### Does Metformin Cause Hair Loss? Metformin is a medication commonly prescribed for people with type 2 diabetes or hyperglycemia. It helps to lower blood sugar levels by reducing the amount of sugar produced by the liver and increasing the sensitivity of muscle cells to insulin. While Metformin is effective in managing blood sugar levels, there is little scientific evidence to suggest that it directly causes hair loss. However, there have been isolated reports of hair loss in people taking Metformin. For instance, one report mentioned a person with type 2 diabetes who experienced eyebrow and eyelash hair loss while taking Metformin and another diabetes drug, sitagliptin. It is unclear whether this hair loss was directly caused by the medication or other factors. Some studies have suggested that long-term use of Metformin can lead to a decrease in vitamin B-12 and folate levels. A 2013 study indicated that prolonged use of Metformin might cause a reduction in these vitamins, and a 2015 case-control study found a link between high blood sugar levels and alopecia (hair loss). If you are experiencing hair loss while taking Metformin, it might be due to a vitamin B-12 deficiency or the underlying condition of hyperglycemia rather than the medication itself. To address hair loss, consider the following natural remedies: 1. **Maintain a Balanced Diet:** Ensure you are getting enough vitamins and minerals, especially vitamin B-12, which can be found in foods like meat, fish, dairy products, and fortified cereals. 2. **Gentle Hair Care:** Avoid harsh hair treatments and use gentle shampoos and conditioners. 3. **Reduce Stress:** Practice stress-reducing activities such as yoga, meditation, or regular exercise. 4. **Stay Hydrated:** Drink plenty of water to keep your hair and scalp hydrated. If you are concerned about hair loss, consult your doctor. They can help determine the cause and recommend appropriate treatments. In some cases, a vitamin B-12 supplement might be advised. If you notice significant hair thinning, breaking, or falling out, it is essential to seek medical advice to rule out any underlying health conditions. ### When to Seek Medical Help Make an appointment with your doctor if you experience sudden or severe hair loss. Your doctor can diagnose the cause and suggest treatment options. Remember, while Metformin is not a known cause of hair loss, the conditions it treats, such as type 2 diabetes and PCOS, can contribute to hair loss. Managing your blood sugar levels and overall health can help reduce the risk of hair loss.