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General Medical Questions
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Q: Is it true that hair loss is common if you don't eat a lot of protein?
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The Trusted Source
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Robert H. Shmerling, M.D.

Robert H. Shmerling, M.D., is associate physician at Beth Israel Deaconess Medical Center and associate professor at Harvard Medical School. He has been a practicing rheumatologist for over 20 years at Beth Israel Deaconess Medical Center. He is an active teacher in the Internal Medicine Residency Program, serving as the Robinson Firm Chief. He is also a teacher in the Rheumatology Fellowship Program.

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October 03, 2008
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A:

For most people with hair loss, inadequate protein is not to blame.

It's true that severe protein malnutrition may cause hair loss. But people with adequate access to food, a normal appetite and normal digestion should not lose hair due to low protein intake. In fact, it's more important that you get "enough" protein, not that you eat "a lot" of protein. A healthy, average adult diet includes about 50 grams of protein daily, representing about 10% of the total calories. You can easily get that much from a turkey sandwich, a glass of milk, and a cup of yogurt.

The most common causes of hair loss are unrelated to protein intake. These include:

  • Male pattern baldness - A combination of genetics and hormonal influences cause hair follicles to shrink, producing less and less hair over time
  • Injury to the hair, including heat and chemical exposures at the beauty parlor
  • Medications - A long list of drugs can cause hair loss
  • Stress over a major illness
  • Pregnancy - During pregnancy, hair grows thicker and after delivery, hair loss is common.

Rare causes of hair loss include liver failure, kidney failure, and skin diseases (such as alopecia areata or lupus).

For people with protein malnutrition, there are much bigger health concerns than hair loss, such as poor immune function, poor wound healing, lack of energy and muscle weakness.

Common causes of protein malnutrition include inadequate access to food, abnormal absorption of nutrients by the digestive tract (as may occur with colitis, infections or other intestinal diseases), HIV, cystic fibrosis, unusual diets, and anorexia nervosa.

Other risk factors for protein malnutrition include:

  • Poor appetite
  • Needing help to eat (as with an elderly person with dementia)
  • Swallowing problems
  • Taking multiple medications
  • Depression
  • High nutrient requirements (as with children)
  • Repeated "flares" of illness requiring hospital stays
  • Alcoholism

It is rare to develop protein malnutrition in the absence of risk factors as long as you have access to a balanced diet.

So, adding protein to your diet is unlikely to slow or prevent hair loss in the absence of protein malnutrition. Talk to your doctor about any concerns you have about your protein intake and hair loss. Simple blood tests can provide useful information about your protein status. Even if your protein levels are normal, your doctor may be able to identify another readily treatable, reversible cause of hair loss.

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