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can high insulin levels cause hair loss ?

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Can high insulin levels cause hair loss

It is well known that women who have high levels of insulin from the disease polycystic ovary syndrome (PCOS) are most likely to develop androgenetic alopecia. A study from Harvard School of Public Health showed that men who have the highest blood levels of insulin like growth factor-1 (IGF-1) are more likely to suffer male pattern baldness.

From this research some individuals have concluded that high blood levels of insulin and its growth factors may cause male pattern baldness in men and women. They suggest that pattern baldness may be caused by high levels of insulin produced by eating large amounts of sugary and floured foods such as bakery products and pastas. They believe male pattern baldness can be prevented by avoiding flour and sugar, eating fruits only with meals, and taking alternative treatments such as Glucophage, Actos, and Avandia that they claim lower insulin levels.

It is correct that high levels of insulin are found in men and women with hair loss. However, this is a consequence of androgen hormone activity that occurs in PCOS and pattern baldness and is unlikely to be the fundamental cause of hair loss. There is a complex interaction between androgen hormones, sex hormone binding globulin (SHBG), and insulin levels. When SHBG levels go down, insulin levels go up as a consequence.

If it was true that insulin directly caused pattern baldness then people with the autoimmune type I form of insulin dependent diabetes, where insulin production is significantly reduced, would be expected to be more resistant to development of pattern baldness and/or to have more limited hair loss. However, there is no evidence to show that diabetics have reduced levels of pattern alopecia.

Insulin may have an affect on pattern alopecia, but the weight of evidence indicates that it is only a potential influence when other factors such as steroids and SHBG are involved.


Can high insulin levels cause hair loss references

  • Signorello LB, Wuu J, Hsieh Cc, Tzonou A, Trichopoulos D, Mantzoros CS. Hormones and hair patterning in men: a role for insulin-like growth factor 1? J Am Acad Dermatol. 1999 Feb;40(2 Pt 1):200-3.

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