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.
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.
In Silico
Computational predictions and gene-expression databases. Hypothesis-generating, not proof.
In Vitro
Cell-culture experiments. Tests individual cells, missing the scalp environment.
In Vivo Animal
Animal studies showing whole-organism effects. Relevant, but mouse hair isn't human hair.
Ex Vivo
Human follicle organ culture. Real human tissue, but lacks blood supply and hormones.
Human Open-Label
Human trials without blinding or placebo. Real human data, but bias-prone.
Human RCT
Randomized, controlled, blinded trials. The gold standard for proving treatments work.
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.
| Treatment | Category | Grade | Strength | Best evidence |
|---|---|---|---|---|
| Finasteride→Propecia · Proscar | FDA-Approved | A | 5/5 | 7 RCTs · large evidence base |
| Minoxidil→Rogaine · Regaine | FDA-Approved | A | 5/5 | 6 RCTs · large evidence base |
| Dutasteride→Avodart | Off-Label | B | 4/5 | 7 RCTs · large evidence base |
| Ketoconazole→Nizoral | Off-Label | B | 3/5 | 5 RCTs · large evidence base |
| Latanoprost→Xalatan · prostaglandin F2a analog | Off-Label | C | 4/5 | 4 RCTs |
| Levocetirizine→Xyzal · Cetirizine | Off-Label | C | 3/5 | 3 RCTs |
| TDM-105795→ | Investigational | D | 3/5 | 1 RCT |
| Liothyronine (T3)→T3 · Triiodothyronine | Off-Label | D | 2/5 | 1 RCT |
| PP405→PP-405 · JXL-069 | Investigational | D | 2/5 | 2 open-label trials |
| Acetyl Tetrapeptide-3 (Capixyl)→Capixyl · acetyl tetrapeptide-3 | Peptides / Cosmeceuticals | D | 2/5 | 3 RCTs |
| Biotinoyl Tripeptide-1 (Procapil)→Procapil · Biotinyl-GHK | Peptides / Cosmeceuticals | D | 2/5 | 2 RCTs |
| GHK-Cu→Copper peptide · GHK copper | Peptides / Cosmeceuticals | D | 2/5 | 3 open-label trials |
| TB-500 / Thymosin Beta-4→TB-500 · TB500 | Peptides / Cosmeceuticals | D | 2/5 | 4 RCTs |
| Iron→Ferrous sulfate · Ferrous fumarate | Nutraceutical | D | 2/5 | Open-label / case-report data |
| Saw Palmetto→Serenoa repens · Sabal serrulata | Nutraceutical | D | 2/5 | 2 RCTs |
| Tocotrienol→Vitamin E · Mixed tocotrienols | Nutraceutical | D | 2/5 | 1 RCT |
| Vitamin D→Cholecalciferol · Vitamin D3 | Nutraceutical | D | 2/5 | Open-label / case-report data |
| BPC-157→BPC 157 · Body Protection Compound | Peptides / Cosmeceuticals | D | 1/5 | Open-label / case-report data |
| Biotin→Vitamin B7 · Vitamin H | Nutraceutical | D | 1/5 | Open-label / case-report data |
| Curcumin→Turmeric · Curcuma longa | Nutraceutical | D | 1/5 | Open-label / case-report data |
| Niacin→Vitamin B3 · Nicotinic acid | Nutraceutical | D | 1/5 | Open-label / case-report data |
| Niacinamide (Topical)→Nicotinamide · Topical B3 | Nutraceutical | D | 1/5 | Open-label / case-report data |
| Vitamin A→Retinol · Retinyl palmitate | Nutraceutical | D | 1/5 | Open-label / case-report data |
| Vitamin B12→Cobalamin · Cyanocobalamin | Nutraceutical | D | 1/5 | Open-label / case-report data |
| Vitamin B6→Pyridoxine · Pyridoxal phosphate | Nutraceutical | D | 1/5 | Open-label / case-report data |
| Zinc→Zinc sulfate · Zinc gluconate | Nutraceutical | D | 1/5 | Open-label / case-report data |
| Ashwagandha→Withania somnifera · Indian winter cherry | Nutraceutical | F | 1/5 | Open-label / case-report data |
| Beta-Sitosterol→Plant sterols · Phytosterols | Nutraceutical | F | 1/5 | Open-label / case-report data |
| Marine Collagen→Hydrolyzed marine collagen · AminoMar | Nutraceutical | F | 1/5 | Open-label / case-report data |
| Vitamin C→Ascorbic acid · L-ascorbate | Nutraceutical | F | 1/5 | Open-label / case-report data |
| Bamboo Silica→Bamboo extract · Silica | Nutraceutical | F | 0/5 | No AGA evidence |
| Calcium→Calcium carbonate · Calcium citrate | Nutraceutical | F | 0/5 | No AGA evidence |
| Fo-Ti→Polygonum multiflorum · He Shou Wu | Nutraceutical | F | 0/5 | No AGA evidence |
| Horsetail→Equisetum arvense · Field horsetail | Nutraceutical | F | 0/5 | No AGA evidence |
| Iodine→Potassium iodide · Kelp | Nutraceutical | F | 0/5 | No AGA evidence |
| L-Tyrosine→Tyrosine | Nutraceutical | F | 0/5 | No AGA evidence |
| Mung Bean→Vigna radiata · Karmatin source | Nutraceutical | F | 0/5 | No AGA evidence |
| Nettle Root→Urtica dioica · Stinging nettle | Nutraceutical | F | 0/5 | No AGA evidence |
| Peony Root→Paeonia lactiflora · White peony | Nutraceutical | F | 0/5 | No AGA evidence |
| Red Clover→Trifolium pratense | Nutraceutical | F | 0/5 | No AGA evidence |
| Selenium→Selenomethionine · Sodium selenite | Nutraceutical | F | 0/5 | No AGA evidence |
| Spirulina→Arthrospira platensis | Nutraceutical | F | 0/5 | No AGA evidence |
| Vitamin E→Alpha-tocopherol · d-alpha-tocopherol | Nutraceutical | F | 0/5 | No AGA evidence |
Gold standard oral treatment for male AGA with decades of large RCT data proving it slows loss and regrows hair.
See evidence breakdown →The most widely studied hair growth agent with 35+ years of RCT evidence in both men and women.
See evidence breakdown →Most potent 5-alpha reductase inhibitor with RCT evidence of superiority over finasteride.
See evidence breakdown →Well-tolerated adjunct with antifungal, anti-inflammatory, and potential anti-androgenic properties.
See evidence breakdown →Strong prostaglandin biology and one small positive RCT for scalp, but validated only for eyelash growth (via bimatoprost/Latisse)
See evidence breakdown →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 →First-in-class thyromimetic with Phase 2a data showing modest hair count increases.
See evidence breakdown →Compelling mechanistic biology and strong ex vivo data, but no positive human clinical trial for hair loss
See evidence breakdown →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 →Two-component complex with plausible mechanisms but thin clinical evidence and key claims traceable to fabricated citations.
See evidence breakdown →Three-ingredient complex with plausible biology but widely misrepresented marketing claims and no peer-reviewed human trial of the peptide alone.
See evidence breakdown →Strong preclinical rationale from wound healing and genomics, but no rigorous human trial of topical GHK-Cu alone for hair loss.
See evidence breakdown →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 →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 →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 →One small Malaysian RCT showed a hair-count increase. Never replicated. Used by Nutrafol to justify its tocotrienol content.
See evidence breakdown →Correlated with AGA in observational studies. No RCT yet shows that supplementation reverses or slows hair loss.
See evidence breakdown →Strong tissue repair peptide with zero evidence for hair loss — a category error when applied to the scalp.
See evidence breakdown →The most-marketed hair vitamin — but it only helps if you're deficient, which almost no one is.
See evidence breakdown →Generic anti-inflammatory rationale; no AGA-specific RCT support and abysmal oral bioavailability.
See evidence breakdown →Severe deficiency (pellagra) causes alopecia. In a normal-diet adult, niacin supplementation does nothing for hair.
See evidence breakdown →Well-established skin-barrier ingredient. Modest hair-shaft data; no AGA RCT.
See evidence breakdown →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 →Helps if you're a vegan, elderly, or have pernicious anemia. Otherwise no AGA benefit.
See evidence breakdown →Cofactor with no direct AGA evidence. Deficiency rare; mega-doses cause peripheral neuropathy.
See evidence breakdown →Useful for confirmed zinc deficiency. No AGA benefit in zinc-replete adults; mega-doses cause copper deficiency.
See evidence breakdown →Real stress-reduction evidence; zero direct evidence for AGA. Included in supplements on inferential 'stress → hair loss' logic.
See evidence breakdown →Tested only in combination with saw palmetto. Standalone AGA effect unknown.
See evidence breakdown →The signature ingredient of Viviscal — a proprietary marine peptide blend with no isolated-ingredient peer-reviewed AGA evidence.
See evidence breakdown →A required nutrient with no direct AGA evidence. Useful only as an iron-absorption cofactor in patients supplementing iron.
See evidence breakdown →Silica source with no AGA evidence.
See evidence breakdown →Bone mineral with no documented hair-loss role. Filler in multivitamin-style hair supplements.
See evidence breakdown →Traditional medicine ingredient with no quality RCTs — and documented hepatotoxicity case reports.
See evidence breakdown →Traditional silica source with no quality AGA evidence.
See evidence breakdown →Real iodine deficiency does affect hair via thyroid — but in iodized-salt populations, supplementing extra iodine is unnecessary and can harm.
See evidence breakdown →Amino acid precursor with no direct AGA evidence.
See evidence breakdown →Vegamour's signature ingredient. No peer-reviewed AGA evidence.
See evidence breakdown →Weak in vitro 5-AR inhibition; no human AGA RCT.
See evidence breakdown →Traditional medicine ingredient with no AGA evidence.
See evidence breakdown →Weak in vitro phytoestrogen activity; no human AGA evidence.
See evidence breakdown →Both deficiency and excess cause hair loss; supplementation in adequately-fed adults has no AGA benefit.
See evidence breakdown →Generic dietary protein/micronutrient with no AGA evidence.
See evidence breakdown →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 →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.
Endpoint switched, evidence selective
Read the full review →No evidence for the blend
Read the full review →Mostly cosmetic
Read the full review →Studies excluded the disease they're sold to treat
Read the full review →