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Can Low-Carb or Keto Diets Cause Hair Loss?

Dr Kalyani Deshmukh

Dr Kalyani Deshmukh
Dr. Kalyani Deshmukh brings 7 years of experience in dermatology, specializing in the diagnosis of complex conditions and performing advanced dermatosurgical procedures. Her areas of expertise include clinical dermatology, trichology, dermatosurgery and aesthetic medicine.

Can Low-Carb or Keto Diets Cause Hair Loss?

Yes, low-carb and keto diets may cause temporary hair loss that is primarily driven by rapid weight loss, inadequate protein intake, and sudden nutritional or caloric stress. This condition, known as telogen effluvium, forces hair follicles into a resting and shedding phase. 

A low-carb or keto diet may give your body a sudden metabolic shock and disrupt normal hair growth cycles. When you restrict certain food groups completely, it may affect the hair follicles' essential keratin building blocks.

Does Hair Loss Happen with a Ketogenic Diet? 

Yes, hair loss can happen after starting a ketogenic diet, but the diet itself is not a direct cause of permanent hair loss. Instead, you may experience temporary hair shedding, usually because of the physiological stress associated with rapid dietary changes, significant weight loss, reduced calorie intake, or nutritional deficiencies.

A ketogenic diet is a very low-carbohydrate, high-fat eating pattern that shifts your body into ketosis, a metabolic state where fat becomes the primary source of energy.  Hair fall associated with a ketogenic diet is usually linked to factors that may accompany the diet, such as rapid weight loss, calorie restriction, insufficient protein intake, or deficiencies in key nutrients.

The American Academy of Dermatology also identifies significant weight loss as a potential trigger for temporary hair shedding, regardless of the dietary approach used.

Does Ketosis Itself Cause Hair Loss? 

While ketosis itself does not damage hair follicles, the transition to this eating pattern can affect the normal hair growth cycle if your nutritional needs are not adequately met.

If your body experiences nutritional stress during the transition to ketosis, it may trigger telogen effluvium, a temporary form of hair shedding. This occurs when more hair follicles than usual enter the resting (telogen) phase after a physical or metabolic stressor.

Is Keto Hair Loss Temporary? 

In most cases, yes. Hair loss associated with a ketogenic diet is temporary, especially when it is caused by telogen effluvium. Unlike permanent forms of hair loss, telogen effluvium does not damage the hair follicles. Once the underlying trigger is addressed, the follicles gradually return to their normal growth cycle, and new hair begins to grow.

Most people notice increased hair fall 2–3 months after starting a ketogenic diet or experiencing rapid weight loss. Hair fall typically lasts 3–6 months, although visible hair regrowth may take several more months because hair grows slowly. 

What Is Keto Shedding and Why Does It Happen? 

Keto shedding is a term commonly used to describe temporary hair shedding that some people notice after starting a ketogenic diet. Although it is not a medical diagnosis, it most often refers to telogen effluvium, a temporary condition in which more hair follicles than usual enter the resting (telogen) phase and shed a few months after a physical or nutritional stressor.

Keto shedding usually occurs because of the changes associated with starting a ketogenic diet, rather than ketosis itself. Common triggers include rapid weight loss, reduced calorie intake, insufficient protein intake, vitamin and mineral deficiencies, and physiological stress.

Does Hair Loss Happen with a Low-Carb Diet? 

Yes, hair loss can occur with a low-carb diet, but it is not caused by reducing carbohydrates alone. Instead, temporary hair shedding is more likely when a low-carb eating plan leads to rapid weight loss, inadequate calorie intake, low protein consumption, or nutrient deficiencies that support healthy hair growth.

Several factors associated with low-carb diets may contribute to temporary hair loss:

  • Rapid weight loss: Sudden weight loss triggers telogen effluvium, regardless of the diet used.
  • Low protein intake: Hair is primarily made of keratin, a structural protein. Consuming too little protein may affect normal hair growth.
  • Nutrient deficiencies: Restricting certain food groups like carbohydrates can reduce your intake of iron, zinc, vitamin D, biotin, selenium, and other nutrients important for healthy hair.
  • Excessive calorie restriction: Eating significantly fewer calories than your body needs may temporarily shift energy away from non-essential functions like hair growth.

Is Hair Loss From a Low-Carb Diet Temporary?

Yes, hair loss from a low-carb diet is often temporary, particularly when it is caused by telogen effluvium. This condition develops when a physical or nutritional stressor such as rapid weight loss, a significant calorie deficit, or inadequate intake of protein and essential nutrients causes more hair follicles to enter the resting (telogen) phase before shedding.

Hair shedding related to a low-carb diet typically does not mean that your hair follicles are permanently damaged. Once your body receives adequate nutrition and the underlying trigger is resolved, the hair growth cycle usually returns to normal, allowing new hair to grow.

Keto Nutrition Tips to Prevent Hair Loss 

Following a ketogenic diet does not mean you have to compromise your hair health. A well-planned keto diet that provides enough protein, calories, vitamins, and minerals can help support the normal hair growth cycle and reduce the risk of diet-related shedding.

Here are some of the tips that can help you prevent hair loss while being on a low-carb or keto diet:

Nutrition Tip

What to Eat or Do

Eat enough protein

Eggs, chicken, turkey, fish, tofu, paneer, Greek yoghurt

Avoid crash dieting

Follow a moderate calorie deficit instead of very low-calorie diets

Increase iron intake

Lean red meat, liver, spinach

Get enough zinc

Beef, shellfish, pumpkin seeds

Maintain vitamin D levels

Fatty fish, egg yolks, fortified foods

Include selenium & biotin

Brazil nuts (in moderation), eggs, mushrooms, almonds

Eat omega-3-rich foods

Salmon, sardines, mackerel, walnuts

Stay hydrated

Drink enough water throughout the day

Lose weight gradually

Aim for slow, sustainable weight loss

Check for deficiencies

Speak to a dermatologist if hair fall continues

Traya’s Perspective on Keto Diet Hair Loss

Following a ketogenic or low-carb diet does not automatically mean you will experience hair loss. In many cases, temporary hair shedding is triggered by rapid weight loss, inadequate protein intake, or nutritional deficiencies, rather than ketosis itself.

At Traya, we believe that instead of stopping a ketogenic diet immediately, you should focus on building a nutritionally balanced eating plan that provides enough protein, healthy fats, vitamins, and minerals to support both your overall health and your hair. The Traya Hair Test identifies all your hair concerns and provides a personalised kit that suits you.

Frequently Asked Questions

1. Can a keto diet cause hair thinning?

Yes, a keto diet may contribute to temporary hair thinning in some people, particularly during the first few months. This is usually caused by rapid weight loss, reduced calorie intake, insufficient protein, or nutrient deficiencies rather than ketosis itself.

2. What are 7 signs your body is in ketosis?

Some common signs that your body has entered ketosis include increased ketone levels in the blood or urine, reduced appetite, weight loss (particularly in the initial weeks), increased thirst, frequent urination, fatigue or the keto flu during the transition phase, and a fruity or acetone-like breath odour. These signs indicate that your body is using fat as its primary energy source. They do not necessarily mean you will experience hair loss.

3. What are the big 3 for thinning hair?

Hair thinning is often influenced by multiple factors, but three of the most common causes are genetics, hormonal changes, and nutritional deficiencies or physical stress. A dermatologist can help determine the underlying cause and recommend appropriate treatment.

4. Does hair grow better on keto?

If a keto diet is well planned and provides adequate protein, healthy fats, vitamins, and minerals, it can support normal hair health. However, a poorly planned ketogenic diet that is low in calories or essential nutrients may increase the risk of temporary hair shedding.

5. How long is it safe to be in ketosis?

You can follow a well-planned ketogenic diet for 3 to 6 months under medical supervision. Based on your metabolic conditions, your doctor or clinical dietitian may advise you to continue or stop the diet.

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