What Is Anorexia Hair Loss and How Can You Treat It?
Anorexia nervosa, a severe eating disorder characterized by restricted food intake and extreme weight loss, can significantly affect the body—including the health of your hair. Hair loss is one of the lesser-known but emotionally distressing consequences of anorexia. Understanding how anorexia leads to hair loss and the steps to reverse it is crucial for both recovery and confidence restoration.
Why Does Anorexia Cause Hair Loss?
Hair growth depends on a steady supply of nutrients such as protein, iron, biotin, zinc, and essential fatty acids. When the body is deprived of these due to anorexia, it shifts focus to protecting vital organs like the heart and brain. As a result, hair enters the telogen (resting) phase prematurely, leading to excessive shedding known as telogen effluvium.
Additionally, hormonal imbalances and reduced estrogen levels—common in individuals with anorexia—can weaken hair follicles. Chronic malnutrition can also damage the structure of existing hair, making it thin, brittle, and more prone to breakage.
Symptoms of Hair Loss from Anorexia
Hair loss related to anorexia is often diffuse, meaning it affects the entire scalp rather than specific patches. Common signs include:
- Noticeable thinning, especially at the crown or parting line
- Increased hair on pillows, in the shower, or on brushes
- Dry, dull, and lifeless hair texture
- Slower hair growth and fragile strands that break easily
In some cases, individuals may also develop lanugo—a soft, fine hair that grows on the body as a physiological response to cold and fat loss.
How to Treat Anorexia Hair Loss
- Nutritional Rehabilitation:The first and most vital step is restoring proper nutrition. A registered dietitian or eating disorder specialist can create a structured meal plan rich in: protein (for keratin production), iron and zinc (to promote follicle health), omega-3 fatty acids (to reduce inflammation), biotin and B-complex vitamins (to support cellular function).
- Stress Management: Chronic psychological stress disrupts hair growth hormones. Incorporating therapy (CBT or DBT), mindfulness, or gentle activities like yoga can support both mental health and hair recovery.
- Gentle Hair Care Routine: Avoid heat styling, harsh shampoos, or tight hairstyles. Use sulfate-free shampoos and nourishing conditioners. Let your hair air-dry whenever possible and minimize brushing when wet.
- Topical Treatments and Medical Advice: Minoxidil (Rogaine) is sometimes used to encourage regrowth, but its use should be guided by a healthcare provider. Dermatologists may also recommend PRP (Platelet-Rich Plasma) therapy in cases of prolonged hair loss after recovery.
- Supportive Environment: Anorexia recovery is deeply psychological. Encouragement from loved ones, professional therapy, and participation in recovery groups can all accelerate overall healing—both mentally and physically, including hair regrowth.
Is Hair Loss from Anorexia Reversible?
Yes, in most cases, anorexia-related hair loss is reversible—but it requires time and a holistic recovery approach. Once nutritional intake is stabilized and the body begins to heal, the hair follicles resume their normal growth cycle. However, this process can take several months, and full regrowth may not be immediate.
The key is consistency. The body needs sufficient calories, proteins, and micronutrients to rebuild hair strength and density. Emotional recovery is equally important; stress and anxiety can worsen hair loss, even during refeeding.
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About the Author: Dr. Rasime Erkan
