Hair Health title image

Hair Health

Skin, Hair & Vision

Healthy hair depends on the follicle that produces it, the scalp around it, and the condition of the strand as it grows. Strength, fullness, breakage, and shedding can each reflect different concerns. Defining the change you want to support helps make a hair-care and nutrition routine more focused. Protein and essential nutrients contribute to the normal processes involved in hair growth and tissue maintenance. Structural ingredients are used for more targeted support, while other formulations focus on the scalp or particular aspects of the growth cycle. These approaches have different purposes, so matching the product to your needs is more useful than choosing the largest blend. Hair changes gradually as new growth becomes visible and existing strands experience daily wear. Following scalp comfort, breakage, and the appearance of the same areas gives those changes useful context. The aim is a consistent approach that supports healthy growth while helping the hair you already have remain in good condition.

Warnings

  • Tell clinicians about biotin: Supplemental biotin can interfere with some laboratory tests and produce misleading results. Tell the clinician and laboratory what you take; follow their advice about any pause before testing.
  • Excess nutrients can worsen hair changes: Too much selenium or preformed vitamin A can contribute to hair problems. Avoid combining several hair formulas or using large doses without a relevant nutritional or clinical reason.
  • Use iron for a clear need: Use an appropriate assessment to guide iron supplementation. Tiredness or hair changes can have several causes, and excess iron can be harmful.
  • Check medicine interactions: Ask a pharmacist or clinician to review your exact products alongside your medicines. The ingredient, amount, and treatment determine which combinations are suitable.
Ingredient overview

Goal guidance

Lifestyle changes

Use gentle handling and limit repeated heat, tension, or harsh treatments that contribute to breakage. Keep scalp care consistent and follow changes in the same areas over time.

Diet changes

Include adequate protein and a varied intake of vitamins and minerals. If food choices are restricted, review likely nutritional gaps before choosing a multi-ingredient hair formula.

Who this is for

Adults interested in maintaining hair strength, healthy growth, scalp condition, and a fuller-looking appearance.

Who should be careful

Use iron for an identified need and disclose biotin before blood tests. Excess selenium or vitamin A can affect hair; pregnancy, medicines, and hormonal conditions also influence which products are suitable.

Expected timeline

Hair responds slowly because changes need to grow through. Follow the same areas over several months and track breakage, shedding patterns, and scalp comfort separately.

Common mistakes

Changing products frequently can make a slow growth cycle difficult to assess. Avoid overlapping high-dose hair formulas and combine nutritional support with gentle handling and scalp care.

Ingredients

Biotin Vitamins
Impact
Highest effect
Typical dose1000–5000 mcg / day

Biotin (Vitamin B7) is a cornerstone of hair health due to its role in the body's keratin infrastructure. While true deficiency is rare, supplementation can help improve hair quality, thickness, and strength, especially in individuals with suboptimal levels.

Focuses on
Reduced hair sheddingHair growth rateKeratin infrastructureNutrient-related hair loss
Most relevant for
Individuals with suboptimal biotin levels or hair thinning linked to specific nutrient-depleting medications.

Potential benefits

  • Reduced hair shedding.A clinical trial using plant-based biotin extracts observed a significant reduction in hair fall over a 90-day period.
  • Increased growth rate.Research on specific botanical biotin formulations suggests an increase in the daily rate of hair growth in healthy participants.
  • Support for medication-induced loss.Unconfirmed. Biotin may help restore hair loss in specific cases where medications, such as certain anti-seizure drugs, impair biotin activity.

Limitations

  • Inconsistent clinical evidence.Systematic reviews indicate that evidence for biotin improving hair in healthy individuals without deficiency remains sparse and unsubstantiated.
  • Formulation specific results.Positive outcomes for hair growth were found using specific plant-derived extracts, which may not apply to all common biotin supplements.
  • Primary benefit is deficiency-correction.Most documented improvements occur when biotin levels are impaired; it is not established as a dependable growth stimulant for those with adequate status.
Things to consider

Certain anti-seizure medications like valproic acid may lower biotin levels, potentially contributing to hair loss that biotin supplementation might address.

Study evidence

4 studies

Biotin may help hair problems linked to impaired biotin availability, but benefits for people without deficiency remain uncertain. Recent research on botanical biotin preparations is encouraging, yet it does not establish that ordinary biotin supplements reliably improve hair growth or quality.

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Iron Minerals
Impact
Highest effect
Typical dose18–65 mg / day

Iron is essential for producing hemoglobin, which carries oxygen for the growth and repair of cells, including the cells that stimulate hair growth. Low ferritin (stored iron) levels are strongly correlated with increased hair shedding and correcting this deficiency is one of the most impactful steps for restoring hair density.

Focuses on
Diffuse hair sheddingTelogen effluviumSerum ferritin levelsNutrient-related thinningIron deficiency recovery
Most relevant for
Premenopausal women and individuals experiencing diffuse hair shedding linked to low iron stores or anemia.

Potential benefits

  • Reduces deficiency-related shedding.Research indicates that low iron stores are a significant risk factor for telogen effluvium; correcting these levels is associated with reduced hair shedding and improved density.
  • Supports regrowth after anemia.In women with confirmed iron deficiency anemia, targeted supplementation has been shown to improve hair loss symptoms in a high percentage of cases as iron markers normalize.
  • Mitigates post-surgical hair loss.Low ferritin levels are a key predictor of hair thinning following metabolic and bariatric surgery, where proactive iron monitoring helps manage temporary shedding.

Limitations

  • No benefit for adequate levels.There is no established evidence that iron supplementation improves hair growth or quality in individuals who already have sufficient iron stores.
  • Inconsistent causal evidence.Regulatory reviews note that a direct cause-and-effect relationship for general hair growth is not established, as many studies show no correlation between iron status and thinning.
  • Type-specific efficacy.Iron status appears less relevant for certain conditions like alopecia areata or chronic idiopathic thinning, where iron levels may even be higher than in healthy controls.
Things to consider

Confirm deficiency via ferritin testing before beginning supplementation to avoid iron overload. Excessive iron intake can be toxic and may cause gastrointestinal distress.

Study evidence

25 studies

Low iron stores are associated with some forms of hair loss, particularly in women, and correcting deficiency may help. However, findings are inconsistent, and the supplied evidence does not establish that extra iron improves hair growth when iron status is adequate.

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Vitamin D Vitamins
Impact
Highest effect
Typical dose25–100 mcg / day

Vitamin D plays a role in creating new follicles—the tiny pores from which new hairs grow. When the body doesn't have enough, hair growth can be stunted. Deficiency is also linked to alopecia areata, an autoimmune condition that causes patchy hair loss.

Focuses on
Alopecia areataFemale pattern hair lossFollicle cycle supportDeficiency management
Most relevant for
Individuals with autoimmune hair loss or female pattern thinning who may have an underlying vitamin D deficiency.

Potential benefits

  • Addressing Deficiency Link.Meta-analyses consistently show that people with alopecia areata and female pattern hair loss are significantly more likely to have lower vitamin D levels than healthy controls.
  • Growth Cycle Support.Unconfirmed. Vitamin D receptors are expressed in hair follicles and are theorized to help regulate the growth cycle, though the effectiveness of oral supplements for active regrowth is not yet established.

Limitations

  • Supplementation Uncertainty.Most research is observational; while low levels are linked to hair loss, there is limited evidence that oral supplements alone can reverse thinning in those without a deficiency.
  • Limited Independent Effect.In trials for female pattern hair loss, oral vitamin D showed significant improvement only when combined with other treatments, rather than as a standalone therapy.
  • Condition Specificity.Evidence is weak or null regarding vitamin D's role in male pattern baldness, premature hair graying, or protecting against chemotherapy-induced hair loss.
Things to consider

Confirm vitamin D status with a healthcare provider before starting high-dose supplements, as benefits are primarily observed when correcting a diagnosed deficiency.

Study evidence

34 studies

Low Vitamin D levels are associated with several hair-loss conditions, especially alopecia areata and female pattern hair loss. This does not prove that deficiency causes hair loss, and evidence that ordinary oral Vitamin D supplements improve hair growth remains limited and mixed.

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Zinc Minerals
Impact
Highest effect
Typical dose15–30 mg / day

Zinc is vital for DNA and RNA production, which is required for the normal division of hair follicle cells, leading to healthier hair growth. It also helps balance hormones and keep the oil glands around the follicles working properly. Supplementation can be highly effective for hair loss caused by zinc deficiency.

Focuses on
Hair sheddingZinc statusScalp healthHair follicle functionHair density
Most relevant for
People with hair loss conditions potentially linked to low mineral status or scalp-related shedding.

Potential benefits

  • Nutritional follicle maintenance.Unconfirmed. Low zinc levels are associated with increased hair shedding, but the benefit of oral supplements for hair growth is unproven and likely limited to correcting an existing deficiency.
  • Protection of hair integrity.Topical zinc applications help maintain a healthy scalp environment, which protects the emerging hair cuticle and its natural moisture barrier.
  • Shedding control.Clinical trials of topical zinc pyrithione show it can modestly increase visible hair counts and decrease the percentage of hair in the shedding phase.

Limitations

  • Dominance of topical data.Most clinical evidence for improved hair density involves topical shampoos rather than oral supplements, which may have different effects on hair growth.
  • Weak association in large studies.Large-scale research indicates that zinc levels are often normal or only slightly lower in those with hair loss, suggesting it is not a universal solution.
  • Inconsistent clinical relevance.Zinc deficiency is a relatively uncommon cause of hair loss compared to other factors such as iron deficiency or the duration of the hair loss condition.
Things to consider

Serum zinc levels may not always reflect hair-specific status, and iron levels are often found to be a stronger predictor of hair loss than zinc.

Study evidence

22 studies

Lower zinc levels are associated with some types of hair loss, but findings are inconsistent and do not establish that oral zinc supplements improve hair growth. Benefits reported for zinc-containing shampoos concern topical scalp treatment and cannot be assumed for dietary supplements.

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Collagen Protein
Impact
High effect
Typical dose2500–10000 mg / day

Collagen contains the key amino acids that are the building blocks of keratin. Supplementing with hydrolyzed collagen peptides can also support the dermis layer of the scalp, anchoring the hair follicle and potentially reducing thinning over time. It also acts as an antioxidant to fight follicle damage.

Focuses on
Hair thicknessReduced sheddingHair shaft diameterKeratin support
Most relevant for
Women experiencing thinning or increased hair shedding associated with aging or menopause.

Potential benefits

  • Increased Hair Thickness.Clinical studies show that specific low-molecular-weight collagen peptides can increase hair shaft diameter in women with thinning hair.
  • Reduced Hair Shedding.Research indicates that long-term collagen supplementation may help slow the rate of hair shedding, particularly in menopausal populations.
  • Support for Hair Structure.Collagen provides key amino acids like proline and glycine that are essential components of keratin, the protein that forms hair fibers.

Limitations

  • Not a Regrowth Treatment.Current evidence suggests collagen improves the quality and retention of existing hair but does not prove it can regrow hair in bald areas.
  • Preparation Dependent.Positive outcomes are often linked to specific hydrolyzed or low-molecular-weight peptides and may not apply to all collagen products.
  • Limited Independent Data.Many findings are derived from industry-funded studies with relatively small participant groups and varying formulations.
Things to consider

Significant improvements in hair thickness and shedding typically require consistent daily use for at least six months.

Study evidence

3 studies

Collagen peptides may support hair thickness and reduce shedding in some women, but the evidence is still limited. Findings relate to specific peptide products and selected populations, and do not establish reliable hair regrowth or benefits across all causes of hair loss.

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Keratin Protein
Impact
High effect
Typical dose250–500 mg / day

Since hair is composed of about 95% keratin, supplementing with a bioavailable form (e.g., solubilized keratin) provides the body with the exact material needed for hair structure. Clinical studies on specific forms have demonstrated a significant reduction in hair shedding and an improvement in hair brightness and strength.

Focuses on
Hair GlossStructural SupportAppearanceFiber StrengthSurface Protection
Most relevant for
Individuals seeking to improve the visible shine and resilience of their hair, particularly those noticing age-related dullness or fragility.

Potential benefits

  • Enhanced Hair Appearance.Clinical trials on specific keratin hydrolysates suggest that daily oral intake can significantly improve hair gloss and luster over a 90-day period.
  • Structural Reinforcement.Providing the body with bioavailable keratin supplies the specific amino acids required for hair structure, which may help improve hair strength and reduce shedding.
  • UV Damage Resistance.Unconfirmed. While laboratory studies show topical keratin coatings shield hair from UV-induced protein damage, it is currently unproven if oral supplements provide the same internal protection.

Limitations

  • Ingredient Interactions.Several studies used keratin in combination with vitamins and minerals, making it difficult to isolate the exact benefits of keratin alone.
  • Preparation Specificity.Evidence is primarily tied to hydrolyzed or solubilized forms; standard keratin protein may not be as effectively absorbed or utilized by the body.
  • Cosmetic Focus.Research largely highlights improvements in hair shine and texture rather than providing consistent evidence for reversing medical hair loss or increasing hair density.

Study evidence

14 studies

Keratin supplements have limited evidence for improving hair appearance, while broader effects on growth or shedding remain uncertain. Some favorable findings involve added vitamins and minerals, and cosmetic hair coatings or fillers do not demonstrate benefits from taking keratin orally.

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Studies

Explore published research for this goal.

Sources

Up to five highest-ranked published examples per ingredient. Study counts and charts include all published studies for the connection.

  1. The Role of Sesbania grandiflora-Derived Biotin and Bambusa arundinacea-Derived Silica Extracts in Promoting Hair, Skin, and Nail Health: A Randomized, Double-Blind, Placebo-Controlled Clinical Study.
    Patel MN; Maheshvari J; Patel N · Cureus · 2025
    Randomized trial105 participantsBiotin
  2. Low serum biotinidase activity in children with valproic acid monotherapy.
    Schulpis KH; Karikas GA; Tjamouranis J; Regoutas S; Tsakiris S · Epilepsia · 2001
    Clinical trial125 participantsBiotin
  3. Vitamins A, B, C, and D: A Short Review for the Dermatologist.
    Coerdt KM; Goggins CA; Khachemoune A · Alternative therapies in health and medicine · 2021
    Narrative reviewBiotin
  4. The Infatuation With Biotin Supplementation: Is There Truth Behind Its Rising Popularity? A Comparative Analysis of Clinical Efficacy versus Social Popularity.
    Soleymani T; Lo Sicco K; Shapiro J · Journal of drugs in dermatology : JDD · 2018
    Narrative reviewBiotin
  5. The Association Between Alopecia Areata and Iron Deficiency Anemia: A Large-Scale Population-Based Case-Control Study.
    Davidovici B; Drutin Y; Ben-Tov A; Mimouni D; Wohl Y · Journal of personalized medicine · 2026
    Case-control study100,203 participantsIron
  6. Iron Deficiency and Nonscarring Alopecia in Women: Systematic Review and Meta-Analysis.
    Treister-Goltzman Y; Yarza S; Peleg R · Skin appendage disorders · 2022
    Meta-analysis10,029 participants36 studies pooledIron
  7. Comparative Analysis of Postoperative Hair Loss and Micronutrient Deficiencies After One-Anastomosis Gastric Bypass Versus Sleeve Gastrectomy.
    Chinisaz F; Maleki T; Najjari K; Miratashi Yazdi SA · Obesity surgery · 2026
    Cohort study261 participantsIron
  8. Assessment of Serum Ferritin Levels in Female Patients With Telogen Effluvium.
    Thamotharan N; Harikumar MV; Sundaram M; Swaminathan A; Rangarajan S · Cureus · 2026
    Cross-sectional study100 participantsIron
  9. Diagnosis and treatment of female alopecia: Focusing on the iron deficiency-related alopecia.
    Lin CS; Chan LY; Wang JH; Chang CH · Tzu chi medical journal · 2023
    Cohort study155 participantsIron
  10. Increased prevalence of vitamin D deficiency in patients with alopecia areata: a systematic review and meta-analysis.
    Lee S; Kim BJ; Lee CH; Lee WS · Journal of the European Academy of Dermatology and Venereology : JEADV · 2018
    Meta-analysis2,039 participants14 studies pooledVitamin D
  11. Intralesional vitamin D3 in treatment of alopecia areata: A randomized controlled clinical trial.
    Rashad AF; Elgamal E; Fouda I · Journal of cosmetic dermatology · 2022
    Randomized trial60 participantsVitamin D
  12. Vitamin D and its Analogs in Treatment of Mild to Moderate Alopecia Areata: Systematic Review and Meta-Analysis.
    Alsaati AA; Kaliyadan F; Alsaadoun D; Alzakry LM; Alzabadin RA; Hakami TH; Rubaian NFB · Indian dermatology online journal · 2025
    Meta-analysisVitamin D
  13. Topical calcipotriol vs narrowband ultraviolet B in treatment of alopecia areata: a randomized-controlled trial.
    El Taieb MA; Hegazy EM; Ibrahim HM; Osman AB; Abualhamd M · Archives of dermatological research · 2020
    Randomized trial60 participantsVitamin D
  14. Serum 25 hydroxyvitamin D in non-scarring alopecia: A systematic review and meta-analysis.
    Chen Y; Dong X; Wang Y; Li Y; Xiong L; Li L · Journal of cosmetic dermatology · 2024
    Meta-analysis10,670 participants23 studies pooledVitamin D
  15. The effects of minoxidil, 1% pyrithione zinc and a combination of both on hair density: a randomized controlled trial.
    Berger RS; Fu JL; Smiles KA; Turner CB; Schnell BM; Werchowski KM; Lammers KM · The British journal of dermatology · 2003
    Randomized trial200 participantsZinc
  16. Incubatory environment of the scalp impacts pre-emergent hair to affect post-emergent hair cuticle integrity.
    Schwartz JR; Henry JP; Kerr KM; Flagler MJ; Page SH; Redman-Furey N · Journal of cosmetic dermatology · 2018
    Randomized trialZinc
  17. A comparison of hair quality and cosmetic acceptance following the use of two anti-dandruff shampoos.
    Draelos ZD; Kenneally DC; Hodges LT; Billhimer W; Copas M; Margraf C · The journal of investigative dermatology. Symposium proceedings · 2006
    Randomized trial40 participantsZinc
  18. BMI and levels of zinc, copper in hair, serum and urine of Turkish male patients with androgenetic alopecia.
    Ozturk P; Kurutas E; Ataseven A; Dokur N; Gumusalan Y; Gorur A; Tamer L; Inaloz S · Journal of trace elements in medicine and biology : organ of the Society for Minerals and Trace Elements (GMS) · 2015
    Case-control study216 participantsZinc
  19. Analysis of serum zinc and copper concentrations in hair loss.
    Kil MS; Kim CW; Kim SS · Annals of dermatology · 2013
    Case-control study342 participantsZinc
  20. Low-Molecular-Weight Collagen Peptide Supplementation Improves Cellulite Severity, Skin Elasticity, and Hair Shaft Diameter: A Clinical Study with Pharmacokinetic Evaluation.
    Hwang S; Won J; Kim S; Kang W; Park M · Journal of medicinal food · 2026
    Randomized trial114 participantsCollagen
  21. Calcium and Vitamin D Supplementation with and Without Collagen on Bone Density and Skin Elasticity in Menopausal Women-A Randomized Controlled Study.
    Duangjai A; Srivilai J; Nangola S; Amornlerdpison D · Clinics and practice · 2025
    Randomized trialCollagen
  22. Dietary Collagen Supplementation as a Strategy for Skin Health: A Narrative Review of Clinical Effects on Skin, Hair, Nails, and Wound Healing.
    Biełach-Bazyluk A; Jurga M; Flisiak I; Zbroch E · Nutrients · 2026
    Narrative reviewCollagen
  23. The Effects of an Oral Supplementation of a Natural Keratin Hydrolysate on Skin Aging: A Randomized, Double-Blind, Placebo-Controlled Clinical Study in Healthy Women.
    Tursi F; Nobile V; Cestone E; De Ponti I; Lepoudere A; Sergheraert R; Soulard JP · Journal of cosmetic dermatology · 2025
    Randomized trialKeratin
  24. Halloysite/Keratin Nanocomposite for Human Hair Photoprotection Coating.
    Cavallaro G; Milioto S; Konnova S; Fakhrullina G; Akhatova F; Lazzara G; Fakhrullin R; Lvov Y · ACS applied materials & interfaces · 2021
    In vitro / ex vivo studyKeratin
  25. Annurca Apple Nutraceutical Formulation Enhances Keratin Expression in a Human Model of Skin and Promotes Hair Growth and Tropism in a Randomized Clinical Trial.
    Tenore GC; Caruso D; Buonomo G; D'Avino M; Santamaria R; Irace C; Piccolo M; Maisto M; Novellino E · Journal of medicinal food · 2018
    Randomized trialKeratin
  26. Keratin/alginate hybrid hydrogels filled with halloysite clay nanotubes for protective treatment of human hair.
    Cavallaro G; Caruso MR; Milioto S; Fakhrullin R; Lazzara G · International journal of biological macromolecules · 2022
    In vitro / ex vivo studyKeratin
  27. Patient Satisfaction and Adverse Effects Following the use of Topical Hair Fiber Fillers.
    Babadjouni A; Juhasz M; Pham C; Csuka E; Hedayati B; Evron E; Mesinkovska NA · International journal of trichology · 2024
    Cross-sectional study40 participantsKeratin
  28. Causes of hair loss and the developments in hair rejuvenation.
    Rushton DH; Norris MJ; Dover R; Busuttil N · International journal of cosmetic science · 2010
    Narrative reviewLysine
  29. Management of hair loss associated with endocrine therapy in patients with breast cancer: an overview.
    Karatas F; Sahin S; Sever AR; Altundag K · SpringerPlus · 2016
    Narrative reviewVitamin C
  30. Elucidating causal relationships of diet-derived circulating antioxidants and the risk of non-scarring alopecia: A Mendelian randomization study.
    Ba Y; Shen L; Peng X; Zhang Y; Wang J · Medicine · 2024
    Methods validation study201,019 participantsVitamin C
  31. Alterations of plasma antioxidants and mitochondrial DNA mutation in hair follicles of smokers.
    Liu CS; Chen HW; Lii CK; Tsai CS; Kuo CL; Wei YH · Environmental and molecular mutagenesis · 2002
    Observational studyVitamin C
  32. Removal of synthetic hair dye using formamidine sulfinic acid and other sulfinate precursors.
    Hawkes JA; Lewis DM; Mama J; Murray J · International journal of cosmetic science · 2026
    Methods validation studyVitamin C
  33. A Zinc Sulphate-Resistant Acrodermatitis Enteropathica Patient with a Novel Mutation in SLC39A4 Gene.
    Kilic M; Taskesen M; Coskun T; Gürakan F; Tokatli A; Sivri HS; Dursun A; Schmitt S; Küry S · JIMD reports · 2013
    Case reportVitamin C
  34. Menkes disease and response to copper histidine: An Indian case series.
    Yoganathan S; Sudhakar SV; Arunachal G; Thomas M; Subramanian A; George R; Danda S · Annals of Indian Academy of Neurology · 2022
    Case series4 participantsCopper
  35. Trace element levels in alopecia areata.
    Bhat YJ; Manzoor S; Khan AR; Qayoom S · Indian journal of dermatology, venereology and leprology · 2009
    Case-control study100 participantsCopper
  36. UV damage to hair and the effect of antioxidants and metal chelators.
    Millington KR; Marsh JM · International journal of cosmetic science · 2021
    In vitro / ex vivo studyCopper
  37. Preserving fibre health: reducing oxidative stress throughout the life of the hair fibre.
    Marsh JM; Davis MG; Lucas RL; Reilman R; Styczynski PB; Li C; Mamak M; McComb DW; Williams RE; Godfrey S; Navqi KR; Chechik V · International journal of cosmetic science · 2016
    In vitro / ex vivo studyCopper
  38. Hair Loss After Metabolic and Bariatric Surgery: a Systematic Review and Meta-analysis.
    Zhang W; Fan M; Wang C; Mahawar K; Parmar C; Chen W; Yang W; Global Bariatric Research Collaborative · Obesity surgery · 2021
    Meta-analysis2,538 participants18 studies pooledFolate
  39. Quantitative Analysis of Selected Circulating Hematological Biomarkers, Essential Minerals, Vitamins, and Thyroid Hormones in Females Affected by Hair Loss.
    Al-Fawaeir S; Al-Odat I · Diseases (Basel, Switzerland) · 2025
    Case-control study200 participantsFolateVitamin B12
  40. Twelve weeks of protracted venous infusion of fluorouracil (5-FU) is as effective as 6 months of bolus 5-FU and folinic acid as adjuvant treatment in colorectal cancer.
    Saini A; Norman AR; Cunningham D; Chau I; Hill M; Tait D; Hickish T; Iveson T; Lofts F; Jodrell D; Ross PJ; Oates J · British journal of cancer · 2003
    Randomized trialFolate
  41. Role of oxaliplatin combined with 5-fluorouracil and folinic acid in the first- and second-line treatment of advanced colorectal cancer.
    Jonker D; Rumble RB; Maroun J; Gastrointestinal Cancer Disease Site Groupof Cancer Care Ontario’s Program in Evidence-Based Care · Current oncology (Toronto, Ont.) · 2012
    Randomized trialFolate
  42. Phase I-II study of vinorelbine in combination with 5-fluorouracil and folinic acid as first-line chemotherapy in metastatic breast cancer: a regimen with a low subjective toxic burden.
    Nolè F; de Braud F; Aapro M; Minchella I; De Pas TM; Zampino MG; Monti S; Andreoni G; Goldhirsch A · Annals of oncology : official journal of the European Society for Medical Oncology · 1997
    Randomized trialFolate
  43. A pilot study evaluating the efficacy of topically applied niacin derivatives for treatment of female pattern alopecia.
    Draelos ZD; Jacobson EL; Kim H; Kim M; Jacobson MK · Journal of cosmetic dermatology · 2009
    Randomized trial60 participantsNiacin
  44. Topical adenosine increases thick hair ratio in Japanese men with androgenetic alopecia.
    Watanabe Y; Nagashima T; Hanzawa N; Ishino A; Nakazawa Y; Ogo M; Iwabuchi T; Tajima M · International journal of cosmetic science · 2016
    Randomized trial102 participantsNiacin
  45. Bioengineered Plants Can Be a Useful Source of Omega-3 Fatty Acids.
    Amjad Khan W; Chun-Mei H; Khan N; Iqbal A; Lyu SW; Shah F · BioMed research international · 2017
    Narrative reviewOmega-3
  46. 36th International Symposium on Intensive Care and Emergency Medicine : Brussels, Belgium. 15-18 March 2016.
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    Meta-analysisOmega-3
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    Case-control study272 participantsIodineOmega-3
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    Caroline Le Floc'h, Ahsène Cheniti, Sophie Connétable, Nathalie Piccardi, Colombina Vincenzi, Antonella Tosti · Journal of cosmetic dermatology · 2015
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  49. Beyond Efficacy: 0.6% Selenium Disulfide Shampoo Matches 2% Ketoconazole for Seborrheic Dermatitis with Superior Cosmesis.
    Farris PK; Barbosa V; Houshman EB; Kovylkina N · Journal of drugs in dermatology : JDD · 2026
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  50. Selenium Disulfide-based shampoo applied for 4 weeks significantly improves dandruff and seborrheic dermatitis.
    Turcu G; Artenie C; Nowicka D; Arenbergerová M; Lazaridou E; Khobzei K; Ataseven A; Part M; Leclerc-Mercier S · European journal of dermatology : EJD · 2023
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  51. A Comparative Randomized Clinical Study Assessing the Efficacy of a 1% Selenium Disulfide-Based Shampoo versus 2% Ketoconazole Shampoo in Subjects with Moderate to Severe Scalp Seborrheic Dermatitis.
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  52. Changes of serum trace elements level in patients with alopecia areata: A meta-analysis.
    Jin W; Zheng H; Shan B; Wu Y · The Journal of dermatology · 2018
    Meta-analysis764 participantsSelenium
  53. Scientific opinion on the tolerable upper intake level for selenium.
    EFSA Panel on Nutrition, Novel Foods and Food Allergens (NDA); Turck D; Bohn T; Castenmiller J; de Henauw S; Hirsch-Ernst KI; Knutsen HK; Maciuk A; Mangelsdorf I; McArdle HJ; Peláez C; Pentieva K; Siani A; Thies F; Tsabouri S; Vinceti M; Aggett P; Crous Bou M; Cubadda F; Ciccolallo L; de Sesmaisons Lecarré A; Fabiani L; Titz A; Naska A · EFSA journal. European Food Safety Authority · 2023
    Systematic reviewSelenium
  54. Effect of oral intake of choline-stabilized orthosilicic acid on skin, nails and hair in women with photodamaged skin.
    Barel A; Calomme M; Timchenko A; De Paepe K; Demeester N; Rogiers V; Clarys P; Vanden Berghe D · Archives of dermatological research · 2006
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  55. Effect of oral intake of choline-stabilized orthosilicic acid on hair tensile strength and morphology in women with fine hair
    R R Wickett, E Kossmann, A Barel, N Demeester, P Clarys, D Vanden Berghe, M Calomme · Archives of Dermatological Research · 2007
    Randomized trial48 participantsSilicon
  56. Factors Associated with Premature Hair Graying in a Young Indian Population.
    Chakrabarty S; Krishnappa PG; Gowda DG; Hiremath J · International journal of trichology · 2016
    Case-control study74 participantsVitamin B12
  57. Risk Factors for Pediatric Alopecia Areata: Clinical and Biochemical Findings from a Case - Control Study.
    İritaş SY · Dermatology practical & conceptual · 2026
    Case-control study600 participantsVitamin B12
  58. Hair Loss After Laparoscopic Sleeve Gastrectomy.
    Katsogridaki G; Tzovaras G; Sioka E; Perivoliotis K; Zachari E; Magouliotis D; Tasiopoulou V; Chatedaki C; Zacharoulis D · Obesity surgery · 2019
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  59. Demographic Characteristics and Association of Serum Vitamin B12, Ferritin and Thyroid Function with Premature Canities in Indian Patients from an Urban Skin Clinic of North India: A Retrospective Analysis of 71 Cases.
    Sonthalia S; Priya A; Tobin DJ · Indian journal of dermatology · 2022
    Cross-sectional study71 participantsVitamin B12
  60. Effects of tocotrienol supplementation on hair growth in human volunteers.
    Beoy LA; Woei WJ; Hay YK · Tropical life sciences research · 2014
    Randomized trial38 participantsVitamin E
  61. Effects of dietary supplements on androgenetic alopecia: a systematic review and network meta-analysis.
    Zhou L; Zhu W; Chen Y · Frontiers in nutrition · 2026
    Meta-analysis1,658 participants19 studies pooledSaw PalmettoVitamin E
  62. Evaluation of the Safety and Effectiveness of Nutritional Supplements for Treating Hair Loss: A Systematic Review.
    Drake L; Reyes-Hadsall S; Martinez J; Heinrich C; Huang K; Mostaghimi A · JAMA dermatology · 2023
    Systematic review30 studies pooledVitamin E
  63. Effects of Withania somnifera root extract serum application on hair health in healthy adults: A prospective, double-blind, randomized, parallel, placebo-controlled study.
    Yerram C; Jillella A; Reddy V · Journal of Ayurveda and integrative medicine · 2023
    Randomized trial61 participantsAshwagandha
  64. A Prospective, Randomized, Double-Blind, Placebo-Controlled Clinical Study of Efficacy and Safety of Ashwagandha Root Extract Capsule on Skin and Hair Health in Healthy Adults.
    Jillella A; Keerthi N; Venkateswar Reddy J · Phytotherapy research : PTR · 2026
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  65. The Safety and Efficacy of a Proprietary Bioactive Fatty Acids Extract From Saw Palmetto (Serenoa repens) for Promoting Hair Growth and Reducing Hair Loss in Adults With Self-Perceived Thinning Hair: 90-Day Results.
    Ablon G · Journal of cosmetic dermatology · 2025
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  66. The Safety and Efficacy of a Novel Saw Palmetto (Serenoa repens) Extract for Promoting Hair Growth in Adults With Self-Perceived Thinning Hair: 180-Day Results.
    Ablon G · Journal of cosmetic dermatology · 2026
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    Gupta AK; Compton SAH; Liddy A; Talukder M; Wang T; Bamimore MA · Medicina (Kaunas, Lithuania) · 2026
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  69. Topical tretinoin for hair growth promotion.
    Bazzano GS; Terezakis N; Galen W · Journal of the American Academy of Dermatology · 1986
    Non-randomized trial56 participantsVitamin A
  70. A review of isotretinoin in the treatment of frontal fibrosing alopecia.
    Shahpar A; Nezhad NZ; Sahaf AS; Ahramiyanpour N · Journal of cosmetic dermatology · 2024
    Systematic review232 participants15 studies pooledVitamin A
  71. Efficacy of Isotretinoin and Acitretin in Treatment of Frontal Fibrosing Alopecia: Retrospective Analysis of 54 Cases.
    Rakowska A; Gradzińska A; Olszewska M; Rudnicka L · Journal of drugs in dermatology : JDD · 2018
    Cohort study54 participantsVitamin A
  72. Systemic Treatments for Lichen Planopilaris and Frontal Fibrosing Alopecia: A Retrospective Study of 315 Patients.
    Willaert M; Van Dongen T; Dikrama P; Nijsten T; Hijnen D; Waalboer-Spuij R · Acta dermato-venereologica · 2025
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  73. Tretinoin enhances minoxidil response in androgenetic alopecia patients by upregulating follicular sulfotransferase enzymes.
    Sharma A; Goren A; Dhurat R; Agrawal S; Sinclair R; Trüeb RM; Vañó-Galván S; Chen G; Tan Y; Kovacevic M; Situm M; McCoy J · Dermatologic therapy · 2020
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  74. Efficacy and safety of non-cross-linked hyaluronic acid compound in the treatment of keratosis pilaris: A split-body randomized clinical trial.
    Li Y; Wang SW; Liu YH; Zou MY; Wu JX; Luo SK; Hong WJ · Journal of cosmetic dermatology · 2024
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  75. Intradermal Injections of 10% Glucose (Sihler G) for Scalp Hair Regrowth: A Randomized, Evaluator-Blinded Pilot Study.
    Yi KH; Sydorchuk O; Lee S; Sobchyshyn M; Kim TH; Lee SR; Park S; Chang-Il Y; Kyu-Eun L · Aesthetic plastic surgery · 2026
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  76. Efficacy of Dr. SKS Hair Booster Serum in the Treatment of Female Pattern Alopecia in Patients With PCOS: An Open-Label, Non-randomized, Prospective Study.
    Khare S · Cureus · 2023
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  77. Efficacy and safety of needle-free jet injector-assisted intralesional treatments in dermatology-a systematic review.
    Bekkers VZ; Bik L; van Huijstee JC; Wolkerstorfer A; Prens EP; van Doorn MBA · Drug delivery and translational research · 2023
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  78. Revitalizing Effect on the Scalp After Injection with a Mechanically Stabilized Hyaluronic Acid Complex in Subjects with Androgenetic Alopecia.
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