Nutrafol Side Effects: Is It Safe, or Are There Hidden Risks?
- Jason Sorgi, PA-C, MPAS
- Apr 21
- 3 min read
By Jason Sorgi, PA-C, MPAS

Nutrafol is everywhere, your Instagram feed, podcast ads, and maybe even your dermatologist’s office. It’s positioned as a natural, drug-free solution to thinning hair. But just because something is "natural" doesn’t mean it's risk-free.
This guide breaks down the real side effects of Nutrafol, including what’s backed by science, what’s been reported by users, and what risks you should actually care about.
Does Nutrafol Really Work?
In a 6-month, randomized, double-blind study published in Journal of Drugs in Dermatology, Nutrafol was found to improve hair growth and hair quality in women with thinning hair, and no adverse events were reported during the study period.
Translation? Nutrafol is generally safe for most healthy people in the short term. But that’s not the full story.
Is Nutrafol Safe to Take Long-Term?
A case report published in The American Journal of Gastroenterology in 2024 documented a 26-year-old woman who developed jaundice and elevated liver enzymes after using Nutrafol for 5 months. Liver biopsy confirmed hepatocellular injury, and her levels improved after stopping the supplement.
This is rare, but it’s not isolated. Several Nutrafol ingredients have been individually linked to liver strain or thyroid disruption in case studies.
Nutrafol Ingredients with Potential Risks
Ingredient | Potential Side Effect(s) | Mechanism or Risk |
Turmeric | Liver toxicity in sensitive individuals | Hepatotoxic in high doses or when combined with other compounds |
Ashwagandha | GI upset, dizziness, rare liver injury | May alter cortisol or immune response |
Saw Palmetto | Hormonal imbalance, liver damage, sexual dysfunction | DHT inhibition + androgen interference |
Nutrafol Side Effects in Women: What to Watch Out For
Although Nutrafol isn’t a hormone, some of its ingredients may impact hormonal balance, which is especially relevant for women. User reports and anecdotal feedback have included:
Breast tenderness
Changes in menstrual cycle
Mood swings or hormonal shifts
If you have PCOS, thyroid issues, or take hormone-based medications, it's best to consult your provider first.
Can Nutrafol Cause Liver Damage or Thyroid Problems?
Yes, but it’s rare. As highlighted above, both turmeric and saw palmetto have been tied to liver stress in isolated cases. Kelp, meanwhile, has the potential to disrupt thyroid hormone levels if taken in excess.
Watch for symptoms like:
Fatigue or brain fog
Jaundice (yellowing skin/eyes)
Weight fluctuations
Hair shedding or brittle nails (yes, ironically)
Nutrafol Lawsuit or FDA Warning? Here's the Truth
Is Nutrafol FDA Approved? No. Nutrafol is classified as a dietary supplement, which means it is not subject to FDA approval before being marketed. It must comply with the FDA's general supplement regulations, but there is no pre-market testing.
Nutrafol Lawsuit? As of April 2025, there is no public class action lawsuit, but legal inquiries have been made in cases involving liver complications. This is something to monitor.
Stomach Pain, Nausea, and Other GI Issues
Nutrafol users have also reported:
Stomach pain
Acid reflux
Nausea after taking capsules
Loose stool or bloating
Most of these effects come from high doses of adaptogens or zinc and typically subside with food or lower doses.
FAQ
Is Nutrafol FDA approved? No. It is a dietary supplement, not a drug.
Can Nutrafol cause liver damage? Rarely, but there is a documented case. Monitor symptoms and talk to a doctor if you have liver risk factors.
Does Nutrafol interact with thyroid meds? It can. Kelp and high iodine levels may interfere with thyroid function and medications.
Is Nutrafol safe for women? Generally yes, but watch for hormonal side effects or menstrual changes.
Can Nutrafol upset your stomach? Yes, especially in the first few weeks. Taking it with food may help.
Who Should Not Take Nutrafol?
Those with liver conditions or elevated liver enzymes
People with autoimmune thyroid disorders
Pregnant or breastfeeding individuals
Anyone on blood thinners, thyroid meds, or immunosuppressants
Tips for Safer Use
Start with one capsule/day for the first week
Don’t stack it with high-dose biotin or multivitamins unless cleared by a provider
Monitor for symptoms and get bloodwork if used long term
Stop immediately and consult a doctor if you experience fatigue, dark urine, or jaundice.
Summary
Nutrafol is safe for most healthy adults, but it's not risk-free. Watch for hormonal changes, stomach discomfort, or thyroid/liver symptoms, especially if you have pre-existing conditions.
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