A low-carb or ketogenic diet can provide health benefits, such as aiding weight loss and managing diabetes. However, can a low-carb diet cause hair loss? So far, there isn’t any significant research to suggest that a low-carb or ketogenic diet causes hair loss. This article will help shed more light on the topic.
In patients who have a low-carb diet and notice more hair falling out, it can be due to:
- The calorie restriction they put their body through, limiting the nutritional supply to their hair
- The psychological stress being put on their body is also causing hair to shed
- Protein, iron, and micronutrient deficiency as a consequence of a low-carb diet can cause hair loss
What is a low-carb or ketogenic diet?
A low-carb diet limits carbohydrate intake, particularly starchy and sugary foods. Instead, it recommends consuming foods rich in protein and fat. Generally, a low-carb diet is adopted to aid weight loss. It may also be advised for some patients who suffer from diabetes and metabolic syndromes.1
There are many different types of low-carb diets. A typical one should provide no more than 26% of your daily caloric value from carbohydrates. But the main idea behind a low-carb or ketogenic diet that’s high in proteins and fats remains the same, which is to regulate the body’s insulin content and induce ketosis, the condition whereby the human body shifts to the use of fats for fuel, instead of the glucose that comes from carbohydrates.
When this shift occurs, and the body enters ketosis, ketones from fat cells become the primary fuel powering metabolic activity. This causes stored fat reserves to get used up causing weight loss2.

Does a low-carb diet cause hair loss?
There’s still a lot of uncertainty as to whether a low-carb diet does cause hair loss. What remains clear is that any diet, provided it contains all the essential amounts of vitamins, minerals, and other macronutrients in the right proportion, is critical for supporting hair growth.
Currently, there is no substantial evidence to say a low-carb diet causes hair loss. However, anecdotal reports suggest that people who adopt a low-carb diet may notice hair falling out after a few months. While many factors have been attributed to hair loss, some of the most convincing include severe calorie restriction, inadequate protein intake, nutrient deficiencies, and stress.
Severe calorie restriction and hair loss
Drastic dietary changes can cause temporary hair loss. A typical example is telogen effluvium, a short-term hair-shedding phase resulting from a sudden lifestyle change. It is one of the most common causes of hair loss.
In telogen effluvium, the proportion of hairs that are actively growing (called anagen hair), and those that are at a resting phase (known as telogen hair) changes. A single hair follicle grows for about 2-5 years, and then enters a resting phase for about 3-5 months, after which a new hair will grow again to push out the resting hair.
When there’s a shock to the system, such as a sudden dietary change, like going on a low-carb diet, as much as 50% of the anagen (growing) hairs can enter the resting phase, which may all fall out at the same time, causing temporary hair loss4. This is because the body diverts essential nutrients away from non-essential parts of the body such as the hair to other life-essential organs like the heart and brain.
Protein inadequacy and hair loss
Normally, a low-carb or ketogenic diet is supposed to include more protein; however, some may choose to eat less protein and more high-fat foods. Protein is an essential nutrient for growing hair follicles. Research-based findings have shown that a diet that’s deficient in proteins can cause hair loss6.
If most of your calorie intake comes from fat, you may be eating too little protein, leading to a deficiency and, in turn, causing hair loss. Proteins, and thus, risks protein deficiency. Proteins ought to make up anywhere between 10-30% of your daily calorie intake.
Nutrient deficiency and hair loss
A low-carb diet that’s deficient in key nutrients can also cause hair loss. Iron deficiency is the world’s most common nutritional deficiency and is well-known to cause hair loss 7.
For those who opt for a low-carb diet and are also vegan or vegetarian, the risk for iron deficiency increases, because the non-heme iron found in plant-based foods has a lower bioavailability than the heme iron found in animal foods like meat and fish. So, if you are a vegan, on a low-carb or keto diet, and your hair is beginning to thin and fall out, you may need to take iron supplements.

Apart from iron, if your low-carb diet is lacking in essential vitamins like vitamin B7, folate, and vitamin E, you may also notice hair thinning or other signs of hair loss, as these vitamins are essential in maintaining healthy hair.
Stress and hair loss
Well-researched findings have shown that psychological stress is one of the several factors that can lead to the development of telogen effluvium. Those choosing to undergo a drastic dietary change, such as switching to a low-carb diet, can experience psychological stress that alters the hair growth cycle and causes more hair to shed.
Does Low-Carb Diet Help After Having A Hair Transplant
Should you have a low-carb diet after having a hair transplant? There is no evidence to suggest that eating a low-carb diet after your transplant is beneficial to you. However, for patients choosing to have a low-carb or keto diet after their transplant, they must ensure a balanced and supplemented intake of:
- Calories
- Vitamin C, D, A, E
- Iron
- Biotin or Vitamin B7
After any surgery, it is only logical to consider eating nutrient-rich foods; these can help replenish the body and improve its ability to heal. Despite the lack of strong evidence suggesting a low-carb diet is beneficial after a hair transplant, a lot of people are still not sure whether it is the right kind of diet for them just after having their surgery.
Can you have a low-carb or keto diet after a hair transplant?
You can have a low-carb or keto diet after your hair transplant, but you will need to ensure the diet provides a balanced intake of the vitamins, minerals and protein required to support your healing and subsequent hair growth.
Generally, a low-carb, high-fat diet has been linked to temporary hair loss. But this hair loss has been found to result from insufficient intake of specific nutrients. As a result of carbohydrate restriction, the body receives smaller amounts of particular nutrients, especially those from high-carb fruits and vegetables. This lack of adequate nutrients can lead to more hair loss and even slow hair growth.
Also, when the body gets fewer calories by cutting down on carbohydrate intake, it first redirects energy away from hair and toward other critical cellular functions. This alone may reduce hair growth.
That said, it is possible to adjust a low-carb or keto diet to compensate for the loss of essential nutrients that support hair growth and health.
You can also choose supplements to cover up any deficiencies. Basic vitamins and minerals to consider taking as supplements include the B-group vitamins, vitamin C, vitamin D, vitamin E, vitamin A, and iron.
What to eat after a hair transplant
The health of our hair depends heavily on our nutritional profile. In fact, hair loss can be the body’s first reaction to a nutritional deficiency. Usually, a deficiency in one or more nutrients and vitamins, such as zinc, iron, and Vitamin D, can cause hair loss.
Besides, research has already established clear links between nutritional deficiencies and the structure and growth of hair.3
In addition, protein intake can be essential for hair growth. A protein-deficient diet has been found to promote hair loss4.
After a hair transplant, it usually takes a few months for the hair roots to grow and develop fully. During this process, patients should maintain a balanced, healthy diet to support hair growth and wound healing.
We have highlighted essential nutrients and vitamins below to aid your recovery after a hair transplant.
Proteins
The human hair follicle is made up of several proteins. Thus, for your newly transplanted hair to grow, it will need a constant supply of protein, which a low-carb or ketogenic diet will need to take into account. Some of the best foods for providing high-quality protein include fish, chicken, eggs, milk, and cheese.
Vegans or vegetarians can choose healthy plant-based sources like soy products (tofu, tempeh, and edamame), nuts (chickpeas, almonds, and peanuts), and pseudo-grains (quinoa and amaranth).
Vitamins
Vitamins are well-known to support the growth of healthy hairs. Vitamin C plays a part in the synthesis of collagen, which contains some essential amino acids that are used in the production of keratin, a protein that forms the tissue of our hair. Vitamin C also helps in the absorption of iron, whose deficiency is a common cause of hair loss5.

In addition to all these essential roles, vitamin C can help speed up the healing of your hair transplant surgery. Research-based findings indicate that vitamin C is involved in all phases of wound healing, which is necessary for the healing and recovery phase following a hair transplant.
Apart from vitamin C, the B-group vitamins are also well-known to support the overall well-being of the hair. In fact, the deficiency of some B-group vitamins like biotin, riboflavin, vitamin B12, and folate, have been associated with hair loss 7. Ensuring you have an adequate intake of these vitamins after your hair transplant can therefore aid your subsequent regrowth.
Minerals
In terms of minerals, iron, magnesium, and zinc are among the most essential minerals that can support the growth of your hair, especially after a hair transplant.
That said, there are also certain foods to avoid after your hair transplant. Fast and processed foods that are usually high in sugar, and devoid of quality nutrients like vitamins and minerals, are unlikely to provide you with a balanced intake of minerals, vitamins and protein for your recovery.
Treatments for hair loss
If you do suffer from hair loss, you can explore non-surgical treatments to help thicken your hair.
Non-surgical treatments you can explore include:
- Finasteride, which stops the balding process of androgenic alopecia, blocking the enzymes which assist the conversion of testosterone into DHT
- Minoxidil, which increases hair vitality by promoting good oxygen and nutrient supply
There are also surgical treatments, such as an FUE hair transplant. This is an advanced, minimally invasive procedure that removes individual hair follicles from the back and sides of the head using tiny punches before transplanting them to the part of your scalp experiencing hair loss, such as the hairline or crown.
Summary
A low-carb or ketogenic diet hasn’t been shown to cause hair loss directly. It is the association of a broader change in dietary intake with hair thinning and loss. For patients on a low-carb diet who experience hair loss, the condition is typically temporary, especially if they address any underlying nutritional deficiency.
Numerous factors can explain why low-carb diets cause hair loss, such as drastic dietary changes that alter calorie intake and the resulting stress, which can shift the hair growth cycle into a shedding phase. Irrespective of what’s causing your hair loss, you can prevent it by making sure you have a balanced diet. Foods rich in vitamins and minerals may help support the growth and health of your hair.
If you are exploring having a hair transplant for your hair loss, book your consultation today. Our lead surgeons are more than happy to provide you with more information about the personalised hair transplant service we offer at The Treatment Rooms London.
REFERENCES
- https://www.ncbi.nlm.nih.gov/books/NBK537084/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8322232/
- https://www.statpearls.com/ArticleLibrary/viewarticle/38819
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320655/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5579396/
- https://pubmed.ncbi.nlm.nih.gov/28243487/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5315033
- https://www.ncbi.nlm.nih.gov/books/NBK499830/
- https://www.nal.usda.gov/programs/fnic
- https://pubmed.ncbi.nlm.nih.gov/24796079/
- https://pubmed.ncbi.nlm.nih.gov/30547302/
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