Evidence review · 43 treatments · 4 branded products

Hair loss treatments, ranked by the science.

A claim-by-claim evidence breakdown of every meaningful hair loss treatment — from FDA-approved drugs to investigational peptides — plus independent reviews of the major branded supplements. Each claim matched to the experimental model that generated it.

43 ingredients analyzed 4 branded products reviewed Editorially independent

By the Anagen Research Team

How we evaluate evidence

Every claim on this page is matched to one of these six tiers, ranked by how reliably the experimental model predicts what will happen in real human scalps.

Tier 1 · Very Low

In Silico

Computational predictions and gene-expression databases. Hypothesis-generating, not proof.

Tier 2 · Low

In Vitro

Cell-culture experiments. Tests individual cells, missing the scalp environment.

Tier 3 · Moderate

In Vivo Animal

Animal studies showing whole-organism effects. Relevant, but mouse hair isn't human hair.

Tier 4 · Moderate-High

Ex Vivo

Human follicle organ culture. Real human tissue, but lacks blood supply and hormones.

Tier 5 · High

Human Open-Label

Human trials without blinding or placebo. Real human data, but bias-prone.

Tier 6 · Highest

Human RCT

Randomized, controlled, blinded trials. The gold standard for proving treatments work.

Compare

All 43 ingredients, side by side

Sort by strength of evidence, filter by category, click any row to dive into the full breakdown. The whole landscape on one page — from FDA-approved drugs at the top to supplement-bundle filler at the bottom.

Finasteride
FDA-Approved
A
5/5
In VivoOpen-LabelRCT

Gold standard oral treatment for male AGA with decades of large RCT data proving it slows loss and regrows hair.

See evidence breakdown →
Minoxidil
FDA-Approved
A
5/5
In VitroIn VivoOpen-LabelRCT

The most widely studied hair growth agent with 35+ years of RCT evidence in both men and women.

See evidence breakdown →
Dutasteride
Off-Label
B
4/5
Open-LabelRCT

Most potent 5-alpha reductase inhibitor with RCT evidence of superiority over finasteride.

See evidence breakdown →
Ketoconazole
Off-Label
B
3/5
In VitroIn VivoOpen-LabelRCT

Well-tolerated adjunct with antifungal, anti-inflammatory, and potential anti-androgenic properties.

See evidence breakdown →
Latanoprost
Off-Label
C
4/5
In VivoEx VivoOpen-LabelRCT

Strong prostaglandin biology and one small positive RCT for scalp, but validated only for eyelash growth (via bimatoprost/Latisse)

See evidence breakdown →
Levocetirizine
Off-Label
C
3/5
In SilicoIn VitroIn VivoEx VivoOpen-LabelRCT

Compelling PGD2-based rationale and consistently positive clinical signals with cetirizine, but no large definitive trial — best used as an adjunct to proven treatments

See evidence breakdown →
TDM-105795
Investigational
D
3/5
In VivoRCT

First-in-class thyromimetic with Phase 2a data showing modest hair count increases.

See evidence breakdown →
Liothyronine (T3)
Off-Label
D
2/5
In VivoEx VivoRCT

Compelling mechanistic biology and strong ex vivo data, but no positive human clinical trial for hair loss

See evidence breakdown →
PP405
Investigational
D
2/5
In VivoEx VivoOpen-Label

First-in-class metabolic approach with strong preclinical rationale, early positive Phase 2a signal, but very limited clinical data and no peer-reviewed publications.

See evidence breakdown →
Acetyl Tetrapeptide-3 (Capixyl)
Peptides / Cosmeceuticals
D
2/5
In VitroRCT

Two-component complex with plausible mechanisms but thin clinical evidence and key claims traceable to fabricated citations.

See evidence breakdown →
Biotinoyl Tripeptide-1 (Procapil)
Peptides / Cosmeceuticals
D
2/5
In VitroIn VivoEx VivoRCT

Three-ingredient complex with plausible biology but widely misrepresented marketing claims and no peer-reviewed human trial of the peptide alone.

See evidence breakdown →
GHK-Cu
Peptides / Cosmeceuticals
D
2/5
In SilicoIn VitroIn VivoOpen-Label

Strong preclinical rationale from wound healing and genomics, but no rigorous human trial of topical GHK-Cu alone for hair loss.

See evidence breakdown →
TB-500 / Thymosin Beta-4
Peptides / Cosmeceuticals
D
2/5
In VivoRCT

Strongest preclinical hair biology of any peptide, but zero human hair trials -- best evidence is for wound healing, dry eye, and cardiac repair.

See evidence breakdown →
Iron
Nutraceutical
D
2/5
Open-Label

A genuine cause of reversible hair shedding in iron-deficient patients — but useless and potentially harmful if your iron stores are normal.

See evidence breakdown →
Saw Palmetto
Nutraceutical
D
2/5
In VitroOpen-LabelRCT

A botanical 5-alpha reductase inhibitor whose only high-quality trials (in BPH) showed no benefit over placebo; the positive AGA data are small and low-quality.

See evidence breakdown →
Tocotrienol
Nutraceutical
D
2/5
RCT

One small Malaysian RCT showed a hair-count increase. Never replicated. Used by Nutrafol to justify its tocotrienol content.

See evidence breakdown →
Vitamin D
Nutraceutical
D
2/5
In VitroOpen-Label

Correlated with AGA in observational studies. No RCT yet shows that supplementation reverses or slows hair loss.

See evidence breakdown →
BPC-157
Peptides / Cosmeceuticals
D
1/5
In SilicoIn VivoOpen-Label

Strong tissue repair peptide with zero evidence for hair loss — a category error when applied to the scalp.

See evidence breakdown →
Biotin
Nutraceutical
D
1/5
Open-Label

The most-marketed hair vitamin — but it only helps if you're deficient, which almost no one is.

See evidence breakdown →
Curcumin
Nutraceutical
D
1/5
In VitroOpen-Label

Generic anti-inflammatory rationale; no AGA-specific RCT support and abysmal oral bioavailability.

See evidence breakdown →
Niacin
Nutraceutical
D
1/5
Open-Label

Severe deficiency (pellagra) causes alopecia. In a normal-diet adult, niacin supplementation does nothing for hair.

See evidence breakdown →
Niacinamide (Topical)
Nutraceutical
D
1/5
In VitroOpen-Label

Well-established skin-barrier ingredient. Modest hair-shaft data; no AGA RCT.

See evidence breakdown →
Vitamin A
Nutraceutical
D
1/5
Open-Label

Severe deficiency causes hair changes — but excess vitamin A is a well-documented cause of hair loss. The supplement industry rarely mentions that.

See evidence breakdown →
Vitamin B12
Nutraceutical
D
1/5
Open-Label

Helps if you're a vegan, elderly, or have pernicious anemia. Otherwise no AGA benefit.

See evidence breakdown →
Vitamin B6
Nutraceutical
D
1/5
Open-Label

Cofactor with no direct AGA evidence. Deficiency rare; mega-doses cause peripheral neuropathy.

See evidence breakdown →
Zinc
Nutraceutical
D
1/5
In VitroOpen-Label

Useful for confirmed zinc deficiency. No AGA benefit in zinc-replete adults; mega-doses cause copper deficiency.

See evidence breakdown →
Ashwagandha
Nutraceutical
F
1/5
Open-Label

Real stress-reduction evidence; zero direct evidence for AGA. Included in supplements on inferential 'stress → hair loss' logic.

See evidence breakdown →
Beta-Sitosterol
Nutraceutical
F
1/5
Open-Label

Tested only in combination with saw palmetto. Standalone AGA effect unknown.

See evidence breakdown →
Marine Collagen
Nutraceutical
F
1/5
Open-Label

The signature ingredient of Viviscal — a proprietary marine peptide blend with no isolated-ingredient peer-reviewed AGA evidence.

See evidence breakdown →
Vitamin C
Nutraceutical
F
1/5
Open-Label

A required nutrient with no direct AGA evidence. Useful only as an iron-absorption cofactor in patients supplementing iron.

See evidence breakdown →
Bamboo Silica
Nutraceutical
F
0/5
Open-Label

Silica source with no AGA evidence.

See evidence breakdown →
Calcium
Nutraceutical
F
0/5
Open-Label

Bone mineral with no documented hair-loss role. Filler in multivitamin-style hair supplements.

See evidence breakdown →
Fo-Ti
Nutraceutical
F
0/5
Open-Label

Traditional medicine ingredient with no quality RCTs — and documented hepatotoxicity case reports.

See evidence breakdown →
Horsetail
Nutraceutical
F
0/5
Open-Label

Traditional silica source with no quality AGA evidence.

See evidence breakdown →
Iodine
Nutraceutical
F
0/5
Open-Label

Real iodine deficiency does affect hair via thyroid — but in iodized-salt populations, supplementing extra iodine is unnecessary and can harm.

See evidence breakdown →
L-Tyrosine
Nutraceutical
F
0/5
Open-Label

Amino acid precursor with no direct AGA evidence.

See evidence breakdown →
Mung Bean
Nutraceutical
F
0/5
Open-Label

Vegamour's signature ingredient. No peer-reviewed AGA evidence.

See evidence breakdown →
Nettle Root
Nutraceutical
F
0/5
In Vitro

Weak in vitro 5-AR inhibition; no human AGA RCT.

See evidence breakdown →
Peony Root
Nutraceutical
F
0/5
Open-Label

Traditional medicine ingredient with no AGA evidence.

See evidence breakdown →
Red Clover
Nutraceutical
F
0/5
In Vitro

Weak in vitro phytoestrogen activity; no human AGA evidence.

See evidence breakdown →
Selenium
Nutraceutical
F
0/5
Open-Label

Both deficiency and excess cause hair loss; supplementation in adequately-fed adults has no AGA benefit.

See evidence breakdown →
Spirulina
Nutraceutical
F
0/5
Open-Label

Generic dietary protein/micronutrient with no AGA evidence.

See evidence breakdown →
Vitamin E
Nutraceutical
F
0/5
Open-Label

The common vitamin E form. Distinct from tocotrienol, which is the form with the single small Malaysian RCT. No alpha-tocopherol AGA evidence.

See evidence breakdown →
Branded products

Big-brand blends, decoded

Same evidence framework, applied to the commercial nutraceuticals and topicals you see advertised. We grade the blend itself, the actives inside it, and the trial methodology behind the claims.

Hair Loss Treatments: Evidence-Based Science Review | Anagen