Hair thinning and hair loss are symptoms that many people living with primary biliary cholangitis (PBC) struggle with. Hair loss can be attributed to poor liver function and is a common side effect of the medication used to manage PBC symptoms. It can be a challenging symptom to manage, but a structured approach to support both healthy liver function and general health overall can help reduce hair loss and encourage the growth of healthier hair.
Why does PBC cause hair loss?
Hair loss in PBC may be the result of vitamin A deficiency and lower levels of bile due to liver damage, a side effect from treatment or related to other autoimmune diseases that often occur in people living with PBC.
As liver health deteriorates, vitamins and nutrients aren’t absorbed as effectively by the body. Bile produced by the liver plays an important role in nutrients reaching the hair follicles. A poorly functioning liver produces lower levels of bile, which in turn affects hair health. Vitamin A is particularly important for healthy, shiny hair, and a vitamin A deficiency can lead to hair falling out.
Liver damage also means that hormones and proteins essential for healthy hair are not being produced at the correct levels.
Ursodeoxycholic acid (UDCA), the first-line treatment for PBC, works by stimulating bile secretion. While side effects are minor, they do include hair thinning or hair loss.
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People with PBC also have the tendency to experience other autoimmune diseases such as autoimmune thyroid disease and Sjogren disease. Hair loss may also occur in these conditions.
Managing hair loss in PBC
To help reduce hair loss, it is important to support the health of your liver and the healthy functioning of your whole body. This is possible through a consistent approach that includes diet, lifestyle, exercise and stress management.
- Diet and nutrition: Boost your diet with nutritious meals that include lean protein, leafy greens, and omega-3-rich foods such as fish, eggs and nuts.
- Vitamin supplements: Ask your doctor about which vitamin supplements are recommended to boost your overall health.
- Reduce stress levels and boost your circulation: Prioritize your well-being by making time for meditation and low-impact physical activity to support the optimal functioning of your body. Increased blood circulation to your scalp is beneficial in reducing hair loss.
- Take care of your hair: Treat your hair gently by using natural products and avoiding chemical treatments.
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