that affects both the men’s and women’s side of the Nutrafol customer experience is its return policy. Despite some vague wording that suggests you could try the product and get a refund if you’re dissatisfied, Nutrafol will only accept returns of unopened products. Not only is this a poor policy, but it needs to be spelled out much more clearly for customers.
We found the company’s chat interface to be helpful, though. In fact, in some cases it was oddly indispensable. In years past, adding up to two boosters to a supplement order on Nutrafol was straightforward. The package even had a name: The Growth Plan. But the company only drives you toward its Growth Duo now, which is a supplement and one booster. Adding a second booster to your subscription is still possible, but you have to set the subscription up first and then contact customer service. This strikes us as an unnecessary burden on the customer.
On the men’s side, a similar problem has cropped up. Nutrafol’s boosters are not intended for men, but the company does have a dedicated DHT blocker supplement you can take alongside its men’s formula. In previous years, you could add this to your cart with ease. But Nutrafol doesn’t even list it on the website any longer. It was through Nutrafol’s helpful chat interface that we discovered it was still available — as a special request through customer service.
Nutrafol needs to either eliminate these product options or make their availability much clearer to consumers. In its current state, the website’s limited product access is a disservice to potential customers.
Founded by Giorgos Tsetis in 2015, Nutrafol is a premium supplement company focused on preventing hair loss and restoring hair growth for both men and women, though women’s products make up the bulk of its catalog. Its central product is a capsule containing a multivitamin and a pair of proprietary blends containing botanicals and amino acids. The company has expanded its offering to include alternative nutritional supplements suitable for vegans, postpartum women, and others.
In addition to nutritional supplements, Nutrafol offers a handful of haircare products that deliver topical versions of many of the ingredients found in its capsules. These include a shampoo and conditioner, hair serum, and a scalp mask.
Nutrafol addresses hair loss through a whole-body approach to wellness. Its proprietary blends of botanicals and other ingredients target imbalances in the body that contribute to hair loss, including hormones, amino acids, vitamins, and minerals. While the lists of these ingredients are compelling, we’d prefer to see exact quantities of each, rather than a single measurement for the entire blend. Other companies, like Happy Head, have similar ingredient lists but include doses for each ingredient, so you know exactly what you’re taking.
While the exact amounts and additional ingredients vary among Nutrafol supplements, their central essence is the Synergen Complex, a blend of botanicals and marine collagen with a fair amount of scientific support regarding hair health.
In addition to the Synergen Complex, Nutrafol contains the company's Nutrafol Blend, a combination of amino acids that’s intended to work in concert with the complex to drive regrowth.
Nutrafol also includes several vitamins and minerals and a healthy dose of biotin. Biotin is one of the most heavily researched hair health ingredients in Nutrafol, but there is still conflicting information out there as to its role in hair health.7
The Better Business Bureau accredits Nutrafol with a B rating. Its customer reviews here could be better, with just over one out of five potential stars. The company has seen 173 complaints in the last three years, more than 70% of which have come in the last 12 months. Nearly every complaint involves problems canceling automatic shipments or getting refunds for unused products. In the company's terms and conditions, language is somewhat vague regarding how and when refunds will be issued for mid-subscription cancellations or product returns.
The situation on Trustpilot is a little better, where the company has nearly two stars after 59 reviews. However, complaints here are more variegated, including some from customers who failed to see results from the products. Ultimately, it seems as though Nutrafol needs to do a better job communicating the specifics of its return and refund policies. The nature of these products is such that they may not work for everyone, especially considering the potential range of hair loss causes. Based on our research, we believe many of these products can play a useful role in fighting hair loss, so we don’t hold those specific reviews against the company.
Nutrafol could be a smart choice for men and women looking to slow or stop their hair loss and even regrow hair. It’s especially good for those looking to avoid pharmaceutical products, whether prescription solutions like finasteride or over-the-counter therapies like minoxidil. For those who can afford it, Nutrafol can also be a useful facet of a broader treatment approach that also includes more aggressive pharmaceutical treatment.
Many of Nutrafol’s products are suitable for both men and women, but it divides its supplement catalog by assigned sex. There are more options for women than there are for men.
Nutrafol’s products are on the pricey side, so budget-conscious people who are open to pharmaceutical interventions that have been widely studied and are demonstrably effective might do better starting with minoxidil from a company like Keeps. Competitors like Keeps, Hims, and Roman also have some supplemental products akin to Nutrafol’s central supplement. Meanwhile, competitor Happy Head has a complex supplement that contains many of the same ingredients as Nutrafol, and it doesn’t use proprietary blends the way Nutrafol does, so you know exactly how much of each ingredient is present.
It appears as though most Nutrafol products should be safe for most people. A six-month study on Nutrafol’s core supplement formula revealed only occasional minor stomach upset. And the studies we’ve seen on many individual ingredients in Nutrafol products reveal similar safety profiles.
That said, Nutrafol makes a point to say that its products are not for pregnant or nursing people (with the exception of its Postpartum formula for new mothers). The company also states that anyone on blood thinners should talk to their doctors before beginning a Nutrafol regimen.
Nutrafol's primary products are supplements for men, women, and peri- or postmenopausal women. You can purchase any of these through its website at $88 for a one-month supply, but we recommend the subscription option for the most significant savings. With a monthly subscription, you'll save 10% for a price of $79 per bottle. You can also save 15% if you sign up for quarterly billing, or 20% where biannual billing is offered. (This is nearly identical to the pricing you’ll find from competitor Happy Head, though your first subscription order with Happy Head is discounted to $55.)
Not only do subscriptions get you a lower price, but they also unlock free shipping, which costs $6.95 on a one-time purchase. That’s one of the ways Happy Head provides superior service, with free shipping on all orders, regardless of subscription status.
Nutrafol also offers targeted boosters for stress, hormone support, and more. You used to have to take the company’s hair health quiz, after which Nutrafol would recommend a specific combination of one supplement and one or two boosters. But that system has thankfully loosened up in recent months, allowing potential customers to shop for what they might already know they want and rely on the quiz only if they need it. That said, you still have to buy one of the main supplements to purchase a booster. Boosters are not for sale on their own.
Nutrafol calls these combinations Hair Growth Duos, and considering the contents of many boosters, the price increase to combine one with a main supplement is rather reasonable. For example, the Hairbiotic contains 20 billion CFU of seven probiotic strains, as well as a branded selection of prebiotics. Similar probiotics from companies like Ritual or Thorne can sell for around $50, but the cost increase in the Hair Growth Duo is just $22 on one-time orders and $19 for subscriptions.
We'll dive a little deeper into Nutrafol's product specifics below, but here's a quick breakdown of how Nutrafol’s pricing compares between one-time purchases and subscriptions for its central supplements and Hair Growth Duo offerings:
Nutrafol (any men’s or women’s formula) | Hair Growth Duo | |
---|---|---|
Single purchase | $88 +$7 shipping | $110 +$7 shipping |
Subscription billed monthly | $79 | $98 |
Subscription billed quarterly | $224 | $280 |
Boosters Included | None | 1 |
Subscription plans also grant you access to one-on-one consultations with Nutrafol's team of naturopathic doctors. After six months of treatment, Nutrafol provides a hair mineral analysis that measures your hair's health so you can adjust your regimen if needed. This testing is relatively uncommon in the hair loss space, and it could provide immense value for customers who need clarification on why they're dealing with hair loss. Nutrafol's competitors all offer some form of continued support from consulting physicians, but they lack this testing option.
Nutrafol offers a few stand-alone options you can purchase with or without a supplement. These include the company’s Hair Serum, a solution containing a concentrated ashwagandha exosome that you apply to the scalp like minoxidil.
Photo by Innerbody Research
Nutrafol's products are free of most common allergens and additives, including:
Nutrafol’s capsules are also plant-derived and made of cellulose, so they're vegan-friendly. However, the included marine collagen is derived from fish, so the supplements themselves are not suitable for vegans or vegetarians (except for the vegan formula for women).
Photo by Innerbody Research
Here’s a closer look at the ingredients in Nutrafol’s Synergen Complex:
Collagen provides amino acids and proteins that make up keratin, the core substance of your hair. However, there is an ongoing scientific debate as to whether oral collagen supplementation can improve hair, skin, or nails.8 Nutrafol sustainably sources its marine collagen from wild-caught North Atlantic cod.
Ashwagandha is an adaptogen, meaning it has demonstrated abilities to lower elevated cortisol levels, reduce stress, and boost brain function.9 Ashwagandha's other potential benefits include reducing blood sugar levels, impeding cancer growth, reducing symptoms of depression, boosting testosterone and fertility in men, and increasing muscle mass and strength.10
Saw palmetto extract is commonly sold as a supplement to improve prostate gland enlargement symptoms.11 Clinical evidence does not show much effectiveness for this purpose, but studies do illustrate its ability to lower testosterone's conversion into DHT without sexual side effects. DHT is one of the main contributors to thinning hair in androgenetic alopecia.24
A compound in turmeric, curcumin is an antioxidant extract that counters inflammation.12 Many hail curcumin for multiple health benefits, including boosting brain function, lowering the risk for heart disease, and preventing and treating both cancer and Alzheimer's disease, though more research is needed in all these cases. Ultimately, it’s the reduction in inflammation that may help with hair health.13
This extract provides the body with tocotrienol, the antioxidant properties of which one study suggests play a crucial role in its ability to thicken and regrow hair in test subjects.14 However, much more research is needed.
Hyaluronic acid is used in various beauty products, but for hair care, its ability to protect follicles from reactive oxygen species appears to create an environment in which healthy hair growth can occur.15
The Nutrafol Blend contains a combination of botanicals, amino acids, and keratin. Like the Synergen Complex, its ingredients are part of a proprietary blend, so consumers don't know how much of each ingredient is present. Here’s a look at what’s in it:
This amino acid is a primary component in the cortex of a hair follicle. Decreased absorption in your gut can lead to a deficiency, accelerating hair loss.16 Supplementing is one way to combat a deficiency. But even if you aren’t deficient, some research suggests that L-cysteine can help protect and increase the proliferation of keratinocytes, the cells that produce keratin.17
This is one of the essential ingredients in Nutrafol, as it's one of the primary building blocks of human hair. Studies show its efficacy in supporting the growth of healthy hair.22
This is one of the least-studied ingredients in Nutrafol, but its most common anecdotal association is liver health. Liver disease can often lead to hair loss, so keeping this organ healthy is a good idea.25
Black pepper is a popular ingredient in many nutritional supplements because it can enhance bioavailability, meaning more of a given ingredient will make it into your bloodstream when black pepper extract is present.26
In a roundabout way, capsicum may increase insulin growth factor I (IGF-I), which plays a vital role in hair growth.27 However, that information comes from a study in rats. A study using human scalp samples (derived from plastic surgery procedures) illustrated an inhibitory effect on hair growth. Obviously, more research is needed to support either theory.28
Both the Synergen Complex and the Nutrafol Blend are present in the male and female formulas, though ingredient quantities differ between the two. In addition to these ingredients, Nutrafol's Core products contain supplementary vitamins and minerals to promote hair growth and repair, including:29
There is a small amount of evidence pointing to the overconsumption of selenium as a potential driver of hair loss, but the upper limit for safe consumption is around 400mcg.30 The average American diet provides just over 100mcg, and Nutrafol contains 200mcg, so this quantity should be safe.31
Photo by Innerbody Research
Nutrafol's male supplement ($88, or $79 with a subscription) has a nearly identical profile as the women’s supplement, but it targets DHT with a larger dose of saw palmetto, a natural ingredient that can lower DHT and balance hormones without the sexual side effects of many prescription hair growth products.6 11
Exactly how much higher a dose of saw palmetto is in the men’s formula is unclear, as it’s part of the proprietary blends in either product. However, ingredients in proprietary blends are listed in order of abundance, and saw palmetto is the first ingredient in the men’s formula, whereas it’s the third ingredient in the women’s.
Nutrafol’s lineup for men is noticeably smaller than its lineup for women. There is only one formulation of the core supplement compared to four for women, and there are only two additional products for you to choose from:
Nutrafol's Hair Serum (previously called its Growth Activator) uses an exceptionally concentrated form of ashwagandha alongside caffeine, horsetail, niacinamide, and ginseng. It contains a wider variety of ingredients than the women’s formula, some of which are associated with hair growth, while others, like niacinamide, can help fight dandruff.
The Hair Serum is a topical solution that you apply to the scalp once daily. You'll lightly massage it into any thinning areas and let it absorb. In this way, it's very similar to minoxidil or nanoxidil, though you apply those twice daily. And like those more aggressive treatments, the exact reasons ashwagandha and some other included ingredients support hair growth aren't perfectly clear.
Nutrafol’s DHT Inhibitor is somewhat buried on the company’s website. Men typically have to go through customer service to get their hands on it, but we’ll provide a link to its specific page here. This is the closest thing to a targeted booster men can get, as the other boosters Nutrafol offers are only available for women.
The DHT Inhibitor is meant to augment the ingredients in the core supplement, not to increase their quantity. So, even though it’s a DHT inhibitor, it doesn’t contain saw palmetto. Instead, it relies on extracts from nettle root,32 Africa cherry tree bark, reishi mushroom,33 and magnolia tree bark.34 While more research is needed on each, at least three of these ingredients boast studies that point to a reduction in DHT.
The addition of the DHT Inhibitor increases the price by the same amount it would if it were a booster on the women’s side: $22 extra for one-time purchases and $19 on a subscription basis.
The addition of the Hair Serum adds $69 to one-time purchases or $62 to subscriptions. This is a little different from the setup on the women’s side, where the Hair Serum is sold separately.
Acquiring all three products together (Nutrafol Men, the DHT blocker, and the Hair Serum) would require you to contact customer service.
Many factors affect women's hair growth and health, including monthly hormonal fluctuations, pregnancy, stress, nutritional and metabolic changes, and environmental factors. The original Nutrafol Women supplement ($88, or $79 with a subscription) is best for women aged 18-44 and includes slightly less potent quantities of the Synergen Complex, Nutrafol Blend, and supplemental vitamins.
Compared to the men’s formula, Nutrafol’s core supplement for women contains slightly smaller doses of the proprietary blends, with more marine collagen and ashwagandha than saw palmetto, the female Synergen Complex’s third-most abundant ingredient.
Note that Nutrafol advises pregnant and nursing women against using Nutrafol products (other than the postpartum product for nursing mothers).
While the men don’t get a vegan option, Nutrafol has seen fit to build a version of its core supplement that excludes the original’s fish-derived marine collagen. But there are a few other key differences, as well. The original formula does not contain vitamin B12, but vegans and vegetarians can struggle to get enough B12 in their diets. So, Nutrafol added a 5,000% dose to its vegan formula.58
The vegan formula also contains alterations to the original Synergen Complex and Nutrafol Blend. In addition to removing the marine collagen, Nutrafol introduced ingredients like chlorella, Bacillus subtilis, and bamboo. Chlorella has the potential to help with overall wellness, as does the included probiotic.35 And there is some evidence that bamboo has antioxidant properties.36
With the onset of perimenopause, estrogen, progesterone, and testosterone all decline in a woman's body. However, because testosterone declines more slowly, its dominance contributes to biological changes, including hair thinning.37
For women above the age of 44, Nutrafol offers Women's Balance, a supplement focused on the biological changes in menopausal women and their impacts on hair growth and health. This supplement contains 21 ingredients, including Synergen Complex Plus with maca root powder and astaxanthin, in addition to the primary Synergen Complex ingredients. Maca is an adaptogen that supports hormone health before, during, and after menopause.38
This postpartum supplement provides nourishment for hair by nourishing the new mother. Obstetricians developed the formula, and it's breastfeeding-friendly, so you can still feed your baby naturally while you take it.
Postpartum's vitamin profile is significantly larger than the standard core formula. In addition to the vitamins found in the original women's formula, Postpartum adds a vitamin B complex containing vitamins B1, 3, 5, 6, 9, and 12.
The Synergen Recovery Complex is very different from the complex you see in the company's other supplements, as well. It includes the following ingredients that can support hair growth, fight nutrient depletion, and reduce stress:39 40
Finally, the Postpartum Hair Blend differs from the Nutrafol Blend by limiting itself to:
You may still want to talk to your doctor about other supplemental vitamins or minerals if you’re taking Nutrafol’s Postpartum, as its ingredient profile, while extensive, isn’t as variegated as the average postnatal vitamin. Specifically, it lacks folate and iron, two critical components of prenatal and postnatal vitamins.41 42
The Hair serum formula for women is less comprehensive than the one for men. It’s missing ingredients like caffeine and ginseng, neither of which should be male-specific. Its price structure is the same as it is for men, costing $69 on a one-time purchase basis or $62 as part of a subscription. But, unlike the men’s version, the Women’s Hair Serum is listed on its own. The men’s version is only listed as a package deal with the core supplement.
Ultimately, this doesn’t make much of a difference for women, but men can’t get the serum and not the supplement without going through customer service.
Vegamour is a women’s hair health company that sells a potentially superior hair serum for less. It contains some of the ingredients in the men’s formula that are missing from the women’s serum, including caffeine. Additionally, the company has other products like eyebrow and eyelash enhancers, all of which are drug-free and vegan.
In addition to its four women’s hair supplements, Nutrafol offers Targeted Boosters for $19 each with a monthly subscription. Nutrafol has altered its booster lineup in recent years, removing its digestive enzyme and sugar balance boosters and rebranding its Vitamin B Booster and Liver Support boosters to B-Energized and Toxin Cleanse, respectively. It has added Collagen Infusion and Hormone Support to the lineup, as well.
Boosters are only available with a core supplement purchase. Customers are limited to two boosters per subscription, and you can only add one booster during your initial checkout. If you’re interested in multiple boosters, you’ll have to contact customer service after you set up your subscription.
Hairbiotic takes a microbiotic approach to hair health, providing seven probiotics and one prebiotic. Studies have linked gut health and hair health directly, so improving your microbiome might be able to help your hair in various ways.45
This collagen powder combines marine collagen peptides with methylsulfonylmethane and the company’s Healthy Aging Complex. As we mentioned earlier, there is conflicting evidence to support collagen supplementation’s role in hair health. The collagen in this product is also marine collagen from fish sources, so it’s not suitable for vegans or vegetarians.
Nutrafol’s Hormone support contains saw palmetto, myo-inositol, nettle root extract, and reduced glutathione. There is evidence to support saw palmetto’s ability to affect female hormonal balance, but whether that effect is ultimately positive is unclear.46 Myo-inositol has been shown to improve hormonal profiles in women with polycystic ovarian syndrome, but its potential to influence hair health is less well understood.47 Nettle has also been shown to improve hormonal balance in cases of hyperandrogenism.48 And glutathione, while connected to estrogen in some research,49 more clearly appears to act as an antioxidant.50
This fast-absorbing vitamin B complex comes in liquid form rather than as a pill. It contains vitamins B1, 2, 3, 5, 6, 9, and 12.
A healthy liver can help hair maintain its strength and vitality. One common symptom of liver disease is hair loss.25 This booster is made with milk thistle,51 artichoke extract,52 yellow dock root,53 and beetroot,54 which may help protect the liver or provide support against reactive oxygen species. However, if you suspect your hair loss is related to a liver complication, you should speak with your doctor before taking this.
In addition to supplements and serums, Nutrafol has a few more familiar hair care products, like its shampoo and conditioner. It’s best to think of these more like salon products than products designed for hair loss. They all lack the kinds of hair loss-fighting ingredients we’ve seen in competing products from Happy Head, Vegamour, and others. Instead, they rely on ingredients you’re liable to find in any high-end shampoo, condition, or scalp mask.
Here’s a quick look at their prices:
None of these products are available on a subscription basis. In one sense, that’s reasonable; your rate of consumption will depend on things like your showering frequency or the length of your hair, so a recurring shipment might not quite fit. But having to go back and reorder can also be an inconvenience. The biggest issue for us is that there are no opportunities to save on products that seem somewhat overpriced, compared to similar offerings like the following:
Shipping from Nutrafol in the U.S. is completely free for subscription orders, but it costs $6.95 for one-time purchases. Orders typically arrive in 5-7 business days. Our testers received products in six days, on average.
Nutrafol accepts all major credit and debit cards, as well as PayPal.
Very few insurance companies take hair loss seriously. Nutrafol does not work directly with any insurer, and they don't accept payment from HSAs or FSAs. You're certainly welcome to try an out-of-network claim with your insurance company. Still, in our research and testing, we've found that companies won't reimburse anything for hair loss, even after chemotherapy.
Nutrafol offers a 30-day return policy on its products, but the wording of that policy is vague and confusing. For example, the beginning of the policy reads, “If you are not 100% satisfied with your purchase, you can return the product and get a full refund.” That makes it sound like you can try the product to see if you like it. But the policy later states that, “Any product you return must be in the same condition you received it and in the original packaging.” That implies that you can’t open the product if you want to return it.
We reached out to customer service for clarity, and they told us that you can only get a refund on products that are unopened. Opened products are eligible for neither a refund nor an exchange. This is pretty disappointing compared to some competitors’ policies. For instance, Happy Head gives you a six-month guarantee (though there are some caveats there, as well).
Nutrafol collects personal and non-personalized information about users on its website. If you register on the site, enter a promotion, or opt-in for email offers, Nutrafol will retain your personal information for future use. The website also connects users through Facebook and other social media, but you control the information that Nutrafol receives through the privacy settings on your social media accounts.
Like many sites, Nutrafol uses cookies and other technology to collect information about users and its "Refer a Friend" programs or reward offers. While Nutrafol may share non-personalized details with third parties, your personal information is protected unless you approve of sharing it.
The company has a dedicated “Do Not Sell or Share My Personal Information” button at the bottom of every page. This is becoming more of a standard, as companies like Happy Head employ similar buttons.
There are a lot of approaches to hair loss out there, some of which require prescriptions, and some of which don't even obtain ingredients the FDA would classify as drugs. Alternatives to Nutrafol are as varied as the entire field of hair loss treatments, which includes nutritional supplements, oral medications, topical solutions, laser treatments, and even surgery.
Let's divide your options into pharmaceutical (drug-based) and non-pharmaceutical categories to give you a quick overview of some alternative options.
If you want to treat hair loss without reaching for a drug, whether it be prescription or over-the-counter, you still have plenty of options. There are a few companies that offer products comparable to what Nutrafol does, and there are also companies with vastly different non-pharmaceutical approaches.
Happy Head offers a nutritional supplement that’s extremely close to what Nutrafol sells as its core product. However, Happy Head also deals in various prescription pills and topicals, from finasteride and minoxidil to spironolactone and dutasteride. It’d be tempting to say that Happy Head would be a superior place to start thanks to this wider catalog and a similar price point for the supplement, but its prices for those other treatments are typically much higher than those from competitors like Hims, Keeps, and Roman.
Vegamour doesn’t have the kind of supplement that Nutrafol offers. It’s limited to biotin gummies in that area. But it has a comparable growth serum that sells for less, as well as dedicated products for brows, lashes, and gray hair. And all of Vegamour’s products are vegan.
Low-level laser therapy (LLLT) is a form of biomodulation that has been shown to work as well as minoxidil.55 It’s typically administered from a laser cap or similar device. Price may be a barrier to entry for some, but it can end up costing less than years spent on a subscription to supplements and serums. To learn more, visit our guide to the best laser caps.
Hair replacement is a fancy term for high-tech hairpieces offered by companies like HairClub. These are outstanding services that match real or synthetic hairs to your own and allow you to pick and choose styles, waviness, and more. You can also swim and shower with, shampoo, condition, and style these hair pieces as you see fit. However, they require regular upkeep, which can get expensive.
While not technically a pharmaceutical intervention, hair restoration surgery is a drastic step.56 It’s extremely expensive, and most surgical procedures are followed by continuous use of finasteride or minoxidil.
Given the amount of research that has been done on pharmaceutical interventions, you may prefer to go this route for both safety and efficacy reasons. Let’s take a look at two of your best options:
Most people are more familiar with minoxidil as a topical medication, commonly referred to by its brand name Rogaine. Topical minoxidil has a good track record for efficacy, and it’s fairly inexpensive, especially from our top-recommended provider for topical minoxidil, Keeps.
Oral minoxidil has been gaining traction lately as a viable alternative to oral finasteride that seems to be safe for many users. It lacks finasteride’s sexual and depressive side effects, though there are potential cardiovascular complications to consider if you have low blood pressure, and many users report unexpected hair growth in places other than the scalp.5 We typically recommend Roman as a source for oral minoxidil.
Finasteride is the active ingredient in brand-name Propecia. It’s effective for many men at recovering some hairline and treating baldness at the crown, but its androgenic influence makes it unsuitable for women.57 It’s also available as a topical, but it’s almost universally compounded with minoxidil, so if you wanted to try topical finasteride as an alternative to topical minoxidil, you’d be out of luck. For more information and to learn about how top providers compare, visit our comprehensive guide to the best hair loss treatments for men.
Sources
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American Hair Loss Association. (n.d.). Men’s Hair Loss, Introduction. American Hair Loss Association.
American Hair Loss Association. (n.d.). Women’s Hair Loss, Introduction. American Hair Loss Association.
Evron, E., Juhasz, M., Babadjouni, A., & Mesinkovska, N. A. (2020). Natural Hair Supplement: Friend or Foe? Saw Palmetto, a Systematic Review in Alopecia. Skin Appendage Disorders, 6(6), 329-337.
Stephens, T. J., Berkowitz, S., Marshall, T., Kogan, S., & Raymond, I. (2022). A Prospective Six-month Single-blind Study Evaluating Changes in Hair Growth and Quality Using a Nutraceutical Supplement in Men and Women of Diverse Ethnicities. The Journal of Clinical and Aesthetic Dermatology, 15(1), 21-26.
Ramírez-Marín, H. A., & Tosti, A. (2022). Role of Oral Minoxidil in Patterned Hair Loss. Indian Dermatology Online Journal, 13(6), 729-733.
Mysore, V. (2012). Finasteride and sexual side effects. Indian Dermatology Online Journal, 3(1), 62-65.
Patel, D. P., Swink, S. M., & Castelo-Soccio, L. (2017). A Review of the Use of Biotin for Hair Loss. Skin Appendage Disorders, 3(3), 166-169.
Rustad, A. M., Nickles, M. A., McKenney, J. E., Bilimoria, S. N., & Lio, P. A. (2022). Myths and media in oral collagen supplementation for the skin, nails, and hair: A review. Journal of Cosmetic Dermatology, 21(2), 438–443.
Salve, J., Pate, S., Debnath, K., & Langade, D. (2019). Adaptogenic and Anxiolytic Effects of Ashwagandha Root Extract in Healthy Adults: A Double-blind, Randomized, Placebo-controlled Clinical Study. Cureus, 11(12).
Lopresti, A. L., Smith, S. J., Malvi, H., & Kodgule, R. (2019). An investigation into the stress-relieving and pharmacological actions of an ashwagandha (Withania somnifera) extract: A randomized, double-blind, placebo-controlled study. Medicine, 98(37).
Murugusundram, S. (2009). Serenoa Repens: Does It have Any Role in the Management of Androgenetic Alopecia? Journal of Cutaneous and Aesthetic Surgery, 2(1), 31-32.
Slika, L., & Patra, D. (2020). Traditional Uses, Therapeutic Effects and Recent Advances of Curcumin: A Mini-Review. Mini Reviews in Medicinal Chemistry, 20(12), 1072–1082.
Peyravian, N., Deo, S., Daunert, S., & Jimenez, J. J. (2020). The Inflammatory Aspect of Male and Female Pattern Hair Loss. Journal of Inflammation Research, 13, 879-881.
Beoy, L. A., Woei, W. J., & Hay, Y. K. (2010). Effects of Tocotrienol Supplementation on Hair Growth in Human Volunteers. Tropical Life Sciences Research, 21(2), 91-99.
Zerbinati, N., Sommatis, S., Maccario, C., Capillo, M. C., Francesco, S. D., Rauso, R., Protasoni, M., Gasperina, D. D., & Mocchi, R. (2021). In Vitro Hair Growth Promoting Effect of a Noncrosslinked Hyaluronic Acid in Human Dermal Papilla Cells. BioMed Research International, 2021.
Rushton D. H. (2002). Nutritional factors and hair loss. Clinical and Experimental Dermatology, 27(5), 396–404.
Riegel, K., Hengl, T., Krischok, S., Schlinzig, K., & Abts, H. F. (2020). L-Cystine-Containing Hair-Growth Formulation Supports Protection, Viability, and Proliferation of Keratinocytes. Clinical, Cosmetic and Investigational Dermatology, 13, 499-510.
Gowda, D., Premalatha, V., & Imtiyaz, D. (2017). Prevalence of Nutritional Deficiencies in Hair Loss among Indian Participants: Results of a Cross-sectional Study. International Journal of Trichology, 9(3), 101-104.
Frey, J., & Raby, N. (1991). Lysine et collagène [Lysine and collagen]. Annales de Biologie Clinique, 49(1), 36–39.
Zhu, Y., Wu, Z., Liu, H., Liu, G., & Li, F. (2020). Methionine promotes the development of hair follicles via the Wnt/β-catenin signalling pathway in Rex rabbits. Journal of Animal Physiology and Animal Nutrition, 104(1), 379–384.
Choi, B. Y. (2020). Targeting Wnt/β-Catenin Pathway for Developing Therapies for Hair Loss. International Journal of Molecular Sciences, 21(14).
An, S. Y., Kim, S., Kim, S. Y., Van, S. Y., Kim, H. J., Lee, H., Han, S. W., Kwon, I. K., Lee, K., Do, S. H., & Hwang, S. (2022). Keratin-mediated hair growth and its underlying biological mechanism. Communications Biology, 5.
Chaiyana, W., Punyoyai, C., Somwongin, S., Leelapornpisid, P., Ingkaninan, K., Waranuch, N., Srivilai, J., Thitipramote, N., Wisuitiprot, W., Schuster, R., Viernstein, H., & Mueller, M. (2017). Inhibition of 5α-Reductase, IL-6 Secretion, and Oxidation Process of Equisetum debile Roxb. Ex Vaucher Extract as Functional Food and Nutraceuticals Ingredients. Nutrients, 9(10).
Kinter, K.J., Anekar, A.A. (2023). Biochemistry, Dihydrotestosterone. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan.
Tehranchinia, Z., Abdollahimajd, F., Haghighatkhah, H., Talebi, A., Yarahmadi, A., & Zoghi, G. (2023). The frequency of fatty liver in patients with alopecia areata: A case–control study. Journal of Cosmetic Dermatology, 22(9), 2579-2583.
Kesarwani, K., & Gupta, R. (2013). Bioavailability enhancers of herbal origin: An overview. Asian Pacific Journal of Tropical Biomedicine, 3(4), 253-266.
Harada, N., Okajima, K., Arai, M., Kurihara, H., & Nakagata, N. (2007). Administration of capsaicin and isoflavone promotes hair growth by increasing insulin-like growth factor-I production in mice and in humans with alopecia. Growth hormone & IGF research : official journal of the Growth Hormone Research Society and the International IGF Research Society, 17(5), 408–415.
Bodó, E., Bíró, T., Telek, A., Czifra, G., Griger, Z., Tóth, B. I., Mescalchin, A., Ito, T., Bettermann, A., Kovács, L., & Paus, R. (2005). A Hot New Twist to Hair Biology: Involvement of Vanilloid Receptor-1 (VR1/TRPV1) Signaling in Human Hair Growth Control. The American Journal of Pathology, 166(4), 985-998.
Almohanna, H. M., Ahmed, A. A., Tsatalis, J. P., & Tosti, A. (2019). The Role of Vitamins and Minerals in Hair Loss: A Review. Dermatology and Therapy, 9(1), 51-70.
Civas, E., & Akpınar, Ü. (2023). Selenium in the supplement as the probable cause of hair loss and nail dystrophy. Journal of Cosmetic Dermatology.
Office of Dietary Supplements. (2021, March 26). Selenium Fact Sheet for Health Professionals. National Institutes of Health, U.S. Department of Health and Human Services.
Nahata, A., & Dixit, V. K. (2012). Ameliorative effects of stinging nettle (Urtica dioica) on testosterone-induced prostatic hyperplasia in rats. Andrologia, 44 Suppl 1, 396–409.
Grant, P., & Ramasamy, S. (2012). An Update on Plant Derived Anti-Androgens. International Journal of Endocrinology and Metabolism, 10(2), 497-502.
Herrmann, D., Schreiber, A., Ciotkowska, A., Strittmatter, F., Waidelich, R., Stief, C. G., Gratzke, C., & Hennenberg, M. (2014). Honokiol, a constituent of Magnolia species, inhibits adrenergic contraction of human prostate strips and induces stromal cell death. Prostate International, 2(3), 140-146.
Bito, T., Okumura, E., Fujishima, M., & Watanabe, F. (2020). Potential of Chlorella as a Dietary Supplement to Promote Human Health. Nutrients, 12(9).
Choi, H., Jo, G., Yang, J. H., Ki, S. H., & Shin, J. (2018). Antioxidative and Anti-Melanogenic Activities of Bamboo Stems (Phyllostachys nigra variety henosis) via PKA/CREB-Mediated MITF Downregulation in B16F10 Melanoma Cells. International Journal of Molecular Sciences, 19(2).
Santoro, N. (2016). Perimenopause: From Research to Practice. Journal of Women's Health, 25(4), 332-339.
Meissner, H. O., Mrozikiewicz, P., Bobkiewicz-Kozlowska, T., Mscisz, A., Kedzia, B., Lowicka, A., Reich-Bilinska, H., Kapczynski, W., & Barchia, I. (2006). Hormone-Balancing Effect of Pre-Gelatinized Organic Maca (Lepidium peruvianum Chacon): (I) Biochemical and Pharmacodynamic Study on Maca using Clinical Laboratory Model on Ovariectomized Rats. International Journal of Biomedical Science : IJBS, 2(3), 260-272.
Le Floc'h, C., Cheniti, A., Connétable, S., Piccardi, N., Vincenzi, C., & Tosti, A. (2015). Effect of a nutritional supplement on hair loss in women. Journal of Cosmetic Dermatology, 14(1), 76–82.
Bradbury, J., Myers, S. P., & Oliver, C. (2004). An adaptogenic role for omega-3 fatty acids in stress; a randomised placebo controlled double blind intervention study (pilot) [ISRCTN22569553]. Nutrition Journal, 3, 20.
Yan, J., Liu, Y., Cao, L., Zheng, Y., Li, W., & Huang, G. (2017). Association between Duration of Folic Acid Supplementation during Pregnancy and Risk of Postpartum Depression. Nutrients, 9(11).
Azami, M., Badfar, G., Khalighi, Z., Qasemi, P., Shohani, M., Soleymani, A., & Abbasalizadeh, S. (2019). The association between anemia and postpartum depression: A systematic review and meta-analysis. Caspian Journal of Internal Medicine, 10(2), 115-124.
Pazzi, F., Adsuar, J. C., Domínguez-Muñoz, F. J., García-Gordillo, M. A., Gusi, N., & Collado-Mateo, D. (2020). Ganoderma lucidum Effects on Mood and Health-Related Quality of Life in Women with Fibromyalgia. Healthcare, 8(4).
Anghelescu, I. G., Edwards, D., Seifritz, E., & Kasper, S. (2018). Stress management and the role of Rhodiola rosea: a review. International Journal of Psychiatry in Clinical Practice, 22(4), 242–252.
Jung, R., Yoo, Y., Kim, J., Singh, V., Park, H., Jeong, M., Park, J., & Shin, H. (2022). Comparative analysis of scalp and gut microbiome in androgenetic alopecia: A Korean cross-sectional study. Frontiers in Microbiology, 13.
Institute of Medicine (US) and National Research Council (US) Committee on the Framework for Evaluating the Safety of Dietary Supplements. Review of Antiandrogenic Risks of Saw Palmetto Ingestion by Women. (2005). Dietary Supplements: A Framework for Evaluating Safety. National Academies Press. Appendix K, Prototype Focused Monograph.
Wojciechowska, A., Osowski, A., Jóźwik, M., Górecki, R., Rynkiewicz, A., & Wojtkiewicz, J. (2019). Inositols’ Importance in the Improvement of the Endocrine–Metabolic Profile in PCOS. International Journal of Molecular Sciences, 20(22).
Najafipour, F., Rahimi, A.O., Mobaseri, M., Agamohamadzadeh, N., Nikoo, A., & Aliasgharzadeh, A. (2014). Therapeutic effects of stinging nettle (Urtica dioica) in women with Hyperandrogenism. Medicine, Biology, Psychology.
Chang, S-H., Chang, C-S., Yang, M-C., Hsu, W-T., Hsieh, C-Y., Hung, Y-T., Su, W-L., Shiu, J-J., Huang, C-Y. (2015). Effects of estrogen on glutathione and catalase levels in human erythrocyte during menstrual cycle. Biomedical Reports, 3(2), 266-268.
Adeoye, O., Olawumi, J., Opeyemi, A., & Christiania, O. (2018). Review on the role of glutathione on oxidative stress and infertility. JBRA Assisted Reproduction, 22(1), 61-66.
Mulrow, C., Lawrence, V., Jacobs, B., Dennehy, C., Sapp, J., Ramirez, G., Aguilar, C., Montgomery, K., Morbidoni, L., Arterburn, J.M., Chiquette, E., Harris, M., Mullins, D., Vickers, A, Flora, K. (2000). Milk Thistle: Effects on Liver Disease and Cirrhosis and Clinical Adverse Effects: Summary. AHRQ Evidence Report Summaries. Rockville (MD): Agency for Healthcare Research and Quality (US); 1998-2005.
Panahi, Y., Kianpour, P., Mohtashami, R., Atkin, S. L., Butler, A. E., Jafari, R., Badeli, R., & Sahebkar, A. (2018). Efficacy of artichoke leaf extract in non-alcoholic fatty liver disease: A pilot double-blind randomized controlled trial. Phytotherapy Research : PTR, 32(7), 1382–1387.
Maksimović, Z., Kovacević, N., Lakusić, B., & Cebović, T. (2011). Antioxidant activity of yellow dock (Rumex crispus L., Polygonaceae) fruit extract. Phytotherapy Research : PTR, 25(1), 101–105.
Srivastava, S., Siddiqi, Z., Singh, T., Bala, L. (2019, November 4). Beetroot Supplementation on Non-Alcoholic Fatty Liver Disease Patients. Current Research in Nutrition and Food Science. 2322-0007.
Mansouri, V., Arjmand, B., Tavirani, M. R., Razzaghi, M., Rostami-Nejad, M., & Hamdieh, M. (2020). Evaluation of Efficacy of Low-Level Laser Therapy. Journal of Lasers in Medical Sciences, 11(4), 369-380.
Rose, P. T. (2015). Hair restoration surgery: Challenges and solutions. Clinical, Cosmetic and Investigational Dermatology, 8, 361-370.
Leyden, J., Dunlap, F., Miller, B., Winters, P., Lebwohl, M., Hecker, D., Kraus, S., Baldwin, H., Shalita, A., Draelos, Z., Markou, M., Thiboutot, D., Rapaport, M., Kang, S., Kelly, T., Pariser, D., Webster, G., Hordinsky, M., Rietschel, R., Katz, H. I., … Waldstreicher, J. (1999). Finasteride in the treatment of men with frontal male pattern hair loss. Journal of the American Academy of Dermatology, 40(6 Pt 1), 930–937.
Niklewicz, A., Smith, A. D., Smith, A., Holzer, A., Klein, A., McCaddon, A., Molloy, A. M., R. Wolffenbuttel, B. H., Nexo, E., McNulty, H., Refsum, H., Gueant, L., Dib, J., Ward, M., Murphy, M., Green, R., Ahmadi, K. R., Hannibal, L., Warren, M. J., . . . Owen, P. J. (2023). The importance of vitamin B12 for individuals choosing plant-based diets. European Journal of Nutrition, 62(3), 1551-1559.