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Evidence notebook · read 22 September 2026

Hair supplements, graded in marker on what the studies actually show

Page 1 · what the trials support

graded against the table on our grades page

  • Nutrafol (whole formula)Three placebo-controlled trials, two in women and one in men, all smallSome
  • Viviscal (marine protein formula)Placebo-controlled trials in women (2015) and men (2016)Some
  • BiotinA 2017 review found 18 reported cases, all in people with an underlying conditionWeak
  • Saw palmettoThe NIH's complementary-health centre calls the evidence too limited to allow conclusionsWeak
  • TocotrienolsOne placebo-controlled trial of 38 volunteers, from 2010Weak
  • Pumpkin seed oilOne placebo-controlled trial of 76 men, from 2014Weak
  • Vitamin DRated low-quality evidence in a 2023 JAMA Dermatology reviewWeak
  • IronUseful only when a blood test confirms deficiencyTest first
  • Ashwagandha, curcumin, marine collagen on their ownNo trial of each alone in people with hair loss that we foundUntested
4 more on the grades page →

Top grade, “Good”: nothing on this page has earned it yet.

We read the trials behind Nutrafol, Viviscal, biotin and saw palmetto, note who paid for them and how many people took part, and grade each one. Nothing we checked earns our top grade yet.

Price check, Nutrafol Men

$79 a month on subscription, $422 for six months prepaid (nutrafol.com, 22 September 2026).

One company-funded trial in men. Our score: 5 out of 10.

Free first steps

A doctor visit, a blood test, over-the-counter minoxidil from any pharmacy. None of them pays us.

From the notebook

All 10 entries →

How this notebook works

The direct answer: every grade on this site comes from a published trial, a government fact sheet or a label we read, and each one names its source and the date we read it.

We are not clinicians and nobody here has reviewed these pages as one. What we can do is read the studies closely: how many people took part, whether there was a placebo group, what was measured, and who paid. Those four questions decide most grades. Our Nutrafol review shows the method on the biggest name in the aisle, and our evidence grades for hair growth supplements apply it to every ingredient we cover.

Some links on this site are affiliate links, and they are always marked. The steps we recommend most often, a doctor visit, a blood test and over-the-counter topical minoxidil from any pharmacy, pay us nothing.

Five questions we get most

Do hair growth supplements work?
Some may help some people a little, and the evidence is thin. The best-studied branded formulas, Nutrafol and Viviscal, have small placebo-controlled trials paid for or written by their makers, and independent reviews in 2023 and 2026 asked for bigger, independent trials.
Is Nutrafol worth it?
Only as an optional add-on after a diagnosis, and only if the cost is comfortable. At list prices read on 22 September 2026, a year of Nutrafol Men costs $844 to $1,056 depending on the plan, for evidence from one company-funded trial in men.
Does biotin help hair loss?
Clearly only in people who are short of it or have certain uncommon conditions. A 2017 review found every reported benefit came from someone with an underlying problem, and biotin can distort some blood tests, including the troponin test for heart attacks.
Should I see a doctor before taking a hair supplement?
Yes. Thyroid problems, low iron and several other causes of hair loss need a diagnosis rather than a capsule, and some supplement ingredients interact with medicines such as blood thinners. The visit pays this site nothing, and it is still the step we recommend first.
Are hair supplements FDA approved?
No. In the US the FDA does not approve dietary supplements before they are sold, and their labels carry a statement that the claims have not been evaluated by the FDA. Topical minoxidil, by contrast, is an FDA-approved over-the-counter medicine.