When the 2009 rugby study is examined closely, several key issues emerge:
DHT still remained in the normal range. The group taking creatine’s DHT levels rose from 0.98 to 1.53 nmol/L, still well within the normal range that goes up to 3.27 nmol/L in healthy adult men.1,3-4
Baseline differences skewed the data. Before supplementation even began, the creatine group’s DHT levels were lower than the placebo group’s, making the increase (referenced earlier in percentages) appear more dramatic than it really was.1
It has never been replicated. In scientific research, one study alone isn’t enough to establish causation, especially when follow-up studies fail to confirm the same results.1 Since that study, at least 12 additional studies have looked at creatine, testosterone, and DHT, and most found no changes at all, while a few showed only minor, clinically insignificant fluctuations in total testosterone.1 None found increases in free testosterone or DHT.1
In 2021, an internationally renowned team of research experts in nutrition, sports medicine, and physiology concluded that “the current body of evidence does not indicate that creatine supplementation increases total testosterone, free testosterone, DHT, or causes hair loss/baldness.”1
And in 2025, a study led by researchers collaborating with the Iran Skin Research Center finally addressed the question directly by examining hair follicle health in healthy young men taking creatine over 12 weeks.5 The results were definitive:
No significant differences in DHT levels or DHT-to-testosterone ratio.5
No difference in hair growth parameters between creatine and placebo groups.5
Because this study directly assessed the impact of creatine on hair follicle health, it does provide a strong argument against the claim that creatine contributes to hair thinning, although more research in this area is still needed.